Koj puas haus luam yeeb? Los yog koj puas haus luam yeeb? Koj puas feem ntau mob thiab loog ntawm koj cov ntiv tes, cov ntiv taw, thiab cov ntiv taw? Koj cov ntiv tes puas qee zaum tig xiav lossis daj ntseg? Tsis txhob tsis quav ntsej txog tej yam no. Qhov no yuav yog qhov pib ntawm tus mob hnyav hu ua 'Buerger's disease', uas yog tshwj xeeb rau cov neeg haus luam yeeb. Hnub no, peb yuav tham txog qhov no hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.
Kab mob Buerger yog dab tsi tiag?
Hais yooj yim xwb, tus kab mob Buerger yog ib yam mob tsis tshua muaj uas cuam tshuam rau cov hlab ntsha (cov hlab ntsha) hauv koj txhais tes thiab ceg. Cov hlab ntsha me thiab nruab nrab uas mus rau koj cov ntiv tes yog cov uas raug cuam tshuam ntau tshaj plaws.
Muaj lwm lub npe kho mob rau qhov no, uas yog '(Thromboangiitis Obliterans)' . Lub npe zoo li nyuaj me ntsis, puas yog? Cia peb nkag siab yooj yim.
- 'Thrombo' txhais tau tias cov ntshav txhaws.
- 'Angiitis' txhais tau hais tias o, lossis o, ntawm cov hlab ntsha.
- 'Obliterans' txhais tau tias ib yam dab tsi raug thaiv, tsis muaj kiag li.
Yog li, hais yooj yim xwb, qhov no yog ib yam kab mob uas cov hlab ntsha o tuaj, cov ntshav txhaws tsim nyob rau hauv lawv, thiab cov ntshav ntws raug thaiv tag nrho .
Xav txog ib lub yeeb nkab dej uas muaj xeb thiab av qias neeg txhaws. Qhov ntawd yog qhov tshwm sim rau peb cov hlab ntsha hauv tus kab mob no. Thaum cov ntshav ntws los ntawm cov hlab ntsha raug cuam tshuam, cov nqaij ntshiv deb li ntawm cov ntiv tes tsis tau txais cov pa oxygen thiab cov as-ham uas lawv xav tau. Qhov no ua rau mob heev thaum xub thawj, thiab tom qab ntawd cov nqaij ntshiv pib tuag.
Kab mob no feem ntau tshwm sim hauv cov tebchaws xws li Sri Lanka uas muaj kev haus luam yeeb ntau. Txawm li cas los xij, qhov xov xwm zoo yog tias nrog rau kev txo qis ntawm cov neeg haus luam yeeb, tus lej ntawm cov neeg mob no kuj tau txo qis ntau.
Cov tsos mob ntawm tus kab mob no yog dab tsi? Koj paub nws li cas?
Cov tsos mob ntawm tus kab mob Buerger tsis tshwm sim sai sai. Lawv maj mam tshwm sim raws sijhawm. Muaj cov tsos mob uas tshwm sim thaum ntxov, nrog rau cov tsos mob uas tshwm sim thaum tus kab mob loj zuj zus.
| Hom cwj pwm | Kev piav qhia |
|---|---|
| Cov tsos mob thaum ntxov |
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| Cov tsos mob uas tshwm sim raws sijhawm |
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Qhov tseem ceeb tshaj plaws yog tias cov tsos mob no feem ntau pib ntawm cov ntiv tes thiab tom qab ntawd maj mam nthuav mus rau sab saud, uas yog, raws caj npab thiab ceg.
Vim li cas tus kab mob no thiaj tshwm sim? Leej twg muaj feem yuav muaj tus kab mob no ntau dua?
Cov kws tshawb fawb tseem tsis tau paub qhov ua rau muaj tus kab mob Buerger, tab sis qhov txuas muaj zog thiab meej tshaj plaws uas pom tau txog tam sim no yog kev haus luam yeeb .
Cov kws tshawb fawb ntseeg tias cov tshuaj lom neeg hauv cov luam yeeb ua rau cov hlab ntsha puas tsuaj thiab ua rau o. Qhov no ua rau cov hlab ntsha o thiab raug thaiv los ntawm cov ntshav txhaws. Ib txhia kws tshawb fawb xav tias nws yuav yog ib qho teeb meem caj ces lossis kab mob autoimmune.
Muaj ntau yam ua rau muaj kev pheej hmoo ntawm tus kab mob no:
- Kev haus luam yeeb: Kev haus luam yeeb xws li luam yeeb, luam yeeb beedis, luam yeeb cigars, thiab kev zom luam yeeb yog qhov tseem ceeb tshaj plaws. Kev siv cannabis kuj tseem yuav muaj feem cuam tshuam nrog.
- Ua koj cov luam yeeb: Cov neeg uas siv cov luam yeeb uas dov tau koj tus kheej muaj kev pheej hmoo ntau dua.
- Txiv neej/poj niam: Cov txiv neej muaj feem yuav mob tus kab mob no ntau dua li cov poj niam.
- Hnub nyoog:Tus kab mob no feem ntau tshwm sim rau cov neeg hluas thiab cov neeg hnub nyoog nruab nrab ntawm hnub nyoog 20 thiab 45.
Cov teeb meem uas yuav tshwm sim ntawm tus kab mob Buerger yog dab tsi?
Yog tias tus kab mob no tsis raug tswj kom zoo, uas yog, yog tias haus luam yeeb tas mus li, cov teeb meem loj tuaj yeem tshwm sim. Txawm li cas los xij, cov no tsis tshua pom muaj nyob rau hauv feem ntau.
- Kev txiav ceg tawv: Qhov no yog qhov teeb meem feem ntau. Thaum muaj kab mob gangrene, cov nqaij tuag yuav tsum tau phais tshem tawm. Txwv tsis pub, tus kab mob tuaj yeem kis mus thoob plaws lub cev.
- Mob stroke
- Mob plawv nres
- Kev tawm tsam ischemic transient
- Teeb meem nrog cov hlab ntsha hauv cov hnyuv.
- Teeb meem ntsig txog lub paj hlwb.
Tus kws kho mob kuaj mob li cas?
Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob. Nws yuav nug koj cov lus nug, kuaj koj, thiab sim txiav txim siab seb qhov no puas yog tus kab mob.
Feem ntau cov hauv qab no yuav pab tau rau kev kuaj mob:
1. Koj keeb kwm kho mob: Koj yuav raug nug txog tej yam xws li koj puas haus luam yeeb, koj haus luam yeeb ntev npaum li cas lawm, thiab koj haus luam yeeb pes tsawg luam yeeb ib hnub.
2. Kev kuaj lub cev: Yuav kuaj koj lub plawv dhia. Hauv tus kab mob Buerger, cov plawv dhia deb (piv txwv li, ntawm ob txhais ceg thiab caj npab) tej zaum yuav tsis muaj zog.
3. Kev kuaj tshwj xeeb rau cov hlab ntsha:
- Kev Ntsuas Ultrasound: Qhov no tuaj yeem kuaj xyuas cov ntshav txhaws hauv cov hlab ntsha.
- Qhab Nia-Ntiv Tes Qaum (ABI): Qhov no ntsuas qhov ntshav siab hauv koj ceg thiab caj npab thiab piv ob qho txiaj ntsig. Yog tias qhov ntshav siab hauv koj ceg qis dua li ntawm koj caj npab, nws txhais tau tias muaj ntshav tsawg dua mus rau koj ceg.
- Angiogram: Qhov no yog qhov kev kuaj mob zoo tshaj plaws los nrhiav kev thaiv hauv koj cov hlab ntsha. Hauv qhov no, ib qho xim tshwj xeeb raug txhaj rau hauv ib qho ntawm koj cov hlab ntsha thiab ua qhov X-ray lossis CT/MRI scan. Qhov no tso cai rau tus kws kho mob pom tseeb tias qhov kev thaiv nyob qhov twg thiab ntau npaum li cas.
Kev kho mob zoo tshaj plaws rau qhov no yog dab tsi?
Nco ntsoov qhov no. Tseem tsis tau muaj tshuaj kho tus kab mob Buerger. Tab sis txoj kev zoo tshaj plaws thiab tib txoj kev los tiv thaiv tus kab mob kom tsis txhob loj zuj zus thiab tswj cov tsos mob yog tam sim ntawd thiab tag nrho cov kev haus luam yeeb thiab nicotine, suav nrog kev haus luam yeeb.
Qhov no yog txoj kev kho mob tseem ceeb thiab yog tus thib ib rau tus kab mob no. Txawm tias koj haus ib lub luam yeeb ib hnub lossis hnav daim ntawv nicotine los xij, tus kab mob yuav tsis zoo dua, nws tsuas yog yuav hnyav zuj zus xwb.
Muaj ntau tus neeg mob uas muaj cov tsos mob zoo dua thaum lawv tso kev haus luam yeeb tseg. Muaj ib txhia kuj zoo siab dua.
Ntxiv rau kev tso kev haus luam yeeb, koj tus kws kho mob kuj tseem yuav pom zoo lwm yam kev kho mob los pab tswj koj cov tsos mob.
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| Cov tshuaj |
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| Lwm yam kev kho mob |
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Kuv yuav tsum tau xyuam xim rau dab tsi thaum kuv tseem muaj tus kab mob no?
Yog koj muaj tus kab mob Buerger, koj yuav tsum tau hloov me ntsis koj txoj kev ua neej.
- Tsis txhob haus luam yeeb kiag li: Qhov no yog qhov tseem ceeb tshaj plaws. Cov ntawv nplaum nicotine thiab marijuana kuj yog cov kev xaiv zoo. Yog tias koj xav tau kev pab tso kev haus luam yeeb, nrog koj tus kws kho mob tham txog nws.
- Tiv thaiv koj tus kheej ntawm qhov txias:Huab cua txias ua rau cov hlab ntsha nqaim ntxiv, yog li hnav thom khwm thiab hnab looj tes sov so rau hnub txias.
- Tiv thaiv kev raug mob rau koj txhais tes thiab taw: Txawm tias qhov raug mob me me kuj tuaj yeem siv sijhawm ntev los kho, yog li ceev faj thaum hnav khau thiab ua haujlwm.
- Siv cov tshuaj raws nraim li tus kws kho mob tau hais.
- Ceev faj thaum noj lwm yam tshuaj: Qee cov tshuaj (piv txwv li, qee cov tshuaj mob khaub thuas) tuaj yeem ua rau cov hlab ntsha nqaim. Yog li nug koj tus kws kho mob ua ntej noj tshuaj twg.
Nco ntsoov tias, kwv yees li 50% ntawm cov neeg uas tseem haus luam yeeb, lossis ib ntawm ob tug, thaum kawg yuav tsum tau phais tshem ib tug ntiv tes lossis ib tug ntiv taw (amputation). Tab sis qhov xav tsis thoob yog tias cov neeg uas tso kev haus luam yeeb tsis tshua yuav tsum tau phais li ntawd.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog koj muaj ib qho tsos mob uas tau hais hauv tsab xov xwm no, tshwj xeeb yog tias koj yog ib tus neeg haus luam yeeb, mus ntsib kws kho mob tam sim ntawd. Yog tias koj cov tsos mob hnyav zuj zus lossis muaj cov tsos mob tshiab tshwm sim, qhia rau koj tus kws kho mob paub.
Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?
Yog tias koj muaj cov tsos mob ntawm tus mob stroke lossis mob plawv nres (piv txwv li mob hauv siab tam sim ntawd, hais lus tsis tau zoo, tsis hnov ib sab ntawm lub cev), mus rau chav kho mob ceev (ETU) tam sim ntawd. Tsis tas li ntawd, yog tias qhov txhab ntawm koj cov ntiv tes ua rau mob hnyav, o, lossis muaj ntxhiab tsw phem, nws yuav yog ib qho cim ntawm kev kis kab mob loj heev. Hauv cov xwm txheej zoo li no, nrhiav kev pab kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Buerger yog ib yam kab mob ntawm cov hlab ntsha uas muaj feem cuam tshuam nrog kev haus luam yeeb.
- Txoj kev kho mob zoo tshaj plaws thiab zoo tshaj plaws rau tus kab mob no yog tsum tsis txhob haus luam yeeb thiab cov khoom muaj nicotine kiag li, suav nrog cov luam yeeb, bidis, cigars, cov luam yeeb zom, thiab cov ntawv nicotine.
- Yog tias koj haus luam yeeb, tsis txhob maj mam saib cov tsos mob xws li mob, loog, tsis muaj xim, thiab cov qhov txhab tsis kho hauv koj txhais ceg, tshwj xeeb tshaj yog cov ntiv tes.
- Yog koj kuaj pom tus kab mob thaum ntxov thiab tsum tsis txhob haus luam yeeb, koj yuav luag zam tau cov teeb meem loj xws li txiav ceg taw.
- Yog koj muaj lus nug txog qhov no lossis xav tau kev pab kom tso kev haus luam yeeb, tham nrog koj tus kws kho 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