Puas muaj ib tug neeg laus hauv koj tsev neeg, tej zaum koj niam, txiv, lossis pog, yawg, taug kev deb me ntsis thiab zaum ib pliag, hais tias, "Auj, kuv ob txhais ceg mob, kuv xav tias kuv yuav vwm"? Los yog koj puas muaj cov leeg ntshav xiav lossis ntshav ntawm koj ob txhais ceg? Tej yam no yeej tshwm sim los ntawm qee qhov teeb meem nrog cov hlab ntsha hauv peb lub cev. Yog li muaj cov kws kho mob uas saib xyuas cov kab mob ntsig txog cov hlab ntsha. Cov ntawd yog cov kws tshwj xeeb uas peb hu ua Kws Kho Mob Ntshav . Hnub no, cia peb tham txog leej twg yog Kws Kho Mob Ntshav, nws kho cov kab mob dab tsi, thiab seb koj puas yuav tsum mus ntsib kws kho mob zoo li ntawd thiab.
Hais yooj yim xwb, tus kws kho mob vascular no yog leej twg?
Ib tug kws kho mob hlab ntsha yog ib tug kws kho mob uas tshwj xeeb hauv cov kab mob ntsig txog cov hlab ntsha, uas yog lub cev ntawm cov hlab ntsha hauv peb lub cev. Cov kws kho mob no tau kawm los tiv thaiv, kuaj mob, thiab kho cov kab mob ntawm cov hlab ntsha no.
Xav txog tias peb lub cev yog ib lub nroog loj. Ces cov hlab ntsha no zoo li lub network ntawm txoj kev hauv lub nroog ntawd. Ib txhia zoo li txoj kev loj, lwm tus zoo li txoj kev me me hauv zos. Nws yog los ntawm cov kev no uas "khoom" hu ua oxygen thiab kev noj haus raug nqa mus rau txhua lub cell thiab cov nqaij ntawm lub cev, thiab "cov khib nyiab" (yam li carbon dioxide) uas tsim tawm nyob ntawd raug coj rov qab los. Yog li, yog tias muaj kev thaiv, kev tawg, lossis kev tawg qhov twg hauv cov kev no, tag nrho lub nroog yuav raug cuam tshuam, thiab yog tias muaj teeb meem nrog cov hlab ntsha hauv peb lub cev, nws yuav cuam tshuam rau tag nrho lub cev.
Tus "engineer" uas saib xyuas tshwj xeeb rau "kev tsim kho txoj kev" yog kws kho mob vascular.
Peb lub cev vascular ua haujlwm li cas?
Muaj peb qhov tseem ceeb rau lub kaw lus no:
1. Cov hlab ntsha loj (Arteries): Cov no yog cov hlab ntsha loj uas nqa cov ntshav huv thiab muaj pa oxygen los ntawm lub plawv mus rau txhua qhov ntawm lub cev. Zoo ib yam li lub tshuab xa dej loj hauv nroog.
2. Cov leeg ntshav: Cov no yog cov hlab ntshav uas nqa cov ntshav siv lawm, cov ntshav tsis muaj oxygen, thiab cov ntshav pov tseg rov qab mus rau lub plawv los ntawm txhua qhov ntawm lub cev. Nws zoo li lub tshuab ua kua dej uas tshem tawm cov dej siv lawm.
3. Cov hlab ntsha me me (capillaries): Cov no yog cov hlab ntsha me me uas zoo nkauj heev. Lawv txuas cov hlab ntsha thiab cov leeg ntshav. Lawv yog qhov chaw uas cov pa oxygen thiab cov as-ham sib pauv ntawm cov hlwb ntawm lub cev thiab qhov chaw uas cov khoom pov tseg raug sau.
Ib tug kws kho mob vascular tsom mus rau tag nrho lub cev no.
Cov kws kho mob no kho cov kab mob dab tsi?
Cov kab mob uas tus kws kho mob vascular kho tau muaj ntau yam. Qee yam yog cov uas pom ntau, thaum lwm yam kuj loj dua. Cia peb saib cov lus qhia hauv qab no.
