Koj puas paub txog lub 'hnab' me me no hauv koj lub plawv? - Sab laug Atrial Appendage

Peb txhua tus paub tias peb lub plawv yog ib lub cev zoo kawg nkaus. Tab sis peb tsis tham ntau txog qee qhov me me ntawm lub plawv no, puas yog? Zoo, hnub no peb yuav tham txog ib feem me me uas koj yuav tsis tau hnov ​​​​dua, tab sis tuaj yeem tseem ceeb heev. Ntawd yog "Left Atrial Appendage" lossis hauv lus Askiv '(Left Atrial Appendage)', lossis peb yuav hu nws luv luv '(LAA)'. Tsis txhob txhawj, qhov no yog ib yam dab tsi uas yooj yim heev rau kev nkag siab.

Qhov no yog dab tsi ntawm sab laug Atrial Appendage?

Hais yooj yim xwb, LAA yog ib lub hnab me me, muaj cov leeg nqaij uas txuas lub plawv sab laug sab saud, lub plawv sab laug atrium. Xav txog nws zoo li ib lub hnab me me hauv koj lub tsho.

Feem ntau cov neeg tham txog LAA, tshwj xeeb tshaj yog rau cov neeg uas muaj tej yam mob plawv, xws li Atrial Fibrillation (lub plawv dhia tsis xwm yeem, tseem hu ua Afib), thaum cov kws kho mob pom zoo kom kaw, tshem tawm, lossis thaiv LAA kom txo qhov kev pheej hmoo ntawm kev mob stroke. Qhov no yog vim tias feem ntau ntawm cov ntshav txhaws uas tsim nyob rau hauv lub plawv ntawm cov neeg uas muaj Afib tsim nyob rau hauv lub hnab me me no hu ua LAA.

Tiamsis qhov tseem ceeb tshaj plaws ntawm no yog tias koj tsis muaj laj thawj ntshai . Vim tias qhov '(LAA)' no tsis tseem ceeb rau koj lub siab kom ua nws txoj haujlwm txhua hnub kom raug. Lub plawv tuaj yeem ua haujlwm zoo yam tsis muaj nws.

Ua li cas rau sab laug atrial appendage (LAA)? Nws lub luag haujlwm yog dab tsi?

Tus LAA me me no kuj muaj nws txoj haujlwm tshwj xeeb. Nws lub luag haujlwm tseem ceeb yog los pab tswj cov ntshav hauv lub plawv, lossis qhov ntim ntshav. Koj paub li cas ?

Thaum cov ntshav ntws mus rau hauv koj lub plawv ntau ntxiv, thiab cov phab ntsa ntawm '(LAA)' no ncab, nws tso tawm ib hom protein tshwj xeeb hu ua '(Natriuretic Peptides)' rau hauv cov ntshav. Xav txog nws zoo li lub cev me me hauv peb lub cev. Cov tshuaj xa xov no hu ua '(Natriuretic Peptides)', thaum cov ntshav ntws ntau ntxiv, mus rau lub raum thiab hais tias, "Okay, tam sim no lub cev muaj ntsev thiab dej ntau dhau, cia peb muab qee qhov ntawm lawv tawm nrog zis." Tsis tas li ntawd, cov no ua rau cov hlab ntsha so me ntsis, zoo li ua kom cov kav dej nruj me ntsis. Tom qab ntawd cov ntshav tuaj yeem ntws tau yooj yim dua, thiab cov ntshav siab kuj txo qis.

Tam sim no tej zaum koj yuav xav paub tias, yuav ua li cas rau cov theem ntawm cov '(LAA)' no yog tias peb phais tshem tawm lossis thaiv lawv? Feem ntau, tom qab ua ib yam dab tsi zoo li ntawd, cov '(Peptide)' no yuav tsis zoo li qub li peb lub hlis. Tab sis tom qab ntawd lawv rov qab mus rau qhov qub.

Ib qho ntxiv yog tias thaum cov '(Natriuretic Peptides)' hauv cov ntshav nce ntau dhau, qee zaum nws tuaj yeem yog ib qho tsos mob ntawm tus mob zoo li '(Lub Plawv Tsis Ua Haujlwm)' (tsis yog kab mob plawv, tab sis yog kev ua haujlwm ntawm lub plawv tsis muaj zog). Vim tias lub cev sim tshem tawm cov kua dej ntxiv, vim tias lub plawv muaj teeb meem tswj cov ntshav ntxiv.

Tus `(LAA)` no nyob qhov twg? Nws zoo li cas?

Zoo, tam sim no cia peb saib qhov chaw uas lub plawv hu ua "(LAA)" no nyob. Nws nyob hauv ib qho chaw me me zoo li lub qhov ntawm lub plawv sab laug (lub plawv sab saud sab laug) thiab lub plawv sab laug (lub plawv sab laug qis). Feem ntau, nws nyob saum lub plawv sab laug lossis saum lub "(Main Pulmonary Artery)", lub plawv tseem ceeb uas nqa cov ntshav los ntawm lub plawv mus rau lub ntsws. Tsis tas li ntawd, zoo li lwm lub plawv, lub "(LAA)" no kuj nyob hauv "(Pericardium)", ib lub hnab tiv thaiv uas zoo li lub hnab uas nyob ib puag ncig lub plawv.

Hais txog tej feem, LAA muaj ib lub qhov uas cov ntshav ntws los, thiab ib lub hnab ua los ntawm cov leeg nqaij uas tuaj yeem zawm. Cov ntshav ntws mus rau hauv thiab tawm los ntawm lub qhov no.

Hais txog qhov loj, LAA feem ntau ntev li 46 millimeters (qis dua 2 nti me ntsis). Tab sis qee tus neeg tuaj yeem ntev txog 27 txog 60 millimeters. Xav txog nws zoo li sab me me ntawm koj daim npav rho nyiaj. Lub hnab me me no tuaj yeem tuav tau li 9 milliliters (kwv yees li ob diav me me) ntawm cov ntshav. Lub qhov ncauj, lossis qhov qhib, ntawm LAA feem ntau yog oval. Tab sis qee tus neeg tuaj yeem puag ncig lossis muaj lwm yam duab.

Puas muaj ntau hom "(LAA)" sib txawv? Puas muaj tej yam cuam tshuam?

Yog lawm, qhov xav tsis thoob, tsis yog txhua tus neeg lub '(LAA)' zoo ib yam. Ib yam li peb cov ntiv tes, nws muaj cov duab sib txawv. Feem ntau, '(LAA)' muaj ob lossis peb qhov me me, hu ua '(lobes)'. Tab sis qee tus neeg yuav muaj ib lub lobe xwb, thaum lwm tus yuav muaj plaub lossis ntau dua. Muaj ob peb lub duab tseem ceeb uas paub:

• Zoo li tis qaib: Qhov no yog cov duab uas pom ntau tshaj plaws. Muaj qhov khoov me ntsis hauv nruab nrab ntawm lub plawv loj. Cov neeg uas muaj cov duab no tau hais tias muaj kev pheej hmoo tsawg dua ntawm kev mob stroke .
• Cactus zoo li cas: Qhov no muaj ib lub hauv paus tseem ceeb, thiab lwm cov petals zoo li tawm ntawm nws.
• Cov duab ntawm lub qhov cua: Qhov no tsuas muaj ib lub lobe ntev, lub ntsiab xwb.
• Cov duab paj noob hlis: Qhov no nyuaj me ntsis. Nws zoo li ntau daim nplooj ntawm tib qhov loj me tau sib koom ua ke. Qhov no yog cov duab tsis tshua muaj, thiab nws kuj suav tias yog qhov muaj feem yuav mob stroke ntau tshaj plaws .

Tam sim no koj nkag siab lawm, puas yog? Lub duab ntawm tus me me '(LAA)' no kuj tseem tuaj yeem cuam tshuam rau peb txoj kev noj qab haus huv rau qee yam.

Cov kab mob thiab kev mob nkeeg uas feem ntau cuam tshuam rau (LAA) yog dab tsi?

Qhov "(LAA)" no qee zaum ua rau muaj ntau yam teeb meem. Piv txwv li:

• Kev raug mob los ntawm kev sib tsoo:Yog koj muaj xwm txheej tsheb sib tsoo lossis lwm yam kev raug mob hnyav, lub LAA no tuaj yeem puas tsuaj lossis dua.
• Kev Mob Pob Ntseg Mitral: Yog tias lub pob ntseg mitral hauv lub plawv nqaim zuj zus, cov ntshav ntws tawm ntawm lub plawv sab laug yuav qeeb zuj zus. Yog li ntawd, cov ntshav ntws los ntawm LAA kuj tseem yuav qeeb zuj zus.
• Atrial Fibrillation (Afib): Raws li tau hais ua ntej lawm, qhov mob no ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws hauv LAA. Yog tias cov ntshav txhaws no tawg tawm, mus ncig los ntawm cov ntshav, thiab nkag mus rau hauv cov hlab ntsha hauv lub hlwb, lawv tuaj yeem ua rau mob stroke. Qhov no yog qhov kev pheej hmoo tseem ceeb uas cuam tshuam nrog LAA.

Yuav ua li cas los xyuas seb tus neeg mob (LAA) puas noj qab haus huv?

Cov kws kho mob muaj ntau txoj kev kuaj mob los xyuas seb lub LAA zoo li cas. Cov kev kuaj mob tseem ceeb yog kev siv duab thaij.

