Koj cov hlab ntsha uas nqa ntshav los ntawm sab saud ntawm koj lub cev mus rau lub plawv puas raug thaiv? Cia peb kawm txog Superior Vena Cava Syndrome!

Puas muaj tej lub sij hawm koj xav tias ua tsis taus pa me ntsis, koj lub ntsej muag, caj dab, lossis tes o? Los yog koj puas pom cov leeg ntshav hauv koj caj dab lossis hauv siab? Zoo tshaj plaws tsis txhob txhawj ntau dhau txog cov no, puas yog? Vim tias cov no yuav yog cov tsos mob ntawm teeb meem nrog cov hlab ntshav loj hauv koj lub hauv siab. Hnub no peb tab tom tham txog ib qho mob zoo li no, hu ua "Superior Vena Cava Syndrome" lossis "SVCS". Tsis txhob txhawj, peb yuav tham txog qhov no yooj yim thiab hauv txoj kev uas koj tuaj yeem nkag siab.

Yog li, qhov no yog dab tsi (Superior Vena Cava Syndrome)?

Hais yooj yim xwb, '(Superior Vena Cava Syndrome)' yog ib pawg ntawm cov tsos mob uas tshwm sim thaum muaj kev thaiv cov ntshav ntws los ntawm cov hlab ntsha loj hauv peb lub hauv siab. Cov hlab ntsha no yog qhov peb hu ua '(Superior Vena Cava)'. Xav txog nws zoo li txoj kev loj uas nqa cov ntshav siv lawm, tsis muaj oxygen los ntawm sab saud ntawm peb lub cev - uas yog, los ntawm qhov chaw xws li lub taub hau, caj dab, caj npab, thiab sab saud hauv siab - rov qab mus rau lub plawv.

Tam sim no, yuav ua li cas yog tias, vim qee qhov laj thawj - nws yuav yog ib qho qog uas loj hlob hauv lub cev, lossis nws yuav yog cov ntshav txhaws - cov hlab ntsha no raug nias lossis thaiv los ntawm sab hauv? Qhov ntawd yog thaum qhov teeb meem pib. Cov ntshav tsis tuaj yeem mus txog lub plawv thiab nws daig hauv cov hlab ntsha ntawd, nws puv nkaus.

Tiam sis peb lub cev kuj tsim tau zoo kawg nkaus. Qee zaum, zoo li thaum muaj kev sib tsoo ntawm txoj kev, cov tsheb khiav mus rau ib qho chaw, thiab qee cov ntshav uas raug thaiv no sim siv lwm cov leeg me me nyob ze kom mus txog lub plawv. Ua li no, cov ntshav tuaj yeem ntws mus rau lub plawv rau qee qhov. Txawm li cas los xij, yog tias qhov kev thaiv no tshwm sim sai sai lossis hnyav heev , nws tuaj yeem ua rau muaj kev cuam tshuam loj rau kev ntws ntshav, thiab qee zaum txawm tias ua rau tuag taus .

Puas muaj cov hom no?

Yog, muaj ob hom kab mob "Superior Vena Cava Syndrome". Ob hom no raug faib raws li qhov ua rau muaj cov tsos mob:

1. Mob qog nqaij hlav SVC: Qhov no yog ib yam mob uas tshwm sim los ntawm mob qog nqaij hlav . Piv txwv li, ib lub qog tuaj yeem nias ib txoj hlab ntshav loj, ua rau cov ntshav ntws tsis tau. Kwv yees li 7 ntawm 10 tus neeg uas muaj mob qog nqaij hlav SVC (70%) muaj hom mob no.

2. Kab mob Benign SVC: Qhov no tsis yog los ntawm mob qog noj ntshav . Nws tuaj yeem tshwm sim los ntawm lwm yam mob. Kwv yees li 3 ntawm 10 tus neeg (30%) yuav muaj hom kab mob no.

Cov tsos mob ntawm qhov no yuav yog dab tsi?

Yog koj muaj tus mob SVC syndrome, tej zaum koj yuav muaj ib lossis ntau yam ntawm cov tsos mob no. Qee cov tsos mob no yog thawj zaug uas koj pom, yog li koj yuav tsum tau ua tib zoo saib xyuas lawv.

• O: O ntawm koj lub ntsej muag, caj dab, lub hauv siab sab saud, thiab/lossis tes. Qhov no feem ntau yog thawj cov tsos mob tshwm sim .
• Cov leeg ntshav pom tseeb: Cov leeg ntshav hauv caj dab lossis hauv siab pib zoo li loj thiab nthuav dav. Qhov no kuj yogIb qho cim uas pom tau ua ntej .
• Pom kev tsis meej.
• Hnoos.
• Mob taub hau.
• Lub suab nrov qis, kev hloov pauv.
• Mob taub hau me ntsis los yog tsaus muag.
• Ua tsis taus pa.

Qhov tseem ceeb tshaj plaws yog tias cov tsos mob no tuaj yeem zuj zus tuaj thiab nce ntxiv thaum koj pw . Nco ntsoov txog qhov ntawd thiab.

Vim li cas hom mob '(SVC Syndrome)' no thiaj tshwm sim? Dab tsi yog cov ua rau muaj?

Tam sim no cia peb saib seb yog dab tsi yog cov laj thawj tseem ceeb uas yuav cuam tshuam rau qhov xwm txheej no.

Cov Ua Rau Mob Cancer

Raws li tau hais ua ntej lawm, mob qog noj ntshav yog ib qho ua rau muaj mob SVC syndrome. Cov mob qog noj ntshav no tshwj xeeb tshaj yog cuam tshuam rau:

• Mob qog nqaij hlav ntsws: Qhov no yog qhov ua rau mob feem ntau .
• Mob qog nqaij hlav ntawm cov qog ntshav hauv lub cev, piv txwv li '(Lymphoma)'.
• Yog tias mob qog noj ntshav hauv lub mis tau kis mus rau lwm qhov thiab cuam tshuam rau cov qog ntshav hauv koj lub mediastinum.
• Mesothelioma (Qhov no yog mob qog nqaij hlav uas feem ntau tshwm sim hauv daim nyias nyias uas npog lub ntsws).
• Thymoma (mob qog nqaij hlav ntawm lub qog thymus).

Lwm yam ua rau mob qog noj ntshav (Benign Causes)

Tus mob no tuaj yeem tshwm sim yam tsis muaj mob qog noj ntshav. Cov hauv qab no yog cov ua rau muaj:

• Cov khoom siv kho mob uas cog rau hauv lub cev: Qhov no yog qhov ua rau mob qog noj ntshav feem ntau tshwm sim .
• Xav txog tej yam xws li cov raj me me (catheters) uas tau muab tso rau hauv peb lub cev los kho qee yam mob (piv txwv li, cov catheters hauv cov hlab ntsha hauv nruab nrab), cov pacemakers uas pab lub plawv ua haujlwm, cov defibrillators, thiab cov catheters hemodialysis uas tau siv los ntxuav cov ntshav ntawm cov neeg mob raum.
• Thaum cov xov hlau lossis cov catheter ntawm cov khoom siv no nyob hauv Superior Vena Cava, qee zaum yuav muaj qee qhov kev sib txhuam lossis kev nyuaj siab rau ntawm phab ntsa ntawm cov leeg ntshav ntawd. Tom qab ntawd yuav muaj kev o , cov nqaij caws pliav , lossis cov ntshav txhaws . Cov no tuaj yeem thaiv cov leeg ntshav.
• Tiam sis nws tseem ceeb heev uas yuav tsum nco ntsoov: Tsis yog txhua tus neeg uas muaj lub cuab yeej zoo li no cog rau hauv lawv lub cev yuav muaj tus kab mob SVC syndrome. Qhov kev pheej hmoo nyob ntawm cov yam xws li hom cuab yeej siv thiab nws nyob ntev npaum li cas hauv cov leeg ntshav.
• Tej yam teeb meem uas yuav tshwm sim thaum lub sijhawm kho mob.
• Kab mob qog.
• Ntau yam kab mob sib kis, piv txwv li syphilis lossis tuberculosis.
• Cov qog nqaij hlav uas tsis yog mob qog noj ntshav.
• Cov kab mob zoo li '(Sarcoidosis)'.
• Cov nqaij caws pliav uas tsim tom qab kev kho mob hluav taws xob, lossis qee zaum tsis muaj laj thawj pom tseeb, tuaj yeem thaiv cov hlab ntsha.

Cov kws kho mob yuav paub qhov no li cas tiag?

Yog tias koj muaj cov tsos mob ntawm tus kab mob SVC, koj tus kws kho mob yuav kuaj koj lub cev ua ntej. Tom qab ntawd, lawv yuav xaj ntau yam kev kuaj mob kom paub meej tias muaj tus mob thiab nrhiav qhov ua rau muaj tus mob. Kev kuaj duab, tshwj xeeb, tuaj yeem pab txiav txim siab seb cov ntshav puas ntws zoo los ntawm cov hlab ntsha Superior Vena Cava (SVC) lossis nws puas raug hloov pauv vim muaj kev txhaws.

Qee qhov kev ntsuam xyuas uas koj yuav muaj yog:

• Ib daim duab X-ray hauv siab.
• `(CT scan)` (Kev Ntsuas Tomography Hauv Computer).
• Kev kuaj mob ultrasound ntawm cov hlab ntsha (Qhov no siv tau los saib cov ntshav ntws thiab cov khoom thaiv hauv cov hlab ntsha).
• `(Venogram)` (Hauv qhov no, ib qho kua tshwj xeeb raug txhaj rau hauv cov leeg ntshav thiab cov duab 'X-ray' raug coj los xyuas qhov xwm txheej ntawm cov leeg ntshav).

Cov kev kho mob rau qhov no yog dab tsi?

Kev kho mob rau tus kab mob SVC nyob ntawm seb ua rau muaj mob dab tsi thiab qhov hnyav ntawm koj cov tsos mob . Kev kho mob uas ua haujlwm rau txhua tus neeg yuav txawv.

Muaj ntau txoj kev kho mob uas feem ntau siv:

• Kev siv txoj hlab ntsha hauv lub plawv (endovascular stenting): Qhov no suav nrog kev ntxig ib lub raj me me (ib lub 'stent') rau hauv cov hlab ntsha uas raug txhaws kom cov hlab ntsha qhib dua. Qhov no ua rau cov ntshav rov qab ntws tau zoo.
• Yog tias qhov ua rau yog cov khoom siv kho mob: Yog tias qhov teeb meem yog los ntawm cov khoom siv kho mob uas tau cog rau hauv lub cev, nws tuaj yeem raug tshem tawm lossis hloov nrog ib qho uas tsim nyog.
• Cov tshuaj kho cov ntshav txhaws: Yog tias qhov txhaws yog los ntawm cov ntshav txhaws, cov tshuaj tshwj xeeb (xws li kev txhaj tshuaj IV lossis ua cov tshuaj noj) yuav muab tau los yaj cov ntshav txhaws.
• Kev Kho Mob Cancer: Yog tias qhov ua rau yog mob cancer, kev kho mob hluav taws xob lossis chemotherapy tuaj yeem siv los rhuav tshem cov hlwb cancer.
• Kev phais:
• Yog tias muaj cov qog nqaij hlav, lawv tuaj yeem raug tshem tawm nrog kev phais.
• Tsis tshua muaj mob, yuav muaj kev phais kom hloov cov ntshav ntws.

Cov kev kho mob no pab kom cov ntshav ntws mus rau koj lub plawv zoo dua. Tej zaum yuav xav tau ntau tshaj ib txoj kev kho mob. Koj tus kws kho mob yuav piav qhia seb txoj kev kho mob twg zoo tshaj plaws rau koj thiab qhov zoo thiab qhov tsis zoo yog dab tsi.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj xav tias koj muaj ib lossis ntau yam tsos mob ntawm '(SVC syndrome)' uas tau hais ua ntej, nco ntsoov mus ntsib kws kho mob sai li sai tau . Tom qab ntawd tus kws kho mob tuaj yeem kuaj koj thiab xa koj mus rau kev kho mob tsim nyog.

Nws tseem ceeb heev uas koj yuav tsum tau mus ntsib kws kho mob raws li koj tau teem tseg tom qab koj tau txais kev kho mob lawm. Cov kev teem tseg no yog qhov chaw uas koj tus kws kho mob yuav txuas ntxiv mus saib xyuas kev noj qab haus huv ntawm koj cov hlab ntsha thiab kev vam meej ntawm koj txoj kev kho mob.

Thaum twg koj yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev?

Yog koj muaj cov tsos mob no, nws txhais tau tias "SVC syndrome" tau hnyav zuj zus thiab tej zaum yuav ua rau tuag taus . Yog li ntawd , mus rau tsev kho mob ze tshaj plaws tam sim ntawd, lossis hu rau lub tsheb thauj neeg mob thaum muaj xwm txheej ceev xws li 1990 .

• Kiv taub hau los yog tsaus muag .
• Yog koj hnov ​​lub suab qis, siab thaum koj ua pa lossis ua pa tawm.
• Yog koj muaj kev hloov pauv hauv koj lub peev xwm xav lossis kev paub txog koj ib puag ncig (piv txwv li, kev tsis meej pem, txo qis kev ceeb toom).

Cov tsos mob hnyav no tuaj yeem tshwm sim los ntawm o ntawm koj lub hlwb lossis txoj hlab pa, lossis los ntawm kev tsis tau txais ntshav txaus rau koj lub cev cov kabmob tseem ceeb. Qhov no yog ib qho mob txaus ntshai heev , yog li ntawd kev kho mob tam sim ntawd yog qhov tseem ceeb!

Kuv muaj kev cia siab li cas rau qhov xwm txheej no?

Qhov kev kwv yees rau ib tus neeg uas muaj Superior Vena Cava Syndrome yuav txawv ntau heev. Nws nyob ntawm ntau yam, suav nrog qhov ua rau muaj tus mob, qhov hnyav ntawm cov tsos mob, thiab kev teb rau kev kho mob .

• Muaj tej lub sij hawm, yog tias qhov ua rau mob SVC syndrome no raug kho kom zoo, ces tus mob no yuav kho tau tag nrho .
• Txawm li cas los xij, tsis tshua muaj , qhov no tuaj yeem ua rau tuag taus.
• Feem ntau, cov neeg uas muaj tus mob SVC syndrome vim yog cov ua rau tsis yog mob qog noj ntshav (benign causes) feem ntau yuav muaj sia nyob ntev dua li cov neeg uas muaj tus mob no vim yog mob qog noj ntshav (malignant forms).

Koj tus kws kho mob tuaj yeem muab cov ntaub ntawv tseeb tshaj plaws rau koj txog qhov no, vim tias qhov mob uas ua rau muaj SVC syndrome kuj tseem tuaj yeem cuam tshuam rau koj lub neej.

Kev daws teeb meem zoo li no tuaj yeem ua rau koj ntxhov siab heev . Tej zaum koj twb tau kho mob qog noj ntshav lawm, thiab cov tsos mob tshiab no yuav ua rau koj ntxhov siab thiab txhawj xeeb ntxiv txog koj lub neej yav tom ntej. Los yog, koj yuav muaj mob uas pab koj kom dim, muab kev kho mob cawm siav.

Txawm koj muaj mob dab tsi los xij, koj pab neeg kho mob yeej npaj siab los saib xyuas koj thiab pab koj . Lawv piav qhia tau qhov ua rau koj muaj mob thiab qhia koj txog kev kho mob uas zoo rau koj. Tsis txhob ntshai tham nrog lawv txog tej lus nug lossis kev txhawj xeeb uas koj muaj. Xyuas kom koj nkag siab txhua yam, suav nrog kev kho mob yuav ua haujlwm li cas thiab thaum twg koj yuav tsum rov qab los kuaj mob tom qab.

Thaum kawg, cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov yog:

Zoo, yog li peb tau tham ntau txog '(Superior Vena Cava Syndrome)'. Nws yog ib qho tseem ceeb rau koj kom nco ntsoov cov no:

• Kab mob SVC yog ib yam mob uas yuav tsum tau saib xyuas . Nws yog tshwm sim los ntawm kev txhaws hauv cov hlab ntsha loj uas nqa cov ntshav los ntawm sab saud ntawm peb lub cev mus rau lub plawv.
• Ceev faj txog cov tsos mob xws li o ntawm lub ntsej muag, caj dab, thiab tes, cov leeg ntshav pom tseeb hauv caj dab thiab hauv siab, thiab ua pa nyuaj.
• Yog koj muaj cov tsos mob no, mus ntsib kws kho mob sai li sai tau . Kev kuaj mob sai yog qhov tseem ceeb heev rau kev kho mob kom zoo.
• Muaj ntau txoj kev kho mob rau qhov no. Kev kho mob nyob ntawm seb ua rau muaj li cas.
• Kev kho qhov ua rau mob feem ntau yog txoj hauv kev zoo tshaj plaws los tswj lossis kho qhov mob no.
• Yuav tsum paub txog cov tsos mob ntawm qhov xwm txheej ceev (kiv taub hau, tsis nco qab, muaj suab txawv txawv thaum ua pa, tsis nco qab) thiab nrhiav kev kho mob tam sim ntawd yog tias muaj xwm txheej zoo li no tshwm sim.
• Tham nrog kws kho mob txog koj tej teeb meem thiab kev ntshai.

Peb xav kom koj muaj kev noj qab haus huv zoo!

` Superior Vena Cava Syndrome, SVCS, cov hlab ntsha txhaws, cov leeg ntshav hauv siab, o, ua pa nyuaj, cov tsos mob ntawm mob qog noj ntshav