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Mob Aneurysm Hauv Hlwb Yog Dab Tsi? Cia peb tham txog nws!

Mob Aneurysm Hauv Hlwb Yog Dab Tsi? Cia peb tham txog nws!

Koj puas tau xav txog seb yuav muaj li cas yog tias cov hlab ntsha me me hauv koj lub hlwb tsim ib lub pob me me zoo li lub npas, loj hlob, thiab tawg? Qhov ntawd yog qhov peb yuav tham txog hnub no, lub hlwb aneurysm. Tej zaum koj twb tau hnov ​​​​​​lo lus no ua ntej lawm. Tsis txhob txhawj, cia peb piav qhia yooj yim.

Lub hlwb aneurysm yog dab tsi?

Hais yooj yim xwb, mob cerebral aneurysm yog ib qho mob uas qhov chaw tsis muaj zog hauv cov hlab ntsha (peb hu ua artery) hauv lossis nyob ib puag ncig koj lub hlwb o thiab tawm zoo li lub npas. Xav txog nws zoo li qhov chaw tsis muaj zog hauv cov kav dej, ua rau lub zog dej ua rau qhov chaw ntawd o. Thaum cov ntshav ntws los ntawm nws, lub zog thawb qhov chaw tsis muaj zog mus ntxiv, ua rau lub zog me me.

Thaum cov ntshav puv lub pob zoo li lub npas sai sai, lub aneurysm nthuav dav. Qhov no zoo ib yam li lub npas ua nyias dua thaum koj tshuab cua rau hauv nws, ua rau nws muaj feem yuav tawg.

Cov hlab ntsha hauv lub hlwb tuaj yeem tshwm sim nyob qhov twg hauv koj lub hlwb. Txawm li cas los xij, lawv feem ntau tshwm sim hauv cov hlab ntsha loj raws li lub hauv paus ntawm koj lub taub hau. Ntawm 10% thiab 30% ntawm cov neeg uas muaj cov hlab ntsha hauv lub hlwb muaj ntau dua ib qho hlab ntsha. Feem ntau, cov hlab ntsha no me heev thiab tsis ua rau muaj tsos mob.

Txawm li cas los xij, cov tsos mob tsuas yog tshwm sim thaum lub aneurysm loj txaus los nias rau cov hlab ntsha ze lossis cov ntaub so ntswg hauv lub hlwb. Qhov txaus ntshai tshaj plaws yog thaum lub aneurysm tawg thiab los ntshav (leaks) lossis tawg qhib. Qhov no tuaj yeem ua rau los ntshav rau hauv lub hlwb. Lub hlwb aneurysm tawg tuaj yeem ua rau tuag taus thiab xav tau kev kho mob ceev. Lub aneurysm tawg ntev npaum li cas, qhov kev pheej hmoo ntawm kev tuag lossis kev tsis taus mus tas li ntau dua.

Yuav ua li cas thaum lub hlwb aneurysm tawg?

Thaum qhov no tawg, cov ntshav ntws mus rau hauv cov ntaub so ntswg ntawm lub hlwb. Peb hu qhov no ua "Kev Los Ntshav". Cov ntshav no tuaj yeem muab kev nyuaj siab tsis tsim nyog rau cov ntaub so ntswg ntawm lub hlwb thiab ua rau lub hlwb o. Feem ntau, thaum lub sijhawm no, mob taub hau hnyav hu ua "Thunderclap headache" thiab lwm yam tsos mob tshwm sim.

Ib qho aneurysm hauv hlwb tawg tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj heev. Nov yog ob peb yam piv txwv:

  • Kev los ntshav hauv lub hlwb (Subarachnoid hemorrhage - SAH) : Qhov no yog kev los ntshav rau hauv qhov chaw nruab nrab ntawm cov ntaub nyias nyias uas npog thiab tiv thaiv koj lub hlwb (peb hu qhov no ua 'txheej arachnoid'). 90% ntawm SAHs yog tshwm sim los ntawm kev tawg ntawm lub hlwb aneurysm.
  • Mob stroke los ntawm kev los ntshav : Qhov no yog los ntshav rau hauv qhov chaw ntawm koj lub taub hau thiab koj lub hlwb.

Cov mob no tuaj yeem ua rau lub hlwb puas tsuaj mus tas li, lossis lwm yam teeb meem xws li:

  • Vasospasm : Qhov no yog thaum cov hlab ntsha nqaim lossis tawv, txo cov pa oxygen mus txog lub hlwb.
  • Hydrocephalus : Qhov no yog thaum cov kua dej cerebrospinal lossis ntshav sib sau ua ke nyob ib puag ncig lub hlwb, muab kev nyuaj siab ntau dhau rau lub hlwb.
  • Qaug dab peg : Qaug dab peg yog ib qho kev ua haujlwm hluav taws xob hauv lub hlwb uas tsis tuaj yeem tswj tau ib ntus. Qhov no tuaj yeem ua rau lub hlwb puas tsuaj ntxiv los ntawm kev tawg ntawm cov hlab ntsha hauv lub hlwb.
  • Coma : Qhov no yog lub xeev tsis nco qab uas kav ntev li ntawm ob peb hnub mus rau ntau lub lis piam.
  • Kev Tuag : Kwv yees li 50% ntawm cov neeg mob tuag los ntawm kev tawg ntawm lub hlwb aneurysm.

Leej twg thiaj muaj cov hlab ntsha hauv lub hlwb?

Cov hlab ntsha hauv lub hlwb tuaj yeem tshwm sim rau txhua tus neeg, txhua lub hnub nyoog. Txawm li cas los xij, feem ntau lawv cuam tshuam rau cov neeg hnub nyoog ntawm 30 thiab 60 xyoo. Lawv kuj tseem pom ntau dua me ntsis rau cov poj niam.

Qhov aneurysm no feem ntau tshwm sim li cas?

Hauv lub tebchaws zoo li Tebchaws Meskas, kwv yees li 6% ntawm cov pej xeem muaj cov hlab ntsha aneurysm uas tsis tau tawg. Txawm li cas los xij, cov hlab ntsha aneurysm uas tawg tsis tshua muaj. Kwv yees li 30,000 tus neeg hauv Tebchaws Meskas muaj tus mob no txhua xyoo.

Cov tsos mob ntawm lub hlwb aneurysm yog dab tsi?

Cov tsos mob ntawm lub hlwb aneurysm sib txawv nyob ntawm seb nws puas tau tawg lossis tsis tau.

Cov tsos mob ntawm aneurysm tawg

Cov no yog cov tsos mob ntawm aneurysm tawg:

  • Mob taub hau nrov nrov : Qhov no yog mob taub hau uas tshwm sim sai sai thiab mob heev. Muaj ntau tus neeg piav txog nws tias yog "mob taub hau phem tshaj plaws hauv kuv lub neej."
  • Ntuav thiab xeev siab.
  • Caj dab nruj (nyuaj rau khoov caj dab).
  • Pom kev tsis meej los yog pom ob sab.
  • Kev rhiab heev rau lub teeb (photophobia).
  • Qaug dab peg.
  • Lub qhov muag poob qis thiab lub qhov muag me me.
  • Mob saum thiab tom qab lub qhov muag.
  • Kev tsis meej pem.
  • Tsis muaj zog thiab/lossis tsis hnov ​​​​​​lus.
  • Poob siab.

