Koj puas paub txog qhov me me no ntawm koj lub plawv? - Right Atrial Appendage

Peb txhua tus paub tias peb lub plawv yog ib lub cev zoo kawg nkaus. Tab sis tej zaum koj yuav tsis tau hnov ​​​​​​ntau txog qee qhov me me ntawm lub plawv no. Yog li, hnub no peb yuav tham txog ib feem me me ntawm lub plawv uas tsis muaj ntau tus neeg tham txog, tab sis ua lub luag haujlwm tseem ceeb heev. Qhov ntawd yog lub plawv sab xis , lossis hauv lus Askiv '(Right Atrial Appendage)', lossis '(RAA)' luv luv. Tej zaum koj hnov ​​​​​​lub npe no thawj zaug. Tab sis tsis txhob txhawj, cia peb tham txog qhov no yooj yim.

Lub Atrial Appendage Sab Xis yog dab tsi?

Hais yooj yim xwb, "Right Atrial Appendage" lossis "RAA" yog ib feem me me zoo li lub hnab ntawm koj lub plawv uas tawm me ntsis los ntawm chav sab saud ntawm koj lub plawv, hu ua right atrium. Tej zaum koj yuav tau hnov ​​​​txog qhov no ua ntej, tshwj xeeb tshaj yog tias tus kws kho mob hais kom koj ntxig "pacemaker lead", ib txoj hlua me me uas txuas rau lub pacemaker, rau hauv koj lub atrium sab xis.

Xav txog qhov '(RAA)' no ua ib lub hnab me me hauv peb lub tsho. Ib qho chaw me me sab nraum lub tsho tseem ceeb. Muaj ib qho laj thawj tshwj xeeb vim li cas cov kws kho mob nyiam muab cov xov hlau pacemaker tso rau hauv '(RAA)' no. Ib qho yog tias qhov '(RAA)' no yooj yim heev rau ncav cuag. Lwm qhov yog tias qhov '(RAA)' no nyob ze heev rau '(SA node)', lossis '(sinoatrial node)', uas xa cov teeb liab hluav taws xob uas ua rau peb lub plawv dhia. Yog li nws tseem ceeb heev rau qhov ua haujlwm ntawm lub pacemaker.

Qhov chaw tsis paub no ntawm lub plawv qee zaum tuaj yeem ua rau koj muaj teeb meem. Tab sis qhov xov xwm zoo yog, muaj kev kho rau qhov '(RAA)' no, ib yam li muaj rau lwm qhov ntawm lub plawv.

Yuav ua li cas nrog RAA no? (RAA Function)

Tam sim no cia peb saib seb qhov me me '(RAA)' no ua dab tsi tiag. Ib qho ntawm nws lub luag haujlwm tseem ceeb yog tias thaum peb cov ntshav ntim nce, uas yog, thaum cov ntshav hauv lub cev nce ntau dua li qhov tsim nyog, cov phab ntsa ntawm '(RAA)' no pib ncab. Tom qab ntawd, '(RAA)' no tso tawm ib hom protein tshwj xeeb hu ua 'natriuretic peptides' .

Cov tshuaj no hu ua "natriuretic peptides" ua qee yam tseem ceeb heev:

• Koj cov hlab ntsha nthuav me ntsis.
• Nws pab tshem tawm cov ntsev thiab dej ntau dhau ntawm koj lub cev los ntawm cov zis.

Cov txheej txheem no pab txo koj cov ntshav ntim thiab ntshav siab. Xav txog nws zoo li ib lub yeeb nkab me me uas tso dej ntau dhau tawm thaum lub taub dej hauv koj lub tsev puv.

RAA nyob qhov twg? (RAA Qhov Chaw)

Koj lub "Atrial Appendage Sab Xis" nyob rau sab saum toj ntawm lub plawv sab xis. Yog xav kom meej meej, nws nyob ze koj lub "superior vena cava", ib txoj hlab ntshav loj. Lub "(RAA)" no yog ib feem zoo li lub qhov uas txuas mus rau sab saud ntawm lub plawv sab xis thiab lub plawv sab xis.

Cov feem ntawm RAA yog dab tsi? Nws zoo li cas ? (RAA Anatomy thiab Appearance)

Yog koj saib cov qauv sab hauv ntawm `(RAA)` no, nws zoo li lub hnab uas muaj qhov qhib uas cia cov ntshav nkag thiab tawm. Sab hauv ntawm `(RAA)` yog qhov ntxhib me ntsis. Qhov laj thawj rau qhov no yog tias muaj cov leeg nqaij hu ua `terminal crest` thiab `musculi pectinati` . Cov no zoo li cov kab me me ntawm qhov chaw.

Hais txog qhov loj me, cov kws tshawb fawb hais tias thaj chaw ntawm qhov `(RAA)` no yog li 3 square centimeters (uas yog li ib nrab square inch). Qhov qhib ntawm `(RAA)` yog li 2 centimeters dav (me ntsis tsawg dua ib nti).

Qhov zoo kawg nkaus yog tias tus `(RAA)` no muaj peev xwm muaj ib lub płatka (lobe) lossis ntau lub płatki, qee zaum muaj txog rau. Qhov ntawd txhais tau tias tsis yog txhua tus `(RAA)` zoo ib yam.

Cov duab twg pom tau hauv RAA? (RAA Shapes)

Cov kws tshawb nrhiav tau txheeb xyuas ntau hom ntawm '(RAA)'. Nov yog qee qhov ntawm lawv:

• Puab plaub fab (zoo li tus noog parrot beak): Qhov no yog cov duab uas pom ntau tshaj plaws. Nws zoo li tus noog parrot beak.
• Plaub fab plaub fab: Zoo ib yam li lub taub hau nees.
• Cov duab Trapezoid: Zoo ib yam li cov duab ntawm lub anvil.
• Duab peb ceg: Zoo li lub nkoj ntawm lub nkoj caij nkoj.
• Cov duab tsis meej: Qee qhov ntawm lawv nyuaj piav qhia meej.

Ntxiv rau cov duab tseem ceeb no, cov kws tshawb fawb tau tshawb pom cov hom me no. Puas yog qhov xav tsis thoob tias qhov me me ntawm peb lub siab no tuaj yeem muaj ntau yam sib txawv?

Cov mob thiab kev tsis zoo uas feem ntau cuam tshuam rau RAA yog dab tsi?

Ib yam li lwm qhov ntawm lub plawv, muaj ntau yam mob uas tuaj yeem cuam tshuam rau RAA. Ib txhia ntawm lawv yog:

• Atrial Fibrillation (Afib): Qhov no yog lub plawv dhia tsis xwm yeem. Qhov mob no tuaj yeem ua rau cov ntshav txhaws hauv RAA. Txawm li cas los xij, qhov no tsis tshua muaj nyob rau sab xis piv rau sab laug atrial appendage.
• Kev raug mob los ntawm kev sib tsoo tsheb: Hauv qhov xwm txheej hnyav, RAA tuaj yeem puas tsuaj vim muaj kev cuam tshuam rau hauv siab.
• Aneurysm: Qhov no yog ib qho mob uas cov hlab ntsha loj dhau thiab loj zoo li lub npas. RAA kuj tseem tuaj yeem tsim hom aneurysm no.

Tseem Ceeb: Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov mob no thaum ntxov thiab tau txais kev kho mob kom zoo.

Cov tsos mob ntawm RAA mob yog dab tsi?

Cov mob uas cuam tshuam rau sab xis ntawm lub plawv (RAA) yuav ua rau koj muaj cov tsos mob xws li:

• Mob hauv siab
• Kev qaug zog
• Ua tsis taus pa los yog 'ua tsis taus pa'
• kiv taub hau

Tsuas yog vim koj muaj cov tsos mob no tsis tau txhais hais tias koj muaj teeb meem nrog koj RAA. Lawv kuj tuaj yeem tshwm sim los ntawm lwm yam mob plawv thiab teeb meem kev noj qab haus huv dav dav. Yog li ntawd, yog tias koj muaj cov tsos mob no, nws yog qhov zoo tshaj plaws los nrhiav kev pab kho mob.

Yuav ua li cas los xyuas seb RAA puas noj qab haus huv? (Kev Ntsuas Feem Ntau rau RAA Kev Noj Qab Haus Huv)

Muaj ntau yam kev kuaj uas cov kws kho mob siv los xyuas seb koj lub plawv sab xis (RAA) puas noj qab haus huv:

• Transesophageal Echocardiogram (TEE): Qhov no yog ib hom echocardiogram tshwj xeeb. Hauv qhov kev kuaj no, ib lub raj me me uas muaj lub koob yees duab (transducer probe) raug ntxig los ntawm koj lub caj pas mus rau hauv koj lub caj pas kom thaij duab meej ntawm koj lub plawv. Qhov no tso cai rau kev pom zoo heev ntawm RAA.
• Kev luam theej duab plawv CT (Cardiac Computed Tomography): Qhov no siv cov duab X-ray thiab thev naus laus zis computer los tsim cov duab hla ntawm lub plawv.
• Transthoracic Echocardiogram (TTE): Qhov no yog hom echocardiogram uas siv ntau tshaj plaws. Hauv qhov no, muaj ib lub transducer tso rau ntawm koj lub hauv siab kom thaij duab ntawm koj lub plawv.

Tus kws kho mob yuav txiav txim siab seb yuav ua li cas rau cov kev kuaj no raws li koj tus mob.

Cov kev kho mob rau qhov no yog dab tsi? (Cov Kev Kho Mob Feem Ntau)

Yog tias muaj teeb meem nrog lub plawv atrial apparatus (RAA) sab xis, muaj ntau txoj kev kho mob tau:

• Cov Tshuaj Anticoagulants: Yog tias koj tus RAA yooj yim rau cov ntshav txhaws, koj yuav tau txais cov tshuaj no los tiv thaiv cov ntshav txhaws.
• Kev kho mob ablation: Yog tias lub plawv dhia tsis xwm yeem, xws li atrial fibrillation, pib nrog RAA, kev kho mob hu ua ablation tuaj yeem ua tiav los rhuav tshem cov ntaub so ntswg tsis zoo.
• Kev Phais Mob: Yog tias cov nqaij ntawm RAA tau raug puas tsuaj hauv qhov xwm txheej, kev phais mob yuav tsum tau kho lossis tshem tawm cov khoom puas tsuaj.

Kev txiav txim siab seb kev kho mob twg yog qhov zoo rau koj nyob ntawm ntau yam, suav nrog koj tus mob, hnub nyoog, thiab kev noj qab haus huv tag nrho.

Yuav ua li cas kom kuv lub plawv sab xis (RAA) noj qab nyob zoo? (Yuav ua li cas saib xyuas koj lub RAA)

Yeej tsis muaj ib yam dab tsi uas koj ua tau tshwj xeeb rau koj lub '(Right Atrial Appendage)'. Tib yam uas koj ua kom koj lub plawv noj qab nyob zoo kuj zoo rau koj lub '(RAA)'. Yuav kom koj lub plawv noj qab nyob zoo, saib xyuas cov no:

• Ua kom lub cev tawm dag zog tsawg kawg yog 150 feeb hauv ib lub lim tiam: ua cov kev tawm dag zog xws li taug kev, khiav, lossis ua luam dej.
• Noj zaub mov kom zoo rau lub plawv: Noj zaub, txiv hmab txiv ntoo, taum pauv, cov nplej tag nrho, nqaij tsis muaj roj ntau, thiab ntses. Txo cov roj, ntsev, thiab qab zib.
• Tsis txhob siv cov khoom luam yeeb: Kev haus luam yeeb ua rau lub plawv puas tsuaj heev.
• Tswj koj txoj kev ntxhov siab:Ua tej yam xws li yoga, xav, thiab lwm yam. So kom txaus.
• Tswj cov mob xws li ntshav siab thiab ntshav qab zib: Noj tshuaj raws li koj tus kws kho mob tau hais.

Los ntawm kev ua raws li cov kauj ruam yooj yim no, koj tuaj yeem ua kom koj lub plawv thiab cov hlab ntsha noj qab nyob zoo.

Thaum kawg, qhov tseem ceeb tshaj plaws (Cov Lus Qhia Coj Mus Tsev)

Muaj coob tus neeg yeej tsis tau hnov ​​txog lo lus "Right Atrial Appendage" lossis "RAA" ua ntej. Cov neeg uas muaj "Afib" tej zaum yuav tau hnov ​​txog Left Atrial Appendage, tab sis qhov ntawm sab xis tsis tshua muaj neeg tham txog.

Yog tias koj nyeem tsab xov xwm no vim koj yuav muaj lub tshuab pacemaker cog rau hauv, ib qho koj yuav tsum paub yog tias cov kws kho mob xaiv RAA ua qhov chaw zoo tshaj plaws los tso lub tshuab pacemaker. Peb twb tau tham txog cov laj thawj rau qhov no lawm.

Yog li ntawd, yog tias koj muaj lus nug ntxiv txog qhov '(RAA)' no, tsis txhob yig los tham nrog koj tus kws kho mob. Nws tuaj yeem muab cov lus teb meej rau koj txhua lo lus nug. Nco ntsoov tias, txhua qhov me me ntawm peb lub cev muaj lub luag haujlwm tseem ceeb, yog li nws yog ib qho tseem ceeb uas yuav tsum paub txog nws.

Lub Plawv, Sab Xis Atrial Appendage, RAA, Kab Mob Plawv, Lub Pacemaker, Atrial Fibrillation, Kev Noj Qab Haus Huv Plawv, Sab Xis Atrial Appendage