Koj tus menyuam puas feem ntau mob caj pas lossis ntswg ntws? Los yog koj puas nco qab thaum koj tseem yog menyuam yaus, koj tau mob caj pas nrog kub taub hau? Feem ntau, peb tsis xav tias cov no yog cov kab mob uas tshwm sim ntau, puas yog? Tab sis koj puas paub tias yog tsis kho kom zoo, kev kis kab mob caj pas yooj yim zoo li no tuaj yeem ua rau muaj kab mob loj heev uas tuaj yeem ua rau koj lub plawv puas tsuaj yav tom ntej? Ntawd yog qhov peb hu ua kab mob plawv rheumatic, lossis '(Rheumatic Heart Disease)'. Hnub no, peb yuav tham txog qhov no yooj yim heev, hauv txoj kev uas koj tuaj yeem nkag siab.
Kab mob plawv Rheumatic yog dab tsi tiag?
Hais yooj yim xwb, kab mob plawv rheumatic yog ib yam mob hu ua 'Rheumatic Fever' uas ua rau lub plawv puas tsuaj mus tas li. Tam sim no tej zaum koj yuav nug tias, "Yog li rheumatic fever yog dab tsi?"
Xav txog tias peb lub cev tau txais kev kis kab mob los ntawm cov kab mob. Tshwj xeeb tshaj yog cov kab mob xws li mob caj pas lossis mob kub taub hau liab, uas yog los ntawm cov kab mob hu ua Group A Streptococcal (GAS). Thaum cov kab mob no nkag mus rau hauv lub cev, peb lub cev tiv thaiv kab mob, lub cev tiv thaiv kab mob, pib tawm tsam lawv. Tab sis qee zaum qhov kev sib ntaus sib tua no mus tsis zoo. Peb lub cev tiv thaiv kab mob sib xyaw nrog cov kab mob thiab peb cov hlwb noj qab haus huv.
Thaum lub sijhawm no, lub cev tiv thaiv kab mob, nrog rau kev tawm tsam cov kab mob, pib tawm tsam qee qhov ntawm peb lub cev, tshwj xeeb tshaj yog lub plawv, pob qij txha, daim tawv nqaij, thiab lub hlwb. Qhov no ua rau mob thoob plaws lub cev. Qhov no yog qhov peb hu ua mob rheumatic fever .
Qhov kev o no tuaj yeem ua rau cov hlab ntsha hauv lub plawv puas tsuaj. Cov hlab ntsha hauv lub plawv zoo li lub qhov rooj. Lawv qhib thiab kaw kom raug kom cov ntshav ntws mus rau ib qho kev taw qhia xwb. Mob pob qij txha tuaj yeem ua rau cov hlab ntsha no ua rau muaj qhov txhab, nqaim (stenosis) lossis tsis kaw kom raug, ua rau cov ntshav ntws rov qab (regurgitation). Qhov no yog thaum cov hlab ntsha hauv lub plawv puas tsuaj tas mus li, thiab peb hu nws ua Kab Mob Plawv Rheumatic.
Qhov tseem ceeb yog tias qhov kev puas tsuaj no tsis tshwm sim ib zaug xwb. Tsuas yog tom qab tus kab mob caj pas pib thiab tus mob rheumatic fever tau los thiab ploj mus, ntau xyoo tom qab, tej zaum 10 lossis 20 xyoo tom qab, cov tsos mob ntawm lub plawv pib tshwm sim.
Cov tsos mob ntawm tus kab mob no yog dab tsi?
Raws li tau hais ua ntej lawm, muaj coob tus neeg muaj cov tsos mob qeeb heev. Lawv tsuas yog pom tseeb tom qab ib lub sijhawm tom qab pib mob rheumatic fever. Cov tsos mob no feem ntau tshwm sim thaum lawv tseem hluas.
| Cov tsos mob | Piav qhia yooj yim |
|---|---|
| Ua pa nyuaj | Thaum lub plawv tsis tuaj yeem tso ntshav tau zoo, nws yuav ua rau ua pa nyuaj. |
| Mob hauv siab | Tej zaum koj yuav hnov mob lossis mob hauv koj lub hauv siab vim tias koj lub plawv yuav tsum ua haujlwm hnyav dua. |
| Kev mob plawv dhia | Lub plawv zoo li nws dhia ceev lossis tsis xwm yeem. Nws zoo li muaj ib yam dab tsi co hauv lub hauv siab. Qee zaum, tej zaum yuav muaj mob plawv dhia tsis xwm yeem xws li atrial fibrillation . |
| Lub cev o | Lub plab, ob txhais ceg, pob luj taws, thiab tes yuav o. Qhov no yog tshwm sim los ntawm cov kua dej sib sau ua ke hauv lub cev thaum lub plawv tsis muaj zog. |
| qaug zog ntau zaus | Vim tias qee qhov ntawm lub cev tsis tau txais cov ntshav oxygen txaus, koj pheej xav tias nkees thiab ua tsis tau dab tsi li. |
| Lub suab plawv tsis zoo li qub (Heart Murmur) | Thaum tus kws kho mob siv lub stethoscope kuaj xyuas, nws yuav hnov lub suab txawv txawv uas tshwm sim los ntawm cov ntshav ntws los ntawm lub valve puas lawm. |
| Hnoos ntshav | Qhov no yog ib qho tsos mob loj heev. Nws tuaj yeem tshwm sim thaum lub siab ntawm lub plawv nce ntxiv thiab cuam tshuam rau lub ntsws. |
Tus kab mob no puas kis tau? Leej twg muaj feem yuav kis tau ntau dua?
Tsis yog. Kab mob plawv Rheumatic tsis kis ncaj qha ntawm ib tus neeg mus rau lwm tus. Txawm li cas los xij, tus kab mob streptococcal caj pas uas ua rau nws yog. Cov kab mob no tuaj yeem kis tau los ntawm huab cua thaum koj txham lossis hnoos.
Yog li ntawd, leej twg muaj feem yuav mob no ntau dua?
- Rau cov neeg uas mob caj pas ntau zaus thiab tsis noj tshuaj tua kab mob kom raug: tshwj xeeb tshaj yog thaum yau.
- Rau cov neeg nyob hauv thaj chaw uas muaj cov chaw kho mob tsawg: Cov neeg uas tsis muaj kev mus ntsib kws kho mob thiab tau txais tshuaj muaj feem yuav muaj kev pheej hmoo ntau dua.
- Rau cov neeg nyob hauv qhov chaw muaj neeg coob coob thiab tsis huv: Cov kab mob yuav kis tau yooj yim dua rau cov chaw zoo li no.
Nyob rau hauv cov teb chaws uas muaj kev vam meej zoo li Asmeskas, qhov chaw uas cov tshuaj tua kab mob raug muab tam sim ntawd tom qab mob caj pas, mob rheumatic fever thiab mob plawv rheumatic tam sim no tsis tshua muaj. Txawm li cas los xij, nyob rau hauv cov teb chaws zoo li peb li, tshwj xeeb tshaj yog nyob rau hauv thaj chaw nyob deb nroog thiab cov neeg nyob coob, qhov mob no tseem yog ib qho teeb meem loj heev rau kev noj qab haus huv.
Cov teeb meem mus sij hawm ntev ntawm tus kab mob plawv rheumatic yog dab tsi?
Dhau sij hawm mus, kev puas tsuaj rau cov hlab ntsha hauv lub plawv tuaj yeem nce ntxiv, ua rau muaj ntau yam teeb meem.
- Mob Plawv Tsis Ua Haujlwm: Ib qho mob uas lub plawv tsis tuaj yeem tso ntshav txaus rau lub cev.
- Lub plawv dhia tsis xwm yeem (Arrhythmia): Lub plawv dhia tsis xwm yeem vim yog cov mob xws li 'Atrial Fibrillation'.
