Cov hlab ntsha tseem ceeb uas muab ntshav rau peb lub hlwb, lub taub hau, thiab lub ntsej muag nyob rau ob sab ntawm peb lub caj dab. Cov no zoo li txoj kev loj hauv peb lub cev. Xav txog seb nws yuav zoo li cas yog tias ib qho ntawm cov kev loj no muaj phab ntsa tsis muaj zog thiab nthuav tawm zoo li lub npas. Qhov ntawd yog qhov peb tab tom tham txog hnub no, carotid artery aneurysm. Txawm hais tias nws yuav zoo li ntshai me ntsis, nws yog ib qho tseem ceeb kom paub txog nws.
Carotid Artery Aneurysm yog dab tsi?
Hauv lwm lo lus, carotid artery aneurysm yog ib qho mob uas ib feem ntawm phab ntsa ntawm cov hlab ntsha loj (carotid artery) uas nqa cov ntshav los ntawm ob sab ntawm koj lub caj dab mus rau koj lub hlwb tsis muaj zog, ua rau cov ntshav siab nce mus rau sab nraud zoo li lub npuas.
Xav txog lub npas uas tau cua. Phab ntsa ntawm lub npas yuav nyias dua thaum nws tau cua, puas yog? Yuav ua li cas yog tias koj cua nws ntau dua? Nws tawg. Yog li ntawd aneurysm no bulged. Raws li lub sijhawm, nws tuaj yeem loj dua. Thaum nws loj dua, nws phab ntsa yuav nyias dua, thiab muaj kev pheej hmoo tias nws yuav tawg ib hnub. Yog li qhov loj dua aneurysm tau txais, nws yuav muaj kev phom sij ntau dua.
Qhov xwm txheej no yuav loj npaum li cas?
Cov hlab ntsha carotid aneurysms yog ib qho mob hnyav uas cuam tshuam rau cov hlab ntsha uas muab ntshav ncaj qha rau peb lub hlwb, yog li ntawd lawv tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim. Txawm li cas los xij, tsis yog txhua qhov aneurysms muaj kev phom sij ib yam. Qee qhov me me heev thiab tuaj yeem nyob hauv qhov chaw tau ntau xyoo yam tsis ua rau muaj teeb meem.
Tiam sis muaj ob qho kev pheej hmoo tseem ceeb:
1. Ntshav txhaws: Cov ntshav txhaws tuaj yeem tsim nyob rau hauv lub aneurysm, thiab ib daim ntawm nws tuaj yeem tawg thiab daig rau hauv cov hlab ntsha me me hauv lub hlwb. Qhov no tuaj yeem txiav cov ntshav ntws mus rau lub hlwb thiab ua rau muaj kev tawm tsam ischemic transient (TIA) , "mini stroke," lossis mob stroke ischemic tag nrho .
2. Aneurysm tawg: Yog tias aneurysm loj tawg, nws tuaj yeem ua rau ntshav hnyav rau hauv lossis nyob ib puag ncig lub hlwb. Qhov mob stroke uas tshwm sim hu ua hemorrhagic stroke . Qhov no yog qhov xwm txheej ceev heev thiab muaj peev xwm ua rau tuag taus.
Qhov txawv ntawm aneurysm tseeb thiab cuav yog dab tsi?
Qhov no yog ib qho kev kho mob me ntsis, tab sis cia peb nkag siab yooj yim. Phab ntsa ntawm peb cov hlab ntsha muaj peb txheej.
- Kab Mob Aneurysm Tseeb: Qhov no yog thaum tag nrho peb txheej ntawm cov hlab ntsha tsis muaj zog thiab nthuav tawm sab nraud. Qhov no feem ntau yog tshwm sim los ntawm cov rog hauv cov phab ntsa ntawm cov hlab ntsha (atherosclerosis).
- Aneurysm cuav los yog pseudoaneurysm:Qhov no yog thaum ib lossis ob txheej ntawm cov hlab ntsha phab ntsa raug puas tsuaj, ua rau qee cov ntshav tawm thiab sib sau ua ib lub npuas. Hais qhov tseeb, qhov no tsis yog kev los ntshav tiag tiag. Nws tuaj yeem tshwm sim los ntawm kev sib tsoo, kev kis kab mob, lossis kev mob nkeeg ntawm qee yam kev kho mob.
Ob hom twg los tau ua rau muaj teeb meem, yog li ob qho tib si yuav xav tau kev kho mob.
Leej twg yuav muaj tus mob no ntau tshaj? Thiab puas yog nws tshwm sim ntau?
Txawm hais tias cov hlab ntsha carotid aneurysms tuaj yeem tshwm sim rau txhua tus neeg laus, lawv feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 50 thiab 60 xyoo. Lawv kuj tsis tshua muaj tshwm sim rau cov menyuam yaus.
Tiamsis qhov xov xwm zoo yog tias qhov no yog ib qho mob tsis tshua muaj . Cov hlab ntsha carotid aneurysms suav txog tsawg dua 1% ntawm tag nrho cov aneurysms hauv lub cev.
Cov tsos mob ntawm qhov no yog dab tsi?
Feem ntau, cov aneurysms no tuaj yeem tshwm sim yam tsis muaj tsos mob. Qee zaum lawv pom tsis tau thaum ua ib yam dab tsi zoo li kev ntsuas lub taub hau rau lwm qhov laj thawj.
Tab sis yog tias cov tsos mob tshwm sim, lawv feem ntau yog cov cim qhia ntawm mob stroke lossis transient ischemic attack (TIA).
Tus mob TIA tuaj yeem yog ib qho cim ceeb toom loj uas qhia tias yuav muaj mob stroke loj hauv ob peb hnub lossis ob peb lub lis piam tom ntej, yog li nws tseem ceeb heev uas yuav tsum tau ua tib zoo saib xyuas cov tsos mob no.
| Cov tsos mob thaum muaj xwm txheej ceev ntawm tus mob stroke lossis TIA - yog tias koj muaj ib qho ntawm cov no, mus rau ETU tam sim ntawd! | |
|---|---|
| Kev pom kev tsis meej tam sim ntawd | Pom tsis meej lossis tsis pom kev hauv ib lossis ob lub qhov muag. |
| Kev tsis muaj zog lossis tsis muaj zog ntawm ib sab ntawm lub cev | Xav tias ib sab ntawm lub ntsej muag, caj npab, lossis ceg tsis muaj zog. (piv txwv li, ib sab ntawm lub ntsej muag poob qis) |
| Nyuaj hais lus | Hais lus tsis meej, nyuaj nkag siab txog yam uas tau hais. |
| Kev nyuaj siab taug kev thiab poob qhov sib npaug | Kiv taub hau, sawv tsis taus, rub mus rau ib sab thaum taug kev. |
| Mob taub hau tam sim ntawd, hnyav heev | Mob taub hau loj heev uas tsis tau muaj dua li no. |
Yog koj muaj cov tsos mob zoo li no, tej zaum koj yuav tsis tuaj yeem hu rau tsev kho mob koj tus kheej. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau cov neeg hauv koj tsev neeg txog qhov no.
Lwm cov tsos mob
Ntxiv rau cov tsos mob ntawm tus mob stroke, yog tias lub aneurysm loj txaus kom nias rau lwm cov hlab ntsha lossis cov hlab ntsha hauv caj dab, cov tsos mob xws li:
- Mob taub hau
- Lub suab nrov nrov
- Mob caj dab
- Lub ntsej muag o
- Zoo li ib lub pob hauv caj dab thiab nws throbbing
- Nyuaj nqos zaub mov
- Lwm yam teeb meem pom kev
Yog koj muaj ib qho ntawm cov tsos mob no, mus ntsib koj tus kws kho mob sai li sai tau thiab qhia rau lawv paub txog qhov ntawd.
Vim li cas cov hlab ntsha aneurysm thiaj li tsim zoo li no? Dab tsi yog cov ua rau?
Muaj ntau yam ua rau muaj aneurysm ntawm cov hlab ntsha carotid.
- Kab mob Atherosclerosis: Qhov no yog qhov ua rau mob loj tshaj plaws. Qhov mob no tuaj yeem tshwm sim thaum cov roj cholesterol thiab cov rog sib sau ua ke hauv cov phab ntsa ntawm cov hlab ntsha, ua rau cov phab ntsa qaug zog.
- Cov kab mob uas ua rau cov phab ntsa ntawm cov hlab ntsha tsis muaj zog: Qee cov kab mob, xws li "Fibromuscular dysplasia," ua rau cov phab ntsa ntawm cov hlab ntsha tsis zoo.
- Teeb meem ntawm kev kho mob: Nws kuj tseem tuaj yeem tshwm sim ua teeb meem ntawm qee qhov kev phais caj dab, qee cov kab hauv nruab nrab, lossis kev kho mob hluav taws xob rau mob qog noj ntshav.
- Kev Raug Mob: Kev puas tsuaj rau cov hlab ntsha los ntawm kev raug mob hnyav, xws li kev tua phom lossis kev khâu.
Cov Yam Uas Ua Rau Muaj Kev Pheej Hmoo
Muaj ntau yam uas ua rau cov phab ntsa ntawm cov hlab ntsha tsis muaj zog, uas ua rau muaj kev pheej hmoo ntawm kev tsim aneurysm:
- Keeb kwm tsev neeg: Yog tias ib tug neeg hauv koj tsev neeg tau muaj aneurysm, koj kuj muaj feem yuav muaj mob ntau dua.
- Ntshav Siab (Tshuaj Ntshav Siab): Thaum ntshav siab nce siab, nws muab kev nyuaj siab ntau dua rau ntawm phab ntsa ntawm cov hlab ntsha. Qhov no tuaj yeem ua rau cov phab ntsa qaug zog.
- Haus Luam Yeeb: Haus luam yeeb yog ib qho ua rau cov hlab ntsha puas tsuaj loj heev. Nws ua rau cov phab ntsa ntawm cov hlab ntsha tsis muaj zog thiab ua rau muaj kev pheej hmoo ntawm kev mob aneurysm ntau ntxiv.
Tus kws kho mob kuaj mob li cas?
Tus kws kho mob ua raws li ob peb kauj ruam los kuaj mob no.
1. Kev kuaj lub cev: Tus kws kho mob yuav muab lub stethoscope tso rau ntawm koj lub caj dab thiab mloog. Qee zaum, koj yuav hnov lub suab 'swooshing' (carotid bruit) thaum cov ntshav ntws los ntawm qhov aneurysm no.
2. Koj thiab koj tsev neeg keeb kwm mob: Tus kws kho mob yuav nug txog lwm yam mob uas koj muaj thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj cov mob zoo sib xws.
3. Kev Kuaj Duab: Qhov no yog txoj hauv kev zoo tshaj plaws los paub meej tias muaj tus kab mob. Cov kev kuaj no tuaj yeem pom tseeb tias muaj dab tsi tshwm sim hauv koj cov hlab ntsha carotid.
- Kev luam theej duab CT (Kev luam theej duab computer tomography)
- Kev Ntsuas MRA (Magnetic Resonance Angiography)
- Kev kuaj mob ultrasound
Cov kev kuaj no tso cai rau cov kws kho mob txiav txim siab qhov loj me, cov duab, thiab qhov chaw ntawm lub aneurysm, thiab txiav txim siab qhov kev kho mob zoo tshaj plaws.
Cov kev xaiv kho mob yog dab tsi?
Kev kho mob nyob ntawm seb koj lub aneurysm loj npaum li cas, nws loj sai npaum li cas, thiab seb koj puas muaj cov tsos mob. Muaj peb txoj kev xaiv kho mob tseem ceeb.
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| 1. Kev soj ntsuam | Yog tias qhov aneurysm me heev thiab tsis muaj tsos mob, koj tus kws kho mob yuav pom zoo kom tos ib pliag yam tsis tas phais. Qhov no hu ua "kev tos saib xyuas." Koj yuav muaj kev tshuaj xyuas txhua 6 lub hlis lossis ib xyoos kom pom tias qhov aneurysm puas loj zuj zus. Lub sijhawm no, koj yuav tau txais tshuaj los tswj qhov siab. |
| 2. Kev Phais Qhib | Qhov no yog txoj kev phais mob ib txwm muaj. Hauv txoj kev phais mob no, tus kws phais mob ua ib qho kev phais hauv caj dab thiab tshem tawm qhov puas tsuaj ntawm cov hlab ntsha, uas muaj cov aneurysm. Tom qab ntawd, ib daim hlab ntsha lossis ib lub raj mis dag (graft) coj los ntawm lwm qhov ntawm koj lub cev (piv txwv li, koj ceg) raug siv los tsim txoj hauv kev tshiab rau cov ntshav ntws. |
| 3. Kev kho mob Endovascular (Endovascular Stent Grafting) | Qhov no yog ib txoj kev kho mob uas tsis tas yuav phais loj. Koj tus kws kho mob yuav ua ib lub qhov me me rau hauv cov hlab ntsha hauv koj txhais caj npab thiab muab ib lub raj nyias nyias (catheter) ntxig rau hauv. Raws li kev coj ntawm X-ray, lub raj raug thawb mus rau hauv aneurysm, thiab ib lub raj tshwj xeeb zoo li mesh (stent graft) raug muab tso rau hauv. Qhov no tso cai rau cov ntshav ntws los ntawm lub raj tshiab es tsis txhob mus rau hauv aneurysm. |
Koj tus kws kho mob yuav txiav txim siab seb kev kho mob twg zoo tshaj plaws rau koj tom qab nrog koj tham thiab piav qhia txhua yam.
Kuv ua tau dab tsi los txo qhov kev pheej hmoo no?
Peb tswj tsis tau qee yam uas ua rau muaj kev pheej hmoo (xws li keeb kwm tsev neeg), tab sis muaj ntau yam uas peb ua tau los ua kom peb cov hlab ntsha noj qab nyob zoo thiab txo peb txoj kev pheej hmoo ntawm kev mob aneurysm.
- Yog koj haus luam yeeb, tso tseg hnub no. Qhov no yog qhov zoo tshaj plaws uas koj ua tau. Nug koj tus kws kho mob kom pab.
- Noj zaub mov kom zoo rau lub plawv. Txo cov khoom noj uas muaj roj, ntsev, thiab qab zib ntau. Noj zaub, txiv hmab txiv ntoo, thiab zaub ntsuab ntau dua.
- Ua si nawv tsis tu ncua. Ua si nawv uas tsim nyog rau koj raws li koj tus kws kho mob cov lus qhia.
- Tswj cov ntshav siab. Yog tias koj muaj ntshav siab, noj cov tshuaj uas koj tus kws kho mob sau ntawv kom raws sijhawm.
- Ua raws li cov lus qhia ntawm kws kho mob. Mus kuaj mob raws sijhawm.
Puas muaj qhov sib txawv ntawm aneurysm hauv caj dab thiab aneurysm sab hauv lub taub hau?
Qhov no yog ib qho kev kho mob me ntsis, tab sis cia peb hais yooj yim: Peb cov hlab ntsha carotid khiav mus rau ntawm lub caj dab thiab mus rau hauv lub taub hau.
- Cov hlab ntsha aneurysm uas tsim sab nraum lub taub hau, uas yog, nyob rau hauv lub caj dab, hu ua 'extracranial' .
- Cov hlab ntsha aneurysm uas tsim sab hauv lub taub hau hu ua 'intracranial' .
Yog koj tus kws kho mob siv cov lus no rau koj, lawv tsuas yog hais txog qhov chaw ntawm lub aneurysm. Koj tsis tas yuav cim cov lus no. Nug koj tus kws kho mob kom piav qhia meej txog txhua yam uas koj tsis nkag siab.
Nws yog ib qho ib txwm muaj kev ntshai thaum koj pom tias koj muaj aneurysm. Tab sis nrog rau cov thev naus laus zis niaj hnub no thiab kev kho mob siab heev, ntau tus neeg tuaj yeem ua neej nyob ib txwm. Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia kom zoo thiab mus ntsib kws kho mob tsis tu ncua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib qho carotid artery aneurysm yog qhov qaug zog ntawm phab ntsa ntawm cov hlab ntsha loj hauv caj dab uas nqa cov ntshav mus rau lub hlwb, ua rau nws o zoo li lub npas.
- Ob qho kev phom sij tseem ceeb uas tuaj yeem tshwm sim los ntawm qhov no yog cov ntshav txhaws ua rau mob stroke thiab aneurysm tawg.
- Yog tias koj muaj cov tsos mob ntawm tus mob stroke, xws li ib sab ntawm koj lub ntsej muag poob qis, caj npab tsis muaj zog, lossis hais lus tsis tau zoo, qhov no yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Kev kho mob nyob ntawm seb qhov loj ntawm cov aneurysm thiab cov tsos mob. Qee zaum tsuas yog saib xwb tej zaum yuav txaus. Qee zaum yuav tsum tau phais.
- Kev tswj cov ntshav siab thiab tsis txhob haus luam yeeb yog qhov tseem ceeb los tiv thaiv tus mob no.
- Yog koj muaj lus nug lossis kev txhawj xeeb txog qhov no, nrog koj tus kws kho mob tham qhib siab txog qhov no.
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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