Koj puas muaj ib txoj hlab ntsha hauv koj lub plab uas loj zoo li lub npas? Cia peb kawm txog qhov '(Visceral Artery Aneurysm)' no!

Koj puas tau xav tias cov hlab ntsha hauv peb lub cev, zoo li cov yeeb nkab dej, tuaj yeem qaug zog ntawm ib qho chaw thiab o zoo li lub npas? Qhov no hu ua '(Aneurysm)'. Qee zaum qhov no tuaj yeem zais tsis qhia cov cim qhia, tab sis nws tuaj yeem ua teeb meem loj hauv lub neej. Hnub no peb yuav tham txog ib qho mob uas tuaj yeem txaus ntshai, tab sis ntau tus neeg tsis paub txog nws, uas yog '(Visceral Artery Aneurysm)'.

"(Visceral Artery Aneurysm)" yog dab tsi? Cia peb nkag siab yooj yim heev!

Xav txog seb, peb muaj ib txoj hlab ntsha hauv peb lub cev, thiab nws phab ntsa tsis muaj zog me ntsis. Tom qab ntawd, vim yog lub siab ntawm cov ntshav ntws los ntawm nws, qhov chaw tsis muaj zog ntawd yuav tawm los zoo li lub npas. Qhov ntawd yog qhov hu ua "Aneurysm". Tam sim no, yog tias qhov "Aneurysm" no loj dhau, qhov ntawd txhais tau tias qhov bulge zoo li lub npas tuaj yeem tawg. Yog tias qhov ntawd tshwm sim, ntshav pib ntws hauv lub cev. Peb hu qhov no "Hemorrhage", thiab qhov no yog qhov xwm txheej txaus ntshai heev.

Tam sim no, cov '(Visceral Arteries)' no yog dab tsi? Cov no yog cov hlab ntsha tseem ceeb hauv peb lub cev, '(Aorta),' uas ceg tawm thiab muab ntshav rau cov kabmob tseem ceeb tshaj plaws hauv peb lub plab.

Cov kab ke no yog:

• Peb cov hnyuv
• Cov raum
• Siab
• Pancreas
• Mob qog
• Plab

Feem ntau, cov "Visceral Artery Aneurysms" no tshwm sim hauv cov hlab ntsha uas nqa ntshav mus rau lub po, lub raum, thiab lub siab.

Puas muaj hom '(Visceral Artery Aneurysms)'?

Yog, muaj ob hom feem ntau.

1. Pseudoaneurysms: Qhov no yog thaum muaj ib lub qhov me me tsim nyob rau hauv phab ntsa ntawm cov hlab ntsha, thiab qee cov ntshav ntws tawm ntawm lub qhov, sau rau hauv cov nqaij sab nraum cov hlab ntsha. Tom qab ntawd, vim yog cov txheej txheem ntshav txhaws hauv peb lub cev, ib lub phab ntsa tsis muaj zog tsim nyob ib puag ncig cov ntshav uas tau sau. Txawm li cas los xij, vim tias phab ntsa no tsis muaj zog heev, cov pseudoaneurysms no yuav tawg ntau dua.

2. Cov Aneurysms Tseeb: Qhov no yog thaum ib feem ntawm phab ntsa hlab ntsha tsis muaj zog tawm los zoo li lub npas. Raws li tau hais ua ntej.

Cov no muaj ntau npaum li cas? Leej twg tau txais lawv ntau zaus dua?

Kab mob Visceral Artery Aneurysms yeej yog ib qho mob tsis tshua muaj. Tab sis vim tias feem ntau cov neeg tsis muaj tsos mob, nws nyuaj rau hais tias muaj pes tsawg tus neeg muaj lawv.

Qhov tshwm sim ntawm qee hom visceral artery aneurysms sib txawv ntawm poj niam txiv neej. Piv txwv li, cov poj niam muaj feem ntau yuav muaj aneurysm hauv cov hlab ntsha uas nqa ntshav mus rau lub po.

Cov tsos mob ntawm qhov no yog dab tsi? Koj paub nws li cas?

Nov yog qhov tseem ceeb tshaj plaws. Feem ntau, tsis muaj tsos mob! Cov kws kho mob feem ntau pom cov no los ntawm kev sib tsoo thaum lub sijhawm kuaj mob, xws li "(CT scan)" lossis "(MRI scan)", rau lwm yam mob.

Txawm li cas los xij, yog tias cov hlab ntsha uas loj hlob tuaj, lossis "aneurysm", tawg, cov tsos mob yuav tshwm sim. Cov tsos mob tseem ceeb yog:

• Kab mob ntshav tsis txaus (uas txhais tau tias txo cov ntshav hauv lub cev)
• Mob plab los yog mob nraub qaum . Qhov mob no qee zaum tsis pom tseeb heev, qee zaum nws tuaj yeem hnyav heev. Yog li ntawd, qee zaum nws nyuaj rau txheeb xyuas tus kab mob kom meej.

