Koj puas paub txog Kab Mob Plawv thaum cev xeeb tub? Cia peb tham!

Yog tias koj yog ib leej niam uas yuav los yog twb cev xeeb tub lawm, tsab xov xwm no yuav tseem ceeb heev rau koj. Kev cev xeeb tub yog lub sijhawm tshwj xeeb, zoo nkauj heev, thiab lub sijhawm uas peb lub cev hloov pauv ntau yam. Peb lub siab, tshwj xeeb, muaj ntau yam haujlwm ntxiv thaum lub sijhawm no, vim tias lub siab muaj lub luag haujlwm tseem ceeb hauv kev muab cov khoom noj khoom haus thiab oxygen rau leej niam thiab tus menyuam. Yog li, hnub no peb yuav tham txog qhov ua tau ntawm kab mob plawv thaum lub sijhawm no thiab kev cev xeeb tub cuam tshuam li cas rau cov neeg uas twb muaj kab mob plawv lawm.

Cov kab mob plawv twg tuaj yeem tshwm sim thaum cev xeeb tub?

Hais yooj yim xwb, qhov no yog qhov hu ua teeb meem nrog koj lub plawv thaum cev xeeb tub. Muaj ob hom tseem ceeb:

1. Cov mob plawv uas twb muaj lawm: Cov no yog cov mob plawv uas koj muaj ua ntej koj cev xeeb tub. Tej zaum cov no tsis tau ua rau koj muaj cov tsos mob loj lossis yog teeb meem loj. Txawm li cas los xij, thaum cev xeeb tub, cov mob no tuaj yeem cuam tshuam rau koj txawv thiab tuaj yeem ua rau muaj ntau yam teeb meem.

2. Cov mob plawv uas tshwm sim thaum cev xeeb tub: Cov no yog cov mob uas koj tsis tau muaj ua ntej koj cev xeeb tub thiab uas tshwm sim thaum cev xeeb tub. Qee qhov ntawm lawv yuav tsis muaj teeb meem dab tsi, tab sis qee qhov tuaj yeem ua rau muaj kev phom sij.

Feem ntau cov poj niam uas muaj kab mob plawv tuaj yeem xeeb tub tau zoo thiab yug tau tus menyuam noj qab nyob zoo. Txawm li cas los xij, qee zaum kab mob plawv thaum cev xeeb tub tuaj yeem ua rau muaj teeb meem loj heev. Qhov tseeb, kab mob plawv tau raug txheeb xyuas tias yog qhov ua rau leej niam tuag ntau tshaj plaws hauv qee lub tebchaws uas muaj kev vam meej.

• Raws li qee cov ntawv tshaj tawm, kwv yees li ib feem peb ntawm kev tuag ntsig txog kev cev xeeb tub yog vim muaj teeb meem nrog lub plawv thiab cov hlab ntsha.
• Kwv yees li 4 ntawm 100 leej niam cev xeeb tub yuav muaj teeb meem vim yog kab mob plawv.
• Cov yam xws li ntshav siab, rog dhau, thiab hnub nyoog tshaj 40 xyoo yog cov yam uas ua rau muaj kev pheej hmoo ntawm kev tuag thaum cev xeeb tub.

Yog tias koj cev xeeb tub lossis npaj yuav cev xeeb tub, nws yog ib qho tseem ceeb kom paub tias kab mob plawv tuaj yeem cuam tshuam li cas rau koj. Tab sis ua ntej ntawd, cia peb saib seb cev xeeb tub cuam tshuam li cas rau koj lub plawv thiab cov hlab ntsha.

Kev hloov pauv hauv koj lub plawv thiab cov hlab ntsha thaum cev xeeb tub

Koj lub cev muaj ntau yam kev hloov pauv thaum cev xeeb tub. Cov kev hloov pauv no ua rau koj lub cev muaj zog ntxiv, thiab koj lub plawv yuav tsum ua haujlwm hnyav dua. Cov kev hloov pauv hauv qab no yog ib txwm muaj thaum cev xeeb tub. Lawv pab koj tus menyuam uas tab tom loj hlob tau txais cov pa oxygen thiab cov as-ham uas nws xav tau.

• Ntshav ntau ntxiv: Koj cov ntshav pib ntau ntxiv rau ob peb lub lis piam thawj zaug ntawm cev xeeb tub, thiab nws txuas ntxiv mus ntau ntxiv. Feem ntau cov poj niam cov ntshav ntau ntxiv 40% txog 45% thaum cev xeeb tub. Xav txog seb, koj lub plawv yuav tsum tso ntshav ntau npaum li cas dua li nws ib txwm ua!
• Lub plawv dhia ceev dua:Nws yog ib qho ib txwm rau koj lub plawv dhia nce li ntawm 10 txog 20 lub suab ib feeb thaum cev xeeb tub. Qhov no nce maj mam, thiab ncav cuag nws qhov siab tshaj plaws thaum lub sijhawm peb lub hlis twg.
• Kev Nce ntawm Lub Plawv Tso Tawm: Lub plawv tso tawm yog qhov ntau ntawm cov ntshav uas koj lub plawv tso tawm ib feeb. Nruab nrab ntawm lub lim tiam 28 thiab 34, koj lub plawv tso tawm tuaj yeem nce ntxiv 30% txog 50%. Qhov no yog vim muaj kev nce ntxiv ntawm cov ntshav thiab kev nce ntxiv ntawm lub plawv dhia. Yog tias koj tab tom yug menyuam ntxaib, koj lub plawv tso tawm tuaj yeem nce ntxiv txog li 60%.