- Kab mob Endocarditis uas kis tau kab mob: Qhov no yog ib qho mob txaus ntshai heev uas cov kab mob los ntawm cov ntshav nkag mus rau hauv cov hlab ntsha plawv uas twb puas lawm thiab ua rau muaj kev kis kab mob.
- Mob Ntshav Siab (Pulmonary Hypertension): Mob ntshav siab ntxiv hauv cov hlab ntsha uas nqa ntshav ntawm lub plawv mus rau lub ntsws.
- Mob stroke thiab ntshav txhaws: Lub plawv dhia tsis xwm yeem ua rau cov ntshav txhaws tsim hauv lub plawv, uas tuaj yeem mus rau lub hlwb thiab ua rau mob stroke.
Nws yog qhov txaus ntshai tshwj xeeb rau cov poj niam cev xeeb tub uas muaj kab mob plawv rheumatic. Thaum cev xeeb tub, lub cev cov ntshav ntim ntau ntxiv, ua rau lub plawv ua haujlwm hnyav dua. Lub plawv uas muaj cov hlab ntsha puas lawm yuav muaj teeb meem tuav qhov hnyav ntxiv no. Qhov no tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj rau leej niam thiab tus menyuam.
Tus kws kho mob kuaj mob li cas?
Thaum koj qhia rau koj tus kws kho mob txog koj cov tsos mob, nws yuav kuaj koj kom zoo zoo. Qhov tseem ceeb, lawv yuav mloog koj lub plawv nrog lub stethoscope thiab kuaj seb puas muaj suab txawv txawv (murmurs). Tsis tas li ntawd, lawv yuav nug koj seb koj puas tau mob caj pas lossis kub taub hau thaum koj tseem yog menyuam yaus.
Muaj ntau yam kev kuaj mob uas ua tau los xyuas kom meej tias muaj tus kab mob no:
- Kev kuaj ntshav: Xyuas seb puas muaj kev o ntawm lub cev lossis kev hloov pauv ntawm kev ua haujlwm ntawm lub cev tiv thaiv kab mob.
- X-ray hauv siab: Xyuas seb lub plawv puas loj dua lossis puas muaj cov cim qhia tias muaj mob plawv nres.
- Echocardiogram: Qhov no yog qhov kev kuaj mob tseem ceeb tshaj plaws. Nws zoo li kev ntsuas ultrasound ntawm lub plawv. Nws tuaj yeem pom tseeb tias cov hlab ntsha hauv lub plawv puas tsuaj, nqaim, lossis xau li cas.
- Kev kuaj hluav taws xob (Electrocardiogram - ECG): Sau cov haujlwm hluav taws xob ntawm lub plawv thiab xyuas seb lub plawv dhia puas tsis xwm yeem.
Cov kev xaiv kho mob yog dab tsi?
Muaj coob tus neeg xav paub seb tus kab mob no puas kho tau tag nrho. Qhov tseeb yog, qhov kev puas tsuaj rau lub plawv valve uas tshwm sim los ntawm tus kab mob plawv rheumatic tsis tuaj yeem kho tau. Qhov no txhais tau tias nws yog ib qho mob mus tas li . Txawm li cas los xij, nrog kev kho mob zoo, koj tuaj yeem tswj cov tsos mob, tiv thaiv tus kab mob kom tsis txhob hnyav zuj zus, thiab ua neej nyob li qub.
Cov txheej txheem kho mob muaj peev xwm muab faib ua ntau ntu tseem ceeb.
| Txoj kev kho mob | Koj ua dab tsi? |
|---|---|
| Tshuaj | Cov tshuaj no muab rau kev tswj lub plawv tsis ua haujlwm, tswj lub plawv dhia tsis tu ncua, thiab tshem tawm cov kua dej ntau dhau ntawm lub cev. Yog tias muaj kev pheej hmoo ntawm kev txhaws ntshav, cov tshuaj thinning ntshav (anticoagulants) yuav raug muab. |
| Kev Kho Mob Me Nyuam Yaus | Yog tias lub plawv mitral valve nqaim, muaj ib txoj kev los nthuav lub plawv valve yam tsis tas phais, siv ib lub raj nyias nyias uas ntxig los ntawm ceg, xws li lub npas. Qhov no hu ua Valvuloplasty . |
| Kev Phais Mob Plawv | Yog tias tus kab mob hnyav heev, tej zaum yuav tsum tau kho lossis tshem tawm lub qhov valve uas puas lawm tag nrho thiab tej zaum yuav tsum tau cog lub qhov valve cuav lossis lub qhov valve nqaij. |
Qhov tseem ceeb tshaj plaws: Yuav ua li cas thiaj tiv thaiv tau tus kab mob no?
Yog, qhov no yog qhov tseem ceeb tshaj plaws ntawm tsab xov xwm no. Kab mob plawv Rheumatic yog ib yam kab mob uas tiv thaiv tau tag nrho. Muaj ib yam yooj yim heev uas koj tuaj yeem ua tau los tiv thaiv nws.
Tau txais kev kho mob tshuaj tua kab mob kom zoo thaum pib muaj tus kab mob streptococcal hauv caj pas.
Yog tias koj lossis koj tus menyuam muaj ib qho ntawm cov tsos mob hauv qab no, thov tsis txhob nyob hauv tsev thiab xav tias nws yog ib yam yooj yim xwb. Mus ntsib kws kho mob tam sim ntawd.
- Kub taub hau heev
- Mob caj pas
- Mob Tonsillitis
- Mob pob qij txha
- Mob nqaij
- Cov pob ntawm daim tawv nqaij los yog cov qhov txhab
- Kev co ntawm ob txhais ceg lossis lub taub hau tsis tuaj yeem tswj tau (Chorea)
Yog tus kws kho mob kuaj thiab paub tseeb tias nws yog kab mob bacterial, nws yuav sau ntawv kom noj tshuaj tua kab mob rau ob peb hnub. Nws yog ib qho tseem ceeb uas yuav tsum noj tshuaj raws li lub sijhawm tau teem tseg. Tsis txhob tsum ib nrab ntawm kev kho mob tsuas yog vim qhov mob tau ploj mus lawm. Ua li ntawd yuav tsis tua tau cov kab mob tag nrho thiab yuav ua rau muaj kev pheej hmoo ntawm kev mob rheumatic fever.
Yog tias koj twb muaj kab mob plawv rheumatic lawm, kev kis kab mob caj pas rov qab ua rau koj lub plawv puas tsuaj ntxiv. Yog li ntawd, koj tus kws kho mob yuav pom zoo kom koj txhaj tshuaj penicillin txhua hli rau lub sijhawm ntev, tej zaum rau tas koj lub neej, kom tiv thaiv kev kis kab mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob plawv Rheumatic yog tshwm sim los ntawm kev kis kab mob ntawm caj pas uas tsis tau kho uas tshwm sim thaum yau.
- Kab mob no ua rau lub plawv puas tsuaj mus tas li. Qhov kev puas tsuaj no tsis tuaj yeem kho tau.
- Cov tsos mob xws li ua tsis taus pa, mob hauv siab, qaug zog, thiab o ceg tshwm sim ntau xyoo tom qab pib muaj tus kab mob.
- Tsis txhob tso tseg qhov mob caj pas lossis kub taub hau, tshwj xeeb tshaj yog rau cov menyuam yaus. Mus ntsib kws kho mob tam sim ntawd thiab, yog tias tsim nyog, noj tshuaj tua kab mob rau lub sijhawm uas tau teem tseg.
- Yog koj muaj kab mob plawv rheumatic, ua raws li koj tus kws kho mob cov lus qhia thiab kev kho mob kom meej. Mus kuaj mob tsis tu ncua.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus