Qhov aneurysm yog qhov ua rau koj cov hlab ntsha tsis muaj zog, uas tuaj yeem dhau los ua lub zais pa zoo li ntawm koj phab ntsa hlab ntsha. Aneurysms tuaj yeem tshwm sim hauv lub hlwb ua rau lub paj hlwb aneurysm, hauv koj lub plab lossis hauv plab raws li aortic aneurysm, hauv koj tus spleen zoo li yog cov hlab ntshav hlab ntshav, lossis txawm tias hauv koj txhais caj npab thiab txhais ceg ua ib qho hlab ntsha ib leeg. Ib qho me me aneurysm tuaj yeem raug saib xyuas yog tias tus kws kho mob txiav txim siab nws muaj kev pheej hmoo tsawg ntawm kev tawg. Yog tias koj qhov aneurysm tau tawg lossis yog nws loj hlob sai, koj yuav tsum tau phais los kho nws. Txij li lawv tuaj yeem ua rau muaj kev phom sij rau lub neej, koj yuav tsum tau nrhiav kev kho mob tam sim yog tias koj xav tias koj muaj lub paj hlwb.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Saib Xyuas Lub Cev Aneurysm
Kauj Ruam 1. Mus ntsib kws kho mob tam sim yog tias koj muaj cov tsos mob ntawm aneurysm
Cerebral aneurysms (feem ntau hu ua brain aneurysms) tuaj yeem ua rau tuag taus yog tias lawv tawg thiab tsis kho. Nws yog ib qho uas ua rau muaj kev ntxhov siab txog qhov ntawd, yog li yog tias koj muaj cov tsos mob ntawm lub paj hlwb hauv lub paj hlwb, mus rau koj lub tsev kho mob hauv cheeb tsam lossis chaw kho mob xwm txheej ceev tam sim. Cov tsos mob no tuaj yeem suav nrog:
- Mob taub hau sai thiab hnyav heev.
- Xeev siab thiab ntuav
- Qhov muag plooj lossis ob lub zeem muag
- Qaug dab peg
- Drooping daim tawv muag
- Lub caj dab txhav
- Lub teeb rhiab heev
Kauj Ruam 2. Kom tus kws kho mob kuaj mob aneurysm
Thaum koj nyob hauv tsev kho mob, kws kho mob yuav sab laj nrog koj txog koj cov tsos mob. Yog tias lawv xav tias aneurysm, lawv tuaj yeem ua lossis ntau qhov kev kuaj mob, suav nrog MRI, CT scan, kuaj lub paj hlwb, thiab cerebral angiogram.
- Thaum lub sijhawm kuaj ntshav hauv lub paj hlwb, koj tus kws kho mob yuav kos cov kua dej hauv koj lub nraub qaum siv rab koob. Qhov no yuav qhia rau lawv paub yog tias koj muaj ntshav hauv cov kua ib puag ncig koj lub hlwb thiab tus txha nqaj qaum.
- Cerebral angiograms yog kev sim ntau dua, thiab feem ntau tsuas yog ua yog tias lwm qhov kev sim tsis tuaj yeem muab cov ntaub ntawv txaus.
Kauj Ruam 3. Npaj rau kev phais yog tias koj lub aneurysm tau tawg lossis loj hlob sai
Koj tus kws kho mob yuav qhia rau koj paub yog xav tau kev phais. Yog tias yog, cia siab tias yuav tau txais kev phais rau tib hnub lossis hnub tom ntej. Nws yog tus txheej txheem tseem ceeb, tab sis kev phais mob aneurysms yog ib txwm muaj thiab muaj qhov sib piv tsis tshua muaj kev pheej hmoo ntawm teeb meem. Ob hom kev phais ntau tshaj plaws rau aneurysm yog phais txiav thiab endovascular coiling.
- Txog kev phais mob, tus kws kho paj hlwb yuav nkag mus rau cov hlab ntsha tawg los ntawm koj lub taub hau. Lawv yuav tso daim hlau me me rau ntawm qhov tawg kom tiv thaiv kom tsis txhob muaj ntshav ntxiv.
- Endovascular coiling koom nrog nqus cov raj yas los ntawm cov hlab ntsha mus rau lub qhov quav. Tus kws phais yuav thawb cov xaim platinum mos los ntawm lub raj xa mus rau lub qhov quav, qhov uas nws tau sib sau ua ke thiab qhov tseem ceeb kaw cov hlab ntshav.
- Qee qhov xwm txheej, koj tus kws kho mob tuaj yeem xaiv qhov ntws sib txawv stents. Cov no tau raug phais hauv qhov chaw kom rov ua kom cov ntshav ntws nyob ib ncig ntawm lub qhov quav. Nov yog txheej txheem tshiab dua tab sis feem ntau muaj kev pheej hmoo qis yog tias koj txhawj xeeb txog kev xaiv ib txwm muaj.
Kauj Ruam 4. Txo koj cov ntshav siab yog tias koj qhov aneurysm tsis tawg
Aneurysms uas tsis tau tawg thiab muaj kev pheej hmoo tsawg ntawm kev ua li ntawd yuav raug tswj hwm yam tsis muaj kev phais. Ib qho ntawm cov lus pom zoo tshaj plaws los txo qhov kev pheej hmoo tawg yog ua kom koj cov ntshav siab. Tham nrog koj tus kws kho mob txog kev hloov pauv kev ua neej yooj yim xws li kev noj zaub mov thiab kev tawm dag zog koj tuaj yeem ua kom txo koj cov ntshav siab.
- Txhawm kom ua kom ntshav siab nyob hauv thaj chaw noj qab haus huv, Lub Koom Haum American Heart pom zoo tias cov neeg laus tau txais yam tsawg 30 feeb ntawm kev tawm dag zog lub cev hnyav tsawg kawg 5 hnub hauv ib lub lis piam.
- Noj zaub mov kom zoo uas tsom mus rau cov nplej tag nrho, txiv hmab txiv ntoo thiab zaub tshiab, mis nyuj muaj roj tsawg, thiab cov protein qis kuj tseem pab ua kom ntshav siab qis. Muaj txawm tias tag nrho cov phiaj xwm noj mov, hu ua DASH noj zaub mov, txhais tau tias txhawm rau tiv thaiv ntshav siab.
- Koj tuaj yeem xav nqis peev hauv lub ntsuas ntshav siab (paub hauv ntiaj teb kev kho mob raws li sphygmomanometer) kom koj tuaj yeem ntsuas koj cov ntshav siab hauv tsev.
- Yog tias kev hloov pauv lub neej tsis txaus ntawm lawv tus kheej, koj tus kws kho mob yuav sau ntawv tshuaj los pab koj tswj koj cov ntshav siab.
Kauj Ruam 5. Tsis txhob haus luam yeeb thiab haus cawv ntau li ntau tau
Kev haus luam yeeb thiab haus cawv ntau yog ob qho txaus ntshai thaum nws los txog rau cov hlab ntshav. Sim tshem ob qho ntawm koj txoj kev ua neej kom ntau li ntau tau.
- Sim hloov kev haus luam yeeb thiab haus cawv nrog lwm tus cwj pwm. Thaum koj tau txais kev haus luam yeeb, piv txwv li, sim mus taug kev luv, es tsis txhob. Nws yuav tsis hloov pauv kev xav ntawm kev haus luam yeeb, tab sis nws yuav muab lwm yam rau koj uas koj tuaj yeem tsom mus.
- Yog tias koj tab tom tawm tsam kev haus luam yeeb, nrhiav pab pawg txhawb nqa hauv koj cheeb tsam.
Txoj Kev 2 ntawm 3: Tswj Aortic Aneurysm
Kauj Ruam 1. Nug koj tus kws kho mob txog kev saib xyuas kev noj qab haus huv rau qhov tsis hnov mob aneurysms
Yog tias lub qhov muag me me, tsis tau tawg, thiab tsis loj hlob sai, koj tus kws kho mob yuav xaiv los saib xyuas nws es tsis txhob ua haujlwm. Kev saib xyuas yog txheej txheem kev saib xyuas ntau dua uas yuav suav nrog kev teem caij mus ntsib thiab kuaj duab kom paub tseeb tias koj lub paj hlwb tsis loj hlob.
Feem ntau koj yuav tau ua ultrasound los tshuaj xyuas koj lub qhov muag. Yog tias koj tus kws kho mob xav tau cov ntaub ntawv ntau dua li qhov ntsuas hluav taws xob tuaj yeem muab tau, lawv kuj tseem yuav thov xoo hluav taws xob, kuaj CT, lossis MRI
Kauj Ruam 2. Tswj kev noj qab haus huv txoj kev ua neej kom tsis txhob ua rau lub qhov txhab tawg
Ntau yam kev ua neej nyob tuaj yeem ua rau muaj kev pheej hmoo ntawm koj lub qhov muag tawg. Txhawm rau ua kom koj lub aortic aneurysm los ntawm kev loj hlob, sim ua kom muaj kev noj qab haus huv tag nrho los ntawm kev tawm dag zog tas li, tswj kev noj qab haus huv, noj zaub mov zoo, thiab txwv koj kev haus luam yeeb thiab haus dej.
- Txhua daim ntawv ntawm kev tawm dag zog lub plawv ua haujlwm tsawg kawg 30 feeb 4-5 zaug hauv ib lub lis piam tuaj yeem pab tau. Nrhiav kev tawm dag zog uas koj nyiam. Sim ua qee pab pawg kawm qoj ib ce xws li seev cev lossis caij tsheb kauj vab ntawm koj lub chaw dhia ua si hauv cheeb tsam kom pab koj nrhiav txoj hauv kev tshiab thiab lom zem kom nquag.
- Kev noj zaub mov zoo yuav tsum ua raws cov txiv hmab txiv ntoo thiab zaub tshiab, cov nplej tag nrho, cov rog zoo, thiab cov nqaij ntshiv. Feem ntau, ib tus neeg laus yuav tsum tsom mus rau kev rhuav tshem cov calories ntawm ib ncig 45-65% cov carbohydrates yooj yim, 20-35% rog, thiab 10-35% protein.
Kauj Ruam 3. Mus ntsib kws kho mob yog tias koj muaj cov tsos mob ntawm kev tawg
Yog tias aortic aneurysm tawg, nws yuav ua rau tuag tshwj tsis yog nws tau kho los ntawm kws kho mob. Qhov no yog qhov hnyav thiab tuaj yeem zoo li txaus ntshai, yog li yog tias koj pom muaj cov tsos mob ntawm aortic aneurysm tawg, mus rau chav kho mob sai li sai tau. Lawv yuav tuaj yeem pab koj. Cov tsos mob no tuaj yeem suav nrog:
- Dheev, mob hnyav hauv koj lub plab lossis nraub qaum
- Kev hnov kua muag hauv koj lub hauv siab lossis hauv plab
- Clamminess lossis tawm hws
- Xeev siab thiab ntuav
- Ntshav siab
- Ceev ceev
Kauj Ruam 4. Npaj rau kev phais yog tias lub qhov txhab tawg lossis loj tuaj
Yog tias koj qhov aortic aneurysm tawg lossis pib loj hlob sai, nws yuav xav tau kev phais. Hom kev phais koj xav tau yuav nyob ntawm seb koj puas muaj lub plab lossis lub thoracic aneurysm.
- Rau lub plab aneurysms saum lub raum, qhib kev kho yog qhov kev xaiv nkaus xwb. Hauv kev kho phais phais qhib, tus kws kho mob yuav txiav rau hauv plab thiab hloov lub plab plab uas puas nrog txoj hlab ntaws.
- Rau lub plab aneurysm hauv qab ob lub raum lossis lub paj hlwb thoracic, koj tus kws phais neeg tuaj yeem xaiv qhib kho lossis kho qhov txhab kho qhov muag (EVAR). EVAR tso tus stent-graft hauv cov hlab ntsha thiab coj mus rau cov leeg ntshav.
Txoj Kev 3 ntawm 3: Kho Tus Mob Hlwb Aneurysms
Kauj Ruam 1. Mus ntsib koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm tus mob aneurysm peripheral
Qhov tshwm sim feem ntau ntawm ib qho hlab ntsha tawg sab hauv yog pob hauv koj lub caj dab, ceg, caj npab, lossis puab tais. Koj kuj tseem tuaj yeem mob plab tom qab ua haujlwm, txhais ceg lossis txhais tes mob, loog hauv koj qhov qis, thiab mob ntawm koj txhais tes thiab taw uas yuav tsis kho.
Koj tus kws kho mob yuav ua ib lossis ntau qhov kev ntsuam xyuas suav nrog MRI, CT scan, lossis ultrasound los tshuaj xyuas lub paj hlwb
Kauj Ruam 2. Nug txog kev kho mob thrombolytic rau qhov tsis hnov mob aneurysm
Cov ntshav txhaws yuav tsim nyob ib puag ncig cov hlab ntsha tawg. Txhawm rau txhawm rau txhawm rau txhaws thiab txo qhov kev pheej hmoo ntawm teeb meem ntxiv, koj tus kws kho mob yuav hais qhia kev kho mob thrombolytic. Cov txheej txheem no siv tshuaj txhawm rau txhawm rau txhawm rau txhawm rau cov ntshav khov es tsis yog txheej txheem phais thiab ua rau kev phais me ntsis yooj yim rau koj.
Qhov no yuav tsis ua rau lub qhov muag ploj mus. Txawm li cas los xij, nws yuav txo qhov kev pheej hmoo ntawm teeb meem vim ntshav khov
Kauj Ruam 3. Xav txog koj qhov kev phais mob rau kev kho mob
Zoo li txhua lwm yam kev mob aneurysms, cov hlab ntsha hauv ib leeg yuav tsuas ploj mus tom qab phais tas. Kev phais mob rau cov leeg sab hauv lub cev zoo li yuav kis tau tsawg dua. Tus txheej txheem qhia tseeb uas koj tus kws kho mob yuav pom zoo yog nyob ntawm qhov chaw uas koj qhov aneurysm nyob qhov twg thiab nws loj npaum li cas.
- Kev phais mob hla dhau tuaj yeem siv los hloov cov ntshav ntws ncig lub qhov muag. Tom qab ntawv lub aneurysm tiv thaiv kom tsis txhob muaj ntshav ntws mus ntxiv rau thaj tsam.
- Qee qhov xwm txheej, stent grafting yuav tsim nyog txhawm rau txhawm rau txhawm rau lub qhov muag.
