Koj puas tau xav tias koj ob txhais ceg tau lub zog uas lawv xav tau li cas thaum koj nce ntaiv, khiav tom qab lub tsheb npav, lossis tsuas yog taug kev hauv lub vaj? Cov leeg nqaij hauv peb ob txhais ceg uas peb siv los khiav, dhia, thiab taug kev yuav tsum tau txais cov pa oxygen thiab cov as-ham tas li. Yog li, hnub no peb yuav tham txog ib txoj hlab ntshav tseem ceeb heev uas pab nrog txhua yam no, thiab uas muab txoj sia rau peb ob txhais ceg. Ntawd yog cov hlab ntsha femoral, lossis raws li nws hu ua lus Askiv, cov hlab ntsha femoral .
Yog li ntawd, lub luag haujlwm ntawm cov hlab ntsha femoral yog dab tsi?
Hais yooj yim xwb, cov hlab ntsha femoral yog ib qho ntawm cov hlab ntsha tseem ceeb hauv peb lub cev. Nws zoo li ib lub yeeb nkab loj uas nqa dej los ntawm lub twj tso dej mus rau lub vaj. Nws lub luag haujlwm tseem ceeb yog nqa cov ntshav huv, muaj oxygen los ntawm peb lub plawv mus rau hauv plab qis thiab mus rau tag nrho peb ob txhais ceg. Ib yam li txhua cov nqaij hauv peb lub cev, cov leeg hauv peb ob txhais ceg kuj xav tau oxygen thiab cov as-ham kom ua haujlwm tau. Yog li ntawd, cov ntshav ntws los ntawm cov hlab ntsha femoral no thiaj li tau txais qhov xav tau ntawd.
Koj twb tau hnov txog ob hom hlab ntsha: Cov hlab ntsha Arteries thiab Cov leeg ntshav Veins. Cov hlab ntsha arteries nqa cov ntshav huv los ntawm lub plawv mus rau lwm qhov ntawm lub cev. Cov leeg ntshav veins nqa cov ntshav uas tsis muaj oxygen rov qab mus rau lub plawv. Sib luag nrog cov hlab ntsha femoral no, lossis nyob ze rau nws, yog cov leeg ntshav femoral . Nws nqa cov ntshav qias neeg los ntawm ob txhais ceg rov qab mus rau lub plawv.
Cov hlab ntsha no nyob qhov twg?
Cov hlab ntsha femoral nyob rau sab saum toj ntawm koj lub duav, ze ntawm koj lub qhov quav. Yog xav kom meej meej, nws pib ze ntawm lub qhov quav, qhov chaw koj lub plab xaus thiab koj ob txhais ceg pib. Los ntawm qhov ntawd, cov hlab ntsha no khiav yuav luag ncaj nraim mus rau hauv koj lub duav thiab xaus tom qab koj lub hauv caug. Tom qab koj lub hauv caug, nws ceg mus rau lwm cov hlab ntsha, hu ua "Popliteal Artery".
Cov feem tseem ceeb ntawm cov hlab ntsha femoral yog dab tsi?
Cov hlab ntsha tseem ceeb no tsis txuas ntxiv mus rau ib qho kev taw qhia. Nws faib ua ntau ntu tseem ceeb thiab ntau ceg.
- Cov hlab ntsha hauv lub plab: Qhov no yog qhov pib. Los ntawm qhov no, cov ceg me me tawm mus rau cov ntshav mus rau cov nqaij ntawm phab ntsa plab, qhov chaw mos, thiab thaj chaw ib puag ncig.
- Cov hlab ntsha tob hauv lub duav: Qhov no yog ib ceg loj uas txuas ntawm cov hlab ntsha femoral. Nws xa cov ntshav mus rau pob txha ncej puab (femur), lub duav, lub pob tw, thiab cov leeg nqaij tob ntawm sab hauv ntawm lub duav.
