Koj puas hnov mob lossis mob hauv koj ob txhais ceg, tshwj xeeb tshaj yog hauv koj cov pob tw, thaum koj taug kev, tshwj xeeb tshaj yog rau kev mus deb me ntsis? Puas yog nws ploj mus tom qab koj zaum ib pliag thiab so, tab sis nws puas rov qab los thaum koj taug kev? Yog tias yog, qhov no yog ib yam dab tsi uas yuav tseem ceeb rau koj. Peb hu qhov mob no ua 'Peripheral Artery Disease' , lossis luv luv PAD . Cia peb tham txog nws yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.
'Kab Mob Peripheral Artery' yog dab tsi?
Hais yooj yim xwb, Kab mob Peripheral Artery yog ib qho mob uas cov rog (plaque) sib sau ua ke hauv cov hlab ntsha uas nqa cov ntshav mus rau koj ob txhais ceg, maj mam ua rau lawv nqaim. Xav txog nws zoo li cov kav dej uas raug txhaws nrog av thiab maj mam txo cov dej ntws. Peb cov hlab ntsha zoo li cov kav dej. Lawv du heev sab hauv, yog li cov ntshav tuaj yeem ntws tau zoo yam tsis muaj kev txhaws.
Txawm li cas los xij, thaum cov 'plaque' (ib txheej rog thiab cholesterol) no maj mam tsim rau ntawm phab ntsa ntawm cov hlab ntsha, qhov chaw hauv cov hlab ntsha yuav me dua. Hauv kev kho mob, qhov no kuj hu ua 'atherosclerosis' . Qee zaum, qhov chaw tawv ntawm cov 'plaque' no tawg, ua rau 'platelets' (ib hom qe ntshav uas pab cov ntshav txhaws) tsim, ua rau cov hlab ntsha nqaim ntxiv.
Thaum cov hlab ntsha raug thaiv, cov ntshav yuav tsis ntws hla nws. Cov nqaij ntawm ob txhais ceg uas cov hlab ntsha ntawd muab rau lawv yuav tsis muaj oxygen thiab cov as-ham. Qhov no tuaj yeem ua rau cov nqaij ntawd puas tsuaj thiab thaum kawg ua rau lawv tuag (gangrene) . Qhov mob no feem ntau cuam tshuam rau cov ntiv taw thiab taw.
Muaj ib txhia neeg mob PAD sai, thaum lwm tus mob qeeb dua. Muaj ntau lwm yam uas cuam tshuam rau qhov no, xws li qhov chaw uas cov quav hniav nyob hauv koj lub cev thiab koj txoj kev noj qab haus huv tag nrho.
Kab mob 'peripheral artery disease' (PAD) no muaj ntau npaum li cas?
Kab mob PAD yog ib yam mob uas pom ntau dua li koj xav. Kwv yees tias muaj li ntawm 8 txog 12 lab tus tib neeg hauv Tebchaws Meskas uas muaj tus mob no. Txawm li cas los xij, qee zaum lawv kuaj mob tsis raug thiab tsis kho. Yog li ntawd, tus lej tseeb yuav siab dua.
Kab mob PAD cuam tshuam li cas rau kuv lub cev? Cov tsos mob yog dab tsi?
Cov tsos mob tseem ceeb thiab feem ntau ntawm PAD yog claudication . Qhov no yog mob rau ob txhais ceg (tshwj xeeb tshaj yog cov pob tw) thaum koj taug kev lossis ua si. Qhov mob no ploj mus thaum koj so. Qhov no tshwm sim vim tias cov leeg nqaij ceg tsis tau txais oxygen txaus.
Tiamsis cov teebmeem ntawm PAD tsis yog tsuas yog kev nyuaj rau kev taug kev xwb. Nws kuj tseem tuaj yeem ua rau cov qhov txhab uas tsis kho rau ntawm koj ob txhais ceg lossis ko taw.Qhov kev pheej hmoo ntawm kev mob stroke nce ntxiv. Yog tias tus mob PAD hnyav zuj zus, cov qhov txhab no tuaj yeem ua rau cov nqaij tuag (gangrene), thiab tej zaum yuav tsum tau tshem ko taw lossis ceg (amputation). Xav txog peb tus txiv ntxawm Siripala, nws tsis tuaj yeem taug kev luv luv mus rau lub khw, nws ib txwm hais tias nws ceg mob, nws yuav yog ib yam dab tsi zoo li no.
