Koj puas muaj ntshav siab uas tsis paub meej? Los yog nws nyuaj rau tswj koj cov ntshav siab txawm tias noj tshuaj los xij? Koj puas muaj tej lub sij hawm hnov lub suab txawv txawv hauv koj pob ntseg lossis kiv taub hau? Hnub no peb yuav tham txog ib qho mob tsis tshua muaj uas peb tsis tau hnov dua thiab tej zaum yuav yog vim li cas. Qhov no hu ua Fibromuscular Dysplasia, lossis luv luv FMD.
Hais yooj yim xwb, Fibromuscular Dysplasia (FMD) yog dab tsi?
FMD yog ib yam mob uas cuam tshuam rau cov hlab ntsha hauv peb lub cev, cov hlab ntsha uas nqa cov ntshav los ntawm lub plawv mus rau lwm yam kabmob. Qhov tshwm sim hauv qhov no yog tias cov hlwb hauv phab ntsa ntawm cov hlab ntsha tsis loj hlob li qub. Qhov no tuaj yeem ua rau cov hlab ntsha nqaim rau hauv ib qho chaw lossis o zoo li lub npas. Qee zaum cov hlab ntsha tuaj yeem zoo li ib txoj hlua hlaws, nqaim rau qee qhov thiab o rau qee qhov.
Xav txog seb yuav ua li cas yog tias cov yeeb nkab dej raug txhaws lossis qaug zog thiab o. Cov dej ntws raug thaiv, puas yog? Qhov ntawd yog qhov tshwm sim hauv FMD. Cov ntshav ntws los ntawm cov hlab ntsha raug thaiv. Qhov no tuaj yeem ua rau muaj ntau yam teeb meem kev noj qab haus huv.
Txawm hais tias tus mob no tuaj yeem cuam tshuam rau txhua txoj hlab ntsha hauv lub cev, nws feem ntau cuam tshuam rau:
- Cov hlab ntsha hauv lub raum: Thaum cov no raug cuam tshuam, kev ua haujlwm ntawm lub raum tuaj yeem cuam tshuam.
- Cov hlab ntsha carotid hauv caj dab uas muab ntshav rau lub hlwb: Thaum cov no raug cuam tshuam, cov ntshav mus rau lub hlwb tuaj yeem raug cuam tshuam.
Qhov xav tsis thoob yog tias ntau dua 90% ntawm cov neeg mob uas kuaj pom tias muaj FMD yog cov poj niam , ua rau nws yog ib qho mob uas cov poj niam feem ntau muaj.
Muaj ob hom kab mob FMD tseem ceeb:
Cov kws kho mob faib nws ua ob hom loj raws li cov hlab ntsha zoo li cas thaum kuaj mob. Yuav kom nkag siab qhov no, saib lub rooj hauv qab no.
| Hom FMD | Kev piav qhia |
|---|---|
| FMD ntau qhov chaw | Qhov no yog hom uas feem ntau pom. Ib yam li txoj hlua hlaws, cov hlab ntsha yuav nthuav dav rau qee qhov, ces nqaim, ces nthuav dav dua... thiab lwm yam. Qhov no kuj hu ua "txoj hlua hlaws". |
| Focal FMD | Hom no tsis tshua muaj. Nws tshwm sim thaum tsuas yog ib feem ntawm cov hlab ntsha raug thaiv lossis o. |
Cov tsos mob ntawm FMD yog dab tsi?
Cov tsos mob uas tshwm sim nyob ntawm seb cov hlab ntsha hauv lub cev puas tsuaj los ntawm FMD. Ib txhia neeg yuav tsis muaj tsos mob dab tsi li yog tias lawv muaj tus mob me me xwb. Txawm li cas los xij, muaj ob peb yam tsos mob uas pom tau.
- Ntshav siab uas nyuaj rau tswj: Qhov no tuaj yeem ua rau muaj ntshav siab, tshwj xeeb tshaj yog rau cov tub ntxhais hluas.
- Mob taub hau: Qee tus neeg yuav mob taub hau zoo li mob migraine.
- Mob caj dab.
- Pulsatile tinnitus: Lub suab nrov hauv pob ntseg uas zoo li lub plawv dhia.
- Kiv taub hau los yog xav tias koj tig ib ncig ntawm koj lub cev (Vertigo).
- Lub suab nrov txawv txawv hauv caj dab lossis lub plab (Bruit): Thaum tus kws kho mob siv lub stethoscope kuaj xyuas, yuav hnov lub suab 's...s...' thaum cov ntshav ntws los ntawm cov hlab ntsha uas raug thaiv.
- Mob hauv siab.
- Ua pa nyuaj.
- Mob ntawm sab ceg: Qhov mob no tuaj yeem tshwm sim yog tias cov hlab ntsha uas txuas mus rau lub raum raug cuam tshuam.
- Ntshav nyob rau hauv cov zis.
Qhov tseem ceeb tshaj plaws yog tias cov tsos mob no kuj tuaj yeem pom hauv lwm yam kab mob, yog li ntawd yog tias koj ntsib qee yam zoo li no, nco ntsoov nrog koj tus kws kho mob tham.
Vim li cas thiaj muaj tus kab mob FMD? Dab tsi yog cov ua rau muaj tus kab mob no?
Cov kws tshawb fawb tseem tsis tau paub qhov ua rau muaj FMD, tab sis muaj ntau yam uas xav tias yuav pab txhawb rau qhov no.
- Cov noob caj noob ces: Tau pom tias tus mob no tau kis los ntawm ib tiam dhau ib tiam hauv qee tsev neeg.
- Cov Tshuaj Hormones: Raws li peb tau hais ua ntej lawm, qhov no feem ntau tshwm sim rau cov poj niam. Yog li ntawd, nws raug xav tias estrogen, ib yam tshuaj hormones poj niam, muaj lub luag haujlwm hauv qhov no.
- Tej yam ib puag ncig: Cov neeg haus luam yeeb muaj feem yuav mob no ntau dua.
- Kev puas tsuaj rau cov phab ntsa ntawm cov hlab ntsha: Cov ua rau xws li kev ncab cov phab ntsa ntawm cov hlab ntsha ntau zaus kuj tuaj yeem cuam tshuam.
Ntxiv mus, FMD tuaj yeem cuam tshuam nrog qee yam mob tsis tshua muaj. Piv txwv li, nws pom nrog cov mob xws li '(Ehlers-Danlos syndrome)' thiab '(Marfan syndrome)'.
Cov teeb meem loj uas tuaj yeem tshwm sim los ntawm FMD
Yog tias tus kab mob FMD tsis raug kho kom zoo lossis tsis paub tias muaj tus kab mob no, yuav muaj ntau yam teeb meem txaus ntshai tshwm sim. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov no.
| Kev nyuaj siab | Piav qhia yooj yim |
|---|---|
| Aneurysm | Qhov no yog thaum ib qho chaw tsis muaj zog hauv cov hlab ntsha tawm los zoo li lub npas. Qhov no yog qhov txaus ntshai vim tias yog tias qhov pob no tawg tam sim ntawd, nws tuaj yeem ua rau los ntshav hnyav hauv lub cev. |
| Kev txiav cov hlab ntsha | Xav txog ib txoj hlab ntsha zoo li ib lub raj uas muaj ntau txheej. Qhov uas tshwm sim hauv qhov no yog tias muaj ib qho kev rhuav tshem hauv txheej sab hauv ntawm phab ntsa hlab ntsha. Cov ntshav tuaj yeem ntws los ntawm qhov kev rhuav tshem no thiab thaiv cov ntshav ntws. Qhov no yog ib qho xwm txheej ceev heev. |
| Mob stroke | Yog tias FMD cuam tshuam rau cov hlab ntsha uas nqa ntshav mus rau lub hlwb, cov ntshav ntws tuaj yeem raug thaiv lossis cov ntshav txhaws tuaj yeem tsim, ua rau mob stroke. |
| Kev tawm tsam ischemic transient (TIA) | Qhov no zoo ib yam li mob stroke, tab sis cov tsos mob (piv txwv li, qhov ncauj poob rau ib sab, loog ntawm ib sab caj npab) ploj mus hauv 24 teev. Qhov no yog ib qho cim ceeb toom tias yuav muaj mob stroke loj. |
Yog tias koj muaj cov tsos mob ntawm hom teeb meem no (piv txwv li, mob taub hau sai sai, hais lus tsis tau zoo, tsis hnov lus ntawm ib sab ntawm lub cev), nws yog ib qho tseem ceeb heev uas yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd .
Cov kws kho mob kuaj mob FMD li cas?
Qee zaum koj tus kws kho mob yuav pom ib qho tsos mob ntawm FMD (xws li bruit) thaum lub sijhawm kuaj xyuas niaj hnub, lossis nws yuav pom tau los ntawm kev ua yuam kev thaum lub sijhawm luam theej duab ua rau lwm yam laj thawj.
Yog tus kws kho mob xav tias muaj FMD, nws yuav ua ntau yam kev kuaj tshwj xeeb los xyuas kom meej.
- Vascular Ultrasound: Qhov no siv cov suab nrov siab los thaij duab ntawm cov hlab ntsha thiab xyuas seb puas muaj kev thaiv lossis kev nthuav dav.
- Kev kuaj mob ntshav hauv lub plawv (angiography): Qhov no suav nrog kev txhaj tshuaj tshwj xeeb rau hauv lub cev thiab siv X-ray, CT, lossis MRI scan kom pom tseeb sab hauv ntawm cov hlab ntsha. Qhov no yog txoj hauv kev zoo tshaj plaws los kuaj mob FMD.
Cov kev kho mob rau FMD yog dab tsi?
Tsis muaj tshuaj kho tau tus kab mob FMD. Lub hom phiaj tseem ceeb ntawm kev kho mob yog tswj cov tsos mob thiab tiv thaiv cov teeb meem txaus ntshai. Kev kho mob uas koj tau txais yuav nyob ntawm seb cov hlab ntsha twg raug cuam tshuam thiab qhov mob hnyav npaum li cas.
Nov yog qee txoj kev kho mob:
- Cov tshuaj kho ntshav siab: Cov tshuaj xws li ACE inhibitors thiab ARBs yuav raug sau tseg kom tswj ntshav siab .
- Cov tshuaj uas tiv thaiv cov ntshav txhaws: Cov tshuaj antiplatelet lossis anticoagulant (piv txwv li, aspirin) yuav raug muab rau kom txo cov kev pheej hmoo xws li mob stroke.
- Angioplasty: Qhov no tsis yog kev phais mob. Hauv txoj kev phais mob no, ib lub raj nyias heev hu ua catheter raug xa mus rau hauv cov hlab ntsha thiab thaum nws mus txog qhov txhaws, ib lub pob me me ntawm qhov kawg raug nthuav kom dav cov hlab ntsha uas raug txhaws.
- Kev Phais Mob: Qee zaum yuav xav tau kev phais mob los kho qhov aneurysm lossis tsim cov hlab ntsha tshiab.
Tej yam yuav tsum xav txog thaum nyob nrog FMD
Kev nrhiav pom tias koj muaj tus kab mob FMD ua rau koj ntshai heev. Txawm li cas los xij, yog tias koj tswj tau zoo thiab saib xyuas koj tus kheej zoo, koj yuav ua tau lub neej zoo li qub.
Kev tshawb fawb qhia tau tias FMD feem ntau tsis hnyav zuj zus tuaj raws sijhawm. Txawm li cas los xij, muaj kev pheej hmoo ntawm cov teeb meem uas peb tau tham ua ntej.
Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov no kom koj noj qab nyob zoo:
- Mus ntsib koj tus kws kho mob tsis tu ncua: Nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas tsis tu ncua kom paub tseeb tias koj cov hlab ntsha zoo li cas thiab xyuas kom tseeb tias koj txoj kev kho mob ua haujlwm zoo. Tej zaum koj yuav tsum tau kuaj xyuas ib xyoos ib zaug.
- Noj koj cov tshuaj raws li tau qhia: Tsis txhob tsum noj cov tshuaj uas koj tus kws kho mob tau qhia.
- Ntsuas koj cov ntshav siab hauv tsev: Xyuas koj cov ntshav siab tsis tu ncua thiab khaws cia cov ntaub ntawv ntawm nws.
- Tsis txhob haus luam yeeb kiag li:Kev haus luam yeeb ua rau FMD hnyav zuj zus. Yog li ntawd, yog tias koj haus luam yeeb, nrhiav kev pab kom tso tseg.
Koj tsis yog tib tug xwb. Koj tus kws kho mob thiab pab neeg saib xyuas kev noj qab haus huv yuav tsim ib txoj kev npaj los tswj koj cov tsos mob thiab teeb meem. Lawv kuj tseem yuav qhia koj txog cov cim ceeb toom uas yuav tsum tau ceev faj. Yog li ntawd, tsis txhob ntshai tham nrog lawv txog koj qhov kev txhawj xeeb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Fibromuscular Dysplasia (FMD) yog ib qho mob tsis tshua muaj uas cuam tshuam rau cov hlab ntsha, tshwj xeeb tshaj yog rau cov poj niam.
- Cov tsos mob tseem ceeb yuav yog ntshav siab uas nyuaj rau tswj, mob taub hau, thiab hnov cov suab txawv txawv hauv pob ntseg.
- Tus mob no tuaj yeem ua rau muaj teeb meem loj xws li mob stroke thiab aneurysm.
- Txawm hais tias FMD tsis tuaj yeem kho tau tag nrho, nws tuaj yeem tswj tau zoo heev nrog cov tshuaj, angioplasty, thiab kev hloov pauv hauv lub neej.
- Yog tias koj tau kuaj pom tias muaj tus kab mob FMD, nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob haus luam yeeb, tswj koj cov ntshav siab, thiab ua raws li koj tus kws kho mob cov lus qhia raws li tau hais tseg.
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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