Koj puas muaj ib lub qog me me hauv koj lub plawv? Cia peb kawm txog nws yam tsis ntshai!

Qee zaum, peb muaj teeb meem hauv peb lub cev uas peb tsis xav txog, puas yog? Tej zaum koj mus ntsib kws kho mob rau lwm yam, lossis tej zaum koj tab tom kuaj mob ceev, thiab koj pom tias muaj ib yam dab tsi me me hauv koj lub plawv, tej zaum yog ib lub qog me me. Thaum koj hnov ​​lo lus 'mob qog hauv plawv', koj lub plawv dhia tam sim ntawd thiab koj ntshai. Tab sis koj yuav tsum nco ntsoov tias tsis yog txhua lub qog yog mob qog noj ntshav . Hnub no, peb yuav tham txog ib hom qog uas loj hlob hauv lub plawv, tab sis tsis yog mob qog noj ntshav, tab sis xav tau kev saib xyuas. Cov kws kho mob hu qhov no ua papillary fibroelastoma . Txawm hais tias lub npe yuav zoo li ntev me ntsis, cia peb tham txog nws yooj yim.

Papillary Fibroelastoma yog dab tsi?

Hais yooj yim xwb, tus kab mob papillary fibroelastoma no yog ib hom qog nqaij hlav uas tsis yog mob qog nqaij hlav (benign) uas tshwm sim hauv lub plawv. Qhov no txhais tau tias nws tsis yog mob qog nqaij hlav thiab tsis kis mus rau lwm qhov ntawm lub cev. Cov no kuj hu ua cov qog nqaij hlav plawv thawj zaug vim tias lawv pib hauv lub plawv nws tus kheej. Lawv tsis tuaj rau lub plawv los ntawm lwm qhov chaw.

Txawm li cas los xij, txawm tias nws tsis yog mob qog noj ntshav los xij, nws tsis yog qhov muaj kev nyab xeeb tag nrho. Vim tias, cov qog no tuaj yeem ua rau embolic. Embolic txhais tau tias, xav txog, ib daim me me ntawm cov qog no tuaj yeem tawg thiab mus nrog cov ntshav, daig rau hauv cov hlab ntsha qhov twg hauv lub cev. Yog tias qhov ntawd tshwm sim, muaj peev xwm ua rau muaj teeb meem loj xws li mob stroke .

Feem ntau, kwv yees li yim ntawm kaum tus, cov papillary fibroelastomas tshwm sim ntawm cov qhov plawv. Qhov tseeb, lawv yog hom qog nqaij hlav feem ntau tshwm sim nyob ib puag ncig cov qhov plawv.

Cov qhov plawv twg yuav muaj cov no feem ntau?

Cov qog no feem ntau pom muaj nyob rau ntawm cov qhov (valves) ntawm sab laug ntawm lub plawv. Ntawd yog, ntawm lub qhov (aortic valve ) (feem ntau yog) lossis lub qhov mitral valve . Tsis tshua muaj, lawv tsim nyob rau ntawm lub qhov tricuspid valve lossis lub qhov pulmonary valve ntawm sab xis ntawm lub plawv.

Qhov xov xwm zoo yog tias cov papillary fibroelastomas feem ntau tsis ua rau muaj kev cuam tshuam loj rau kev ua haujlwm ntawm lub plawv valve. Qhov no yog vim tias cov qog no nyob rau sab qis ntawm lub plawv valve, txhais tau tias sab uas cov ntshav ntws dhau lub plawv valve.

Qhov no yog vim li cas cov qog no thiaj txawv ntawm lwm hom qog plawv hu ua cardiac myxoma . Myxomas feem ntau loj dua thiab yuav cuam tshuam rau kev ua haujlwm ntawm cov valve dua li papillary fibroelastomas. Lwm yam yog tias myxomas yuav tsis tshua txuas nrog cov valve, tsis zoo li papillary fibroelastomas.

Lub txiv ntoo no nyob qhov twg hauv lub plawv?

Raws li peb tau hais ua ntej lawm, cov qog no feem ntau nyob rau ntawm cov hlab ntsha ntawm lub plawv. Kwv yees li 95 feem pua ​​(95%) ntawm lawv nyob rau sab laug ntawm lub plawv.Tsis tshua muaj, cov no tshwm sim rau ntawm phab ntsa sab hauv ntawm cov chav plawv, tshwj xeeb tshaj yog sab laug ventricle.