- Cov hlab ntsha ntawm lub hauv caug sab saud: Qhov no yog ib qho kev txuas ntxiv ntawm cov hlab ntsha ntawm lub hauv caug uas khiav mus rau hauv qab. Nws muab ntshav rau cov leeg nqaij ntawm pem hauv ntej ntawm lub duav thiab ib feem ntawm lub hauv caug.
Qhov no loj npaum li cas? Qhov no muaj txiaj ntsig dab tsi rau cov kws kho mob?
Feem ntau cov hlab ntsha femoral ntev li 4 centimeters (kwv yees li 1.5 nti). Tab sis nws txoj kab uas hla, lossis tuab, txawv ntawm ib tus neeg mus rau ib tus neeg nyob ntawm poj niam txiv neej, qhov hnyav, qhov siab, thiab haiv neeg. Feem ntau nws yog li 7-8 millimeters.
Vim tias nws loj heev, nws muaj txiaj ntsig zoo rau cov kws kho mob hauv qee cov txheej txheem kho mob. Piv txwv li, thaum kho cov hlab ntsha ntawm lub plawv, xws li thaum lub sijhawm kuaj xws li angiogram , tus kws kho mob tuaj yeem ntxig ib lub raj nyias nyias (catheter) los ntawm cov hlab ntsha femoral no rau hauv lub cev thiab coj nws los ze rau lub plawv. Qhov no hu ua '(Endovascular procedures)'. Yog li qhov no yog ib txoj hauv kev zoo los mus txog lwm cov hlab ntsha hauv lub cev.
Cov mob uas feem ntau cuam tshuam rau cov hlab ntsha femoral
Ib yam li lwm cov hlab ntsha, cov hlab ntsha femoral tuaj yeem raug cuam tshuam los ntawm ntau yam mob. Cia peb saib cov uas feem ntau tshwm sim.
| Mob nkeeg | Ib qho lus piav qhia yooj yim |
|---|---|
| Kab Mob Ntawm Cov Hlab Ntxwm (PAD) | Qhov no yog kab mob uas feem ntau cuam tshuam rau cov hlab ntsha femoral. Qhov no yog qhov uas cov roj cholesterol tau tso rau hauv cov hlab ntsha, ua rau cov ntshav ntws tsis tau. |
| Cov Ntshav Txhaws | Cov ntshav txhaws tuaj yeem tsim tau hauv cov hlab ntsha thiab daig. Qhov no tuaj yeem ua rau cov ntshav ntws tsis tau kiag li. |
| Cov hlab ntsha tawg | Cov phab ntsa ntawm cov hlab ntsha yuav qaug zog thiab o zoo li lub npas. Qhov no tuaj yeem tawg. |
Cov tsos mob ntawm cov kab mob no yuav yog dab tsi?
Yog tias muaj teeb meem nrog koj cov hlab ntsha femoral, cov tsos mob hauv qab no yuav tshwm sim. Koj yuav tsum tau ua tib zoo saib xyuas cov no.
- Thaum taug kev, tshwj xeeb tshaj yog thaum khiav ceev lossis thaum nce ntaivMob, mob nqaij, mob pob qij txha, lossis qaug zog rau cov leeg ntawm ob txhais ceg. Qhov mob no ploj mus tom qab so ib ntus.
- Xav tias o los yog muaj kev nyuaj siab rau ntawm ceg.
- Yog koj raug mob rau ntawm koj txhais ceg lossis ko taw, nws yuav siv sijhawm ntev heev los kho.
- Kev hloov xim ntawm daim tawv nqaij (tshwj xeeb tshaj yog ntawm ko taw).
- Khaus khaus ntawm ceg lossis tsis hnov mob hauv ceg.
Xwm txheej ceev! Yog tias koj muaj cov tsos mob no, nrhiav kev pab kho mob tam sim ntawd!