Cov tsos mob ntawm PAD feem ntau yog dab tsi?
Tsis yog txhua tus neeg uas muaj PAD yuav muaj cov tsos mob. Kwv yees li 50% yuav tsis muaj cov tsos mob li. Qhov no tshwm sim maj mam. Cov tsos mob yuav pib tshwm sim thaum cov hlab ntsha nqaim 60% lossis ntau dua.
Cov tsos mob feem ntau muaj xws li:
- Mob, mob plab, lossis mob ceg lossis pob tw (mob ib ntus) uas tshwm sim thaum taug kev lossis nce ntaiv. Qhov no yuav txo qis thaum so.
- Kub hnyiab, mob heev rau ntawm ko taw thiab ntiv taw (mob ischemic rest) txawm tias thaum so, tshwj xeeb tshaj yog thaum pw hauv txaj thaum hmo ntuj .
- Tawv nqaij txias ntawm ko taw.
- Pom kev liab lossis lwm yam xim hloov pauv ntawm daim tawv nqaij.
- Muaj mob ntawm daim tawv nqaij thiab cov nqaij mos ntau zaus (tshwj xeeb tshaj yog rau ntawm ko taw lossis ceg).
- Cov qhov txhab uas tsis kho rau ntawm ko taw thiab ntiv taw.
Tseem Ceeb: Yog tias koj muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob sai li sai tau kom tau txais kev qhia. Vim tias yog tias kuaj pom tias muaj PAD thaum ntxov, kev kho mob tuaj yeem pib ua ntej muaj teeb meem loj xws li mob plawv nres lossis mob hlwb.
Puas muaj cov theem ntawm PAD?
Yog, cov kws kho mob siv ntau txoj kev los faib PAD. Kev faib Fontaine yooj yim dua me ntsis. Nov yog cov theem:
- Theem I: Tsis muaj tsos mob.
- Theem IIa: Mob ceg me ntsis thaum lub sijhawm ua si (mob claudication me ntsis).
- Theem IIb: Mob ceg nruab nrab mus rau mob hnyav (mob claudication nruab nrab mus rau mob hnyav).
- Theem III: Mob ob txhais ceg txawm tias thaum so (Ischemic rest pain).
- Theem IV: Mob qog los yog mob qog ntshav.
Cov teeb meem uas yuav muaj tau ntawm tus kab mob PAD yog dab tsi?
Yog tias tsis kho, cov neeg uas muaj PAD yuav tsum tau txiav ib ceg lossis ib txhais taw (thiab tsis tshua txiav tes) . Qhov kev pheej hmoo no muaj ntau heev rau cov neeg uas muaj ntshav qab zib.
Vim tias peb lub cev ntshav ncig sib txuas ua ke, cov teebmeem ntawm PAD tsis yog tsuas yog rau ntawm ceg uas raug mob xwb. Cov neeg uas muaj atherosclerosis hauv cov hlab ntsha ntawm ob txhais ceg kuj tuaj yeem muaj tus mob no rau lwm qhov hauv lub cev. Qhov no txhais tau tias ib tus neeg uas muaj PAD tuaj yeem muaj tus kab mob coronary artery, mob plawv nres, mob stroke, lossis mob transient ischemic attack (TIA)., uas txhais tau tias muaj feem yuav mob stroke me me ntau dua li ib tus neeg uas tsis muaj PAD. Ib tus neeg uas muaj kab mob plawv muaj li ntawm 1 ntawm 3 tus neeg uas yuav muaj PAD hauv lawv ob txhais ceg.
Dab tsi yog qhov ua rau muaj PAD?
Qhov ua rau mob yog vim muaj cov hlab ntsha ntawm ob txhais ceg (thiab tsis tshua muaj cov caj npab). Ib yam li cov hlab ntsha ntawm lub plawv, cov rog (plaque) sib sau ua ke rau ntawm phab ntsa ntawm cov hlab ntsha, maj mam ua rau cov hlab ntsha nqaim thiab thaum kawg thaiv lawv.
Cov yam uas ua rau muaj tus kab mob PAD yog dab tsi?
Kev haus luam yeeb yog qhov tseem ceeb tshaj plaws thiab muaj zog tshaj plaws uas ua rau muaj PAD thiab nws cov teeb meem. Qhov tseeb, 80% ntawm cov neeg uas muaj PAD yog cov neeg haus luam yeeb tam sim no lossis yav dhau los. Kev haus luam yeeb ua rau muaj kev pheej hmoo ntawm kev mob PAD li ntawm 400%. Nws kuj tseem tuaj yeem ncua qhov pib ntawm cov tsos mob mus txog 10 xyoo.
Piv rau cov neeg tsis haus luam yeeb, cov neeg uas haus luam yeeb thiab muaj PAD feem ntau yuav muaj:
- Kev tuag los ntawm kev mob plawv nres lossis mob stroke .
- Cov txiaj ntsig tsis zoo ntawm kev phais bypass ntawm ob txhais ceg.
- Yuav tsum txiav ib sab caj npab lossis ceg.
Txawm koj yog poj niam los yog txiv neej, koj muaj feem yuav mob PAD yog tias koj muaj ib lossis ntau yam ntawm cov yam no:
- Kev siv cov khoom haus luam yeeb (qhov no yog qhov muaj zog tshaj plaws).
- Muaj mob ntshav qab zib (Diabetes Mellitus).
- Muaj hnub nyoog 50 xyoo lossis laus dua.
- Muaj keeb kwm Asmeskas Dub (txawm hais tias qhov no tsis muaj feem cuam tshuam rau Sri Lanka, nws yog qhov zoo kom paub).
- Muaj keeb kwm ntawm tus kheej lossis tsev neeg muaj kab mob plawv lossis kab mob hlab ntsha.
- Muaj ntshav siab (Hypertension).
- Muaj cov roj cholesterol ntau (Hyperlipidemia).
- Rog plab.
- Muaj teeb meem ntshav txhaws.
- Muaj kab mob raum (qhov no tuaj yeem yog ob qho tib si ua rau muaj kev pheej hmoo thiab yog qhov tshwm sim ntawm PAD).
Yuav kuaj mob PAD li cas? (Kev kuaj mob)
Thaum koj mus ntsib kws kho mob, nws yuav kuaj koj thiab nug txog koj keeb kwm kev mob thiab cov yam uas ua rau muaj kev pheej hmoo. Tej zaum yuav muaj qee qhov kev kuaj mob uas tsis yog phais kom paub seb koj puas muaj PAD thiab, yog tias muaj, nws hnyav npaum li cas. Cov kev kuaj no tuaj yeem pab nrhiav seb puas muaj kev thaiv hauv cov hlab ntsha:
- Cov ntsuas ntsuas ntawm pob luj taws thiab caj npab (ABI): Qhov no ntsuas cov ntshav siab hauv pob luj taws thiab caj npab.
- Kev kaw cov ntaub ntawv ntim ntawm lub plawv (PVR).
- Kev kuaj mob ultrasound ntawm cov hlab ntsha.
Qee zaum, kev kuaj mob hu ua angiogram yuav tsum tau ua kom pom cov hlab ntsha txhaws.
Puas kho tau PAD rov qab tau?
Yog lawm, qee qhov kev tshawb fawb tau qhia tiasKev tawm dag zog thiab tswj cov roj cholesterol thiab ntshav siab tuaj yeem thim rov qab cov tsos mob ntawm PAD.
Yog tias koj kuaj pom thaum ntxov, hloov koj txoj kev ua neej, thiab kho mob, ces koj tus kab mob PAD yuav tsis loj zuj zus tuaj. Yog tias koj xav tias koj muaj feem yuav mob PAD, lossis yog tias koj twb muaj cov tsos mob lawm, mus ntsib koj tus kws kho mob hauv tsev neeg, tus kws kho mob tshwj xeeb txog cov hlab ntsha, lossis tus kws kho mob plawv kom pib ua ib qho kev pab cuam tiv thaiv lossis kho mob tam sim ntawd.
Cov kev kho mob rau PAD yog dab tsi?
Kab mob PAD kho tau los ntawm kev hloov pauv txoj kev ua neej, tshuaj, thiab kev kho mob.
