Kab mob pseudoaneurysm yog dab tsi? Puas yog ib yam dab tsi uas yuav tsum ntshai? Cia peb tham!

Qee zaum koj yuav xav tias zoo li lub pob me me nyob rau hauv koj lub cev, tej zaum yuav mob me ntsis, lossis mob thaum kov. Los yog tom qab kuaj mob, tej zaum yuav muaj lub pob me me lossis o ntawm qhov chaw uas nws tau ua. Tom qab cov no, tej zaum yuav muaj ib qho mob hu ua Pseudoaneurysm, uas peb tab tom tham txog hnub no. Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, cia peb tham txog qhov no yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab. Tsis txhob txhawj, qhov no yog ib yam dab tsi uas tuaj yeem tswj hwm hauv feem ntau.

Dab tsi yog pseudoaneurysm tiag?

Hais yooj yim xwb, pseudoaneurysm yog ib qho o ntawm koj cov hlab ntsha, feem ntau yog cov hlab ntsha, uas tsim thaum muaj me ntsis ntshav sib sau ua ke ntawm qhov chaw raug mob. Nws kuj tseem hu ua "aneurysm cuav" vim tias nws tsis yog aneurysm tiag tiag.

Qhov mob no feem ntau tshwm sim ua ib qho teeb meem ntawm kev kho mob, xws li angiogram. Qhov no yog thaum cov ntshav tsuas yog sau rau hauv ib qho chaw tshwj xeeb ntawm kev puas tsuaj rau cov hlab ntsha. Qhov no txhais tau tias qhov teeb meem nyob rau hauv ib qho chaw.

Qee cov pseudoaneurysms tsis txaus ntshai heev thiab yuav kho tau lawv tus kheej. Tab sis qee qhov loj dua. Yog tias lawv tawg, lawv tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj, txawm tias tuag. Yog li ntawd, nws yog ib qho tseem ceeb heev kom paub tias dab tsi ua rau lawv thiab cov tsos mob yog dab tsi. Tom qab ntawd koj tuaj yeem nrhiav kev pab kho mob sai sai thiab zam cov teeb meem loj.

Qhov txawv ntawm pseudoaneurysm thiab aneurysm tiag tiag yog dab tsi?

Cov no yog ob yam sib txawv kiag li. Qhov xwm txheej thiab cov duab ntawm lawv cov "phab ntsa" sib txawv. Cia peb saib seb qhov ntawd ua haujlwm li cas.

Qhov sib txawv ntawm phab ntsa

Qhov txawv tseem ceeb yog qhov xwm txheej ntawm "phab ntsa" nyob ib puag ncig cov no.

Xav txog nws, qhov tseeb aneurysm yog ib qho bulge uas tsim nyob rau hauv koj cov hlab ntsha. Qhov bulge ntawd cuam tshuam txog peb txheej ntawm phab ntsa hlab ntsha, intima, media, thiab adventitia, tsim nws tus kheej phab ntsa. Qhov ntawd txhais tau tias cov hlab ntsha nws tus kheej bulge tawm.

Tiam sis nyob rau hauv pseudoaneurysm , tsuas yog ib lossis ob ntawm peb txheej ntawm phab ntsa ntawm cov hlab ntsha xwb. Tus so yog ua los ntawm cov ntaub so ntswg sib txuas uas tsim thaum cov hlab ntsha raug mob. Phab ntsa no tsis muaj zog dua li phab ntsa ntawm aneurysm tiag tiag. Nws zoo li ib daim plaster tshiab uas tau muab tso rau ib ncig ntawm lub yeeb nkab qub. Nws tsis muaj zog heev, puas yog?

Feem ntau pseudoaneurysm txuas nrog cov hlab ntsha los ntawm ib feem me me zoo li "caj dab".

Qhov sib txawv ntawm cov duab

Cov hlab ntsha aneurysm muaj ntau yam duab thiab qhov loj. Tab sis lawv feem ntau yuav yog fusiform dua li pseudoaneurysms. Ntawd yog, lawv dav dua hauv nruab nrab thiab nqaim dua ntawm ntug. Nws zoo li muab ib lub pob football tso rau hauv ib lub thom khwm ntev. Nws bulges tawm ntawm txhua sab ntawm cov hlab ntsha.

Txawm li cas los xij, pseudoaneurysm feem ntau zoo li lub hnab. Uas yog, nws yog puag ncig thiab tawm ntawm ib sab ntawm cov hlab ntsha, los ntawm qhov qhib me me hu ua caj dab. Nws zoo li lub npas tawm ntawm phab ntsa cov hlab ntsha. Nws tsis thawb tawm ntawm txhua sab ntawm phab ntsa cov hlab ntsha.

Dab tsi ua rau muaj pseudoaneurysm?

Qhov laj thawj rau qhov no txawv nyob ntawm qhov twg hauv koj lub cev nws tsim. Pseudoaneurysms tuaj yeem muab faib ua ntau hom nyob ntawm qhov twg lawv tsim. Piv txwv li, pseudoaneurysms tshwm sim hauv cov hlab ntsha femoral, cov hlab ntsha visceral, thiab aorta.

Cov pob txha caj qaum Pseudoaneurysms

Qhov no yog hom mob uas feem ntau tshwm sim. Nws tshwm sim hauv cov hlab ntsha ze koj lub puab tais. Nws tuaj yeem tshwm sim los ntawm:

• Tej yam teeb meem ntawm kev kho mob: Tshwj xeeb tshaj yog kev kuaj lossis kev kho mob uas muaj kev ntxig ib lub catheter rau hauv cov hlab ntsha (qhov no yog qhov ua rau tseem ceeb). Xav txog koj tau ua angiogram hauv koj lub qhov ncauj. Qee zaum ib qho qhov txhab me me tuaj yeem tsim nyob ntawd, ua rau muaj qhov mob no.
• Kev raug mob: Yuav tshwm sim los ntawm kev sib tsoo lossis kev raug ntaus hnyav.
• Kev kis kab mob.

Cov tsos mob ntawm Visceral Pseudoaneurysms

Hom kab mob no tsis tshua muaj ntau. Lawv tsim nyob rau hauv cov hlab ntsha uas muab ntshav mus rau koj cov hnyuv, lub qhov ntswg, lossis lub siab. Ua rau:

• Cov teeb meem ntawm kev kho mob lossis phais.
• Kev mob ntawm lub txiav (pancreatitis).

Cov hlab ntsha Aortic Pseudoaneurysms

Qhov no tshwm sim hauv lub aorta, uas yog cov hlab ntsha loj tshaj plaws hauv koj lub cev. Ua rau:

• Kev raug mob hnyav rau thaj tsam hauv siab.
• Kev kis kab mob.
• Cov teeb meem ntawm kev phais plawv.

Cov neeg uas muaj mob xws li Marfan syndrome lossis Loeys-Dietz syndrome muaj feem yuav mob ntau dua vim tias cov mob no ua rau lawv cov hlab ntsha tsis muaj zog.

Cov tsos mob ntawm pseudoaneurysm yog dab tsi?

Saib seb koj puas muaj ib qho ntawm cov tsos mob no:

• Hnov ib lub pob mob thiab mob heev hauv qab koj daim tawv nqaij.
• Hnov mob thaum kov thaj chaw ntawd.
• Tawv nqaij raug mob los yog xim tsis zoo .
• Yog tias lub pob ntawd nias rau ntawm cov hlab ntsha, koj yuav hnov ​​​​​​qhov tingling lossis trickling .

Yog koj pom ib yam dab tsi zoo li no, tshwj xeeb yog tias koj nyuam qhuav muab catheter ntxig rau hauv thiab tau kuaj mob, mus ntsib kws kho mob.

Yuav ua li cas thiaj paub tias muaj pseudoaneurysm?

Thaum koj mus ntsib kws kho mob, nws yuav tham txog koj cov tsos mob thiab tom qab ntawd kuaj koj lub cev. Thaum lub sijhawm kuaj mob no, nws yuav nrhiav cov hauv qab no:

• Puas muaj o ntawm thaj chaw ntawm lub puab tais?
• Puas muaj ib lub pob nyob hauv qab daim tawv nqaij?
• Puas mob thaum koj kov qhov chaw ntawd?
• Puas muaj kev hloov pauv ntawm xim tawv nqaij lossis cov qauv tawv nqaij (tawv nqaij tuag) uas qhia tias muaj teeb meem nrog kev ncig ntshav?
• Koj puas hnov ​​​​​​cov ntshav ntws tsis tu ncua (bruit - lub suab zoo li "broo-ee")?

Ntxiv mus, koj tus kws kho mob kuj tseem yuav ua qhov kev kuaj mob duplex ultrasound. Qhov no yog ib qho txheej txheem uas siv los xyuas cov ntshav ntws hauv koj cov hlab ntsha thiab cov leeg ntshav. Qhov no yog ib qho kev kuaj mob uas tsis mob. Nws tuaj yeem pab txiav txim siab qhov loj me thiab qhov chaw ntawm pseudoaneurysm.

Cov kev kho mob rau pseudoaneurysm yog dab tsi?

Kev kho mob nyob ntawm qhov chaw thiab qhov loj ntawm lub qog. Cov kev xaiv kho mob suav nrog kev soj ntsuam, kev txhaj tshuaj, kev nias, thiab cov txheej txheem minimally invasive. Yog tias cov txheej txheem no tsis ua tiav, kev phais mob tej zaum yuav tsim nyog rau qee kis. Koj tus kws kho mob yuav tham txog kev kho mob zoo tshaj plaws rau koj nrog koj.

Kev Soj Ntsuam

Yog tias koj muaj ib qho me me pseudoaneurysm hauv koj lub qhov ncauj, tsawg dua 2 centimeters hauv txoj kab uas hla, koj yuav tuaj yeem tos nws. Qhov teeb meem no yuav ploj mus nws tus kheej hauv ob peb lub lis piam. Yog li koj tus kws kho mob yuav saib xyuas nws. Koj yuav tsum tau ua duplex ultrasound txhua lub lim tiam kom txog thaum pseudoaneurysm ploj mus. Thaum lub sijhawm no, koj yuav tsum zam txhua yam uas ua rau thaj chaw ntawd hnyav, xws li nqa lossis khoov.

Kev txhaj tshuaj thrombin uas siv ultrasound los pab

Ib qho pseudoaneurysm femoral uas loj dua 2 centimeters lossis mob heev yuav xav tau kev kho mob tam sim ntawd. Txoj kev siv ntau tshaj plaws yog kev txhaj tshuaj thrombin los ntawm ultrasound. Hauv cov txheej txheem no, tus kws kho mob yuav ua rau thaj chaw ntawd tsis hnov ​​​​​​mob. Tom qab ntawd, nyob rau hauv kev coj ntawm ultrasound, ib qho enzyme hu ua thrombin raug txhaj rau hauv pseudoaneurysm. Qhov no yaj cov ntshav txhaws thiab nres qhov ntshav.

Txoj kev kho mob no zoo heev . Muaj tej zaum tsawg tsawg xwb, yog tias qhov no daws tsis tau qhov teeb meem, tej zaum yuav xav tau phais. Tiam sis qhov ntawd tsis tshua muaj.

Kev sib zog ua los ntawm ultrasound

Cov kws kho mob tau siv txoj kev no ntau heev yav dhau los, tab sis kev tshawb fawb tau qhia tias nws tsis ua tiav zoo li kev txhaj tshuaj thrombin thiab muaj kev pheej hmoo ntau dua ntawm cov teeb meem.

Txawm li cas los xij, txoj kev no yuav pab tau rau cov pob txha femoral pseudoaneurysms me me, tsawg dua 1 centimeter, vim tias qhov kev pheej hmoo ntawm cov teeb meem thaum lub sijhawm txhaj tshuaj yuav siab dua me ntsis hauv cov xwm txheej zoo li no.

Cov txheej txheem tsawg kawg nkaus

Cov hlab ntsha visceral pseudoaneurysms tuaj yeem kho tau los ntawm kev siv cov stents lossis cov kauj me me. Cov khoom siv no nres cov ntshav ntws mus rau hauv pseudoaneurysm thiab tiv thaiv cov teeb meem.

Yog koj muaj pseudoaneurysm hauv koj lub aorta, nws yuav tsum tau kho sai sai ua ntej nws tawg. Ib txoj kev cawm siav hu ua endovascular aneurysm repair (EVAR) tuaj yeem kho qhov teeb meem yam tsis tas yuav phais lub plawv qhib.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab kho tas?

Lub sijhawm rov zoo nyob ntawm hom kev kho mob uas koj tau txais thiab koj txoj kev noj qab haus huv tag nrho. Koj tus kws kho mob yuav coj koj mus txog koj txoj kev rov zoo. Tej zaum koj yuav tsum pw (kab rov tav) ob peb teev tom qab kev kho mob. Koj tus kws kho mob yuav saib xyuas koj kom paub tseeb tias tsis muaj teeb meem. Tej zaum koj kuj yuav tsum tsis txhob tsav tsheb lossis tsa cov khoom hnyav ib ntus. Tab sis koj yuav tsum rov qab ua koj cov dej num ib txwm yam tsis muaj teeb meem ua ntej ntev.

Nyob ntawm seb koj tau kho mob li cas thiab koj txoj kev noj qab haus huv, tej zaum koj yuav tau mus ntsib kws kho mob tom qab. Piv txwv li, yog tias koj tau ntxig lub stent, koj tus kws kho mob yuav xav kom paub tseeb tias nws tseem ua haujlwm zoo. Lawv kuj tseem yuav kuaj xyuas seb puas muaj teeb meem lossis kab mob. Nws yog ib qho tseem ceeb rau koj txoj kev noj qab haus huv kom ua raws li cov kev kuaj xyuas no.

Koj yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev tsim cov pseudoaneurysm?

Muaj tej yam uas peb tswj tsis tau, xws li hnub nyoog. Cov neeg uas muaj hnub nyoog tshaj 75 xyoo muaj feem yuav mob pseudoaneurysm ntau dua. Tab sis muaj tej yam mob uas koj tswj tau, xws li rog dhau thiab ntshav siab, uas ua rau koj muaj feem yuav mob ntau dua.

Koj ua tau cov no kom tiv thaiv tau pseudoaneurysm thiab tswj koj txoj kev noj qab haus huv tag nrho:

• Ua raws li kev noj zaub mov zoo rau lub plawv .
• Ua si nawv tsis tu ncua.
• Haus dej ntau .
• Tsis txhob noj cov khoom noj uas muaj ntsev ntau (sodium).
• Pw tsaug zog txaus.
• Tswj kev ntxhov siab .

Yog tias kuv muaj pseudoaneurysm, yuav ua li cas?

Yog tias pseudoaneurysm tawg, nws tuaj yeem ua rau muaj teeb meem loj. Nws tuaj yeem ua rau los ntshav sab hauv thiab txawm tias tuag. Txawm li cas los xij, yog tias kuaj pom thiab kho sai, pseudoaneurysms tuaj yeem tswj tau yooj yim.

Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum paub txog cov tsos mob. Tom qab ntawd koj tuaj yeem paub qhov teeb meem thaum ntxov thiab nrhiav kev pab. Pseudoaneurysms tuaj yeem rov tshwm sim dua yav tom ntej. Yog li ntawd, yog tias koj tau muaj ib qho, nco ntsoov txog cov tsos mob yav tom ntej. Tsis txhob ncua koj tus kws kho mob lub sijhawm teem tseg, thiab qhia rau koj tus kws kho mob txog txhua yam tsos mob lossis kev hloov pauv uas koj pom.

Thaum twg kuv yuav tsum nrhiav kev pab kho mob?

Yog tias koj muaj cov tsos mob ntawm pseudoaneurysm, lossis yog tias koj xav tias muaj qee yam tsis raug, hu rau koj tus kws kho mob tam sim ntawd . Ceev faj tshwj xeeb yog tias koj nyuam qhuav tau txais kev kho mob endovascular (kev kho mob siv catheter). Cov teeb meem tsis tshua muaj. Tab sis yog tias lawv tshwm sim, nws yog ib qho tseem ceeb kom paub txog lawv thaum ntxov.

Ib qho ruptured pseudoaneurysm yog ib qho xwm txheej ceev hauv kev kho mob! Yog tias koj muaj cov tsos mob ntawm ruptured pseudoaneurysm, hu rau 911 lossis mus rau tsev kho mob ze tshaj plaws tam sim ntawd. Cov tsos mob no yuav suav nrog:

Mob heev ntawm qhov chaw muaj pob.

* Mob hauv siab .

Ua pa nyuaj .

* Kev tsis meej pem .

* Ntshav siab qis .

* Lub plawv dhia tsis zoo li qub .

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog tias koj tau kuaj pom tias muaj pseudoaneurysm, tej zaum koj yuav muaj ntau lo lus nug. Pib nug koj tus kheej cov lus xws li:

• Vim li cas kuv thiaj li muaj tus kab mob pseudoaneurysm no?
• Kuv yuav tswj kuv cov tsos mob li cas?
• Cov kev kho mob twg zoo tshaj plaws rau kuv?
• Kuv lub sijhawm rov zoo yuav zoo li cas tom qab kev kho mob?
• Kuv yuav tsum tsis txhob ua dab tsi thaum kuv tab tom kho mob?
• Kuv yuav tsum tsis txhob ua dab tsi thaum lub sijhawm rov zoo?

Koj tus kws kho mob yuav pab koj xis nyob thiab muab cov ntaub ntawv uas koj xav tau rau koj.

Yog tias koj tau muaj pseudoaneurysm ua ntej, nrog koj tus kws kho mob tham txog koj cov kev pheej hmoo yav tom ntej. Nug txog cov no:

• Kuv puas muaj feem yuav rov qab muaj pseudoaneurysm dua?
• Kuv puas muaj lwm yam mob uas cuam tshuam rau kuv txoj kev pheej hmoo?
• Kuv ua tau dab tsi los txo kuv qhov kev pheej hmoo?

Txawm tias koj yeej tsis tau muaj qhov teeb meem no los xij, koj tuaj yeem tham nrog koj tus kws kho mob kom paub ntau ntxiv txog nws. Nug txog tej yam uas koj yuav muaj thiab kawm paub yuav ua li cas kom txo tau koj qhov kev pheej hmoo ntawm cov teeb meem yav tom ntej.

Yog tias koj yuav muaj ib qho kev kho mob uas siv catheter, nrog koj tus kws kho mob tham txog cov kev pheej hmoo. Pseudoaneurysms yog ib qho teeb meem uas tshwm sim ntau ntawm cov txheej txheem no. Tab sis qhov ntawd tsis tau txhais hais tias lawv tshwm sim ntau. Qhov tseeb, kwv yees li ib ntawm ob puas tus neeg muaj qhov teeb meem no tom qab angiogram. Cov txiaj ntsig ntawm cov txheej txheem no ntau dua li cov kev pheej hmoo. Tab sis nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham kom tau txais tag nrho koj cov lus nug.

Thaum kawg, nco ntsoov (Cov Lus Coj Mus Tsev)

Kev nrhiav pom tias koj muaj pseudoaneurysm tuaj yeem ua rau ntshai thiab tsis tau xav txog. Tab sis ua tsaug rau kev kho mob tshiab thiab thev naus laus zis, koj tuaj yeem rov zoo thiab ua neej nyob ib txwm. Qhov tseem ceeb yog kom kuaj pom sai li sai tau thaum cov tsos mob pib. Nws tseem ceeb heev kom paub koj cov yam ntxwv ua rau muaj pseudoaneurysm. Cov teeb meem los ntawm cov txheej txheem kho mob xws li angiogram yog qhov ua rau feem ntau. Tab sis cov yam ntxwv ua rau tus kheej xws li kev rog dhau thiab ntshav siab kuj tuaj yeem ua lub luag haujlwm. Tham nrog koj tus kws kho mob kom paub ntau ntxiv txog koj cov kev pheej hmoo thiab yuav ua li cas tswj lawv. Tsis txhob txhawj, muaj cov kev daws teeb meem rau txhua yam!

` Pseudoaneurysm, cov hlab ntsha, cov hlab ntsha, kev los ntshav, angiogram, kev noj qab haus huv ntawm lub plawv, cov tsos mob