Koj puas muaj teeb meem zoo li no nrog koj cov hlab ntsha? Cia peb kawm txog Fibromuscular Dysplasia (FMD)!

Koj puas tau hnov ​​txog ib yam mob hu ua Fibromuscular Dysplasia (FMD)? Tej zaum tsis tau. Nws yog ib yam mob txawv txawv me ntsis. Tab sis nws tseem ceeb heev uas yuav tsum paub txog nws. Vim nws muaj feem cuam tshuam rau kev ncig ntshav hauv peb lub cev. Yog li hnub no, cia peb tham txog FMD no hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.

Fibromuscular Dysplasia (FMD) yog dab tsi?

Hais yooj yim xwb, Fibromuscular Dysplasia , lossis FMD raws li peb hu nws, yog kev loj hlob tsis zoo ntawm cov hlwb hauv phab ntsa ntawm cov hlab ntsha hauv peb lub cev. Tam sim no koj yuav xav paub tias cov hlab ntsha yog dab tsi. Cov hlab ntsha yog cov hlab ntsha uas nqa cov ntshav los ntawm peb lub plawv mus rau txhua lwm cov nqaij hauv peb lub cev. Ib yam li lub kaw lus kav dej uas nqa dej los ntawm lub taub dej mus rau txhua qhov ntawm lub tsev, cov hlab ntsha no kuj muab cov ntshav rau peb lub cev.

Yog li ntawd, vim yog tus mob FMD no, koj cov hlab ntsha, uas yog, cov hlab ntsha, tuaj yeem raug thaiv, o, lossis zoo li ib txoj hlua hlaws, raug thaiv qee qhov thiab o qee qhov . Xav txog tias yog tias ib lub yeeb nkab dej raug thaiv thiab tsoo qee qhov, nws yuav thaiv cov dej ntws, thiab tus mob FMD no kuj tuaj yeem thaiv cov ntshav ntws.

Cov hlab ntsha twg thiaj li raug FMD?

Tus mob no, hu ua FMD, tuaj yeem cuam tshuam rau cov hlab ntsha hauv ntau qhov ntawm peb lub cev. Muaj ntau hom hlab ntsha tseem ceeb uas tuaj yeem cuam tshuam:

• Cov hlab ntsha carotid: Cov no nyob hauv koj lub caj dab. Cov hlab ntsha no nqa cov ntshav los ntawm koj lub plawv mus rau koj lub hlwb. Yog tias muaj dab tsi tshwm sim rau cov hlab ntsha no, cov ntshav mus rau koj lub hlwb yuav txo qis.
• Cov hlab ntsha hauv lub raum: Cov hlab ntsha no nqa cov ntshav los ntawm koj lub plawv mus rau koj lub raum, uas yog cov kabmob tseem ceeb uas lim cov khoom pov tseg ntawm peb lub cev.
• Cov hlab ntsha hauv lub plawv: Cov no yog cov hlab ntsha uas muab ntshav rau lub plawv nws tus kheej. Cov hlab ntsha no yuav tsum noj qab nyob zoo kom lub plawv ua haujlwm tau zoo.
• Cov hlab ntsha Mesenteric: Cov hlab ntsha no nqa cov ntshav mus rau koj txoj hnyuv. Lawv yuav tsum ua haujlwm kom zoo kom zom cov khoom noj uas peb noj.
• Lwm cov hlab ntsha: Ntxiv rau qhov no, FMD kuj tseem yuav cuam tshuam rau cov hlab ntsha uas nqa ntshav mus rau koj ob txhais ceg, caj npab, lossis lwm qhov ntawm koj lub cev.

Leej twg muaj feem yuav mob FMD ntau dua?

Kab mob FMD tuaj yeem cuam tshuam rau txhua tus neeg, tab sis qee tus neeg yuav muaj tus mob no ntau dua. Qhov xav tsis thoob yog tias ntau dua 90% ntawm cov neeg mob FMD yog poj niam . Nws kuj tseem pom ntau dua rau cov neeg hnub nyoog ntawm 40 thiab 70 xyoo .

Tsis tas li ntawd xwb, muaj tej yam mob uas muaj cov tsos mob zoo ib yam li tus kab mob FMD. Yog li ntawd, cov kws kho mob kuj txhawj xeeb txog cov mob no:

• Ehlers-Danlos syndrome
• Kab mob Loeys-Dietz
• Kab mob Neurofibromatosis hom 1
• Williams syndrome
• Kab mob vasculitis ntawm cov hlab ntsha loj ('Large vessel vasculitis')
• Kab mob Atherosclerosis
• Kev puas tsuaj ntawm cov hlab ntsha hauv lub cev

FMD feem ntau tshwm sim li cas?