Muaj ob lub hom phiaj tseem ceeb ntawm kev kho mob PAD:
1. Txo koj txoj kev pheej hmoo ntawm cov teeb meem plawv , xws li mob plawv nres thiab mob hlwb.
2. Txo qhov mob thaum taug kev thiab txhim kho koj lub neej zoo.
Kev hloov pauv hauv txoj kev ua neej
Kev kho mob PAD pib nrog kev hloov pauv koj txoj kev ua neej kom txo tau koj cov yam uas ua rau koj muaj feem yuav muaj mob. Nov yog qee yam uas koj ua tau:
- Tso tseg cov khoom haus luam yeeb tag nrho. Nug koj tus kws kho mob txog cov kev pab cuam uas tuaj yeem pab koj tso tseg kev haus luam yeeb.
- Noj zaub mov kom muaj txiaj ntsig zoo uas muaj fiber ntau thiab tsis muaj roj cholesterol, rog, thiab sodium ntau. Tsis txhob noj roj ntau tshaj 30% ntawm tag nrho cov calories txhua hnub. Cov rog uas saturated yuav tsum tsis txhob ntau tshaj 7% ntawm tag nrho cov calories. Tsis txhob noj cov khoom noj uas ua los ntawm cov roj trans, xws li cov roj zaub uas hydrogenated ib nrab thiab cov roj zaub uas hydrogenated.
- Kev Ua Si. Pib ua ib qho kev tawm dag zog tsis tu ncua, xws li kev taug kev. Kev taug kev yog ib qho kev kho mob zoo rau PAD. Cov neeg uas taug kev tsis tu ncua tuaj yeem ua rau lawv taug kev deb dua ua ntej lawv ob txhais ceg mob.
- Tswj lwm yam mob xws li ntshav siab, ntshav qab zib, thiab roj cholesterol siab.
- Ua kom koj txoj kev ntxhov siab tsawg. Tej yam xws li kev tawm dag zog, yoga, thiab kev xav yuav pab tau koj.
- Xyaum ua kom koj txhais taw thiab daim tawv nqaij zoo kom tiv thaiv kev kis kab mob thiab txo qhov kev pheej hmoo ntawm cov teeb meem.
Cov tshuaj
Cov tshuaj xws li cov tshuaj tiv thaiv ntshav siab , cov tshuaj statin , thiab cov tshuaj ntshav qab zib tuaj yeem pab tswj cov yam ua rau muaj PAD thiab txo qhov kev pheej hmoo ntawm kev mob stroke thiab mob plawv nres.
Koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj antiplatelet, xws li aspirin lossis clopidogrel, los tiv thaiv cov ntshav txhaws. Lawv kuj tseem yuav muab tshuaj hu ua cilostazol rau koj kom koj taug kev tau deb dua. Cov tshuaj no pab cov neeg uas muaj kev tawm dag zog claudication ntev dua ua ntej lawv ob txhais ceg mob.
Cov kev pab cuam kev tawm dag zog uas tau saib xyuas
Kev tawm dag zog uas muaj kev saib xyuas los ntawm kws kho mob tuaj yeem pab txo qhov mob ceg thiab pab koj taug kev tau deb dua. Feem ntau qhov no yuav tsum taug kev saum lub treadmill tsawg kawg yog peb hnub hauv ib lub lim tiam.
Cov neeg uas muaj PAD yuav tsum taug kev li 30 txog 60 feeb hauv ib hnub, txawm tias nyob hauv tsev los xij. Cov lus qhia feem ntau yog siv qhov kev tawm dag zog "Pib/Nres":
- Taug kev kom txog thaum qhov mob tsis mob heev, ces nres.
- Tos kom txog thaum qhov mob ploj tag.
- Pib taug kev dua.
Kev kho mob tsawg kawg nkaus lossis phais
Rau ib txhia neeg, txawm tias tom qab ntau lub hlis ntawm kev tawm dag zog thiab noj tshuaj, qhov mob ceg tuaj yeem hnyav heev uas cuam tshuam rau kev ua ub ua no txhua hnub. Hauv cov xwm txheej hnyav dua, nws yuav tsum tau txhim kho cov ntshav ntws kom txo qhov mob txawm tias thaum so, lossis los pab kho qhov raug mob.
Cov mob PAD uas mob hnyav dua, uas ua rau mob hnyav thiab tsis yooj yim taug kev, tej zaum yuav xav tau kev kho mob endovascular (tsis tshua muaj kev cuam tshuam) lossis phais. Qee cov kev kho mob zoo sib xws uas siv rau kab mob plawv kuj siv rau PAD:
- Angioplasty: Siv cov khoom siv zoo li lub npas los nthuav cov hlab ntsha uas raug thaiv.
