Koj puas muaj teeb meem txog cov hlab ntsha hauv koj tus txha nqaj qaum? Cia peb kawm ntxiv txog Spinal Arteriovenous Malformation (AVM)!

Koj puas muaj tej lub sij hawm mob nraub qaum? Los yog koj puas xav tias koj tsis muaj zog lossis tsis muaj zog ntawm koj txhais caj npab lossis ceg? Tej zaum cov no tsis yog tej yam uas koj xav tias tsis muaj tseeb xwb. Hnub no peb yuav tham txog ib yam mob uas tsis tshua muaj neeg hnov ​​txog, tab sis nws tseem ceeb heev. Qhov ntawd yog ib txoj hlab ntshav hauv tus txha caj qaum, ib yam mob hu ua '(Spinal Arteriovenous Malformation)' lossis '(AVM)' hauv kev kho mob.

Qhov no yog dab tsi (Spinal AVM)?

Hais yooj yim xwb, tus kab mob Spinal AVM yog ib qho mob uas cov hlab ntsha (cov hlab ntsha) sib xyaws thiab sib xyaws ncig lossis ntawm koj tus txha caj qaum (cov hlab ntsha hauv koj tus txha caj qaum). Koj puas paub qhov no tshwm sim li cas? Peb lub cev muaj cov hlab ntsha (cov hlab ntsha uas nqa cov ntshav oxygen los ntawm lub plawv) thiab cov hlab ntsha (cov hlab ntsha uas nqa cov ntshav siv rov qab mus rau lub plawv). Feem ntau, cov hlab ntsha thiab cov hlab ntsha no txuas nrog los ntawm ib lub cev ntawm cov hlab ntsha me me hu ua capillaries . Cov capillaries no yog cov uas faib cov pa oxygen rau peb tus txha caj qaum thiab cov nqaij nyob ib puag ncig.

Txawm li cas los xij, nyob rau hauv qhov mob '(AVM)' no, ib txoj hlab ntsha txuas ncaj qha mus rau ib txoj hlab ntsha. Lub capillary system nyob nruab nrab yog bypassed. Xav txog, nws zoo li kev sib tsoo ntawm txoj kev loj uas hloov mus rau txoj kev me me thiab tom qab ntawd rov txuas mus rau txoj kev loj. Ua li cas tshwm sim? Qhov ntau ntawm cov pa oxygen uas cov hlwb hauv tus txha caj qaum xav tau raug txo qis. Tsis tas li ntawd, qhov kev sib txuas tsis zoo no tuaj yeem ua rau cov hlab ntsha loj hlob, hloov siab, thiab qee zaum tawg . Yog tias qhov ntawd tshwm sim, kev los ntshav ntau dhau '(Hemorrhage)' tuaj yeem tshwm sim, uas tuaj yeem ua rau lub neej muaj kev phom sij . Tab sis tsis txhob txhawj, muaj kev kho mob los tiv thaiv qhov mob no. Qee zaum cov kws kho mob kuj hu qhov no '(Spinal Arteriovenous Shunt)', raws li koj yuav tau hnov.

Cov hom mob '(Spinal AVM)' tseem ceeb yog dab tsi?

Tam sim no cia peb saib seb hom kab mob `(Spinal AVM)` yog dab tsi. Muaj tsib hom kab mob ntawm cov hlab ntsha uas tshwm sim hauv cov hlab ntsha qaum. Cov no suav nrog `(Spinal Arteriovenous Malformations - AVM)` thiab `(Spinal Arteriovenous Fistulas - AVF)`. Hauv ob qho no, kev sib txuas tsis zoo tshwm sim ntawm cov hlab ntsha thiab cov leeg ntshav. Txawm li cas los xij, `(AVM)` tshwm sim hauv cov ntaub so ntswg qaum. `(AVF)` tshwm sim hauv `(Dura mater)` , daim nyias nyias uas nyob ib puag ncig cov hlab ntsha qaum.

Nov yog tsib hom tseem ceeb:

• Hom I: Dural AVF: Qhov no nyob rau sab nraud tshaj plaws ntawm cov hlab ntsha qaum (dura mater).
• Hom II: Intramedullary glomus AVM: Qhov no nyob sab hauv ntawm tus txha caj qaum.
• Hom III: Intramedullary juvenile AVM: Qhov no tuaj yeem kis mus rau hauv cov hlab ntsha hauv lub hlwb thiab mus rau hauv cov nqaij ib puag ncig. Nws feem ntau tshwm sim rau cov menyuam yaus thiab cov hluas.
• Hom IV: Perimedullary AVF: Qhov no nyob rau hauv cov ntaub so ntswg uas nyob ib puag ncig lub hlwb qaum.
• Hom V: Extradural AVF: Qhov no yog nyob rau hauv qhov chaw sab nraum dura mater.

Muaj ib qho uas yuav tsum nco ntsoov yog tias yog AVM tawg, cov tsos mob feem ntau yuav hnyav dua li AVF. Qhov no yog vim AVM tawg ncaj qha rau hauv cov nqaij, thaum AVF feem ntau nyob hauv dura mater, uas muab qee qhov kev tiv thaiv.

Tus mob no feem ntau tshwm sim li cas?

Tus mob no hu ua '(Spinal AVM)' ntau npaum li cas? Qhov tseeb, nws yog tus kab mob ntawm cov hlab ntsha uas tshwm sim hauv cov hlab ntsha qaum. Txawm li cas los xij, nws nyuaj rau hais tias muaj pes tsawg tus neeg muaj nws. Qhov no yog vim tias ntau tus neeg tsis paub tias lawv muaj nws kom txog thaum lawv muaj cov tsos mob. Qee zaum nws raug pom tsis tau thaum lub sijhawm kuaj mob rau lwm yam kab mob. Yog li ntawd, nws feem ntau suav tias yog tus mob tsis tshua muaj .

Cov tsos mob ntawm tus kab mob '(Spinal AVM)' yog dab tsi?

Cov tsos mob ntawm '(Spinal AVM)' tshwm sim vim tias cov hlab ntsha sib xyaw ua ke nias rau ntawm cov hauv paus hlab ntsha ntawm tus txha caj qaum thiab tus txha caj qaum nws tus kheej. Hauv kev kho mob, peb hu hom kev nyem no '(Myelopathy)' . Cov tsos mob feem ntau yog:

• Mob nraub qaum .
• Cov leeg tsis muaj zog lossis tawv (hauv caj dab, caj npab, thiab ceg).
• Tsis muaj zog, tsis hnov ​​​​​​lus zoo, lossis muaj kev xav txawv txawv hauv ob txhais ceg.
• Mob taub hau .
• Tsis muaj zog sib npaug, nyuaj taug kev .
• Nyuaj tswj cov zis thiab quav .

Cov tsos mob no sib txawv nyob ntawm hom AVM, nws hnyav npaum li cas, thiab qhov twg nws nyob hauv tus txha nqaj qaum. Piv txwv li, yog tias AVM nyob rau hauv koj lub nraub qaum sab saud lossis hauv siab, cov tsos mob yuav tshwm sim hauv koj lub hauv siab, lub cev, nraub qaum, caj npab, thiab ceg. Yog tias nws nyob rau hauv koj nruab nrab nraub qaum lossis nraub qaum qis, cov tsos mob yuav cuam tshuam rau koj lub plab qis, nraub qaum, lossis ceg.

Cov tsos mob no tuaj yeem tshwm sim rau ib sab ntawm lub cev lossis ob sab. Qee zaum koj yuav pom tias lawv maj mam nce zuj zus, lossis lawv tuaj yeem tuaj thiab mus. Nco ntsoov tias qee tus neeg tuaj yeem muaj tus kab mob AVM ntawm tus txha caj qaum yam tsis muaj tsos mob.

Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob sai li sai tau thaum cov tsos mob pib tshwm sim. Ib yam dab tsi zoo li mob nraub qaum sai sai thiab hnyav heev yuav yog ib qho cim qhia tias AVM tau tawg lawm. Qhov no yog ib qho xwm txheej ceev hauv kev kho mob, yog li nrhiav kev kho mob tam sim ntawd.

Cov tsos mob pib thaum twg?

Cov tsos mob ntawm '(AVM)' no tuaj yeem tshwm sim thaum twg los tau. Txawm li cas los xij, feem ntau cov neeg muaj cov tsos mob ntawm hnub nyoog 15 thiab 60. Nws kuj tseem tuaj yeem sib txawv nyob ntawm hom '(AVM)'. Feem ntau, cov mob '(Spinal AVM)' no yog yug los . Qhov no txhais tau tias tus menyuam yuav muaj teeb meem nrog cov hlab ntsha no thaum lawv tseem nyob hauv plab. Txawm li cas los xij, qee zaumTus mob no kuj tseem tuaj yeem tshwm sim tom qab laus (tau txais).

Dab tsi yog cov ua rau muaj '(Spinal AVM)'?

Cov kws kho mob tseem tsis tau paub meej tias yog dab tsi ua rau muaj qhov '(Spinal AVM)' no.

Yog hais tias muaj tus kab mob hu ua Spinal AVM uas muaj txij thaum yug los, cov kev tshawb fawb tau qhia tias thaum lub sij hawm tseem nyob hauv plab (thaum tus me nyuam loj hlob hauv plab), cov hlab ntsha nyob ib puag ncig lub hlwb qaum yuav loj hlob tsis zoo li qub. Piv txwv li, tej zaum nws yog vim muaj kev hloov pauv ntawm txoj kev ntshav ntws kom tsis txhob muaj kev thaiv.

Tom qab yug los, tus kab mob "Spinal AVM" tuaj yeem tshwm sim tom qab muaj xwm txheej, phais, lossis lwm yam kev raug mob rau cov hlab ntsha hauv qab .

Qhov no ua rau muaj teeb meem dab tsi?

Cov teeb meem uas tshwm sim los ntawm '(Spinal AVM)' qee zaum tuaj yeem ua rau tuag taus . Cov teeb meem tseem ceeb yog:

• Kev Los Ntshav: AVM tuaj yeem tawg thiab pib los ntshav hauv lub cev.
• Ischemia: Qhov no yog thaum cov ntshav tsis txaus. Qhov no txo ​​cov pa oxygen thiab cov as-ham uas lub cev xav tau. Qhov no tuaj yeem ua rau cov hlwb tsis ua haujlwm zoo, thiab dhau sijhawm, kev puas tsuaj tuaj yeem sib sau ua ke.
• Kev Tuag Tes Tuag Taw: Yog tias cov hlab ntsha caj qaum raug puas tsuaj, nws tuaj yeem ua rau tuag tes tuag taw, uas yog ib qho mob uas qee qhov ntawm lub cev tsis tuaj yeem txav mus los.

Yuav ua li cas koj thiaj paub tias koj muaj '(Spinal AVM)'?

Tus kws kho mob yuav kuaj mob AVM ntawm tus txha caj qaum li cas? Lawv yuav kuaj koj lub cev ua ntej , tom qab ntawd kuaj koj lub paj hlwb . Tsis tas li ntawd xwb, lawv kuj tseem yuav kom koj kuaj duab tshwj xeeb .

Cov kev kuaj duab no tuaj yeem pab txiav txim siab qhov loj ntawm AVM thiab qhov chaw nws nyob hauv cov hlab ntsha qaum. Koj tus kws kho mob yuav siv cov kev kuaj zoo li no:

• Kev tshuaj ntsuam xyuas magnetic resonance imaging (MRI).
• Kev kuaj mob Magnetic Resonance Angiography (MRA) (qhov no tshwj xeeb saib cov hlab ntsha)
• Kev kuaj mob Myelogram thiab CT (Computed Tomography - CT) scan.

Ntxiv rau, yog tias koj muaj qhov tsis hnov ​​​​​​lus lossis cov leeg tsis muaj zog, kev kuaj mob hlab ntsha thiab kev kuaj electromyography (EMG) yuav ua tau.

Yuav kho tus mob '(Spinal AVM)' li cas?

Muaj ntau txoj kev kho mob tseem ceeb (Spinal AVM):

• Kev Siv Tshuaj Txhaj:Hauv qhov no, tus kws phais siv ib lub raj nyias nyias (catheter) kom ncav cuag cov hlab ntsha uas raug mob thiab nres qhov los ntshav lossis kaw qhov kev sib txuas tsis zoo.
• Kev Phais Mob: Tus kws phais mob yuav tshem tawm tag nrho cov AVM thiab cia cov hlab ntsha ntws tau zoo.
• Kev phais mob hluav taws xob Stereotactic: Hauv qhov no, cov teeb hluav taws xob muaj zog siab raug xa mus rau qhov chaw ntawm AVM, rhuav tshem thiab kaw cov kev sib txuas ntawm cov hlab ntsha tsis zoo.

Koj tus kws kho mob yuav piav qhia rau koj seb kev kho mob twg zoo tshaj plaws rau koj tus mob. Qhov loj ntawm AVM thiab nws qhov chaw yuav txiav txim siab qhov kev kho mob zoo tshaj plaws thiab muaj kev nyab xeeb tshaj plaws. Nws kuj tseem yuav qhia koj txog cov kev mob tshwm sim ntawm kev kho mob kom koj thiaj li txiav txim siab tau zoo.

Feem ntau ntawm cov mob '(Spinal AVM)', yuav tsum tau phais kom tiv thaiv cov teeb meem uas tau hais los saum toj no. Txog hnub phais, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj tua kab mob lossis lwm yam tshuaj los tswj koj cov tsos mob thiab ua kom koj xis nyob.

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Tom qab phais lawm, koj yuav pib hnov ​​​​​​zoo li mob thiab mob taub hau. Txawm li cas los xij, lub sijhawm uas nws siv los kho kom zoo yuav txawv nyob ntawm hom kev phais uas koj tus kws kho mob tau pom zoo. Feem ntau nws yuav siv sijhawm ob peb lub lis piam. Tom qab phais lawm, koj kuj tseem yuav xav tau kev kho lub cev lossis kev kho mob ua haujlwm kom txhawb koj cov leeg thiab txhim kho koj qhov sib npaug.

Qhov xwm txheej no yuav zoo li cas?

Cov kab mob AVM ntawm tus txha caj qaum tuaj yeem kho tau los ntawm kev phais. Cov txiaj ntsig zoo tshaj plaws yog thaum kuaj pom thiab kho thaum ntxov, ua ntej muaj teeb meem tshwm sim. Txawm li cas los xij, qhov no tsis yog ib txwm yooj yim. Qee zaum, txawm tias muaj kab mob AVM ntawm tus txha caj qaum los xij, cov tsos mob yuav tsis tshwm sim tam sim ntawd. Yog tias tsis kho, nws tuaj yeem ua rau muaj teeb meem loj heev, uas yuav ua rau tuag taus xws li tuag tes tuag taw thiab los ntshav.

Kev phais mob Spinal AVM ua tau zoo npaum li cas?

Kev phais mob AVM ntawm tus txha caj qaum feem ntau ua tiav . Ib txoj kev tshawb fawb pom tias kev siv embolization thiab kev phais tshem tawm cov hlab ntsha tau ua tiav 74% thiab 88%, raws li. Hauv tib txoj kev tshawb fawb, 70% ntawm cov neeg tau kho tau pom tias cov tsos mob zoo dua.

Txawm li cas los xij, qhov tshwm sim ntawm kev phais mob nyob ntawm ntau yam, xws li koj txoj kev noj qab haus huv dav dav, qhov loj ntawm AVM, thiab nws qhov chaw nyob. Koj tus kws kho mob tuaj yeem qhia koj zoo tshaj plaws txog koj tus mob.

Spinal AVM thiab cev xeeb tub

Txawm hais tias muaj peev xwm xeeb tub tau zoo nrog '(Spinal AVM'), qhov kev pheej hmoo ntawm cov teeb meem muaj ntau.Muaj kev pheej hmoo siab uas AVM yuav tawg, ua rau mob hnyav thiab tuag tes tuag taw. Qhov no tuaj yeem ua rau tuag taus rau leej niam thiab tus menyuam hauv plab. Yog li ntawd, koj tus kws kho mob yuav qhia koj txog kev kho mob zoo tshaj plaws rau koj tus mob thiab yuav ua li cas npaj rau kev xeeb tub kom noj qab nyob zoo.

Qhov no puas tiv thaiv tau?

Tam sim no tseem tsis tau muaj txoj kev los tiv thaiv tus mob no (Spinal AVM). Tab tom tshawb nrhiav ntxiv kom paub seb yog dab tsi ua rau muaj cov mob no.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog koj xav tias koj muaj cov tsos mob ntawm '(Spinal AVM)', mus ntsib kws kho mob .

Qee zaum, AVM tuaj yeem tawg sai sai. Qhov no yog xwm txheej ceev hauv kev kho mob. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, mus rau chav kho mob ceev hauv tsev kho mob tam sim ntawd:

• Mob nraub qaum tam sim ntawd, uas tsis tuaj yeem ua tau.
• Tawv nqaij daj ntseg, txias, tawm hws.
• Ua pa nyuaj.
• Lub plawv dhia nce ntxiv.
• Xeev siab los yog ntuav.
• Kev poob ntawm qhov sib npaug hauv lub cev.
• Kev tsis meej pem, kev nco tsis zoo.
• Nyuaj siab txav mus los yog tig lub caj dab.
• Mob taub hau hnyav heev.
• Poob siab.

Cov lus nug uas koj yuav tsum nug koj tus kws kho mob

Qee cov lus nug uas koj yuav tsum nug koj tus kws kho mob:

• Kuv tus '(Spinal AVM)' nyob qhov twg?
• Koj pom zoo kom kho li cas?
• Cov kev mob tshwm sim ntawm kev kho mob yog dab tsi?
• Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab phais?
• Puas yog AVM tuaj yeem rov qab loj hlob tom qab nws raug tshem tawm?
• Yog tias ib tug ntawm kuv tsev neeg muaj Spinal AVM, kuv puas yuav tsum tau mus kuaj noob caj noob ces thiab?

Qhov tseem ceeb tshaj plaws rau koj yuav tsum nco ntsoov!

Thaum cov tsos mob tshwm sim sai sai, suav nrog kev hloov pauv ntawm lub cev txav mus los thiab cov leeg nqaij muaj zog, nws tuaj yeem yog qhov xwm txheej txaus ntshai. Yog tias koj xav tias muaj dab tsi txawv txawv, nco ntsoov mus ntsib kws kho mob . Mob nraub qaum hnyav feem ntau yog ib qho cim tseem ceeb uas qhia tias muaj qee yam tsis raug. Tus mob no, hu ua spinal arteriovenous malformation (AVM), tuaj yeem ua rau muaj teeb meem loj heev rau lub neej . Yog li ntawd, qhov sai dua qhov mob tau kuaj pom thiab kho, qhov tshwm sim zoo dua . Kev phais tuaj yeem kho qhov xwm txheej tsis zoo ntawm cov hlab ntsha no.

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