Cia peb kawm txog Subclavian Steal Syndrome - ib yam kab mob uas "nyiag" cov ntshav mus rau lub hlwb!

Koj puas muaj tej lub sij hawm koj kiv taub hau los yog pom tsis meej? Los yog koj puas xav tias koj txhais caj npab tsis muaj zog los yog tsis muaj zog, tshwj xeeb tshaj yog thaum koj ua ib yam dab tsi nrog koj txhais tes, tsa ib yam dab tsi hnyav, los yog tig koj lub taub hau mus rau ib sab tam sim ntawd? Yog tias qhov no tshwm sim, nws yuav yog ib qho mob uas peb tab tom tham txog hnub no hu ua "Subclavian Steal Syndrome." Lub npe yuav suab me ntsis txawv, zoo li, "Qhov no puas yog kab mob nyiag neeg?" Tsis txhob txhawj, cia peb tham txog nws yooj yim thiab meej.

Subclavian Steal Syndrome yog dab tsi tiag?

Hais yooj yim xwb, subclavian steal syndrome yog thaum cov ntshav uas yuav tsum mus rau koj lub hlwb "nyiag" mus rau hauv koj txhais caj npab. Qhov no tshwm sim vim tias cov hlab ntsha subclavian, ib txoj hlab ntsha loj uas muab ntshav rau koj txhais caj npab (feem ntau yog qhov nyob rau sab laug), raug thaiv lossis nqaim.

Xav txog nws li no. Koj tab tom sim noj ib lub tais zaub mov. Nws zoo li ib tug neeg nyob ib sab ntawm koj "nyiag" ib lossis ob qho zaub mov uas koj tab tom sim noj. Qee cov ntshav uas yuav tsum mus rau koj lub hlwb "nyiag" rau hauv koj txhais tes. Yog li cov ntshav uas yuav mus rau koj lub hlwb yuav txo qis, ib yam li cov zaub mov uas koj yuav noj tau txo qis.

Thaum cov hlab ntsha no raug thaiv ntau zuj zus, cov ntshav ntws los ntawm cov hlab ntsha subclavian ntawm qhov siab qis dua. Txawm li cas los xij, cov ntshav siab hauv lwm cov hlab ntsha nyob ze ntawd siab dua. Yog li ntawd, cov ntshav ntws hauv cov hlab ntsha vertebral, uas ceg tawm ntawm cov hlab ntsha subclavian thiab nqa cov ntshav mus rau lub hlwb, thim rov qab. Tom qab ntawd qee cov ntshav ntawd nkag mus rau hauv cov hlab ntsha subclavian thiab mus rau caj npab. Qhov ntawd yog qhov hu ua "nyiag."

Muaj lwm yam mob hu ua "coronary steal syndrome". Qhov no yog thaum cov ntshav uas yuav tsum mus rau cov leeg plawv raug thaiv. Qhov no tsis yog tshwm sim rau txhua tus, tab sis tsuas yog rau qee tus neeg uas tau phais plawv (coronary artery bypass surgery). Qhov ua rau muaj ob yam mob no yog cov rog sib sau ua ke hauv cov phab ntsa ntawm cov hlab ntsha, lossis "plaque", uas yog ib yam mob hu ua "atherosclerosis" hauv kev kho mob. Lossis tej zaum yuav muaj lwm yam ua rau cov hlab ntsha subclavian nqaim.

Tus mob no feem ntau tshwm sim li cas?

Cov kws tshawb nrhiav tsis tuaj yeem hais meej tias muaj pes tsawg tus neeg muaj tus kab mob subclavian steal syndrome, tab sis lawv kwv yees tias ntawm 0.6% thiab 6.4% ntawm cov pej xeem yuav muaj tus kab mob no. Tsis tas li ntawd, kwv yees li 18% ntawm cov neeg uas muaj tus kab mob peripheral artery kuj muaj tus kab mob no.

Tus mob no feem ntau tshwm sim rau cov txiv neej thiab cov neeg muaj hnub nyoog tshaj 55 xyoos .

Txawm li cas los xij, ua tsaug rau cov txheej txheem thaij duab siab heev uas muaj niaj hnub no, qhov mob no tau pom tseeb dua txawm tias nyob rau hauv cov neeg uas tsis muaj tsos mob.

Cov tsos mob ntawm tus mob subclavian steel syndrome yog dab tsi?

Cov tsos mob ntawm subclavian steel syndrome feem ntau tshwm sim thaum koj ua haujlwm hnyav lossis tig koj lub taub hau mus rau ib sab.Saib seb koj puas muaj ib qho ntawm cov yam ntxwv no:

• Pom tsis meej
• kiv taub hau
• Mob, loog, tingling, lossis xav tias hnyav hauv tes
• Tsaus muag
• Kev hnov ​​​​lus tsis zoo (tsis tshua muaj)
• Zoo li koj tig ib ncig (Vertigo)
• Ataxia yog ib qho mob uas lub cev poob nws qhov sib npaug thiab tsis tuaj yeem taug kev kom raug.

Tiamsis feem ntau cov neeg tsis muaj tsos mob dab tsi li. Qhov ntawd yog vim lawv lub hlwb tau txais ntshav txaus los ntawm lwm cov hlab ntsha noj qab haus huv. Lawv tsis tas yuav kho mob.

Dab tsi ua rau muaj tus mob subclavian steel syndrome?

Muaj ob peb yam tseem ceeb rau qhov no:

• Atherosclerosis - Qhov no yog qhov ua rau mob hnyav tshaj plaws.
• Arteriovenous malformations (kev sib txuas tsis zoo ntawm cov hlab ntsha thiab cov leeg ntshav)
• Kev txiav tawm ntawm lub plawv aorta
• Takayasu's arteritis, ib qho mob o ntawm cov hlab ntsha
• Fibromuscular dysplasia yog kev loj hlob tsis zoo ntawm cov phab ntsa ntawm cov hlab ntsha.

Cov ua rau no zoo ib yam li cov uas ua rau mob subclavian artery stenosis.

Leej twg muaj feem yuav raug qhov no tshaj?

Nov yog qee yam uas ua rau muaj kev pheej hmoo ntawm kev mob subclavian steel syndrome:

• Yog tias koj tau phais kom kho qhov nqaim ntawm lub aorta (coarctation of the aorta).
• Yog tias muaj teeb meem nrog lub aortic arch lossis qee cov hlab ntsha txij thaum yug los.
• Kev nias ntawm cov hlab ntsha subclavian (qhov no yog ib qho tshwm sim hauv qee tus neeg ncaws pob).
• Yog tias muaj ib tug tav ntxiv (ntab caj dab) nyob rau hauv cheeb tsam caj dab.

Cov teeb meem dab tsi tuaj yeem tshwm sim los ntawm tus mob no?

Yog tias koj muaj lub sijhawm tsaus muag vim yog subclavian steal syndrome, nws tuaj yeem ua rau koj ntog thiab raug mob. Nws kuj tseem tuaj yeem ua rau nws nyuaj rau ua haujlwm nrog sab caj npab uas raug mob.

Yuav kuaj mob li cas rau tus mob subclavian steel syndrome?

Thawj qhov uas tus kws kho mob ua kom paub qhov no yog kuaj lub cev. Tus kws kho mob yuav ua tib zoo saib xyuas lub plawv dhia hauv koj txhais tes thiab dab teg. Nws tseem yuav kuaj xyuas cov hlab ntsha carotid ntawm ob sab ntawm koj lub caj dab thiab cov hlab ntsha subclavian, nrhiav seb puas muaj suab "swoosh..." (bruit) txawv txawv. Yog tias koj hnov ​​lub suab zoo li no nrog lub stethoscope, tej zaum yuav muaj kev thaiv hauv cov hlab ntsha ntawd.

Cov tsos mob ntawm "Steele Syndrome" pom thaum lub sijhawm kuaj mob yog dab tsi?

Yog koj muaj mob subclavian artery syndrome, koj tus kws kho mob yuav ntsuas koj cov ntshav siab ntawm ob sab caj npab thiab pom qhov sib txawv ntawm cov ntawv nyeem. Cov ntshav siab ntawm ib sab caj npab yuav siab txog li 15 millimeters ntawm mercury (mmHg) dua li lwm sab caj npab.

Tsis tas li ntawd, yog tias cov radial pulses raug kuaj xyuas tib lub sijhawm, lub plawv dhia ntawm sab nrog subclavian steel syndrome yuav zoo li tsis muaj zog thiab yuav zoo li lub suab thud.

Yuav ua li cas thiaj kuaj tau qhov no?

Tus kws kho mob yuav ua qhov ultrasound ntawm koj cov hlab ntsha subclavian ua ntej. Tom qab ntawd, cov kev kuaj hauv qab no kuj tseem yuav ua tau, raws li qhov xav tau:

• Kev kuaj mob magnetic resonance angiogram (MRA).
• Kev kuaj mob CT Angiogram (CT - computed tomography angiogram).
• Kev rho tawm digital angiogram - Qhov no yog ib txoj kev tshwj xeeb uas tshem tawm lwm qhov ntawm lub cev ntawm daim duab thiab tsuas yog cov hlab ntsha thiaj pom tseeb.

Cov kev kuaj no tso cai rau cov kws kho mob faib qhov hnyav ntawm subclavian steel syndrome (me me lossis hnyav). Lawv siv qib I, II, thiab III, nrog rau Qib III yog qhov hnyav tshaj plaws. Lawv kuj pab txiav txim siab seb hom kev kho mob twg xav tau.

Cov kev kho mob rau subclavian steel syndrome yog dab tsi?

Yog tias koj muaj cov tsos mob, tej zaum koj yuav tsum tau phais kom cov ntshav ntws zoo dua hauv cov hlab ntsha subclavian ua kev kho mob rau cov hlab ntsha subclavian stenosis. Nyob ntawm koj tus mob, qhov no yuav yog phais qhib lossis phais endovascular (ib txoj kev phais uas cuam tshuam nrog kev ntxig cov cuab yeej me me los ntawm cov hlab ntsha). Koj yuav tsum tsis txhob siv tes uas raug mob ntau dhau kom txog thaum phais tiav.

Yog tias koj tsis haum rau kev phais, koj tus kws kho mob yuav sau ntawv kom noj tshuaj anticoagulants lossis antiplatelets.

Yog koj muaj cov tsos mob me me xwb, tej zaum lawv yuav zoo dua zuj zus. Yog li ntawd, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj kom txo koj cov ntshav siab thiab cov roj cholesterol.

Qhov tseem ceeb yog tias cov neeg uas tsis muaj tsos mob feem ntau tsis tas yuav kho mob. Txawm li cas los xij, yog tias koj cov hlab ntsha subclavian nqaim, muaj feem ntau uas nws yuav zoo ib yam li lwm cov hlab ntsha. Qhov no yog vim tias hom kev sib sau ua ke ntawm cov quav hniav (atherosclerosis) no feem ntau cuam tshuam rau cov hlab ntsha thoob plaws lub cev.

Yog li ntawd, koj yuav tsum tau kho cov plaques no. Yog tias koj yog tus haus luam yeeb, koj yuav tsum tso tseg kev haus luam yeeb, thiab tswj koj cov ntshav siab thiab cov roj cholesterol siab . Cov no tuaj yeem pab tiv thaiv kev mob plawv lossis mob stroke yav tom ntej.

Cov kev kho mob/kev phais mob tshwj xeeb twg siv rau qhov no?

Tej zaum koj yuav xav tau ib lossis ntau txoj hauv kev no:

• Ib qho kev phais mob los tsim ib txoj kev bypass los ntawm kev txuas cov hlab ntsha subclavian mus rau lwm cov hlab ntsha (piv txwv li, cov hlab ntsha carotid).
• Angioplasty thiab stenting - Qhov no suav nrog kev nthuav dav thaj chaw uas raug thaiv nrog ib yam dab tsi zoo li lub npas thiab tom qab ntawd ntxig lub stent zoo li mesh kom tiv thaiv nws kom tsis txhob raug thaiv dua.
• Atherectomy - Qhov no txhais tau tias tshem tawm cov plaque los ntawm sab hauv cov hlab ntsha.
• Endarterectomy - tshem tawm ib feem ntawm cov hlab ntsha sab hauv.

Puas muaj teeb meem tshwm sim los ntawm kev kho mob?

Yog, qhov kev pheej hmoo sib txawv nyob ntawm seb koj kho mob li cas. Tej zaum yuav muaj xws li:

• Koj cov hlab ntsha subclavian rov nqaim dua.
• Cov ntshav txhaws tuaj yeem tsim tau, uas tuaj yeem ua rau mob stroke.
• Kev puas tsuaj rau cov hlab ntsha lossis cov hlab ntsha.
• Muaj qee qhov teeb meem thaum lub sijhawm kho mob.

Tom qab cov kev kho mob no tas, yuav siv sijhawm ntev npaum li cas mam li rov zoo?

Kev kho mob rau tus kab mob subclavian steel syndrome yuav siv sijhawm ob peb hnub, ib lub lim tiam, lossis ntev dua. Kev kho mob tom qab phais feem ntau yog lub sijhawm ntev tshaj plaws.

Yog tias kuv muaj tus mob subclavian steel syndrome, kuv yuav tsum tau tos li cas?

Ntau tshaj 95% ntawm cov neeg uas tau phais mob rau subclavian steel syndrome yeej tsis tas yuav phais dua. Lawv qhov kev kwv yees feem ntau zoo.

Puas yog subclavian steal syndrome hem txoj sia?

Tsis yog, qhov no tsis yog ib qho mob uas yuav ua rau tuag taus. Txawm li cas los xij, nws yog ib qho cim ceeb toom loj heev! Nws txhais tau tias koj muaj atherosclerosis, ib qho kab mob ntawm cov hlab ntsha. Thaum cov plaque sib sau ua ke hauv koj cov hlab ntsha, koj lub plawv lossis lub hlwb yuav tsis tau txais oxygen txaus yav tom ntej. Qhov no ua rau muaj kev pheej hmoo ntawm kev mob plawv lossis mob stroke.

Puas tiv thaiv tau tus mob subclavian steel syndrome?

Peb tsis tuaj yeem tswj tau qee qhov ua rau muaj tus mob subclavian steel syndrome (xws li cov yam ntxwv caj ces). Txawm li cas los xij, kev loj hlob ntawm tus mob no tuaj yeem tiv thaiv tau los ntawm kev tiv thaiv cov plaque buildup (atherosclerosis), uas feem ntau yog qhov ua rau .

Kuv yuav ua li cas thiaj txo tau kuv qhov kev pheej hmoo?

Koj tuaj yeem txo koj qhov kev pheej hmoo ntawm kev mob no - thiab yog li ntawd koj qhov kev pheej hmoo ntawm subclavian steel syndrome - los ntawm kev hloov pauv no rau koj lub neej txhua hnub:

• Tswj koj qhov hnyav kom noj qab nyob zoo thiab haum rau koj.
• Ua si nawv (exercise) tsawg kawg yog 30 feeb hauv ib hnub rau feem ntau hnub.
• Tsis txhob siv cov khoom luam yeeb kiag li (xws li luam yeeb thiab beedis).
• Noj cov khoom noj uas zoo rau lub plawv (tsis muaj roj saturated thiab trans fat).
• Yog tias koj muaj cov mob xws li roj cholesterol siab, ntshav siab, thiab ntshav qab zib, tswj lawv kom zoo.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias koj muaj tus mob subclavian steel syndrome, nws yog ib qho tseem ceeb uas yuav tsum noj koj cov tshuaj raws li koj tus kws kho mob qhia, ua txhua yam kev phais mob uas tsim nyog, thiab tswj cov ntshav siab, cov roj cholesterol ntau, thiab ntshav qab zib (yog tias koj muaj) thiab tsis txhob haus luam yeeb.

Kuv yuav tsum mus ntsib kuv tus kws kho mob thaum twg?

Tom qab kho mob tas, koj yuav tsum mus kuaj mob tas li, tshwj xeeb yog tias koj cov tsos mob rov qab los. Yog tias koj tus kws kho mob xav tias koj cov hlab ntsha subclavian tau nqaim dua, nws yuav xaj kom kuaj duab ntxiv. Koj yuav tsum tau mus kuaj mob ib hlis, rau lub hlis, lossis ib xyoos tom qab kho mob. Tom qab ntawd, koj tuaj yeem mus ntsib koj tus kws kho mob txog ib xyoos ib zaug.

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

Nws yog ib lub tswv yim zoo los nug koj tus kws kho mob cov lus nug zoo li no:

• Kuv yuav tsum tau kho mob sai npaum li cas?
• Txoj kev kho mob twg zoo tshaj plaws rau kuv?
• Koj qhov kev vam meej hauv kev kho cov neeg uas muaj tus mob no yog dab tsi?

Yog li ntawd, qhov tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov ntawm txhua yam no yog dab tsi?

Txawm hais tias muaj lo lus "Steal" nyob rau hauv nws lub npe, subclavian steal syndrome yog ib qho mob uas kho tau. Cov neeg feem coob tsis xav tau kev kho mob. Tab sis cov lus loj tshaj plaws uas peb tau txais los ntawm qhov no yog tias cov plaque buildup (atherosclerosis) tshwm sim hauv koj cov hlab ntsha. Koj lub cev tab tom qhia koj tias, "Pib cov cwj pwm noj qab haus huv rau lub plawv tam sim no, lossis txhim kho cov uas koj twb muaj lawm." Nug koj tus kws kho mob txog kev hloov pauv uas koj tuaj yeem ua los txhim kho koj txoj kev noj qab haus huv. Txawm tias cov kev hloov pauv me me uas koj tuaj yeem ua hnub no tuaj yeem muaj cov txiaj ntsig loj. Yog li, cia peb tsis txhob ntshai, paub txog, thiab teeb tsa lub hauv paus rau lub neej noj qab haus huv, puas yog?

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