- Kev tso stent: Ntxig ib lub raj me me kom cov hlab ntsha qhib.
- Kev phais mob hla cov hlab ntsha ntawm lub cev: Tsim lwm txoj hauv kev rau kev ntws ntshav (feem ntau siv lwm cov hlab ntsha hauv lub cev) los hla cov hlab ntsha uas raug thaiv.
- Atherectomy: Tshem tawm cov plaque uas nyob hauv cov hlab ntsha siv ib lub cuab yeej tshwj xeeb.
Tej teeb meem uas yuav tshwm sim tom qab kev kho mob
Yog tias koj muaj teeb meem hauv qab no tom qab cov kev kho mob no, koj yuav tsum qhia rau koj tus kws kho mob tam sim ntawd. Cov no yuav yog cov cim qhia txog kev kis kab mob lossis lwm yam teeb meem:
- O, los ntshav, lossis mob qhov twg tau ntxig lub catheter.
- Mob hauv siab.
- Ua pa nyuaj.
- Kub taub hau los yog mob khaub thuas.
- Kiv taub hau.
- Ob txhais ceg o.
- Mob plab.
- Qhib qhov phais mob.
Yuav siv sijhawm ntev npaum li cas los kho kom rov zoo los ntawm kev kho mob sib txawv nyob ntawm seb koj tau kho mob li cas. Tej zaum koj yuav tsum tau nyob hauv tsev kho mob ib lossis ntau hmos. Txawm hais tias kev phais atherectomy yuav siv sijhawm ob peb hnub los kho kom rov zoo, kev phais angioplasty yuav siv sijhawm li ib lub lim tiam. Kev phais peripheral artery bypass graft yuav siv sijhawm li 6 txog 8 lub lim tiam los kho kom zoo tag nrho.
Yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm PAD? (Kev tiv thaiv)
Thaum koj paub tias koj muaj tej yam uas ua rau koj muaj tus kab mob PAD, tej zaum koj yuav xav tiv thaiv nws. Cov lus qhia rau kev ua kom koj lub plawv noj qab nyob zoo kuj siv tau rau kev saib xyuas koj cov ntshav ncig:
- Tswj koj qhov hnyav.
- Noj cov zaub mov uas muaj roj tsawg, qab zib tsawg, thiab muaj tsawg kawg yog tsib feem ntawm cov txiv hmab txiv ntoo thiab zaub tshiab txhua hnub.
- Tsis txhob siv cov khoom haus luam yeeb.
- Nrog koj tus kws kho mob pom zoo, ua kom koj lub cev tawm dag zog tsawg kawg 30 feeb hauv ib hnub, feem ntau hnub ntawm lub lim tiam.
Yog koj muaj kab mob plawv, nrog koj tus kws kho mob tham txog tej yam uas ua rau koj muaj tus kab mob PAD. Qhia rau koj tus kws kho mob txog tej tsos mob uas koj muaj, xws li mob ceg, tsis muaj zog, lossis loog.
Yog koj muaj PAD, koj yuav xav tau dab tsi?
Ib yam li ntau yam mob nkeeg, PAD yooj yim kho yog tias kuaj pom ntxov. Qhov ceev uas PAD loj hlob mus rau ib tus neeg sib txawv. Nws nyob ntawm ntau yam, suav nrog qhov chaw uas cov plaque nyob thiab koj txoj kev noj qab haus huv tag nrho.
Kab mob PAD yog ib yam mob uas koj yuav muaj thoob plaws koj lub neej. Txawm hais tias tsis muaj kev kho rau kab mob PAD los xij, koj tuaj yeem tswj tau nws. Koj tuaj yeem tiv thaiv kab mob PAD kom tsis txhob hnyav zuj zus los ntawm kev ua cov no:
- Tsis siv cov khoom haus luam yeeb.
- Ua si nawv tsis tu ncua.
- Txo cov rog thiab noj zaub mov zoo.
- Tswj koj cov yam uas ua rau muaj kev pheej hmoo, xws li ntshav qab zib, roj cholesterol ntau, thiab ntshav siab.