Qhov tseeb, nws nyuaj rau cov kws tshawb fawb hais tias muaj pes tsawg tus neeg muaj FMD. Vim tias muaj ntau tus neeg tsis muaj tsos mob , lossis nws raug tshawb pom thaum lub sijhawm kuaj rau lwm yam mob, koj yuav muaj tus mob, tab sis koj yuav tsis paub nws.

Cov hom kab mob FMD tseem ceeb yog dab tsi?

FMD muaj peev xwm muab faib ua ob hom loj raws li qhov tsos ntawm cov hlab ntsha thaum cov kws kho mob kuaj xyuas lawv.

1. Multifocal FMD: Qhov no yog hom mob uas feem ntau pom . Hauv hom mob no, cov hlab ntsha zoo li ib txoj hlua hlaws . Uas yog, cov hlab ntsha qhib qee qhov, ces qhib dua, qhib dua, qhib dua... zoo li ntawd.

2. Kab mob FMD uas pom tseeb: Hom kab mob no tsis tshua muaj . Nws yog kev thaiv cov hlab ntsha lossis kev tsim cov nqaij mos tsis zoo (cov qhov txhab) hauv cov phab ntsa ntawm cov hlab ntsha.

Dab tsi ua rau muaj FMD?

Tu siab kawg li, cov kws tshawb fawb tseem tsis tau pom ib qho laj thawj tshwj xeeb rau FMD, tab sis muaj ntau yam uas xav tias yuav koom nrog:

• Cov yam ntxwv ntawm caj ces: Qee zaum, qhov no tuaj yeem yog los ntawm noob caj ces.
• Cov Tshuaj Hormones: Nws xav tias yuav muaj kev hloov pauv hauv cov tshuaj hormones hauv lub cev, tshwj xeeb tshaj yog vim nws muaj ntau dua ntawm cov poj niam.
• Kev puas tsuaj rau phab ntsa ntawm cov hlab ntsha: Cov phab ntsa ntawm cov hlab ntsha tuaj yeem raug puas tsuaj los ntawm tej yam xws li kev ncab ntau zaus.
• Muaj tej yam xws li kev haus luam yeeb, ua rau FMD mob hnyav zuj zus tuaj. Yog li ntawd, yog tias koj haus luam yeeb, nws yog ib qho tseem ceeb heev uas yuav tsum tso tseg.

Cov tsos mob ntawm FMD yog dab tsi?

Cov tsos mob ntawm FMD sib txawv nyob ntawm cov hlab ntsha uas raug cuam tshuam . Ib txhia neeg uas muaj FMD yuav tsis muaj tsos mob li . Txawm li cas los xij, lwm tus yuav muaj cov tsos mob los ntawm kev txwv tsis pub cov ntshav ntws. Cov no suav nrog:

• Bruit: Thaum tus kws kho mob mloog koj lub caj dab lossis lub plab nrog lub stethoscope, lub suab 'swooshing' txawv txawv yuav hnov ​​​​​​nrog rau lub suab ntawm cov ntshav ntws.
• Vertigo: Ib qho kev xav tias tig ib ncig lossis tig ib ncig ntawm koj.
• Ntshav siab lossis ntshav siab uas tsis tswj tau.
• Mob taub hau migraine.
• Mob caj dab.
• Hnov lub suab 'swooshing' los yog suab nrov hauv pob ntseg.

Xav txog seb, Nilanthi yeej ib txwm kiv taub hau, thiab qee zaum nws hnov ​​​​​​lub suab txawv txawv los ntawm nws pob ntseg. Nws xav tias qhov no yog qhov ib txwm muaj. Tab sis thaum tus kws kho mob kuaj nws, nws hnov ​​​​​​lub suab "Bruit" los ntawm nws lub caj dab. Tsuas yog tom qab kuaj ntxiv nws thiaj li pom tias nws muaj FMD.

FMD ua rau muaj teeb meem kev noj qab haus huv loj li cas?

Yog tias FMD tsis raug tswj hwm kom zoo, nws tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj heev , yog li nws tseem ceeb heev uas yuav tsum paub txog qhov no.

