Ib lub pob zoo li lub npas hauv cov hlab ntsha splenic? Cia peb kawm txog Splenic Artery Aneurysm!

Koj puas tau hnov ​​​​dua txog splenic artery aneurysm? Lub npe yuav zoo li ntshai me ntsis, tab sis tsis txhob txhawj. Cia peb tham txog nws hauv txoj kev yooj yim uas koj tuaj yeem nkag siab. Feem ntau, qhov mob no tuaj yeem tshwm sim yam tsis muaj tsos mob, tab sis qee zaum nws tuaj yeem tshwm sim nrog cov khoom xws li mob rau sab laug sab saud ntawm lub plab.

Qhov no yog dab tsi yog qhov splenic artery aneurysm?

Hais yooj yim xwb, koj lub qhov ntswg muaj ib txoj hlab ntsha tseem ceeb, ib txoj hlab ntsha , uas muab ntshav, thiab thaum ib feem ntawm phab ntsa ntawm txoj hlab ntsha ntawd qaug zog thiab nthuav tawm zoo li lub npas, peb hu nws ua aneurysm . Xav txog nws zoo li ib lub yeeb nkab dej uas nthuav tawm hauv ib qho chaw thaum nws laus. Raws li lub sijhawm dhau mus, qhov nthuav no tuaj yeem loj dua. Qhov nthuav loj dua, qhov kev puas tsuaj ntau dua nws tuaj yeem ua rau. Yog hais kom meej, yog tias cov hlab ntsha splenic nthuav tawm 1.0 cm lossis ntau dua, peb hu nws ua splenic artery aneurysm. Qee zaum nws tuaj yeem tsis muaj tsos mob rau lub sijhawm ntev. Tab sis qee zaum nws kuj tuaj yeem qhia cov tsos mob uas xav tau kev kho mob thaum muaj xwm txheej ceev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no, uas yog, cov tsos mob thiab cov yam ntxwv txaus ntshai.

Tus mob no muaj ntau npaum li cas? Leej twg yuav muaj feem ntau dua?

Tus mob no, hu ua splenic artery aneurysm, cuam tshuam rau ntawm ib ntawm 1,000 thiab ib ntawm 2,500 tus neeg. Qhov ntawd txhais tau tias, txawm hais tias nws yuav zoo li tsis yog teeb meem loj, nws yog hom aneurysm feem ntau uas tshwm sim hauv cov hlab ntsha hauv peb lub plab (visceral artery aneurysm).

Qhov no tuaj yeem cuam tshuam rau cov neeg laus txhua lub hnub nyoog. Tab sis yog tias koj yog poj niam , tshwj xeeb tshaj yog hnub nyoog tshaj 60 xyoo , koj muaj kev pheej hmoo siab dua me ntsis. Qhov tseeb, nws kuj tseem ceeb tias kwv yees li 80% ntawm cov aneurysms no tshwm sim rau cov poj niam .

Aneurysm cuam tshuam li cas rau lub cev? Puas yog nws txaus ntshai?

Feem ntau, peb cov hlab ntsha muaj zog heev. Lawv lub cev yuav nqaim thiab nthuav dav thaum cov ntshav ntws los ntawm lawv, tab sis lawv tsis poob lawv cov duab ib txwm muaj. Tab sis thaum muaj aneurysm, qhov chaw tsis muaj zog hauv cov hlab ntsha ua rau nws nthuav dav. Nws zoo li ib txoj hlua roj hmab raug rub rau hauv ib qho chaw. Phab ntsa ntawm cov hlab ntsha tsis muaj zog heev ntawm lub sijhawm ntawd. Raws li lub sijhawm dhau mus, yog tias tsis kho, qhov no tuaj yeem ua rau muaj teeb meem loj .

Kab mob Splenic Artery Aneurysm yog ib qho mob hnyav heev . Qee zaum nws tuaj yeem ua rau tuag taus, tshwj xeeb tshaj yog tias koj cev xeeb tub . Ib yam li lwm yam kab mob aneurysm, qhov no muaj kev phom sij vim nws tuaj yeem tawg lossis txiav . Cov kev tawg thiab kev txiav no yog cov xwm txheej ceev uas ua rau tuag taus uas xav tau kev kho mob tam sim ntawd.

Muaj lwm yam, nws hu ua pseudoaneurysms., uas hu ua 'aneurysm cuav'. Qhov no kuj tseem tuaj yeem cuam tshuam rau cov hlab ntsha splenic. Hauv qhov aneurysm tiag tiag, txhua txheej ntawm phab ntsa hlab ntsha raug cuam tshuam. Hauv pseudoaneurysm, tsuas yog ib lossis ob txheej raug cuam tshuam. Txawm li cas los xij, qhov pseudoaneurysm ntawm cov hlab ntsha splenic no kuj tseem ceeb heev thiab muaj kev pheej hmoo ntawm kev tawg ntau dua li qhov aneurysm tiag tiag.

Cov tsos mob ntawm tus kab mob splenic artery aneurysm yog dab tsi?

Muaj ntau cov tsos mob uas koj yuav ntsib yog tias koj muaj qhov aneurysm no.

• Mob rau sab laug sab saud ntawm koj lub plab . Qhov mob no kuj tseem yuav kis mus rau koj lub xub pwg sab laug.
• Muaj ib qho kev xav tias lub plab dhia ceev ceev hauv sab laug sab saud.

Xav txog seb yuav muaj li cas yog tias qhov aneurysm no tawg . Ces koj yuav muaj cov tsos mob xws li:

• Xeev siab thiab ntuav .
• Mob heev rau sab saud ntawm lub plab , hauv qab koj cov tav.
• Mob ntawm lub xub pwg sab laug .
• Cov tsos mob ntawm kev poob siab hypovolemic (ib qho mob uas tshwm sim los ntawm kev txo qis ntawm cov ntshav hauv lub cev).

Qhov kev sib kis no tuaj yeem tshwm sim sai sai, lossis nws tuaj yeem tshwm sim ua ob theem. Kwv yees li ib ntawm plaub tus neeg muaj kev sib xyaw ua ke ntawm ob theem no. Uas yog, cov tsos mob tshwm sim sai sai, tom qab ntawd ploj mus ib ntus. Tab sis qhov kev pab ntawd tsuas yog luv luv xwb, thiab lub cev sai sai poob siab.

Qhov tseem ceeb tshaj plaws yog tias yog tias koj muaj cov tsos mob ntawm splenic artery aneurysm lossis tawg, koj yuav tsum hu rau 1990 lossis koj tus xov tooj xwm txheej ceev hauv zos tam sim ntawd.

Muaj coob tus neeg tsis muaj tsos mob dab tsi txog thaum lub aneurysm yuav tawg lossis twb tawg lawm. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum paub koj cov yam uas ua rau muaj kev pheej hmoo thiab tham nrog koj tus kws kho mob txog koj qib kev pheej hmoo.

Vim li cas cov hlab ntsha splenic aneurysm no thiaj tsim?

Qhov tsis muaj zog ntawm phab ntsa ntawm cov hlab ntsha splenic yog qhov ua rau muaj qhov aneurysm no. Nws tsis yog ib txwm meej meej tias dab tsi ua rau qhov tsis muaj zog no. Txawm li cas los xij, cov kws tshawb fawb tau pom tias muaj ntau yam kev pheej hmoo uas tuaj yeem ua rau muaj tus mob no.

Ntawm cov no , cev xeeb tub yog ib qho tseem ceeb heev rau kev pheej hmoo. Tsis tas li ntawd, qhov kev pheej hmoo no tseem siab dua rau cov poj niam uas tau cev xeeb tub ua ntej. Thaum cev xeeb tub, kev hloov pauv ntawm cov tshuaj hormones cuam tshuam rau koj cov ntshav ntws, ua rau muaj kev nyuaj siab ntxiv hauv cov hlab ntsha splenic. Qhov no tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha qaug zog thiab ua rau muaj aneurysm.

Ntau yam mob nkeeg kuj tseem tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob splenic artery aneurysm. Nov yog ob peb yam piv txwv:

• Ntshav Siab (Arterial hypertension)
• Kab mob Atherosclerosis
• Kev mob hlwb aneurysm
• Kab mob siab cirrhosis
• Cov kab mob ntawm cov nqaij sib txuas, piv txwv liMarfan syndrome
• Kab mob ntshav qab zib (Diabetes Mellitus)
• Kev kis kab mob ntawm sab hauv ntawm lub plawv (Endocarditis)
• Kev mob Fibromuscular dysplasia (FMD)
• Granulomatosis nrog polyangiitis (GPA) (yav tas los hu ua Wegener's)
• Kev hloov siab
• Kab mob polyarteritis nodosa (PAN)
• Portal hypertension (siab siab hauv cov leeg ntshav uas mus rau lub siab)
• Kab mob vasculitis

Tseem muaj cov yam txaus ntshai uas ua rau muaj cov pseudoaneurysms uas tau hais ua ntej lawm:

• Kab mob pancreatitis ntev
• Cov teeb meem tom qab phais.
• Xwm txheej, kev raug mob xws li kev sib tsoo tsheb lossis riam raug chob.

Dab tsi yog cov ua rau aneurysm tawg?

Muaj ntau yam tseem ceeb uas ua rau lub splenic artery aneurysm tawg:

• Portal hypertension: Cov ntshav ntws mus rau thaj chaw ntawm aneurysm ua rau muaj kev pheej hmoo ntawm kev tawg.
• Cev Xeeb Tub: Kwv yees li 50% ntawm cov aneurysms hauv cov poj niam cev xeeb tub tawg thaum cev xeeb tub. Feem ntau, qhov kev tawg no tshwm sim hauv peb lub hlis kawg ntawm cev xeeb tub.
• Muaj cov tsos mob: Cov neeg uas muaj cov tsos mob muaj feem yuav kis tau tus kab mob sib kis 80%. Qhov no siab dua li cov neeg uas tsis muaj tsos mob (uas muaj feem yuav kis tau 10%).

Cov kws kho mob kuaj mob li cas?

Qhov tseeb, cov hlab ntsha splenic aneurysms tuaj yeem nyuaj me ntsis rau kev kuaj mob. Qhov no yog vim tias cov tsos mob tsis meej heev, thiab lawv tuaj yeem ua raws li ntau lwm yam mob. Qee zaum, cov kws kho mob pom cov mob no thaum ua kev kuaj mob rau lwm qhov laj thawj.

Kev kuaj duab tshwj xeeb yog txoj hauv kev zoo tshaj plaws los kuaj pom cov aneurysms no, tshwj xeeb tshaj yog tias koj tsis muaj tsos mob.

Nov yog qee qhov kev sim siv rau qhov no:

• Kev Siv Tshuab Xam Xim Hauv Computer (CT Angiography - CTA)
• Kev rho tawm cov hlab ntsha digital (DSA)
• Kev kuaj mob ultrasound (Ultrasonography) , suav nrog kev kuaj mob endoscopic ultrasound .
• M.R. Angiography (Magnetic resonance angiography - MRA)

Txhua qhov kev kuaj no muaj cov txiaj ntsig tshwj xeeb rau kev kuaj pom cov aneurysms thiab npaj kev kho mob. Koj tus kws kho mob yuav piav qhia rau koj seb koj xav tau kev kuaj twg thiab yog vim li cas.

Kuv yuav paub li cas yog tias kuv xav tau kev kho mob?

Cov hlab ntsha splenic aneurysms, uas muaj feem yuav tawg lossis tawg, yuav tsum tau kho sai sai. Yog tias koj muaj ib qho ntawm cov mob hauv qab no, koj tus kws kho mob yuav pom zoo kom kho:

• Yog tias qhov aneurysm loj dua 3 centimeters (30 millimeters) hauv txoj kab uas hla.
• Yog tias lub aneurysm loj zuj zus raws sijhawm .
• Yog koj muaj cov tsos mob .
• Yog tias koj xav tau kev hloov siab .
• Yog tias koj cev xeeb tub , lossis yog tias muaj peev xwm cev xeeb tub .

Yog tias koj lub aneurysm tsis muaj kev pheej hmoo ntawm kev tawg, koj tus kws kho mob yuav pom zoo kom saib xyuas , uas txhais tau tias yuav tsum tau kuaj duab tom qab tsis tu ncua. Yog tias koj qhov kev pheej hmoo ntawm kev tawg nce ntxiv txhua lub sijhawm, koj tus kws kho mob yuav pom zoo kom kho.

Cov kev kho mob rau splenic artery aneurysm yog dab tsi?

Muaj ntau txoj kev kho mob rau qhov no.

• Kev kho mob Endovascular: Qhov no feem ntau yog qhov kev xaiv zoo tshaj plaws rau kev tswj hwm aneurysm ua ntej nws tawg (kev kho mob xaiv tau). Ntawm no, tus kws kho mob thaiv cov ntshav ntws los ntawm aneurysm. Muaj ntau txoj kev sib txawv rau qhov no. Piv txwv li, hauv ib txoj kev hu ua 'coiling', cov hlau coils siv los sau cov aneurysm. Hauv lwm txoj kev, ib qho kua tshwj xeeb raug txhaj tshuaj, uas ua rau cov ntshav ntws los ntawm aneurysm tuab thiab nres. Tus kws kho mob xaiv txoj kev tsim nyog tshaj plaws nyob ntawm seb cov duab thiab qhov chaw ntawm aneurysm.
• Kev phais qhib: Qhov no yog qhov pom zoo rau cov neeg uas tsis tuaj yeem kho mob endovascular lossis cov neeg uas tsis tau ua tiav nrog nws. Ntawm no, tus kws kho mob tshem tawm qhov puas tsuaj ntawm cov hlab ntsha. Koj kuj tseem yuav tsum tau tshem koj lub pores (splenectomy) .
• Kev phais Laparoscopic: Qhov no yog ib txoj kev phais uas tsis mob npaum li kev phais qhib, thiab lub sijhawm rov zoo luv dua. Qhov no feem ntau yog qhov kev xaiv zoo tshaj plaws rau kev kho mob thaum cev xeeb tub.

Tham nrog koj tus kws kho mob txog txoj kev kho mob twg zoo tshaj plaws rau koj.

Cov teeb meem ntawm kev kho mob

Koj tus kws kho mob yuav piav qhia rau koj txog kev pheej hmoo thiab teeb meem ntawm kev kho mob. Feem ntau ntawm cov no yog ib qho mob hu ua post-embolization syndrome (PES) . Cov tsos mob ntawm PES muaj xws li:

• Ua npaws.
• Xeev siab thiab ntuav.
• Mob plab.

Yog tias koj muaj cov tsos mob no tom qab kho mob lawm, nrog koj tus kws kho mob tham. Koj tus kws kho mob yuav pom zoo kom muab tshuaj tua kab mob los yog tshuaj saline (cov kua IV) los pab txo koj cov tsos mob kom txog thaum koj zoo.

Kuv ua tau dab tsi los txo qhov kev pheej hmoo no?

Nws yog ib qho tseem ceeb uas yuav tsum tswj hwm lwm yam mob uas koj muaj, tshwj xeeb tshaj yog cov uas ua rau koj muaj feem yuav mob splenic artery aneurysm. Tham nrog koj tus kws kho mob txog yam koj yuav tsum ua tshwj xeeb rau koj tus mob.

Nov yog qee yam uas koj ua tau:

• Noj tag nrho cov tshuaj uas tau muab rau koj raws sijhawm .
• Yog koj muaj cov tsos mob tshiab lossis yog koj cov tsos mob hloov pauv, qhia rau koj tus kws kho mob tam sim ntawd .
• Mus koom kev kuaj mob txhua xyoo , thiab mus txhua zaus teem caij nrog kws kho mob.

Tsis tas li ntawd xwb, kev hloov pauv qee yam hauv lub neej tuaj yeem pab tswj kev noj qab haus huv ntawm tag nrho koj cov hlab ntsha , suav nrog koj cov hlab ntsha splenic.

• Tsum haus luam yeeb thiab siv yeeb nkab kiag li .
• Noj zaub mov kom lub plawv noj qab nyob zoo .
• Ua si nawv tsis tu ncua raws li koj tus kws kho mob pom zoo.
• Txwv kev haus cawv .

Yog tias kuv muaj tus mob no, kuv yuav tsum xav li cas? Qhov zoo li cas?

Yog tias koj muaj ib qho aneurysm ntawm cov hlab ntsha splenic, ua raws li koj tus kws kho mob cov lus qhia kom zoo. Tej zaum koj yuav tsis tas yuav kho tam sim ntawd. Hloov chaw, koj tus kws kho mob yuav pom zoo kom ua qhov lawv hu ua "tos ntsoov." Qhov no txhais tau tias koj yuav muaj kev kuaj duab tsis tu ncua (feem ntau txhua xyoo) kom pom tias qhov aneurysm puas loj zuj zus. Kev kho mob raws sijhawm yog qhov tseem ceeb kom tiv thaiv qhov aneurysm kom tsis txhob tawg lossis tawg.

Qhov kev xav ntawm ib tus neeg uas muaj tus mob no nyob ntawm ntau yam:

• Qhov loj thiab qhov chaw ntawm lub aneurysm.
• Lub aneurysm loj hlob sai npaum li cas .
• Seb lub aneurysm yuav tawg los tsis tawg .
• Lwm yam mob thiab tej yam uas ua rau koj muaj kev pheej hmoo .

Kev tawg ntawm cov hlab ntsha splenic artery aneurysm feem ntau ua rau tuag taus . Kev tshawb fawb tau qhia tias kev tawg tuaj yeem ua rau tuag taus rau cov neeg uas:

* Nruab nrab ntawm 25% thiab 40% ntawm cov poj niam uas tsis cev xeeb tub.

* Nruab nrab ntawm 65% thiab 75% ntawm cov poj niam cev xeeb tub (tus nqi tuag ntawm menyuam hauv plab yog nruab nrab ntawm 90% thiab 95%).

* Ntau tshaj 50% ntawm cov neeg uas muaj mob ntshav siab portal .

Kev tawg ntawm pseudoaneurysms ntawm cov hlab ntsha splenic yuav luag ib txwm ua rau tuag taus .

Tham nrog koj tus kws kho mob txog qhov xwm txheej ntawm koj tus kheej.

Kuv yuav ua li cas thiaj saib xyuas kuv tus kheej? Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Nyob nrog Splenic Artery Aneurysm yog ib qho me ntsis ...Nws tuaj yeem ua rau koj ntxhov siab . Tej zaum koj yuav xav tsis thoob tias muaj dab tsi tshwm sim hauv koj lub cev, lossis koj yuav ntshai tias cov hlab ntsha aneurysm yuav tawg.

Nws yog ib qho ib txwm muaj kev ntxhov siab. Qhia koj txoj kev xav rau koj tus kws kho mob. Koj tus kws kho mob yuav pom zoo kom kho mob ua ntej rau qhov aneurysm uas muaj feem yuav tawg. Nug koj tus kws kho mob kom qhia koj cov txiaj ntsig ntawm kev thaij duab thiab piav qhia lawv lub ntsiab lus. Koj koom nrog koj txoj kev kho mob ntau npaum li cas, koj yuav xav tias koj tswj tau koj tus mob ntau npaum li ntawd.

Koj tus kws kho mob yuav qhia rau koj tias koj yuav tsum tuaj kuaj mob thiab kuaj duab ntau npaum li cas. Yog tias koj muaj lus nug, kev txhawj xeeb, lossis cov tsos mob tshiab lossis hloov pauv, hu rau koj tus kws kho mob tam sim ntawd .

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Nug koj tus kws kho mob kom piav qhia txog koj qhov kev kuaj mob thiab koj txoj kev npaj kho mob. Nov yog qee cov lus nug uas koj tuaj yeem nug:

• Kuv lub aneurysm loj npaum li cas ?
• Nws nyob qhov twg tiag ?
• Muaj feem yuav tawg li cas ?
• Kuv yuav tsum saib xyuas cov tsos mob twg?
• Kuv yuav tsum tham nrog 1990 thaum twg ?
• Kuv yuav tsum tuaj kuaj mob ntau npaum li cas?
• Kuv yuav tsum ua cov kev ntsuam xyuas twg ? Kuv yuav tsum npaj li cas rau lawv?

Tsis tas li ntawd, nug koj tus kws kho mob txog lwm cov ntaub ntawv uas tuaj yeem pab koj nkag siab txog koj qhov kev kuaj mob thiab txoj kev npaj kho mob.

Cov Lus Xaus Kawg coj mus tsev

Ib yam li lwm cov aneurysms, splenic artery aneurysms yog qhov txaus ntshai tshaj plaws yog tias tsis kho . Yog tias koj tus kws kho mob pom tias koj muaj tus mob no, koj twb yog ib kauj ruam ua ntej lawm. Tus kws kho mob yuav saib xyuas tus mob thiab qhia rau koj thaum twg koj xav tau kev kho mob.

Yog tias koj tab tom kho mob rau aneurysm lossis tawg, nws yog ib qho tseem ceeb uas yuav tsum tau ceev faj rau lub sijhawm ntev . Tsis txhob nco qab koj tus kws kho mob lub sijhawm teem tseg, thiab tham nrog koj tus kws kho mob txog txhua yam tsos mob tshiab lossis hloov pauv. Ua tus khub koom tes nquag hauv koj txoj kev kho mob thiab kawm ntau li ntau tau txog koj tus mob. Nrog kev paub thiab cov ntaub ntawv, koj tuaj yeem ua haujlwm nrog koj pab neeg kho mob los pab txo cov teeb meem yav tom ntej.

` Kab Mob Aneurysm ntawm Splenic Artery, Spleen, Artery, Mob Plab, Cev Xeeb Tub, Cov Hlab Ntshav