Koj puas muaj mob lossis loog hauv koj ob txhais ceg, tshwj xeeb tshaj yog thaum koj taug kev luv luv lossis nce ntaiv? Nws puas tsis ploj mus tom qab zaum ib pliag? Muaj ntau tus neeg xav tias qhov no yog ib feem ntawm kev laus lossis mob pob qij txha, tab sis nws yuav yog ib qho cim ntawm qee yam loj dua. Niaj hnub no peb tab tom tham txog ib qho mob hu ua Peripheral Artery Disease, lossis PAD, uas ua rau muaj cov tsos mob no. Qhov no yog ib qho mob uas tuaj yeem tswj tau yooj yim yog tias kuaj pom thaum ntxov.
Hais yooj yim xwb, Kab mob Peripheral Artery (PAD) yog dab tsi?
Zoo, cia peb hais li no. Peb muaj ib lub network ntawm cov hlab ntsha ( arteries ) uas nqa ntshav mus rau txhua qhov ntawm peb lub cev, puas yog? Nws zoo li lub kav dej uas nqa dej thoob plaws hauv ib lub tsev. Kab mob Peripheral Artery (PAD) yog thaum cov hlab ntsha ntawd, tshwj xeeb tshaj yog cov uas nqa ntshav mus rau ob txhais ceg, lub duav, thiab qee zaum caj npab, maj mam nqaim.
Xav txog tias dhau sij hawm, cov kav dej hauv koj lub tsev yuav xeb thiab txhaws nrog av, ua rau cov dej ntws tsis zoo. Ib yam li ntawd, cov rog thiab cov roj cholesterol sib sau ua ke hauv peb cov hlab ntsha thiab tsim cov 'plaque'. Hauv kev kho mob, peb hu qhov no (atherosclerosis) . Cov plaque no ua rau qhov chaw hauv cov hlab ntsha tsawg dua. Qhov no tom qab ntawd cuam tshuam kev ntws ntawm cov ntshav los ntawm lawv. Qhov mob ntawd pib thaum cov leeg ntawm ob txhais ceg tsis tau txais cov pa oxygen thiab cov as-ham uas lawv xav tau los ntawm cov ntshav.
Kab mob no cuam tshuam rau ntau tshaj 200 lab tus tib neeg thoob ntiaj teb. Qhov kev pheej hmoo ntawm kev mob no nce ntxiv thaum muaj hnub nyoog. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Cov tsos mob ntawm PAD yog dab tsi?
Muaj coob tus neeg tsis qhia cov tsos mob thaum xub thawj. Txawm li cas los xij, thaum tus kab mob loj zuj zus, cov tsos mob no yuav tshwm sim. Cia peb saib cov tsos mob tseem ceeb.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob ceg thaum ua si | Qhov no yog cov tsos mob feem ntau. Tej zaum koj yuav mob, nruj, qaug zog, lossis loog hauv koj lub duav, lub duav, lossis lub pob tw thaum koj taug kev lossis nce ntaiv. Qhov xav tsis thoob, qhov mob no feem ntau ploj mus hauv 10 feeb tom qab so. |
| Qhov mob uas tshwm sim txawm tias thaum so | Thaum tus kab mob zuj zus tuaj, koj yuav mob kub hnyiab rau ntawm koj ob txhais ceg, taw, lossis ntiv taw thaum koj pw xwb, tshwj xeeb tshaj yog thaum hmo ntuj. Qhov mob yuav ploj mus thaum koj muab koj ob txhais ceg tso rau hauv av. Qhov no yog ib qho cim qhia tias mob hnyav dua. |
| Cov qhov txhab uas tsis kho tau ntawm ko taw thiab ntiv taw | Vim tias ob txhais ceg cov ntshav tsis zoo, txawm tias cov qhov me me los kuj siv sijhawm ntev los kho. Qee zaum cov no tuaj yeem hloov mus ua cov qhov txhab loj thiab kis kab mob. |
| Kev hloov pauv ntawm xim tawv nqaij thiab qhov kub thiab txias | Yog tias cov hlab ntsha tam sim ntawd raug thaiv tag, daim tawv nqaij ntawm ceg yuav hloov xim av, ntsuab, dub, lossis hloov daj tam sim ntawd . Koj kuj tseem yuav hnov tias koj txhais ceg txias dua li lwm ceg. Koj yuav hnov qhov mob "mob plab" . Qhov no yog ib qho mob uas xav tau kev kho mob thaum muaj xwm txheej ceev. |
Qhov tseem ceeb yog qhov chaw mob yuav ua rau koj paub meej tias cov hlab ntsha twg raug thaiv. Piv txwv li, yog tias koj mob hauv koj lub pob tw, lub duav, lossis lub duav, qhov kev thaiv feem ntau yuav yog nyob rau hauv cov hlab ntsha loj hauv koj lub plab qis lossis lub duav. Yog tias qhov mob tsuas yog nyob rau hauv koj lub qhov ncauj xwb, qhov kev thaiv yuav yog nyob rau hauv cov hlab ntsha ze koj lub hauv caug .
Rau cov txiv neej, tus kab mob no tuaj yeem ua rau erectile dysfunction vim yog cov ntshav tsis txaus rau qhov chaw mos.
Leej twg muaj feem yuav mob PAD ntau dua?
Txawm hais tias leej twg los yeej muaj tus kab mob no los xij, qee tus neeg muaj feem yuav mob ntau dua. Saib seb koj puas muaj cov yam txaus ntshai no.
- Rau cov neeg haus luam yeeb : Qhov no yog qhov tseem ceeb thiab hnyav tshaj plaws uas ua rau muaj kev pheej hmooKev haus luam yeeb ua rau cov phab ntsa sab hauv ntawm cov hlab ntsha puas tsuaj thiab ua rau cov ntshav txhaws sai dua.
- Rau cov neeg uas muaj mob ntshav qab zib : Cov ntshav qab zib ntau kuj tuaj yeem ua rau cov hlab ntsha puas tsuaj. Ib tug neeg uas muaj mob ntshav qab zib thiab haus luam yeeb muaj ob mus rau plaub npaug ntau dua uas yuav muaj PAD dua li ib tug neeg uas tsis muaj ob yam mob no.
- Rau cov neeg uas muaj ntshav siab: Thaum lub siab nce siab, cov phab ntsa ntawm cov hlab ntsha yuav puas tsuaj thiab nws yooj yim dua rau cov ntshav txhaws.
- Rau cov neeg uas muaj roj cholesterol lossis triglyceride ntau: Cov rog ntau hauv cov ntshav, qhov muaj feem ntau dua uas nws yuav tso rau hauv cov hlab ntsha ua cov quav hniav.
- Rau cov neeg uas muaj kab mob raum ntev.
- Yog tias ib tug neeg hauv koj tsev neeg tau muaj tus kab mob PAD, kab mob plawv, lossis mob hlwb.
Yog tias tsis kho ces yuav muaj tej yam tshwm sim loj heev li cas?
Yog koj tsis quav ntsej qhov no, xav tias nws tsuas yog teeb meem ceg xwb, nws yuav muaj teeb meem loj heev.
Ib qho yog thaum cov ntshav mus rau ceg tsis muaj zog kiag li thiab cov nqaij pib tuag. Qhov no hu ua gangrene . Yog tias qhov no tshwm sim, yuav tsum txiav ib tug ntiv tes, ntiv taw, lossis ib feem ntawm ceg kom tiv thaiv kev kis tus kab mob thoob plaws lub cev. Tab sis tsis txhob txhawj, cov kws kho mob tab tom ua qhov zoo tshaj plaws los tiv thaiv qhov no kom tsis txhob tshwm sim.
Muaj ib yam tseem ceeb dua. Xav txog seb, yog tias cov hlab ntsha hauv koj ob txhais ceg raug thaiv, ces yuav muaj feem ntau uas cov hlab ntsha uas nqa ntshav mus rau koj lub plawv thiab lub hlwb raug thaiv ib yam nkaus. Qhov no txhais tau tias ib tus neeg uas muaj PAD muaj feem yuav mob plawv lossis mob hlwb ntau dua. Yog li ntawd, kev kho mob PAD txhais tau tias tsis yog tsuas yog cawm koj ob txhais ceg xwb, tab sis kuj cawm koj txoj sia.
Tus kws kho mob kuaj mob li cas tiag?
Thaum koj mus ntsib koj tus kws kho mob, nws yuav xub nug koj txog koj cov tsos mob. Tom qab ntawd nws yuav kuaj koj ob txhais ceg. Tshwj xeeb, nws yuav kov cov ntshav ntws hauv ntau qhov ntawm koj ob txhais ceg kom paub seb puas muaj kev hloov pauv ntawm cov ntshav ntws.