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, koj yuav tsum hu rau 911 tam sim ntawd lossis mus rau chav kho mob ceev ntawm lub tsev kho mob ze tshaj plaws. Qhov no yog xwm txheej ceev!

Qee zaum muaj me ntsis ntshav tawm ntawm lub hlwb aneurysm. Qhov no hu ua 'sentinel bleed.' Yog tias qhov no tshwm sim, koj yuav muaj 'sentinel headaches' ob peb hnub lossis ob peb lub lis piam ua ntej lub aneurysm tawg.

Cov tsos mob ntawm ib qho aneurysm tsis tawg

Feem ntau, cov hlab ntsha hauv lub hlwb uas tseem zoo li qub tsis ua rau muaj tsos mob dab tsi. Txawm li cas los xij, yog tias lawv loj txaus, qhov loj me zoo li lub npas hauv cov hlab ntsha tuaj yeem ua rau muaj kev nyuaj siab rau cov hlab ntsha lossis cov nqaij hauv lub hlwb ze, ua rau muaj cov tsos mob xws li:

  • Mob taub hau.
  • Kev hloov pauv ntawm kev pom kev.
  • Qhov muag loj dua (qhov muag dav dua).
  • Tsis muaj zog hauv lub taub hau lossis lub ntsej muag.
  • Mob saum thiab tom qab lub qhov muag.
  • Qaug dab peg.

Yog koj muaj cov tsos mob no, mus ntsib kws kho mob sai li sai tau.

Dab tsi ua rau muaj aneurysm hauv lub hlwb?

Cov hlab ntsha hauv lub hlwb tshwm sim thaum cov phab ntsa ntawm cov hlab ntsha hauv koj lub hlwb nyias thiab tsis muaj zog. Lawv feem ntau tsim qhov chaw uas cov hlab ntsha faib. Qee zaum, koj tuaj yeem yug los nrog lub hlwb aneurysm. Qhov no feem ntau yog los ntawm qhov tsis zoo hauv phab ntsa hlab ntsha (ib qho 'kev puas tsuaj yug los'). Muaj ntau lwm yam ua rau cov phab ntsa hlab ntsha tsis muaj zog.

Cov yam ntxwv ntawm kev yug me nyuam hauv qab no tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm koj cov hlab ntsha thiab ua rau koj muaj feem yuav mob hlwb aneurysm:

  • `(Cov kab mob Ehlers-Danlos hauv cov hlab ntsha)`
  • "(Tus kab mob raum polycystic autosomal dominant)"
  • `(Marfan syndrome)`
  • `(Kev mob fibromuscular dysplasia)`
  • Kev puas tsuaj ntawm cov hlab ntsha hauv lub cev
  • Ib tug neeg hauv tsev neeg ze (tus kwv tij, tus muam, lossis niam txiv) muaj keeb kwm muaj aneurysm hauv hlwb.

Nov yog lwm yam mob thiab kev coj cwj pwm uas tuaj yeem ua rau koj cov phab ntsa ntawm cov hlab ntsha tsis muaj zog dhau sijhawm:

  • Haus luam yeeb.
  • Ntshav siab.
  • Kev siv tshuaj yeeb, tshwj xeeb yog cocaine.
  • Haus dej cawv ntau dhau.

Dab tsi ua rau lub hlwb aneurysm tawg?

Tib yam uas ua rau muaj aneurysm hauv lub hlwb kuj tuaj yeem ua rau nws tawg thiab los ntshav.

Cov kws tshawb fawb ntseeg tias ntshav siab yog qhov ua rau lub hlwb tawg. Thaum ntshav siab nce, qhov siab uas cov ntshav tso rau ntawm phab ntsa ntawm cov hlab ntsha nce. Muaj ntau qhov xwm txheej uas ntshav siab tuaj yeem ua rau lub hlwb aneurysm tawg:

  • Kev ntxhov siab tas mus li yog ib qho kev xav muaj zog, zoo li kev npau taws tam sim ntawd.
  • Ua haujlwm hnyav heev thaum tsa, rub, lossis thawb ib yam dab tsi hnyav (piv txwv li, tsa cov khoom hnyav, txav rooj tog).
  • Tsis noj tshuaj kom raug rau cov ntshav siab uas koj twb muaj lawm.

Muaj ntau lwm yam uas txiav txim siab qhov yuav ua rau aneurysm tawg:

  • Qhov Loj thiab duab : Cov aneurysms me me yuav tsis tawg ntau dua li cov aneurysms loj, tsis sib xws.
  • Kev Loj Hlob : Yog tias aneurysm loj hlob tuaj raws sijhawm, nws yuav muaj feem tawg ntau dua.
  • Qhov Chaw : Cov hlab ntsha aneurysms nyob rau hauv cov hlab ntsha posterior communicating arteries nyob tom qab ntawm lub hlwb thiab cov hlab ntsha anterior communicating arteries nyob rau pem hauv ntej ntawm lub hlwb yuav tawg ntau dua li cov hlab ntsha aneurysms nyob rau lwm qhov ntawm lub hlwb.
  • Haiv Neeg : Cov neeg Nyiv Pooj lossis Finnish keeb kwm muaj feem yuav mob aneurysm tawg ntau dua.
  • Hnub nyoog laus dua: Cov neeg hnub nyoog tshaj 70 xyoo muaj feem yuav mob aneurysm ntau dua.

Cov neeg uas muaj ntau tshaj ib lub hlwb aneurysm lossis cov neeg uas tau los ntshav los ntawm aneurysm yav dhau los muaj feem yuav tawg hlwb aneurysm siab tshaj plaws.

Yuav kuaj mob aneurysm ntawm lub hlwb li cas?

Muaj coob tus neeg uas muaj cov hlab ntsha hauv lub hlwb uas tsis tau tawg tsis paub tias lawv muaj. Kws kho mob yuav pom qhov no los ntawm txoj hmoo thaum koj muaj MRI lossis CT scan ntawm koj lub hlwb rau lwm yam mob.

Yog tias koj muaj cov tsos mob ntawm lub hlwb aneurysm, xws li mob taub hau hnyav, koj yuav tsum hu rau 911 lossis mus rau tsev kho mob tam sim ntawd. Tus kws kho mob yuav xaj kom kuaj seb lub hlwb aneurysm puas tau tawg. Cov kev kuaj no yuav suav nrog:

  • (CT - kev luam theej duab computed tomography) : Qhov no yog thawj qhov kev kuaj duab uas tus kws kho mob yuav kom kuaj seb puas muaj ntshav hauv lub hlwb. Kev luam theej duab "CT scan" siv cov duab X-rays thiab lub khoos phis tawj los thaij cov duab ntawm koj lub cev. Cov kws kho mob kuj tseem siv tau qhov kev kuaj hu ua "CT angiogram (CTA)". Qhov no tuaj yeem thaij cov duab ntxaws ntxiv ntawm cov ntshav ntws hauv cov hlab ntsha ntawm lub hlwb. Kev luam theej duab "CTA" tuaj yeem qhia qhov loj me, qhov chaw, thiab cov duab ntawm lub aneurysm, txawm tias nws tsis tawg lossis tawg.
  • (MRI - magnetic resonance imaging scan) : Ib qho MRI siv ib lub hlau nplaum loj, cov nthwv dej xov tooj cua, thiab lub khoos phis tawj los thaij duab kom ntxaws ntawm koj lub hlwb. Magnetic resonance angiography (MRA) thaij duab kom ntxaws ntawm cov hlab ntsha hauv lub hlwb thiab qhia qhov loj me, qhov chaw, thiab cov duab ntawm ib qho aneurysm.
  • Kev kuaj mob cerebral angiography : Qhov no yog kev kuaj uas tus kws phais hlwb lossis tus kws kho mob neuroradiologist ua. Lawv muab ib lub catheter ntxig rau hauv cov hlab ntsha hauv koj lub qhov ncauj lossis dab teg thiab muab nws ntxig rau hauv koj lub hlwb kom thaij duab ntxiv txog cov hlab ntsha hauv koj lub caj dab thiab lub hlwb. Kev kuaj duab no tuaj yeem nrhiav pom cov kev thaiv hauv cov hlab ntsha hauv koj lub hlwb lossis caj dab. Nws kuj tseem tuaj yeem txheeb xyuas cov chaw tsis muaj zog hauv cov hlab ntsha, xws li aneurysm. Cov kws kho mob siv qhov kev kuaj no los txiav txim seb qhov ua rau ntshav hauv lub hlwb thiab qhov chaw tseeb, qhov loj me, thiab cov duab ntawm aneurysm.
  • (Kev tshuaj xyuas cov kua hauv lub hlwb - CSF) : Qhov kev kuaj no ntsuas cov tshuaj hauv cov kua uas nyob ib puag ncig thiab tiv thaiv koj lub hlwb thiab cov hlab ntsha hauv lub hlwb ('spinal cord'). Tus kws kho mob yuav ib qho qauv ntawm 'CSF' los ntawm kev siv 'spinal tap' lossis 'lumbar puncture'. Qhov kev tshuaj xyuas no tuaj yeem nrhiav tau seb puas muaj ntshav ntws nyob ib puag ncig lub hlwb.

Yuav kho cov hlab ntsha hauv lub hlwb li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob aneurysm hauv lub hlwb yog kom nres lossis txo qhov ntshav ntws mus rau hauv aneurysm. Yog tias aneurysm hauv lub hlwb xau lossis tawg yuav tsum tau phais mob ceev.Nyob ntawm koj qhov teeb meem, tej zaum yuav xav tau lossis tsis xav tau kev kho mob rau cov hlab ntsha aneurysm uas tsis tau tawg.

Koj pab neeg kho mob yuav pom zoo cov kev xaiv kho mob uas tsim nyog tshaj plaws rau koj, raws li koj cov hlab ntsha, qhov loj thiab qhov chaw ntawm cov aneurysm, thiab ntau lwm yam.

Feem ntau, cov aneurysms uas tawg lawm siv sijhawm ntev dua los kho dua li cov aneurysms uas tsis tawg.

Kev txiav cov hlab ntsha me me rau cov hlab ntsha hauv lub hlwb

Hauv kev phais no, tus kws phais hlwb ua ib lub qhov me me hauv koj lub pob txha taub hau thiab mus rau qhov chaw ntawm aneurysm. Siv lub tshuab microscope me me thiab cov cuab yeej, tus kws phais muab ib lub clip hlau me me rau ntawm lub hauv paus ntawm aneurysm thiab kaw nws. Qhov no tiv thaiv kev los ntshav hauv aneurysm. Kev phais no tuaj yeem tiv thaiv kev los ntshav hauv lub hlwb lossis tiv thaiv aneurysm uas tsis tau tawg kom loj dua lossis tawg.

Lub sijhawm kho rau cov hlab ntsha tawg (ob peb lub lis piam mus rau ntau lub hlis) thiab cov hlab ntsha tsis tawg (feem ntau yog ob mus rau plaub lub lis piam) sib txawv. Cov hlab ntsha uas raug txiav tag feem ntau tsis los ntshav dua (rov tshwm sim dua).

Endovascular coiling rau lub hlwb aneurysms

Hauv txoj kev kho mob no, tus kws phais hlwb lossis tus kws kho mob hlwb yuav muab ib lub raj catheter (ib lub raj uas yoog tau) ntxig rau hauv cov hlab ntsha hauv koj lub qhov ncauj lossis dab teg thiab muab nws txuas rau hauv koj lub hlwb. Los ntawm lub catheter, tus kws kho mob yuav muab ib lub kauj me me ntawm cov hlau mos mos ntxig rau hauv lub aneurysm.

Tom qab tus kws kho mob muab lub kauj no ntxig rau hauv lub aneurysm, nws hloov cov qauv ntshav ntws hauv lub aneurysm thiab tsim cov ntshav txhaws. Cov ntshav txhaws no nres cov ntshav ntws mus rau hauv lub aneurysm, tsim ib lub foob, zoo li ib lub clip.

Cov stents hloov pauv dej rau cov aneurysm hauv hlwb

Hauv txoj kev kho mob no, tus kws phais hlwb lossis tus kws kho mob hlwb yuav muab ib lub catheter ntxig rau hauv cov hlab ntsha hauv koj lub qhov ncauj lossis dab teg thiab muab nws ntxig rau hauv koj lub hlwb. Los ntawm lub catheter, tus kws kho mob yuav muab ib lub raj mesh ntxig rau hauv qhov ntawm cov hlab ntsha uas muaj aneurysm nyob. Lub mesh no yuav hloov (lossis "hloov") koj cov ntshav ntws tawm ntawm aneurysm es tsis txhob mus rau hauv.

WEB device rau aneurysm ntawm lub hlwb

Hauv txoj kev no, raws li tau hais los saum toj no, tus kws kho mob muab ib lub voos xwmfab zoo li hlau lossis lub voos xwmfab ntxig rau hauv lub aneurysm los ntawm lub catheter rau hauv lub hlwb. Qhov no kuj ua haujlwm zoo li lub kauj. Uas yog, nws tsim ib lub foob hla lub aneurysm, tiv thaiv cov ntshav kom tsis txhob ntws mus rau nws thiab tiv thaiv nws kom tsis txhob loj dua lossis tawg.

Kev kho mob ntxiv rau qhov tawg ntawm lub hlwb aneurysm

Yog koj lub aneurysm tawg, koj pab neeg kho mob yuav siv lwm yam kev kho mob los sim tswj koj cov tsos mob thiab tiv thaiv cov teeb meem. Cov kev kho mob no yuav suav nrog:

  • Cov tshuaj tiv thaiv kev qaug dab pegCov tshuaj no pab tiv thaiv kev qaug dab peg uas cuam tshuam nrog lub aneurysm tawg.
  • Cov tshuaj calcium channel blockers : Cov tshuaj no pab txo qhov kev pheej hmoo ntawm kev mob stroke los ntawm vasospasm.
  • Shunt : Qhov no yog ib lub raj uas pab txav cov kua cerebrospinal (CSF) los ntawm lub hlwb mus rau lwm qhov ntawm lub cev. Qhov no tuaj yeem pab tiv thaiv hydrocephalus.

Cov neeg uas muaj lub aneurysm tawg feem ntau xav tau kev kho lub cev, kev kho kev hais lus, thiab kev kho mob ua haujlwm kom rov qab tau lub luag haujlwm uas ploj lawm thiab kawm ua neej nyob nrog kev tsis taus mus tas li.

Kuv puas xav tau kev kho mob rau lub hlwb aneurysm uas tsis tau tawg?