Cov kev hloov no yuav ua rau koj xav tias tej yam zoo li no:

• Xav tias nkees heev (qaug zog) .
• Hnov kiv taub hau.
• Ua pa nyuaj (ua tsis taus pa) .
• Zoo li koj lub plawv dhia ceev (palpitations) .

Cov no yog cov tsos mob ntawm cev xeeb tub. Tab sis ntawm no yog qhov teeb meem: Cov tsos mob no kuj tuaj yeem yog cov tsos mob ntawm qee yam mob plawv. Yog li, txawm tias koj muaj cov cim ceeb toom ntawm kab mob plawv, koj yuav tsis quav ntsej lawv, xav tias, "Qhov no yog li cas nws yog thaum cev xeeb tub." Yog vim li cas kab mob plawv thaum cev xeeb tub tuaj yeem txaus ntshai. Nws tuaj yeem nyuaj rau paub yog tias cov tsos mob yog qhov ib txwm muaj lossis qee yam uas yuav tsum txhawj txog.

Yog tias koj muaj kab mob plawv ua ntej lawm, koj muaj feem yuav muaj teeb meem ntsig txog lub plawv thaum cev xeeb tub ntau dua. Koj qhov kev pheej hmoo nyob ntawm seb koj muaj mob dab tsi thiab nws qhov hnyav npaum li cas.

Cov mob plawv uas twb muaj lawm li cas thiaj cuam tshuam rau kev xeeb tub?

Qee yam mob plawv tuaj yeem ua rau koj muaj feem yuav muaj teeb meem thaum cev xeeb tub. Yog tias koj muaj ib qho ntawm cov mob hauv qab no, nrog koj tus kws kho mob tham txog cov kev pheej hmoo ntawm kev cev xeeb tub.

Kab mob plawv yug los

Kab mob plawv yug los yog ib yam mob uas muaj thaum yug los. Qee yam mob no yuav tsis loj heev, thaum lwm yam mob yuav loj heev. Cov menyuam mos uas muaj mob hnyav feem ntau yuav raug kho thaum lawv tseem hluas. Txawm li cas los xij, qee zaum kev hloov pauv ntawm kev ua haujlwm ntawm lub plawv tuaj yeem tshwm sim tom qab kev kho mob lossis phais.

Yog li ntawd, yog tias koj muaj kab mob plawv txij thaum yug los, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham ua ntej koj cev xeeb tub. Koj tus kws kho mob yuav xa koj mus rau tus kws kho mob tshwj xeeb rau cov neeg laus uas muaj kab mob plawv txij thaum yug los lossis tus kws kho mob plawv-obstetrics. Lawv tuaj yeem soj ntsuam koj cov kev pheej hmoo ntawm kev cev xeeb tub. Lawv kuj tseem tuaj yeem pab koj txheeb xyuas thiab tswj cov kev pheej hmoo ntawm kev cev xeeb tub uas tsis tau npaj tseg.

Cov teeb meem plawv feem ntau pom muaj rau cov poj niam cev xeeb tub uas muaj kab mob plawv txij thaum yug los yog:

• Kev ua tsis taus ntawm lub plawv dhia (arrhythmia) .
• Lub plawv tsis ua haujlwm .

Yog tias koj muaj kab mob plawv txij thaum yug los, koj kuj muaj feem yuav yug ntxov dua .

Feem ntau, cov poj niam uas muaj cov mob plawv txij thaum yug los no muaj feem yuav muaj teeb meem tsawg dua thaum cev xeeb tub:

• Mob ntsws ntsws me me stenosis.
• Yog tias cov "qhov" me me hauv lub plawv tau kho tiav lawm, xws li cov teeb meem ntawm lub plawv sab hauv (asd) thiab cov teeb meem ntawm lub plawv sab hauv (vsd).
• Cov hlab ntsha me me lossis kho tau zoo lawm.

