Koj puas muaj cov leeg ntshav tom qab koj lub hauv caug? (Popliteal Aneurysm) Cia peb tham txog nws!

Koj puas tau pom tias muaj ib lub pob zoo li lub npas nyob tom qab koj lub hauv caug, qhov chaw uas lub hauv caug khoov? Tej zaum koj yuav tau hnov ​​​​​​mob me ntsis, hnyav, lossis tsuas yog ib lub pob hauv koj txhais tes. Feem ntau, koj yuav xav tias qhov no tsis yog dab tsi loj, tab sis qee zaum, qhov no tuaj yeem yog ib qho mob hu ua Popliteal Aneurysm . Tsis txhob txhawj, peb yuav tham txog qhov no kom meej thiab yooj yim heev hnub no.

Aneurysm ntawm lub hlwb popliteal yog dab tsi?

Hais yooj yim xwb, ib qho aneurysm popliteal yog ib qho o ntawm cov hlab ntsha tseem ceeb tom qab koj lub hauv caug, lub artery popliteal . Nws zoo li ib lub yeeb nkab dej tawg ntawm ib qho chaw. Nws tuaj yeem tshwm sim rau ob txhais ceg rau qee tus neeg.

Thaum cov leeg ntshav o li no, tej teeb meem yuav tshwm sim. Koj paub li cas?

• Qhov chaw o ntawd tuaj yeem tawg .
• Ib qho ntshav txhaws tuaj yeem tsim (thrombose) nyob ntawd, thiab ib daim ntawm nws tuaj yeem tawg thiab ua rau cov leeg ntshav hauv ceg qis txhaws.
• Los yog tag nrho cov hlab ntsha yuav raug thaiv.

Yog tias muaj tej yam zoo li no tshwm sim, tej zaum yuav muaj kev puas tsuaj loj rau ceg, qee tus neeg yuav poob lawv ceg, lossis txawm tias lawv lub neej yuav raug cuam tshuam. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Tus mob no feem ntau tshwm sim li cas?

Cov hlab ntsha hauv lub plawv tsis tshua muaj neeg mob. Raws li kev suav txheeb, lawv tshwm sim rau kwv yees li ib tus ntawm 100,000 tus poj niam. Ntawm cov txiv neej, tus nqi siab dua me ntsis, ntawm kwv yees li 7 tus ntawm 100,000.

Txawm li cas los xij, txawm hais tias nws tsis tshua muaj ntau, thaum piv rau lwm cov aneurysms hauv lub cev, nws yog qhov thib ob feem ntau aneurysm tom qab plab aortic aneurysm . Qhov xav tsis thoob, muaj kev sib txuas ntawm ob qho no. Kwv yees li ib nrab ntawm cov neeg uas muaj popliteal aneurysm kuj tseem yuav muaj aneurysm hauv plab aorta. Yog li ntawd, yog tias tus kws kho mob txheeb xyuas ib qho ntawm ob qho no, nws yog ib qho tseem ceeb heev uas yuav tsum kuaj xyuas lwm qhov.

Cov tsos mob ntawm qhov no yog dab tsi?

Feem ntau, cov neeg uas muaj cov hlab ntsha popliteal aneurysm tsis qhia cov tsos mob . Qhov ntawd yog qhov ua rau nws ntshai me ntsis. Txawm li cas los xij, yog tias cov tsos mob tshwm sim, nws tuaj yeem ua rau tuag taus.

Xav txog seb, yuav ua li cas yog tias cov leeg ntshav uas o ntawd tam sim ntawd tawg (ruptured)?

• Tej zaum yuav muaj mob hnyav tom qab lub hauv caug.
• Thaj chaw ntawd yuav o tuaj .
• Tej zaum yuav muaj cov pob zoo li mob nqaij .

Los yog, yuav muaj cov tsos mob dab tsi tshwm sim yog tias cov ntshav txhaws tsim nyob rau hauv cov leeg ntshav ntawd, ib daim ntawm nws tawg, thiab cov ntshav ntws mus rau ceg tsis txav (embolized lossis thrombose)?

• Mob ceg.
• Zoo li koj txhais ceg yuav loog .
• Ob txhais taw txias zuj zus .
• Cov leeg nqaij ceg qaug zog zuj zus .
• Tawv nqaij cegNws hloov daj ntseg.