Lwm cov tsos mob yuav txawv nyob ntawm qhov chaw ntawm aneurysm. Piv txwv li:

• Ntsws ntshav
• Ntshav hauv cov quav

Yog tias koj mob plab lossis mob nraub qaum heev, tsis txhob tsis quav ntsej. Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Vim li cas cov '(Visceral Artery Aneurysms)' no thiaj tshwm sim? Dab tsi yog cov ua rau?

Muaj ntau yam laj thawj tseem ceeb uas ua rau muaj aneurysms tiag tiag:

• Kab mob Atherosclerosis: Qhov no yog qhov ua rau feem ntau. Cov rog sib sau ua ke hauv peb cov hlab ntsha, maj mam ua rau cov phab ntsa ntawm cov hlab ntsha qaug zog.
• Cov kab mob ntawm cov nqaij sib txuas: Piv txwv li, cov mob xws li Fibromuscular dysplasia, Marfan syndrome, thiab Ehlers-Danlos syndrome. Cov no tuaj yeem ua rau cov phab ntsa ntawm cov leeg ntshav tsis muaj zog txij thaum yug los.
• Kev Raug Mob: Xav txog qhov xwm txheej loj heev, kev raug mob hnyav rau lub plab. Txawm tias yog li ntawd los, qhov xwm txheej zoo li no tseem tuaj yeem tshwm sim.

Cov ua rau muaj pseudoaneurysms yog:

• Kev raug mob tom qab phais mob siab lossis pancreas.
• Kev mob ntawm lub txiav (pancreatitis).
• Kev raug mob (los ntawm kev sib tsoo lossis lwm yam kev sib tsoo).
• Kab mob vasculitis.

Cov kws kho mob kuaj mob li cas?

Cov kws kho mob feem ntau siv cov kev kuaj mob tshwj xeeb xws li CT scans (Computed Tomography scans) thiab MRI scans (Magnetic Resonance Imaging) los kuaj mob Visceral Artery Aneurysms. Cov kev kuaj no tuaj yeem ntsuas qhov loj ntawm aneurysm kom raug. Kev paub qhov loj no yog qhov tseem ceeb rau kev txiav txim siab cov kev xaiv kho mob.

Muaj lwm qhov kev kuaj tshwj xeeb, uas hu ua '(Angiography)' . Hauv qhov no, ib lub raj nyias nyias ('Catheter') raug ntxig rau hauv ib qho ntawm koj cov leeg ntshav thiab xa mus rau '(Visceral Artery)' qhov chaw '(Aneurysm)' nyob. Tom qab ntawd, ib qho kua tshwj xeeb ('Contrast dye') raug txhaj los ntawm lub raj ntawd. Tom qab ntawd, thaum saib nrog '(X-ray)' lossis '(CT scan)', cov kua ua rau cov cheeb tsam tsis zoo hauv cov hlab ntsha pom tseeb. Qee zaum, kev kho mob tuaj yeem ua tau tib lub sijhawm nrog '(Angiography)' no.

Muaj tej lub sij hawm, tshwj xeeb tshaj yog cov neeg uas muaj cov kab mob ntawm cov nqaij sib txuas uas tau hais ua ntej lawm, tej zaum yuav muaj aneurysms hauv ntau dua ib lub visceral artery. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav kuaj xyuas tag nrho cov hlab ntsha hauv koj lub plab.

Tom qab koj paub tias koj muaj ib qho "Aneurysm" lawm, koj ua li cas? Koj puas tos xwb? (Kev Saib Xyuas)

Kev kho mob los tsis kho nyob ntawm seb qhov loj thiab hom aneurysm yog dab tsi. Feem ntau, yog tias qhov aneurysm tiag tiag me dua 2 centimeters , cov kws kho mob feem ntau pom zoo kom "tos sai sai."

Qhov no txhais tau tias tus kws kho mob yuav kuaj koj tsis tu ncua kom pom tias qhov aneurysm puas loj zuj zus. Nws kuj tseem yuav muab tshuaj rau koj kom txo koj cov ntshav siab, vim tias ntshav siab tuaj yeem ua rau muaj kev pheej hmoo ntawm qhov aneurysm loj zuj zus.

Thaum twg qhov no yuav tsum tau kho?