Cov poj niam uas muaj cov mob plawv no txij thaum yug los yuav muaj feem ntau dua ntawm cov teeb meem ntawm cev xeeb tub:

• Kev puas tsuaj ntawm lub plawv aortic valve nrog rau lub plawv bicuspid.
• Coarctation ntawm lub aorta.
• Ebstein qhov tsis zoo.
• Lub cev physiology ntawm lub fontanel.
• Mob ntsws loj heev.
• Tetralogy ntawm Fallot (kho lawm)
• Kev Hloov Chaw ntawm Cov hlab ntsha loj (kho lawm)

Nco ntsoov tias, muaj ntau yam teeb meem plawv uas muaj txij thaum yug los uas tsis nyob hauv daim ntawv teev npe no. Txawm tias koj qhov mob plawv tsis nyob hauv daim ntawv teev npe no los xij, nws tseem ceeb heev uas yuav tsum nrog kws kho mob tham yog tias koj xav txog kev xeeb tub.

Kab mob plawv

Kab mob plawv (Cardiomyopathy) yog ib qho ua rau muaj teeb meem loj thiab tuag thaum cev xeeb tub. Koj qhov kev pheej hmoo ntawm cov teeb meem los ntawm kab mob plawv nyob ntawm hom kab mob uas koj muaj thiab nws qhov hnyav.

Kwv yees li 4 ntawm 10 tus poj niam uas muaj dilated cardiomyopathy yuav mob plawv nres lossis lwm yam teeb meem. Hypertrophic cardiomyopathy tsis muaj kev phom sij ntau thaum cev xeeb tub. Txawm li cas los xij, nws tseem tuaj yeem ua rau muaj teeb meem, tshwj xeeb tshaj yog tias koj muaj cov tsos mob ua ntej koj cev xeeb tub.

Yog koj muaj ib hom mob cardiomyopathy, nrog koj tus kws kho mob tham txog koj tej kev pheej hmoo ua ntej koj cev xeeb tub.

Kab mob plawv

Muaj ntau hom kab mob plawv uas tuaj yeem tshwm sim thaum koj tseem muaj sia nyob. Lawv tuaj yeem sib txawv ntawm qhov me me mus rau qhov hnyav. Qee cov kab mob plawv yuav tsis cuam tshuam rau koj cev xeeb tub, tab sis lwm tus tuaj yeem ua rau koj muaj feem yuav muaj teeb meem ntau ntxiv. Yog tias koj muaj keeb kwm ntawm kab mob plawv, nrog koj tus kws kho mob tham kom paub seb kev cev xeeb tub puas muaj kev nyab xeeb rau koj.

• Kev kho mob ntawm lub plawv aortic valve:Koj qib kev pheej hmoo nyob ntawm seb qhov hnyav ntawm cov kua qaub ncaug rov qab los (qhov xau). Yog tias koj tsis muaj tsos mob thiab koj lub plawv ua haujlwm li qub, koj muaj kev pheej hmoo tsawg ntawm cov teeb meem. Tab sis yog tias koj muaj cov kua qaub ncaug rov qab los hnyav nrog kev ua haujlwm ntawm lub plawv txo qis, koj muaj kev pheej hmoo siab dua, thiab koj yuav tsum tsis txhob cev xeeb tub. Cov mob cuam tshuam xws li Marfan syndrome lossis bicuspid aortic valve kuj tuaj yeem cuam tshuam rau koj qhov kev pheej hmoo.
• Mitral valve prolapse: Qhov no yog ib qho mob uas feem ntau tsis muaj tsos mob lossis xav tau kev kho mob. Feem ntau cov poj niam uas muaj mitral valve prolapse uas tsis muaj lwm yam teeb meem plawv tsis muaj teeb meem cev xeeb tub. Yog tias koj tus mob tau ua rau lub valve xau loj heev, koj yuav tsum tau kho ua ntej koj cev xeeb tub.
• Kev rov qab ntshav ntawm lub plawv mitral: Koj qib kev pheej hmoo nyob ntawm seb koj lub plawv valve puas xau, koj lub plawv tuaj yeem tso ntshav tau zoo npaum li cas, thiab seb koj puas muaj cov tsos mob. Yog tias koj qhov kev rov qab ntshav hnyav heev thiab koj muaj cov tsos mob, koj yuav tsum tau kho lub plawv mitral ua ntej cev xeeb tub. Cov poj niam uas muaj kev rov qab ntshav hnyav thiab lub plawv ua haujlwm tsis zoo kuj yuav tsum zam kev cev xeeb tub.
• Kab mob Mitral valve stenosis: Qhov no yog qhov teeb meem plawv feem ntau thaum cev xeeb tub thoob ntiaj teb. Nws feem ntau tshwm sim hauv thaj chaw uas muaj tus kab mob rheumatic fever (ib qho mob uas tshwm sim los ntawm kev kho mob kub taub hau liab thiab mob caj pas) feem ntau. Yog tias koj muaj kab mob mitral valve stenosis, koj yuav tsum tau ua ib qho kev phais lossis phais ua ntej koj cev xeeb tub kom txo koj qhov kev pheej hmoo ntawm cov teeb meem.

Kev hloov lub plawv valve tuaj yeem pab cov neeg uas muaj kab mob plawv valve kom muaj sia nyob ntev thiab noj qab nyob zoo. Tab sis cov poj niam uas muaj lub plawv valve prosthetic xav tau kev saib xyuas tshwj xeeb thaum cev xeeb tub. Vim tias:

• Cev xeeb tub ua rau koj muaj feem yuav ntshav txhaws. Muaj lub qhov ntswg cuav kuj ua rau koj muaj feem yuav ntshav txhaws.
• Yog tias koj muaj qee cov qhov ntshav prosthetic, koj yuav tsum tau noj tshuaj anticoagulant rau tas koj lub neej kom txo qhov kev pheej hmoo ntawm cov ntshav txhaws. Qee cov tshuaj anticoagulants tuaj yeem ua rau tus menyuam muaj teeb meem.

Yog koj muaj lub qhov ntswg prosthetic, nws yog ib qho tseem ceeb heev uas koj yuav tsum mus ntsib kws kho mob plawv ua ntej npaj yuav cev xeeb tub. Koj tus kws kho mob plawv yuav nrog koj tham txog:

• Koj cov kev pheej hmoo ntawm cev xeeb tub.
• Kev kho mob uas tiv thaiv cov ntshav txhaws uas yog rau koj.
• Cov kev ceev faj uas koj yuav tsum ua kom tiv thaiv tau endocarditis.

Kab mob ntawm lub plawv

Kab mob Aortic, lossis aortopathy, yog ib pawg kab mob uas cuam tshuam rau koj lub aorta. Cov tsos mob caj ces muaj feem cuam tshuam nrog qee cov kab mob aortic.

Kab mob ntawm lub plawv (aorta) ua rau muaj kev pheej hmoo ntawm cov teeb meem loj thaum cev xeeb tub. Qhov no yog vim tias qhov siab ntawm lub plawv (aorta) nce ntxiv thaum cev xeeb tub, tshwj xeeb tshaj yog thaum yug menyuam. Qhov kev siab ntxiv no ua rau muaj kev pheej hmoo ntawm kev tawg ntawm lub plawv (aortic dissection) lossis aneurysm tawg, uas tuaj yeem ua rau tuag taus.

Cov poj niam uas muaj cov mob hauv qab no muaj feem yuav muaj teeb meem ntau dua thaum cev xeeb tub:

• Bicuspid aortic valve nrog aortic dilation.
• Muaj keeb kwm ntawm kev tawg ntawm aorta.
• Kab mob Loeys-Dietz.
• Marfan syndrome.
• Turner syndrome.
• Cov kab mob vascular Ehlers-Danlos.

Tseem Ceeb: Kwv yees li ib nrab ntawm cov poj niam hnub nyoog qis dua 40 xyoo uas muaj cov hlab ntsha tawg thiab tawg hauv cov hlab ntsha hauv lub cev yog vim cev xeeb tub. Feem ntau lawv tshwm sim rau lub sijhawm peb lub hlis lossis tom qab yug menyuam.

Yog tias koj muaj kab mob aorta, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob plawv kom tau kev ntsuam xyuas ua ntej npaj cev xeeb tub.

Muaj teeb meem plawv tshiab dab tsi tshwm sim thaum cev xeeb tub?

Txawm tias koj tsis muaj keeb kwm ntawm kab mob plawv ua ntej los xij, kev xeeb tub tuaj yeem ua rau muaj ntau yam teeb meem nrog koj lub plawv lossis cov hlab ntsha.

Ntshav siab (Tshuaj ntshav siab)

Ntshav siab thaum cev xeeb tub cuam tshuam rau kwv yees li 1 ntawm 10 tus poj niam cev xeeb tub. Nws kuj yog ib qho mob uas tshwm sim ntau.

Kev kuaj mob ntshav siab muaj xws li:

• Ntshav siab thaum cev xeeb tub: Ntshav siab (tsawg kawg yog 140/90 mmHG) uas pib tom qab 20 lub lis piam ntawm cev xeeb tub.
• Preeclampsia: Ntshav siab uas pib tom qab 20 lub lis piam. Qhov no nrog rau cov protein hauv koj cov zis lossis pov thawj ntawm kev puas tsuaj ntawm cov kabmob. Eclampsia yog ib qho mob uas tshwm sim thaum cev xeeb tub lossis tsis pub dhau 10 hnub tom qab yug menyuam, nrog rau qaug dab peg.
• Mob ntshav siab ntev: Mob ntshav siab uas pib ua ntej 20 lub lis piam lossis ua ntej koj cev xeeb tub.
• Mob ntshav siab ntev ntev nrog rau mob preeclampsia sib tshooj: Mob ntshav siab ntev ntev nrog rau cov protein nyob hauv cov zis lossis muaj pov thawj tias cov kab mob hauv lub cev puas tsuaj.

Kab mob ntshav qab zib thaum cev xeeb tub

Kab mob ntshav qab zib thaum cev xeeb tub yog cov ntshav qab zib ntau uas tshwm sim tom qab 20 lub lis piam ntawm kev cev xeeb tub. Yog tias tsis kho, qhov mob no yuav ua rau muaj teeb meem rau koj thiab koj tus menyuam.

