Koj puas paub txog kev tuag sai sai ntawm lub plawv?

Tej zaum koj yuav tau hnov ​​​​tias ib tug neeg uas noj qab nyob zoo, uas tsis muaj mob lossis kev txom nyem, tau tas sim neej tam sim ntawd. Tej zaum peb yuav tau pom hauv ntawv xov xwm tias ib tug neeg ua kis las tau vau rau hauv thaj teb thiab tuag. Nws yeej ua rau peb xav tsis thoob thaum peb hnov ​​​​​​tej yam zoo li no, puas yog? Feem ntau, qhov ua rau muaj kev tuag tam sim ntawd yog teeb meem plawv. Hnub no, cia peb tham txog qhov mob no hu ua 'Kev Tuag Tam Sim Ntawd' (SCD) . Txawm hais tias qhov no yog ib qho txaus ntshai heev, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog nws.

Kev Tuag Ntawm Lub Plawv Sai Sai (SCD) yog dab tsi tiag?

Hais yooj yim xwb, 'Kev Tuag Ntawm Lub Plawv Sai Sai' (SCD) yog kev tuag sai sai, tsis tau xav txog uas tshwm sim hauv lub sijhawm luv luv, xws li ib teev, vim muaj teeb meem nrog lub plawv. Qhov no tshwm sim thaum lub plawv nres tam sim ntawd, uas yog, thaum 'Kev Nres Lub Plawv' tshwm sim. Xav txog nws, lub plawv zoo li lub cav ntawm peb lub cev. Qhov tshwm sim ntawm no zoo li lub cav no tsis ua haujlwm tam sim ntawd.

Thaum lub plawv nres, yuav ua li cas? Lub plawv yuav tso cov ntshav uas muaj oxygen ntau thoob plaws peb lub cev. Yog tias lub plawv nres, lub hlwb thiab lwm yam kab mob tseem ceeb yuav tsis tau txais oxygen. Yog tsis muaj oxygen, cov kab mob no yuav tsis ua haujlwm thiab yuav tsis muaj sia nyob. Yog li ntawd, yog tias tsis tau txais kev pab sai sai thiab lub plawv tsis pib ua haujlwm dua, nws tuaj yeem xaus rau kev tuag. Qhov ntawd yog qhov peb hu ua 'Kev Tuag Sai Sai Ntawm Lub Plawv'.

Tiam sis ntawm no yog ib yam tseem ceeb uas yuav tsum nco ntsoov. Yog tias koj pib CPR (Cardiopulmonary Resuscitation) sai li sai tau thaum ib tug neeg lub plawv nres, uas yog, thaum lawv lub plawv tsis dhia, koj tuaj yeem ua rau muaj ob lossis peb npaug ntawm txoj kev cawm lawv txoj sia. Yog vim li cas nws thiaj li tseem ceeb heev uas yuav tsum paub txog CPR.

Tus mob no hu ua 'SCD' ntau npaum li cas?

Qhov no yeej txaus ntshai me ntsis. SCD yog tus kab mob ua rau neeg tuag ntau tshaj plaws los ntawm tej yam ntuj tsim hauv cov tebchaws zoo li Tebchaws Meskas. Nws yog ib nrab ntawm tag nrho cov neeg tuag los ntawm kab mob plawv.

Raws li kev suav txheeb, muaj ntau tshaj 3.5 lab tus tib neeg hauv Tebchaws Meskas ib leeg raug kev mob plawv nres sab nraum tsev kho mob txhua xyoo. Qhov tu siab yog, txawm tias lawv tau txais kev kho mob los ntawm cov kev pabcuam tsheb thauj neeg mob, tsuas yog muaj ob peb tug xwb, kwv yees li 10%, uas tseem muaj sia nyob.

Ib qho ntxiv yog tias cov txiv neej muaj feem yuav mob SCD ob npaug ntau dua li cov poj niam. Tab sis nws tsis tshua muaj ntau rau cov menyuam yaus. Tsuas yog ib lossis ob tug menyuam rau txhua 100,000 tus menyuam yug los muaj sia nyob hauv ib xyoos.

Puas muaj tej yam cim qhia ua ntej yuav tuag tam sim ntawd ntawm lub plawv?

Yog, qee zaum muaj cov tsos mob uas yuav tshwm sim ntau teev, ntau hnub, lossis ntau lub lis piam ua ntej SCD tshwm sim. Yog tias koj ua tib zoo saib xyuas cov no, koj yuav zam tau qhov xwm txheej loj heev. Yog tias koj muaj cov tsos mob no, koj yuav tsum nrhiav kev pab kho mob tam sim ntawd .

• Cov cim qhia tseem ceeb txawv txav : Qhov no txhais tau tias muaj kev hloov pauv txawv txav hauv tej yam xws li lub plawv dhia thiab ntshav siab.
• Cov tsos mob ntawm kev mob plawv nres(Cov tsos mob ntawm kev mob plawv nres): Tej yam xws li mob hauv siab, mob nruj, mob kis mus rau sab caj npab laug.
• Kab mob hnyav xws li 'Sepsis': Ib qho mob uas tshwm sim los ntawm kev kis kab mob hnyav hauv lub cev.
• Qaug zog : Xav tias qaug zog heev yam tsis muaj laj thawj.
• Ua tsis taus pa : Zoo li koj ua tsis taus pa txawm tias koj txav me ntsis los xij.
• Mob hauv siab : Qhov no yog cov tsos mob tseem ceeb uas feem ntau cov neeg paub.
• Tsaus muag: Kev poob siab thiab ntog tam sim ntawd .
• Lub plawv dhia ceev ceev: Ib qho kev xav tias lub plawv dhia ceev ceev, lub suab nrov hauv siab.

Yog koj lossis ib tug neeg koj paub muaj ib lossis ntau yam ntawm cov tsos mob no, tsis txhob xav tias qhov no tsis tseem ceeb. Mus ntsib kws kho mob sai li sai tau.

Dab tsi ua rau muaj qhov 'SCD' no?

Qhov ua rau muaj 'SCD' yog kab mob plawv . Hais yooj yim xwb, nws yog qhov txhaws ntawm cov hlab ntsha uas xa ntshav mus rau lub plawv (coronary arteries) los ntawm cov rog. Qhov no tiv thaiv lub plawv kom tsis txhob tau txais ntshav txaus.

SCD rau cov neeg hnub nyoog qis dua 35 xyoo feem ntau yog tshwm sim los ntawm lub plawv dhia tsis xwm yeem (arrhythmia) . Qhov no yog teeb meem nrog lub plawv dhia. Qhov no tuaj yeem tshwm sim los ntawm cov teeb meem plawv txij thaum yug los lossis cov mob caj ces uas cuam tshuam rau lub zog hluav taws xob ntawm lub plawv.

Tej zaum koj yuav tau pom tias cov neeg ncaws pob tshaj lij raug kuaj xyuas tas li rau hypertrophic cardiomyopathy (kev ua rau cov leeg nqaij plawv tuab, tshwj xeeb tshaj yog cov hlwb ntawm cov leeg nqaij plawv), uas yog ib qho ua rau muaj SCD hauv pawg hnub nyoog ntawd. Txawm li cas los xij, SCD tsis tshua muaj rau cov neeg ncaws pob (ntawm ib mus rau rau tus neeg mob rau txhua 100,000 tus neeg ncaws pob hnub nyoog qis dua 35 xyoo).

Qhov ua rau muaj SCD rau cov neeg hnub nyoog tshaj 35 xyoo feem ntau yog tib yam li tus kab mob Coronary Artery uas tau hais ua ntej.

Ntxiv rau ob qho ua rau muaj "SCD" no, muaj ntau lwm yam ua rau muaj "SCD":

• Cardiomyopathy los ntawm Kev Siv Cawv Tsis Zoo.
• Kev rog dhau .
• Cov kab mob caj ces ntawm cov leeg nqaij plawv, piv txwv li qhov 'Hypertrophic Cardiomyopathy' thiab 'Arrhythmogenic Cardiomyopathy' uas tau hais ua ntej.

Cov yam ua rau muaj SCD yog dab tsi?

Muaj ntau yam ua rau muaj kev pheej hmoo ntawm kev mob SCD. Qhov kev pheej hmoo no nce ntxiv thaum koj muaj hnub nyoog, yog tias koj yog txiv neej, thiab yog tias koj muaj qee yam kab mob plawv los ntawm noob caj noob ces (piv txwv li, Hypertrophic Cardiomyopathy).

Ob qho tseem ceeb uas ua rau muaj kev pheej hmoo yog:

• Tau muaj mob plawv nres yav dhau los: Qhov kev pheej hmoo ntawm SCD yog siab dua tom qab mob plawv nres.
• Kab Mob Ntshav Siab:Lwm yam kev pheej hmoo uas cuam tshuam rau qhov no suav nrog kev haus luam yeeb, keeb kwm tsev neeg muaj kab mob plawv, cov roj cholesterol siab, thiab lub plawv loj.

Ntxiv rau qhov no, muaj lwm yam kev pheej hmoo:

• Vim tias yav dhau los muaj 'Sudden Cardiac Arrest'.
• Ib tug neeg hauv tsev neeg tau muaj 'Sudden Cardiac Arrest' lossis 'SCD'.
• Koj lossis ib tug neeg hauv koj tsev neeg muaj qee yam kev dhia ntawm lub plawv tsis zoo ('Arrhythmia'). Piv txwv li, cov mob xws li 'Long QT Syndrome' , 'Wolff-Parkinson-White Syndrome' thiab 'Ventricular Tachycardia' .
• Qhov tshwm sim ntawm 'Ventricular Tachycardia' lossis 'Ventricular Fibrillation' tom qab muaj mob plawv nres.
• Muaj teeb meem plawv los yog cov hlab ntsha tsis zoo.
• Muaj keeb kwm ntawm kev ua pa tsis taus uas tsis muaj laj thawj.
• Mob Plawv Tsis Ua Haujlwm : Qhov no txhais tau tias lub plawv lub peev xwm los tso ntshav tsis muaj zog dua li qub. Cov neeg uas muaj mob plawv tsis ua haujlwm muaj feem yuav mob Ventricular Arrhythmia (lub plawv dhia tsis sib xws) rau txog cuaj npaug ntau dua thiab raug kev txom nyem los ntawm Sudden Cardiac Arrest dua li lwm tus.
• Kab mob plawv dhia (cov leeg plawv loj thiab qaug zog): Qhov no yog qhov ua rau muaj li ntawm 10% ntawm SCDs. Kev raug mob thiab kev puas tsuaj rau cov leeg plawv ua rau muaj kev pheej hmoo ntawm kev ua haujlwm ntawm lub plawv tsis zoo. Qhov no kuj tseem tuaj yeem ua rau lub plawv tsis ua haujlwm.
• Hypertrophic Cardiomyopathy (kev ua kom cov leeg plawv tuab).
• Kev hloov pauv tseem ceeb hauv cov ntshav potassium thiab magnesium .
• Kev rog dhau .
• Kab mob ntshav qab zib .
• Muaj keeb kwm siv tshuaj lossis noj tshuaj uas cuam tshuam rau lub plawv dhia.

Yog tias koj muaj ib lossis ntau yam ntawm cov yam ntxwv no, nws yog ib qho tseem ceeb heev uas yuav tsum nrog kws kho mob tham txog cov hau kev los txo koj qhov kev pheej hmoo.

Koj paub txog 'SCD' li cas?

Tus kws kho mob yuav lees paub tias muaj 'SCD' tom qab paub tseeb tias tsis muaj lwm yam ua rau tuag. Ib tug neeg yuav muaj 'Sudden Cardiac Arrest' thiab tej zaum yuav muaj 'SCD' yog tias lawv muaj cov tsos mob hauv qab no:

• Yog tias kuv tsis ua pa.
• Yog tias lub plawv dhia tsis poob qis.
• Yog tsis muaj kev paub.

Peb ua tau dab tsi los txo qhov kev pheej hmoo ntawm SCD?

Muaj ntau yam uas peb ua tau los txo qhov kev pheej hmoo no.

• Mus ntsib kws kho mob raws sijhawm thiab nrog lawv tham txog koj txoj kev noj qab haus huv.
• Ua neej nyob noj qab nyob zoo. Tswj koj qhov hnyav kom zoo, tawm dag zog, thiab noj zaub mov uas muaj roj tsawg.
• Tsis txhob haus luam yeeb txhua yam.
• Yog koj muaj roj cholesterol ntau, lossis yog koj lub plawv dhia tsis xwm yeem ('Arrhythmia'),Noj cov tshuaj uas tus kws kho mob tau sau tseg kom raug.
• Yog koj tus kws kho mob pom zoo, ces yuav ib lub cuab yeej hu ua 'Implantable Cardioverter Defibrillator' ('ICD') . Lub cuab yeej no ntes tau lub plawv dhia txaus ntshai thiab xa hluav taws xob mus rau lub plawv kom rov qab zoo li qub.
• Mus kho mob lossis phais mob uas koj tus kws kho mob pom zoo, xws li Angioplasty (qhib cov hlab ntsha hauv lub plawv) lossis Catheter Ablation (kho cov teeb liab hluav taws xob tsis sib xws hauv lub plawv).
• Yog tias koj tus kws kho mob pom zoo, mus kuaj noob caj noob ces seb puas muaj tej yam mob noob caj noob ces uas yuav ua rau muaj SCD.
• Qhia koj tsev neeg txog qhov tseem ceeb ntawm CPR. Qhia rau lawv paub txog yam yuav tsum ua thaum muaj xwm txheej ceev.

Cov neeg sib tw ncaws pob yuav tsum tau kuaj mob plawv tsawg kawg ib xyoos ib zaug. Qhov no yuav tsum suav nrog kev tshuaj xyuas lawv tus kheej thiab tsev neeg keeb kwm kev kho mob (uas yuav tsum tau hloov kho txhua xyoo) thiab kev kuaj lub cev. Yog tias muaj dab tsi txawv txawv thaum lub sijhawm kuaj thawj zaug, lawv tus kws kho mob kis las yuav pom zoo kom kuaj ntxiv.

Yog tias tus kws kho mob xav tias koj muaj kab mob plawv, nco ntsoov mus ntsib kws kho mob plawv.

Qhov txawv ntawm mob plawv nres thiab SCD yog dab tsi?

Muaj coob tus neeg tsis nkag siab ob qho no. Mob plawv nres yog ib qho teeb meem nrog cov ntshav uas muaj oxygen ntau mus rau cov leeg plawv. Feem ntau nws tshwm sim thaum cov hlab ntsha coronary uas xa cov ntshav mus rau lub plawv raug thaiv. Hauv qhov no, lub plawv tsis nres, nws txuas ntxiv dhia, tab sis ib feem ntawm lub plawv raug puas tsuaj.

Kev Tuag Ntawm Lub Plawv Sai Sai (SCD) yog kev tuag uas tshwm sim tom qab lub plawv tsis dhia (Cardiac Arrest) thiab tsis tuaj yeem rov qab los tau. Kev nres plawv yog los ntawm teeb meem nrog lub plawv lub zog hluav taws xob. Txawm hais tias kev mob plawv tuaj yeem ua rau SCD, muaj lwm yam ua rau SCD. Hais yooj yim, kev mob plawv yog teeb meem "kev muab khoom noj", thiab kev nres plawv yog teeb meem "hluav taws xob".

Qhov 'SCD' tshwm sim tau sai npaum li cas?

Thaum muaj "Plawv Nres" tshwm sim, lub hlwb tsis tau txais ntshav txaus. Qhov no tuaj yeem ua rau tsis nco qab hauv ob peb feeb xwb. "Plawv Tuag Tam Sim Ntawd" tuaj yeem tshwm sim hauv ob peb feeb xwb. Yog vim li ntawd nws thiaj suav tias yog xwm txheej ceev.

Yog tias ib tug neeg koj hlub tam sim ntawd tuag vim SCD ...

Kev poob ib tus neeg koj hlub tam sim ntawd tuaj yeem yog ib qho ntawm cov kev paub nyuaj tshaj plaws hauv lub neej. Nws nyuaj rau ris qhov mob. Txawm li cas los xij, yog tias koj tus neeg koj hlub tau tuag vim yog teeb meem plawv caj ces uas tuaj yeem cuam tshuam rau lwm tus neeg hauv tsev neeg, nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog qhov ntawd thiab saib seb koj puas muaj kev pheej hmoo. Kev ua cov kauj ruam tam sim no tuaj yeem pab tiv thaiv koj tus kheej thiab koj tsev neeg ntawm lwm qhov xwm txheej tu siab.

Thaum kawg, qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov

Txawm hais tias 'Kev Tuag Tam Sim Ntawd' yog ib qho mob hnyav heev, qhov kev pheej hmoo tuaj yeem txo qis tau zoo los ntawm kev paub txog nws, txheeb xyuas thiab tswj cov yam uas ua rau muaj kev pheej hmoo, thiab ua raws li cov lus qhia kho mob kom zoo.

• Saib xyuas koj lub siab. Ua neej kom noj qab nyob zoo.
• Nco ntsoov txog cov cim ceeb toom. Tsis txhob tsis quav ntsej lawv.
• Yog koj muaj kab mob plawv, ua raws li koj tus kws kho mob cov lus qhia kom meej.
• Kawm CPR. Koj kuj tuaj yeem cawm ib tus neeg lub neej.

Vam tias cov ntaub ntawv no yuav pab tau koj. Ua kom koj lub siab noj qab nyob zoo!

Kev Tuag Sai Sai Ntawm Lub Plawv, mob plawv nres, kab mob plawv, lub plawv dhia ceev, CPR, kev noj qab haus huv ntawm lub plawv, cov yam uas ua rau muaj kev pheej hmoo