Koj puas tau xav txog seb txhua tus luam yeeb uas koj haus, txhua tus luam yeeb uas koj siv, yuav ua rau koj txhais tes thiab taw puas tsuaj npaum li cas? Muaj coob tus neeg xav tias kev haus luam yeeb tsuas yog ua rau lub ntsws thiab lub plawv puas tsuaj xwb. Tab sis hnub no peb tab tom tham txog ib yam kab mob txaus ntshai ib yam, tab sis tsis tshua muaj neeg tham txog. Kab mob no tuaj yeem ua rau koj poob koj cov ntiv tes, tes, thiab txawm tias koj txhais taw. Qhov no hu ua Kab Mob Buerger .
Hais yooj yim xwb, tus kab mob Berger yog dab tsi?
Hais yooj yim xwb, tus kab mob Buerger yog ib yam mob uas cov hlab ntsha (veins) hauv koj txhais tes thiab ob txhais ceg o thiab raug cov ntshav txhaws . Nws zoo li cov yeeb nkab dej raug av txhaws. Lwm lub npe uas cov kws kho mob siv rau qhov no yog '(Thromboangiitis Obliterans)' lossis TAO.
Tseem tsis tau muaj tshuaj kho tus kab mob no. Tiam sis qhov xav tsis thoob yog tias feem ntau cov neeg uas muaj tus kab mob no, yuav luag 100 feem pua, yog cov neeg haus luam yeeb. Qhov no suav nrog txhua yam los ntawm luam yeeb, luam yeeb cigars, luam yeeb zom, thiab snuff.
Tib qho zoo txog tus kab mob no yog tias yog koj tsum tsis haus luam yeeb kiag li, cov tsos mob yuav txo qis, thiab qee zaum txawm tias ploj mus. Tab sis yog tias koj txuas ntxiv haus luam yeeb, nws tuaj yeem ua rau cov nqaij puas tsuaj loj heev thiab thaum kawg ua rau koj cov ntiv tes, cov ntiv taw, thiab qee zaum txawm tias cov ceg.
Vim li cas hom kab mob no thiaj tshwm sim?
Cov kws kho mob tseem tsis tau paub meej tias yog dab tsi ua rau muaj tus kab mob no. Tej zaum yuav muaj ib qho teeb meem ntawm noob caj noob ces. Qhov no txhais tau tias qee tus neeg yuav muaj tus kab mob no raws li ntuj tsim.
Tiamsis qhov kev xav tseem ceeb tshaj plaws yog haus luam yeeb. Muaj ob txoj kev uas cov kws tshaj lij xav:
1. Qee cov tshuaj lom neeg hauv cov luam yeeb tuaj yeem ua rau cov phab ntsa ntawm koj cov hlab ntsha khaus thiab ua rau lawv o.
2. Los yog, luam yeeb ua rau koj lub cev tiv thaiv kab mob tsis zoo, ua rau nws tawm tsam nws cov hlab ntsha zoo, zoo li tshuaj lom.Tej zaum yuav pib tawm tsam, zoo li tawm tsam.
Koj puas muaj cov tsos mob no thiab?
Feem ntau thawj qhov cim qhia ntawm tus kab mob no yog mob caj npab lossis ceg. Qhov mob no tuaj yeem maj mam kis mus rau caj npab thiab ceg. Qhov mob no qee zaum tuaj yeem hnyav heev. Qhov mob no tuaj yeem tshwm sim thaum koj taug kev, ua si (hu ua "claudication"), lossis txawm tias thaum koj sawv ntsug xwb. Qhov mob no tuaj yeem hnyav heev thaum huab cua txias lossis thaum koj ntxhov siab.
Ntxiv mus, koj yuav pom cov kev hloov pauv zoo li no hauv koj txhais tes thiab ko taw.
| Lub cev ib feem | Cov tsos mob pom/pom tau |
|---|---|
| Tes thiab taw |
|
| Cov ntiv tes thiab cov ntiv taw | |
| Cov leeg ntawm qhov chaw ntawm daim tawv nqaij |
Tej yam phem yuav tshwm sim tau yog tias koj tsis quav ntsej lawv.
Raws li lub sijhawm dhau mus, tus kab mob Buerger tuaj yeem txiav cov ntshav ntws mus rau koj cov ntiv tes thiab cov ntiv taw. Qhov no tuaj yeem ua rau muaj tus mob hnyav hu ua "Gangrene." Qhov no txhais tau tias daim tawv nqaij thiab cov nqaij hauv thaj chaw ntawd pib tuag. Tom qab ntawd cov khoom ntawd poob qhov kev xav thiab tig xiav lossis dub.
Yog koj mob gangrene, cov kws kho mob feem ntau yuav tsum phais tshem qhov chaw puas tsuaj tawm.
Tsawg tsawg zaus, tus kab mob no tuaj yeem ua rau muaj mob xws li mob stroke lossis mob plawv nres.
Tus kws kho mob kuaj mob li cas?
Tsis muaj ib qho kev kuaj mob twg uas tuaj yeem lees paub tias qhov no yog kab mob Berger. Koj tus kws kho mob yuav nug koj txog koj txoj kev haus luam yeeb thiab koj cov tsos mob ua ntej.
Tom qab ntawd, yuav muaj ntau qhov kev kuaj mob los xyuas koj cov ntshav ncig thiab tshem tawm lwm yam kab mob uas yuav muaj cov tsos mob zoo sib xws. Piv txwv li, kab mob ntawm cov hlab ntsha peripheral kuj tseem tuaj yeem ua rau mob ceg. Txawm li cas los xij, qhov ua rau tsis yog o ntawm cov hlab ntsha, tab sis cov rog nyob hauv lawv.
Tej zaum koj yuav tau ua cov kev ntsuam xyuas zoo li no:
- Kev sim Allen: Qhov no yog kev sim ntshav yooj yim heev. Tus kws kho mob hais kom koj nias koj txhais tes kom nruj. Qhov no yuav tshem tawm qee cov ntshav ntawm koj txhais tes. Tom qab ntawd, tus kws kho mob yuav clamp ob lub hlab ntsha loj ze ntawm koj lub dab teg thiab hais kom koj qhib koj txhais tes. Koj txhais tes yuav daj ntseg. Tom qab ntawd, tus kws kho mob yuav tso ib lub hlab ntsha ntawm ib sab. Hauv ib tus neeg ib txwm, cov ntshav yuav puv koj txhais tes sai sai thiab rov qab mus rau nws cov xim ib txwm. Txawm li cas los xij, yog tias nws siv sijhawm ntev dua rau cov ntshav kom puv, nws yuav yog ib qho cim ntawm tus kab mob Buerger.
- Angiogram: Qhov no yog ib hom duab X-ray. Nws yog siv los nrhiav cov hlab ntsha uas raug thaiv hauv koj txhais tes thiab ceg. Tus kws kho mob muab ib lub raj nyias nyias (catheter) ntxig rau hauv ib qho ntawm koj cov hlab ntsha thiab txhaj ib qho xim tshwj xeeb rau hauv nws. Tom qab ntawd yuav thaij duab X-ray sai sai los xyuas seb cov hlab ntsha zoo li cas. Kev luam theej duab CT lossis MRI kuj tuaj yeem tsim cov duab zoo sib xws.
- Kev kuaj ntshav: Cov no pab kom paub tseeb tias koj tsis muaj lwm yam mob, xws li ntshav qab zib thiab lupus.
Cov kev kho mob yog dab tsi?
Tso tseg haus luam yeeb kiag li yog tib txoj kev zoo tshaj plaws los txo qhov teeb meem ntawm tus kab mob Berger. Txawm tias ib tug luam yeeb ib hnub twg los kuj ua rau tus kab mob hnyav zuj zus tuaj. Yog li ntawd, "txo me ntsis" tsis yog cov lus teb ntawm no. Koj yuav tsum tso tseg kiag li.
Ntxiv rau, kev kho mob zoo li no tuaj yeem pab txhim kho kev ntshav ncig thiab txo qhov mob:
- Cov tshuaj xws li vasodilators lossis cov tshuaj thinners ntshav.
- Kev tawm dag zog taug kev.
- Kev nias ntawm caj npab thiab ceg tsis tu ncua siv cov khoom siv tshwj xeeb.
- Ib qho kev phais kom txiav cov hlab ntsha ntawm thaj chaw uas raug mob (sympathectomy).
Tej zaum yuav tsum tau txiav ceg tawm kom tshem tawm ib feem uas raug mob lossis ua pob txha.
Puas yuav tso kev haus luam yeeb tiag tiag?
Koj txoj kev noj qab haus huv yav tom ntej nyob ntawm seb koj puas tso tseg kev haus luam yeeb. Raws li cov ntaub ntawv txheeb cais, kwv yees li 43% ntawm cov neeg mob uas tseem haus luam yeeb yuav tsum tau txiav qee yam hauv 8 xyoo tom qab kuaj pom tias muaj tus kab mob no.
Txawm li cas los xij, qhov no tsuas yog tshwm sim rau 6% ntawm cov neeg uas tso kev haus luam yeeb xwb. Feem pua no ze li ntawm xoom ntawm cov neeg uas kuaj pom tias muaj tus kab mob no thaum ntxov thiab tso kev haus luam yeeb tseg. Qhov no qhia tau tias nws tseem ceeb npaum li cas rau kev tso kev haus luam yeeb, puas yog?
Yog koj muaj teeb meem tso kev haus luam yeeb, nrog koj tus kws kho mob tham txog cov kev pab cuam uas tuaj yeem pab koj. Tsis txhob txaj muag. Nws yog kev txiav txim siab cawm txoj sia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Buerger yog ib yam mob hnyav uas muaj feem cuam tshuam nrog kev haus luam yeeb.
- Qhov no ua rau cov hlab ntsha hauv koj txhais tes thiab ob txhais ceg raug thaiv.
- Tib txoj kev kho mob zoo tshaj plaws rau qhov no yog tsum tsis txhob siv txhua hom luam yeeb, suav nrog cov luam yeeb loj, cov luam yeeb cigars, cov luam yeeb zom, thiab cov luam yeeb zom.
- Yog koj muaj cov tsos mob xws li mob, tingling, lossis discoloration hauv koj ob txhais ceg, mus ntsib kws kho mob tam sim ntawd.
- Koj tuaj yeem tswj tau tus kab mob no thiab tiv thaiv kev poob ceg los ntawm kev tso kev haus luam yeeb.
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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