Kev tsis sib xws ntawm lub plawv dhia (Arrhythmias)

Cev xeeb tub ua rau koj muaj feem yuav mob plawv dhia tsis xwm yeem (arrhythmia), txawm tias koj tau muaj nws ua ntej lossis tsis tau. Hom mob arrhythmias uas koj yuav ntsib thaum cev xeeb tub suav nrog:

• Lub plawv dhia tsis zoo: Qhov no yog lub plawv dhia ntxiv uas feem ntau tsis muaj teeb meem.
• Supraventricular tachycardia (SVT): Qhov no yog lub plawv dhia ceev ceev uas pib hauv cov chav sab saud ntawm koj lub plawv (atria). Qhov no yog qhov arrhythmia ntev tshaj plaws (kwv yees li 30 vib nas this) uas pom thaum cev xeeb tub. Koj muaj feem yuav muaj mob ntau dua yog tias koj muaj keeb kwm ntawm SVT lossis muaj teeb meem plawv txij thaum yug los. Tab sis nws kuj tuaj yeem tshwm sim thawj zaug thaum cev xeeb tub.

Muaj tej yam mob plawv dhia tsis xwm yeem uas yuav tsum tau kho, thiab qee yam tsis tas yuav kho. Cov poj niam uas muaj kab mob plawv txij thaum yug los thiab mob plawv dhia tsis xwm yeem yuav tsum tau kho ntau dua. Koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws rau koj.

Kev phais mob ntawm cov hlab ntsha hauv lub plawv (SCAD)

Kev tawg ntawm cov hlab ntsha hauv lub plawv (SCAD) yog ib qho mob uas txaus ntshai rau lub neej. SCAD yog kev tawg ntawm ib lossis ntau cov hlab ntsha uas muab ntshav rau koj lub plawv. 4 ntawm 5 tus neeg uas muaj SCAD yog poj niam. Kwv yees li 1 ntawm 3 tus neeg mob yog vim cev xeeb tub. SCAD feem ntau tshwm sim hauv ib lub lim tiam tom qab yug menyuam, tab sis kuj tuaj yeem tshwm sim thaum kawg ntawm cev xeeb tub lossis hauv rau lub lim tiam tom qab yug menyuam.

Cov kws tshawb fawb ntseeg tias kev hloov pauv ntawm cov tshuaj hormones thaum cev xeeb tub muaj lub luag haujlwm. Lwm yam kev pheej hmoo ntawm cov poj niam cev xeeb tub suav nrog:

• Muaj hnub nyoog tshaj 30 xyoo.
• Kev siv yeeb tshuaj cocaine.
• Cov kab mob ntawm cov nqaij sib txuas.
• Mob ntshav qab zib.
• Ntshav siab.
• Kev haus luam yeeb.

Txo cov ntshav mus rau cov leeg nqaij plawv (Myocardial ischemia)

Mob plawv tsis ua haujlwm zoo yog thaum koj lub plawv tsis tau txais ntshav txaus. Qhov no tuaj yeem ua rau:

• Mob angina ruaj khov.
• Mob angina tsis ruaj khov.
• Mob plawv.

Kwv yees li ntawm 2 ntawm 25,000 tus neeg uas raug mus pw hauv tsev kho mob thaum cev xeeb tub yog vim muaj myocardial ischemia. Cov yam uas ua rau cov poj niam cev xeeb tub muaj feem yuav muaj mob plawv xws li:

• Muaj hnub nyoog tshaj 30 xyoo.
• Mob ntshav qab zib.
• Keeb kwm tsev neeg ntawm tus kab mob plawv.
• Ntshav siab.
• Cov roj cholesterol ntau los yog cov triglycerides ntau.
• Keeb kwm ntawm kev txiav cov hlab ntsha hauv lub plawv uas tsis tau npaj tseg '(SCAD)'.
• Rog dhau/ rog dhau.
• Kev haus luam yeeb.

Kab mob plawv peripartum

Kab mob plawv Peripartum cardiomyopathy yog ib hom kab mob plawv tsis ua haujlwm uas tshwm sim thaum cev xeeb tub lig lossis tom qab yug me nyuam. Nws cuam tshuam rau cov poj niam uas tsis tau kuaj pom tias muaj kab mob plawv ua ntej. Qhov mob no ua rau koj lub plawv tsis tuaj yeem tso ntshav txaus rau lub cev. Nws tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis feem ntau nws cuam tshuam rau cov neeg hnub nyoog tshaj 30 xyoo.

Kev mob thrombosis ntawm cov hlab ntsha tob thiab pulmonary embolism

Cev xeeb tub ua rau muaj kev pheej hmoo ntawm kev mob ntshav hauv cov hlab ntsha tob (DVT) thiab mob ntsws txhaws (PE). Cov mob no muaj plaub txog tsib npaug ntau dua rau cov poj niam cev xeeb tub dua li cov poj niam uas tsis cev xeeb tub. Feem ntau lawv tshwm sim thaum lub sijhawm tom qab yug menyuam (hauv rau lub hlis tom qab yug menyuam).

Kab mob ntshav txhaws hauv cov hlab ntsha tob (DVT) yog cov ntshav txhaws hauv cov hlab ntsha tob hauv koj lub cev (feem ntau yog hauv koj ceg). Kab mob ntshav txhaws hauv lub ntsws (Pulmonary embolism - PE) yog cov ntshav txhaws uas tsim nyob rau hauv koj lub cev thiab mus rau koj lub ntsws.

Koj muaj feem yuav muaj ntshav txhaws lossis embolism ntau dua yog tias koj muaj keeb kwm ntawm cov ntshav txhaws lossis embolism. Yog tias koj muaj DVT lossis PE, koj yuav tsum tau kho nrog cov tshuaj thinning ntshav. Koj tus kws kho mob yuav tsum sau ntawv kom siv cov tshuaj thinning ntshav uas muaj kev nyab xeeb thaum cev xeeb tub.

Kab mob plawv twg feem ntau tshwm sim thaum cev xeeb tub?

Kab mob plawv yug los yog hom kab mob plawv uas pom ntau tshaj plaws hauv cov teb chaws uas tsim kho tshiab.

Hauv cov teb chaws uas tseem tab tom txhim kho, kab mob plawv rheumatic yog hom kab mob plawv uas pom ntau tshaj plaws, suav txog li 7 ntawm 10 qhov teeb meem ntawm lub plawv thaum cev xeeb tub.

Cov mob plawv twg txaus ntshai heev rau kev cev xeeb tub?

Qee yam mob plawv thiab lwm yam mob cuam tshuam ua rau kev xeeb tub muaj kev phom sij heev. Tej zaum koj yuav tsum tsis txhob xeeb tub yog tias koj muaj cov mob no:

• Aortic valve stenosis (yog tias mob hnyav thiab ua rau muaj cov tsos mob)
• Coarctation ntawm lub aorta (yog tias tsis kho lossis muaj nrog rau lub aortic aneurysm)
• Eisenmenger syndrome.
• Lub cev physiology ntawm lub fontanel.
• Marfan syndrome.
• Mitral valve stenosis (yog tias hnyav heev)
• Peripartum cardiomyopathy hauv cev xeeb tub yav dhau los (nrog rau kev puas tsuaj rau kev ua haujlwm ntawm lub plawv)
• Mob ntshav siab hauv lub ntsws.
• Kev nthuav dav ntawm lub plawv aortic hnyav (tsawg kawg yog 45 mm yog tias koj muaj Marfan syndrome, tsawg kawg yog 50 mm yog tias koj muaj lub valve bicuspid aorta)
• Kev ua haujlwm tsis zoo ntawm lub plawv nrog rau sab laug ventricular ejection fraction tsawg dua 40%

Yog koj muaj ib qho ntawm cov mob no, nrog koj tus kws kho mob tham. Nws yuav soj ntsuam qhov hnyav ntawm koj tus mob thiab tham txog koj cov kev pheej hmoo nrog koj.

Cov cim thiab tsos mob ntawm cov teeb meem plawv thaum cev xeeb tub yog dab tsi?

Qee cov tsos mob ntawm cov teeb meem plawv zoo ib yam li koj feem ntau yuav ntsib thaum cev xeeb tub. Cov no suav nrog:

• Xav tias nkees heev (qaug zog) .
• Yuav tsum tau tso zis ntau zaus.
• Ua pa nyuaj.
• Taw thiab pob luj taws o (edema) .

Cov tsos mob no yuav tsis ua rau muaj kev phom sij. Txawm li cas los xij, lawv yuav yog ib qho cim qhia txog teeb meem plawv, tshwj xeeb yog tias:

• Yog tias lawv pib tom qab 20 lub lis piam ntawm cev xeeb tub.
• Yog tias lawv cuam tshuam rau koj mus txog rau qhov uas koj ua tsis tau koj tej dej num niaj hnub.
• Yog tias koj xav tias ua tsis taus pa txawm tias koj so.
• Yog koj sawv thaum ib tag hmo ua pa nyuaj.

Cov tsos mob txawv txawv thaum cev xeeb tub:

• Pom kev tsis meej.
• Mob hauv siab (angina) .
• Lub plawv dhia ceev heev uas kav ntev tshaj 30 vib nas this.
• Tsis nco qab (syncope) .
• Lub plawv dhia ceev ceev (tachycardia) .

Tseem Ceeb: Yog tias koj mob hauv siab lossis tsis xis nyob, hu rau 119 lossis koj tus xov tooj xwm txheej ceev hauv zos tam sim ntawd.

Qhia rau koj tus kws kho mob txog tej yam tsos mob uas koj muaj. Tej zaum yuav pab tau yog koj sau koj tej tsos mob rau hauv koj phau ntawv txhua hnub. Xws li cov hauv qab no:

• Tag nrho cov tsos mob uas koj hnov.
• Hnub tim thiab sijhawm.
• Qhov hnyav ntawm qhov ntsuas ntawm 1 txog 10 (10 yog qhov phem tshaj plaws).
• Koj ua dab tsi thaum lub sijhawm ntawd (piv txwv li, kev tawm dag zog, ua haujlwm hauv tsev me me, lossis so kom txaus).

Cov tsos mob yog cov kev xav lossis kev hloov pauv uas koj ntsib. Cov cim qhia yog cov cim ceeb toom uas koj tus kws kho mob pom thaum lub sijhawm kuaj lub cev lossis kev kuaj mob. Cov cim qhia txog teeb meem plawv thaum cev xeeb tub:

• Lub plawv loj (cardiomegaly).
• Lub suab plawv tsis zoo li qub (Lub plawv nrov nrov).
• Ntshav siab.
• Muaj cov protein nyob rau hauv cov zis.
• Kev o ntawm cov leeg ntshav hauv caj dab (kev nthuav dav ntawm cov leeg ntshav hauv caj dab).

Koj tus kws kho mob yuav kuaj xyuas koj seb puas muaj cov cim qhia tias muaj teeb meem plawv ntawm koj lub tsev kho mob ua ntej yug menyuam.

Yuav ua li cas tswj kab mob plawv thaum cev xeeb tub?

Kev kho mob thiab kev saib xyuas tus kheej tuaj yeem pab koj tswj hwm kab mob plawv thaum cev xeeb tub. Nov yog qee cov lus qhia:

• Mus ntsib koj tus kws kho mob raws li lub sijhawm teem tseg. Tej zaum yuav muaj kws kho mob poj niam thiab kws kho mob plawv kho koj. Nco ntsoov mus ntsib koj txhua lub sijhawm teem tseg thiab kev saib xyuas tom qab. Tej zaum koj yuav tsum tau kuaj xyuas tas li (xws li echocardiograms) kom paub tseeb tias koj lub plawv ua haujlwm zoo.
• Tsis txhob nce qhov hnyav yam tsis tsim nyog. Nug koj tus kws kho mob seb koj tuaj yeem nce qhov hnyav npaum li cas thaum cev xeeb tub.
• Tsis txhob ntxhov siab. Ntau li ntau tau, tsis txhob ua tej yam uas ua rau koj ntxhov siab. Tsis tas li ntawd, nrhiav txoj hauv kev los so kom txaus uas pab koj xis nyob. Yog tias koj tus kws kho mob hais tias nws tsis ua li cas, cov chav kawm yoga ua ntej yug menyuam tuaj yeem pab tau.
• Noj zaub mov kom lub plawv noj qab nyob zoo.Ua raws li koj tus kws kho mob cov lus qhia txog cov khoom noj uas yuav tsum noj thiab cov khoom noj uas yuav tsum tsis txhob noj. Feem ntau, sim txwv koj cov zaub mov uas muaj sodium, qab zib, roj saturated, thiab roj trans.
• Ua si kom muaj kev nyab xeeb. Koj tus kws kho mob yuav qhia koj tias koj yuav tsum ua si ntau npaum li cas thiab hom kev ua si twg thiaj muaj kev nyab xeeb rau koj. Nco ntsoov ua raws li lawv cov lus qhia kom meej. Tej zaum koj yuav tsum tsis txhob ua tej yam uas ua rau koj lub plawv ntxhov siab dhau.

Nyob ntawm koj tus mob, koj tus kws kho mob yuav pom zoo kom ua ib txoj kev kho mob los pab koj lub plawv ua haujlwm zoo dua. Feem ntau nws yog qhov zoo tshaj plaws kom ua cov kev kho mob no ua ntej koj cev xeeb tub. Koj pab neeg kho mob yuav soj ntsuam koj tus mob thiab txiav txim siab seb yuav ua li cas zoo tshaj plaws.

Tej zaum koj yuav xav tau tshuaj los tswj qee yam mob lossis tej yam uas ua rau koj muaj kev pheej hmoo. Tham nrog koj tus kws kho mob txog cov tshuaj twg muaj kev nyab xeeb thiab cov tshuaj twg tsis muaj kev nyab xeeb rau koj noj thaum cev xeeb tub.

Cov tshuaj kho mob plawv thaum cev xeeb tub

Ib feem ntawm koj txoj kev npaj tswj hwm yog noj koj cov tshuaj raws li tau qhia. Koj tus kws kho mob yuav hloov koj cov tshuaj. Qhov no yog vim qee cov tshuaj kho mob plawv tsis zoo rau noj thaum cev xeeb tub.

Cov tshuaj tsis muaj kev nyab xeeb suav nrog:

• Cov tshuaj ACE inhibitors.
• Cov tshuaj thaiv angiotensin receptor (ARBs).
• Cov tshuaj aldosterone antagonists.
• Qee cov tshuaj ua kom cov ntshav nyias, xws li warfarin.
• Qee cov tshuaj uas kho cov ntshav siab hauv lub ntsws, xws li riociguat thiab bosentan.

Tseem Ceeb: Yog tias koj noj cov tshuaj no thiab cev xeeb tub, hu rau koj tus kws kho mob tam sim ntawd. Tsis txhob tsum noj cov tshuaj yam tsis tau nrog kws kho mob tham.

Kev saib xyuas tom qab yug me nyuam

Qee qhov teeb meem tuaj yeem tshwm sim hauv rau lub hlis tom qab yug me nyuam. Koj pab neeg kho mob yuav saib xyuas koj thiab kuaj xyuas koj lub plawv ua haujlwm. Txawm tias koj tsis khoom thiab nkees heev thaum lub sijhawm no, nws yog ib qho tseem ceeb uas koj yuav tsum mus koom tag nrho koj cov sijhawm teem tseg. Koj pab neeg saib xyuas kuj yuav tham nrog koj txog kev nyab xeeb thiab kev pheej hmoo ntawm kev npaj cev xeeb tub yav tom ntej.

Cov teeb meem plawv thaum cev xeeb tub puas yuav cuam tshuam rau kuv lub neej yav tom ntej?

Cov teeb meem plawv thaum cev xeeb tub ua rau muaj kev pheej hmoo ntawm kab mob plawv tom qab hauv lub neej. Nov yog qee cov ntaub ntawv tseem ceeb:

• Ntshav qab zib thaum cev xeeb tub ua rau muaj kev pheej hmoo ntawm kab mob plawv thaum laus zuj zus txog li 68%.
• Ntshav siab thaum cev xeeb tub ua rau muaj kev pheej hmoo ntawm kab mob plawv los ntawm 67%.
• Preeclampsia ua rau muaj kev pheej hmoo ntawm kev tuag los ntawm kab mob plawv hauv lub neej tom qab los ntawm 75%.

Cov ntaub ntawv no yuav zoo li ua rau koj ntshai me ntsis. Tab sis qhov xov xwm zoo yog, cov ntaub ntawv tsuas qhia ib feem ntawm zaj dab neeg xwb. Lawv yog kev xav txog yam uas tau tshwm sim yav dhau los. Lawv tsis tas yuav txiav txim siab koj lub neej yav tom ntej. Siv cov kev paub no los npaj cov tswv yim los txo koj txoj kev pheej hmoo ntawm kab mob plawv. Yog tias koj muaj ib qho ntawm cov mob no thaum cev xeeb tub lossis hauv cov hlis tom qab yug me nyuam, tham nrog koj tus kws kho mob tom qab yug me nyuam thiab thov kom kuaj mob plawv.

Muaj ntau yam uas koj ua tau los tiv thaiv kab mob plawv lossis qeeb nws txoj kev loj hlob. Tej zaum koj yuav xav tau kev saib xyuas ntev nrog kws kho mob plawv kom saib xyuas koj lub plawv kom zoo thiab nrhiav pom cov cim qhia ntxov ntawm cov teeb meem. Tham nrog koj pab neeg saib xyuas txog kev hloov pauv hauv lub neej uas tuaj yeem pab ua kom koj lub plawv thiab cov hlab ntsha noj qab haus huv rau ntau xyoo tom ntej.

Thaum kawg, nco ntsoov qhov no.

Yog tias koj muaj kab mob plawv thiab tab tom npaj yuav cev xeeb tub, tam sim no yog lub sijhawm los tham nrog koj tus kws kho mob. Kawm txog koj cov kev pheej hmoo thiab yuav ua li cas tswj koj lub plawv thaum cev xeeb tub. Yog tias koj cev xeeb tub tsis tau npaj tseg, nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob tam sim ntawd. Koj tus kws kho mob yuav soj ntsuam koj qhov kev pheej hmoo rau cov teeb meem. Nws yuav hloov tau koj cov tshuaj kho mob plawv kom lawv muaj kev nyab xeeb rau cev xeeb tub.

Txawm tias koj tsis muaj kab mob plawv los xij, nws yog ib qho tseem ceeb uas yuav tsum paub txog cov teeb meem plawv uas koj tsis tau xav txog yuav cuam tshuam li cas rau koj txoj kev xeeb tub. Tham nrog koj tus kws kho mob txog koj cov yam uas ua rau muaj kev pheej hmoo. Ua haujlwm nrog koj tus kws kho mob kom txo koj qhov kev pheej hmoo kom koj thiaj li muaj kev xeeb tub nyab xeeb thiab noj qab nyob zoo. Nco ntsoov tias, leej niam noj qab nyob zoo muab qhov pib zoo tshaj plaws rau tus menyuam noj qab nyob zoo!

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