Yog tias koj muaj ib qho ntawm cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd , vim qhov no tuaj yeem ua rau muaj mob hnyav uas tuaj yeem ua rau cov ntshav ntws mus rau ob txhais ceg tsis zoo.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Cov kws tshawb nrhiav tseem tsis tau paub meej tias yog dab tsi ua rau muaj tus kab mob popliteal aneurysm, tab sis lawv xav tias muaj ob peb yam uas tuaj yeem pab txhawb rau nws:

• Kev o: Qhov no hais txog txhua yam o lossis kev kis kab mob uas tshwm sim hauv cov phab ntsa ntawm cov hlab ntsha.
• Kab mob Atherosclerosis: Qhov no yog thaum cov tshuaj xws li cov roj cholesterol sib sau ua ke hauv cov hlab ntsha, ua rau cov phab ntsa ntawm cov hlab ntsha tuab. Qhov no tuaj yeem ua rau cov hlab ntsha tsis yoog tau thiab tsis muaj zog.
• Kev raug mob ntawm cov hlab ntsha popliteal: Rau qee tus neeg, cov hlab ntsha loj no tuaj yeem raug nias los ntawm cov leeg lossis lwm cov nqaij mos tom qab lub hauv caug. Raws li lub sijhawm dhau mus, qhov kev nias no tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau muaj aneurysm.
• Kev Raug Mob: Qhov mob no kuj tseem tuaj yeem tshwm sim vim yog raug mob hnyav rau lub hauv caug lossis thaj chaw ib puag ncig.

Leej twg yuav muaj feem ntau dua rau qhov no? (Cov yam ntxwv ntawm kev pheej hmoo)

Tam sim no cia peb saib leej twg muaj feem yuav mob qhov no (Popliteal Aneurysm).

• Yog tias ib tug neeg hauv koj tsev neeg tau muaj aneurysms zoo li no: Yog tias koj niam, txiv, lossis cov kwv tij neej tsa tau muaj aneurysms zoo li no, koj kuj muaj kev pheej hmoo me ntsis.
• Rau cov neeg dawb: Kev tshawb fawb tau qhia tias tus mob no feem ntau tshwm sim ntawm cov neeg dawb.
• Rau cov neeg hnub nyoog tshaj 50 xyoo: Qhov kev pheej hmoo no nce ntxiv thaum cov hlab ntsha qaug zog thaum laus.
• Rau cov txiv neej: Raws li peb tau hais ua ntej, qhov no feem ntau tshwm sim ntawm cov txiv neej.
• Cov neeg uas muaj teeb meem ntawm cov nqaij sib txuas: Cov neeg uas muaj kab mob uas ua rau cov qhov ntawm lub cev uas txuas cov nqaij tsis muaj zog kuj muaj feem yuav mob ntau dua.
• Rau cov neeg uas siv cov khoom luam yeeb: Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj loj heev. Qhov ntawd kuj yog ib qho ua rau muaj qhov no.
• Rau cov neeg uas muaj atherosclerosis: Qhov no kuj yog ib qho tseem ceeb uas ua rau cov hlab ntsha tsis muaj zog.

Qhov no ua rau muaj teeb meem dab tsi?

Yog tias koj muaj ib qho aneurysm popliteal, muaj ntau yam teeb meem uas tuaj yeem tshwm sim. Raws li peb tau tham txog me ntsis ua ntej:

• Kev thaiv cov ntshav ntws mus rau ceg: Yog tias cov ntshav txhaws hauv cov leeg ntshav thiab ib daim tawg thiab thaiv cov leeg ntshav hauv ceg qis, nws tuaj yeem txiav cov ntshav ntws mus rau ceg tag nrho. Qhov no txaus ntshai heev.
• Kev tawg ntawm aneurysm: Qhov no kuj yog qhov xwm txheej ceev.
• Kev nias ntawm cov leeg ntshav popliteal: Cov leeg ntshav o tuaj yeem nias cov leeg ntshav uas khiav ze thiab nqa cov ntshav qias neeg mus rau ceg.
• Kev nias ntawm cov hlab ntsha:Tsis tas li ntawd xwb, kev nias ntawm cov hlab ntsha uas khiav hla thaj chaw ntawd tuaj yeem ua rau loog thiab mob hauv ob txhais ceg.

Tus kws kho mob kuaj qhov no li cas? (Kev kuaj mob)

Kev kuaj mob popliteal aneurysm qee zaum yuav nyuaj me ntsis, vim tias cov mob xws li cov leeg ntshav tob (DVT) thiab Baker's cyst , lub hnab dej puv tom qab lub hauv caug, kuj tuaj yeem ua rau muaj cov tsos mob zoo sib xws. Yog li, tus kws kho mob yuav txiav txim siab ua ntej tias tsis muaj cov mob ntawd.

Yuav kom paub tseeb tias koj muaj mob dab tsi, koj tus kws kho mob yuav ua tib zoo saib xyuas thaj chaw tom qab koj lub hauv caug. Tej zaum koj yuav hnov ​​lossis pom cov leeg ntshav o. Tej zaum koj kuj yuav hnov ​​nws dhia nrog koj lub plawv dhia.

Koj tus kws kho mob yuav piav qhia koj qhov aneurysm li 'fusiform' (txhais tau tias nws bulges ncig tag nrho cov hlab ntsha zoo li lub npas) lossis 'saccular' (txhais tau tias nws bulges tsuas yog ib sab ntawm cov hlab ntsha).

Yuav ua li cas thiaj kuaj tau?

Tus kws kho mob yuav xaj ntau yam kev kuaj mob kom paub tseeb tias yog tus kab mob thiab ntsuas qhov tsim nyog los npaj kev kho mob.

• Kev kuaj mob duplex ultrasound: Qhov no yog qhov kev kuaj mob uas siv ntau tshaj plaws, yooj yim, thiab tsis mob. Nws tuaj yeem kuaj xyuas qhov loj ntawm cov leeg ntshav thiab seb cov ntshav ntws zoo li cas.
• Kev Siv Tshuab Xoo Hluav Taws Xob Los Ntawm Tshuab Xoo Hluav Taws Xob (Computed Tomography Angiography - CTA): Qhov no yog kev kuaj uas siv cov duab X-ray thiab cov xim tshwj xeeb (cov xim sib txawv). Nws tuaj yeem tsim cov duab ntxaws ntxaws ntawm cov hlab ntsha.
• Kev Siv Magnetic Resonance Angiography (MRA): Qhov no siv cov teb magnetic thiab cov nthwv dej xov tooj cua los tsim cov duab ntawm cov hlab ntsha. Nws muaj qee qhov zoo dua li CTA.
• Kev Siv Digital Subtraction Angiography: Qhov no yog ib qho kev kuaj mob uas nyuaj me ntsis. Ib lub raj me me raug ntxig rau hauv cov leeg ntshav, ib qho xim zas raug txhaj tshuaj, thiab cov duab X-ray raug thaij. Qhov no feem ntau ua thaum npaj phais.

Yog tias koj tus kws kho mob kuaj pom tias koj muaj ib qho aneurysm popliteal, lawv yuav kuaj koj lwm ceg thiab koj lub plab kom pom tias puas muaj aneurysms nyob ntawd. Vim tias, raws li peb tau hais ua ntej, ntau tus neeg uas muaj tus mob no kuj muaj aneurysms hauv lawv lwm ceg thiab cov hlab ntsha tseem ceeb hauv lawv lub plab. Yog tias muaj lwm yam aneurysms, lawv yuav tsum tau saib xyuas nrog kev ntsuas ultrasound thoob plaws lawv lub neej.

Thaum twg kho qhov no?

Kev kho mob rau qhov mob popliteal aneurysm sib txawv nyob ntawm koj tus mob. Feem ntau, qhov txoj kab uas hla ntawm qhov aneurysm yog 2 centimeters (cm).Yog tias nws loj dua li ntawd (kwv yees li ib nti), nws muaj kev pheej hmoo siab dua ntawm kev tawg. Qhov no yog li ob npaug ntawm txoj kab uas hla ntawm cov leeg ntshav ib txwm muaj. Yog tias koj muaj cov ntshav txhaws hauv koj lub aneurysm, koj tus kws kho mob yuav txiav txim siab kho nws txawm tias nws me dua li ntawd los xij, vim muaj kev pheej hmoo tias ib daim ntawm nws yuav tawg thiab thaiv cov ntshav ntws mus rau koj ceg.

Yog tias koj lub aneurysm popliteal me dua 2 centimeters, thiab koj tsis muaj tsos mob, koj tus kws kho mob yuav saib xyuas nws tsis tu ncua kom pom tias nws puas loj zuj zus.

Kuv puas yuav tsum tau phais?

Yog tias koj muaj cov tsos mob vim yog popliteal aneurysm, thiab/lossis yog tias nws loj dua 2 centimeters (txawm tias tsis muaj tsos mob), koj tus kws kho mob yuav pom zoo kom phais ('popliteal aneurysm repair') ua kev kho mob.

Cov kev kho mob yog dab tsi?

Muaj ob txoj kev kho mob tseem ceeb.

1. Phais qhib:

Hauv txoj kev kho mob no, tus kws kho mob yuav khi cov leeg ntshav saum toj thiab hauv qab ntawm lub aneurysm, hloov txoj kev ntws ntshav. Qhov no feem ntau yuav siv cov leeg ntshav los ntawm lwm qhov ntawm koj lub cev. Qhov no txhais tau tias yuav muaj ib txoj kev tshiab los ntawm cov leeg ntshav saum lub aneurysm mus rau cov leeg ntshav hauv qab lub aneurysm. Tom qab ntawd, lub aneurysm yuav raug khi thiab thaiv ('ligated').

2. Txoj kev kho mob endovascular:

Qhov no yog ib txoj kev kho mob tshiab. Nws yog siv tshwj xeeb rau cov neeg uas muaj lwm yam mob ntev uas muaj feem yuav mob hnyav dua los ntawm kev phais qhib. Hauv txoj kev kho mob no, ua ib lub qhov me me rau ntawm ceg sab saud, ib txoj hlua hlau raug ntxig rau hauv nws, thiab ib lub cuab yeej hlau mesh (stent graft) raug ntxig rau saum lub aneurysm. Thaum lub stent graft hla lub aneurysm, cov ntshav ntws ncaj qha los ntawm saum toj mus rau hauv qab lub aneurysm. Vim tias tsis muaj ntshav ntws ncaj qha mus rau lub aneurysm, nws maj mam ntsws, txhaws, thiab tsis ua haujlwm.

Yuav kho li cas thaum muaj xwm txheej ceev:

Yog tias koj muaj cov ntshav txhaws hauv koj ceg, uas thaiv cov ntshav ntws mus rau koj ceg, kev kho mob yuav txawv me ntsis. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav muab cov tshuaj ua kom cov ntshav nyias rau koj ua ntej, xws li heparin, los ntawm kev txhaj tshuaj IV. Tom qab ntawd, yuav ua angiogram kom rov qab tau cov ntshav ntws mus rau ceg thiab ko taw uas raug mob. Hauv qee kis, lawv yuav muab cov tshuaj ua kom cov ntshav nyias rau koj (thrombolytics) kom yaj cov ntshav txhaws, lossis lawv yuav sim tshem ib feem ntawm cov ntshav txhaws siv cov khoom siv tshwj xeeb (cov khoom siv nqus ntshav).

Kev kho mob puas tuaj yeem ua rau muaj teeb meem?

Ib yam li kev phais mob, qee qhov teeb meem tuaj yeem tshwm sim thaum lub sijhawm kho mob Popliteal Aneurysm.

• Ntshav txhaws hauv ceg (embolism).
• Kev txiav ceg:Qhov no tshwm sim tsawg heev, tsuas yog thaum tsis muaj lwm txoj kev xaiv.
• Cov stents tawg, txav tawm ntawm qhov chaw, lossis tsis qhib.
• Bypass graft blockage.
• Kev raug mob ntawm cov hlab ntsha.
• Kev txhaws ntawm cov hlab ntsha tob.

Tus kws kho mob yuav piav qhia cov no rau koj kom meej ua ntej phais.

Yuav siv sijhawm ntev npaum li cas thiaj kho tau?

Tom qab phais qhib, koj yuav tsum nyob hauv tsev kho mob li ob mus rau peb hnub. Tom qab siv txoj kev endovascular, lub sijhawm rov zoo feem ntau luv dua. Txawm li cas los xij, nws yuav siv sijhawm me ntsis kom rov zoo tag nrho. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia thaum lub sijhawm ntawd.

Koj yuav tsum tau xav li cas thaum koj nyob nrog tus mob no?

Txawm tias koj tsis muaj cov tsos mob ntawm tus kab mob popliteal aneurysm tam sim no los xij, koj yuav muaj cov tsos mob yav tom ntej. Thiab tej zaum yuav muaj teeb meem tshwm sim.

Ib qho aneurysm popliteal tsis tshua muaj. Qhov uas feem ntau tshwm sim yog tias cov ntshav txhaws tawg thiab thaiv cov leeg ntshav hauv koj ceg. Yog tias koj muaj kev phais endovascular, koj yuav muaj tsawg dua qhov teeb meem ntsig txog qhov txhab dua li kev phais qhib. Txawm li cas los xij, cov txheej txheem kho yuav tsis kav ntev npaum li kev phais qhib.

Qhov kev kwv yees yog dab tsi? (Outlook/Prognosis)

Yog tias koj tau kho qhov aneurysm popliteal ua ntej cov tsos mob tshwm sim, koj qhov kev kwv yees yuav zoo dua . Kev tshawb fawb tau pom tias 80% ntawm cov neeg uas muaj bypass graft tseem muaj lawv cov hlab ntsha tshiab ua haujlwm zoo tsib xyoos tom qab.

Txawm li cas los xij, yog tias koj muaj cov tsos mob vim yog aneurysm, koj qhov kev xav yuav tsawg dua.

Ib txoj kev tshawb nrhiav pom tias tsuas yog ntau tshaj ib nrab ntawm cov neeg uas tau phais rau qhov tawg ntawm cov hlab ntsha popliteal aneurysm uas tseem muaj sia nyob ib xyoos tom qab. Tsis tas li ntawd, kwv yees li 15% ntawm cov neeg uas muaj cov ntshav txhaws hauv cov hlab ntsha popliteal aneurysm yuav tsum tau txiav lawv txhais ceg.

Tsis txhob ntshai cov ntaub ntawv no. Cov no tsuas yog cov ntaub ntawv dav dav xwb. Tej yam no tuaj yeem hloov pauv nyob ntawm koj tus mob, kev kho mob uas koj tau txais, thiab koj saib xyuas koj tus kheej li cas. Yog li, tham nrog koj tus kws kho mob thiab tau txais cov ntaub ntawv uas cuam tshuam rau koj qhov xwm txheej.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo no?

Cov kws kho mob ntseeg tias qhov ua rau muaj kab mob popliteal aneurysm yog atherosclerosis . Yog li, yog tias koj tuaj yeem tswj tau qhov mob ntawd, koj tuaj yeem txo qhov kev pheej hmoo no.

• Tsum tsis txhob siv cov khoom haus luam yeeb kiag li. Qhov no yog qhov tseem ceeb tshaj plaws.
• Khaws koj cov roj cholesterol kom zoo li qub.
• Yog koj muaj ntshav siab , tswj nws kom zoo.
• Noj cov khoom noj uas zoo rau lub plawv uas tsis muaj roj ntau.
• Ua si qoj ib ce tsawg kawg yog 150 feeb hauv ib lub lim tiam.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog koj haus luam yeeb, kev tso tseg yuav pab tau koj txoj kev noj qab haus huv heev. Tsis tas li ntawd, yog tias koj muaj ib qho ntawm cov mob hauv qab no, ua cov kauj ruam los tswj lawv:

• Cov roj cholesterol ntau (Hyperlipidemia)
• Ntshav siab (Tshuaj ntshav siab)
• Kab mob ntshav qab zib

