Koj tus me nyuam puas nkees sai thaum ua si lossis khiav ncig? Nws puas nkees thiab khiav tsis tau zoo li lwm tus menyuam? Koj puas tau pom tias nws daim di ncauj thiab cov ntiv tes qee zaum tig xiav? Cov no qee zaum tuaj yeem yog cov cim qhia txog teeb meem me me ntawm lub plawv. Yog li ntawd, tsis txhob txhawj. Hnub no peb tab tom tham txog Pulmonary Artery Stenosis , ib qho mob plawv uas tuaj yeem tshwm sim rau cov menyuam yaus. Cia peb tham txog txhua yam hauv cov lus yooj yim.
Hais yooj yim xwb, Pulmonary Artery Stenosis yog dab tsi?
Okay, lub npe no yuav zoo li nyuaj me ntsis. Tab sis lub ntsiab lus yooj yim heev. Cia peb nkag siab li no.
Peb lub plawv muaj plaub chav loj. Chav qis dua ntawm sab xis (Right Ventricle) twj cov ntshav tsis huv, uas yog, cov ntshav uas muaj pa oxygen tsawg, mus rau lub ntsws. Cov ntshav no raug nqa mus rau lub ntsws los ntawm ib txoj hlab ntshav loj. Txoj hlab ntshav no hu ua Pulmonary Artery . Hauv lub ntsws, cov ntshav no tau txais pa oxygen, thiab cov ntshav huv rov qab mus rau lub plawv thiab raug twj mus rau tag nrho lub cev.
Tam sim no xav txog tias ib lub yeeb nkab dej raug thaiv qhov twg. Ces nws nyuaj rau dej ntws, puas yog? Ib yam li ntawd, yog tias cov hlab ntsha uas nqa ntshav mus rau lub ntsws (Pulmonary Artery) raug thaiv lossis nqaim hauv ib lossis ntau qhov chaw, qhov ntawd yog qhov peb hu ua '(Pulmonary Artery Stenosis)'. Lo lus stenosis txhais tau tias "blockage" lossis "narrowing".
Thaum cov hlab ntsha no raug thaiv, lub plawv sab xis yuav tsum ua haujlwm hnyav heev thiab siv zog ntau los thawb cov ntshav los ntawm thaj chaw raug thaiv mus rau lub ntsws. Nws zoo li lub cev muaj zog uas yuav tsum siv zog ntau los thawb cov dej hla lub yeeb nkab raug thaiv. Thaum qhov no tshwm sim dhau sijhawm, cov leeg nqaij plawv tuaj yeem raug puas tsuaj.
Vim muaj tus mob no, yuav muaj teeb meem dab tsi tshwm sim?
Yog tias qhov no tsis kho kom zoo, sab xis ntawm lub plawv yuav ua haujlwm hnyav dua, uas thaum kawg tuaj yeem ua rau muaj mob hu ua mob plawv sab xis tsis ua haujlwm zoo . Qhov no txhais tau tias sab xis ntawm lub plawv tsis tuaj yeem tso ntshav mus rau lub cev tau zoo li nws xav tau. Txawm li cas los xij, yog tias kuaj pom thiab kho thaum ntxov, cov mob no tuaj yeem tiv thaiv tau.
Cov tsos mob no yog dab tsi? Koj yuav paub lawv li cas los ntawm kev saib koj tus menyuam?
Yog tias qhov kev txhaws ntawm cov hlab ntsha no tsis hnyav heev, koj tus menyuam yuav tsis pom muaj tsos mob dab tsi. Tab sis thaum qhov kev txhaws hnyav zuj zus, cov tsos mob yuav pib tshwm sim. Saib seb koj tus menyuam puas muaj cov tsos mob no.
| Cov tsos mob | Qhov no txhais li cas? |
|---|---|
| Ua pa nyuaj / ua pa luv luv | Vim tias lub cev tsis tau txais cov pa oxygen txaus, tus menyuam ua pa nyuaj thiab tsaug zog sai sai. |
| Kev qaug zog | Txawm tias tom qab ua si me ntsis lossis taug kev lawm los, tus me nyuam tseem nkees sai sai. Nws tsis tuaj yeem khiav thiab dhia zoo li lwm tus me nyuam. |
| Lub plawv dhia ceev ceev | Vim tias lub plawv yuav tsum ua haujlwm hnyav dua, lub plawv dhia ceev dua. |
| Lub cev o | Tej zaum koj yuav pom tias koj ob txhais ceg, pob luj taws, lub ntsej muag, qhov muag plooj, lossis lub plab o. |
| Xiav (Cyanosis) | Thaum cov ntshav tsis muaj oxygen txaus, daim di ncauj, cov ntiv tes, thiab hauv qab cov rau tes yuav xiav. Qhov no yog ib qho tsos mob tseem ceeb. |
| Kiv taub hau lossis tsis nco qab | Qee zaum kiv taub hau lossis tsaus muag tuaj yeem tshwm sim vim tsis muaj oxygen mus rau lub hlwb. |
Qhov tseem ceeb tshaj plaws yog tias yog koj tus menyuam muaj cov tsos mob no, tsis txhob ntshai thiab mus ntsib kws kho mob tam sim ntawd kom tau txais lus qhia.
Dab tsi ua rau qhov no?
Muaj ntau pawg tseem ceeb ntawm cov laj thawj uas ua rau qhov xwm txheej no tshwm sim.
1. Cov Ua Rau Mob Txij Thaum Yug Los
Qhov no feem ntau yog kab mob plawv uas yug los.Qhov no txhais tau hais tias muaj qhov tsis zoo hauv lub plawv lossis cov hlab ntsha uas tshwm sim thaum tus menyuam tseem nyob hauv plab. Tej zaum ib txhia menyuam tsuas muaj qhov mob no (Pulmonary Artery Stenosis) xwb tsis muaj lwm yam teeb meem plawv. Tab sis feem ntau cov neeg yuav muaj lwm yam teeb meem plawv nrog rau qhov no. Piv txwv li:
- Tetralogy of Fallot: Qhov no yog ib qho mob nyuaj uas muaj plaub qhov teeb meem plawv tshwm sim ua ke.
- Pulmonary Atresia: Qhov tsis muaj lub valve uas nqa ntshav mus rau lub ntsws los ntawm lub cev.
- Qhov tsis zoo ntawm lub plawv sab saud lossis sab hauv plawv: Lub qhov ntawm ob lub plawv sab saud lossis ntawm ob lub plawv sab hauv qab.
- Tus mob no tuaj yeem pom nrog ntau lwm yam teeb meem plawv uas muaj txij thaum yug los.
2. Lwm yam mob nkeeg
Qhov no kuj tseem tuaj yeem tshwm sim nrog qee yam mob caj ces.
- Williams Syndrome: Qhov no yog ib qho mob caj ces uas cuam tshuam rau lub plawv thiab lwm yam kabmob ntawm tus menyuam.
- Alagille Syndrome: Ib yam mob uas ua rau muaj teeb meem rau daim siab thiab lub plawv.
- Kab mob Rubella: Yog tias leej niam kis tus kab mob rubella thaum cev xeeb tub, tus menyuam yuav muaj teeb meem plawv zoo li no.
3. Cov Ua Rau Phais Mob
Tsis tshua muaj, cov hlab ntsha no tuaj yeem raug thaiv tom qab lwm yam kev phais plawv lossis kev hloov ntsws.
Tus kws kho mob kuaj qhov no li cas? (Kev kuaj mob)
Yog koj coj koj tus menyuam mus ntsib kws kho mob thiab lawv hnov lub suab txawv txawv (yws) thaum lawv muab lub stethoscope tso rau ntawm koj tus menyuam lub hauv siab, koj yuav xav tias qhov no. Tom qab ntawd lawv yuav pom zoo kom kuaj ntau zaus kom paub meej tias muaj mob.
| Kev Ntsuas | Hais yooj yim xwb, koj ua dab tsi nrog qhov no? |
|---|---|
| ECG (Electrocardiogram) | Cov hluav taws xob ntawm lub plawv raug kaw cia kom pom tias puas muaj kev nyuaj siab ntau dhau rau ntawm lub plawv. |
| Kev X-ray hauv siab | Qhov loj thiab cov duab ntawm lub plawv thiab lub ntsws, thiab qhov xwm txheej ntawm cov hlab ntsha tuaj yeem kuaj xyuas tau. |
| Kev kuaj lub plawv los ntawm lub tshuab hluav taws xob (echocardiogram) | Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Nws siv cov suab nthwv dej los thaij duab ntawm lub plawv thiab cov hlab ntsha, qhia meej tias qhov kev txhaws nyob qhov twg thiab nws hnyav npaum li cas. |
| Kev Ntsuas MRI lossis CT Scan ntawm lub plawv | Los ntawm kev thaij duab peb-seem (3D) ntawm lub plawv thiab cov hlab ntsha, peb tuaj yeem kawm txog seb cov ntshav ntws li cas kom meej meej. |
| Kev Siv Catheter Rau Lub Plawv | Ib lub raj nyias nyias (catheter) raug xa mus rau hauv cov hlab ntsha hauv ceg lossis caj npab mus rau lub plawv, ntsuas qhov siab hauv cov hlab ntsha thiab tau txais cov ntaub ntawv ntxiv txog qhov txhaws. |
Tom qab cov kev kuaj no, koj tus kws kho mob yuav xa koj mus rau kws kho mob plawv menyuam yaus.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov zoo tshaj plaws yog, tam sim no muaj cov kev kho mob zoo heev rau qhov no. Kev kho mob yog txiav txim siab los ntawm tus menyuam cov tsos mob thiab qhov loj ntawm qhov txhaws hauv cov hlab ntsha.
1. Kev Siv Lub Npuas Ncauj Loj / Kev Kho Mob Angioplasty
Qhov no tsis yog phais. Xav txog nws li no.
- Cov kws kho mob muab ib lub raj nyias nyias hla cov hlab ntsha hauv ceg mus rau lub plawv.
- Muaj ib lub qhov me me nyob rau ntawm qhov kawg ntawm lub raj ntawd.
- Lub raj mis uas muaj lub pob zeb loj raug xa mus rau hauv cov hlab ntsha uas raug txhaws thiab lub pob zeb raug cua rau ntawm qhov chaw uas raug txhaws.
- Thaum lub npas loj tuaj, cov hlab ntsha uas nqaim lawm ncab thiab dav dua.
- Tom qab ntawd lub npas raug deflated thiab lub raj raug tshem tawm.
Qhov no tuaj yeem txo qhov kev sib tsoo ntau heev.
2. Kev Muab Stent Tso Rau
Qhov no yog txoj kev nrov tshaj plaws thiab ua tau zoo tshaj plaws. Lub stent yog ib lub raj hlau me me uas zoo li lub mesh.
- Qhov no ua tiav tib yam li kev kho mob nrog lub balloon uas tau hais los saum toj no.
- Tab sis ntawm no, lub stent no tau muab tso rau saum lub npas thiab xa mus rau thaj chaw uas raug thaiv.
- Thaum lub npas cua tshuab rau ntawm qhov chaw uas raug thaiv, lub stent nthuav dav thiab nias rau ntawm phab ntsa ntawm cov hlab ntsha.
- Txawm tias tom qab tshem lub npas tawm lawm los, lub stent tseem nyob hauv qhov chaw, pab kom cov hlab ntsha dav thiab tsis pub rov txhaws dua. Nws zoo li txhawb nqa lub qhov av uas yuav vau.
Cov kws kho mob nyiam muab cov stents tso rau hauv lub plawv vim tias lawv muaj qhov ua tiav tam sim ntawd li ntawm 96%, ua kom cov hlab ntsha qhib tau ntev, thiab pheej yig dua thiab muaj kev pheej hmoo tsawg dua li kev phais.
3. Kev phais mob
Ib txhia menyuam yaus, tshwj xeeb tshaj yog tias qhov kev txhaws yog qhov nyuaj heev lossis muaj lwm yam teeb meem ntawm lub plawv, yuav tsum tau phais lub plawv qhib kom kho qhov kev txhaws.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Yog tias muab ib lub stent tso rau, tus menyuam yuav tsum tau noj cov tshuaj thinning ntshav thiab tshuaj tua kab mob rau lub sijhawm luv luv kom tiv thaiv kev kis kab mob. Tom qab cov kev kho mob no, tus menyuam yuav hnov zoo tam sim ntawd. Thaum cov ntshav ntws mus rau hauv lub ntsws zoo dua, ua pa luv luv thiab qaug zog yuav sai sai ploj mus.
Tus me nyuam xav tau kev saib xyuas kho mob tas mus li. Koj yuav tsum mus ntsib kws kho mob raws sijhawm teem tseg thiab kuaj xyuas xws li echo scan los xyuas seb lub plawv zoo li cas.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob plawv ntsws (Pulmonary Artery Stenosis) yog qhov uas cov hlab ntsha tseem ceeb uas nqa ntshav mus rau lub ntsws nqaim. Nws yog qhov teeb meem plawv uas tshwm sim ntau tshaj plaws rau cov menyuam yaus.
- Ua tib zoo saib yog tias koj tus menyuam yooj yim nkees, nkees thaum ua si, lossis muaj daim di ncauj xiav.
- Yog koj muaj cov tsos mob no, tsis txhob ntshai thiab mus ntsib kws kho mob ze koj. Thaum koj paub sai npaum li cas, ces yuav kho tau yooj yim dua.
- Tam sim no muaj cov kev kho mob zoo heev, tsis yog phais rau qhov no, xws li kev kho mob nrog lub pob cua thiab kev tso stent.
- Yog tias muaj kev kho mob zoo thiab kev saib xyuas mob mus sij hawm ntev, feem ntau cov menyuam yaus uas muaj tus mob no tuaj yeem ua neej noj qab nyob zoo thiab zoo li qub. Yog li ntawd, tsis txhob txhawj.
- Tsis txhob yig nug tus kws kho mob txog tej lus nug uas koj muaj txog koj tus menyuam tus mob lossis kev kho mob.
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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