Koj puas muaj tej lub sij hawm koj xav tias koj txhais tes thiab ko taw tsis muaj zog, lossis koj cov ntiv tes thiab cov ntiv taw tsuas yog txias xwb? Koj puas hnov mob hauv koj ob txhais ceg zoo li koj cov leeg nqaij mob thaum koj taug kev? Peb feem ntau tsis quav ntsej txog cov no li tej yam ib txwm muaj. Txawm li cas los xij, cov no yuav yog ib qho cim qhia tias koj cov ntshav ncig, lossis cov ntshav ntws, tsis muaj zog me ntsis. Qhov no tsis yog ib yam kab mob hauv nws tus kheej, tab sis nws yuav yog ib qho tsos mob ntawm lwm yam kab mob. Yog li cia peb tham txog qhov no kom meej, yooj yim, hnub no.
Kev ncig ntshav tsis zoo yog dab tsi?
Xav txog tias peb lub cev zoo li ib lub nroog loj. Txhua lub tsev nyob hauv lub nroog no (uas yog, txhua lub cell hauv peb lub cev) muaj ib txoj kev uas nqa cov khoom tseem ceeb xws li zaub mov, dej, thiab oxygen. Cov kev no yog peb cov hlab ntsha. Cov tsheb uas thauj cov khoom tseem ceeb no raws cov kev no yog peb cov ntshav. Lub hauv paus tseem ceeb, lossis lub cav, ntawm tag nrho cov kev thauj mus los no yog peb lub siab.
Yog li ntawd, thaum lub plawv, cov hlab ntsha (arteries, veins) tag nrho muaj kev noj qab haus huv zoo, qhov kev pabcuam thauj mus los no tshwm sim yam tsis muaj kev cuam tshuam. Txhua lub cell hauv lub cev tau txais cov pa oxygen thiab cov as-ham uas nws xav tau raws sijhawm, thiab cov khoom pov tseg uas tsim tawm hauv cov cell raug coj rov qab.
Kev ntshav tsis zoo txhais tau tias muaj kev thaiv, kev txhaws, lossis teeb meem qhov twg hauv lub cev thauj mus los no. Zoo li tsob ntoo poob rau ntawm txoj kev, ua rau tsheb sib tsoo. Qhov kev thaiv no ua rau cov ntshav tsis txav mus zoo. Tshwj xeeb tshaj yog rau thaj chaw deb tshaj plaws ntawm lub plawv, uas yog, cov ntiv tes thiab cov ntiv taw, muaj cov ntshav tsawg dua.
Qhov teeb meem loj tshaj plaws nrog qhov no yog tias peb cov hlwb tsis tau txais cov pa oxygen txaus. Thaum lawv tsis muaj oxygen, cov hlwb yuav ua tsis tau lawv txoj haujlwm kom zoo. Thaum ntawd cov tsos mob pib tshwm sim.
Cov tsos mob ntawm cov ntshav tsis ncig zoo yog dab tsi?
Thaum cov ntshav ntws hauv lub cev txo qis, ntau yam tsos mob yuav tshwm sim. Cov no feem ntau cuam tshuam rau qee qhov ntawm lub cev, xws li tes, taw, thiab ntiv tes. Cia peb saib seb cov tsos mob no yog dab tsi.
| Cov tsos mob | Hais yooj yim xwb... |
|---|---|
| Kev tsis muaj zog lossis kev xav "hluav taws xob poob siab" hauv cov ceg | Qhov no hu ua kev xav "pins and needles". Qhov kev xav no tuaj yeem tshwm sim thaum cov ntshav mus rau cov hlab ntsha raug txo qis. |
| Tes thiab taw yeej ib txwm txias. | Kev ncig ntshav kuj pab tswj lub cev kub. Thaum cov ntshav ntws tsawg zuj zus, tes thiab taw yuav txias dua li lwm qhov ntawm lub cev. |
| Mob nqaij thaum taug kev | Thaum kuv taug kev luv luv, kuv cov leeg nqaij ceg zoo li lawv raug rhuav thiab mob. Qhov mob no ploj mus thaum kuv zaum ib pliag. Qhov no tshwm sim vim tias cov leeg nqaij ntawd tsis tau txais cov pa oxygen uas lawv xav tau. |
| Kev hloov xim ntawm daim tawv nqaij | Qee zaum daim tawv nqaij yuav daj ntseg lossis xiav vim yog cov ntshav tsis muaj oxygen txaus. |
| Ceg o | Thaum cov ntshav ncig tsis zoo, cov kua dej hauv lub cev tsis tuaj yeem ntws tawm kom zoo thiab tuaj yeem sib sau ua ke rau hauv cov cheeb tsam xws li ob txhais ceg thiab ua rau o. |
| Cov leeg ntshav varicose | Yog tias cov leeg ntshav hauv koj ob txhais ceg zoo li xiav/ntshav thiab sib txuas ua ke, nws kuj tseem yuav yog teeb meem nrog kev ncig ntshav. |
| Mob hauv siab | Yog tias muaj teeb meem nrog cov hlab ntsha uas muab ntshav mus rau lub plawv, koj yuav mob hauv siab. Qhov no yog ib qho tsos mob loj heev . |
Cov ua rau cov ntshav ncig tsis zoo yog dab tsi?
Tsis muaj ib qho ua rau muaj tus mob no, tab sis muaj ntau yam ua rau muaj tus mob no. Feem ntau, cov neeg hnub nyoog tshaj 40 xyoo, cov neeg uas rog dhau, cov neeg uas muaj ntshav qab zib, thiab cov neeg uas tsis tawm dag zog txaus yog cov neeg uas muaj feem yuav mob ntau dua. Cia peb saib cov ua rau mob no tseem ceeb.
| Vim li cas | Muaj dab tsi tshwm sim rau qhov no? |
|---|---|
| Kab mob Atherosclerosis | Hais yooj yim xwb ces, cov roj cholesterol thiab cov rog sib sau ua ke hauv cov hlab ntsha, ua rau cov ntshav tsis ntws. Ib yam li cov av uas sib sau ua ke hauv cov kav dej, ua rau cov dej tsis ntws zoo. |
| Kab mob ntshav qab zib (Diabetes Mellitus) | Thaum cov ntshav qab zib nyob siab ntev heev, nws ua rau cov hlab ntsha puas tsuaj, uas ua rau cov ntshav ntws tsis zoo. |
| Ntshav Siab | Thaum cov ntshav ntws los ntawm cov leeg ntawm qhov siab, cov phab ntsa ntawm cov leeg yuav puas tsuaj thiab tsis muaj zog, uas tom qab ntawd cuam tshuam cov ntshav ntws. |
| Haus luam yeeb | Cov tshuaj lom neeg hauv cov luam yeeb ua rau cov hlab ntsha puas tsuaj ncaj qha, ua rau muaj kev pheej hmoo ntawm atherosclerosis ntau ntxiv. |
| Kev rog dhau | Thaum lub cev hnyav nce ntxiv, qhov kev pheej hmoo ntawm ntau yam kab mob uas cuam tshuam rau kev ncig ntshav, xws li ntshav qab zib, ntshav siab, thiab roj cholesterol, nce ntxiv. |
| Kev Mob Thrombosis Ntawm Cov Hlab Ntsha (DVT) | Qhov no tshwm sim thaum cov ntshav txhaws hauv cov leeg ntshav tob hauv ceg. Qhov no tuaj yeem ua rau cov ntshav ntws mus rau ceg tam sim ntawd. |
| Kev Mob Ntsws Plawv | Qhov no yog ib qho teeb meem loj heev thiab ceev heev.DVT yog thaum ib daim ntshav txhaws uas tsim nyob rau hauv ceg tawg thiab daig rau hauv cov leeg ntshav hauv lub ntsws. |
| Kab Mob Ntawm Cov Hlab Ntxwm (PAD) | Qhov no kuj yog qhov tshwm sim ntawm atherosclerosis. Nws yog ib qho ua rau mob ceg thaum taug kev, tshwj xeeb tshaj yog vim qhov nqaim ntawm cov hlab ntsha uas muab ntshav rau ob txhais ceg. |
| Kab mob Raynaud | Rau cov neeg uas muaj tus mob no, thaum raug cua txias lossis kev ntxhov siab, cov leeg ntshav uas muab ntshav rau cov ntiv tes thiab cov ntiv taw yuav nqaim sai sai. Cov ntiv tes ces yuav daj ntseg, xiav, thiab pib loog. |
Tus kws kho mob yuav kuaj mob no li cas kom meej?
Yog koj muaj cov tsos mob uas tau hais los saum toj no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib koj tus kws kho mob hauv tsev neeg. Nws yuav ua ob peb kauj ruam los kuaj mob.
1. Kev kuaj lub cev: Tus kws kho mob yuav kuaj koj ob txhais caj npab thiab ob txhais ceg. Nws yuav saib seb puas o, puas muaj kev hloov pauv ntawm cov xim tawv nqaij, thiab cov qhov txhab. Nws kuj tseem yuav kuaj lub plawv dhia hauv koj ob txhais caj npab thiab ob txhais ceg.
2. Nug koj cov ntsiab lus: Koj yuav raug nug ntau lo lus nug, xws li koj cov tsos mob yog dab tsi, koj tau muaj lawv ntev npaum li cas, seb koj puas muaj lwm yam kab mob xws li ntshav qab zib lossis ntshav siab, seb koj puas haus luam yeeb, thiab seb puas muaj leej twg hauv koj tsev neeg muaj cov kab mob no.
3. Kev kuaj tshwj xeeb: Yog tias tsim nyog, tus kws kho mob yuav pom zoo kom ua ntau yam kev kuaj zoo li no kom nrhiav tau qhov ua rau muaj qhov teeb meem tseeb.
- Doppler Ultrasound: Qhov no tuaj yeem xyuas qhov ceev ntawm cov ntshav ntws hauv cov hlab ntsha thiab seb puas muaj kev thaiv.
- Kev ntsuas qhov ntsuas ntawm pob taws thiab pob txha caj npab (ABI): Qhov no ntsuas thiab piv cov ntshav siab hauv koj ceg thiab caj npab. Yog tias qhov siab hauv koj ceg qis dua li ntawm koj caj npab, nws txhais tau tias koj ceg tsis tau txais ntshav txaus.
- Angiography lossis CT Scan: Cov kev kuaj no thaij duab meej ntawm cov hlab ntsha thiab tuaj yeem qhia qhov twg thiab ntau npaum li cas thaiv.
- Kev kuaj ntshav: Cov no pab nrhiav cov khoom xws li cov roj cholesterol, cov piam thaj, thiab seb puas muaj teeb meem ntshav txhaws.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb ua rau koj cov ntshav tsis zoo. Koj tus kws kho mob yuav xaiv txoj kev kho mob uas zoo tshaj plaws rau koj. Cov no muaj peb pawg tseem ceeb.
1. Kev hloov pauv txoj kev ua neej
Qhov no yog qhov tseem ceeb tshaj plaws thiab ua ntej tshaj plaws. Txawm tias koj siv tshuaj los xij, yog tias koj tsis ua cov kev hloov pauv no, cov txiaj ntsig yuav tsawg heev.
- Yog koj haus luam yeeb, tsum tam sim ntawd.
- Kev siv cov zaub mov zoo rau kev noj qab haus huv (tsawg roj, ntsev, qab zib, zaub thiab txiv hmab txiv ntoo ntau dua).
- Kev tawm dag zog tsis tu ncua (txawm tias yog ib yam yooj yim xws li kev taug kev li 30 feeb hauv ib hnub kuj muaj txiaj ntsig zoo heev).
- Tswj qhov hnyav ntawm lub cev.
- Yog koj muaj ntshav qab zib, ntshav siab, lossis roj cholesterol, tswj lawv kom zoo.
2. Kev kho mob nrog tshuaj
Nyob ntawm koj tus mob, koj tus kws kho mob yuav sau ntawv rau cov tshuaj xws li:
- Statins: Cov no txo cov roj cholesterol phem hauv cov ntshav thiab tiv thaiv nws kom tsis txhob tso rau hauv cov hlab ntsha.
- Cov tshuaj Antiplatelet: Cov tshuaj xws li aspirin txo qhov kev pheej hmoo ntawm cov ntshav txhaws.
- Cov tshuaj ua kom cov ntshav nyias: Cov tshuaj zoo li Warfarin tiv thaiv cov ntshav txhaws kom tsis txhob loj hlob. Cov no yog muab rau cov mob xws li DVT.
- Cov tshuaj kho ntshav siab.
3. Kev phais thiab lwm yam kev kho mob
Muaj tej lub sij hawm, yog tias qhov kev txhaws ntawm cov hlab ntsha loj heev thiab tsis tuaj yeem tswj tau nrog tshuaj ib leeg xwb, ces yuav tsum tau kho cov kev kho mob zoo li no.
- Angioplasty: Ib txoj kev kho mob uas muab ib lub cuab yeej zoo li lub npuas dej ntxig rau hauv cov hlab ntsha uas raug txhaws thiab ua kom cov hlab ntsha dav dua. Qee zaum muab ib lub cuab yeej me me zoo li daim ntaub mesh hu ua stent ntxig rau hauv kom cov hlab ntsha tsis txhob raug txhaws dua.
- Kev Phais Mob Los Ntawm Txoj Hlab Ntshav: Los ntawm txoj hlab ntshav uas raug thaiv thiab tsim ib txoj kev tshiab los ntawm kev siv ib daim hlab ntshav uas tau los ntawm lwm qhov ntawm lub cev.
- Kev tshem tawm cov ntshav txhaws los ntawm kev siv catheter: Yog tias cov ntshav txhaws loj heev daig, nws raug tshem tawm nrog lub cuab yeej tshwj xeeb.
Thaum twg koj yuav tsum nrhiav kev pab kho mob?
Qhov no tseem ceeb heev. Txawm hais tias qee cov tsos mob yog ib txwm muaj, lwm cov qhia tias muaj xwm txheej ceev. Yog li ntawd, nco ntsoov paub qhov txawv.
| Thaum twg yuav tsum nrhiav kev pab kho mob | |
|---|---|
| Mus ntsib kws kho mob yog tias koj muaj cov tsos mob no: | |
| - | Yog koj muaj cov tsos mob tshiab. |
| - | Yog tias cov tshuaj tam sim no tsis pab txo cov tsos mob. |
| - | Yog tias koj cia li o, liab, lossis mob hauv ib ceg (qhov no yuav yog ib qho cim qhia tias koj muaj DVT). |
| Cov no yog xwm txheej ceev! Mus rau ETU (Emergency Treatment Unit) tam sim ntawd! | |
| - | Mob hauv siab tam sim ntawd, ua pa nyuaj. |
| - | Yog koj tsis muaj kev xav dab tsi hauv koj ob txhais ceg lawm. |
| - | Yog tias koj mob hnyav lossis loog hauv koj ob txhais ceg txawm tias koj sawv ntsug yam tsis tau ua kev tawm dag zog dab tsi los xij. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev ntshav ncig tsis zoo tsis yog ib yam kab mob, nws yog ib qho tsos mob ntawm lwm yam mob.
- Tsis txhob tsis quav ntsej tej yam xws li loog tes thiab taw, txias, lossis mob koj ob txhais ceg thaum koj taug kev. Tham nrog koj tus kws kho mob txog qhov no.
- Qhov zoo tshaj plaws thiab tseem ceeb tshaj plaws uas yuav tsum ua kom tswj tau qhov mob no yog kev ua neej noj qab haus huv . Tso kev haus luam yeeb, kev tawm dag zog, thiab kev noj zaub mov zoo yog qhov tseem ceeb.
- Yog koj muaj cov kab mob xws li ntshav qab zib lossis ntshav siab, kev tswj kom lawv nyob hauv qhov zoo yuav pab tau koj kom cov ntshav ncig tau zoo.
- Mob hauv siab tam sim ntawd, ua pa nyuaj, lossis tsis hnov mob hauv ib ceg yog qhov xwm txheej ceev. Yog tias muaj xwm txheej zoo li no, mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws 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