Yog koj xav tias lub aneurysm yuav tawg, nws yog qhov zoo tshaj plaws los kho nws. Tshwj xeeb tshaj yog nyob rau hauv cov xwm txheej zoo li no:

• Cov pob txha tawg (pseudoaneurysms) txawm loj npaum li cas los xij: vim tias lawv muaj feem yuav tawg.
• Cov aneurysms tiag tiag loj dua 2 centimeters: (Txawm li cas los xij, thaum muaj cov hlab ntsha splenic aneurysm, feem ntau pom zoo kom kho thaum nws loj dua 3 centimeters).

Tsis tas li ntawd xwb, txawm tias koj lub aneurysm loj npaum li cas los xij, koj kuj tseem yuav xav tau kev kho mob yog tias koj muaj feem yuav tawg. Koj qhov kev pheej hmoo yuav nce ntxiv yog tias koj:

• Yog koj cev xeeb tub los yog hnub nyoog yug tau menyuam.
• Yog tias koj muaj cov tsos mob tsis tu ncua xws li ntshav tsis txaus lossis mob plab/mob nraub qaum.
• Yog tias koj xav tau kev hloov siab lossis lwm yam kev phais kom kho tau qhov mob cirrhosis.

Tsis tas li ntawd xwb, qee cov '(Visceral Artery Aneurysms)', txawm tias lawv loj npaum li cas los xij, xav tau kev kho mob tam sim ntawd, nyob ntawm seb lawv nyob qhov twg, vim tias lawv muaj feem yuav tawg. Piv txwv li:

• Ib qho aneurysm nyob rau hauv lub gastroduodenal artery, uas muab cov ntshav mus rau lub plab, sab saud ntawm txoj hnyuv me, thiab sab saud ntawm lub pancreas.
• Ib qho aneurysm hauv cov hlab ntsha pancreaticoduodenal, uas xa cov ntshav mus rau lub pancreas thiab sab saud ntawm txoj hnyuv me.
• Ib qho aneurysm nyob rau hauv lub superior mesenteric artery, uas muab ntshav mus rau txoj hnyuv me.

Cov kev xaiv kho mob yog dab tsi?

Muaj ob txoj kev kho mob tseem ceeb:

1. Kev phais qhib

2. Cov txheej txheem endovascular tsawg kawg nkaus

Cov kws kho mob txiav txim siab seb ob txoj kev no twg yog qhov zoo rau koj los ntawm kev xav txog cov yam xws li:

• Qhov xwm txheej ntawm koj cov hlab ntsha (xws li lawv cov duab thiab qhov loj).
• Qhov '(Aneurysm)' nyob qhov twg?
• Cov kev pheej hmoo ntawm kev phais qhib (nyob ntawm koj lub hnub nyoog thiab kev noj qab haus huv tag nrho).

Hauv kev phais qhib `(Kev phais qhib)`Qhov ua tiav yog tias, tom qab ua ib qho kev phais loj, tus kws phais mus ncaj qha rau qhov chaw ntawm aneurysm, tshem tawm qhov puas tsuaj ntawm cov hlab ntsha, thiab hloov ib daim hlab ntsha tshiab lossis kho qhov uas twb muaj lawm.

Kev kho mob uas tsis tas yuav phais ntau yog muab ib lub raj me me (catheter) ntxig rau hauv cov hlab ntsha, feem ntau yog los ntawm koj lub qhov ncauj, thiab coj nws mus rau qhov chaw uas muaj aneurysm. Tom qab ntawd, cov cuab yeej me me raug muab hla lub raj los txhawb lub aneurysm thiab tiv thaiv nws kom tsis txhob tawg, siv ib lossis ntau txoj hauv kev hauv qab no:

• Coil embolization lossis plug embolization: Qhov no suav nrog kev ntxig ib lub coil me me lossis mechanical plug rau hauv aneurysm thiab sau nws.
• Kev siv kua embolization: Hauv qhov no, ib qho kua nplaum tshwj xeeb, gel, lossis lwm yam kua raug txhaj rau hauv aneurysm thiab kaw.
• Stenting: Hauv qhov no, ib lub raj (stent) ua los ntawm cov hlau mesh npog nrog ntaub raug ntxig rau hauv cov hlab ntsha qhov twg aneurysm nyob.

Yog tias koj muaj angiography kom pom qhov visceral artery aneurysm, qee zaum qhov kev kho mob minimally invasive no tuaj yeem ua tau tib lub sijhawm, siv tib lub catheter siv rau qhov kev kuaj ntawd.

Qhov txawv ntawm kev phais qhib thiab kev kho mob endovascular yog dab tsi?

Ob txoj kev kho mob no tau raug kawm txog lawm. Feem ntau, ob qho tib si muaj kev nyab xeeb thiab ua tau zoo ib yam. Txawm li cas los xij, cov txheej txheem minimally invasive yuav ua rau koj rov zoo sai dua thiab nyob hauv tsev kho mob luv dua. Txawm li cas los xij, qee zaum, yuav tsum tau kho zaum ob.

Puas muaj ib txoj hauv kev los tiv thaiv kev tsim ntawm '(Visceral Artery Aneurysm)'?

Muaj ntau hom '(Visceral Artery Aneurysms)' nyuaj rau tiv thaiv. Txawm li cas los xij, '(Aneurysms)' uas tshwm sim los ntawm qhov ua ntej hais txog kev nyias thiab tawv ntawm cov hlab ntsha '(Atherosclerosis)' tuaj yeem tiv thaiv tau los ntawm kev ua neej noj qab haus huv. Nov yog qee yam uas koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo ntawm kev mob '(Atherosclerosis):

• Tswj koj cov roj cholesterol thiab ntshav siab.
• Ua si nawv tsis tu ncua.
• Ua raws li kev noj zaub mov zoo rau lub plawv .
• Pw tsaug zog txaus.
• Txwv kev haus cawv.
• Tswj kev ntxhov siab.
• Tsum haus luam yeeb thiab haus luam yeeb kiag li.

Qhov xwm txheej no yuav zoo li cas? `(Outlook)`

Yog tias Visceral Artery Aneurysm tawg, qee zaum nws tuaj yeem ua rau tuag taus. Kev tshawb fawb qhia tau tias kwv yees li 25% ntawm cov neeg uas tuaj rau chav kho mob ceev nrog Visceral Artery Aneurysm muaj aneurysm tawg. Ntawm cov no, tsawg kawg 10% tuag.Qhov kev pheej hmoo ntawm kev tuag rau cov niam cev xeeb tub uas muaj aneurysm tawg yog siab dua.

Feem ntau, cov neeg uas tsis muaj tsos mob (mob lossis los ntshav sab hauv) ua ntej kev kho mob pib yuav muaj feem ntau dua los muaj cov txiaj ntsig zoo. Cov neeg uas muaj pseudoaneurysms muaj feem yuav tawg thiab tuag ntau dua li cov neeg uas muaj aneurysms tiag.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj cia li mob plab lossis mob nraub qaum heev, nrhiav kev pab kho mob tam sim ntawd. Tsis txhob ncua sijhawm.

Cov hlab ntsha hauv lub plab (visceral artery aneurysms) yog cov chaw tsis muaj zog hauv phab ntsa ntawm koj cov hlab ntsha hauv koj lub plab. Yog tias cov phab ntsa no tawg, lawv tuaj yeem ua rau los ntshav sab hauv. Tsis yog txhua tus neeg uas muaj tus mob no muaj cov tsos mob hnyav, yog li kev kuaj mob tuaj yeem qeeb. Txawm li cas los xij, nrog rau kev siv dav dav ntawm kev kuaj mob rau lwm yam kab mob, ntau cov hlab ntsha hauv lub plab (visceral artery aneurysms) pom ua ntej lawv tawg. Yog li ntawd, kev kho mob thaum ntxov tuaj yeem txo qhov kev pheej hmoo ntawm kev tuag. Txawm hais tias tsis yog txhua qhov Visceral Artery Aneurysms tuaj yeem tiv thaiv tau, kev ua neej noj qab haus huv tuaj yeem txo qhov kev pheej hmoo ntawm aneurysms los ntawm atherosclerosis. Tham nrog koj tus kws kho mob txog yam koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo ntawm atherosclerosis.

Cov Lus Qhia Txog Kev Coj Mus Tsev

• "Visceral Artery Aneurysm" yog ib qho pob zoo li lub npas hauv cov hlab ntsha hauv plab. Qhov no tuaj yeem ua rau muaj kev phom sij heev yog tias nws tawg.
• Feem ntau, nws tsis qhia cov tsos mob. Nws tuaj yeem pom tsis tau thaum lub sijhawm luam theej duab rau lwm yam mob.
• Yog koj muaj cov tsos mob xws li mob plab/mob nraub qaum tam sim ntawd, ntuav ntshav, lossis tso ntshav hauv koj cov quav , mus ntsib kws kho mob tam sim ntawd.
• Muaj ntau txoj kev xaiv kho mob. Kev kho mob yog txiav txim siab raws li qhov loj thiab hom aneurysm, nrog rau koj tus mob.
• Kev ua neej noj qab haus huv (kev noj zaub mov zoo, kev tawm dag zog, thiab kev tsis txhob haus luam yeeb) yog qhov tseem ceeb heev rau kev tiv thaiv cov aneurysms uas tshwm sim los ntawm atherosclerosis.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig nug koj tus kws kho mob lossis tus kws tshwj xeeb. Nyob kom noj qab nyob zoo!

Aneurysm , cov hlab ntsha, lub plab, cov hlab ntsha tawg, los ntshav sab hauv, phais, CT scan