• Kab mob Aneurysm: Kev qaug zog ntawm cov hlab ntsha uas loj zoo li lub npas. Qhov no tuaj yeem tshwm sim hauv cov hlab ntsha hauv lub hlwb (ib qho 'aneurysm hauv lub hlwb') lossis cov hlab ntsha hauv plab (ib qho 'aneurysm hauv plab'). Yog tias qhov no tawg, nws tuaj yeem ua rau tuag taus.
• Kev tawg ntawm cov hlab ntsha hauv lub plawv: Kev tawg ntawm phab ntsa sab hauv ntawm cov hlab ntsha. Piv txwv li, qhov no tuaj yeem tshwm sim hauv cov hlab ntsha carotid (carotid dissection) lossis cov hlab ntsha ntawm lub plawv (kev tawg ntawm cov hlab ntsha ntawm lub plawv uas tshwm sim los ntawm tus kheej).
• Mob stroke.
• Kev mob hlwb tsis txav mus los sai (TIA), tseem hu ua mini-stroke.

Cov no yog cov teeb meem tseem ceeb uas tuaj yeem tshwm sim vim yog FMD. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob.

Yuav kuaj mob FMD li cas?

Qee zaum FMD raug pom los ntawm txoj hmoo thaum tus kws kho mob kuaj xyuas ib txwm (piv txwv li, hnov ​​​​​​lub suab 'bruit'). Los yog nws tuaj yeem pom thaum lub sijhawm kuaj mob rau lwm yam mob.

Yog tias tus kws kho mob xav tias koj muaj FMD, lawv yuav xaj kom kuaj xws li cov no:

• Kev luam theej duab CT.
• Kev kuaj MRI ('MRI').
• Kev kuaj mob ultrasound ('Ultrasound').
• Angiography: Qhov no siv cov tshuaj tshwj xeeb thiab X-rays los saib koj cov hlab ntsha.

Cov kev kuaj no tuaj yeem pom tseeb tias muaj kev hloov pauv ntawm cov hlab ntsha, kev txhaws, thiab o.

Puas kho tau FMD kom zoo tag nrho?

Tu siab kawg li, tam sim no tsis muaj tshuaj kho tau tus kab mob FMD . Yog li ntawd, tsis muaj tshuaj kho tau. Txawm li cas los xij, kev kho mob tuaj yeem pab tswj cov tsos mob thiab tiv thaiv cov teeb meem.

Cov kev kho mob rau FMD yog dab tsi?

Kev kho mob rau FMD sib txawv nyob ntawm seb cov hlab ntsha twg raug cuam tshuam, qhov hnyav ntawm tus kab mob, thiab koj cov tsos mob. Cov kev kho mob tseem ceeb suav nrog:

• Cov tshuaj ua kom cov ntshav nyias (Cov tshuaj Antiplatelet lossis Anticoagulant): Cov no tiv thaiv cov ntshav kom tsis txhob khov thiab txo qhov kev pheej hmoo ntawm cov mob xws li mob stroke.
• Cov tshuaj kho mob ntshav siab: Piv txwv li, cov tshuaj xws li 'ACE inhibitors' thiab 'Angiotensin receptor blockers'.
• Kev kho mob rau mob taub hau thiab mob:Qee zaum siv cov tshuaj xws li tshuaj aspirin lossis tshuaj botulinum toxin (Botox®).
• Angioplasty: Hauv cov txheej txheem no, lub npas me me raug xa mus rau hauv cov hlab ntsha los ntawm lub catheter, uas tom qab ntawd inflated kom qhib qhov chaw thaiv.
• Kev Phais Mob: Tej zaum yuav xav tau kev phais mob los kho tej yam xws li aneurysms lossis tsim txoj hauv kev tshiab rau cov ntshav ntws.

Koj tus kws kho mob yuav txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj.

Puas muaj txoj hauv kev los tiv thaiv FMD?

Vim tias tseem tsis tau paub meej tias yog vim li cas tus kab mob FMD thiaj ua rau muaj tus kab mob no, tsis muaj ib txoj kev tshwj xeeb los tiv thaiv nws . Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum ua raws li kev noj qab haus huv, tshwj xeeb tshaj yog tsis txhob haus luam yeeb , vim tias kev haus luam yeeb tuaj yeem ua rau tus kab mob FMD hnyav dua.

Lub neej ntev npaum li cas nrog FMD?

Feem ntau cov neeg uas muaj FMD tuaj yeem ua neej nyob li qub . Txawm li cas los xij, qee zaum, yog tias ib qho ntawm cov aneurysms uas peb tau tham txog ua ntej tawg, nws tuaj yeem ua rau los ntshav thiab mob hlwb, puas tsuaj rau cov hlab ntsha mus tas li, thiab qee zaum txawm tias tuag. Yog vim li cas nws thiaj li tseem ceeb heev kom tau txais kev kho mob kom zoo thiab ua raws li koj tus kws kho mob cov lus qhia.

Yog koj muaj tus kab mob FMD, koj yuav saib xyuas koj tus kheej li cas?

