Puas muaj cov hlab ntsha hauv koj lub caj dab zoo li nws o? Cia peb kawm txog Carotid Artery Aneurysm!

Koj puas tau xav txog seb cov hlab ntsha hauv peb lub caj dab puas muaj teeb meem sib txawv? Qee zaum cov hlab ntsha no tuaj yeem qaug zog thiab loj zoo li lub npas. Txawm hais tias qhov no yuav zoo li txaus ntshai me ntsis, yog tias peb paub txog qhov no, peb tuaj yeem ua qhov yog yam tsis tas txhawj tsis tsim nyog. Hnub no peb yuav tham txog qhov mob zoo li no, uas yog , Carotid Artery Aneurysm .

Carotid Artery Aneurysm yog dab tsi? Muaj dab tsi tshwm sim tiag?

Hais yooj yim xwb, qhov mob carotid artery aneurysm yog ib qho mob uas ib feem ntawm cov carotid artery, nyob rau ob sab ntawm peb lub caj dab, tsis muaj zog thiab nthuav tawm. Cov carotid artery no yog cov hlab ntsha tseem ceeb heev vim lawv muab feem ntau ntawm cov ntshav mus rau peb lub hlwb, lub taub hau, lub ntsej muag, thiab caj dab.

Cov hlab ntsha carotid loj, uas pib ntawm sab saum toj ntawm peb lub hauv siab, mus rau saum caj dab thiab feem ntau faib ua ob ceg hauv nruab nrab ntawm caj dab. Ib qho yog cov hlab ntsha carotid sab hauv thiab lwm qhov yog cov hlab ntsha carotid sab nraud . Txawm hais tias cov aneurysms no tuaj yeem tshwm sim hauv ib qho ntawm cov hlab ntsha carotid no, lawv feem ntau pom hauv cov hlab ntsha carotid sab hauv.

Xav txog nws zoo li tshuab cua rau hauv lub npas. Thaum huab cua nce ntxiv, lub npas phab ntsa yuav nyias dua thiab loj dua, puas yog? Yog li ntawd nws yog nrog qhov no. Thaum ib feem ntawm phab ntsa ntawm cov hlab ntsha tsis muaj zog, qhov ntawd pib bulge nyob rau hauv lub siab ntawm cov ntshav. Thaum qhov bulge no loj hlob, phab ntsa ntawm cov hlab ntsha yuav nyias dua. Tom qab ntawd qhov kev pheej hmoo ntawm nws tawg nce ntxiv. Yog vim li cas nws thiaj hais tias qhov loj dua ntawm aneurysm tau txais, qhov txaus ntshai ntau dua.

Qhov xwm txheej no yuav loj npaum li cas?

Kab mob carotid artery aneurysm yog ib yam dab tsi uas tshwm sim hauv cov hlab ntsha uas muab ntshav ncaj qha rau peb lub hlwb, yog li nws tsis yog ib yam dab tsi uas yuav tsum tsis txhob saib yooj yim. Txawm li cas los xij, tsis yog txhua qhov aneurysms loj ib yam.

Qee cov aneurysm me heev thiab tuaj yeem nyob hauv qhov chaw tau ntau xyoo yam tsis ua rau muaj teeb meem. Txawm li cas los xij, qee zaum cov ntshav txhaws tuaj yeem tsim nyob rau hauv thaj chaw no. Yog tias cov ntshav txhaws no tawg thiab thaiv cov hlab ntsha hauv lub hlwb, lawv tuaj yeem ua rau muaj kev tawm tsam ischemic transient (TIA), mob stroke me me, lossis mob stroke mus tas li .

Yog tias lub hlwb loj loj tawg tam sim ntawd (ruptures) , kev los ntshav pib ntws mus rau hauv lub hlwb. Qhov no hu ua mob stroke hemorrhagic . Qhov no yog xwm txheej ceev uas txaus ntshai rau lub neej.

Qhov txawv ntawm aneurysm tiag tiag thiab aneurysm cuav yog dab tsi?

Cov kws kho mob faib cov aneurysms no ua ob hom, nyob ntawm seb cov aneurysm no tsim li cas.

• Aneurysm Tseeb:Qhov no yog thaum tag nrho peb txheej ntawm phab ntsa ntawm cov hlab ntsha (hu ua "Intima, Media, Adventitia") qaug zog thiab nthuav tawm sab nraud. Qhov ua rau qhov no yog cov rog tso rau hauv cov hlab ntsha, ib qho mob hu ua "Atherosclerosis".
• Kab mob cuav los yog kab mob cuav: Qhov no yog qhov o ntawm ib lossis ob txheej ntawm phab ntsa ntawm cov hlab ntsha. Nws zoo li ib lub hnab me me tau o tawm ntawm cov hlab ntsha. Qhov no feem ntau yog tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha hauv qhov xwm txheej, kev kis kab mob, lossis teeb meem los ntawm kev kho mob .

Txawm qhov no yog aneurysm tiag tiag los yog aneurysm cuav, ob qho tib si tuaj yeem ua rau muaj teeb meem thiab tej zaum yuav xav tau kev kho mob.

Leej twg raug tus mob no ntau tshaj? Nws tshwm sim ntau npaum li cas?

Cov hlab ntsha carotid aneurysms feem ntau tshwm sim rau cov neeg laus, tshwj xeeb tshaj yog cov neeg hnub nyoog ntawm 50 thiab 60 xyoo. Txawm li cas los xij, lawv tsis tshua muaj tshwm sim rau cov menyuam yaus.

Qhov no tsis yog ib qho mob uas pom ntau heev. Qhov tseeb, tsawg dua ib ntawm 100 lub aneurysms hauv lub cev tau tshaj tawm tias yog carotid artery aneurysms.

Cov tsos mob yog dab tsi? Koj paub nws li cas?

Muaj ib txhia neeg muaj ib lub carotid artery aneurysm tab sis tsis muaj tsos mob dab tsi li. Lawv tsuas yog pom tsis tau thaum lawv tau txais kev kuaj mob vim lwm yam laj thawj.

Feem ntau cov neeg uas muaj cov tsos mob muaj tus kab mob transient ischemic attack (TIA) lossis mob stroke. TIA zoo li "mob stroke me me." Nws kuj tseem yog ib qho cim ceeb toom tias tus kab mob stroke loj dua yuav los txog rau ob peb hnub lossis ob peb lub lis piam tom ntej. Ob qho tib si TIA thiab mob stroke yog tshwm sim los ntawm kev cuam tshuam cov ntshav ntws mus rau lub hlwb.

Cov no yog xwm txheej ceev hauv kev kho mob! Yog tias koj muaj ib qho ntawm cov tsos mob no, koj yuav tsum mus rau tsev kho mob tam sim ntawd:

Pom kev tsis meej lossis pom kev tsis meej hauv ib lossis ob lub qhov muag.

* Nyuaj rau kev taug kev, hais lus tsis meej.

* Kiv taub hau, poob qhov sib npaug.

* Tsis muaj zog los yog tsis muaj zog ntawm lub ntsej muag, caj npab, lossis ceg, tshwj xeeb tshaj yog rau ib sab ntawm lub cev.

Mob taub hau tam sim ntawd, hnyav heev.

* Nyuaj hais lus, nyuaj nkag siab txog yam uas lwm tus hais. Tsis meej pem lossis tsis meej pem.

Tej zaum koj yuav tsis tuaj yeem hu xov tooj rau kev pab ntawm koj tus kheej thaum koj muaj cov tsos mob hnyav no. Yog vim li cas nws thiaj li tseem ceeb rau kev qhia koj tsev neeg thiab cov phooj ywg txog cov tsos mob ntawm TIA thiab Stroke. Yog tias koj nyob ib leeg, nws tseem yog ib lub tswv yim zoo los xav txog Medical Alert System (MAS) uas koj tuaj yeem nias kom hu xov tooj rau kev pab.

Ntxiv rau cov tsos mob ntawm TIA thiab mob stroke no, yog tias lub aneurysm loj txaus kom nias rau lwm cov hlab ntsha lossis cov hlab ntsha hauv caj dab lossis taub hau,Nov yog qee cov tsos mob uas yuav tshwm sim:

• Mob taub hau.
• Lub suab nrov dhau.
• Mob caj dab.
• Lub ntsej muag o.
• Nws zoo li muaj ib lub pob caus hauv kuv lub caj dab, zoo li nws raug rub.
• Nyuaj nqos.
• Teeb meem pom kev.

Yog koj muaj cov tsos mob zoo li no, zoo tshaj mus ntsib kws kho mob.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Muaj ntau yam ua rau carotid artery aneurysm.

• Atherosclerosis (cov rog tso rau hauv cov hlab ntsha): Qhov no yog qhov ua rau tseem ceeb thiab feem ntau tshwm sim.
• Cov mob uas ua rau cov phab ntsa ntawm cov hlab ntsha tsis muaj zog: Piv txwv li suav nrog Fibromuscular Dysplasia thiab qee cov kab mob Connective Tissue.
• Teeb meem ntawm kev kho mob: Qee zaum nws tuaj yeem tshwm sim los ntawm tej yam xws li '(Carotid Endarterectomy)' (phais rau ntawm cov hlab ntsha carotid), '(Central Line Placement)' (ntxig ib lub raj rau hauv cov hlab ntsha loj hauv caj dab), lossis '(Radiation Therapy)' (kev kho mob hluav taws xob) rau mob qog noj ntshav.
• Kev raug mob hnyav rau cov hlab ntsha: Piv txwv li, nws tuaj yeem tshwm sim los ntawm kev sib tsoo loj heev, xws li rab phom tua lossis kev raug chob.

Cov yam ua rau muaj kev pheej hmoo yog dab tsi? (Cov yam ua rau muaj kev pheej hmoo)

Muaj ntau yam uas ua rau cov phab ntsa ntawm cov hlab ntsha tsis muaj zog, ua rau muaj kev pheej hmoo ntawm kev tsim aneurysm:

• Yog tias ib tug neeg hauv tsev neeg muaj mob aneurysm (kev sib txuas ntawm caj ces).
• Yog koj muaj mob ntshav siab (hypertension) .
• Yog koj haus luam yeeb lossis siv lwm yam khoom haus luam yeeb.

Cov kws kho mob kuaj mob li cas?

Cov kws kho mob kuaj mob carotid artery aneurysm los ntawm kev ua ntau yam kev kuaj, xws li:

• Kev kuaj lub cev: Thaum lub sijhawm no, tus kws kho mob yuav muab lub stethoscope tso rau ntawm koj lub caj dab thiab mloog seb cov ntshav ntws los ntawm nws puas muaj suab. Qee zaum, yog tias muaj aneurysm, yuav hnov ​​​​​​lub suab "swoosh" tshwj xeeb (carotid bruit).
• Keeb kwm kev mob hauv tsev neeg: Tus kws kho mob yuav nug txog cov mob hauv koj tsev neeg, vim tias yog tias ib tug neeg hauv koj tsev neeg tau muaj aneurysm, koj kuj tseem yuav muaj kev pheej hmoo.
• Koj keeb kwm mob: Koj tus kws kho mob yuav nug txog tej yam mob uas koj muaj thiab tej tshuaj uas koj noj. Qhov no yuav pab txiav txim seb yog vim li cas thiaj ua rau muaj aneurysm.
• Kev Kuaj Duab: Cov no yog cov kev kuaj uas qhia meej tias muaj dab tsi tshwm sim hauv cov hlab ntsha carotid thiab thaj chaw ib puag ncig zoo li cas. Cov no yog cov uas yuav ua kom paub tseeb tias puas muaj aneurysm thiab txiav txim siab qhov kev kho mob zoo tshaj plaws.

Qee zaum cov kws kho mob ua cov kev kuaj no vim lawv xav tias muaj aneurysm raws li cov tsos mob. Lwm lub sijhawm, lawv raug pom tsis tau thaum ua cov kev kuaj rau lwm yam mob (`(Kev kuaj mob tsis tau npaj tseg)`).

