Koj puas muaj tej lub sij hawm koj mob ceg lossis mob plab thaum koj taug kev? Los yog koj ob txhais ceg zoo li xiav thiab sib txuas? Cov no tuaj yeem yog cov cim qhia tias muaj teeb meem nrog lub cev ntshav ncig, uas yog, cov hlab ntsha hauv peb lub cev. Yog li hnub no, cia peb tham txog cov kab mob ntsig txog cov hlab ntsha no, lossis raws li peb hu lawv hauv kev kho mob, 'kab mob hlab ntsha'.
Hais yooj yim xwb, cov kab mob vascular no yog dab tsi?
Kab mob ntawm cov hlab ntsha yog hais txog txhua yam mob uas cuam tshuam rau peb lub cev ntshav ncig. Xav txog tias peb lub cev zoo li ib lub network ntawm cov kav dej. Lub network ntawm cov kav dej no yog peb cov hlab ntsha. Nws yog los ntawm cov no uas cov ntshav mus thoob plaws peb lub cev. Lub cev no muaj peb qhov tseem ceeb.
- Cov hlab ntsha: Cov no yog cov hlab ntsha loj uas nqa cov ntshav huv (cov ntshav oxygenated) los ntawm lub plawv mus rau txhua qhov ntawm lub cev.
- Cov leeg ntshav: Cov no yog cov leeg ntshav uas nqa cov ntshav tsis huv (cov ntshav tsis muaj oxygen) rov qab mus rau lub plawv los ntawm ntau qhov chaw ntawm lub cev.
- Cov hlab ntsha me me (capillaries): Cov no yog cov hlab ntsha me tshaj plaws thiab mos tshaj plaws. Lawv txuas cov hlab ntsha thiab cov leeg ntshav, thiab lawv xa cov pa oxygen thiab cov as-ham rau peb cov nqaij thiab sau cov khoom pov tseg.
Yog li, txhua yam teeb meem uas cuam tshuam rau cov hlab ntsha, cov leeg ntshav, cov hlab ntsha capillaries, lossis cov hlab ntsha lymph, lossis txhua yam mob uas cuam tshuam rau kev ntws ntshav vim yog cov teeb meem ntsig txog ntshav xws li ntshav txhaws, yog qhov peb hu ua kab mob vascular.
Cov kab mob vascular tseem ceeb yog dab tsi?
Cov kab mob no muaj ntau hom. Qee hom tsuas yog cuam tshuam rau cov hlab ntsha xwb, qee hom tsuas yog cuam tshuam rau cov leeg ntshav xwb. Kuj tseem muaj cov kab mob uas cuam tshuam rau qee qhov chaw ntawm lub cev xwb. Cia peb saib cov hom kab mob tseem ceeb.
1. Kab Mob Ntawm Cov Ntshav Qab Zib
Ib yam li cov hlab ntsha hauv peb lub plawv, cov hlab ntsha sab nraud ntawm lub plawv kuj raug txhaws nrog cov rog thiab cov roj cholesterol, uas peb hu ua 'plaque' , thiab cov hlab ntsha pib raug thaiv los ntawm sab hauv. Peb hu qhov mob no ua 'atherosclerosis' . Raws li lub sijhawm dhau mus, thaum cov hlab ntsha raug thaiv li no, cov ntshav ntws txo qis. Yog li ntawd, cov nqaij ntawm lub cev yuav tsis tau txais cov ntshav txaus. Peb hu qhov no ua 'ischemia' .
Qee cov kab mob uas poob rau hauv pawg no tau teev tseg hauv qab no.
| Mob nkeeg | Piav qhia yooj yim |
|---|---|
| Kab Mob Ntawm Cov Hlab Ntxwm (PAD) | Feem ntau, cov hlab ntsha hauv ob txhais ceg raug thaiv. Yog tias cov ntshav ntws tsis txaus, cov nqaij yuav tuag thiab ua rau mob gangrene , thiab tej zaum yuav tsum tau txiav ceg. |
| Kab mob plab hnyuv Ischemic Syndrome | Kev thaiv cov hlab ntsha uas muab ntshav mus rau lub cev zom zaub mov. |
| Kab Mob Raum | Kev txhaws ntawm cov hlab ntsha uas muab ntshav mus rau lub raum. Qhov no tuaj yeem ua rau lub raum tsis ua haujlwm. |
| Raynaud tus kab mob | Thaum raug cua txias heev lossis kev ntxhov siab, cov hlab ntsha me me hauv cov ntiv tes thiab cov ntiv taw yuav nqaim, ua rau cov ntiv tes hloov dawb lossis xiav. |
| Kab mob Buerger | Ib yam kab mob uas muaj feem cuam tshuam nrog kev haus luam yeeb. Kev txhaws ntawm cov hlab ntsha me thiab nruab nrab hauv tes thiab taw tuaj yeem ua rau cov ntiv tes tsis muaj ntshav txaus, cov nqaij tuag (gangrene) thiab txiav cov ntiv tes. |
2. Cov Teeb Meem ntawm Cov Kab Mob Carotid
Cov no yog cov teeb meem uas tshwm sim hauv cov hlab ntsha carotid tseem ceeb, nyob rau ob sab ntawm peb lub caj dab, uas muab ntshav mus rau lub hlwb.
- Kab Mob Carotid Artery: Kev nqaim lossis thaiv cov hlab ntsha no uas xa cov ntshav mus rau lub hlwb tuaj yeem ua rau muaj kev tawm tsam ischemic transient (TIA) lossis mob stroke .
- Kev Phais Cov Ntshav Carotid: Kev rhuav ib txheej ntawm phab ntsa cov ntshav, ua rau ntshav ntws los.
- Kab Mob Carotid Artery Aneurysm: Kev qaug zog ntawm phab ntsa ntawm cov hlab ntsha uas ua rau nws o zoo li lub npas. Muaj kev pheej hmoo ntawm qhov no tawg.
3. Kab mob ntawm cov hlab ntsha
Cov hlab ntsha hauv peb cov hlab ntshaMuaj ib yam dab tsi hu ua lub qhov dej. Nws zoo li ib lub yeeb nkab uas tsuas pub dej ntws mus rau ib qho kev taw qhia xwb. Thaum peb cov leeg nqaij nruj, cov qhov dej no qhib thiab cov ntshav txav mus rau sab saud (mus rau lub plawv). Thaum cov leeg nqaij so, cov qhov dej kaw thiab cov ntshav tsis ntws rov qab los.
Tiam sis yog tias cov qhov ntshav no puas lawm, lawv yuav kaw tsis tau zoo. Ces cov ntshav yuav pib ntws mus rau ob sab. Qhov no ua rau cov ntshav sib sau ua ke hauv qab ceg, tshwj xeeb tshaj yog hauv ob txhais ceg, thiab cov leeg ntshav yuav pib zoo li o thiab sib txuas. Cov mob no yog:
- Cov leeg ntshav varicose: Cov leeg ntshav o, ntshav, thiab ntswj uas tshwm sim hauv qab daim tawv nqaij.
- Cov leeg kab laug sab: Cov hlab ntsha liab los yog xim av, zoo li kab laug sab, cov hlab ntsha me me uas tshwm sim hauv lub hauv caug thiab pob luj taws.
- Kab Mob Ntshav Hauv Plab (Deep Vein Thrombosis - DVT): Ib qho ntshav txhaws uas tsim nyob rau hauv ib txoj hlab ntshav tob hauv lub cev.
- Mob Venous Insufficiency (CVI): Muaj teeb meem xa cov ntshav rov qab mus rau lub plawv vim yog cov phab ntsa lossis cov qhov ntawm cov leeg ntshav hauv ob txhais ceg tsis ua haujlwm zoo.
4. Cov Ntshav Txhaws
Cov ntshav txhaws (thrombus) yog ib qho zoo li jelly hauv cov hlab ntsha. Cov ntshav txhaws no tuaj yeem tawg thiab mus nrog cov ntshav, thaiv cov hlab ntsha hauv lub ntsws ( Pulmonary Embolism ), lub plawv ( Heart Attack ), lossis lub hlwb ( Stroke ). Cov no yog cov mob txaus ntshai heev.
Yog tias ib tug neeg muaj DVT (ntshav txhaws hauv cov leeg ntshav tob hauv ceg), cov ntshav txhaws tuaj yeem tawg thiab mus rau hauv lub ntsws, ua rau mob ntsws embolism. Qhov no tuaj yeem ua rau tuag taus.
5. Aortic Aneurysm
Ib qho aneurysm yog ib qho kev qaug zog ntawm phab ntsa ntawm cov hlab ntsha, ua rau nws o zoo li lub npas. Txawm hais tias nws tuaj yeem tshwm sim hauv txhua txoj hlab ntsha, nws feem ntau pom nyob rau hauv aorta, lub hlab ntsha tseem ceeb uas tawm ntawm lub plawv.
- Thoracic Aortic Aneurysm: Ib qho bulge nyob rau hauv lub aorta nyob rau hauv lub hauv siab cheeb tsam.
- Mob plab aortic aneurysm: Ib qho o ntawm lub aorta hauv plab.
6. Lymphedema
Peb lub cev lymphatic yog ib lub network ntawm cov hlab ntsha uas pab peb lub cev tiv thaiv kab mob. Yog tias cov hlab ntsha no raug puas tsuaj lossis raug thaiv, cov kua lymph yuav sib sau ua ke thiab ua rau peb ob txhais ceg o. Qhov no hu ua Lymphedema .
Cov ua rau muaj cov kab mob no yog dab tsi thiab muaj feem yuav ua rau muaj cov kab mob no li cas?
Qee cov kab mob ntawm cov hlab ntsha tuaj yeem tau txais los ntawm noob caj noob ces (genetic), tab sis feem ntau, cov kab mob no yog tshwm sim los ntawm kev ua neej tsis zoo thiab lwm yam mob.
- Cov roj cholesterol ntau
- Ntshav Siab
- Kev haus luam yeeb thiab kev siv yeeb nkab
- Kab mob ntshav qab zib
- Kev rog dhau thiab qhov hnyav nce
- Tsis tawm dag zog
- Keeb kwm tsev neeg ntawm cov kab mob no
- Kev laus zuj zus
Koj puas muaj cov tsos mob no thiab?
Cov tsos mob sib txawv nyob ntawm seb muaj mob dab tsi. Cia peb saib cov tsos mob ntawm ntau yam mob loj.
| Pawg kab mob | Cov tsos mob feem ntau |
|---|---|
| Kab mob ntawm cov hlab ntsha sab nraud (PAD) | Mob lossis mob plab hauv ob txhais ceg, tshwj xeeb tshaj yog cov pob tw, thaum taug kev thiab tom qab ntawd ploj mus tom qab ib ntus, kev hloov pauv ntawm cov xim tawv nqaij ntawm ob txhais ceg, cov qhov txhab uas tsis kho, thiab qaug zog hauv ob txhais ceg. |
| Kab mob ntawm cov hlab ntsha carotid | Feem ntau tsis muaj tsos mob thaum pib. Nws yuav tsis pom kom txog thaum muaj mob stroke lossis TIA, uas tuaj yeem ua rau muaj teeb meem pom kev lossis hais lus, tsis meej pem, thiab muaj teeb meem nco qab. |
| Cov leeg ntshav varicose (CVI) | Ceg o, mob, xav tias hnyav hauv ob txhais ceg, pom cov leeg xiav/ntshav, daim tawv nqaij khaus. |
| Cov ntshav txhaws (DVT, PE) | DVT: o, mob, liab, thiab sov so hauv ib ceg. Mob ntsws txhaws: Mob hauv siab tam sim ntawd, ua pa nyuaj, hnoos ntshav. (Qhov no yog xwm txheej ceev!) |
| Aneurysm ntawm cov hlab ntsha loj | Feem ntau tsis muaj tsos mob. Yog tias lub aneurysm tawg, koj yuav mob hauv siab lossis mob plab tam sim ntawd, kiv taub hau, thiab lub plawv dhia ceev. (Qhov no kuj yog xwm txheej ceev!) |
Tus kws kho mob kuaj mob li cas?
Thaum koj mus ntsib koj tus kws kho mob, nws yuav kuaj koj kom meej, nug txog koj cov tsos mob, koj tsev neeg keeb kwm kev mob nkeeg, thiab kuj tseem yuav xaj ntau yam kev kuaj mob kom paub tseeb tias koj muaj mob.
- Kev Siv Ultrasound Los Saib Xyuas Cov Hlwb Hauv Cov Hlwb: Qhov no yog kev ntsuas uas siv cov suab los saib seb cov ntshav ntws li cas hauv cov hlab ntsha thiab seb puas muaj qhov txhaws.
- CT Angiography: Kev luam theej duab CT yog ua kom tau cov duab peb-seem ntawm cov hlab ntsha los ntawm kev txhaj tshuaj tshwj xeeb rau hauv lub cev.
- MR Angiography: Thaij cov duab ntawm cov hlab ntsha nrog lub tshuab MRI siv lub zog sib nqus.
- Kev Siv Catheter Angiography: Ib lub raj nyias nyias (catheter) raug xa mus rau hauv cov hlab ntsha thiab ib qho kua tshwj xeeb raug txhaj rau hauv nws kom pom cov kev thaiv hauv cov hlab ntsha hauv qab X-ray.
Cov kev kho mob yog dab tsi?
Cov kev kho mob sib txawv nyob ntawm seb tus mob thiab nws qhov hnyav npaum li cas. Cov lus qhia dav dav rau txhua tus neeg mob yog hloov pauv txoj kev ua neej . Qhov ntawd txhais tau tias noj zaub mov zoo, tawm dag zog, thiab tsis txhob haus luam yeeb. Tsis tas li ntawd, muaj kev kho mob xws li:
- Cov Tshuaj: Koj tus kws kho mob yuav sau ntawv rau cov tshuaj xws li cov tshuaj ua kom cov ntshav nyias, cov tshuaj txo cov roj cholesterol (statins), cov tshuaj ntshav siab, thiab cov tshuaj vasodilators.
- Angioplasty thiab Stenting: Ib txoj kev kho mob uas muab ib lub cuab yeej zoo li lub npas tso rau hauv cov hlab ntsha uas raug thaiv, thiab muab lub tshuab cua kom nthuav cov hlab ntsha (angioplasty), thiab muab ib lub cuab yeej zoo li lub mesh (stent) tso rau hauv kom tiv thaiv kev kaw dua.
- Kev Phais Mob: Qee zaum, yuav tsum tau tshem cov leeg ntshav uas raug txhaws thiab hloov nws nrog lwm cov leeg ntshav (kev phais bypass) lossis phais tshem cov ntshav txhaws (thrombectomy). Hauv cov mob xws li cov leeg ntshav varicose, kev kho mob laser lossis kev phais kuj siv los tshem cov leeg ntshav.
Qhov tseem ceeb tshaj plaws yog koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws rau koj. Yog li ntawd, tsis txhob mus yuav tshuaj tsuas yog vim koj pom hauv internet lossis hnov txog nws los ntawm ib tug neeg.
Lub sijhawm twg koj mam li xav mus kawm ntawv ETU tam sim ntawd?
Yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob hauv qab no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. Cov no tuaj yeem yog cov cim qhia txog tus mob uas yuav ua rau tuag taus xws li mob stroke, mob plawv nres, lossis mob aortic aneurysm tawg.
- Mob hauv siab tam sim ntawd, hnyav heev
- Mob plab sai sai
- Nyuaj hais lus, tsis meej pem cov lus
- Kev poob ntawm ib sab ntawm lub ntsej muag
- Kev tsis muaj zog ntawm ib sab caj npab lossis ceg
- Kev tsis meej pem lossis kiv taub hau sai sai
- Poob lossis tsis pom kev zoo
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob vascular yog ib qho mob uas feem ntau cuam tshuam rau lub cev circulatory hauv peb lub cev.
- Ntshav siab, ntshav qab zib, roj cholesterol ntau, thiab haus luam yeeb yog cov yam tseem ceeb uas ua rau muaj kev pheej hmoo.
- Tsis txhob tsis quav ntsej cov tsos mob xws li mob ceg, mob plab, lossis ua pa nyuaj. Mus ntsib koj tus kws kho mob tam sim ntawd.
- Ntau yam kab mob no tuaj yeem tiv thaiv thiab tswj tau los ntawm kev ua neej noj qab haus huv (kev noj zaub mov zoo, kev tawm dag zog, thiab kev tsis txhob haus luam yeeb).
- Nws yog ib qho tseem ceeb heev uas yuav tsum siv cov tshuaj uas tus kws kho mob tau sau tseg kom raug thiab rau lub sijhawm uas tau teem tseg.
- Yog koj muaj cov tsos mob thaum muaj xwm txheej ceev (mob hauv siab heev, ntsej muag liab, hais lus tsis tau), mus rau tsev kho mob tam sim ntawd.
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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