Koj puas tau hnov txog cov hlab ntsha loj tshaj plaws thiab tseem ceeb tshaj plaws hauv peb lub cev? Peb hu nws ua aorta. Ib yam li cov kav dej loj uas coj dej mus rau peb lub tsev, aorta no nqa cov ntshav huv los ntawm lub plawv mus rau tag nrho lub cev. Tab sis qee zaum, qhov chaw tsis muaj zog tshwm sim hauv phab ntsa ntawm aorta no, thiab thaj chaw ntawd pib bulge zoo li lub npas. Qhov ntawd yog qhov peb hu ua 'aneurysm'. Yog tias qhov bulge no tshwm sim hauv aorta hauv lub hauv siab, nws hu ua 'Thoracic Aortic Aneurysm'. Qhov no yuav zoo li me ntsis ntshai, tab sis tsis txhob txhawj. Cia peb tham txog txhua yam kom meej thiab yooj yim.
Thoracic Aortic Aneurysm yog dab tsi?
Hais yooj yim xwb, qhov no yog qhov o uas tshwm sim hauv ib feem ntawm lub thoracic aorta hauv peb lub hauv siab. Xav txog ib lub yeeb nkab dej qub, ib feem ntawm nws tsis muaj zog thiab nws o me ntsis. Qhov ntawd yog qhov tshwm sim ntawm no thiab. Qhov no yog ib qho mob tsis tshua muaj, tsuas yog ib tus neeg hauv kaum txhiab tus neeg muaj qhov mob no.
Feem ntau, tsis muaj leej twg paub tias lawv muaj qhov o no. Nws raug pom los ntawm kev sim, xws li CT scan, ua rau lwm yam laj thawj.
Puas yog txhua tus neeg yuav tsum tau phais mob no?
Tsis yog. Tsis yog txhua tus neeg uas muaj hom o no yuav tsum tau phais. Muaj ntau yam uas yuav txiav txim siab seb koj puas xav tau phais lossis tsis xav tau.
- Qhov loj ntawm lub pob: Qhov no loj npaum li cas yog qhov tseem ceeb heev. Feem ntau, yog tias nws loj dua 5.5 centimeters, yuav tsum tau phais.
- Kev Loj Hlob: Yog tias qhov o no loj hlob sai dua 0.5 centimeters hauv rau lub hlis, qhov ntawd kuj yog ib qho laj thawj rau kev nrhiav kev phais.
- Koj cov tsos mob: Qee tus neeg yuav muaj cov tsos mob xws li mob hauv siab thiab ua pa nyuaj.
- Koj txoj kev noj qab haus huv tag nrho: Koj lub hnub nyoog thiab seb koj puas muaj lwm yam mob kuj cuam tshuam rau kev txiav txim siab txog kev phais mob.
Tom qab xav txog txhua yam no, koj tus kws kho mob yuav txiav txim siab seb qhov twg zoo tshaj plaws rau koj.
Muaj ob hom kev phais: cia peb saib seb lawv yog dab tsi
Muaj ob txoj kev phais mob tseem ceeb los kho qhov mob no. Saib daim ntawv teev lus hauv qab no kom nkag siab txog qhov txawv ntawm ob qho no.
| Feature | 1. Kho Qhov Qhib Thoracic Aneurysm | 2. Txoj kev TEVAR (Kev Kho Mob Aortic Endovascular Hauv Qhov Ncauj) |
|---|---|---|
| Yuav ua li cas | Yuav muab ib qho kev phais ntev rau ntawm sab ntawm lub hauv siab, qhov uas puas lawm ntawm cov hlab ntsha raug tshem tawm, thiab muab ib lub raj cuav (graft) cog rau hauv nws qhov chaw. | Yuav muab ib qho kev phais me me rau hauv qhov chaw mos, ces muab ib lub raj nyias nyias (catheter) tso rau hauv nws raws cov hlab ntsha, thiab muab ib lub cuab yeej zoo li lub mesh (stent) tso rau hauv qhov chaw o kom nws muaj zog los ntawm sab hauv. |
| Txiav | Yuav tsum tau phais loj thiab ntev. | Tsuas yog xav tau ib qho kev txiav me me xwb. |
| Lub sijhawm nyob hauv tsev kho mob | Tej zaum yuav siv sijhawm txog li 10 hnub. | Feem ntau yog li 3 hnub. |
| Lub sijhawm kho | Yuav siv sijhawm li 2-3 lub hlis mam rov qab mus ua neej li qub. | Koj tuaj yeem ua haujlwm li qub tau hauv ob peb lub lis piam. Koj yuav tsum tos li ib hlis rau txoj haujlwm hnyav. |
Vim li cas qhov kev phais no thiaj li tseem ceeb?
Lub laj thawj tseem ceeb rau kev phais mob no yog kom txo qhov kev pheej hmoo ntawm kev tawg ntawm cov hlab ntsha aneurysm . Tsis yog txhua cov hlab ntsha aneurysm yuav tawg. Txawm li cas los xij, yog tias lawv tawg, nws yog qhov xwm txheej ceev uas txaus ntshai rau lub neej.
Txawm hais tias muaj qee qhov kev pheej hmoo hauv kev phais mob, qhov kev pheej hmoo ntawm cov hlab ntsha tawg yog ntau dua. Yog vim li ntawd cov kws kho mob thiaj li pom zoo kom phais mob rau lub sijhawm zoo.
Muaj dab tsi tshwm sim ua ntej phais?
Koj tus kws kho mob yuav muab cov lus qhia tsim nyog rau koj ua ntej phais.
- Kev Ntsuas: Qhov loj thiab qhov mob ntawm qhov o yuav raug saib xyuas tas li los ntawm kev ua tej yam xws li 'CT scan'.
- Tshuaj kho mob:Tej zaum yuav muab tshuaj rau koj kom tswj koj cov ntshav siab thiab ua kom koj cov hlab ntsha so ob peb hnub ua ntej phais.
- Cov Tshuaj Tiv Thaiv Kev Ntshav Ntshav: Yog tias koj noj cov tshuaj tiv thaiv kev ntshav ntshav, koj tus kws kho mob yuav qhia koj kom tsum tsis txhob noj lawv ua ntej phais. Tsis txhob tsum tsis txhob noj lawv yam tsis tau kev qhia los ntawm kws kho mob.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais qhib, koj yuav raug saib xyuas hauv chav saib xyuas mob hnyav (ICU) ib lossis ob hnub. Tom qab ntawd koj yuav raug xa mus rau chav kho mob ib txwm thiab yuav tsum nyob hauv tsev kho mob li 10 hnub.
Tom qab phais mob TEVAR, feem ntau koj yuav tsum nyob hauv tsev kho mob li peb hnub. Cov kws kho mob yuav muab tshuaj rau koj kom pab txo qhov mob uas yuav tshwm sim tom qab phais mob.
Tej yam kev pheej hmoo ntawm kev phais no yog dab tsi?
Txawm hais tias qhov no yog kev phais mob uas cawm tau txoj sia, zoo li lwm yam kev phais loj, muaj kev pheej hmoo. Txawm li cas los xij, pab pawg kho mob tab tom ua qhov zoo tshaj plaws los txo cov kev pheej hmoo no.
- Los ntshav
- Kab mob ntsws (mob ntsws) lossis lwm yam teeb meem ua pa
- Mob plawv nres
- Mob stroke
- Kev ua haujlwm ntawm lub raum txo qis
- Kev kis kab mob ntawm qhov chaw phais
- Cov ceg tsis muaj zog vim yog cov ntshav tsis txaus rau tus txha nqaj qaum
Tsis txhob ntshai thaum koj hnov tej yam no. Cov no tsuas yog tej yam uas yuav tshwm sim xwb . Tham nrog koj tus kws kho mob txog qhov no thiab nug txhua yam koj muaj lus nug.
Thaum twg yuav tsum mus ntsib kws kho mob tom qab phais
Thaum koj mus tsev tom qab phais lawm, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog tej yam tshwm sim ntawm qhov teeb meem sai li sai tau. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd.
| Cov tsos mob | Yuav tsum tau them sai sai rau dab tsi |
|---|---|
| Ua npaws | Yog tias lub cev kub tshaj 100.4 F (38 C). |
| Kev hloov pauv nyob ib puag ncig txoj kev txiav | Liab heev, o, lossis ua pob ua ib ncig ntawm qhov txiav. |
| Mob | Mob hnyav heev uas tseem mob txawm tias noj tshuaj los xij. |
| Kev o | o txawv txawv hauv thaj chaw phais lossis ob txhais ceg. |
Ob txoj kev phais no yog kev kho mob zoo heev. Hauv txoj kev kho mob TEVAR, lub stent tuaj yeem muab tso rau 99% tau zoo. Kev phais qhib kuj ua tau zoo heev. Qhov tseem ceeb tshaj plaws yog kom nkag siab tias qhov no yog ib yam dab tsi uas ua los cawm ib tug neeg txoj sia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Thoracic aortic aneurysm yog qhov qaug zog thiab o ntawm lub hauv siab ntawm cov hlab ntsha tseem ceeb uas tawm hauv lub plawv.
- Qhov laj thawj tseem ceeb rau qhov mob no yog qhov tsis muaj zog ntawm phab ntsa arterial.
- Seb puas yuav tsum tau phais mob los tsis yog nyob ntawm seb qhov loj ntawm lub qog, nws loj sai npaum li cas, thiab koj tus mob.
- Muaj ob txoj kev kho mob: phais qhib thiab TEVAR, uas yog kev ntxig ib lub raj nyias nyias hla lub qhov ncauj.
- Lub laj thawj tseem ceeb rau kev ua qhov kev phais no yog kom tiv thaiv cov hlab ntsha uas nthuav dav kom tsis txhob tawg thiab ua rau muaj kev puas tsuaj rau lub neej.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia tom qab phais tas thiab qhia rau tus kws kho mob tam sim ntawd yog tias koj pom muaj cov tsos mob txawv txawv.
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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