Kev txhaws ntawm cov hlab ntsha femoral tam sim ntawd thiab tag nrho yog qhov xwm txheej ceev uas yuav tsum tau kho tam sim ntawd. Qhov no tshwm sim thaum muaj ib yam dab tsi zoo li cov ntshav txhaws.
Yog tias koj tam sim ntawd muaj ib lossis ntau yam tsos mob hauv qab no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd . Kev kho mob qeeb tuaj yeem ua rau puas tsuaj loj heev rau ceg, tej zaum yuav xav tau kev txiav ceg.
- Mob ceg heev.
- Kev xav tias tsis muaj zog ntawm ceg (Paralysis).
- Mob loog hauv ob txhais ceg.
- Ob txhais ceg txias tam sim ntawd.
- Daim tawv nqaij ntawm ob txhais ceg yuav daj ntseg lossis xiav heev.
Tsis tas li ntawd xwb, yog tias cov hlab ntsha femoral raug txiav thaum muaj xwm txheej, nws yuav ua rau los ntshav ntau dhau. Qhov ntawd kuj yog qhov xwm txheej ceev uas ua rau tuag taus. Yog li ntawd, nws tseem ceeb heev uas yuav tsum mus rau ETU tam sim ntawd.
Peb yuav ua li cas kom cov hlab ntsha muaj nqis no noj qab nyob zoo?
Zoo hmoo, los ntawm kev hloov peb txoj kev ua neej, peb tuaj yeem tswj hwm kev noj qab haus huv ntawm cov hlab ntsha femoral, nrog rau txhua lwm cov hlab ntsha hauv lub cev.
- Tswj kev noj zaub mov zoo: Noj cov zaub mov uas tsis muaj ntsev, roj cholesterol, thiab cov rog uas saturated tsawg, thiab noj zaub thiab txiv hmab txiv ntoo ntau.
- Ua si nawv tsis tu ncua: Ua si nawv yooj yim xws li taug kev tsawg kawg 30 feeb hauv ib hnub.
- Tswj koj cov ntshav siab: Yog tias koj muaj ntshav siab, noj cov tshuaj uas koj tus kws kho mob sau ntawv kom raug.
- Tsis txhob haus luam yeeb kiag li: Kev haus luam yeeb yog qhov kev puas tsuaj loj tshaj plaws rau cov hlab ntsha.
- Txwv kev haus cawv.
- Tswj Kab Mob Ntshav Qab Zib: Yog tias koj muaj kab mob ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum tswj koj cov ntshav qab zib kom zoo.
- Tswj koj qhov hnyav kom noj qab nyob zoo.
Yog tias koj mob koj ob txhais ceg, nyuaj taug kev, lossis lwm yam tsos mob, tsis txhob tsuas yog tsis quav ntsej nws li "ib yam dab tsi uas tshwm sim nrog hnub nyoog." Nco ntsoov mus ntsib koj tus kws kho mob thiab tham txog nws. Nws yuav khiav cov kev kuaj mob tsim nyog, nrhiav seb koj qhov teeb meem yog dab tsi, thiab sau ntawv kho mob tsim nyog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha femoral yog cov hlab ntsha tseem ceeb uas muab cov pa oxygen thiab cov as-ham rau koj ob txhais ceg.
- Qhov mob ntawm koj ob txhais ceg thaum taug kev tuaj yeem yog ib qho tsos mob ntawm tus kab mob peripheral artery (PAD). Tsis txhob tsis quav ntsej nws.
- Kev ua neej noj qab haus huv (kev noj zaub mov zoo, kev tawm dag zog, thiab kev tsis txhob haus luam yeeb) tuaj yeem ua rau koj cov hlab ntsha noj qab haus huv.
- Yog koj muaj cov tsos mob xws li mob ceg sai sai, mob loog, txias, lossis ntsej muag dawb paug, qhov no yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Yog tias koj muaj kev txhawj xeeb txog kev noj qab haus huv ntawm koj txhais taw, sab laj nrog koj tus kws kho mob hauv tsev neeg kom tau txais lus qhia.
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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