| Mob | Piav qhia yooj yim xwb |
|---|---|
| Kab Mob Ntawm Cov Hlab Ntxwm (PAD) | Cov hlab ntsha uas nqa ntshav mus rau ob txhais ceg thiab caj npab yuav txhaws nrog cov roj cholesterol. Ib qho ntawm cov tsos mob tseem ceeb yog mob ob txhais ceg thaum taug kev. |
| Aneurysm | Ib phab ntsa ntawm cov hlab ntsha uas tsis muaj zog thiab nthuav dav zoo li lub npas. Qhov no tuaj yeem tshwm sim hauv cov hlab ntsha tseem ceeb hauv plab (aorta). Yog tias qhov no tawg, nws tuaj yeem ua rau tuag taus. |
| Cov leeg ntshav varicose | Cov qhov dej hauv cov leeg ntshav ntawm ob txhais ceg qaug zog, ua rau cov ntshav sib sau ua ke rau hauv ib qho chaw es tsis ntws rov qab mus rau lub plawv, ua rau cov leeg ntshav o thiab zoo li xiav lossis ntshav. |
| Kev Mob Thrombosis Ntawm Cov Hlab Ntsha (DVT) | Cov ntshav txhaws ua rau hauv cov leeg ntshav tob hauv ceg. Qhov no tuaj yeem ua rau o thiab mob hauv ceg. Yog tias cov ntshav txhaws no tawg thiab mus rau hauv lub ntsws (pulmonary embolism), nws tuaj yeem ua rau muaj kev phom sij heev. |
| Kab mob Carotid Artery | Kev thaiv ntawm cov hlab ntsha carotid, uas nqa ntshav los ntawm ob sab ntawm lub caj dab mus rau lub hlwb, yog qhov ua rau mob stroke. |
| Kab mob Atherosclerosis | Cov roj cholesterol thiab lwm yam khoom sib sau ua ke hauv cov phab ntsa ntawm cov hlab ntsha (plaque), ua rau cov ntshav ntws nqaim. Qhov no tuaj yeem tshwm sim hauv txhua txoj hlab ntsha hauv lub cev. |
| Kab mob vasculitis | Kev o ntawm cov phab ntsa ntawm cov hlab ntsha. Qhov no tej zaum yuav yog vim muaj teeb meem nrog lub cev tiv thaiv kab mob. |
| Npaj cov hlab ntsha rau kev ntxuav ntshav rau cov neeg uas muaj mob raum tsis ua haujlwm | Thaum cov raum tsis tuaj yeem ntxuav cov ntshav, ib lub qhov quav phais raug tsim nyob rau hauv caj npab kom txuas nws rau lub tshuab dialysis. |
Qhov tseem ceeb tshaj plaws, ntau yam kab mob no muaj feem cuam tshuam ncaj qha rau ntshav siab , ntshav qab zib , haus luam yeeb , thiab cov roj cholesterol ntau .
Thaum twg koj yuav tsum mus ntsib kws kho mob vascular?
Tej zaum koj yuav xav tias, "Kuv puas yuav tsum tau mus ntsib kws kho mob zoo li no?" Feem ntau, koj tus kws kho mob hauv tsev neeg (GP) yuav xa koj mus rau tus kws tshwj xeeb zoo li no. Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob lossis cov yam ntxwv uas ua rau muaj kev pheej hmoo hauv qab no, nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas qhov no.
- Mob ceg lossis mob nraub qaum thaum taug kev: Yog tias koj hnov mob hauv koj ob txhais ceg, tshwj xeeb tshaj yog hauv lub pob tw, thaum koj taug kev luv luv thiab nws ploj mus tom qab sawv ib pliag, nws yuav yog ib qho tsos mob ntawm PAD .
- Ceg o: Yog tias ib lossis ob txhais ceg o tsis zoo li qub, tshwj xeeb tshaj yog tias tsuas yog ib txhais ceg liab thiab o nrog kev xav sov, nws yuav yog ib qho cim ntawm cov ntshav txhaws (DVT) .
- Cov qhov txhab tsis kho: Yog tias cov qhov txhab ntawm ob txhais ceg, tshwj xeeb tshaj yog ntawm ko taw thiab ntiv taw, siv sijhawm ntev kom kho, nws yuav yog ib qho cim qhia tias cov ntshav mus rau thaj chaw ntawd tsis txaus.
- Ob txhais ceg tsis muaj xim lossis txias: Yog tias ob txhais ceg txias dua li lwm qhov ntawm lub cev, lossis yog tias daim tawv nqaij ntawm ob txhais ceg hloov xiav lossis dawb.
- Cov leeg ntshav varicose: Yog tias koj muaj cov leeg ntshav xiav/ntshav ntshav hauv koj ob txhais ceg uas zoo li lawv sib txuas ua ke thiab ua rau mob thiab hnyav hauv koj ob txhais ceg.
- Mob plab lossis mob hauv siab tam sim ntawd: Qhov no yuav yog ib qho cim qhia tias muaj aneurysm tawg. Qhov no yog ib qho xwm txheej ceev heev thiab koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Cov neeg uas muaj cov yam ntxwv uas ua rau muaj kev pheej hmoo:
Yog koj muaj ntshav qab zib, ntshav siab, haus luam yeeb, lossis muaj keeb kwm hauv tsev neeg uas muaj cov kab mob ntawm cov hlab ntsha no, koj muaj feem yuav mob ntau dua li lwm tus. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum tau mus kuaj mob tsis tu ncua.
Qhov txawv ntawm tus kws kho mob plawv thiab tus kws kho mob hlab ntsha yog dab tsi?
Qhov no yog ib yam uas ua rau ntau tus neeg tsis meej pem.
- Ib tug kws kho mob plawv yog ib tug kws kho mob uas tshwj xeeb hauv kev kho lub plawv . Nws kho kev ua haujlwm ntawm lub plawv, teeb meem ntawm lub plawv dhia, mob plawv nres, thiab cov kab mob ntawm lub plawv.