Yog tias koj muaj ib qho aneurysm me me uas tsis tau tawg thiab tsis ua rau muaj tsos mob, thiab koj tsis muaj lwm yam kev pheej hmoo, koj tus kws kho mob yuav pom zoo kom tsis txhob kho nws.

Hloov chaw, koj tus kws kho mob yuav xaj kom kuaj duab los ntawm lub sijhawm mus rau lub sijhawm los saib xyuas seb puas muaj kev hloov pauv lossis kev loj hlob. Lawv kuj tseem yuav qhia koj kom tso tseg kev haus luam yeeb yog tias koj haus luam yeeb thiab tswj koj cov ntshav siab.

Yog tias koj muaj cov tsos mob, lossis yog tias muaj kev hloov pauv hauv aneurysm thaum lub sijhawm rov ua dua kev kuaj duab, koj yuav tsum nrhiav kev kho mob tam sim ntawd.

Yog tias koj muaj cov tsos mob, cov yam uas ua rau muaj kev pheej hmoo, thiab/lossis qhov aneurysm loj, koj thiab koj tus kws kho mob yuav tham txog qhov zoo, qhov tsis zoo, thiab cov kev xaiv rau kev phais thiab/lossis kev kho mob endovascular. Qhov kev txiav txim siab no yuav nyob ntawm ntau yam, suav nrog:

  • koj lub hnub nyoog.
  • Koj txoj kev noj qab haus huv tag nrho thiab lwm yam kab mob uas koj muaj.
  • Qhov chaw, qhov loj, thiab lwm yam ntxwv ntawm lub aneurysm.
  • Koj cov hlab ntsha anatomy.
  • Keeb kwm tsev neeg ntawm tus kab mob.
  • Kev pheej hmoo ntawm kev tawg.

Koj yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev mob aneurysm?

Koj tsis tuaj yeem tiv thaiv lossis hloov qee yam uas ua rau muaj mob hlwb aneurysm, xws li koj lub hnub nyoog lossis cov mob caj ces. Txawm li cas los xij, koj tuaj yeem ua cov hauv qab no kom txo koj qhov kev pheej hmoo ntawm kev mob hlwb aneurysm:

  • Tswj cov ntshav siab kom noj qab nyob zoo nrog kev siv tshuaj thiab/lossis kev hloov pauv hauv lub neej.
  • Tsis haus luam yeeb los yog tso luam yeeb tseg.
  • Tau txais kev pab rau kev siv dej cawv thiab/lossis kev siv tshuaj yeeb dej cawv, thiab tsis txhob siv cov tshuaj stimulants xws li cocaine.

Yuav ua li cas thiaj paub tias muaj cov hlab ntsha hauv lub hlwb tawg lawm?

Qhov kev cia siab rau kev rov zoo los ntawm kev tawg ntawm lub hlwb aneurysm nyob ntawm ntau yam, suav nrog:

  • Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho.
  • Txawm koj muaj cov mob hlwb uas twb muaj lawm los xij.
  • Qhov chaw ntawm lub aneurysm.
  • Ntshav ntau npaum li cas poob ntawm lub aneurysm.
  • Koj tau txais kev kho mob sai npaum li cas.
  • Seb kev kho mob rau aneurysm puas ua tiav.

Kwv yees li 25% ntawm cov neeg uas muaj lub hlwb aneurysm tawg tuag hauv 24 teev. Kwv yees li 50% tuag los ntawm cov teeb meem hauv peb lub hlis tom qab tawg.

Ntawm cov neeg uas tseem muaj sia nyob, kwv yees li 66% raug kev puas tsuaj rau lub hlwb mus tas li. Ib txhia neeg rov zoo los ntawm kev tsis muaj lossis tsis muaj kev tsis taus.

Koj puas muaj peev xwm nyob tau ntev nrog lub hlwb aneurysm?

Muaj coob tus neeg uas muaj cov hlab ntsha hauv lub hlwb me me, tsis tau tawg yeej tsis muaj tsos mob, thiab nws tsis cuam tshuam rau lawv txoj kev noj qab haus huv.

Txawm li cas los xij, tus nqi tuag ntawm cov hlab ntsha hauv lub hlwb tawg yog siab heev.

Thaum twg kuv yuav tsum mus ntsib kuv tus kws kho mob txog qhov mob aneurysm hauv lub hlwb?

Yog tias koj muaj ib qho aneurysm hauv hlwb uas tsis tau tawg, koj yuav tsum tau mus ntsib koj tus kws kho mob tsis tu ncua kom saib xyuas qhov loj ntawm aneurysm thiab tswj cov yam txaus ntshai, xws li ntshav siab.

Yog tias koj tau muaj ib qho aneurysm hauv hlwb uas tawg lawm yav dhau los, koj yuav tsum tau mus ntsib koj pab neeg kho mob tsis tu ncua kom saib xyuas cov teeb meem uas yuav tshwm sim thiab kom paub tseeb tias koj tsis muaj lwm qhov aneurysm.

Yog tias koj mob taub hau sai sai thiab hnyav nrog lossis tsis muaj cov tsos mob ntawm tus kab mob stroke, nws yuav yog ib qho cim ntawm lub hlwb aneurysm. Hu rau 911 lossis mus rau chav kho mob ceev hauv tsev kho mob tam sim ntawd. Thaum koj tau txais kev pab kho mob sai npaum li cas, koj yuav muaj feem ntau dua los cawm koj txoj sia.

Yog koj muaj ib qho aneurysm hauv hlwb uas tseem tsis tau tawg, nrog koj tus kws kho mob tham txog qhov zoo thiab qhov tsis zoo ntawm ntau txoj kev kho mob thiab kev tswj hwm. Lawv npaj txhij los pab koj.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li cia peb nco ntsoov koj txog qee yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

  • Ib qho aneurysm ntawm lub hlwb yog ib qho o uas zoo li o ntawm ib qho chaw tsis muaj zog hauv cov hlab ntsha hauv lub hlwb.
  • Feem ntau, cov aneurysm me me tsis ua rau muaj tsos mob. Txawm li cas los xij, yog tias koj mob taub hau sai sai, zoo li "mob taub hau phem tshaj plaws hauv koj lub neej," nws yuav yog ib qho cim ntawm aneurysm tawg. Yog tias qhov no tshwm sim, koj yuav tsum mus rau tsev kho mob tam sim ntawd.
  • Tej yam xws li ntshav siab thiab kev haus luam yeeb yog cov ua rau muaj aneurysm tsim thiab tawg.
  • Cov kws kho mob txiav txim siab seb puas yuav kho cov neeg uas muaj cov hlab ntsha aneurysm uas tsis tau tawg raws li ntau yam.
  • Ib qho aneurysm tawg yog ib qho xwm txheej ceev uas txaus ntshai rau lub neej. Kev kho mob sai yog qhov tseem ceeb.
  • Qhov kev pheej hmoo ntawm kev mob aneurysm tuaj yeem txo tau los ntawm kev ua neej noj qab haus huv thiab tswj cov yam uas ua rau muaj kev pheej hmoo.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig nrog koj tus kws kho mob tham. Lawv yuav piav qhia qhov no rau koj ntxiv.


`Kab mob aneurysm hauv hlwb, kab mob aneurysm hauv hlwb, mob taub hau, ntshav siab, ntshav ntws hauv hlwb, cov kab mob neurological, phais aneurysm

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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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

Thov xam: 4 + 4 =
Mob Aneurysm Hauv Hlwb Yog Dab Tsi? Cia peb tham txog nws!

Mob Aneurysm Hauv Hlwb Yog Dab Tsi? Cia peb tham txog nws!

Koj puas tau xav txog seb yuav muaj li cas yog tias cov hlab ntsha me me hauv koj lub hlwb tsim ib lub pob me me zoo li lub npas, loj hlob, thiab tawg? Qhov ntawd yog qhov peb yuav tham txog hnub no, lub hlwb aneurysm. Tej zaum koj twb tau hnov ​​​​​​lo lus no ua ntej lawm. Tsis txhob txhawj, cia peb piav qhia yooj yim.

Lub hlwb aneurysm yog dab tsi?

Hais yooj yim xwb, mob cerebral aneurysm yog ib qho mob uas qhov chaw tsis muaj zog hauv cov hlab ntsha (peb hu ua artery) hauv lossis nyob ib puag ncig koj lub hlwb o thiab tawm zoo li lub npas. Xav txog nws zoo li qhov chaw tsis muaj zog hauv cov kav dej, ua rau lub zog dej ua rau qhov chaw ntawd o. Thaum cov ntshav ntws los ntawm nws, lub zog thawb qhov chaw tsis muaj zog mus ntxiv, ua rau lub zog me me.

Thaum cov ntshav puv lub pob zoo li lub npas sai sai, lub aneurysm nthuav dav. Qhov no zoo ib yam li lub npas ua nyias dua thaum koj tshuab cua rau hauv nws, ua rau nws muaj feem yuav tawg.

Cov hlab ntsha hauv lub hlwb tuaj yeem tshwm sim nyob qhov twg hauv koj lub hlwb. Txawm li cas los xij, lawv feem ntau tshwm sim hauv cov hlab ntsha loj raws li lub hauv paus ntawm koj lub taub hau. Ntawm 10% thiab 30% ntawm cov neeg uas muaj cov hlab ntsha hauv lub hlwb muaj ntau dua ib qho hlab ntsha. Feem ntau, cov hlab ntsha no me heev thiab tsis ua rau muaj tsos mob.

Txawm li cas los xij, cov tsos mob tsuas yog tshwm sim thaum lub aneurysm loj txaus los nias rau cov hlab ntsha ze lossis cov ntaub so ntswg hauv lub hlwb. Qhov txaus ntshai tshaj plaws yog thaum lub aneurysm tawg thiab los ntshav (leaks) lossis tawg qhib. Qhov no tuaj yeem ua rau los ntshav rau hauv lub hlwb. Lub hlwb aneurysm tawg tuaj yeem ua rau tuag taus thiab xav tau kev kho mob ceev. Lub aneurysm tawg ntev npaum li cas, qhov kev pheej hmoo ntawm kev tuag lossis kev tsis taus mus tas li ntau dua.

Yuav ua li cas thaum lub hlwb aneurysm tawg?

Thaum qhov no tawg, cov ntshav ntws mus rau hauv cov ntaub so ntswg ntawm lub hlwb. Peb hu qhov no ua "Kev Los Ntshav". Cov ntshav no tuaj yeem muab kev nyuaj siab tsis tsim nyog rau cov ntaub so ntswg ntawm lub hlwb thiab ua rau lub hlwb o. Feem ntau, thaum lub sijhawm no, mob taub hau hnyav hu ua "Thunderclap headache" thiab lwm yam tsos mob tshwm sim.

Ib qho aneurysm hauv hlwb tawg tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj heev. Nov yog ob peb yam piv txwv:

  • Kev los ntshav hauv lub hlwb (Subarachnoid hemorrhage - SAH) : Qhov no yog kev los ntshav rau hauv qhov chaw nruab nrab ntawm cov ntaub nyias nyias uas npog thiab tiv thaiv koj lub hlwb (peb hu qhov no ua 'txheej arachnoid'). 90% ntawm SAHs yog tshwm sim los ntawm kev tawg ntawm lub hlwb aneurysm.
  • Mob stroke los ntawm kev los ntshav : Qhov no yog los ntshav rau hauv qhov chaw ntawm koj lub taub hau thiab koj lub hlwb.

Cov mob no tuaj yeem ua rau lub hlwb puas tsuaj mus tas li, lossis lwm yam teeb meem xws li:

  • Vasospasm : Qhov no yog thaum cov hlab ntsha nqaim lossis tawv, txo cov pa oxygen mus txog lub hlwb.
  • Hydrocephalus : Qhov no yog thaum cov kua dej cerebrospinal lossis ntshav sib sau ua ke nyob ib puag ncig lub hlwb, muab kev nyuaj siab ntau dhau rau lub hlwb.
  • Qaug dab peg : Qaug dab peg yog ib qho kev ua haujlwm hluav taws xob hauv lub hlwb uas tsis tuaj yeem tswj tau ib ntus. Qhov no tuaj yeem ua rau lub hlwb puas tsuaj ntxiv los ntawm kev tawg ntawm cov hlab ntsha hauv lub hlwb.
  • Coma : Qhov no yog lub xeev tsis nco qab uas kav ntev li ntawm ob peb hnub mus rau ntau lub lis piam.
  • Kev Tuag : Kwv yees li 50% ntawm cov neeg mob tuag los ntawm kev tawg ntawm lub hlwb aneurysm.

Leej twg thiaj muaj cov hlab ntsha hauv lub hlwb?

Cov hlab ntsha hauv lub hlwb tuaj yeem tshwm sim rau txhua tus neeg, txhua lub hnub nyoog. Txawm li cas los xij, feem ntau lawv cuam tshuam rau cov neeg hnub nyoog ntawm 30 thiab 60 xyoo. Lawv kuj tseem pom ntau dua me ntsis rau cov poj niam.

Qhov aneurysm no feem ntau tshwm sim li cas?

Hauv lub tebchaws zoo li Tebchaws Meskas, kwv yees li 6% ntawm cov pej xeem muaj cov hlab ntsha aneurysm uas tsis tau tawg. Txawm li cas los xij, cov hlab ntsha aneurysm uas tawg tsis tshua muaj. Kwv yees li 30,000 tus neeg hauv Tebchaws Meskas muaj tus mob no txhua xyoo.

Cov tsos mob ntawm lub hlwb aneurysm yog dab tsi?

Cov tsos mob ntawm lub hlwb aneurysm sib txawv nyob ntawm seb nws puas tau tawg lossis tsis tau.

Cov tsos mob ntawm aneurysm tawg

Cov no yog cov tsos mob ntawm aneurysm tawg:

  • Mob taub hau nrov nrov : Qhov no yog mob taub hau uas tshwm sim sai sai thiab mob heev. Muaj ntau tus neeg piav txog nws tias yog "mob taub hau phem tshaj plaws hauv kuv lub neej."
  • Ntuav thiab xeev siab.
  • Caj dab nruj (nyuaj rau khoov caj dab).
  • Pom kev tsis meej los yog pom ob sab.
  • Kev rhiab heev rau lub teeb (photophobia).
  • Qaug dab peg.
  • Lub qhov muag poob qis thiab lub qhov muag me me.
  • Mob saum thiab tom qab lub qhov muag.
  • Kev tsis meej pem.
  • Tsis muaj zog thiab/lossis tsis hnov ​​​​​​lus.
  • Poob siab.