Kuv yuav saib xyuas kuv tus kheej li cas? (Kev saib xyuas tus kheej)
Nws yog ib qho tseem ceeb uas yuav tsum saib xyuas koj ob txhais taw kom zoo kom tiv thaiv cov qhov txhab uas tsis kho tau. Kev saib xyuas ko taw rau cov neeg uas muaj PAD suav nrog:
- Hnav cov khau xis nyob thiab haum zoo.
- Xyuas koj txhais taw thiab ob txhais ceg txhua hnub seb puas muaj cov pob liab, cov qhov txiav, cov kab tawg, cov qhov khawb, lossis cov qhov txhab. Tsis tas li ntawd, saib seb puas muaj liab, sov, cov rau tes taw uas loj hlob hauv qhov ncauj, cov pob khaus, thiab cov tawv nqaij tawv. Ib yam li ib tug neeg uas muaj tus kab mob ntshav qab zib, koj yuav tsum tau saib xyuas koj txhais taw.
- Tsis txhob ncua sij hawm kho txawm tias yog teeb meem me me ntawm ko taw lossis daim tawv nqaij los xij.
- Khaws koj ob txhais taw kom huv si thiab noo noo zoo (tsis txhob siv tshuaj pleev rau qhov txhab qhib).
- Tom qab da dej tas, txiav koj cov rau tes thaum lawv tseem mos. Txiav ncaj thiab siv cov ntaub txhuam rau tes los txhuam lawv kom tiaj.
Muaj tej lub sij hawm, koj tus kws kho mob yuav xa koj mus rau kws kho mob ko taw , tshwj xeeb yog tias koj muaj ntshav qab zib. Nws tuaj yeem pab nrog cov pob txha caj qaum, pob txha caj qaum, lossis lwm yam teeb meem ko taw.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Mus ntsib kws kho mob hauv cov xwm txheej hauv qab no:
- Yog koj tau txais kev kis kab mob hnyav rau ntawm qhov txhab ntawm koj txhais taw, qhov kev kis kab mob tuaj yeem kis mus rau koj cov leeg, cov nqaij, cov ntshav, thiab cov pob txha. Yog tias qhov kev kis kab mob hnyav heev, koj yuav tsum tau mus pw hauv tsev kho mob.
- Yog tias nws nyuaj dhau rau kev taug kev txawm tias ua tej haujlwm ib txwm.
- Yog tias koj mob koj ob txhais ceg txawm tias koj so , qhov no yog ib qho cim qhia tias cov ntshav tsis txaus.
Xwm txheej ceev:Yog tias koj tsis hnov koj txhais ceg, tsis txav tau, lossis daim tawv nqaij ntawm nws muaj xim txawv ntawm lwm qhov ntawm koj txhais ceg, mus rau chav kho mob ceev tam sim ntawd. Qhov no txhais tau tias cov ntshav mus rau koj txhais ceg tau nres yam tsis tau ceeb toom.
Kuv yuav tsum nug kuv tus kws kho mob li cas?
- Kuv puas xav tau tshuaj los txo kuv txoj kev pheej hmoo ntawm PAD?
- Thaum kuv pib ib qho kev pab cuam taug kev, kuv yuav tsum taug kev deb npaum li cas?
- Kuv puas xav tau kev phais mob rau PAD?
Thaum kawg, nco ntsoov qhov no (Cov Lus Coj Mus Tsev)
Koj ua tau ntau yam los tiv thaiv lossis qeeb qhov kev loj hlob ntawm Kab Mob Peripheral Artery, lossis PAD, los ntawm kev hloov pauv koj txoj kev ua neej. Mus ntsib koj tus kws kho mob thiab kws kho mob tshwj xeeb txog cov hlab ntsha txhua lub sijhawm, thiab noj tag nrho koj cov tshuaj raws li tau sau tseg. Kev paub txog cov cim ceeb toom ntawm cov teeb meem PAD yuav pab koj paub thaum twg yuav tsum nrhiav kev pab. Saib xyuas koj ob txhais ceg, vim tias lawv yuav nqa koj mus deb heev!
Kab mob ntawm cov hlab ntsha peripheral, PAD, mob ceg, cov hlab ntsha txhaws, kev ncig ntshav, kev haus luam yeeb, ntshav qab zib, roj cholesterol, atherosclerosis, claudication











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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