- Ib tug kws kho mob hlab ntsha yog ib tug kws kho mob uas tsom mus rau cov hlab ntsha hauv lwm qhov ntawm lub cev , tshwj tsis yog lub plawv. Qhov ntawd txhais tau tias txhua yam los ntawm ob txhais ceg, caj npab, plab, caj dab, mus rau cov leeg ntshav uas muab ntshav rau lub hlwb.
Tiam sis ob qho no feem ntau ua haujlwm ua ke. Vim tias lub plawv thiab cov hlab ntsha yog ob lub cev sib txuas. Piv txwv li, tus kws kho mob plawv saib cov kev thaiv hauv cov hlab ntsha uas muab ntshav rau lub plawv (Coronary Arteries), thaum tus kws kho mob vascular saib cov kev thaiv hauv cov hlab ntsha hauv ob txhais ceg.
Thaum koj mus ntsib kws kho mob, koj yuav xav tau dab tsi?
Thaum koj raug xa mus rau tus kws kho mob hlab ntsha, nws yuav xub nug koj cov lus nug ntxaws ntxaws txog koj cov tsos mob.
- Ua cas koj ho tsis ua li ntawd?
- Nws pib thaum twg?
- Thaum twg nws nce thiab nws txo qis li cas?
Tom qab ntawd, lawv yuav nug txog koj thiab koj tsev neeg keeb kwm kev mob nkeeg. Nws yog ib qho tseem ceeb heev uas yuav tsum nug txog lwm yam kab mob uas koj muaj (ntshav qab zib, ntshav siab), cov tshuaj uas koj noj, seb koj puas haus luam yeeb, thiab seb puas muaj leej twg hauv koj tsev neeg muaj cov kab mob no.
Tom ntej no, tus kws kho mob yuav kuaj koj lub cev. Tshwj xeeb,
- Lawv kuaj xyuas cov leeg ntawm koj ob txhais ceg thiab caj npab.
- Xyuas seb ob txhais ceg xim li cas, kub li cas, thiab o li cas.
- Ntshav siab ntsuas tau.
Yuav ua cov kev ntsuam xyuas twg?
Yuav kom paub tseeb tias yog tus kab mob dab tsi, koj tus kws kho mob yuav hais kom koj ua qee qhov kev kuaj mob.
- Kev Ntsuas Ultrasound ntawm Cov Ntshav Hauv Lub Cev (Doppler Scan): Qhov no yog qhov kev kuaj mob uas siv ntau tshaj plaws. Nws zoo ib yam li kev ntsuas rau ib tug poj niam cev xeeb tub. Nws tsis mob. Nws tuaj yeem pom tseeb tias cov ntshav ntws li cas hauv koj cov leeg ntshav, thiab seb puas muaj kev txhaws lossis cov ntshav txhaws.
- Qog Ntiv Tes-Ntiv Tes Qaum (ABI): Qhov no yog ib qho kev sim yooj yim heev. Lawv ntsuas cov ntshav siab hauv koj txhais caj npab thiab pob luj taws thiab piv ob qho tib si. Qhov no tuaj yeem muab lub tswv yim rau koj seb puas muaj ntshav ntws mus rau koj ob txhais ceg tsawg dua.
- Kev kuaj mob Angiogram (CT/MR/Catheter): Qhov no yog ib qho kev kuaj uas nyuaj me ntsis. Ib qho xim sib txawv raug txhaj rau hauv cov hlab ntsha, thiab kev thaij duab X-ray, CT, lossis MRI raug siv los tsim cov duab meej ntawm cov hlab ntsha. Qhov no tuaj yeem pab txheeb xyuas qhov chaw tseeb ntawm qhov kev thaiv.
Raws li cov txiaj ntsig ntawm cov kev kuaj no, koj tus kws kho mob yuav txiav txim siab seb koj xav tau kev kho mob dab tsi. Nws yuav yog tshuaj, kev hloov pauv hauv lub neej, lossis qee zaum phais me lossis loj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tus kws kho mob hlab ntsha yog ib tus kws kho mob tshwj xeeb uas kho cov kab mob ntsig txog txhua txoj hlab ntsha (arteries thiab venous) hauv lub cev, tshwj tsis yog lub plawv.
- Cov tsos mob xws li mob ceg thaum taug kev, o ceg, cov qhov txhab tsis kho, thiab cov leeg ntshav varicose tuaj yeem yog los ntawm teeb meem nrog cov hlab ntsha. Tsis txhob tsis quav ntsej txog cov no.
- Yog koj muaj ntshav qab zib, ntshav siab , lossis haus luam yeeb , koj muaj feem yuav mob hlab ntsha ntau dua.
- Yog koj tsis paub meej txog tej tsos mob, xub nrog koj tus kws kho mob tsev neeg (GP) tham ua ntej kom tau lus qhia. Yog tias tsim nyog, nws yuav xa koj mus rau kws kho mob hlab ntsha.
- Koj tuaj yeem tiv thaiv koj tus kheej ntawm ntau yam kab mob no los ntawm kev noj zaub mov zoo, tawm dag zog tsis tu ncua, thiab tsis txhob haus luam yeeb.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus