Koj puas tau hnov lo lus ' mob hlwb aneurysm'? Tej zaum koj twb tau hnov txog koj tus phooj ywg muaj ib qho. Nws yog ib qho ib txwm muaj kev ntshai thiab xav tsis thoob thaum peb hnov lub npe no. Leej twg yuav tsis ntshai thaum lawv hais tias cov hlab ntsha hauv lub hlwb tawg, puas yog? Tab sis es tsis txhob ntshai tsis tsim nyog txog qhov no, nws tseem ceeb dua kom paub txog nws. Yog li hnub no, peb yuav tham txog nws yooj yim heev, hauv txoj kev uas koj tuaj yeem nkag siab.
Hauv lwm lo lus, aneurysm yog dab tsi?
Xav txog lub npas. Yog tias peb tshuab nws tas li, qee qhov yuav tsis muaj zog thiab nws tawm los zoo li lub npuas me me, puas yog? Tib yam no tshwm sim rau hauv cov hlab ntsha hauv peb lub hlwb.
Thaum cov hlab ntsha uas xa cov ntshav mus rau lub hlwb qaug zog ntawm qee qhov chaw, thiab cov ntshav txuas ntxiv ntws los ntawm nws sai sai, qhov chaw qaug zog ntawd yuav tawm los zoo li lub npas. Qhov ntawd hu ua aneurysm . Cov no tuaj yeem loj hlob mus rau qhov loj me ntawm ib lub txiv hmab me me.
Txawm hais tias lub npe zoo li txaus ntshai los xij, feem ntau cov aneurysms tsis ua rau muaj tsos mob lossis teeb meem kev noj qab haus huv. Ib tug neeg tuaj yeem nyob tau lawv lub neej tag nrho yam tsis paub tias lawv muaj aneurysm, yam tsis muaj teeb meem dab tsi.
Txawm li cas los xij, tsis tshua muaj, qhov aneurysm no tuaj yeem loj hlob tuaj, ntshav maj mam ntws tawm, lossis tawg tam sim ntawd. Thaum nws tawg thiab los ntshav rau hauv lub hlwb, nws hu ua mob stroke hemorrhagic. Qhov no yog ib qho xwm txheej ceev heev, uas tuaj yeem ua rau tuag taus. Hauv cov xwm txheej zoo li no, yuav tsum tau mus kho mob hauv tsev kho mob tam sim ntawd.
Cov hom thiab qhov loj ntawm aneurysms yog dab tsi?
Cov hlab ntsha aneurysm muaj peev xwm muab faib ua ntau hom loj. Cia peb saib seb lawv yog dab tsi.
| Hom Aneurysm | Kev piav qhia |
|---|---|
| Aneurysm ntawm lub saccular | Qhov no yog hom mob uas feem ntau pom. Nws ua ib lub npuas sab nraum cov hlab ntsha, zoo li ib lub txiv hmab dai ntawm ib tsob ntoo. Yog vim li no nws thiaj hu ua "berry aneurysm." |
| Aneurysm Fusiform | Cov no tsis zoo li lub npuas. Hloov chaw, cov phab ntsa ntawm cov hlab ntsha o tuaj thoob plaws, ua rau thaj chaw ntawd dav dua. Cov no tsis tshua muaj. |
| Mob Mycotic Aneurysm | Ib hom aneurysm uas tshwm sim thaum phab ntsa ntawm cov hlab ntsha tsis muaj zog vim muaj kev kis kab mob xws li cov kab mob bacteria lossis fungi. Qhov no kuj tsis tshua muaj. |
Cov aneurysms no tuaj yeem muaj ntau qhov ntau thiab tsawg.
- Me ( SMA ll): Tsawg dua 11 millimeters (kwv yees li qhov loj ntawm lub roj hmab cwj mem).
- Loj: Nruab nrab ntawm 11-25 millimeters (kwv yees li qhov loj ntawm 5 rupee npib hauv Sri Lanka).
- Loj: Loj dua 25 millimeters.
Cov tsos mob ntawm qhov no yog dab tsi? Qhov no yog yam koj yuav tsum paub!
Cov tsos mob ntawm aneurysm nyob ntawm seb nws puas tau tawg lossis tsis tau. Qhov no tseem ceeb heev , yog li ua tib zoo mloog.
| Cov tsos mob thaum muaj xwm txheej ceev ntawm lub aneurysm tawg (yog tias koj muaj ib qho ntawm cov no, mus rau ETU tam sim ntawd!) | |
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| Cov tsos mob ntawm aneurysm uas loj hlob tab sis tsis tawg (mus ntsib kws kho mob tam sim ntawd) | |
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Vim li cas cov aneurysms no thiaj li tshwm sim? Leej twg muaj feem yuav muaj kev pheej hmoo ntau dua?
Tsis muaj ib qho ua rau muaj aneurysm, tab sis qee yam ua rau muaj kev pheej hmoo tau raug txheeb xyuas.
Cov ua rau muaj los ntawm noob caj noob ces
Qee yam mob uas los ntawm noob caj ces yuav ua rau muaj kev pheej hmoo ntawm kev tsim cov aneurysms.
- Kab mob raum polycystic autosomal dominant yog ib yam kab mob uas cov cysts tsim nyob rau hauv lub raum.
- Neurofibromatosis hom 1 yog ib yam kab mob uas ua rau muaj qog nqaij hlav rau ntawm daim tawv nqaij thiab cov hlab ntsha.
- Cov kab mob uas cuam tshuam rau cov nqaij sib txuas (Marfan syndrome, Ehlers-Danlos syndrome)
Cov yam ntxwv ntawm kev pheej hmoo ntawm kev ua neej
Cov no yog tej yam uas peb tswj tau.
- Ntshav Siab: Qhov no yog qhov tseem ceeb thiab feem ntau ua rau muaj kev pheej hmoo.
- Haus Luam Yeeb: Cov neeg uas haus luam yeeb muaj feem ntau dua ntawm kev mob aneurysms thiab ntawm lawv tawg.
- Keeb kwm tsev neeg: Yog tias ib tug ntawm koj cov txheeb ze ze (niam, txiv, kwv tij neej tsa) tau muaj aneurysm, koj kuj muaj feem yuav mob siab dua me ntsis.
- Hnub nyoog: Qhov kev pheej hmoo yuav nce ntxiv tom qab muaj hnub nyoog 40 xyoo.
- Tub los ntxhais: Cov poj niam muaj feem yuav mob aneurysms ntau dua li cov txiv neej.
- Kev siv tshuaj yeeb: Kev siv tshuaj yeeb xws li cocaine.
- Haus dej cawv ntau dhau.
Cov kws kho mob nrhiav tau qhov no li cas?
Yog tias koj tus kws kho mob xav tias muaj aneurysm raws li koj cov tsos mob, muaj ntau qhov kev kuaj mob los lees paub qhov ntawd.
- CT Scan: Qhov no thaij duab kom ntxaws ntawm lub hlwb. Qee zaum yuav muaj ib qho xim tshwj xeeb txhaj rau hauv lub hlwb kom pom cov hlab ntsha ntau dua.
- Kev Ntsuas MRI: Lub zog sib nqus siv los thaij duab meej heev ntawm lub hlwb thiab cov hlab ntsha.
- Kev kuaj mob ntshav qab zib:Qhov no yog txoj kev ntseeg siab tshaj plaws los kuaj pom qhov aneurysm. Hauv cov txheej txheem no, ib lub raj nyias nyias (catheter) raug xa mus rau hauv cov hlab ntsha hauv ceg lossis caj npab mus rau cov hlab ntsha hauv lub hlwb, ib qho kua tshwj xeeb raug txhaj tshuaj, thiab ntau cov duab X-ray raug thaij. Qhov no tso cai rau pom qhov chaw, qhov loj me, thiab cov duab ntawm aneurysm.
- Kev Siv Lub Qhov Txha/Kev Siv Lub Ntsws Qaum: Yog tias muaj kev xav tias lub aneurysm tau tawg, yuav muab cov kua dej ntawm lub pob txha caj qaum los ntawm lub pob txha caj qaum thiab kuaj ntshav.
Cov kev kho mob yog dab tsi?
Kev kho mob yog txiav txim siab los ntawm ntau yam, suav nrog seb lub aneurysm puas tau tawg lossis tsis tau, nws qhov loj me, qhov chaw, koj lub hnub nyoog, thiab kev noj qab haus huv tag nrho.
Yog tias cov hlab ntsha me me, tsis muaj tsos mob, thiab tsis tawg, tej zaum yuav zam tau kev kho mob thiab tsuas yog tos kom zoo xwb. Koj yuav tsum tham qhov no nrog koj tus kws kho mob kom txiav txim siab zoo tshaj plaws.
Yuav tsum tau kho mob tam sim ntawd yog tias lub aneurysm tawg vim tias muaj feem yuav tawg dua. Muaj ntau txoj kev kho mob tseem ceeb.
| Txoj kev kho mob | Qhov tshwm sim yooj yim heev. |
|---|---|
| Kev Txiav Phais | Ib qho kev phais uas yuav tsum qhib lub taub hau. Tus kws phais yuav nrhiav tau qhov aneurysm thiab muab ib daim hlau me me tso rau ntawm nws lub caj dab kom tsis txhob los ntshav. |
| Kev Coiling Endovascular | Qhov no yog ib txoj kev kho mob uas tsis tas yuav qhib lub pob txha taub hau. Ib yam li kev kuaj angiogram, ib lub raj nyias nyias raug ntxig los ntawm ceg, thiab cov hlau platinum zoo heev raug ntxig los ntawm nws thiab ntxig rau hauv aneurysm. Tom qab ntawd cov ntshav ntws mus rau nws raug nres, thiab cov ntshav txhaws tsim thiab kaw nws. |
| Kev Phais Mob Flow Diverter | Ib txoj kev kho mob siv rau cov aneurysm loj. Hauv txoj kev kho mob no, ib lub stent zoo li mesh raug muab tso rau hauv cov hlab ntsha uas muaj aneurysm nyob. Qhov no tso cai rau cov ntshav ntws ncaj qha los ntawm aneurysm, es tsis txhob hla nws. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Feem ntau cov hlab ntsha hauv lub hlwb yeej tsis tawg. Lawv tuaj yeem tsis muaj tsos mob, yog li ntawd tsis txhob ntshai lub npe no.
- Mob taub hau sai sai thiab hnyav heev uas koj tsis tau muaj dua hauv koj lub neej yog ib qho cim ceeb toom! Yog tias qhov no tshwm sim, tsis txhob xav ob zaug thiab mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd.
- Ntshav siab thiab haus luam yeeb yog ob tug yeeb ncuab loj tshaj plaws. Kev tswj ob yam no tuaj yeem txo koj txoj kev pheej hmoo tau zoo heev.
- Yog tias ib tug neeg hauv tsev neeg tau muaj aneurysm, nrog koj tus kws kho mob tham txog nws.
- Yog kuaj pom thaum ntxov thiab kho kom zoo, tus mob no yuav kho tau tag nrho. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus