Kev kho mob qog noj ntshav puas cuam tshuam rau lub plawv? Cia peb tham txog Kev Kho Mob Plawv Los Ntawm Kev Siv Hluav Taws Xob!

Yog tias koj tau txais kev kho mob qog noj ntshav los ntawm kev siv hluav taws xob , lossis yog tias ib tus neeg koj paub tau txais, tej zaum koj yuav tau hnov ​​​​tias cov kev kho mob no tuaj yeem muaj qee yam cuam tshuam rau lub plawv. Qhov no yog qhov txhawj xeeb me ntsis. Tab sis tsis txhob txhawj, vim tias qhov tseem ceeb tshaj plaws yog kom paub txog nws. Yog li hnub no peb yuav tham txog qhov kab mob plawv hu ua hluav taws xob no yog dab tsi, nws tshwm sim li cas, leej twg muaj feem yuav mob nws ntau dua, thiab lwm yam uas tuaj yeem ua tau txog nws.

Kab Mob Plawv Los Ntawm Kev Siv Hluav Taws Xob Yog Dab Tsi?

Hais yooj yim xwb, kab mob plawv los ntawm kev siv hluav taws xob yog kev sib sau ua ke ntawm ntau yam kab mob thiab teeb meem uas tuaj yeem tshwm sim hauv lub plawv vim yog kev kho mob hluav taws xob, uas yog siv los tua cov hlwb qog noj ntshav. Xav txog nws, thaum cov kab hluav taws xob raug taw qhia rau qhov chaw ntawm qog noj ntshav, muaj qhov ua tau tias qee qhov kev puas tsuaj yuav tshwm sim rau cov nqaij noj qab haus huv nyob ze, tshwj xeeb tshaj yog lub plawv. Qhov kev puas tsuaj no qee zaum tuaj yeem tshwm sim hauv ob peb lub lis piam tom qab tau txais kev kho mob hluav taws xob, lossis nws tuaj yeem tshwm sim txawm tias ntau xyoo tom qab.

Tus mob no feem ntau tshwm sim rau cov neeg uas tau txais kev kho mob hluav taws xob rau thaj tsam hauv siab rau cov hom mob qog noj ntshav hauv qab no:

• Mob qog noj ntshav hauv lub mis
• Mob qog nqaij hlav ntawm txoj hlab pas
• Hodgkin lymphoma
• Mob qog nqaij hlav ntsws

Kev kho mob hluav taws xob cuam tshuam li cas rau lub plawv?

Kev siv hluav taws xob tuaj yeem ua rau cov nqaij hauv thiab ib puag ncig koj lub plawv puas tsuaj. Hauv lub sijhawm luv luv, qhov no tuaj yeem ua rau lub plawv o. Qhov no txhais tau tias qee qhov ntawm lub plawv yuav o, liab, thiab mob. Raws li lub sijhawm dhau mus, cov nqaij uas puas tsuaj no tuaj yeem maj mam tuab thiab ua fibrous. Nws zoo li ib qho caws pliav uas tsim rau ntawm qhov txhab. Tom qab ntawd cov nqaij ntawd yuav tsis ua haujlwm zoo.

Cov qhov ntawm lub plawv uas yuav raug kev cuam tshuam los ntawm kev kho mob hluav taws xob feem ntau yog:

• Cov hlab ntsha hauv lub plawv: Cov no yog cov hlab ntsha uas muab ntshav rau cov leeg plawv . Yog tias cov no puas lawm, cov ntshav ntws mus rau lub plawv yuav raug txo qis.
• Cov hlwb uas tsim thiab nqa cov hluav taws xob los tswj lub plawv dhia thiab lub suab (conduction system): Qhov no zoo li cov xov hluav taws xob ntawm lub plawv. Yog tias qhov no puas lawm, lub plawv dhia tuaj yeem tsis xwm yeem.
• Myocardium: Qhov no yog qhov tseem ceeb tshaj plaws ntawm lub plawv uas nqus cov ntshav. Yog tias nws tsis muaj zog, lub plawv yuav tsis muaj peev xwm nqus cov ntshav tau zoo.
• Lub plawvLub pericardium: Qhov no zoo li lub hnab tiv thaiv ib puag ncig lub plawv. Nws tuaj yeem o.
• Cov qhov dej ntawm ob lub plawv: Cov no pab cov ntshav ntws mus rau ib qho kev taw qhia xwb. Yog tias cov no puas lawm, cov ntshav tuaj yeem pib ntws rov qab.

Cov teebmeem luv luv

Cov teebmeem luv luv ntawm kev kho mob hluav taws xob rau lub plawv yog rau ntawm pericardium. Cov mob no suav nrog:

• Pericarditis : Qhov no yog o ntawm daim nyias nyias uas nyob ib puag ncig lub plawv.
• Pericardial effusion: Qhov no yog qhov sib sau ua ke ntawm cov kua dej ntawm lub plawv thiab lub hnab pericardial.

Cov mob no feem ntau tshwm sim li ntawm ob peb lub lis piam mus rau ob peb lub hlis tom qab tau txais kev kho mob hluav taws xob. Feem ntau lawv tshwm sim rau cov neeg uas tau kho mob qog noj ntshav hu ua Hodgkin lymphoma .

Cov teeb meem mus sij hawm ntev

Qee yam mob plawv yuav siv sijhawm ntau xyoo, qee zaum ntev txog 20 xyoo, los tsim. Cov teeb meem mus sij hawm ntev suav nrog:

• Kab mob plawv tsis ua haujlwm zoo: Lub plawv tsis muaj peev xwm tso ntshav txaus rau lub cev.
• Kab mob ntawm cov hlab ntsha hauv lub plawv (Coronary artery): Kev nqaim lossis thaiv cov hlab ntsha uas xa ntshav mus rau lub plawv.
• Cardiomyopathy: Cov leeg nqaij ntawm lub plawv yuav qaug zog, tuab, lossis loj dua.
• Lub plawv dhia tsis sib xws (Arrhythmia): Lub plawv dhia tsis sib xws, ceev dhau los yog qeeb dhau.
• Kab mob pericarditis uas nruj: Cov daim nyias nyias uas nyob ib puag ncig lub plawv yuav tuab thiab tawv, ua rau lub plawv tsis nthuav dav zoo.
• Kab mob plawv valve: Cov valve plawv tsis ua haujlwm zoo.

Leej twg muaj kev pheej hmoo tshaj plaws?

Yog tias koj tau txais kev kho mob hluav taws xob rau koj lub hauv siab, tshwj xeeb tshaj yog sab laug uas koj lub plawv nyob, koj yuav muaj feem yuav muaj kab mob plawv no. Lub chav ntsuas rau kev kho mob hluav taws xob hu ua Gray (Gy) . Feem ntau, qhov kev pheej hmoo ntawm kev mob plawv los ntawm kev kho mob hluav taws xob yuav nce ntxiv yog tias tag nrho cov koob tshuaj tshaj 30 Gray (Gy) dhau ntawm ntau qhov kev kho mob hluav taws xob.

Ntxiv rau qhov ntawd, muaj lwm yam uas ua rau muaj qhov kev pheej hmoo no:

• Kev kho mob ua ke nrog lwm cov tshuaj kho mob plawv xws li trastuzumab lossis anthracyclines.
• Muaj mob plawv ua ntej lawm.
• Hluas dua thaum kho mob hluav taws xob.

Tsis tas li ntawd xwb, qee yam mob nkeeg thiab kev coj cwj pwm hauv lub neej kuj tseem tuaj yeem ua rau muaj kev pheej hmoo no:

• Kev rog dhau.
• Kab mob ntshav qab zib (Diabetes Mellitus).
• Haus dej cawv ntau dhau.
• Ntshav siab.
• Tsis muaj kev tawm dag zog lub cev.
• Haus luam yeeb.
• Cov roj cholesterol tsis zoo.

Tus mob no feem ntau tshwm sim li cas?

Yav dhau los, tsis muaj kev nkag siab txog qhov kev pheej hmoo ntawm kev ua rau lub plawv puas tsuaj, yog li ntawd muaj ntau tus neeg mob plawv los ntawm kev siv hluav taws xob kho. Tab sis tam sim no, cov kws kho mob thiab cov kws tshwj xeeb tau ua ntau txoj kev tshawb fawb txog qhov no thiab tau tsim cov txheej txheem tshiab, muaj kev nyab xeeb dua. Qhov no ua rau nws muaj peev xwm txo qhov ntau ntawm cov hluav taws xob mus txog lub plawv. Yog li, hmoov zoo, tus naj npawb ntawm cov neeg uas muaj tus kab mob plawv los ntawm hluav taws xob no tau txo qis.

Cov tsos mob ntawm tus kab mob plawv los ntawm kev siv hluav taws xob yog dab tsi?

Cov tsos mob ntawm kab mob plawv los ntawm kev siv hluav taws xob tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg, nyob ntawm seb cov tsos mob tshwm sim sai npaum li cas thiab hom kab mob plawv uas tshwm sim los ntawm kev siv hluav taws xob.

Cov tsos mob ntawm kab mob plawv luv luv los ntawm kev siv hluav taws xob

Cov tsos mob tseem ceeb ntawm ob qho tib si pericarditis thiab pericardial effusion, uas yog cov kev phiv luv luv ntawm kev kho mob hluav taws xob, yog mob hauv siab hnyav . Qhov mob no:

• Nws txo qis thaum koj zaum thiab nyo hau rau pem hauv ntej.
• Nws nce ntxiv thaum koj ua pa nrov nrov.

Tsis tas li ntawd xwb, tej zaum yuav muaj teeb meem ua pa nyuaj (dyspnea) . Qhov no yuav pab tau los ntawm kev khoov koj lub cev mus tom ntej.

Cov tsos mob ntawm kab mob plawv ntev ntev

Kab mob plawv los ntawm kev siv hluav taws xob yuav tsis ua rau muaj tsos mob kom txog thaum nws mob heev. Cov tsos mob uas koj muaj yuav nyob ntawm hom kab mob plawv uas koj muaj. Cov tsos mob feem ntau ntawm kab mob plawv suav nrog:

• Mob hauv siab los yog tsis xis nyob.
• Kiv taub hau los yog tsaus muag (syncope).
• Hnoos qhuav.
• Xeev siab.
• Lub plawv dhia ceev lossis tsis xwm yeem (palpitations).
• Ua pa nyuaj.
• O (edema) ntawm pob luj taws, ceg, taw, lossis plab.
• Tsis muaj zog los yog qaug zog heev.

Tseem Ceeb: Kab mob plawv hnyav uas siv hluav taws xob los kho mob plawv tuaj yeem ua rau mob plawv tuag taus lossis lub plawv nres.

Kev mob plawv nres lossis lub plawv nres yog qhov xwm txheej ceev uas txaus ntshai rau lub neej. Yog tias koj xav tias koj lossis ib tus neeg uas koj nrog nyob muaj mob plawv nres, mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws lossis hu rau koj cov kev pabcuam xwm txheej ceev hauv zos tam sim ntawd. Lub sijhawm yog qhov tseem ceeb. Txawm tias ob peb feeb ntawm kev ncua sijhawm tuaj yeem ua rau puas tsuaj mus tas li lossis tuag taus.

Koj paub qhov no li cas?

Cov kws kho mob siv ntau yam kev kuaj mob los kuaj mob plawv los ntawm kev siv hluav taws xob. Cov kev kuaj mob uas koj siv yuav nyob ntawm koj cov tsos mob thiab keeb kwm kev kho mob. Ntxiv nrog rau kev kuaj lub cev thiab kev kuaj ntshav, koj tus kws kho mob yuav xaj ib lossis ntau qhov kev kuaj mob no:

• Kev siv catheter rau lub plawv
• Kev kuaj mob plawv CT
• Kev kuaj mob plawv MRI
• Kev X-ray hauv siab
• Kev kuaj lub plawv Echocardiography
• Kev kuaj mob hluav taws xob (EKG lossis ECG)
• Kev kuaj mob electrophysiology
• Kev sim siab ntawm kev tawm dag zog
• Holter saib xyuas
• Kev kuaj lub plawv (endomyocardial biopsy)

Cov kev kho mob yog dab tsi?

Muaj ntau txoj kev kho mob rau kab mob plawv. Cov no suav nrog kev hloov pauv hauv lub neej mus rau kev siv tshuaj, kev kho mob uas tsis tas phais, thiab kev phais. Koj tus kws kho mob yuav tham nrog koj seb kev kho mob twg zoo tshaj plaws rau koj.

Nrog kev nce qib tshiab hauv kev kho mob plawv, tib neeg tam sim no muaj peev xwm nyob tau ntev dua thiab zoo dua.

Cov thev naus laus zis tshiab yuav ua li cas thiaj li txo tau qhov kev pheej hmoo no?

Txoj kev tseem ceeb los tiv thaiv kab mob plawv los ntawm kev siv hluav taws xob yog txwv tsis pub koj lub plawv tau txais hluav taws xob ntau npaum li cas.

Cov thev naus laus zis tshiab kawg rau kev kho mob qog noj ntshav xa cov tshuaj tua kab mob kom raug rau lub qog, txo cov tshuaj tua kab mob uas mus txog cov nqaij noj qab haus huv ib puag ncig, tshwj xeeb tshaj yog lub plawv. Qee qhov ntawm cov no suav nrog:

• Kev kho mob hluav taws xob uas hloov kho qhov hnyav (IMRT): Qhov no suav nrog kev ua daim duab peb-seem (3D) ntawm qog nqaij hlav thiab xa cov teeb hluav taws xob hauv txoj kev tswj hwm zoo heev.
• Kev kho mob Proton: Qhov no siv cov khoom me me (protons) uas muaj zog heev, thiab tsom lub zog yuav luag tag nrho rau ntawm qhov mob qog noj ntshav.

Tsis tas li ntawd xwb, thaum kho mob qog noj ntshav hauv lub mis, koj tuaj yeem txo qhov ntau ntawm cov hluav taws xob uas koj tau txais rau koj lub plawv los ntawm kev hloov koj txoj haujlwm. Piv txwv li, koj tuaj yeem kho thaum koj pw ntawm koj lub plab, lossis koj tsuas tuaj yeem tau txais hluav taws xob thaum lub sijhawm luv luv thaum koj ua pa tob tob.

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

Yog tias koj tau txais kev kho mob hluav taws xob rau hauv siab, koj tuaj yeem txo koj txoj kev pheej hmoo ntawm kev mob plawv los ntawm kev ua neej noj qab haus huv rau lub plawv. Qhov ntawd txhais tau tias:

• Tsis txhob haus cawv.
• Noj zaub mov zoo.
• Ua si nawv tsis tu ncua.
• Tswj cov ntshav siab thiab cov roj cholesterol.
• Tso kev haus luam yeeb kiag li.

Tom qab kev kho mob qog noj ntshav tiav lawm, nws tseem ceeb heev uas yuav tsum tau saib xyuas koj tus mob tas li. Qhov no tuaj yeem pab saib xyuas koj txoj kev noj qab haus huv tag nrho. Koj tus kws kho mob kuj tseem yuav xaj kom kuaj xyuas koj lub plawv ua haujlwm txhua 5 txog 10 xyoo.

