Koj ib ceg puas tau o thiab kub thaum kov? Puas mob thaum koj taug kev lossis sawv? Tej zaum daim tawv nqaij ntawm koj ceg liab? Muaj ntau tus neeg xav tias nws tsuas yog
mob pob qij txha lossis pob luj taws xwb. Tab sis qee zaum nws tuaj yeem yog qee yam loj dua thiab xav tau kev saib xyuas tam sim ntawd. Hnub no peb tab tom tham txog
cov ntshav txhaws hauv cov leeg ntshav tob, lossis qhov uas hu ua
Deep Vein Thrombosis (DVT) .
Hais yooj yim xwb, DVT yog dab tsi?
Muaj ob hom hlab ntsha hauv peb lub cev. Ib qho yog cov hlab ntsha sab saud uas pom tau hauv qab daim tawv nqaij. Qhov thib ob yog cov hlab ntsha loj uas khiav tob hauv lub cev.
Deep Vein Thrombosis (DVT) yog
thaum cov ntshav txhaws (thrombus) tsim nyob rau hauv cov hlab ntsha tob no. Xav txog nws zoo li ib daim av uas daig hauv cov kav dej, thaiv cov dej ntws. Cov ntshav txhaws no tuaj yeem thaiv tag nrho lossis ib nrab
ntawm cov ntshav ntws hauv cov hlab ntsha. Qhov mob no feem ntau tshwm sim hauv cov hlab ntsha ntawm ob txhais ceg (tshwj xeeb tshaj yog lub duav lossis lub pob tw), thiab lub duav. Txawm li cas los xij, tsis tshua muaj, cov ntshav txhaws tuaj yeem tsim nyob rau hauv cov hlab ntsha ntawm caj npab, lub hlwb, cov hnyuv,
lub siab , lossis lub raum.
Vim li cas DVT thiaj li txaus ntshai?
Yog tias tus mob DVT tseem zoo li qub, nws tsis yog qhov txaus ntshai rau lub neej. Txawm li cas los xij,
qhov txaus ntshai tshaj plaws yog tias cov ntshav txhaws uas tau tsim hauv cov leeg ntshav no tawg tawm ntawm qhov ntawd thiab pib mus ncig los ntawm cov ntshav. Xav txog, yuav ua li cas yog tias cov ntshav txhaws uas tawg tawm (peb hu ua 'emboli') mus ncaj qha rau cov hlab ntsha hauv lub ntsws thiab daig? Qhov ntawd yog qhov peb hu ua
Pulmonary Embolism (PE) . Qhov no yog qhov xwm txheej txaus ntshai heev, txaus ntshai rau lub neej. Yog li ntawd, nws yog ib qho tseem ceeb kom kuaj mob thiab kho tus kab mob sai li sai tau thaum koj xav tias koj muaj DVT.
Kab mob ntsws (PE) yog qhov teeb meem loj tshaj plaws thiab txaus ntshai tshaj plaws ntawm DVT , yog li ntawd tsis txhob xav tias cov ntshav txhaws hauv koj ceg yog qhov teeb meem loj heev.
Tsis tas li ntawd xwb, kwv yees li ib nrab ntawm cov neeg uas muaj DVT yuav muaj teeb meem mus sij hawm ntev hu ua
Post-Thrombotic Syndrome .Qhov no yog thaum cov ntshav txhaws ua rau cov hlab ntsha hauv cov leeg ntshav puas tsuaj, ua rau cov ntshav ntws mus rau hauv ob txhais ceg es tsis nqus tau zoo. Qhov no tuaj yeem ua rau o, mob, tawv nqaij hloov xim av, thiab cov qhov txhab uas nyuaj kho (venous stasis ulcers) rau ntau lub hlis lossis ntau xyoo.
Koj paub li cas yog tias koj muaj DVT? Cov tsos mob yog dab tsi?
Tsis yog txhua tus neeg uas muaj DVT yuav muaj cov tsos mob. Kwv yees li 30% ntawm cov neeg yuav muaj DVT yam tsis muaj tsos mob. Ib txhia neeg yuav muaj cov tsos mob me me uas lawv tsis pom. Txawm li cas los xij, muaj qee cov tsos mob uas pom ntau. Yog tias koj muaj cov tsos mob no, tshwj xeeb tshaj yog tias lawv tsuas yog tshwm sim hauv ib ceg xwb, koj yuav tsum txhawj xeeb.
| Cov tsos mob | Kev piav qhia |
|---|
| O ntawm ceg lossis caj npab | Feem ntau nws tsuas yog nyob rau ib sab xwb. Qee zaum qhov o no tuaj yeem tshwm sim sai sai. |
| Mob los yog mob nqaij tawv | Hnov mob hauv ceg lossis caj npab. Qhov mob no yuav nce ntxiv, tshwj xeeb tshaj yog thaum sawv lossis taug kev. |
| Xav tias kub thaum kov | Qhov chaw o thiab mob yuav kub dua li lwm qhov. |
| Kev hloov xim ntawm daim tawv nqaij | Daim tawv nqaij yuav muaj xim liab los yog xiav. |
| Cov leeg ntshav pom tseeb | Cov leeg ntshav hauv qab daim tawv nqaij yuav zoo li loj dua thiab o dua li qub. |
| Lwm yam nta | Yog tias cov ntshav txhaws tsim nyob rau hauv cov leeg ntawm lub plab, cov tsos mob xws li mob plab yuav tshwm sim, thiab yog tias lawv tsim nyob rau hauv cov leeg ntawm lub hlwb, cov tsos mob xws li mob taub hau hnyav lossis qaug dab peg yuav tshwm sim. |
Ceev faj txog cov tsos mob ntawm Pulmonary Embolism (PE)!
Muaj ib txhia neeg tsuas paub tias lawv muaj DVT tom qab cov ntshav txhaws tawg thiab daig hauv lawv lub ntsws. Yog li ntawd, yuav tsum paub txog cov tsos mob hauv qab no.
Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob nyob hauv tsev thiab tos kom txog thaum muaj xwm txheej ceev. Qhov no yog xwm txheej ceev. Mus rau chav kho mob ceev (ETU) sai li sai tau.
Cov yam uas ua rau muaj kev pheej hmoo ntawm DVT yog dab tsi?
Txhua tus neeg yeej muaj feem yuav mob DVT. Tiam sis muaj ib txhia neeg uas muaj feem yuav mob DVT ntau dua. Cia peb saib seb lawv yog dab tsi.
- Zaum twj ywm ntev ntev: Xav txog koj caij tsheb npav los ntawm Colombo mus rau Jaffna, Sri Lanka, lossis caij dav hlau ntau teev mus rau lub tebchaws. Thaum mus ncig ua si ntev li no, kev khaws koj ob txhais ceg rau tib qho chaw tuaj yeem ua rau cov ntshav ntws qeeb thiab ua rau cov ntshav txhaws. Tib yam li ntawd rau tom qab phais loj, lossis yog tias koj yuav tsum pw hauv txaj rau ntau hnub vim muaj mob.
- Kev phais mob lossis kev raug mob: Yog tias cov leeg ntshav raug puas tsuaj vim yog kev phais mob lossis kev raug mob, qhov kev pheej hmoo ntawm cov ntshav txhaws yuav nce ntxiv.
- Muaj hnub nyoog tshaj 40 xyoo: Qhov kev pheej hmoo maj mam nce ntxiv nrog hnub nyoog.
- Cev xeeb tub thiab tom qab yug menyuam: Qhov kev pheej hmoo ntawm DVT yog siab tshaj plaws thaum cev xeeb tub thiab li 6 lub lis piam tom qab yug menyuam.
- Rog Dhau/Ob Plab: Cov neeg uas rog dhau muaj feem yuav mob ntau dua.
- Haus Luam Yeeb: Haus luam yeeb ua rau muaj kev pheej hmoo ntawm kev ntshav txhaws.
- Kev kho mob qog noj ntshav thiab mob qog noj ntshav: Qee hom mob qog noj ntshav thiab kev kho mob qog noj ntshav (piv txwv li kev siv tshuaj kho mob qog noj ntshav) ua rau muaj kev pheej hmoo ntawm DVT ntau ntxiv.
- Cov tshuaj tiv thaiv kev yug me nyuam lossis kev kho mob hormone: Cov tshuaj tiv thaiv kev yug me nyuam thiab kev kho mob hormone uas muaj cov tshuaj hormone estrogen yuav ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws me ntsis.
- Keeb kwm tsev neeg: Yog tias ib tug neeg hauv koj tsev neeg (niam, txiv, cov kwv tij neej tsa) tau muaj DVT, koj kuj muaj feem yuav muaj mob DVT thiab.
- Cov ua rau muaj mob caj ces: Ib txhia neeg yug los muaj mob uas ua rau lawv cov ntshav txhaws tau yooj yim.
- Lwm yam mob: Cov kab mob autoimmune xws li lupus, mob plab hnyuv, varicose veins (varicose veins hauv ob txhais ceg), thiab kev kis tus kab mob COVID-19 kuj tseem tuaj yeem ua rau muaj kev pheej hmoo ntawm DVT.
Kws kho mob, koj yuav kuaj mob DVT li cas kom raug?
Yog tias koj muaj cov tsos mob ntawm DVT, koj tus kws kho mob yuav kuaj koj ua ntej, nug txog koj keeb kwm kev kho mob thiab cov yam ntxwv uas ua rau muaj kev pheej hmoo, thiab tom qab ntawd xaj ntau qhov kev kuaj mob kom paub meej tias muaj mob.
- Kev Siv Tshuaj Ultrasound Ob Chav Venous: Qhov no yog qhov kev kuaj tseem ceeb thiab feem ntau siv los kuaj DVT. Nws zoo ib yam li kev luam theej duab menyuam yaus. Nws tsis mob. Nws tuaj yeem pom tseeb tias cov ntshav ntws hauv cov leeg thiab seb puas muaj cov ntshav txhaws.
- Kev kuaj ntshav hauv cov hlab ntsha: Qhov no tsis tshua muaj neeg siv lawm. Qhov no suav nrog kev txhaj tshuaj cov kua tshwj xeeb (xim zas) rau hauv cov hlab ntsha thiab thaij duab X-ray.
- Kev kuaj MRI lossis CT: Qee zaum cov kev kuaj no yuav ua tau yog tias muaj kev xav tias muaj cov ntshav txhaws hauv cov leeg ntshav tob, xws li lub plab lossis lub hlwb.
- Kev kuaj ntshav tshwj xeeb: Yog tias koj tau tsim DVT yam tsis muaj laj thawj pom tseeb, lossis yog tias koj muaj keeb kwm tsev neeg, koj tus kws kho mob yuav txiav txim siab ua kev kuaj ntshav tshwj xeeb los xyuas seb puas muaj cov kab mob caj ces uas cuam tshuam rau kev txhaws ntshav.
Cov kev kho mob rau DVT yog dab tsi?
Muaj ob peb lub hom phiaj tseem ceeb hauv kev kho DVT.
- Tiv thaiv kom cov ntshav txhaws tsis txhob loj hlob tuaj.
- Tiv thaiv kom cov ntshav txhaws ntawd tsis txhob tawg thiab mus rau lub ntsws.
- Tiv thaiv kom tsis txhob muaj cov ntshav txhaws tshiab.
- Txo qhov kev pheej hmoo ntawm cov teeb meem mus sij hawm ntev (Post-Thrombotic Syndrome).
Muaj ntau txoj kev kho mob tseem ceeb los ua tiav cov hom phiaj no.
1. Cov tshuaj ua kom cov ntshav nyias (Anticoagulants)
Qhov no hu ua 'Anticoagulants' hauv lus Askiv. Cov tshuaj no ua haujlwm los ntawm kev txo qhov peev xwm ntawm cov ntshav kom khov.
Qhov tseem ceeb tshaj plaws yog tias cov tshuaj no tsis "yaj" cov ntshav khov uas twb tau tsim lawm. Hloov chaw, lawv tiv thaiv nws kom tsis txhob loj dua thiab cov ntshav khov tshiab los ntawm kev tsim. Raws li lub sijhawm dhau mus, lub cev cov txheej txheem ntuj tuaj yeem maj mam yaj cov ntshav khov. Cov tshuaj xws li "Warfarin" thiab "Heparin" siv rau qhov no. Koj tus kws kho mob yuav txiav txim siab seb cov tshuaj twg yog qhov zoo rau koj thiab koj yuav tsum noj nws ntev npaum li cas. Feem ntau, koj yuav tsum noj cov tshuaj no rau 3-6 lub hlis, lossis rau qee tus neeg, rau tas koj lub neej.
Ceeb Toom: Qhov teeb meem loj tshaj plaws ntawm kev noj cov tshuaj no yog kev pheej hmoo ntawm kev los ntshav. Yog tias koj muaj kev mob ntshav tsis zoo li qub, cov pos hniav los ntshav thaum txhuam koj cov hniav, lossis lwm yam kev los ntshav tsis zoo li qub , qhia rau koj tus kws kho mob tam sim ntawd.
2. Cov thom khwm nruj
Cov no tsis zoo li cov thom khwm ib txwm. Cov no yog cov thom khwm tsim tshwj xeeb uas haum zoo nyob ib ncig ntawm pob luj taws. Lawv tau ua kom nruj heev nyob ib ncig ntawm pob luj taws thiab maj mam tsis nruj rau ntawm lub hauv caug. Qhov no pab kom cov ntshav ntws mus rau ntawm ob txhais ceg yam tsis muaj kev ntxhov siab. Hnav cov no thoob plaws hnub tuaj yeem txo qhov o thiab mob hauv ob txhais ceg li ntawm 50%.
3. IVC Lim
Qhov no tsis yog kev kho mob rau txhua tus. Nws raug pom zoo rau cov neeg uas tsis tuaj yeem noj cov tshuaj thinning ntshav, lossis cov neeg uas muaj cov ntshav txhaws thaum noj lawv. Ntawm no, ib lub cuab yeej me me zoo li daim ntaub mesh (lub 'lim') raug ntxig rau hauv lub cev cov hlab ntsha tseem ceeb, 'Vena Cava'. Qhov no yog los ntes cov ntshav txhaws uas tau tawg tawm hauv ceg ua ntej nws tuaj yeem mus rau lub ntsws.
Kuv yuav ua li cas thiaj tiv thaiv tau DVT kom tsis txhob rov tshwm sim dua?
Thaum koj muaj DVT lawm, nws yog ib qho tseem ceeb uas yuav tsum tiv thaiv kom tsis txhob muaj dua. Tsis tas li ntawd, yog tias koj muaj feem yuav muaj DVT, koj yuav tsum ua cov kauj ruam los tiv thaiv kom tsis txhob muaj dua.
Yog tias koj twb muaj DVT lawm:
- Noj cov tshuaj uas tus kws kho mob tau sau tseg kom raws sijhawm thiab raws sijhawm. Tsis txhob ncua ib hnub li.
- Mus koom cov chaw kho mob thiab kuaj ntshav raws li hnub teem tseg.
- Ua neej noj qab nyob zoo (noj zaub mov zoo, tawm dag zog, thiab tsis txhob haus luam yeeb).
Yog tias koj muaj feem yuav mob DVT, ua raws li cov kauj ruam no:
- Thaum mus ncig ua si ntev: Sawv thiab taug kev ncig tsawg kawg ib teev ib zaug. Thaum zaum, ua cov kev tawm dag zog me me xws li tig koj pob luj taws thiab txav koj cov ntiv taw mus rau saum thiab nqis.
- Tom qab phais: Sawv ntawm txaj thiab pib taug kev sai li sai tau. Ua raws li koj tus kws kho mob hais.
- Haus dej kom txaus tas li.
- Tham nrog koj tus kws kho mob thiab tau txais cov lus qhia txog kev txo koj qhov kev pheej hmoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav txhaws hauv cov hlab ntsha tob (Deep Vein Thrombosis - DVT) yog ib qho ntshav txhaws uas tsim nyob rau hauv cov hlab ntsha tob ntawm lub cev. Qhov no yog ib qho mob hnyav heev.
- Qhov teeb meem txaus ntshai tshaj plaws ntawm DVT yog cov ntshav txhaws uas tawg thiab nyob hauv lub ntsws (pulmonary embolism), uas tuaj yeem ua rau tuag taus.
- Cov tsos mob tseem ceeb ntawm DVT yog o, mob, sov, thiab liab ntawm ib ceg tam sim ntawd. Tsis txhob tsis quav ntsej txog cov no.
- Yog tias koj muaj cov tsos mob xws li mob hauv siab tam sim ntawd thiab ua pa nyuaj, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Cov tshuaj ua kom cov ntshav nyias thiab cov thom khwm nruj feem ntau yog siv rau kev kho mob. Ua raws li koj tus kws kho mob cov lus qhia kom meej.
- Ua kom nquag thiab tsis txhob zaum thaum mus ncig ua si ntev thiab tom qab phais mob yog qhov tseem ceeb heev kom tiv thaiv tau DVT.
DVT, Kev Thrombosis Ntawm Cov Ntshav Hauv Cov Hlab Ntshav, Cov Ntshav Txhaws, Cov Ntshav Txhaws Hauv Cov Hlab Ntshav, O Ceg, Mob Hlab Ntshav Hauv Plab, Cov Tshuaj Ua Rau Ntshav Tsis Qhuav, Cov Tshuaj Anticoagulants, Cov Tshuaj Ua Rau Ntshav Tsis Qhuav, Mob Ceg
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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