Tom qab phais lawm, koj tus kws kho mob yuav qhia koj kom noj cov tshuaj antiplatelets, xws li aspirin, kom txo qhov kev pheej hmoo ntawm cov ntshav txhaws hauv koj txoj kev bypass. Nco ntsoov mus ntsib koj tus kws kho mob. Koj yuav tsum tau kuaj xyuas tsis tu ncua kom paub tseeb tias koj txoj kev bypass ua haujlwm zoo. Qhov no tseem ceeb heev tom qab phais thiab thaum lub sijhawm saib xyuas aneurysm kom txog thaum txiav txim siab phais.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Tom qab kho qhov mob popliteal aneurysm, koj yuav tsum tau kuaj xyuas ultrasound tsis tu ncua kom paub tseeb tias koj txoj kev bypass ua haujlwm zoo. Nws yog ib qho tseem ceeb kom muaj cov kev kuaj xyuas no thaum lub hlis thawj, lub hlis thib peb, lub hlis thib rau, thiab ib xyoos tom qab phais, thiab tom qab ntawd txhua xyoo rau ntau xyoo tom qab ntawd.

Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ?

Yog koj xav tias koj lub Popliteal Aneurysm tau tawg lossis cov ntshav txhaws tau txhaws , mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd. Cov tsos mob hauv qab no yuav tshwm sim:

• O ntawm lub hauv caug los yog hauv ceg.
• Cov pob zoo li mob qog tshwm sim.
• Mob hnyav heev.
• Ceg tsis muaj zog .
• Taw txias .
• Nyuaj siab txav ceg uas raug mob.

Koj yuav tsum nug tus kws kho mob li cas?

Thaum koj pom tias koj muaj Popliteal Aneurysm, nws yog ib qho ib txwm muaj ntau cov lus nug hauv koj lub siab. Koj tuaj yeem nug koj tus kws kho mob cov lus nug xws li:

• "Kws kho mob, kuv (Popliteal Aneurysm) loj npaum li cas?"
• "Kuv puas xav tau phais tiag?"
• "Phais mob twg zoo tshaj plaws rau kuv tus mob?"
• "Kuv puas muaj ib qho aneurysm popliteal tom qab kuv lwm lub hauv caug?"
• "Kuv puas muaj aneurysm ntawm lub plab aortic?"

Nws yog ib qho ib txwm muaj uas koj yuav xav tias ntxhov siab me ntsis thaum koj pom tias koj muaj ib qho aneurysm popliteal. Tham nrog koj tus kws kho mob txog lub sijhawm zoo tshaj plaws los kho koj qhov aneurysm thiab qhov twg zoo tshaj plaws rau koj.Koj tuaj yeem txhim kho koj txoj kev noj qab haus huv los ntawm kev tsis haus luam yeeb thiab tswj koj cov ntshav siab thiab cov roj cholesterol. Yog tias koj xav tau kev pab txog qhov no, nug koj tus kws kho mob.

Ob peb yam uas kuv xav tias tseem ceeb rau koj (Cov Lus Coj Mus Tsev)

Zoo, yog li tam sim no koj nkag siab zoo txog yam peb tau tham txog hnub no (Popliteal Aneurysm). Nov yog qee yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:

• Ib qho aneurysm popliteal yog qhov o ntawm cov hlab ntsha tseem ceeb tom qab lub hauv caug.
• Feem ntau, tsis muaj tsos mob dab tsi li. Txawm li cas los xij, yog tias muaj cov tsos mob tshwm sim (xws li mob tom qab lub hauv caug, o, loog ntawm ceg, lossis xav tias txias) , mus ntsib kws kho mob tam sim ntawd.
• Tej yam xws li haus luam yeeb, roj cholesterol ntau, thiab ntshav siab tuaj yeem cuam tshuam rau qhov no.
• Muaj kev kho mob, nrog koj tus kws kho mob tham txog lawv.
• Qhov kev pheej hmoo no tuaj yeem txo tau los ntawm kev ua neej noj qab haus huv .

Nws tsis yog ib yam dab tsi uas yuav tsum ntshai, tab sis yog ib yam dab tsi uas yuav tsum txhawj txog. Ua tib zoo saib xyuas koj lub cev. Yog tias koj pom muaj dab tsi txawv txawv, tsis txhob ncua sijhawm mus ntsib kws kho mob. Noj qab nyob zoo!

` Popliteal aneurysm, varicose veins tom qab lub hauv caug, varicose veins, mob hauv caug, ntshav txhaws hauv ceg, phais cov hlab ntsha, atherosclerosis