Tom qab ntawd, muaj ntau yam kev kuaj mob uas yuav ua tau los xyuas kom meej tias muaj tus kab mob no:
- Qhov ntsuas ntawm lub pob luj taws thiab lub hauv caug (ABI): Qhov no yog ib qho kev ntsuam xyuas yooj yim heev, tsis mob. Nws ntsuas qhov siab ntawm koj txhais caj npab thiab qhov siab ntawm koj pob luj taws thiab piv ob qho tib si. Feem ntau, qhov siab ntawm koj pob luj taws yuav tsum siab dua qhov siab ntawm koj txhais caj npab me ntsis. Yog tias nws qis, nws txhais tau tias muaj teeb meem nrog cov ntshav ntws mus rau koj ceg.
- Kev kuaj mob ultrasound ntawm cov hlab ntsha:Qhov no zoo li kev luam theej duab ntawm ib tug menyuam mos. Nws tuaj yeem ntes tau qhov ceev ntawm cov ntshav ntws hauv cov hlab ntsha thiab txhua yam kev thaiv.
- Kev sau cov ntaub ntawv ntawm lub plawv dhia (PVR): Qhov no ntsuas seb cov ntshav ntws mus rau ob txhais ceg ntau npaum li cas.
- CT angiogram / MRA (Magnetic resonance angiogram – MRA): Cov no tuaj yeem thaij duab kom ntxaws txog cov hlab ntsha thiab qhia meej qhov chaw thiab qhov dav ntawm qhov kev thaiv.
Cov kev kho mob rau PAD yog dab tsi?
Kev kho mob nyob ntawm seb koj cov tsos mob hnyav npaum li cas. Thaum ntxov, lawv tuaj yeem tswj tau zoo los ntawm kev hloov pauv hauv lub neej thiab tshuaj.
1. Kev hloov pauv txoj kev ua neej
Qhov no yog lub hauv paus ntawm kev kho mob.
- Kev Ua Si: Kev ua si, tshwj xeeb yog kev ua si uas muaj kev saib xyuas (Kev Kho Mob Ua Si Uas Muaj Qauv), muaj txiaj ntsig zoo heev. Ntawm no, koj yuav tsum taug kev saum lub treadmill. Thaum koj ob txhais ceg pib mob, koj yuav tsum nres ib pliag, thiab thaum qhov mob ploj mus, koj yuav taug kev dua. Qhov no ua rau cov hlab ntsha tshiab hauv koj ob txhais ceg loj hlob.
- Cov khoom noj uas zoo rau lub plawv: Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov zaub mov uas muaj ntau yam zaub, txiv hmab txiv ntoo, txiv ntoo qhuav, thiab cov nplej tag nrho, thiab tsis muaj roj thiab ntsev ntau.
- Tso Kev Haus Luam Yeeb: Kuv rov hais dua, qhov zoo tshaj plaws uas koj ua tau rau koj tus kheej yog tso kev haus luam yeeb hnub no yog tias koj ua tau. Tham nrog koj tus kws kho mob kom tau kev pab txog qhov no.
2. Cov tshuaj (hom tshuaj)
Koj tus kws kho mob yuav sau ntawv kom koj noj cov tshuaj no.
- Cov tshuaj ua kom cov ntshav nyias: Lawv txo cov ntshav txhaws thiab pab kom cov ntshav ntws tau yooj yim. (Piv txwv li: Clopidogrel, Aspirin)
- Cov tshuaj txo cov roj cholesterol (Statins): Lawv txo cov plaque uas sib sau ua ke hauv cov hlab ntsha.
- Cov tshuaj kho ntshav siab: Txo kev puas tsuaj rau cov hlab ntsha.
- Cov Tshuaj Ua Rau Cov Ntshav Ntsws: Cov tshuaj no pab ua kom cov hlab ntsha loj me ntsis, ua rau koj taug kev tau deb dua yam tsis mob. (Piv txwv li: Cilostazol)
3. Kev saib xyuas tshwj xeeb rau ko taw
Nws yog ib qho tseem ceeb heev rau ib tus neeg uas muaj PAD kom saib xyuas lawv txhais taw.
- Xyuas koj ob txhais taw txhua hnub seb puas muaj qhov txhab, tawg, thiab xim tsis zoo.