Cov neeg uas tau kho mob hluav taws xob lawm yuav xav li cas txog yav tom ntej?

Thaum muaj ntau tus neeg dim ntawm mob qog noj ntshav thiab nyob ntev dua, peb txoj kev nkag siab txog cov teebmeem mus sij hawm ntev ntawm kev kho mob tau nthuav dav. Koj nyob ntev npaum li cas tom qab kev kho mob qog noj ntshav, koj qhov kev pheej hmoo ntawm kev mob plawv yuav ntau dua. Txawm li cas los xij, qhov kev pheej hmoo no tam sim no txo ​​qis vim muaj cov thev naus laus zis tshiab uas txo qis kev raug hluav taws xob rau lub plawv.

Koj tus kheej txoj kev xav nyob ntawm cov yam no:

• Tus nqi hluav taws xob uas koj lub plawv tau txais.
• Koj lub hnub nyoog thaum koj tau txais kev kho mob hluav taws xob.
• Koj tej yam uas ua rau koj muaj feem mob plawv. Qhov ntawd txhais tau tias koj noj zaub mov, ua si, thiab lwm yam mob uas koj muaj.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog koj muaj tej tsos mob ntawm kab mob plawv, hu rau koj tus kws kho mob tam sim ntawd. Cov tsos mob no suav nrog mob hauv siab lossis tsis xis nyob, ua pa luv luv, lossis lub plawv dhia tsis xwm yeem.

Yog koj xav tias koj muaj mob plawv nres lossis lub plawv nres, nrhiav kev kho mob ceev tam sim ntawd.

Cov neeg uas tau txais kev kho mob hluav taws xob rau mob qog noj ntshav hauv thaj tsam hauv siab tuaj yeem muaj mob plawv los ntawm kev siv hluav taws xob ntau xyoo tom qab. Txawm li cas los xij, kev nce qib tsis ntev los no hauv kev siv hluav taws xob tau txo cov neeg uas muaj mob plawv los ntawm kev siv hluav taws xob. Kev kho mob rau mob plawv kuj tau zoo dua, ua rau muaj lub neej zoo dua. Yog tias koj tau txais kev kho mob hluav taws xob yav dhau los thiab koj muaj cov tsos mob ntawm mob plawv, nco ntsoov qhia rau koj tus kws kho mob.

Cov Lus Qhia Txog (Cov Lus Qhia Coj Mus Tsev)

Zoo, peb tau tham ntau txog Kab Mob Plawv Los Ntawm Kev Siv Hluav Taws Xob Hnub no. Nov yog qee yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:

• Kev kho mob qog nqaij hlav hauv siab siv hluav taws xob tuaj yeem ua rau lub plawv puas tsuaj.
• Cov nyhuv no tuaj yeem tshwm sim rau lub sijhawm luv luv lossis ntev (tom qab ntau xyoo).
• Qhov kev pheej hmoo no tam sim no tau raug txo qis heev vim yog cov thev naus laus zis tshiab.
• Yog tias koj tau txais kev kho mob hluav taws xob, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li kev ua neej noj qab haus huv rau lub plawv thiab mus kuaj mob tsis tu ncua.
• Yog tias koj muaj cov tsos mob xws li mob hauv siab thiab ua pa nyuaj , tsis txhob ntshai thiab nrhiav kev kho mob sai li sai tau.

Tsis muaj dab tsi yuav tsum ntshai, kev paub thiab kev saib xyuas yog qhov tseem ceeb tshaj plaws. Yog tias koj muaj lus nug ntxiv txog qhov no, nrog koj tus kws kho mob tham.

Kab mob plawv siv hluav taws xob tua kab mob, kev kho mob qog noj ntshav, kab mob plawv, kev kho mob hluav taws xob tua kab mob, kev siv hluav taws xob tua kab mob hauv siab, mob plawv nres, cov tsos mob ntawm kab mob plawv