Cov kev kuaj mob tseem ceeb rau kev kuaj mob:

• Kev Ntsuas CT (Computed Tomography - CT Scan)
• Kev Ntsuas MRA (Magnetic Resonance Angiography - MRA)
• Kev Ntsuas Ultrasound

Ntxiv rau qhov no, koj tus kws kho mob yuav muab lwm yam kev kuaj rau koj:

• Kev ntsuas lub hlwb kom paub tseeb tias cov ntshav ntws hauv lub hlwb thiab saib seb puas muaj lwm cov aneurysms.
• Kev kuaj noob caj noob ces los xyuas seb puas muaj tej yam mob uas tau txais los ntawm noob caj noob ces.
• Lwm yam kev kuaj xyuas los xyuas seb puas muaj aneurysms hauv lwm cov hlab ntsha loj hauv lub cev (piv txwv li, aorta).

Yuav kho qhov no li cas?

Muaj ntau txoj kev kho mob rau cov hlab ntsha carotid aneurysms. Lub hom phiaj tseem ceeb ntawm kev kho mob yog kom txo cov tsos mob thiab txo qhov kev pheej hmoo ntawm cov teeb meem loj, xws li aneurysm tawg lossis tuag tes tuag taw.

Tus kws kho mob yuav xav txog ntau yam los txiav txim siab seb koj puas xav tau kev phais lossis lwm txoj kev kho mob:

• Qhov loj ntawm lub aneurysm.
• Qhov aneurysm loj hlob sai npaum li cas .
• Txawm koj muaj cov tsos mob los tsis muaj .

Cov kev xaiv kho mob tseem ceeb yog:

• Kev soj ntsuam
• Kev Phais Qhib
• Kev Siv Stent Grafting Hauv Endovascular

Kev Soj Ntsuam / Kev Tos Saib Xyuas

Qhov no kuj hu ua "kev tos saib xyuas." Qhov no suav nrog koj tus kws kho mob txuas ntxiv saib xyuas koj lub aneurysm. Koj yuav muaj kev kuaj mob (xws li ultrasound, CT scan, lossis MRI scan) txhua 6 txog 12 lub hlis kom pom tias puas muaj kev hloov pauv hauv aneurysm. Qhov no feem ntau siv rau cov aneurysms me me, tsis muaj tsos mob .

Yog koj muaj ntshav siab, koj tus kws kho mob yuav sau ntawv kom noj tshuaj ntshav siab . Qhov no yuav pab txo qhov siab ntawm cov hlab ntsha aneurysm. Lawv kuj tseem yuav sau ntawv kom noj tshuaj txo cov roj cholesterol .

Kev Phais Qhib

Qhov no yog txoj kev kho mob ib txwm muaj. Hauv qhov no, tus kws phais yuav tshem tawm qhov uas puas lawm, o ntawm cov hlab ntsha carotid thiab tsim ib txoj kev tshiab rau cov ntshav ntws mus rau nws qhov chaw. Qhov no hu ua bypass grafting .

Yuav tsim cov hlab ntsha tshiab no (graft), tus kws phais yuav siv ib daim hlab ntsha uas tau los ntawm lwm qhov ntawm koj lub cev, lossis lawv yuav siv cov hlab ntsha ua los ntawm cov khoom siv hluavtaws xws li GORE-TEX® .

Kev Siv Stent Grafting Hauv Endovascular

Qhov no yog ib txoj kev phais uas tsis mob npaum li kev phais qhib. Qhov loj ntawm lub aneurysm thiab nws qhov chaw nyob hauv cov hlab ntsha carotid yuav txiav txim siab seb koj puas yog tus neeg sib tw rau txoj kev phais no.

Endovascular txhais tau tias kev phais mob ua rau sab hauv koj cov hlab ntsha, siv cov raj ntev thiab nyias (catheters).Tus kws phais yuav ua ib lub qhov me me rau hauv cov hlab ntsha hauv koj lub qhov ncauj, muab lub raj no ntxig rau hauv nws, thiab xa ib lub stent graft (ib lub raj me me uas zoo li ib daim ntaub mesh) mus rau ntawm lub aneurysm raws li kev coj ntawm X-ray. Tom qab ntawd, lub stent graft yuav raug nthuav rau hauv cov hlab ntsha, npog lub aneurysm. Tom qab ntawd cov ntshav yuav ntws los ntawm lub stent graft tshiab.

Kev kho mob twg yog qhov zoo rau kuv?

Koj tus kws kho mob yuav txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj. Nws yuav xav txog koj tus mob thiab koj cov kev xav tau. Ua ntej yuav kho mob dab tsi, koj tus kws kho mob yuav piav qhia meej txog qhov zoo, qhov tsis zoo, thiab cov kev mob tshwm sim. Nws kuj tseem yuav piav qhia txog yuav npaj li cas rau kev kho mob thiab lub sijhawm rov zoo tom qab kev kho mob.

Peb ua tau dab tsi los txo qhov kev pheej hmoo no?

Muaj tej yam uas ua rau peb muaj feem yuav mob (piv txwv li, keeb kwm tsev neeg) uas peb tswj tsis tau. Txawm li cas los xij, muaj tej yam uas peb ua tau los pab kom peb cov hlab ntsha noj qab nyob zoo thiab txo qhov uas peb yuav muaj mob aneurysm:

• Tsis txhob haus luam yeeb, haus luam yeeb hluav taws xob, lossis siv lwm yam khoom luam yeeb kiag li. Nug koj tus kws kho mob kom pab koj txiav.
• Noj zaub mov zoo rau lub plawv, tsis txhob muaj roj ntau, ntsev, thiab qab zib.
• Ua si nawv tsis tu ncua raws li koj tus kws kho mob hais.
• Txwv kev haus cawv.
• Tswj cov yam uas ua rau muaj kev pheej hmoo xws li ntshav siab.
• Noj cov tshuaj uas tus kws kho mob tau sau tseg kom raug thiab raws sijhawm.
• Mus kuaj mob txhua xyoo thiab tsis txhob ncua sijhawm mus ntsib kws kho mob.

Thaum koj paub tias koj muaj aneurysm, koj yuav tsum xav li cas?

Yav tom ntej ntawm ib tug neeg uas muaj carotid artery aneurysm tuaj yeem sib txawv. Ib txhia neeg muaj ib qho aneurysm me me uas cov kws kho mob tsuas pom tau ntau xyoo xwb. Rau lwm tus, qhov aneurysm loj hlob sai thiab xav tau kev kho mob. Txawm hais tias kev phais thiab kev kho mob endovascular tuaj yeem kho aneurysms, lawv kuj muaj kev pheej hmoo. Tham nrog koj tus kws kho mob txog koj tus mob thiab dab tsi yuav tshwm sim rau yav tom ntej.

Kuv yuav tsum saib xyuas kuv tus kheej li cas? (Kev saib xyuas tus kheej)

Ua raws li koj tus kws kho mob cov lus qhia txog kev hloov pauv hauv koj lub neej kom pab tswj koj tus mob. Tsis tas li ntawd, nug txog cov haujlwm uas tsis zoo rau koj. Tej zaum koj yuav tsum zam qee yam haujlwm uas ua rau koj lub cev hnyav dhau .

Cov sijhawm tshwj xeeb twg uas koj yuav tsum mus ntsib kws kho mob?

Koj tus kws kho mob yuav qhia rau koj tias koj yuav tsum mus ntsib kws kho mob ntau npaum li cas thiab seb koj puas yuav tsum tau kuaj mob. Nco ntsoov mus rau txhua qhov kev teem caij ntawd.

Hu rau koj tus kws kho mob hauv cov xwm txheej hauv qab no:

• Yog tias muaj cov tsos mob tshiab tshwm sim lossis cov tsos mob uas twb muaj lawm hloov pauv.
• Yog koj muaj kev phiv los ntawm cov tshuaj uas koj noj.
• Txog koj qhov aneurysm thiab koj txoj kev npaj kho mobYog koj muaj lus nug lossis kev tsis ntseeg.

Thaum twg yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) :

Yog tias koj muaj cov tsos mob ntawm "Plawv Nres", "Stroke", lossis "TIA", hu rau 911 lossis koj tus xov tooj xwm txheej ceev hauv zos tam sim ntawd.

Cov lus nug tseem ceeb uas yuav nug tus kws kho mob yog dab tsi?

Thaum koj pom tias koj muaj carotid artery aneurysm, tej zaum koj yuav muaj ntau lo lus nug. Tab sis tej zaum koj yuav tsis paub tias yuav pib qhov twg. Nov yog qee cov lus nug uas koj tuaj yeem nug kom pib kev sib tham:

• Qhov aneurysm nyob qhov twg? Hauv caj dab los yog sab hauv lub taub hau?
• Lub aneurysm loj npaum li cas?
• Kuv puas yuav tsum tau kev kho mob? Yog tias tau, thaum twg?
• Kuv muaj cov kev kho mob twg?
• Cov txiaj ntsig thiab qhov tsis zoo ntawm txhua txoj kev kho mob yog dab tsi?
• Kuv yuav tsum tau tos dab tsi thaum lub sijhawm rov zoo tom qab kev kho mob?
• Kuv yuav tsum hloov pauv dab tsi hauv kuv txoj kev ua neej?
• Puas muaj tej yam uas kuv yuav tsum tsis txhob ua?
• Kuv puas yuav tsum tau kuaj ntxiv? Yog tias muaj, yuav tsum tau kuaj sai npaum li cas?

Qhov sib txawv ntawm aneurysm hauv caj dab (extracranial) thiab aneurysm sab hauv pob txha taub hau (intracranial)

Ob lub npe no hais txog ib qho aneurysm uas tsim nyob rau hauv ib qho carotid artery. Txawm li cas los xij, qhov no hais txog qhov sib txawv ntawm qhov chaw ntawm aneurysm.

• Extracranial txhais tau hais tias lub aneurysm nyob sab nraum lub taub hau, txhais tau tias nyob rau hauv cheeb tsam caj dab .
• Intracranial txhais tau hais tias lub aneurysm nyob sab hauv lub taub hau .

Peb cov hlab ntsha carotid sab hauv tau muab faib ua cov ntu no vim nws mus ncig mus rau hauv caj dab thiab mus rau hauv lub taub hau. Hais yooj yim xwb, qhov ntawm cov hlab ntsha uas nyob hauv caj dab (qhov ntu cervical lossis C1) hu ua ntu extracranial. Cov ntu uas nyob tom qab cov hlab ntsha nkag mus rau hauv lub taub hau (petrous, lacerum, cavernous, clinoid, ophthalmic, communicating segments - C2 txog C7) hu ua ntu intracranial. Koj tsis tas yuav nco ntsoov cov npe no, tab sis yog tias koj tus kws kho mob hais ib yam dab tsi zoo li, "Koj muaj aneurysm hauv koj sab laug sab hauv carotid artery, ntu cervical," nws txhais tau tias muaj aneurysm hauv qhov ntawm cov hlab ntsha hauv koj lub caj dab sab laug, sab nraum lub taub hau.

Tsis txhob ntshai nug koj tus kws kho mob txog tej lus kho mob uas koj tsis nkag siab. Ua li ntawd, koj thiaj li nkag siab zoo dua txog tej yam uas tshwm sim hauv koj lub cev thiab qhov chaw uas nws tshwm sim.

Thaum kawg, ob peb yam uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Nws yog ib qho ib txwm muaj kev ntshai thaum koj pom tias koj muaj aneurysm. Cov lus nug zoo li "Vim li cas qhov no thiaj tshwm sim rau kuv?" thiab "Kuv lub neej txhua hnub puas yuav hloov pauv?" tej zaum yuav los rau hauv koj lub siab. Tej zaum koj kuj yuav ntshai tej yam teeb meem.

Tab sis, qhov tseem ceeb tshaj plaws yog tsis txhob txhawj.Nrog rau cov thev naus laus zis thiab kev kho mob niaj hnub no, ntau tus neeg tuaj yeem ua neej nyob li qub. Ib txhia yuav muaj peev xwm saib xyuas lawv cov aneurysm, thaum lwm tus yuav xav tau kev kho mob.

Yog tias koj tau kuaj pom tias muaj carotid artery aneurysm, nrog koj tus kws kho mob tham txog cov kauj ruam tom ntej thiab kev kho mob. Yog tias qhov aneurysm me me, koj tus kws kho mob yuav pom zoo kom saib xyuas. Nco ntsoov mus ntsib koj tus kws kho mob thiab kuaj xyuas txhua hnub. Yog tias koj muaj lus nug lossis kev txhawj xeeb, nrog koj tus kws kho mob tham. Koj tuaj yeem daws qhov teeb meem no los ntawm kev ua raws li cov lus qhia kho mob kom zoo thiab muaj lub siab zoo.

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