Cov qog nqaij hlav papillary fibroelastoma cuam tshuam li cas rau lub cev?

Qhov no yog qhov tseem ceeb tshaj plaws uas yuav tsum tau them sai sai rau. Papillary fibroelastoma tuaj yeem ua rau cov ntshav txhaws thiab mus ncig thoob plaws hauv cov hlab ntsha. Cov ntshav txhaws uas mus ncig ua li no hu ua emboli . Cov emboli no tuaj yeem mus ncig rau ntau qhov ntawm lub cev thiab daig. Piv txwv li:

• Lub Hlwb: Yog tias qhov no tshwm sim , mob stroke tuaj yeem tshwm sim.
• Cov hlab ntsha Coronary: Qhov no tuaj yeem ua rau mob plawv nres .
• Cov raum
• Lub ntsws
• Cov retina ntawm lub qhov muag
• Cov hlab ntsha caj qaum

Vim yog qhov no, cov ntshav txhaws thiab txhaws.

• Mob plawv nres
• Mob stroke
• Tej yam xws li ventricular fibrillation (ib qho mob hnyav uas lub plawv dhia tsis xwm yeem thiab sai) tuaj yeem tshwm sim.

Tsis tas li ntawd xwb, yog tias qhov mob qog nyob rau ntawm lub plawv aortic valve, nws tuaj yeem thaiv cov hlab ntsha coronary uas muab ntshav rau lub plawv. Qhov no tuaj yeem ua rau mob angina , uas yog mob hauv siab uas tshwm sim thaum lub plawv tsis tau txais ntshav txaus, thaum lub sijhawm ua si. Kuj tseem muaj kev pheej hmoo ntawm kev tuag tam sim ntawd ntawm lub plawv .

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?

Feem ntau cov qog nqaij hlav papillary fibroelastomas pom muaj rau cov neeg laus hnub nyoog tshaj 40 xyoo. Feem ntau, cov kab mob no raug kuaj pom thaum muaj hnub nyoog li ntawm 60 xyoo. Tsis tshua muaj, cov qog no kuj tuaj yeem tshwm sim rau cov menyuam mos thiab cov menyuam yaus uas muaj teeb meem plawv txij thaum yug los .

Cov qog nqaij hlav papillary fibroelastoma feem ntau tshwm sim li cas?

Cov qog nqaij hlav plawv thawj zaug, uas pib hauv lub plawv, yeej tsis tshua muaj. Lawv cuam tshuam tsawg dua ib tus neeg ntawm 2,000 tus. Ntawm cov qog nqaij hlav plawv thawj zaug no, ob hom qog nqaij hlav uas tsis yog mob qog noj ntshav feem ntau yog papillary fibroelastoma thiab cardiac myxoma. Tab sis nws nyuaj rau hais tias lawv muaj ntau npaum li cas, vim tias lawv feem ntau pom tom qab tuag tom qab ib tus neeg tuag.

Cov tsos mob yog dab tsi?

Qhov xav tsis thoob yog tias ntau tshaj ib nrab ntawm cov neeg uas muaj tus mob no tsis muaj tsos mob dab tsi li. Cov neeg uas muaj cov tsos mob yuav muaj tej yam xws li:

• Angina: Mob hauv siab los yog tsis xis nyob.
• Syncope: Tsis nco qab.
• Ua tsis taus pa.
• Kev Mob Hlwb Tsis Txaus (Transient Ischemic Attack - TIA) lossis Stroke: TIA yog qhov txo qis ntawm cov ntshav ntws mus rau lub hlwb ib ntus, zoo ib yam li mob stroke me me, nrog rau cov tsos mob uas ploj mus hauv ob peb feeb.

Vim li cas ho ua li no?

Tseem tsis tau paub meej tias yog vim li cas thiaj muaj cov kab mob papillary fibroelastomas. Txawm li cas los xij, ntau tus kws tshawb fawb ntseeg tias lawv yog los ntawm kev puas tsuaj rau cov hlwb endothelial uas nyob sab hauv lub plawv. Lawv xav tias cov ntshav me me sib sau ua ke, mus rau qhov chaw puas tsuaj, thiab maj mam tsim ua ib pawg zoo li qog nqaij hlav.

Koj kuaj qhov no li cas?

Feem ntau, cov qog nqaij hlav papillary fibroelastoma feem ntau pom tsis tau los ntawm kev ua yuam kev. Yog li ntawd, tus kws kho mob pom cov qog nqaij hlav thaum lub sijhawm kuaj mob uas koj tab tom ua rau lwm yam laj thawj. Los yog, nws yuav pom thaum ib tus neeg muaj mob stroke thiab tab tom sim nrhiav qhov ua rau.

Qhov kev kuaj mob tseem ceeb los kuaj qhov no yog echocardiography . Qhov no yog kev luam theej ntawm lub plawv.

• Ua ntej, cov kws kho mob feem ntau ua ib qho transthoracic echo , uas txhais tau tias nws ua rau ntawm qhov chaw ntawm lub hauv siab.
• Tiam sis qee zaum, txhawm rau kuaj xyuas seb puas muaj cov qog me me lossis kom pom qhov chaw mob kom meej dua , yuav tsum tau ua transesophageal echo (TEE) . Qhov no suav nrog kev ntxig ib lub raj me me uas muaj lub koob yees duab los ntawm txoj hlab pas los kuaj lub plawv.

Cov qog no tshwm sim li cas ntawm lub Echo?

Hauv daim echocardiogram, daim papillary fibroelastoma no zoo li ib tug anemone hauv hiav txwv! Qhov ntawd yog vim nws muaj cov qauv me me zoo li ceg ntoo hu ua papillary fronds uas nthuav tawm ntawm nws qhov chaw.

Cov txiv hmab txiv ntoo no feem ntau me me (tsawg dua 1 cm). Tsis tas li ntawd, nws muaj ib lub qia/kab ntsig sib txuas . Lub qia no ua rau cov txiv hmab txiv ntoo txav mus los tau zoo, uas yog, nws txav tau yooj yim .

Kev kho mob yog dab tsi?

Kev kho mob ib txwm rau papillary fibroelastoma yog phais. Thaum lub sijhawm phais, tus kws phais mob:

• Tag nrho cov qog nqaij hlav raug tshem tawm.
• Lawv kuaj xyuas lwm qhov ntawm lub plawv kom pom tias puas muaj qog ntxiv.
• Yog tias qhov mob qog ua rau ib feem ntawm lub plawv puas tsuaj, nws kuj yuav raug kho. Qhov no yuav suav nrog kev kho lub plawv lossis hloov lub plawv.

Qhov tseem ceeb yog, txawm tias koj tsis muaj tsos mob los xij, koj tus kws kho mob yuav pom zoo kom phais kom txo qhov teeb meem yav tom ntej.

Feem ntau qhov kev phais mob no siv cov txheej txheem qhib lub plawv ib txwm muaj, tab sis rau qee tus neeg , cov txheej txheem robotic uas tsis tshua muaj kev cuam tshuam yog siv.Koj kuj siv tau. Tham nrog koj tus kws kho mob kom txiav txim siab seb txoj kev twg zoo tshaj plaws rau koj.

Ib yam li ntawd , yog tias kev phais mob muaj kev pheej hmoo heev rau koj, koj tus kws kho mob yuav txiav txim siab sau ntawv kom muab cov tshuaj anticoagulants, lossis cov tshuaj ua kom cov ntshav nyias , kom txo qhov kev pheej hmoo ntawm cov ntshav txhaws.

Tom qab kho mob tas, tus mob zoo li cas lawm? (Kev kwv yees)

Cov neeg uas tau phais tshem tawm cov papillary fibroelastoma lawm, qhov kev kwv yees zoo heev. Qhov kev pheej hmoo ntawm qhov mob rov qab los kuj tsawg heev. Tsis tas li ntawd, vim nws tsis yog mob qog noj ntshav, nws tsis muaj kev pheej hmoo ntawm nws kis mus rau lwm qhov ntawm lub cev.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Cov qog nqaij hlav hauv lub plawv no feem ntau pom los ntawm txoj hmoo. Yog vim li ntawd nws thiaj li tseem ceeb kom ua raws li koj cov sijhawm teem tseg kho mob thiab kev saib xyuas tom qab. Kev kuaj pom cov qog nqaij hlav thaum ntxov yooj yim dua rau kev kho. Yog tias tsis kho, cov kab mob papillary fibroelastomas tuaj yeem loj hlob thiab ua rau muaj teeb meem loj.

Yog koj phais lub plawv kom tshem tawm ib qho qog, koj lub cev yuav xav tau sijhawm los kho. Tham nrog koj tus kws kho mob txog yam uas yuav tsum tsis txhob ua thiab yam kev txwv kev ua ub no uas koj yuav tsum ua rau ob peb lub lis piam tom qab phais. Koj kuj tseem yuav raug xa mus rau qhov kev pab cuam kho lub plawv kom pab koj rov qab muaj zog.

Kuv yuav tsum nug tus kws kho mob li cas?

Yog tias koj raug kuaj pom tias muaj papillary fibroelastoma, nug koj tus kws kho mob cov lus nug no:

• Lub qog loj npaum li cas?
• Nws nyob qhov twg?
• Nws cuam tshuam li cas rau kuv lub siab?
• Kuv puas yuav tsum tau phais? Yog tias yog, yuav tsum tau phais sai npaum li cas?
• Kuv yuav npaj li cas rau kev phais?
• Lub sijhawm rov zoo li cas?
• Cov kev pheej hmoo ntawm kev phais yog dab tsi?
• Kuv tus mob yuav zoo li cas tom qab kho mob lawm?
• Yuav siv sijhawm ntev npaum li cas ua ntej kuv yuav rov qab los kuaj?

Lub plawv loj txhais li cas?

Ib qho pob ntawm koj lub plawv yog txhua yam kev loj hlob tsis zoo (qog) hauv lub plawv. Cov kws kho mob hu cov qog nqaij hlav plawv no. Cov qog nqaij hlav plawv no tuaj yeem yog mob qog noj ntshav lossis tsis yog mob qog noj ntshav. Lawv kuj tuaj yeem pib hauv lub plawv (thawj zaug) lossis kis mus rau lub plawv los ntawm lwm qhov chaw hauv lub cev (metastatic).

Nws tsis tshua muaj qog pib hauv lub plawv nws tus kheej. Tab sis ntawm cov qog uas pib, papillary fibroelastoma yog hom feem ntau, nrog rau cardiac myxoma.

Nws yog ib qho ib txwm muaj uas koj yuav ntshai thaum lawv qhia koj tias koj muaj mob qog nqaij hlav hauv lub plawv. Tab sis qhov xov xwm zoo yog tias papillary fibroelastoma tsis yog mob qog nqaij hlav, tsis kis mus rau lwm qhov ntawm lub cev, thiab feem ntau kho tau los ntawm kev phais. Tham nrog koj tus kws kho mob txog txoj kev npaj kho mob zoo tshaj plaws rau koj thiab yuav muaj dab tsi tshwm sim rau yav tom ntej.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Tej zaum koj yuav nkag siab me ntsis txog tus kab mob Papillary Fibroelastoma uas peb tau tham txog. Txawm hais tias qhov no tsis yog mob qog noj ntshav, nws yog ib qho mob uas yuav tsum tau saib xyuas vim nws muaj kev pheej hmoo ntawm kev tsim cov ntshav txhaws thiab mus ncig.

• Muaj coob tus neeg tsis qhia cov tsos mob, yog li ntawd kev kuaj mob tseem ceeb heev.
• Qhov no feem ntau kuaj pom los ntawm kev kuaj echocardiography.
• Kev kho mob feem ntau yog phais, uas muab cov txiaj ntsig zoo heev.
• Yog koj pom tias koj muaj tus mob no , tsis txhob ntshai. Tham nrog koj tus kws kho mob, nug txhua yam koj muaj, thiab tau txais cov ntaub ntawv tseeb.

Qhov tseem ceeb tshaj plaws yog koj yuav tsum noj qab nyob zoo!

` Papillary Fibroelastoma, kab mob plawv, qog nqaij hlav hauv plawv, cov hlab ntsha hauv lub plawv, mob stroke, mob plawv nres, echocardiography, phais plawv, qog nqaij hlav zoo, kev noj qab haus huv ntawm lub plawv