Qee zaum, koj tuaj yeem muaj teeb meem loj hauv koj lub cev yam tsis paub txog. Ib qho teeb meem zoo li no yog lub femoral artery aneurysm. Hais yooj yim xwb, cov hlab ntsha loj (artery) hauv koj lub duav, ze ntawm lub pob qij txha, tawm zoo li lub npas, uas hu ua "Femoral Artery Aneurysm". Qhov no yog ib yam uas yuav tsum txhawj xeeb txog, vim tias qee zaum koj tuaj yeem muaj tus mob no
yam tsis muaj tsos mob dab tsi .
Dab tsi yog qhov tseeb tias femoral artery aneurysm yog dab tsi?
Xav txog ib lub yeeb nkab dej. Phab ntsa ntawm lub yeeb nkab no qaug zog ntawm ib qho thiab maj mam bulged. Yog li ntawd nws yog. Cov hlab ntsha tseem ceeb hauv koj lub duav (hu ua 'femoral artery')
bulged txog li ob npaug ntawm nws qhov loj ib txwm. Qhov no tshwm sim vim tias txhua txheej ntawm phab ntsa hlab ntsha raug ncab. Thaum cov phab ntsa hlab ntsha qaug zog li no, nws
yuav tawg ntau dua . Yog tias nws tawg, qhov no yog ib lub hlab ntsha loj, yog li ntau cov ntshav tuaj yeem poob ntawm lub cev ib zaug. Qhov ntawd yog qhov xwm txheej txaus ntshai heev. Tsis tas li ntawd, muaj lub sijhawm uas cov ntshav txhaws tuaj yeem tsim nyob rau hauv qhov bulged no thiab daig hauv cov hlab ntsha, lossis nws tuaj yeem tawg thiab thaiv cov hlab ntsha qhov twg.
Puas muaj cov hom o no raws li qhov chaw uas lawv tshwm sim?
Yog, cov kws kho mob faib qhov "Femoral Artery Aneurysm" no
raws li qhov chaw tseeb . Cov hlab ntsha tseem ceeb hauv koj lub duav, hu ua "common femoral artery", faib ua cov ceg me me hauv ntau qhov chaw.
- Tej zaum yuav muaj qee qhov o tuaj ua ntej cov ceg ntshav loj no .
- Tej zaum yuav muaj lwm yam tshwm sim ntawm qhov chaw uas cov ceg sib faib , lossis hauv cov ceg uas sib faib, "profunda femoral artery" lossis "superficial femoral artery"
Qhov kev faib tawm no yog ua los ntawm qhov chaw vim tias qee zaum kev kho mob yuav txawv me ntsis nyob ntawm qhov chaw tshwj xeeb ntawm qhov o.
Leej twg yuav muaj tus mob no tshaj?
Txawm hais tias leej twg los xij tuaj yeem muaj tus mob no, hu ua "Femoral Artery Aneurysm," qee tus neeg muaj feem yuav mob ntau dua me ntsis.
- Cov txiv neej muaj feem yuav mob dua li cov poj niam.
- Qhov kev pheej hmoo no tshwj xeeb tshaj yog rau cov neeg hnub nyoog tshaj 70 xyoo .
Ntxiv rau qhov ntawd, koj kuj tseem yuav muaj kev pheej hmoo yog tias koj muaj cov no:
- Ntshav Siab : Yog tias koj cov ntshav siab tas li.
- Cov roj cholesterol ntau : Cov roj cholesterol ntau yog cov rog hauv cov ntshav.Yog tias koj muaj cov roj cholesterol ntau dhau.
- Cov kab mob ntawm cov nqaij sib txuas : Muaj qee cov kab mob tsis tshua muaj uas cuam tshuam rau cov nqaij ntawm lub cev, piv txwv li, Ehlers-Danlos syndrome lossis Marfan syndrome. Cov neeg uas muaj cov kab mob no kuj muaj feem yuav muaj mob.
- Kev siv cov khoom luam yeeb : Qhov kev pheej hmoo no siab dua rau cov neeg uas haus luam yeeb, beedis, txiv laum huab xeeb, lossis lwm yam luam yeeb.
- Kab mob Atherosclerosis : Qhov no feem ntau yog qhov ua rau mob hnyav. Kab mob Atherosclerosis yog kev sib sau ua ke ntawm cov rog ntawm cov phab ntsa ntawm cov hlab ntsha , maj mam ua rau lawv nqaim. Yog tias koj tau muaj mob plawv nres ua ntej, lossis yog tias koj muaj teeb meem nrog cov hlab ntsha hauv koj ob txhais ceg, xws li kab mob peripheral artery, koj yuav muaj kev pheej hmoo ntawm kab mob atherosclerosis.
- Keeb Kwm Tsev Neeg : Yog tias ib tug neeg hauv koj tsev neeg, xws li koj niam, txiv, lossis cov kwv tij neej tsa, tau muaj aneurysm zoo li no ua ntej, koj kuj tseem yuav muaj kev pheej hmoo tsawg dua.
Tus mob no feem ntau tshwm sim li cas?
Qhov tseeb, qhov "(Femoral Artery Aneurysm)" no yog
ib qho mob tsis tshua muaj . Qhov ntawd yog, nws tsis yog ib qho mob uas tshwm sim ntau. Txawm li cas los xij, txawm tias tsis tshua muaj, qee tus neeg tuaj yeem muaj cov o no hauv ob txhais ceg. Lwm tus tuaj yeem muaj cov o no (aneurysms) tsis yog hauv cov hlab ntsha femoral no xwb, tab sis kuj tseem muaj nyob rau hauv lwm cov hlab ntsha hauv lub cev (piv txwv li, hauv aorta hauv plab) tib lub sijhawm. Raws li cov ntaub ntawv txheeb cais, qhov mob no tsuas cuam tshuam rau 0.007% ntawm cov txiv neej. Ntawm cov poj niam, qhov feem pua no qis dua. Yog li, tsis txhob ntshai xav tias qhov no tsis tshua muaj, tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Thaum cov hlab ntsha no nthuav dav, yuav muaj li cas rau lub cev?
Yog tias koj muaj '(Femoral Artery Aneurysm)', muaj ob qho kev pheej hmoo tseem ceeb. 1.
Ntshav txhaws : Cov ntshav txhaws tuaj yeem tsim nyob rau ntawm qhov chaw ntawm aneurysm thiab daig rau hauv cov leeg ntshav ntawd. Los yog, cov ntshav txhaws tuaj yeem tawg dawb thiab mus ncig raws cov ntshav kom thaiv cov hlab ntsha me me rau lwm qhov (piv txwv li, hauv ceg qis lossis ko taw). Qhov no tuaj yeem txiav cov ntshav ntws mus rau thaj chaw ntawd thiab ua rau muaj teeb meem. 2.
Kev tawg : Qhov no yog qhov txaus ntshai tshaj plaws. Phab ntsa ntawm cov hlab ntsha uas tsis muaj zog tuaj yeem o thiab tawg tam sim ntawd. Yog tias qhov ntawd tshwm sim, raws li tau hais ua ntej, nws tuaj yeem ua rau los ntshav loj thiab txawm tias tuag.
Cov tsos mob ntawm qhov no yog dab tsi?
Feem ntau ntawm lub sijhawm,
Kwv yees li ntawm 40% ntawm cov neeg uas muaj tus mob no tsis muaj tsos mob dab tsi li! Qhov ntawd yog qhov txaus ntshai heev. Txawm li cas los xij, yog tias cov tsos mob tshwm sim, lawv tuaj yeem suav nrog:- Ib lub pob hauv koj lub qhov ncauj : Tej zaum koj yuav hnov ib lub pob hauv koj lub qhov ncauj. Qee zaum, lub pob no yuav zoo li nws dhia ceev heev.
- Kev o ntawm ceg qis : Ceg qis yuav o tuaj.
- Mob lossis muaj kev ntxhov siab hauv qhov chaw mos lossis ceg : Tej zaum koj yuav hnov mob hauv qhov chaw mos, thaj tsam ntawm lub duav, lossis ceg, lossis muaj kev xav tias muaj kev ntxhov siab.
- Cov Ntshav Txhaws : Raws li tau hais ua ntej lawm, cov tsos mob ntawm cov ntshav txhaws (piv txwv li, txias tam sim ntawd, ntsej muag dawb, mob hnyav) yuav tshwm sim.
- Kev Poob Qis : Qhov no tshwm sim tsis tshua muaj, tab sis yog tias nws tshwm sim, nws tuaj yeem ua rau muaj teeb meem loj heev nrog kev mob tam sim ntawd thiab mob hnyav.
Nco ntsoov, nws tuaj yeem tshwm sim yam tsis muaj tsos mob, yog li nws yog ib lub tswv yim zoo los tham nrog kws kho mob yog tias koj muaj cov yam ntxwv ua rau muaj kev pheej hmoo.
Dab tsi ua rau qhov no?
Muaj ntau yam ua rau phab ntsa ntawm cov hlab ntsha femoral qaug zog thiab ua rau hom aneurysm no.- Kab mob Atherosclerosis : Qhov no yog qhov ua rau mob loj tshaj plaws . Thaum cov rog sib sau ua ke hauv cov hlab ntsha, cov phab ntsa ntawm cov hlab ntsha maj mam tuab thiab poob lawv qhov elasticity, lawv tsis tuaj yeem tiv taus qhov siab ntawm cov ntshav thiab tuaj yeem qaug zog thiab o hauv qee qhov chaw.
- Ntshav Siab : Thaum ntshav siab ntev heev, cov hlab ntsha yuav raug kev nyuaj siab tas li. Qhov no kuj tseem tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha qaug zog.
- Kev Raug Mob : Yog tias cov hlab ntsha hauv thaj tsam ntawm lub duav raug puas tsuaj los ntawm qhov xwm txheej lossis kev raug mob tam sim ntawd, thaj chaw ntawd yuav o tuaj tom qab. Piv txwv li, kev raug mob me me los ntawm qee cov txheej txheem kho mob (xws li ntxig lub catheter) qee zaum tuaj yeem yog qhov ua rau.
- Cov kab mob ntawm cov nqaij sib txuas : Raws li tau hais ua ntej, cov neeg uas muaj cov kab mob tsis tshua muaj uas cuam tshuam rau cov nqaij sib txuas ntawm lub cev, xws li Ehlers-Danlos syndrome, Marfan syndrome, lossis adventitial cystic disease, tej zaum yuav muaj cov hlab ntsha tsis muaj zog txij thaum yug los.
- Kab mob Behçet : Kab mob Behçet kuj tseem tuaj yeem ua rau cov hlab ntsha o thiab ua rau o zoo li no.
Qhov no yog vim li cas phab ntsa ntawm koj cov hlab ntsha femoral tsis muaj zog thiab maj mam ncab raws li lub siab ntawm cov ntshav, tsim cov aneurysm zoo li no. Cov kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus ntsib kws kho mob, lawv yuav hnov ib lub pob hauv koj lub qhov ncauj thaum lub sijhawm kuaj lub cev. Tab sis tsis yog txhua lub pob hauv koj lub qhov ncauj yog aneurysm. Qee zaum nws tuaj yeem yog hernia. Yog li, kom paub tseeb tias nws yog dab tsi, thiab kom paub tseeb tias qhov bulge loj npaum li cas, nws nyob qhov twg, thiab nws yog dab tsi, koj tus kws kho mob yuav hais kom koj ua qee qhov kev kuaj xws li:- Kev kuaj mob ultrasound : Qhov no yog ib qho kev kuaj yooj yim, tsis mob uas tuaj yeem saib sab hauv cov hlab ntsha, qhov o, thiab nws loj npaum li cas.
- CT angiogram : Qhov no yog ib hom CT scan tshwj xeeb. Hauv qhov kev kuaj no, ib qho xim tshwj xeeb (contrast dye) raug txhaj rau hauv koj cov hlab ntsha, thiab lub CT scanner thaij cov duab peb-seem (3D) ntawm cov hlab ntsha. Qhov no tuaj yeem muab ntau cov ntaub ntawv hais txog qhov kev thaiv.
- M.R. Angiogram (Magnetic Resonance Angiogram - MRA) : Qhov no yog ib daim MRI scan tshwj xeeb uas saib cov hlab ntsha, zoo ib yam li CT angiogram.
Tus kws kho mob yuav txiav txim siab seb kev kho mob twg zoo tshaj plaws rau koj raws li cov ntaub ntawv tau los ntawm cov kev kuaj no. Koj kho cov hlab ntsha o ntawm koj ob txhais ceg li cas ?
Qhov kev pheej hmoo ntawm "Femoral Artery Aneurysm" tawg yog qhov tsawg heev (kwv yees li 1% txog 14%). Yog li ntawd, tsis yog txhua tus neeg yuav tsum tau phais tam sim ntawd . Txawm li cas los xij, koj tus kws kho mob yuav pom zoo kom phais los kho qhov aneurysm hauv cov xwm txheej hauv qab no:- Yog koj muaj cov tsos mob (piv txwv li mob, o, ntshav txhaws).
- Yog tias qhov o tuaj (qhov no yog qhov xwm txheej ceev thiab yuav tsum tau phais tam sim ntawd).
- Yog tias qhov o loj zuj zus (tus kws kho mob yuav kuaj xyuas nws tsis tu ncua).
- Yog tias lub cheeb ntawm lub bulge loj dua 2.5 centimeters (kwv yees li ib nti) .
Yuav kho qhov pob no, cov kws kho mob feem ntau ua ib qho 'phais qhib' . Ntawd yog, lawv txiav daim tawv nqaij thiab saib ncaj qha rau ntawm cov hlab ntsha. Qhov no tsis yog kev phais 'laparoscopic' uas feem ntau ua los ntawm kev txiav me me nrog lub koob yees duab. Tus kws phais tshem tawm qhov o, tsis muaj zog ntawm cov hlab ntsha thiab hloov nws nrog ib lub raj dag, hu ua 'ntaub graft' (lub raj ua los ntawm ib hom ntaub tshwj xeeb). Qhov no zoo li txiav ib qho chaw tsis muaj zog hauv cov yeeb nkab tua hluav taws thiab hloov nws nrog ib daim tshiab, muaj zog dua. Ces cov ntshav tuaj yeem rov qab ntws tau zoo thiab tsis muaj kev cuam tshuam.
Tom qab phais mob no, yuav muaj teeb meem dab tsi tshwm sim?
Ib yam li lwm yam kev phais mob, muaj feem me me ntawm qee qhov teeb meem tom qab phais mob femoral artery bypass grafting no. Tab sis cov kws kho mob ceev faj heev txog cov no.- Kev Kab Mob : Qhov txhab phais tuaj yeem lwj thiab kis kab mob.
- Kev Los Ntshav : Kev los ntshav yuav tshwm sim tom qab phais.
- Cov ntshav txhaws: Cov ntshav txhaws tuaj yeem tsim tau rau hauv ob txhais ceg.
Feem ntau cov no yog tej yam uas koj tswj tau. Yog koj xav tias muaj dab tsi txawv txawv, koj yuav tsum qhia rau koj tus kws kho mob tam sim ntawd. Tom qab kho qhov kev kho mob no, yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
Tom qab phais tas, koj yuav tsum tau nyob hauv tsev kho mob li peb txog kaum hnub. Tej zaum yuav siv sijhawm ib hlis lossis ntau dua kom rov zoo thiab rov qab mus ua ub ua no li qub. Yog li, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia thiab ua siab ntev thaum lub sijhawm no. Kuv ua tau dab tsi los txo qhov kev pheej hmoo no?
Raws li peb tau tham ua ntej lawm, qhov ua rau muaj tus kab mob "Femoral Artery Aneurysm" no yog "Atherosclerosis", uas yog kev sib sau ua ke ntawm cov rog hauv cov hlab ntsha. Yog li, kev tswj nws tuaj yeem txo qhov kev pheej hmoo ntawm cov kab mob aneurysm no.- Tswj koj cov roj cholesterol thiab ntshav siab . Noj cov tshuaj uas koj tus kws kho mob tau sau ntawv kom noj.
- Ua si nawv tsis tu ncua . Txawm tias yog ib yam yooj yim xws li taug kev li 30 feeb hauv ib hnub los kuj zoo.
- Noj zaub mov kom noj qab nyob zoo, tsis muaj roj ntau . Noj txiv hmab txiv ntoo, zaub, thiab cov khoom noj uas muaj fiber ntau.
- Yog koj haus luam yeeb, tsum kiag li . Tsum tsis txhob siv cov khoom luam yeeb thiab. Qhov no tseem ceeb heev.
- Rau qee tus neeg, ntxiv rau cov kev hloov pauv hauv lub neej no, tus kws kho mob kuj tseem yuav pom zoo kom txuas ntxiv noj cov tshuaj txo cov roj cholesterol.
Yog tias kuv lub plab o zoo li no, kuv yuav tsum xav li cas?
Qhov "(Femoral Artery Aneurysm)" no yuav tsis ploj mus nws tus kheej yog tsis kho. Yog tias koj tus kws kho mob hais rau koj tias koj muaj ib qho, nws yuav kuaj xyuas nws tsis tu ncua (qhia rau koj kom tuaj rau "kev soj ntsuam tom qab"). Ntawd yog, nws yuav ua cov kev kuaj xws li "(Ultrasound scan)" ntawm qee lub sijhawm kom pom tias qhov o loj dua lossis yog tias muaj lwm yam teeb meem. Raws li qhov ntawd, nws yuav txiav txim siab seb puas xav tau phais lossis puas yuav tos ntev me ntsis. Cov txiaj ntsig ntawm cov kev phais no feem ntau zoo heev. Kev pheej hmoo ntawm kev tuag thaum lub sijhawm phais yog qis heev, ntawm 1% thiab 5%. Txawm tias tsib xyoos tom qab phais, kwv yees li 85% ntawm cov hlab ntsha kho tau tseem ua haujlwm zoo, tsis muaj teeb meem nrog cov ntshav ntws. Qhov no yog xov xwm zoo tiag tiag. Kuv yuav saib xyuas kuv tus kheej li cas?
Yog tias koj muaj '(Femoral Artery Aneurysm)' thiab tau phais, lossis raug saib xyuas los ntawm tus kws kho mob yam tsis tau phais, koj yuav tsum tau kuaj xyuas koj cov hlab ntsha tsis tu ncua los ntawm tus kws kho mob rau koj lub neej. Qhov kev kuaj xyuas tsis tu ncua no tuaj yeem pab nrhiav pom cov aneurysms tshiab ua ntej lawv loj dua thiab tawg. Yog tias koj haus luam yeeb, nws tuaj yeem ua rau cov aneurysms no loj dua. Yog li ntawd, koj tus kws kho mob yuav qhia koj kom tsis txhob haus luam yeeb. Tsis tas li ntawd, ua raws li cov lus qhia kom tswj koj cov roj cholesterol thiab ntshav siab. Kuv yuav tsum mus rau qhov chaw kho mob thaum muaj xwm txheej ceev thaum twg?
Yog tias koj txhais ceg lossis ko taw tam sim ntawd muaj ib lossis ntau yam ntawm cov tsos mob no, koj yuav tsum mus rau chav kho mob ceev hauv tsev kho mob tam sim ntawd, tsis txhob ncua sijhawm :- Yog tias ceg tsis muaj zog lossis tsis muaj sia nyob.
- Yog tias ceg tam sim ntawd o .
- Yog koj ntsib kev mob uas tsis tuaj yeem zam tau.
- Yog koj ceg tsis muaj zog .
- Yog tias koj txhais ceg txias dua li lwm txhais ceg thaum koj kov nws.
- Yog tias ceg daj ntseg los yog hloov xim.
Cov tsos mob no qhia tau tias muaj teeb meem loj heev nrog cov ntshav ntws mus rau ceg, uas txhais tau tias qhov o tuaj yeem ua rau cov ntshav txhaws lossis qhov o tuaj yeem tawg. Yog li ntawd, kev kho mob sai sai yam tsis nkim sijhawm tuaj yeem cawm tau txoj sia. Kuv yuav tsum nug tus kws kho mob li cas?
Yog koj muaj lus nug lossis kev txhawj xeeb txog qhov mob no, tsis txhob yig nug koj tus kws kho mob. Piv txwv li, koj tuaj yeem nug cov lus nug zoo li no:- "Kws kho mob, yog dab tsi ua rau kuv cov leeg ntshav o?"
- "Kuv puas yuav tsum tau phais mob rau qhov no tiag? Puas muaj lwm yam kev kho mob?"
- "Kuv puas muaj peev xwm o ntau dua li no rau lwm qhov ntawm kuv lub cev?"
- "Koj puas muab tau lus qhia rau kuv txog cov khoom noj uas yuav pab txo kuv cov roj cholesterol?"
Nws yog ib qho tseem ceeb heev uas yuav tsum nug cov lus nug zoo li no kom nkag siab zoo dua txog koj qhov xwm txheej. Qhov txawv ntawm 'Femoral Artery Aneurysm' thiab 'Pseudoaneurysm' yog dab tsi?
Qee zaum koj yuav hnov lo lus "(Pseudoaneurysm)" thiab. Qhov no txhais tau tias "qhov txhaws cuav". Qhov "(Pseudoaneurysm)" no feem ntau dua li qhov "(Femoral Artery Aneurysm)" tiag tiag uas peb tau tham txog. Feem ntau, "(Pseudoaneurysm)" yog tsim tom qab kev kho mob ntawm koj cov hlab ntsha (piv txwv li, thaum ua "(angiogram)" lossis "(catheter)" raug ntxig), thiab phab ntsa ntawm cov hlab ntsha ntawd raug puas tsuaj me ntsis, thiab qee cov ntshav tawm thiab sib sau ua ke nyob ib puag ncig cov hlab ntsha, tsim ib lub pob. Qhov sib txawv tseem ceeb yog tias hauv "(aneurysm)" tiag tiag, txhua txheej ntawm cov hlab ntsha phab ntsa ncab thiab txhaws. Tab sis hauv "(pseudoaneurysm)", qhov ntawd tsis tshwm sim, nws yog cov ntshav uas tawm los ntawm lub qhov hauv phab ntsa hlab ntsha. Zaj dab neeg no muaj lub ntsiab lus dab tsi uas peb xav coj mus tsev?
Yog li, txawm hais tias qhov mob femoral artery aneurysm uas peb tau tham txog ntev heev tsis tshua muaj, nws yog ib qho tseem ceeb heev rau koj thiab koj tsev neeg kom paub txog nws.- Qhov no feem ntau yuav tsis muaj tsos mob .
- Yog koj muaj tej yam ua rau koj muaj feem yuav mob (ntshav siab, roj cholesterol, haus luam yeeb, keeb kwm tsev neeg), nrhiav kev pab kho mob .
- Yog koj tus kws kho mob pom tias koj muaj ib qho, tsis txhob ntshai. Muaj cov kev kho mob zoo uas siv tau los tshem nws tawm, txawm tias yuav phais, ua ntej nws tawg .
- Kev ntsib kws kho mob uas muaj kev paub txog kev kho cov mob no yuav yog qhov kev pab zoo rau koj.
- Ib txwm saib xyuas koj txoj kev noj qab haus huv, ua neej noj qab haus huv, thiab ua raws li koj tus kws kho mob cov lus qhia kom meej.Ces koj thiaj li zam tau ntau yam teeb meem kev noj qab haus huv zoo li no thiab nyob noj qab nyob zoo.
Yog koj muaj lus nug ntxiv, nco ntsoov nrog koj tus kws kho mob hauv tsev neeg lossis tus kws tshwj xeeb tham.
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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