Koj puas tau pom tias muaj ib txhia neeg muaj cov leeg ntshav xiav lossis ntshav ntawm lawv ob txhais ceg, tshwj xeeb tshaj yog nyob rau hauv qhov chaw ntawm lub qhov quav? Tej zaum koj kuj yuav tsum tau sawv ntsug ib hnub tag nrho thiab thaum yav tsaus ntuj koj ob txhais ceg yuav o, hnyav, thiab mob. Peb coob tus xav tias cov no yog tej yam ib txwm muaj, tab sis tom qab qhov no muaj ib zaj dab neeg txog ib txoj hlab ntshav tseem ceeb heev hauv peb lub cev. Tus neeg ua yeeb yam tseem ceeb hauv zaj dab neeg ntawd yog "Saphenous Vein". Hnub no peb tab tom tham txog qhov no, txoj hlab ntshav ntev tshaj plaws hauv peb lub cev.
Hais yooj yim xwb, Saphenous Vein yog dab tsi?
Zoo, cia peb hais li no. Cov hlab ntsha saphenous yog cov hlab ntsha uas pab nqa cov ntshav ntawm koj ob txhais ceg rov qab mus rau koj lub plawv. Cov no tsuas yog txoj kev me me uas coj los ntawm peb ob txhais ceg mus rau peb lub siab. Peb muaj ob hom hlab ntsha saphenous hauv txhua ceg.
1. Cov leeg ntshav loj Saphenous: Kuj tseem hu ua Cov leeg ntshav ntev Saphenous, qhov no yog cov leeg ntshav ntev tshaj plaws hauv peb lub cev . Xav txog, nws khiav ntawm koj txhais taw mus txog koj ceg, mus txog rau saum koj lub duav.
2. Cov leeg ntshav me me: Cov leeg ntshav no kuj pib hauv ko taw, khiav mus rau tom qab ceg, raws lub puab tais, thiab xaus rau tom qab lub hauv caug.
Ob leeg cov leeg ntshav no ua haujlwm zoo heev ntawm kev nqa cov ntshav ntawm peb ob txhais ceg rov qab mus rau lub plawv.
Lub luag haujlwm ntawm lub cev vascular no yog dab tsi?
Koj cov hlab ntsha saphenous, zoo li ntau lwm cov hlab ntsha hauv peb lub cev, nqa cov ntshav uas tsis muaj oxygen txaus, "qias neeg" rov qab mus rau lub plawv. Cov hlab ntsha saphenous sau cov ntshav los ntawm ntau cov hlab ntsha me me hauv peb txhais taw thiab ob txhais ceg. Cov hlab ntsha saphenous ces nqa cov ntshav no mus rau cov hlab ntsha loj dua hauv ob txhais ceg sab saud. Los ntawm qhov ntawd, cov ntshav mus rau sab saud ntawm ceg, thaum kawg koom nrog ib qho ntawm cov hlab ntsha loj hauv peb lub cev , Inferior Vena Cava, uas mus ncaj qha rau lub plawv.
Tag nrho cov txheej txheem no yog ib feem ntawm peb lub cev ncig ntshav. Xav txog nws zoo li lub network ntawm txoj kev hauv ib lub nroog. Ntshav yog cov tsheb uas mus ncig ntawm cov kev no. Cov tsheb no muaj ib txoj haujlwm tas li. Ntawd yog nqa cov pa oxygen thiab cov as-ham mus rau txhua lub cell thiab cov nqaij hauv peb lub cev. Qhov no tshwm sim yam tsis nres ib feeb.
Yog li ntawd, vim li cas cov ntshav no thiaj yuav tsum rov qab mus rau lub plawv? Qhov laj thawj yog tias txhua zaus lub plawv dhia, lub plawv thawb cov ntshav uas tsis muaj oxygen no mus rau lub ntsws. Nws yog nyob rau hauv lub ntsws uas cov ntshav no tau rov qab oxygen thiab cov pa roj carbon dioxide uas tsis xav tau raug tshem tawm.
Cov ntshav "huv si", uas muaj oxygen ntau, rov qab mus rau lub plawv. Tom qab ntawd lub plawv mam li tso cov ntshav ntawd mus thoob plaws lub cev. Tom qab ncig thoob plaws lub cev thiab faib cov oxygen, cov ntshav uas tsis muaj oxygen rov qab mus rau cov leeg ntshav thiab pib nws txoj kev rov qab mus rau lub plawv. Lub voj voog no txuas ntxiv mus tas li.
Puas muaj tseeb tias cov hlab ntsha no siv rau kev phais plawv bypass?
Yog lawm, zaj dab neeg ntawd muaj tseeb. Qee zaum cov kws phais yuav muab ib feem ntawm koj cov hlab ntsha saphenous thiab siv nws ua "kev hloov pauv" rau lwm qhov hauv koj lub cev. Qhov no muaj tseeb tshwj xeeb thaum lub sijhawm phais mob coronary artery bypass grafting (CABG) .
Hais yooj yim xwb, thaum ib tug neeg cov hlab ntsha hauv lub plawv, uas muab ntshav rau lawv lub plawv, raug thaiv los ntawm cov rog, cov leeg plawv tsis tau txais cov ntshav uas nws xav tau. Qhov no yog ib qho mob txaus ntshai heev. Kev phais CABG suav nrog kev tsim txoj hauv kev tshiab rau cov ntshav ntws ncig qhov kev thaiv. Nws zoo li kev tsim ib txoj kev hla mus hla txoj kev uas tibneeg coob coob.
Yuav kom tsim tau txoj kev tshiab no, cov kws phais xav tau cov hlab ntsha zoo. Lub sijhawm ntawd, lawv rho cov hlab ntsha los ntawm lwm qhov ntawm peb lub cev. Cov hlab ntsha feem ntau siv rau qhov no yog cov hlab ntsha saphenous hauv ceg. Vim tias kev tshem tawm cov hlab ntsha no yuav tsis muaj kev cuam tshuam loj rau kev ncig ntshav hauv ceg. Vim tias peb muaj lwm lub cev ntawm cov hlab ntsha tob hauv peb ob txhais ceg los ua txoj haujlwm ntawd.
Cov hlab ntsha no nyob qhov twg thiab nws tau tsim los li cas?
Cov leeg ntshav saphenous yog cov leeg ntshav uas nyob rau ntawm qhov chaw ntawm peb daim tawv nqaij, tsis tob heev. Yog vim li ntawd lawv qee zaum zoo li o.
Cov phab ntsa ntawm cov leeg no yog ua los ntawm peb txheej membrane tseem ceeb:
- Tunica adventitia: Qhov no yog txheej sab nraud tshaj plaws. Nws ua rau cov leeg ntshav muaj zog thiab zoo nkauj.
- Tunica media: Txheej nruab nrab. Nws muaj cov leeg nqaij du. Txheej no pab cov leeg ntshav kom nthuav dav thiab nqaim nyob ntawm seb cov ntshav ntws ntau npaum li cas.
- Tunica intima: Txheej sab hauv tshaj plaws. Nws cov hlwb du ua rau cov ntshav ntws tau yooj yim yam tsis muaj kev thaiv.
Lwm yam tseem ceeb ntawm cov leeg ntshav no yog cov qhov dej ib txoj kev . Xav txog lawv zoo li cov qhov rooj me me. Cov qhov rooj no tsuas qhib ib txoj kev xwb, uas yog sab saud. Thaum cov ntshav ntws los ntawm ob txhais ceg tawm tsam lub ntiajteb txawj nqus, cov qhov dej no kaw, tiv thaiv cov ntshav kom tsis txhob ntws rov qab los. Feem ntau muaj 10 txog 12 ntawm cov qhov dej no hauv Cov leeg ntshav loj Saphenous.
Cov mob uas feem ntau cuam tshuam rau cov hlab ntsha saphenous
Muaj ntau yam mob uas ua rau cov leeg ntshav hauv peb ob txhais ceg tsis ua haujlwm zoo. Tej no kuj tseem yuav cuam tshuam rau cov leeg ntshav saphenous.
| Mob nkeeg | Hais yooj yim xwb... |
|---|---|
| Cov leeg ntshav varicose | Qhov no yog ib qho mob uas peb coob leej ntau tus paub txog. Cov leeg ntshav yuav o, ntswj, thiab zoo li xiav/ntshav ntawm daim tawv nqaij. Txawm hais tias qhov no feem ntau tsis ua teeb meem dab tsi los xij, qee zaum nws tuaj yeem ua rau muaj teeb meem xws li mob qog ntawm daim tawv nqaij. |
| Kev Mob Venous Tsis Txaus Ntev | Qhov mob no tshwm sim thaum cov hlab ntsha hauv cov leeg ntawm ob txhais ceg, uas peb tau tham txog ua ntej, tsis muaj zog. Tom qab ntawd cov ntshav tsis ntws zoo thiab hloov chaw nyob hauv ob txhais ceg. Qhov no ua rau o thiab mob hauv ob txhais ceg. |
| Kab mob Thrombophlebitis saum npoo av | Qhov no yog thaum cov ntshav txhaws tsim nyob rau hauv cov leeg ntshav sab saud hauv qab daim tawv nqaij. Qhov no tuaj yeem ua rau thaj chaw ntawd liab, sov, thiab mob. |
Koj paub li cas yog tias muaj teeb meem nrog cov leeg ntshav no? (Cov tsos mob)
Yog tias koj muaj teeb meem nrog koj cov hlab ntsha saphenous lossis lwm cov hlab ntsha hauv koj ceg, koj yuav muaj cov tsos mob no. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no.
| Cov tsos mob | Qhov ntawd txhais tau tias ... |
|---|---|
| O ntawm ob txhais ceg, pob luj taws, lossis taw (Edema) | Tshwj xeeb tshaj yog tias koj txhais taw o thaum kawg ntawm hnub tom qab sawv ntev. Yog tias koj cov khau nruj. |
| Mob los yog mob thaum nias | Ob txhais ceg, tshwj xeeb tshaj yog qhov twg pom cov leeg ntshav, tsuas yog mob lossis mob thaum nias nrog tus ntiv tes. |
| Hnyav, qaug zog, lossis mob hauv ob txhais ceg | Koj ob txhais ceg yuav nkees heev thiab hnyav heev yam tsis muaj laj thawj pom tseeb. Tej zaum ib txhia neeg yuav mob ceg uas ua rau lawv sawv thaum hmo ntuj. |
| Kev hloov pauv ntawm daim tawv nqaij | Tawv nqaij qhuav, tawv nqaij tawv, khaus khaus ntawm ob txhais ceg, lossis daim tawv nqaij xim av tuaj yeem yog cov cim qhia tias cov ntshav ncig tsis zoo. |
Koj ua dab tsi li kev kho mob?
Txoj kev kho mob nyob ntawm koj tus mob. Tsis yog txhua tus yuav tau txais kev kho mob zoo ib yam. Zoo dua nrog koj tus kws kho mob tham txog kev kho mob twg zoo tshaj plaws rau koj.
Nov yog qee cov kev kho mob uas feem ntau siv:
- Kev hloov pauv hauv lub neej: Qhov no yog thawj kauj ruam. Qhov no suav nrog sawv ntsug ntev ntev, txo qhov zaum, tsa koj txhais taw kom siab rau ntawm lub rooj zaum, txo qhov hnyav, thiab hnav cov thom khwm nruj raws li koj tus kws kho mob tau hais.
- Sclerotherapy: Ib qho kua tshwj xeeb lossis ua npuas ncauj raug txhaj ncaj qha rau hauv cov leeg ntshav, ua rau nws ntsws thiab ploj mus raws sijhawm.
- Endovenous Thermal Ablation: Qhov no siv cov teeb laser lossis cov nthwv dej xov tooj cua los ua kom sov thiab kaw cov hlab ntsha uas puas lawm los ntawm sab hauv.
- Kev Phais Mob (Kev Ligation thiab Stripping Cov Ntshav): Cov ntshav uas puas lawm raug khi thiab muab tshem tawm tag nrho los ntawm kev phais mob.
- Cov tshuaj ua kom cov ntshav nyias: Yog tias cov ntshav txhaws tau tsim nyob rau hauv cov leeg ntshav, koj tus kws kho mob yuav sau cov tshuaj no kom yaj nws thiab tiv thaiv cov ntshav txhaws ntxiv kom tsis txhob tsim.
Yog li peb yuav ua li cas kom cov hlab ntsha no noj qab nyob zoo?
Muaj ntau yam yooj yim uas koj ua tau txhua hnub los tswj kev noj qab haus huv ntawm koj cov hlab ntsha.
- Tsis txhob haus luam yeeb kiag li. Kev haus luam yeeb ua rau koj cov hlab ntsha puas tsuaj loj heev.
- Ua kom koj lub cev nquag li sai tau.Tsis txhob nyob hauv tib qho chaw ntev dhau. Yog tias koj ua haujlwm hauv chaw ua haujlwm, sawv thiab taug kev tsawg kawg ib teev ib zaug.
- Tswj koj lub cev kom muaj qhov hnyav zoo. Ua raws li kev noj zaub mov zoo rau lub plawv.
- Taug kev tsawg kawg yog 30 feeb, tsawg kawg yog tsib hnub hauv ib lub lim tiam. Qhov no yog ib qho kev tawm dag zog zoo heev rau kev noj qab haus huv ntawm koj cov leeg.
- Yog tias koj yuav tsum zaum ntev (piv txwv li, mus ncig ua si ntev), so me ntsis thiab ncab koj ob txhais ceg. Yog tias koj sawv tsis tau, zaum thiab dov koj ob txhais ceg mus rau saum thiab nqis.
Qee cov lus nug uas nquag nug
Cov hlab ntsha saphenous puas yog cov hlab ntsha varicose?
Tsis yog. Koj cov hlab ntsha saphenous tej zaum yuav noj qab nyob zoo thiab tsis muaj teeb meem dab tsi. Cov hlab ntsha varicose yog cov hlab ntsha uas o, puas lawm, thiab tsis ua haujlwm zoo. Txawm li cas los xij, kev tshawb fawb tau qhia tias thaum ib tug neeg muaj cov hlab ntsha varicose, nws feem ntau cuam tshuam rau cov hlab ntsha saphenous. Vim tias lawv nyob rau ntawm qhov chaw ntawm daim tawv nqaij, lawv yooj yim pom thaum lawv o thiab ntswj.
Puas ua tau kom nyob tsis muaj cov hlab ntsha saphenous?
Yog, nws yeej ua tau. Qhov ntawd yog vim koj muaj lwm txoj hlab ntsha loj (cov hlab ntsha tob) uas nqa ntshav los ntawm koj ob txhais ceg. Qhov tseeb, cov hlab ntsha tob nqa cov ntshav ntau dua li cov hlab ntsha sab saud. Yog li ntawd, yog tias koj tshem tawm cov hlab ntsha saphenous, lwm cov hlab ntsha tuaj yeem ua txoj haujlwm ntawd.
Qhov no puas yog ib txoj hlab ntsha tob?
Tsis yog. Ob leeg cov leeg ntshav loj thiab cov leeg ntshav me yog cov leeg ntshav sab saud. Lawv sau cov ntshav los ntawm ze ntawm daim tawv nqaij thiab nqa mus rau cov leeg ntshav tob.
Peb feem ntau tsis nco qab tias peb cov hlab ntsha ua haujlwm hnyav npaum li cas. Peb tsis txawm xav txog lawv kom txog thaum muaj teeb meem tshwm sim. Txawm hais tias cov leeg ntshav varicose yog ib qho uas pom ntau, qee zaum lawv tuaj yeem loj hlob yog tias tsis kho. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob sai li sai tau thaum koj pom muaj kev o, mob, lossis kev hloov pauv hauv koj ob txhais ceg.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha saphenous yog cov hlab ntsha ntev tshaj plaws thiab tseem ceeb tshaj plaws hauv lub cev, khiav ntawm lub hauv paus ntawm koj ceg mus rau saum.
- Cov leeg ntshav varicose yog ib qho teeb meem uas tshwm sim ntau zaus uas tuaj yeem cuam tshuam nrog cov leeg ntshav no.
- Qhov mob ntawm ceg, o, thiab daim tawv nqaij hloov xim yog cov cim qhia tias muaj teeb meem ntawm cov leeg ntshav. Tsis txhob tsis quav ntsej txog cov no.
- Kev tswj kom muaj qhov hnyav noj qab nyob zoo, kev tawm dag zog, thiab kev tsis txhob haus luam yeeb yog qhov tseem ceeb rau kev noj qab haus huv ntawm koj cov hlab ntsha.
- Yog tias koj muaj teeb meem lossis kev txhawj xeeb txog cov leeg ntshav hauv koj ob txhais ceg, mus ntsib kws kho mob yam tsis muaj kev ncua.
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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