Yog tias koj tau kuaj pom tias muaj tus kab mob FMD, nws yog ib qho tseem ceeb uas yuav tsum lav ris rau koj tus kheej txoj kev noj qab haus huv. Koj tuaj yeem ua cov no:

• Xyuas koj cov ntshav siab tsis tu ncua.
• Yog koj haus luam yeeb, tsum tam sim ntawd. Thiab tsum tsis txhob siv cov khoom luam yeeb. Cov no tuaj yeem ua rau FMD hnyav dua.
• Nco ntsoov mus ntsib kws kho mob thiab teem caij mus ntsib kws kho mob tsis tu ncua. Tej zaum koj yuav tau kuaj ntshav siab tsawg kawg ib xyoos ib zaug.
• Noj tag nrho cov tshuaj uas tus kws kho mob tau sau tseg kom raug thiab raws sijhawm.

Muaj ib txhia neeg uas muaj tus kab mob FMD pom tias nws pab tau kom koom nrog cov pab pawg txhawb nqa uas lwm tus neeg uas muaj tus kab mob no tuaj yeem sib qhia cov kev paub dhau los, thiab tsa kev paub txog kev tshawb fawb txog tus kab mob FMD.

Thaum twg ib tug neeg uas muaj FMD yuav tsum mus nrhiav kev kho mob?

Koj tus kws kho mob yuav qhia rau koj paub tias koj yuav tsum nrhiav kev kho mob rau cov tsos mob twg yog tias koj muaj FMD. Qhov no yuav txawv nyob ntawm seb cov hlab ntsha uas raug cuam tshuam.

Tshwj xeeb, cov neeg uas muaj FMD yuav tsum paub txog cov tsos mob ntawm tus mob stroke . Cov no tuaj yeem tshwm sim sai sai:

• Kev tsis meej pem.
• Kiv taub hau, tsis muaj zog, lossis nyuaj rau kev taug kev.
• Mob taub hau hnyav heev.
• Nyuaj hais lus los yog nkag siab txog yam uas tau hais.
• Teeb meem pom kev.
• Tsis muaj zog los yog loog ntawm lub ntsej muag, caj npab, lossis ceg (tshwj xeeb tshaj yog rau ib sab ntawm lub cev).

Yog koj pom ib qho ntawm cov tsos mob no, mus rau tsev kho mob tam sim ntawd.Yog, vim tias mob stroke yog qhov xwm txheej ceev uas xav tau kev kho mob tam sim ntawd.

Cov lus qhia tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov yog:

Zoo, yog li peb tau tham ntau txog fibromuscular dysplasia (FMD) hnub no. Txawm hais tias nws yog ib qho teeb meem nyuaj me ntsis, kuv vam tias koj tuaj yeem nkag siab nws yooj yim.

FMD yog ib qho mob uas cov hlwb hauv cov phab ntsa ntawm cov hlab ntsha loj hlob tsis zoo, ua rau cov hlab ntsha nqaim, o, lossis zoo li ib txoj hlua hlaws.

Txawm hais tias qhov ua rau qhov no tsis paub meej, qee tus neeg muaj feem yuav mob ntau dua, tshwj xeeb yog cov poj niam. Tsis yog txhua tus neeg muaj cov tsos mob, tab sis cov neeg uas muaj tej zaum yuav kiv taub hau, ntshav siab, thiab muaj suab txawv txawv hauv lawv lub caj dab. Qhov txaus ntshai tshaj plaws yog tias nws tuaj yeem ua rau muaj mob hnyav xws li aneurysms thiab mob hlwb.

Zoo hmoo, qhov mob no tuaj yeem tswj tau zoo nrog kev kho mob kom zoo thiab kev hloov pauv hauv lub neej. Yog tias koj muaj cov tsos mob ntsig txog FMD, nco ntsoov mus ntsib kws kho mob. Tom qab ntawd lawv tuaj yeem khiav cov kev kuaj mob tsim nyog thiab sau ntawv kho mob kom txo cov tsos mob thiab tiv thaiv cov teeb meem. Tso kev haus luam yeeb, tswj cov ntshav siab, thiab ua raws li cov lus qhia kho mob yog qhov tseem ceeb rau kev ua neej noj qab haus huv nrog FMD.

Yog koj muaj lus nug ntxiv, tsis txhob yig nug koj tus kws kho mob lossis tus nais maum. Nyob kom noj qab nyob zoo!

Fibromuscular dysplasia, FMD, kab mob ntawm cov hlab ntsha, cov hlab ntsha, ntshav siab, aneurysm, thiab mob stroke