Koj puas muaj mob hnyav heev rau koj ob txhais ceg, tshwj xeeb tshaj yog koj cov ceg pob tw, zoo li lawv mob plab lossis dov thaum koj taug kev luv luv? Tab sis qhov mob puas ploj mus tag thaum koj nres thiab so ib pliag? Yog tias qhov no yog ib qho kev paub zoo rau koj, ces cov ncauj lus uas peb tab tom tham hnub no yuav tseem ceeb heev rau koj. Qhov mob no yog qhov peb hu ua "Intermittent Claudication" hauv kev kho mob.
Hauv lwm lo lus, Intermittent Claudication yog dab tsi?
Qhov no tsis yog ib yam kab mob tiag tiag, tab sis yog ib qho tsos mob ntawm ib yam kab mob. Hais yooj yim xwb, nws yog ib qho mob uas koj hnov hauv koj cov leeg thaum koj ua ub ua no, xws li thaum koj taug kev. Tab sis qhov mob no ploj mus thaum koj so. Qee zaum qhov mob no hnyav heev uas koj yuav tsum tsis txhob taug kev.
Qhov no yog vim koj lub cev muaj teeb meem nrog kev ncig ntshav . Thaum koj taug kev, cov hlwb hauv koj cov leeg nqaij ceg xav tau oxygen ntau dua li niaj zaus. Tab sis thaum cov leeg nqaij ntawd tsis tau txais ntshav txaus (thiab oxygen) los ntawm cov hlab ntsha, koj pib hnov mob. Thaum koj nres thiab so, cov leeg nqaij xav tau oxygen tsawg dua, yog li cov ntshav me me uas lawv tau txais nyob ntawd. Yog li qhov mob ploj mus.
Qhov mob no zoo li cas?
Muaj coob tus neeg xav tias qhov no yog qhov mob ntse thiab tsis mob heev. Zoo li ib tug leeg raug rub lossis nias. Ib txhia neeg kuj hu nws ua "Charley horse." Koj ua si lossis taug kev ntau npaum li cas, qhov mob yuav nce ntxiv ntau npaum li ntawd. Qee zaum, cov hlab ntsha kuj tseem yuav hnov mob hauv ob txhais ceg vim yog cov ntshav tsis zoo.
Qhov no tsis yog mob pob qij txha. Txawm hais tias qhov mob zoo li mob pob qij txha los xij, nws tsis yog '(Mob Pob Qij Txha).' Tsis tas li ntawd, yog tias qhov mob ploj mus li ob peb feeb tom qab so, feem ntau nws yog '(Intermittent Claudication).
Vim li cas qhov no thiaj tshwm sim? Qhov laj thawj tseem ceeb yog dab tsi?
Qhov ua rau muaj cov tsos mob no yog ib yam mob hu ua Kab Mob Peripheral Artery Disease (PAD) . Xav txog cov hlab ntsha hauv peb lub cev zoo li cov kav dej. Raws li lub sijhawm dhau mus, xeb thiab av qias neeg sib sau ua ke hauv cov kav dej thiab cov qhov hauv cov kav dej yuav raug txhaws, ib yam li ntawd, cov rog thiab cov roj cholesterol sib sau ua ke hauv peb cov hlab ntsha (arteries) thiab tsim cov khoom hu ua "plaque". Peb hu qhov no tias '(Atherosclerosis)'.
Thaum cov hlab ntsha raug cov platelets ua rau nqaim, cov ntshav uas ntws los ntawm lawv yuav txo qis. Qhov no yog qhov tseeb tshwj xeeb tshaj yog thaum cov hlab ntsha uas muab ntshav rau ob txhais ceg nqaim li no, uas hu ua PAD. Qhov no ua rau mob thaum koj ob txhais ceg tsis tau txais oxygen txaus thaum koj ua si, xws li thaum koj taug kev.
Tus kws kho mob ua dab tsi los kuaj mob qhov no?
Yog koj muaj cov tsos mob zoo li no,Koj yuav tsum mus ntsib kws kho mob. Tus kws kho mob yuav hais kom kuaj ntau yam kom paub qhov ua rau mob no.
| Kev Ntsuas | Hais yooj yim xwb, koj ua dab tsi nrog nws? |
|---|---|
| Kev Kuaj Mob Lub Cev | Yuav kuaj koj ob txhais ceg thiab koj txhais taw seb puas muaj lub plawv dhia. Yog tias lub plawv dhia tsis muaj zog lossis tsis hnov, qhov ntawd yog ib qho cim qhia tias muaj teeb meem. |
| Cov Ntsuas Pob Qij-Brachial (ABI) | Cov ntshav siab ntawm koj txhais caj npab thiab pob luj taws raug ntsuas thiab piv rau. Yog tias muaj qhov sib txawv loj ntawm ob qho no, nws yog ib qho cim ntawm tus mob hu ua "PAD". |
| Kev kuaj mob Angiogram | Yuav muab ib yam kua tshwj xeeb (contrast dye) txhaj rau hauv thiab yuav thaij duab X-ray kom pom cov qhov uas cov hlab ntsha txhaws. |
| CT los yog MRA | Cov no kuj yog hom kev ntsuas. CT angiograms lossis MRA kev kuaj tuaj yeem pom tseeb qhov twg muaj teeb meem nrog cov hlab ntsha. |
| Kev Siv Ultrasound Rau Cov Hlwb | Siv lub suab nthwv dej los thaij duab. Qhov no tuaj yeem nrhiav tau cov cheeb tsam uas cov hlab ntsha nqaim. |
Yuav kho tus mob no li cas?
Lub hom phiaj tseem ceeb ntawm kev kho mob yog los txhim kho cov ntshav mus rau ob txhais ceg. Txawm hais tias cov kev kho mob no tsis tuaj yeem kho tau tus kab mob tag nrho, lawv tuaj yeem tswj cov tsos mob thiab ua rau lub neej yooj yim dua. Cov txheej txheem kho mob tuaj yeem muab faib ua peb pawg tseem ceeb.
1. Kev hloov pauv txoj kev ua neej
Koj ua tau tej no koj tus kheej.
- Kev taug kev tsis tu ncua:Taug kev tsawg kawg yog 30 feeb ib hnub, 3 hnub ib lub lim tiam. Thaum koj mob, nres, so, thiab taug kev dua. Qhov no yuav pab tsim cov hlab ntsha tshiab hauv koj ob txhais ceg.
- Tswj qhov hnyav kom noj qab nyob zoo: Qhov mob no tuaj yeem zuj zus tuaj thaum qhov hnyav ntawm lub cev nce ntxiv.
- Kev noj zaub mov zoo: Noj cov khoom noj uas pab tswj cov khoom xws li ntshav qab zib, roj cholesterol ntau, thiab ntshav siab.
- Tso tseg kev haus luam yeeb thiab kev siv luam yeeb kiag li: Cov no ua rau cov hlab ntsha puas tsuaj heev.
- Kev tswj kev ntxhov siab: Kev noj qab haus huv ntawm lub hlwb cuam tshuam ncaj qha rau kev noj qab haus huv ntawm lub plawv thiab cov ntshav ncig.
2. Cov Tshuaj
Koj tus kws kho mob yuav sau ntawv kom koj noj cov tshuaj xws li:
- Cov tshuaj ua kom cov ntshav nyias: Cov no tiv thaiv cov teeb meem loj xws li cov ntshav txhaws thiab thaiv cov hlab ntsha tam sim ntawd.
- Statins: Cov no txo cov roj cholesterol thiab tswj kev tsim cov plaque hauv cov hlab ntsha.
- Cov tshuaj kho ntshav siab: Cov no ua rau cov hlab ntsha nthuav dav thiab pab kom cov ntshav ntws tau yooj yim.
- Tshuaj Kho Mob Ntshav Qab Zib: Yog tias koj muaj ntshav qab zib, nws yog ib qho tseem ceeb heev uas yuav tsum tswj nws kom zoo.
3. Kev phais mob lossis lwm yam kev kho mob
Yog tias kev hloov pauv hauv lub neej thiab cov tshuaj tsis tswj tau qhov mob, koj tus kws kho mob yuav pom zoo kom phais lossis lwm txoj kev kho mob.
- Angioplasty: Ib lub cuab yeej zoo li lub npas raug ntxig rau hauv cov hlab ntsha nqaim thiab ua kom cov hlab ntsha dav dua.
- Kev tso stent: Tom qab angioplasty, ib lub cuab yeej zoo li mesh (stent) raug muab tso rau hauv cov hlab ntsha kom tiv thaiv nws kom tsis txhob nqaim dua.
- Kev Phais Mob Hlwb: Ib txoj kev tshiab yog tsim los ntawm kev siv cov hlab ntsha uas tau los ntawm lwm qhov ntawm lub cev, zoo ib yam li kev tsim ib txoj kev tshiab rau cov ntshav ntws ncig qhov txhaws.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog koj twb paub lawm tias koj muaj "Intermittent Claudication" (Kev Sib Nraus Ib Txwm), yuav tsum paub txog cov tsos mob hauv qab no. Yog koj muaj ib qho ntawm cov no, mus ntsib koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) .
- Yog koj hnov txias heev los yog loog ntawm ib ceg lossis ib txhais taw.
- Yog tias cov qhov txhab ntawm ob txhais ceg siv sijhawm ntev kho, lossis yog tias muaj cov qhov txhab tshiab (mob qog).
- Yog tias muaj cov cim qhia txog kev kis kab mob (o, liab, mob, sov) nyob ib puag ncig qhov txhab.
- Yog tias koj mob hauv siab lossis ua pa nyuaj nrog rau mob ceg.
- Yog tias koj mob ceg txawm tias thaum so .
- Yog tias koj muaj mob sai sai, mob hnyav lossis yog tias qhov mob txav mus los ntawm qhov chaw uas nws ib txwm nyob mus rau lwm qhov chaw.
Tus mob no ua rau kev taug kev thiab txawm tias ua tej haujlwm niaj hnub nyuaj heev. Txawm li cas los xij, yog tias kuaj pom thaum ntxov thiab kho kom zoo, nws tuaj yeem tiv thaiv kom tsis txhob hnyav zuj zus thiab koj tuaj yeem ua neej nyob li qub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Intermittent claudication tsis yog ib yam kab mob, tab sis yog ib qho tsos mob uas tshwm sim los ntawm teeb meem nrog kev ncig ntshav. Qhov ua rau tseem ceeb yog Peripheral Artery Disease (PAD).
- Yog tias koj mob hauv koj ob txhais ceg (tshwj xeeb tshaj yog cov pob tw) thaum taug kev thiab nws ploj mus thaum koj so, nco ntsoov nrog koj tus kws kho mob tham txog qhov ntawd.
- Tso kev haus luam yeeb, taug kev tsis tu ncua, noj zaub mov zoo, thiab tswj koj qhov hnyav tuaj yeem pab tau ntau yam hauv kev tswj tus mob no.
- Nws yog ib qho tseem ceeb heev uas yuav tsum siv cov tshuaj raws nraim li tus kws kho mob tau hais.
- Yog tias koj mob txawm tias thaum koj so, koj ob txhais ceg tsis muaj zog, lossis koj cov qhov txhab tsis zoo, nrhiav kev pab kho mob tam sim ntawd.
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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