• Kev Ntsuas Lub Plawv Los Ntawm Txoj Hlab Ntsws (Transesophageal Echo - TEE): Qhov no kuj yog kev ntsuas lub plawv los ntawm txoj hlab pas (echocardiogram), tab sis hauv qhov no, yuav muab ib lub cuab yeej me me zoo li lub koob yees duab ntxig rau hauv caj pas thiab saib lub plawv los ntawm tom qab. Tom qab ntawd koj tuaj yeem pom LAA kom meej heev.
• Ultrasound los ntawm catheter: Qee zaum, LAA raug kuaj xyuas los ntawm kev xa cov nthwv dej ultrasound los ntawm ib lub raj me me (catheter) uas tau ntxig rau hauv lub cev.
• MRI Lub Plawv (Magnetic Resonance Imaging): Siv cov teb magnetic thiab cov nthwv dej xov tooj cua los tsim cov duab ntxaws ntxaws ntawm lub plawv.
• Kev ntsuas plawv CT (Cardiac CT - Computed Tomography): Qhov no siv cov duab X-rays los tau cov duab hla ntawm lub plawv.

Cov kev kuaj no tuaj yeem qhia tau ntau yam, xws li qhov loj thiab cov duab ntawm LAA, thiab seb puas muaj cov ntshav txhaws hauv nws.

Cov kev kho mob rau cov teeb meem ntsig txog `(LAA)` yog dab tsi?

Yog tias muaj teeb meem nrog LAA, muaj ntau txoj kev kho mob uas ua tau. Cov no yuav suav nrog qee qhov kev phais, lossis lawv yuav yog cov txheej txheem minimally invasive.

• Yog tias qhov `(LAA)` raug mob, nws tuaj yeem kho tau .
• Kev kho mob ntawm Mitral Valve Stenosis tuaj yeem ua tau .
• Lub LAA tuaj yeem kaw, tshem tawm, lossis thaiv kom tiv thaiv cov ntshav txhaws . Qhov no yog qhov tseeb tshwj xeeb rau cov neeg uas muaj Afib uas muaj feem yuav mob stroke. Muaj ntau yam khoom siv siv rau qhov no.

Kuv yuav ua li cas kom kuv lub `(LAA)` (uas yog, kuv lub siab tag nrho) noj qab nyob zoo?

Tseeb tiag, tsis muaj dab tsi tshwj xeeb uas koj ua tau rau `(LAA)` nkaus xwb. Txawm li cas los xij, yog tias koj ua kom koj lub siab noj qab nyob zoo, `(LAA)` kuj yuav noj qab nyob zoo thiab. Yog li, ntawm no yog qee yam uas koj ua tau kom koj lub siab noj qab nyob zoo:

• Ua kom lub cev tawm dag zog tsawg kawg yog 150 feeb hauv ib lub lim tiam.Qhov ntawd txhais tau tias taug kev, khiav, lossis caij tsheb kauj vab li 30 feeb hauv ib hnub.
• Noj zaub mov kom zoo rau lub plawv. Noj zaub, txiv hmab txiv ntoo, taum pauv, cov khoom noj uas muaj fiber ntau, nqaij tsis muaj roj thiab ntses. Txo koj cov khoom qab zib, ntsev, thiab cov khoom noj uas muaj roj ntau li ntau tau.
• Tsum tsis txhob siv cov khoom luam yeeb (luam yeeb, beedis, thiab lwm yam) kiag li.
• Tswj kev ntxhov siab hauv koj lub neej txhua hnub. Tej yam xws li kev xav, kev ua yoga, thiab kev ua si lom zem yuav pab tau.
• Yog koj muaj mob xws li ntshav siab lossis ntshav qab zib, tswj kom zoo. Ua raws li koj tus kws kho mob cov lus qhia kom zoo.

Thaum kawg, tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Tej zaum yuav muaj coob tus neeg tsis tau hnov ​​txog lub npe "(Left Atrial Appendage)". Tab sis tam sim no koj paub tias nws kuj muaj ib qho me me hauv lub plawv. Txawm li cas los xij, yog tias koj muaj feem yuav mob stroke vim yog qhov "(LAA)" no, nco ntsoov tias koj tuaj yeem ua neej noj qab nyob zoo txawm tias tsis muaj nws los xij .

Nws yog ib qho ib txwm muaj uas yuav ntshai thiab ntxhov siab me ntsis thaum muaj ib yam dab tsi ua rau lub plawv, xws li phais. Txawm li cas los xij, rau ib tus neeg uas muaj '(Afib)', kev thaiv qhov '(LAA)' no yuav ua rau lawv tsis tas yuav siv cov tshuaj thinning ntshav kom tiv thaiv tau mob stroke mus tas li.

Yog li ntawd, tham nrog koj tus kws kho mob txog qhov zoo tshaj plaws rau koj tus mob thiab qhov kev kho mob zoo tshaj plaws yog dab tsi. Lawv yuav piav qhia txhua yam rau koj. Tsis txhob ntshai nug cov lus nug. Koj yog tus txiav txim siab txog koj txoj kev noj qab haus huv, yog li nws tseem ceeb heev kom paub txhua yam.

Lub Plawv, Sab laug Atrial Appendage, Sab laug Atrial Appendage, LAA, Stroke, Atrial Fibrillation, Afib, Ntshav Qhuav, Kev Noj Qab Haus Huv Lub Plawv, Kab Mob Plawv