Xav txog koj taug kev mus rau ntawm txoj kev luv luv xwb. Tam sim ntawd, koj hnov mob ntse heev rau hauv koj ob txhais ceg, tshwj xeeb tshaj yog koj cov pob tw. Koj yuav tsum nres ntawm qhov chaw uas koj tsis tuaj yeem sawv ntsug ntxiv lawm. Qhov xav tsis thoob yog, thaum koj nres ob peb feeb, qhov mob maj mam ploj mus. Thaum koj pib taug kev dua, qhov mob rov tshwm sim tom qab taug kev luv luv xwb. Koj puas tau muaj qhov kev paub no? Yog li ntawd, tsab xov xwm no yuav tseem ceeb heev rau koj. Hnub no peb tab tom tham txog qhov mob no, uas yog, claudication.
Claudication yog dab tsi?
Hais yooj yim xwb, qhov mob claudication tsis yog ib yam kab mob, nws yog ib qho tsos mob . Ib yam li kub taub hau tsis yog ib yam kab mob, nws yog ib qho tsos mob ntawm kev kis kab mob. Nws yog ib qho mob uas koj mob nqaij thaum koj ua ub ua no, xws li taug kev, thiab qhov mob ploj mus thaum koj so. Qhov mob no feem ntau yog nyob rau hauv ob txhais ceg.
Xav txog nws li no. Thaum peb ua haujlwm, thaum peb taug kev, peb cov leeg xav tau oxygen ntau dua li niaj zaus. Cov pa oxygen no raug nqa mus rau cov leeg los ntawm cov ntshav. Yog li, yuav ua li cas yog tias cov hlab ntsha uas nqa ntshav mus rau ob txhais ceg raug thaiv lossis nqaim vim qee yam? Thaum peb taug kev, cov ntshav tsis tuaj yeem muab cov pa oxygen ntxiv uas cov leeg xav tau. Thaum ntawd cov leeg hnov mob thiab muab lub cim rau koj tias "Kuv tsis muaj oxygen txaus." Thaum koj nres thiab so, cov leeg tsis xav tau oxygen ntau. Yog li lawv muaj cov ntshav ntws mus rau lawv. Tom qab ntawd qhov mob ploj mus.
Claudication yog qhov ceeb toom loj heev los ntawm koj lub cev tias muaj teeb meem qhov twg hauv koj lub cev ncig ntshav.
Feem ntau, qhov ua rau muaj qhov no yog ib yam mob hu ua Kab Mob Peripheral Artery Disease (PAD) . Qhov no yog qhov nqaim ntawm cov hlab ntsha uas nqa ntshav mus rau ceg, tshwj xeeb tshaj yog ceg. Qhov ua rau cov hlab ntsha nqaim no yog Atherosclerosis , uas yog qhov maj mam tawv thiab nqaim ntawm cov hlab ntsha vim muaj cov khoom xws li cov roj cholesterol tso rau hauv phab ntsa ntawm cov hlab ntsha.
Cov tsos mob ntawm claudication yog dab tsi?
Tej zaum ib txhia neeg yuav tsis muaj tsos mob thaum xub thawj, tab sis cov neeg uas muaj tsos mob feem ntau yuav muaj cov tsos mob no rau ntawm lawv ob txhais ceg lossis ko taw.
| Cov tsos mob | Nws xav li cas |
|---|---|
| Mob zoo li cov plaub hau poob tawm | Qhov no yog cov tsos mob uas pom ntau tshaj plaws. Thaum koj taug kev, cov leeg nqaij hauv koj ob txhais ceg yuav nruj thiab mob. |
| Ib tug cwj pwm tsis muaj zog | Tej zaum koj yuav xav tias koj ob txhais ceg tsis muaj zog thiab tsis muaj sia. |
| Kev qaug zog | Txawm tias taug kev luv luv xwb los kuj ua rau koj ob txhais ceg nkees heev. |
| Kev tsis muaj zog | Tej zaum yuav muaj qhov xav tias loog ntawm ob txhais ceg lossis ko taw. |
| Kev khaus khaus | Qee zaum koj yuav hnov me ntsis tingling hauv koj ob txhais ceg. |
Leej twg muaj feem yuav mob no tshaj?
Muaj ntau yam ua rau muaj kev pheej hmoo ntawm kev mob claudication. Yog tias koj muaj cov no, koj yuav tsum ceev faj ntxiv me ntsis.
- Haus Luam Yeeb: Qhov no yog qhov tseem ceeb thiab qhov ua rau muaj kev pheej hmoo loj tshaj plaws . Haus luam yeeb ua rau cov hlab ntsha puas tsuaj thiab ua rau cov hlab ntsha txhaws sai dua.
- Kab mob ntshav qab zib: Cov neeg uas muaj kab mob ntshav qab zib feem ntau yuav muaj kev puas tsuaj rau cov hlab ntsha.
- Cov roj cholesterol ntau: Thaum cov roj cholesterol hauv cov ntshav nce siab, nws tso rau ntawm phab ntsa ntawm cov hlab ntsha thiab txhaws lawv.
- Ntshav Siab: Ntshav siab ua rau cov hlab ntsha puas tsuaj thiab ua rau muaj kev pheej hmoo ntawm atherosclerosis.
- Kab Mob Raum: Kev ua haujlwm ntawm lub raum tsis zoo kuj tuaj yeem cuam tshuam rau qhov no.
- Hnub nyoog: Qhov kev pheej hmoo ntuj tsim rau atherosclerosis nce ntxiv nrog hnub nyoog.
- Keeb kwm tsev neeg: Yog tias ib tug neeg hauv koj tsev neeg muaj mob xws li kab mob plawv lossis PAD, koj kuj muaj feem yuav muaj mob ntau dua.
Tus kws kho mob nrhiav tau qhov no li cas?
Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob. Nws yuav nug koj txog koj cov tsos mob kom meej ua ntej. Tom qab ntawd nws mam li kuaj koj ob txhais ceg.
- Ob txhais ceg puas tau hloov xim lawm?
- Koj puas muaj tej qhov txhab uas siv sijhawm ntev heev los kho?
- Cov plaub hau ntawm koj ob txhais ceg puas tau poob tawm lawm?
- Koj puas hnov lub plawv dhia hauv koj ob txhais ceg thiab ko taw?
Tom qab saib tej yam zoo li no lawm, yuav muaj ntau yam kev kuaj mob kom paub meej tias tus mob yog dab tsi thiab txiav txim siab seb nws mob hnyav npaum li cas.
| Kev Ntsuas | Hais yooj yim xwb... |
|---|---|
| Cov Ntsuas Pob Qij-Brachial (ABI) | Nws yog ib qho kev sim yooj yim heev. Lawv ntsuas koj cov ntshav siab hauv koj txhais caj npab thiab pob luj taws thiab muab ob qho txiaj ntsig piv rau. Yog tias qhov siab hauv koj ob txhais ceg qis dua qhov siab hauv koj txhais caj npab, nws txhais tau tias muaj teeb meem nrog cov ntshav ntws mus rau koj ob txhais ceg. |
| Kev Ntsuas Ultrasound | Qhov no siv cov suab nrov siab los tsim ib daim duab ntawm cov hlab ntsha hauv ob txhais ceg. Qhov no ua rau peb pom tseeb tias cov hlab ntsha raug thaiv ntau npaum li cas thiab nyob qhov twg. |
| Kev kuaj mob Angiography | Hauv qhov no, ib qho xim tshwj xeeb raug txhaj rau hauv cov hlab ntsha, thiab siv X-ray, CT, lossis MRI scan los thaij duab kom pom cov hlab ntsha. Qhov no tuaj yeem pab txheeb xyuas qhov chaw tseeb ntawm qhov txhaws. |
Cov kev kho mob rau qhov no yog dab tsi?
Muaj ntau txoj kev kho mob uas siv tau los tswj tus mob no, pib nrog tej yam yooj yim uas koj ua tau koj tus kheej.
1. Kev hloov pauv txoj kev ua neej (qhov no yog qhov tseem ceeb tshaj plaws!)
Qhov no yog cov tshuaj zoo tshaj plaws rau kev mob claudication. Cov no yuav pab tau koj ntau dua li cov tshuaj uas koj tus kws kho mob muab rau koj.
- Tso kev haus luam yeeb: Yog tias koj yog ib tug neeg haus luam yeeb, koj yuav tsum tso hnub no, tam sim no . Qhov ntawd yog qhov kev pab loj tshaj plaws uas koj tuaj yeem ua rau koj tus kheej.
- Kev Taug Kev:"Nws mob thaum kuv taug kev, yog li kuv yuav tsum tsis txhob taug kev ntxiv lawm?" koj yuav xav. Tab sis qhov ntawd tsis yog. Kev tawm dag zog zoo tshaj plaws rau qhov no yog kev taug kev. Tus kws kho mob yuav hais kom koj taug kev 3-5 hnub hauv ib lub lim tiam, li 50 feeb hauv ib hnub. Tsum thaum qhov mob pib, thiab taug kev dua thaum qhov mob ploj mus. Maj mam, koj yuav pom tias qhov deb uas koj tuaj yeem taug kev yam tsis muaj mob yuav nce ntxiv.
- Cov khoom noj uas zoo rau lub plawv: Noj cov khoom noj uas tsis muaj roj, ntsev, thiab qab zib ntau, thiab noj txiv hmab txiv ntoo thiab zaub ntau.
2. Cov Tshuaj
Nrog rau kev hloov pauv hauv lub neej, koj tus kws kho mob yuav sau ntawv rau koj cov tshuaj zoo li no.
- Cov tshuaj txo cov ntshav siab (piv txwv li ACE inhibitors)
- Cov tshuaj txo cov roj cholesterol (piv txwv li, 'Statins')
- Cov tshuaj uas tiv thaiv cov ntshav txhaws (piv txwv li Aspirin, Clopidogrel)
- Cov tshuaj uas qhib cov hlab ntsha thiab ua kom cov ntshav ntws zoo dua (piv txwv li, 'Cilostazol')
3. Cov Txheej Txheem Kho Mob Tshwj Xeeb (Cov Txheej Txheem)
Yog tias qhov mob hnyav heev thiab nyuaj rau tswj nrog tshuaj, tus kws kho mob yuav siv hom kev kho mob no.
- Angioplasty: Qhov no suav nrog kev ntxig lub npas me me rau hauv cov hlab ntsha uas raug thaiv thiab ua kom nws nqus pa kom qhib qhov kev thaiv.
- Kev tso stent: Tom qab angioplasty qhib cov hlab ntsha, ib lub raj me me zoo li mesh (ib lub 'stent') raug ntxig rau hauv kom nws tsis txhob raug thaiv dua.
- Kev Phais Mob Hlwb: Yog tias qhov kev txhaws hnyav heev, yuav tsim ib txoj hlab ntsha tshiab los ntawm kev siv ib daim hlab ntsha uas tau los ntawm lwm qhov ntawm lub cev lossis ib txoj hlab ntsha cuav los hla qhov chaw uas raug txhaws. Qhov no tsuas yog ua rau cov mob hnyav heev xwb.
Puas muaj lwm yam uas yuav tsum txhawj xeeb txog ntxiv rau qhov mob claudication?
Yog. Muaj ntau lwm yam mob uas ua rau mob ceg uas muaj cov tsos mob zoo ib yam li claudication, tab sis tuaj yeem hnyav dua. Yog li ntawd, mob ceg yuav tsum tsis txhob raug tsis quav ntsej.
- Kab Mob Ntshav Hauv Plab (DVT): Qhov no yog thaum cov ntshav txhaws hauv cov hlab ntsha tob hauv ceg. Yog tias cov ntshav txhaws no tawg thiab nyob hauv cov hlab ntsha hauv lub ntsws, nws tuaj yeem yog qhov xwm txheej ceev uas txaus ntshai rau lub neej . Nws hu ua 'Pulmonary Embolism'. Yog li ntawd, yog tias koj tam sim ntawd o, liab, thiab mob hauv koj ceg, koj yuav tsum mus ntsib kws kho mob lossis mus rau ETU (Emergency Treatment Unit) tam sim ntawd.
- Mob Chronic Compartment Syndrome: Qhov no yog thaum muaj kev nyuaj siab hauv ib qho chaw ncig cov leeg nqaij, ua rau cov ntshav ntws tsis zoo. Qhov no kuj tseem tuaj yeem ua rau mob thaum lub sijhawm ua si.
Yog li ntawd, koj yuav tsum cia kws kho mob txiav txim siab seb koj muaj mob dab tsi.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev mob claudication tsis yog ib txwm muaj. Nws yog ib qho lus ceeb toom los ntawm koj lub cev.
- Qhov ua rau muaj qhov no yog ib yam mob hu ua Peripheral Artery Disease (PAD), uas tuaj yeem cuam tshuam rau lub plawv thiab lub hlwb.
- Tso kev haus luam yeeb thiab kev taug kev yog ob qho kev kho mob zoo tshaj plaws uas koj ua tau.
- Tsis txhob tso tseg qhov mob ceg. Mus ntsib koj tus kws kho mob sai li sai tau kom tau txais kev qhia.
- Yog koj kho tau zoo thiab hloov koj txoj kev ua neej, koj yuav tswj tau qhov teeb meem no tau zoo thiab muaj lub neej noj qab nyob zoo.
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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