Xav txog tias koj yog ib tug neeg noj qab nyob zoo, tsis muaj mob lossis mob dab tsi, ua koj txoj haujlwm niaj hnub. Koj tawm dag zog, noj zaub mov zoo, thiab haus dej. Tab sis tam sim ntawd, tsis tau xav txog, koj hnov mob hauv koj lub hauv siab, nruj. Koj pib tawm hws, koj ua pa nyuaj, thiab koj hnov mob uas mus rau koj txhais caj npab. Thawj qhov uas los rau hauv koj lub siab yog dab tsi? "Auj, kuv puas muaj mob plawv nres?" Qhov ntawd puas yog qhov ntshai? Tab sis cov tsos mob no tsis zoo ib yam li cov tsos mob ntawm kev mob plawv nres ib txwm uas peb paub. Hnub no, peb yuav tham txog kev kho mob ceev ceev uas zoo sib xws, tab sis nws txawv me ntsis, tshwj xeeb tshaj yog ntawm cov poj niam hluas, noj qab nyob zoo. Peb hu qhov no 'Spontaneous Coronary Artery Dissection' lossis '(SCAD)' luv.
Hais yooj yim xwb, SCAD yog dab tsi?
Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, nws yooj yim heev rau kev nkag siab txog qhov xwm txheej. Xav txog peb lub plawv zoo li lub cev uas ua haujlwm tas li. Lub cev no xav tau cov ntshav tas li, uas txhais tau tias oxygen thiab cov as-ham, kom ua haujlwm. Cov ntshav no raug nqa mus rau cov leeg nqaij ntawm lub plawv los ntawm cov hlab ntsha uas zoo li lub raj me me. Cov no yog qhov peb hu ua cov hlab ntsha hauv lub plawv.
Tam sim no, txawm hais tias cov hlab ntsha hauv lub plawv no zoo li ib lub raj, nws phab ntsa yog ua los ntawm peb txheej uas tau nplaum ua ke. Zoo li ib txheej ncuav mog qab zib. Hauv qhov xwm txheej ntawm SCAD, qhov tshwm sim yog tias, tsis muaj laj thawj pom tseeb, ib qho kua muag me me tam sim ntawd tsim nyob rau hauv ib qho ntawm cov txheej sab hauv ntawm phab ntsa hlab ntsha no.
Xav txog seb yuav muaj li cas thaum sab hauv ntawm cov kav dej raug rhuav me ntsis. Lub zog dej ua rau dej ntws los ntawm qhov rhuav thiab raug kaw ntawm ob phab ntsa ntawm cov kav dej. Ib yam li ntawd, thaum muaj kev rhuav hauv cov hlab ntsha, cov ntshav ntws hauv qab lub zog siab ntws ntawm ob daim nyias nyias no thiab sib sau ua ke. Thaum cov ntshav raug kaw li no, nws nce mus rau hauv phab ntsa ntawm cov hlab ntsha ntawm qhov ntawd, thaiv cov ntshav ntws. Qhov no hu ua "hematoma". Thaum cov ntshav ntws nqaim lossis raug thaiv tag nrho li no, cov ntshav uas mus txog cov leeg plawv yuav txo qis. Thaum ntawd cov tsos mob ntawm kev mob plawv uas peb tau tham txog ua ntej tshwm sim.
Qhov tseem ceeb yog tias SCAD tsis yog mob plawv nres, uas feem ntau yog los ntawm cov roj cholesterol uas ua rau cov hlab ntsha txhaws. Qhov no yog ib qho txheej txheem sib txawv kiag li.
Cov tsos mob ntawm qhov no yog dab tsi? Koj paub nws li cas?
Cov tsos mob ntawm SCAD zoo ib yam li cov tsos mob ntawm kev mob plawv nres ib txwm muaj, yog li nws yooj yim ua rau ob qho tib si tsis meej pem. Tab sis yog tias koj muaj ib qho ntawm cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum kho nws ua qhov xwm txheej ceev .
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob hauv siab los yog mob siab | Qhov no yog cov tsos mob feem ntau. Nws tuaj yeem zoo li koj lub hauv siab nruj lossis nqaim. |
| Ua pa nyuaj | Tej zaum koj yuav xav tias ua tsis taus pa thiab koj lub hauv siab yuav puv nkaus. |
| Mob hauv caj npab, xub pwg, caj dab, lossis lub puab tsaig | Mob hauv siab yuav kis mus rau sab caj npab laug, xub pwg nyom, lossis lub puab tsaig. |
| Tawm hws ntau dhau | Tej zaum koj yuav hnov txias thiab tawm hws tsis muaj laj thawj. |
| Kiv taub hau los yog lub taub hau me me | Hnov kiv taub hau los yog tsaus muag. |
| Xeev siab thiab ntuav | Ntuav tuaj yeem nrog mob plab. |
| Kev mob plawv dhia | Zoo li koj lub plawv dhia ceev. |
Yog koj muaj cov tsos mob no, tsis txhob ncua ib pliag. Mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws tam sim ntawd lossis hu rau lub tsheb thauj neeg mob. Qhov no tsis yog ib yam dab tsi uas koj tuaj yeem khaws cia hauv tsev.
Leej twg muaj feem yuav mob SCAD tshaj?
Qhov no yog qhov xav tsis thoob tshaj plaws txog SCAD. Feem ntau cov neeg laus uas muaj mob plawv nres, muaj cov yam txaus ntshai xws li ntshav qab zib, ntshav siab, thiab roj cholesterol. Tab sis SCAD tsis zoo li ntawd.
- Feem ntau tshwm sim rau cov poj niam: Ntawm 10 tus neeg mob SCAD, 9 yog poj niam.
- Thaum tseem hluas: Tus mob no feem ntau tshwm sim, tshwj xeeb tshaj yog cov poj niam hnub nyoog 40-50 xyoo, uas noj qab nyob zoo thiab tsis muaj lwm yam ua rau muaj kab mob plawv.
- Txog Kev Xeeb Tub: Tej zaum yuav muaj tus mob no thaum cev xeeb tub lossis tom qab yug menyuam. Lawv ntseeg tias qhov no yog los ntawm kev hloov pauv ntawm cov tshuaj hormones thiab kev ntxhov siab ntawm kev yug menyuam.
- Kev ntxhov siab hnyav rau lub cev lossis lub hlwb: Kev nqa cov khoom hnyav sai sai, kev tawm dag zog hnyav, lossis kev raug mob hnyav lossis kev tu siab tuaj yeem ua rau muaj mob SCAD.
- Lwm yam mob: Cov neeg uas muaj mob Fibromuscular Dysplasia (FMD) (ib yam kab mob uas ua rau cov hlab ntsha tsis muaj zog), cov kab mob sib txuas xws li Marfan syndrome, thiab lupus kuj muaj feem yuav mob thiab.
Tus kws kho mob kuaj mob li cas?
Thaum koj mus rau chav kho mob ceev, thawj qhov uas cov kws kho mob ua yog xyuas seb koj puas muaj mob plawv nres. Lawv ua ntau qhov kev kuaj mob kom paub tseeb tias koj puas muaj mob plawv nres. Yuav tsum muaj kev kuaj mob tshwj xeeb kom paub tseeb tias mob SCAD.
| Kev Ntsuas | Hais yooj yim xwb... |
|---|---|
| ECG (Electrocardiogram) | Cov kev ua haujlwm hluav taws xob ntawm lub plawv raug kaw cia thiab kuaj xyuas cov cim ntawm kev mob plawv nres. |
| Kev Ntsuas Ntshav | Cov theem ntawm cov enzymes uas sib sau ua ke hauv cov ntshav thaum cov leeg nqaij plawv puas lawm raug kuaj xyuas. |
| Kev kuaj mob plawv (Coronary Angiogram) | Qhov no yog qhov kev kuaj mob tseem ceeb thiab tseem ceeb tshaj plaws los kuaj mob SCAD.Yuav muab ib lub raj me me ntxig rau hauv cov hlab ntsha hauv caj npab lossis ceg thiab muab ib yam xim tshwj xeeb txhaj rau hauv cov hlab ntsha ntawm lub plawv. Tom qab ntawd yuav muab ib daim duab X-ray los saib sab hauv cov hlab ntsha. Yog tias muaj SCAD, qhov no qhia tau meej tias cov hlab ntsha tau tawg thiab cov ntshav ntws raug thaiv li cas. |
| IVUS los yog OCT | Cov no yog cov kev luam theej tshwj xeeb uas ua tib lub sijhawm nrog rau angiogram kom pom sab hauv ntawm cov hlab ntsha kom meej dua. |
Yuav kho nws li cas? Yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
Kev kho mob rau SCAD txawv me ntsis ntawm kev kho mob plawv nres ib txwm muaj. Qhov xav tsis thoob yog tias feem ntau cov neeg mob SCAD yuav zoo li qub tom qab siv tshuaj, tsis tas phais lossis ua tej yam loj. Lub cev kho tau cov hlab ntsha uas raug mob ntawm nws tus kheej.
Cov kev kho mob
- Kev Kho Mob Tshuaj: Cov tshuaj xws li aspirin los tiv thaiv cov ntshav txhaws, beta-blockers los tswj lub plawv dhia thiab ntshav siab thiab so cov hlab ntsha, thiab cov tshuaj los tswj kev mob hauv siab yog qhov tseem ceeb.
- Kev Nyob Hauv Tsev Kho Mob: Tus neeg mob raug khaws cia rau hauv chav saib xyuas mob hnyav lossis chav kho mob ntawm tsev kho mob rau ob peb hnub, thiab kev ua haujlwm ntawm lub plawv raug saib xyuas kom zoo.
- Angioplasty thiab Stenting: Qhov no ua tsawg dua. Tsuas yog tias cov hlab ntsha raug thaiv tag thiab tus neeg mob lub neej muaj kev pheej hmoo, lub npas yuav siv los ua kom cov hlab ntsha loj hlob thiab lub cuab yeej zoo li lub mesh (stent) yuav raug ntxig rau hauv kom nws qhib.
- Kev Phais Mob Los Ntawm Txoj Kev Loj: Qhov no tsis tshua muaj ua rau SCAD.
Lub sijhawm rov zoo txawv ntawm ib tus neeg mus rau ib tus neeg. Feem ntau koj yuav tsum nyob hauv tsev kho mob li 3-5 hnub. Nws yuav siv sijhawm ntau lub lis piam lossis txawm tias ntau lub hlis rau cov hlab ntsha tawg kom zoo tag nrho. Txawm li cas los xij, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia ntawm tus kws kho mob thaum lub sijhawm no.
Tom qab rov zoo
Txawm tias tom qab koj zoo lawm los, koj yuav tsum mus rau tom tsev kho mob ntxiv raws li kev saib xyuas ntawm tus kws kho mob plawv.
- Kev Kho Mob Plawv: Qhov no tseem ceeb heev. Qhov kev pab cuam no pab koj tawm dag zog kom muaj kev nyab xeeb nyob rau hauv kev saib xyuas ntawm kws kho mob, noj zaub mov zoo rau lub plawv, thiab tswj kev ntxhov siab.
- Kev hloov pauv hauv lub neej: Koj tus kws kho mob yuav qhia koj kom tsis txhob nqa khoom hnyav thiab ua ub ua no uas ua rau koj lub cev ntxhov siab heev.
Thaum muaj SCAD, nws yog ib qho ib txwm muaj uas yuav ntxhov siab thiab txhawj xeeb, xav tias, "Puas yuav muaj tej yam zoo li no dua?" Tham nrog koj tus kws kho mob txog qhov no. Nrhiav kev pab tswv yim txog kev puas siab puas ntsws yog tias tsim nyog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- SCAD yog ib qho mob ceev uas ua rau cov hlab ntsha hauv lub plawv tawg tam sim ntawd, txawm hais tias nws muaj cov tsos mob zoo ib yam li mob plawv nres, tab sis nws txawv.
- Tus mob no feem ntau pom muaj rau cov poj niam hluas noj qab nyob zoo uas tsis muaj kev pheej hmoo ntawm lwm yam kab mob plawv.
- Yog koj muaj cov tsos mob xws li mob hauv siab, ua pa nyuaj, lossis tawm hws ntau dhau, tsis txhob tsis quav ntsej lawv. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Feem ntau cov neeg mob SCAD rov zoo tag nrho los ntawm kev siv tshuaj, thiab tsis tshua xav tau kev phais.
- Tom qab koj zoo lawm, ua raws li koj tus kws kho mob cov lus qhia, mus rau chaw kho mob ntxiv , thiab koom nrog cov kev pab kho mob plawv yog qhov tseem ceeb heev rau koj txoj kev noj qab haus huv yav tom ntej.
- Tsis txhob yig nrog koj tus kws kho mob tham txog kev ntshai thiab kev ntxhov siab uas koj ntsib tom qab ntsib qhov xwm txheej no thiab nrhiav kev txhawb nqa kev puas siab puas ntsws.
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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