- Ntxuav koj txhais tes nrog xab npum txhua hnub thiab ziab kom qhuav, txawm tias ntawm koj cov ntiv taw.
- Tsis txhob taug kev tsis hnav khau.
- Siv cov khau thiab thom khwm uas xoob, haum zoo, thiab mos.
4. Cov Txheej Txheem thiab Kev Phais Mob
Yog tias tus kab mob no tsis tuaj yeem tswj tau los ntawm kev siv tshuaj thiab kev hloov pauv hauv lub neej, lossis yog tias tus kab mob hnyav heev, koj yuav tsum tau siv hom kev kho mob no.
- Angioplasty: Muab ib lub raj nyias nyias (catheter) ntxig rau hauv cov hlab ntsha uas raug txhaws thiab muab ib lub cuab yeej zoo li lub npas tso rau ntawm qhov kawg kom nthuav qhov txhaws. Qee zaum muab ib lub cuab yeej me me zoo li daim ntaub mesh hu ua stent ntxig rau hauv kom nws tsis txhob kaw dua.
- Atherectomy: Ib lub catheter siv los khawb cov plaque hauv cov hlab ntsha.
- Kev phais mob peripheral artery bypass: Ib yam li kev phais mob plawv bypass, ib txoj hlab ntsha tshiab yog tsim los ntawm kev siv cov hlab ntsha uas coj los ntawm lwm qhov ntawm lub cev lossis cov hlab ntsha cuav los hla txoj hlab ntsha uas raug thaiv.
Thaum twg kuv yuav tsum mus ntsib kws kho mob? Thaum twg kuv yuav tsum mus rau ETU?
Yog koj xav tias muaj tej yam no, mus ntsib koj tus kws kho mob.
- Yog tias cov tsos mob nyuam qhuav pib los yog cov tsos mob uas twb muaj lawm zuj zus tuaj.
- Yog tias kev taug kev nyuaj heev uas koj ua tsis tau tej haujlwm ib txwm.
- Yog koj ob txhais ceg mob txawm tias tsuas yog sawv ntsug xwb.
- Yog koj muaj qhov txhab ntawm koj ceg uas yuav tsis kho.
Cov xwm txheej thaum koj xav tau mus rau tsev kho mob sai sai:
Yog tias koj txhais ceg cia li loog, tsis tuaj yeem txav mus los, lossis nws muaj xim txawv (daj lossis ntshav) thiab txias dua li lwm txhais ceg, nws txhais tau tias cov ntshav ntws tau nres tam sim ntawd. Qhov no yog xwm txheej ceev. Koj yuav tsum mus rau ETU (Chav Kho Mob Xwm Ceev) tam sim ntawd.
Kab mob PAD yog ib yam mob uas yuav kho tau mus ib txhis. Tab sis yog tias koj tswj tau zoo, koj tuaj yeem ua neej nyob li qub. Nws yog ib qho tseem ceeb uas yuav tsum tau sib cuag nrog koj tus kws kho mob tsis tu ncua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis txhob tsis quav ntsej qhov mob ceg thaum taug kev vim nws yog ib qho ib txwm muaj. Nws yuav yog ib qho cim qhia tias muaj kab mob Peripheral Artery Disease (PAD).
- PAD tsis yog ib yam kab mob ntawm ceg xwb. Nws yog ib qho cim qhia tias koj muaj feem yuav mob plawv thiab mob hlwb.
- Kev haus luam yeeb thiab ntshav qab zib yog ob yam tseem ceeb uas ua rau muaj tus kab mob no. Yog tias koj haus luam yeeb, tso tseg hnub no.
- Tus kab mob no yuav tswj tau zoo los ntawm kev hloov pauv koj txoj kev ua neej (ua si nawv, noj zaub mov zoo) thiab siv cov tshuaj uas koj tus kws kho mob tau sau ntawv kom noj.
- Ua tib zoo saib xyuas koj ob txhais taw. Xyuas lawv txhua hnub, ua kom lawv huv si, thiab hnav khau kom haum.
- Tsis txhob tso tseg cov tsos mob. Mus ntsib kws kho mob tam sim ntawd kom tau txais kev qhia. Nws tuaj yeem cawm koj ceg thiab koj txoj sia.
Kab mob ntawm cov hlab ntsha peripheral, PAD, mob ceg, plaub hau poob, cov hlab ntsha txhaws, atherosclerosis, haus luam yeeb, ntshav qab zib
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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