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, koj yuav tsum hu rau 911 tam sim ntawd lossis mus rau chav kho mob ceev ntawm lub tsev kho mob ze tshaj plaws. Qhov no yog xwm txheej ceev!

Qee zaum muaj me ntsis ntshav tawm ntawm lub hlwb aneurysm. Qhov no hu ua 'sentinel bleed.' Yog tias qhov no tshwm sim, koj yuav muaj 'sentinel headaches' ob peb hnub lossis ob peb lub lis piam ua ntej lub aneurysm tawg.

Cov tsos mob ntawm ib qho aneurysm tsis tawg

Feem ntau, cov hlab ntsha hauv lub hlwb uas tseem zoo li qub tsis ua rau muaj tsos mob dab tsi. Txawm li cas los xij, yog tias lawv loj txaus, qhov loj me zoo li lub npas hauv cov hlab ntsha tuaj yeem ua rau muaj kev nyuaj siab rau cov hlab ntsha lossis cov nqaij hauv lub hlwb ze, ua rau muaj cov tsos mob xws li:

  • Mob taub hau.
  • Kev hloov pauv ntawm kev pom kev.
  • Qhov muag loj dua (qhov muag dav dua).
  • Tsis muaj zog hauv lub taub hau lossis lub ntsej muag.
  • Mob saum thiab tom qab lub qhov muag.
  • Qaug dab peg.

Yog koj muaj cov tsos mob no, mus ntsib kws kho mob sai li sai tau.

Dab tsi ua rau muaj aneurysm hauv lub hlwb?

Cov hlab ntsha hauv lub hlwb tshwm sim thaum cov phab ntsa ntawm cov hlab ntsha hauv koj lub hlwb nyias thiab tsis muaj zog. Lawv feem ntau tsim qhov chaw uas cov hlab ntsha faib. Qee zaum, koj tuaj yeem yug los nrog lub hlwb aneurysm. Qhov no feem ntau yog los ntawm qhov tsis zoo hauv phab ntsa hlab ntsha (ib qho 'kev puas tsuaj yug los'). Muaj ntau lwm yam ua rau cov phab ntsa hlab ntsha tsis muaj zog.

Cov yam ntxwv ntawm kev yug me nyuam hauv qab no tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm koj cov hlab ntsha thiab ua rau koj muaj feem yuav mob hlwb aneurysm:

  • `(Cov kab mob Ehlers-Danlos hauv cov hlab ntsha)`
  • "(Tus kab mob raum polycystic autosomal dominant)"
  • `(Marfan syndrome)`
  • `(Kev mob fibromuscular dysplasia)`
  • Kev puas tsuaj ntawm cov hlab ntsha hauv lub cev
  • Ib tug neeg hauv tsev neeg ze (tus kwv tij, tus muam, lossis niam txiv) muaj keeb kwm muaj aneurysm hauv hlwb.

Nov yog lwm yam mob thiab kev coj cwj pwm uas tuaj yeem ua rau koj cov phab ntsa ntawm cov hlab ntsha tsis muaj zog dhau sijhawm:

  • Haus luam yeeb.
  • Ntshav siab.
  • Kev siv tshuaj yeeb, tshwj xeeb yog cocaine.
  • Haus dej cawv ntau dhau.

Dab tsi ua rau lub hlwb aneurysm tawg?

Tib yam uas ua rau muaj aneurysm hauv lub hlwb kuj tuaj yeem ua rau nws tawg thiab los ntshav.

Cov kws tshawb fawb ntseeg tias ntshav siab yog qhov ua rau lub hlwb tawg. Thaum ntshav siab nce, qhov siab uas cov ntshav tso rau ntawm phab ntsa ntawm cov hlab ntsha nce. Muaj ntau qhov xwm txheej uas ntshav siab tuaj yeem ua rau lub hlwb aneurysm tawg:

  • Kev ntxhov siab tas mus li yog ib qho kev xav muaj zog, zoo li kev npau taws tam sim ntawd.
  • Ua haujlwm hnyav heev thaum tsa, rub, lossis thawb ib yam dab tsi hnyav (piv txwv li, tsa cov khoom hnyav, txav rooj tog).
  • Tsis noj tshuaj kom raug rau cov ntshav siab uas koj twb muaj lawm.

Muaj ntau lwm yam uas txiav txim siab qhov yuav ua rau aneurysm tawg:

  • Qhov Loj thiab duab : Cov aneurysms me me yuav tsis tawg ntau dua li cov aneurysms loj, tsis sib xws.
  • Kev Loj Hlob : Yog tias aneurysm loj hlob tuaj raws sijhawm, nws yuav muaj feem tawg ntau dua.
  • Qhov Chaw : Cov hlab ntsha aneurysms nyob rau hauv cov hlab ntsha posterior communicating arteries nyob tom qab ntawm lub hlwb thiab cov hlab ntsha anterior communicating arteries nyob rau pem hauv ntej ntawm lub hlwb yuav tawg ntau dua li cov hlab ntsha aneurysms nyob rau lwm qhov ntawm lub hlwb.
  • Haiv Neeg : Cov neeg Nyiv Pooj lossis Finnish keeb kwm muaj feem yuav mob aneurysm tawg ntau dua.
  • Hnub nyoog laus dua: Cov neeg hnub nyoog tshaj 70 xyoo muaj feem yuav mob aneurysm ntau dua.

Cov neeg uas muaj ntau tshaj ib lub hlwb aneurysm lossis cov neeg uas tau los ntshav los ntawm aneurysm yav dhau los muaj feem yuav tawg hlwb aneurysm siab tshaj plaws.

Yuav kuaj mob aneurysm ntawm lub hlwb li cas?

Muaj coob tus neeg uas muaj cov hlab ntsha hauv lub hlwb uas tsis tau tawg tsis paub tias lawv muaj. Kws kho mob yuav pom qhov no los ntawm txoj hmoo thaum koj muaj MRI lossis CT scan ntawm koj lub hlwb rau lwm yam mob.

Yog tias koj muaj cov tsos mob ntawm lub hlwb aneurysm, xws li mob taub hau hnyav, koj yuav tsum hu rau 911 lossis mus rau tsev kho mob tam sim ntawd. Tus kws kho mob yuav xaj kom kuaj seb lub hlwb aneurysm puas tau tawg. Cov kev kuaj no yuav suav nrog:

  • (CT - kev luam theej duab computed tomography) : Qhov no yog thawj qhov kev kuaj duab uas tus kws kho mob yuav kom kuaj seb puas muaj ntshav hauv lub hlwb. Kev luam theej duab "CT scan" siv cov duab X-rays thiab lub khoos phis tawj los thaij cov duab ntawm koj lub cev. Cov kws kho mob kuj tseem siv tau qhov kev kuaj hu ua "CT angiogram (CTA)". Qhov no tuaj yeem thaij cov duab ntxaws ntxiv ntawm cov ntshav ntws hauv cov hlab ntsha ntawm lub hlwb. Kev luam theej duab "CTA" tuaj yeem qhia qhov loj me, qhov chaw, thiab cov duab ntawm lub aneurysm, txawm tias nws tsis tawg lossis tawg.
  • (MRI - magnetic resonance imaging scan) : Ib qho MRI siv ib lub hlau nplaum loj, cov nthwv dej xov tooj cua, thiab lub khoos phis tawj los thaij duab kom ntxaws ntawm koj lub hlwb. Magnetic resonance angiography (MRA) thaij duab kom ntxaws ntawm cov hlab ntsha hauv lub hlwb thiab qhia qhov loj me, qhov chaw, thiab cov duab ntawm ib qho aneurysm.
  • Kev kuaj mob cerebral angiography : Qhov no yog kev kuaj uas tus kws phais hlwb lossis tus kws kho mob neuroradiologist ua. Lawv muab ib lub catheter ntxig rau hauv cov hlab ntsha hauv koj lub qhov ncauj lossis dab teg thiab muab nws ntxig rau hauv koj lub hlwb kom thaij duab ntxiv txog cov hlab ntsha hauv koj lub caj dab thiab lub hlwb. Kev kuaj duab no tuaj yeem nrhiav pom cov kev thaiv hauv cov hlab ntsha hauv koj lub hlwb lossis caj dab. Nws kuj tseem tuaj yeem txheeb xyuas cov chaw tsis muaj zog hauv cov hlab ntsha, xws li aneurysm. Cov kws kho mob siv qhov kev kuaj no los txiav txim seb qhov ua rau ntshav hauv lub hlwb thiab qhov chaw tseeb, qhov loj me, thiab cov duab ntawm aneurysm.
  • (Kev tshuaj xyuas cov kua hauv lub hlwb - CSF) : Qhov kev kuaj no ntsuas cov tshuaj hauv cov kua uas nyob ib puag ncig thiab tiv thaiv koj lub hlwb thiab cov hlab ntsha hauv lub hlwb ('spinal cord'). Tus kws kho mob yuav ib qho qauv ntawm 'CSF' los ntawm kev siv 'spinal tap' lossis 'lumbar puncture'. Qhov kev tshuaj xyuas no tuaj yeem nrhiav tau seb puas muaj ntshav ntws nyob ib puag ncig lub hlwb.

Yuav kho cov hlab ntsha hauv lub hlwb li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob aneurysm hauv lub hlwb yog kom nres lossis txo qhov ntshav ntws mus rau hauv aneurysm. Yog tias aneurysm hauv lub hlwb xau lossis tawg yuav tsum tau phais mob ceev.Nyob ntawm koj qhov teeb meem, tej zaum yuav xav tau lossis tsis xav tau kev kho mob rau cov hlab ntsha aneurysm uas tsis tau tawg.

Koj pab neeg kho mob yuav pom zoo cov kev xaiv kho mob uas tsim nyog tshaj plaws rau koj, raws li koj cov hlab ntsha, qhov loj thiab qhov chaw ntawm cov aneurysm, thiab ntau lwm yam.

Feem ntau, cov aneurysms uas tawg lawm siv sijhawm ntev dua los kho dua li cov aneurysms uas tsis tawg.

Kev txiav cov hlab ntsha me me rau cov hlab ntsha hauv lub hlwb

Hauv kev phais no, tus kws phais hlwb ua ib lub qhov me me hauv koj lub pob txha taub hau thiab mus rau qhov chaw ntawm aneurysm. Siv lub tshuab microscope me me thiab cov cuab yeej, tus kws phais muab ib lub clip hlau me me rau ntawm lub hauv paus ntawm aneurysm thiab kaw nws. Qhov no tiv thaiv kev los ntshav hauv aneurysm. Kev phais no tuaj yeem tiv thaiv kev los ntshav hauv lub hlwb lossis tiv thaiv aneurysm uas tsis tau tawg kom loj dua lossis tawg.

Lub sijhawm kho rau cov hlab ntsha tawg (ob peb lub lis piam mus rau ntau lub hlis) thiab cov hlab ntsha tsis tawg (feem ntau yog ob mus rau plaub lub lis piam) sib txawv. Cov hlab ntsha uas raug txiav tag feem ntau tsis los ntshav dua (rov tshwm sim dua).

Endovascular coiling rau lub hlwb aneurysms

Hauv txoj kev kho mob no, tus kws phais hlwb lossis tus kws kho mob hlwb yuav muab ib lub raj catheter (ib lub raj uas yoog tau) ntxig rau hauv cov hlab ntsha hauv koj lub qhov ncauj lossis dab teg thiab muab nws txuas rau hauv koj lub hlwb. Los ntawm lub catheter, tus kws kho mob yuav muab ib lub kauj me me ntawm cov hlau mos mos ntxig rau hauv lub aneurysm.

Tom qab tus kws kho mob muab lub kauj no ntxig rau hauv lub aneurysm, nws hloov cov qauv ntshav ntws hauv lub aneurysm thiab tsim cov ntshav txhaws. Cov ntshav txhaws no nres cov ntshav ntws mus rau hauv lub aneurysm, tsim ib lub foob, zoo li ib lub clip.

Cov stents hloov pauv dej rau cov aneurysm hauv hlwb

Hauv txoj kev kho mob no, tus kws phais hlwb lossis tus kws kho mob hlwb yuav muab ib lub catheter ntxig rau hauv cov hlab ntsha hauv koj lub qhov ncauj lossis dab teg thiab muab nws ntxig rau hauv koj lub hlwb. Los ntawm lub catheter, tus kws kho mob yuav muab ib lub raj mesh ntxig rau hauv qhov ntawm cov hlab ntsha uas muaj aneurysm nyob. Lub mesh no yuav hloov (lossis "hloov") koj cov ntshav ntws tawm ntawm aneurysm es tsis txhob mus rau hauv.

WEB device rau aneurysm ntawm lub hlwb

Hauv txoj kev no, raws li tau hais los saum toj no, tus kws kho mob muab ib lub voos xwmfab zoo li hlau lossis lub voos xwmfab ntxig rau hauv lub aneurysm los ntawm lub catheter rau hauv lub hlwb. Qhov no kuj ua haujlwm zoo li lub kauj. Uas yog, nws tsim ib lub foob hla lub aneurysm, tiv thaiv cov ntshav kom tsis txhob ntws mus rau nws thiab tiv thaiv nws kom tsis txhob loj dua lossis tawg.

Kev kho mob ntxiv rau qhov tawg ntawm lub hlwb aneurysm

Yog koj lub aneurysm tawg, koj pab neeg kho mob yuav siv lwm yam kev kho mob los sim tswj koj cov tsos mob thiab tiv thaiv cov teeb meem. Cov kev kho mob no yuav suav nrog:

  • Cov tshuaj tiv thaiv kev qaug dab pegCov tshuaj no pab tiv thaiv kev qaug dab peg uas cuam tshuam nrog lub aneurysm tawg.
  • Cov tshuaj calcium channel blockers : Cov tshuaj no pab txo qhov kev pheej hmoo ntawm kev mob stroke los ntawm vasospasm.
  • Shunt : Qhov no yog ib lub raj uas pab txav cov kua cerebrospinal (CSF) los ntawm lub hlwb mus rau lwm qhov ntawm lub cev. Qhov no tuaj yeem pab tiv thaiv hydrocephalus.

Cov neeg uas muaj lub aneurysm tawg feem ntau xav tau kev kho lub cev, kev kho kev hais lus, thiab kev kho mob ua haujlwm kom rov qab tau lub luag haujlwm uas ploj lawm thiab kawm ua neej nyob nrog kev tsis taus mus tas li.

Kuv puas xav tau kev kho mob rau lub hlwb aneurysm uas tsis tau tawg?

Yog tias koj muaj ib qho aneurysm me me uas tsis tau tawg thiab tsis ua rau muaj tsos mob, thiab koj tsis muaj lwm yam kev pheej hmoo, koj tus kws kho mob yuav pom zoo kom tsis txhob kho nws.

Hloov chaw, koj tus kws kho mob yuav xaj kom kuaj duab los ntawm lub sijhawm mus rau lub sijhawm los saib xyuas seb puas muaj kev hloov pauv lossis kev loj hlob. Lawv kuj tseem yuav qhia koj kom tso tseg kev haus luam yeeb yog tias koj haus luam yeeb thiab tswj koj cov ntshav siab.

Yog tias koj muaj cov tsos mob, lossis yog tias muaj kev hloov pauv hauv aneurysm thaum lub sijhawm rov ua dua kev kuaj duab, koj yuav tsum nrhiav kev kho mob tam sim ntawd.

Yog tias koj muaj cov tsos mob, cov yam uas ua rau muaj kev pheej hmoo, thiab/lossis qhov aneurysm loj, koj thiab koj tus kws kho mob yuav tham txog qhov zoo, qhov tsis zoo, thiab cov kev xaiv rau kev phais thiab/lossis kev kho mob endovascular. Qhov kev txiav txim siab no yuav nyob ntawm ntau yam, suav nrog:

  • koj lub hnub nyoog.
  • Koj txoj kev noj qab haus huv tag nrho thiab lwm yam kab mob uas koj muaj.
  • Qhov chaw, qhov loj, thiab lwm yam ntxwv ntawm lub aneurysm.
  • Koj cov hlab ntsha anatomy.
  • Keeb kwm tsev neeg ntawm tus kab mob.
  • Kev pheej hmoo ntawm kev tawg.

Koj yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev mob aneurysm?

Koj tsis tuaj yeem tiv thaiv lossis hloov qee yam uas ua rau muaj mob hlwb aneurysm, xws li koj lub hnub nyoog lossis cov mob caj ces. Txawm li cas los xij, koj tuaj yeem ua cov hauv qab no kom txo koj qhov kev pheej hmoo ntawm kev mob hlwb aneurysm:

  • Tswj cov ntshav siab kom noj qab nyob zoo nrog kev siv tshuaj thiab/lossis kev hloov pauv hauv lub neej.
  • Tsis haus luam yeeb los yog tso luam yeeb tseg.
  • Tau txais kev pab rau kev siv dej cawv thiab/lossis kev siv tshuaj yeeb dej cawv, thiab tsis txhob siv cov tshuaj stimulants xws li cocaine.

Yuav ua li cas thiaj paub tias muaj cov hlab ntsha hauv lub hlwb tawg lawm?

Qhov kev cia siab rau kev rov zoo los ntawm kev tawg ntawm lub hlwb aneurysm nyob ntawm ntau yam, suav nrog:

  • Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho.
  • Txawm koj muaj cov mob hlwb uas twb muaj lawm los xij.
  • Qhov chaw ntawm lub aneurysm.
  • Ntshav ntau npaum li cas poob ntawm lub aneurysm.
  • Koj tau txais kev kho mob sai npaum li cas.
  • Seb kev kho mob rau aneurysm puas ua tiav.

Kwv yees li 25% ntawm cov neeg uas muaj lub hlwb aneurysm tawg tuag hauv 24 teev. Kwv yees li 50% tuag los ntawm cov teeb meem hauv peb lub hlis tom qab tawg.

Ntawm cov neeg uas tseem muaj sia nyob, kwv yees li 66% raug kev puas tsuaj rau lub hlwb mus tas li. Ib txhia neeg rov zoo los ntawm kev tsis muaj lossis tsis muaj kev tsis taus.

Koj puas muaj peev xwm nyob tau ntev nrog lub hlwb aneurysm?

Muaj coob tus neeg uas muaj cov hlab ntsha hauv lub hlwb me me, tsis tau tawg yeej tsis muaj tsos mob, thiab nws tsis cuam tshuam rau lawv txoj kev noj qab haus huv.

Txawm li cas los xij, tus nqi tuag ntawm cov hlab ntsha hauv lub hlwb tawg yog siab heev.

Thaum twg kuv yuav tsum mus ntsib kuv tus kws kho mob txog qhov mob aneurysm hauv lub hlwb?

Yog tias koj muaj ib qho aneurysm hauv hlwb uas tsis tau tawg, koj yuav tsum tau mus ntsib koj tus kws kho mob tsis tu ncua kom saib xyuas qhov loj ntawm aneurysm thiab tswj cov yam txaus ntshai, xws li ntshav siab.

Yog tias koj tau muaj ib qho aneurysm hauv hlwb uas tawg lawm yav dhau los, koj yuav tsum tau mus ntsib koj pab neeg kho mob tsis tu ncua kom saib xyuas cov teeb meem uas yuav tshwm sim thiab kom paub tseeb tias koj tsis muaj lwm qhov aneurysm.

Yog tias koj mob taub hau sai sai thiab hnyav nrog lossis tsis muaj cov tsos mob ntawm tus kab mob stroke, nws yuav yog ib qho cim ntawm lub hlwb aneurysm. Hu rau 911 lossis mus rau chav kho mob ceev hauv tsev kho mob tam sim ntawd. Thaum koj tau txais kev pab kho mob sai npaum li cas, koj yuav muaj feem ntau dua los cawm koj txoj sia.

Yog koj muaj ib qho aneurysm hauv hlwb uas tseem tsis tau tawg, nrog koj tus kws kho mob tham txog qhov zoo thiab qhov tsis zoo ntawm ntau txoj kev kho mob thiab kev tswj hwm. Lawv npaj txhij los pab koj.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li cia peb nco ntsoov koj txog qee yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

  • Ib qho aneurysm ntawm lub hlwb yog ib qho o uas zoo li o ntawm ib qho chaw tsis muaj zog hauv cov hlab ntsha hauv lub hlwb.
  • Feem ntau, cov aneurysm me me tsis ua rau muaj tsos mob. Txawm li cas los xij, yog tias koj mob taub hau sai sai, zoo li "mob taub hau phem tshaj plaws hauv koj lub neej," nws yuav yog ib qho cim ntawm aneurysm tawg. Yog tias qhov no tshwm sim, koj yuav tsum mus rau tsev kho mob tam sim ntawd.
  • Tej yam xws li ntshav siab thiab kev haus luam yeeb yog cov ua rau muaj aneurysm tsim thiab tawg.
  • Cov kws kho mob txiav txim siab seb puas yuav kho cov neeg uas muaj cov hlab ntsha aneurysm uas tsis tau tawg raws li ntau yam.
  • Ib qho aneurysm tawg yog ib qho xwm txheej ceev uas txaus ntshai rau lub neej. Kev kho mob sai yog qhov tseem ceeb.
  • Qhov kev pheej hmoo ntawm kev mob aneurysm tuaj yeem txo tau los ntawm kev ua neej noj qab haus huv thiab tswj cov yam uas ua rau muaj kev pheej hmoo.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig nrog koj tus kws kho mob tham. Lawv yuav piav qhia qhov no rau koj ntxiv.


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⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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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

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