Koj puas muaj teeb meem hlab ntsha tsis zoo hauv koj lub taub hau? (Dural Arteriovenous Fistula - dAVF) Cia peb tham txog qhov no!

Koj puas muaj tej lub sij hawm koj hnov ​​suab nrov hauv koj lub taub hau? Los yog koj puas feem ntau mob taub hau? Tej zaum koj yuav xav tias tej yam no yog ib txwm muaj, tab sis tej lub sij hawm muaj ib yam dab tsi tom qab qhov no uas xav tau kev saib xyuas. Qhov ntawd yog qhov hu ua dural arteriovenous fistula (dAVF) . Cia peb tham txog nws yooj yim xwb.

Dural arteriovenous fistula (dAVF) yog dab tsi?

Hais yooj yim xwb, muaj ib daim nyias nyias tiv thaiv nyob ib puag ncig peb lub hlwb thiab tus txha caj qaum. Qhov no yog qhov peb hu ua dura mater . Nws zoo li daim ntawv npog tom qab ntawm ib phau ntawv.

Tam sim no saib, peb muaj ib lub network ntawm cov hlab ntsha los nqa cov ntshav mus rau txhua qhov ntawm peb lub cev. Cov hlab ntsha nqa cov ntshav huv, muaj oxygen ntau los ntawm lub plawv mus rau txhua lub cev, suav nrog lub hlwb. Cov leeg nqa cov ntshav siv lawm, tsis muaj oxygen rov qab mus rau lub plawv. Nruab nrab ntawm cov hlab ntsha thiab cov leeg no, muaj ib lub network zoo heev ntawm cov hlab ntsha, uas peb hu ua capillaries . Cov capillaries no tswj cov ntshav ntws thiab faib cov ntshav mus rau cov kabmob kom raug.

Tam sim no, nyob rau hauv qhov mob no hu ua fistula , ib txoj hlab ntsha txuas ncaj qha mus rau ib txoj hlab ntsha, tsis muaj lub nruab nrab ntawm cov hlab ntsha capillaries. Xav txog nws zoo li ib lub yeeb nkab dej loj tau txuas nrog ib lub yeeb nkab me me. Tom qab ntawd, cov ntshav ntws mus rau hauv txoj hlab ntsha ntawd ntawm qhov ceev ceev thiab nyob rau hauv qhov siab siab. Ib txoj hlab ntsha tsis tau siv rau ntau cov ntshav thiab ntau qhov siab.

Yog li, qhov hu ua dural arteriovenous fistula (dAVF) no yog qhov kev sib txuas tsis zoo ntawm cov hlab ntsha thiab cov leeg ntshav hauv dura mater, lub membrane uas nyob ib puag ncig lub hlwb. Qee zaum koj tus kws kho mob kuj tseem yuav hu qhov no ua dural arteriovenous malformation .

Qhov kev sib txuas tsis zoo no ua rau cov ntshav siab hauv cov hlab ntsha tsis ruaj khov, cov duab ntawm cov hlab ntsha tuaj yeem hloov pauv, thiab cov ntshav yuav tsis ntws mus rau qhov nws yuav tsum tau ua. Qee zaum, cov hlab ntsha tuaj yeem tawg vim nws tsis tuaj yeem tswj tau qhov siab. Yog tias qhov ntawd tshwm sim, nws tuaj yeem ua rau muaj kev phom sij rau lub neej.

Tus mob no feem ntau tshwm sim li cas?

Qhov tseeb, tus mob no (dAVF) tsis yog ib qho uas pom ntau. Piv txwv li, hauv Tebchaws Meskas, nws tau hais tias tshwm sim ntawm tus nqi ntawm 0.15 thiab 0.19 rau txhua 100,000 tus neeg hauv ib xyoos. Qhov ntawd txhais tau tias nws tsis tshua muaj.

Qhov no (dAVF) puas yog ib qho mob hnyav heev?

Nov yog nws ua haujlwm li cas. Qee qhov (dAVF) tsis hnyav heev thiab tsis ua rau muaj teeb meem kev noj qab haus huv loj. Txawm li cas los xij, qee qhov hnyav heev thiab tuaj yeem ua rau tuag taus. Tshwj xeeb tshaj yog tias cov hlab ntsha tawg thiab los ntshav, raws li tau hais los saum toj no, nws tuaj yeem ua rau cov ntaub so ntswg hauv hlwb puas tsuaj thiab ua rau mob stroke .

Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob sai li sai tau yog tias koj muaj cov tsos mob. Yog tias koj lossis ib tus neeg ze koj muaj cov tsos mob ntawm tus mob stroke (piv txwv li, qaug zog ib sab, hais lus tsis meej, tsis nco qab), koj yuav tsum hu rau 911 lossis chav kho mob ceev ze tshaj plaws tam sim ntawd.

Cov tsos mob ntawm (dAVF) yog dab tsi?

Tej zaum koj yuav tsis muaj tsos mob txawm tias koj muaj (dAVF) . Tab sis yog tias koj muaj tsos mob, lawv tuaj yeem sib txawv ntawm qhov me me mus rau qhov hnyav. Cov tsos mob kuj sib txawv nyob ntawm qhov twg hauv lub hlwb lub fistula nyob. Nrhiav cov no:

• Mob taub hau: Tej zaum nws yuav tsis yog mob taub hau ib txwm muaj xwb, tab sis yog ib hom mob taub hau tshiab uas qee zaum hnyav dua me ntsis.
• Xeev siab thiab ntuav: Cov no tuaj yeem tshwm sim, tshwj xeeb tshaj yog nrog mob taub hau.
• Pulsatile tinnitus: Qhov no yog ib qho tsos mob tshwj xeeb heev. Nws zoo li lub suab "ringing" lossis "buzzing" hauv koj pob ntseg, zoo ib yam li koj lub plawv dhia. Ib txhia neeg kuj piav qhia nws tias yog "suab ringing hauv koj pob ntseg."
• Kev hloov pauv ntawm qhov muag pom: Pom tsis meej tam sim ntawd, pom ob sab, lossis xav tias pom tsis meej.
• Teeb meem hais lus lossis lus: Hais lus tsis meej, zoo li hais tsis tau lus.
• Tsis muaj zog thaum taug kev, muaj teeb meem tswj cov ceg thaum ua haujlwm.
• Cov leeg tsis muaj zog lossis tsis muaj zog: Kev xav tsis muaj zog lossis tsis muaj zog ntawm ib sab ntawm caj npab, ceg, lossis lub ntsej muag.
• Mob ntawm lub ntsej muag, caj npab, lossis ceg.
• Kev nco tsis zoo.
• Tej kev xav lossis kev xav txawv txawv.

Cov tsos mob no feem ntau yog los ntawm kev los ntshav hauv koj lub hlwb . Yog li ntawd, yog tias koj muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd.

Dab tsi yog qhov ua rau muaj qhov no (dAVF)?

Cov kws kho mob tseem tsis tau paub meej tias yog dab tsi ua rau muaj dAVF . Txawm li cas los xij, ntau tus kws tshawb fawb ntseeg tias nws tuaj yeem tshwm sim los ntawm kev raug mob taub hau . Nws tuaj yeem tshwm sim ntau xyoo tom qab raug mob. Qee qhov kev tshawb fawb qhia tias nws muaj feem cuam tshuam nrog kev thaiv hauv cov hlab ntsha uas nqa ntshav mus rau lub hlwb. Qhov kev thaiv no tuaj yeem tshwm sim los ntawm kab mob, xwm txheej, lossis lwm yam xwm txheej. Piv txwv li:

• Ntshav txhaws (Thrombosis).
• Kev raug mob hlwb.
• Kev phais hlwb, xws li craniotomy.

Tsis tshua muaj ib tug neeg yug los muaj qhov no (dAVF) , tab sis nws tsis yog los ntawm noob caj noob ces. Qhov mob no tseem tab tom raug tshawb fawb.

Leej twg muaj feem yuav mob qhov no (dAVF) ntau dua?

Tus mob no (dAVF) tuaj yeem tshwm sim thaum twg los tau, tab sis feem ntau nws tshwm sim rau cov neeg laus hnub nyoog ntawm 40 thiab 60 xyoo .

Tej yam teeb meem uas yuav tshwm sim ntawm (dAVF) yog dab tsi?

Tej yam teeb meem uas tshwm sim los ntawm qhov no (dAVF) tej zaum yuav ua rau tuag taus. Cov teeb meem tseem ceeb yog:

• Los ntshav hauv cov nqaij ntawm lub hlwb (los ntshav).
• Los ntshav sab hauv lub taub hau, tab sis sab nraud lub hlwb (Subdural hematoma).
• Los ntshav ntawm lub hlwb thiab daim nyias nyias uas nyob ib puag ncig nws (Subarachnoid hemorrhage).
• Muaj kev nce siab hauv lub taub hau (intracranial pressure).
• Qaug dab peg.
• Mob stroke.

Xav txog seb, yuav ua li cas yog tias lub qhov dej me me uas txuas nrog lub yeeb nkab loj uas coj dej mus rau peb lub tsev lub taub dej poob tam sim ntawd? Yuav muaj dej thoob plaws hauv tsev. Yog li ntawd yuav tshwm sim yog tias cov hlab ntsha tawg hauv lub hlwb. Yog vim li cas qhov no thiaj li txaus ntshai heev.

Yuav kuaj mob li cas rau tus mob no (dAVF)?

Tus kws kho mob kuaj pom tus mob no (dAVF) tom qab cov kauj ruam no:

• Kev kuaj lub cev.
• Ib qho kev xeem uas muaj feem cuam tshuam rau lub paj hlwb.
• Kev kuaj duab tshwj xeeb.

Thaum ua cov kev kuaj no, koj tus kws kho mob yuav nug koj txog koj cov tsos mob thiab cov ntsiab lus txog koj cov kab mob yav dhau los.

Qee zaum, koj yuav tsis muaj tsos mob dab tsi thiab nws yuav raug tshawb pom los ntawm txoj hmoo thaum koj kuaj duab ntawm koj lub hlwb lossis tus txha nqaj qaum rau lwm qhov laj thawj.

Cov kev kuaj tshwj xeeb uas pab nrhiav tau (dAVF)

Tus kws kho mob tuaj yeem thaij duab zoo ntawm koj cov hlab ntsha thiab siv cov kev kuaj zoo li no los saib seb koj puas muaj qhov no (dAVF) :

• Ib daim duab MRI (Magnetic Resonance Imaging) los yog MRA (Magnetic Resonance Angiography).
• Kev kuaj mob CT Angiography (CTA - Computed Tomography Angiography).

Ob qho kev kuaj no tsis mob thiab tsis ua rau koj tsis xis nyob ntau. Lawv tso cai rau koj tus kws kho mob kom pom tseeb txog cov hlab ntsha hauv koj lub paj hlwb, uas tej zaum yuav ua rau koj cov tsos mob.

Yog tias kev kuaj duab zoo li no (dAVF) ua rau muaj kev txhawj xeeb, koj cov kws kho mob yuav nrog koj tham txog lwm qhov kev kuaj tshwj xeeb hu ua cerebral angiogram .

Kev kuaj mob cerebral angiogram yog ib qho kev kuaj uas tsis tas yuav phais thiab tuaj yeem tsim cov duab zoo tshaj plaws thiab meej tshaj plaws ntawm cov hlab ntsha hauv koj lub hlwb. Hauv qhov kev kuaj no, cov kws kho mob ntxig ib lub raj me me - peb hu ua catheter - rau hauv cov hlab ntsha hauv koj lub dab teg lossis ceg sab saud, thiab xa nws los ntawm cov hlab ntsha hauv koj lub caj dab mus rau cov hlab ntsha hauv koj lub hlwb. Tom qab ntawd, los ntawm catheter ntawd, ib qho kua tshwj xeeb raug txhaj tshuaj.Ib qho tshuaj contrast agent raug txhaj rau hauv lub cev. Thaum nws sib xyaw nrog koj cov ntshav, nws tuaj yeem pom ntawm cov yeeb yaj kiab X-ray thaum cov ntshav ntws los ntawm cov hlab ntsha hauv lub hlwb thiab rov qab los ntawm cov leeg ntshav. Qhov no yog qhov uas tso cai rau cov kws kho mob txiav txim siab meej tias dAVF zoo li cas thiab kev kho mob zoo tshaj plaws rau nws yog dab tsi.

Puas muaj kev kho rau tus mob no (dAVF)?

Yog, kev kho mob tuaj yeem tshem tawm qhov fistula no thiab rov qab tau cov ntshav ntws li qub hauv cov leeg. Qhov no tuaj yeem txo lossis tiv thaiv cov tsos mob tshiab thiab teeb meem.

Yuav kho tus mob (dAVF) li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob no (dAVF) yog tshem tawm qhov kev sib txuas tsis zoo (fistula) ntawm cov hlab ntsha thiab cov leeg ntshav. Tej zaum yuav muaj kev xaiv kho mob xws li:

• Kev Phais Mob: Kev phais mob qhib tuaj yeem ua tau los tshem tawm qhov kev sib txuas tsis zoo (fistula) hauv cov hlab ntsha uas raug mob.
• Endovascular embolization: Hauv qhov no, raws li tau hais ua ntej, ib lub raj me me (catheter) raug xa mus rau ib qho ntawm koj cov hlab ntsha, mus rau qhov chaw uas lub fistula nyob, thiab nws raug kaw. Nws zoo li muab lub foob rau ntawm qhov xau.
• Kev phais mob hluav taws xob Stereotactic: Qhov no yog ib hom kev kho mob hluav taws xob. Hauv qhov no, cov kab hluav taws xob uas tsom mus rau qhov chaw uas cov hlab ntsha txuas nrog, thaiv nws.

Koj tus kws kho mob yuav txiav txim siab seb txoj kev kho mob zoo tshaj plaws rau koj. Qhov no yuav nyob ntawm ntau yam, suav nrog qhov xwm txheej ntawm (dAVF) , koj txoj kev noj qab haus huv dav dav, cov tsos mob, thiab koj qhov kev pheej hmoo ntawm kev los ntshav lossis teeb meem.

Yog koj tsis muaj tsos mob, koj tus kws kho mob yuav tsis kho koj tam sim ntawd, tab sis yuav saib xyuas koj tsis tu ncua kom tiv thaiv cov teeb meem.

Kev kwv yees ntawm (dAVF) yog dab tsi?

Koj qhov kev kwv yees nyob ntawm ntau yam, xws li qhov chaw ntawm lub fistula thiab seb nws puas los ntshav. Yog tias nws raug kuaj pom thiab kho thaum ntxov, qhov kev kwv yees feem ntau zoo. Hmoov tsis zoo, qee qhov (dAVF) tuaj yeem ua rau muaj teeb meem mus tas li lossis ua rau tuag taus. Yog tias muaj teeb meem zoo li no tshwm sim, muaj kev saib xyuas tom qab thiab kev txhawb nqa los pab, xws li kev kho lub cev , kev kho mob ua haujlwm , thiab kev kho kev hais lus .

Koj tus kws kho mob yog tus neeg uas tuaj yeem muab qhov kev xam pom tseeb tshaj plaws rau koj raws li koj tus mob.

Tus Nqi Muaj Sia Nyob Los Ntawm (dAVF)

Vim tias tus mob no (dAVF) tsis tshua muaj ntau, kev tshawb fawb txog tus nqi ciaj sia tseem tab tom ua mus. Cov kev tshawb fawb tam sim no qhia tias tus nqi tuag txhua xyoo los ntawm tus mob no yogKwv yees li ntawm 11% thiab 19%. Qhov no txhais tau tias qee zaum, tus nqi ciaj sia txhua xyoo tuaj yeem kwv yees tau ntau dua 80%.

Puas tiv thaiv tau tus mob no (dAVF)?

Tsis muaj ib txoj kev paub uas yuav tiv thaiv tau tus mob no (dAVF) . Txawm li cas los xij, koj tuaj yeem txo koj qhov kev pheej hmoo los ntawm kev tswj cov mob hauv qab no (xws li cov teeb meem ntshav txhaws) uas tuaj yeem ua rau muaj tus mob no. Koj tuaj yeem tiv thaiv koj tus kheej ntawm kev raug mob taub hau los ntawm kev hnav cov khoom siv tiv thaiv kom zoo thaum ua si kis las thiab lwm yam kev ua ub no.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Mus ntsib kws kho mob yog tias koj muaj ib qho ntawm cov tsos mob no:

• Mob taub hau tam sim ntawd, hnyav heev.
• Cov leeg tsis muaj zog lossis loog.
• Kev hloov pauv ntawm koj txoj kev hais lus, kev taug kev, kev sib npaug, lossis kev pom kev.
• Mob pob ntseg pib tshiab, nrov nrov (Pulsatile tinnitus).

Yog koj lossis ib tug neeg ze koj muaj cov tsos mob ntawm tus mob stroke (piv txwv li, qaug zog ib sab, hais lus tsis meej, tsis nco qab), koj yuav tsum hu rau 911 lossis chav kho mob ceev ze tshaj plaws tam sim ntawd. Lub sijhawm yog qhov tseem ceeb!

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws yog ib lub tswv yim zoo los nug cov lus nug zoo li no:

• Qhov fistula no nyob qhov twg?
• Koj pom zoo kom xaiv txoj kev kho mob twg?
• Kuv puas xav tau kev phais mob tiag?
• Cov kev mob tshwm sim ntawm kev kho mob no yog dab tsi?
• Puas yog qhov fistula no rov tshwm sim dua tom qab kho tas?
• Yuav siv sijhawm ntev npaum li cas ua ntej kuv yuav tsum rov qab los rau qhov kev xeem?

Thaum kawg, cov lus coj mus tsev

Tus mob no, hu ua dural arteriovenous fistula (dAVF), tuaj yeem muaj kev cuam tshuam loj lossis me rau koj lub neej. Qee zaum, nws tuaj yeem yog teeb meem me me uas tuaj yeem tswj tau yooj yim nyob rau hauv kev saib xyuas ntawm tus kws kho mob. Txawm li cas los xij, yog tias tsis kuaj pom thiab kho sai, nws tuaj yeem ua rau muaj teeb meem mus tas li lossis ua rau tuag taus.

Yog tias koj muaj cov tsos mob lossis txhawj xeeb txog qee yam, hu rau kws kho mob lossis chav kho mob ceev tam sim ntawd. Muaj kev kho mob uas tuaj yeem pab tshem tawm lub fistula thiab rov qab ntshav ntws mus rau txhua qhov ntawm koj lub cev. Muaj ntau txoj kev xaiv kho mob, tsis yog txhua yam yuav tsum tau phais qhib. Koj pab neeg kho mob yuav soj ntsuam koj cov tsos mob thiab txiav txim siab txoj kev npaj kho mob zoo tshaj plaws rau koj kom tiv thaiv cov teeb meem.

Koj paub koj txoj kev noj qab haus huv zoo tshaj plaws. Yog li ntawd, yog tias koj pom muaj kev hloov pauv hauv koj lub cev, tsis txhob tsis quav ntsej. Kev ua sai sai tuaj yeem tiv thaiv tau ntau yam mob hnyav.

` Dural arteriovenous fistula, dAVF, cov hlab ntsha hauv lub hlwb, mob taub hau, pulsatile tinnitus, cerebral hemorrhage, stroke