Vim li cas aortic aneurysm txaus ntshai?

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Nws tsis yog qhov nyuaj rau tib neeg tsis pom dab tsi txog thaum muaj teeb meem loj tshwm sim.

Dab tsi yog aortic aneurysm

Qhov no yog qhov txawv txav ntawm Aortic aneurysm / Mayo Clinic ntawm cov phab ntsa ntawm cov hlab ntsha loj tshaj plaws hauv tib neeg lub cev, uas tawm ntawm lub plawv thiab mus rau hauv siab mus rau hauv lub plab kab noj hniav. Protrusion tuaj yeem tshwm sim hauv txhua qhov ntawm lub nkoj, nws yuav zoo li lub hnab los yog ntxaiv. Cov kev hloov no cuam tshuam cov ntshav ntws. Hauv qhov xwm txheej hnyav, qhov aneurysm tuaj yeem tawg: tom qab ntawd tus neeg yuav tuag.

Feem ntau, tus kab mob no tshwm sim Abdominal Aortic Aneurysm / Medscape nyob rau hauv cov neeg tshaj 50 xyoo, thiab nws tshwm sim nyob rau hauv cov txiv neej ob zaug ntau npaum li cov poj niam. Tsuas yog tom qab 80 xyoo xwb qhov piv tau zoo ib yam.

Dab tsi yog aneurysm

Cov kws kho mob paub qhov txawv ntawm Aortic aneurysm / Mayo Clinic ua ob hom kab mob loj:

• Mob plab aortic aneurysm. Ib feem ntawm cov hlab ntsha uas khiav hauv plab plab nthuav dav.
• Thoracic aortic aneurysm. Qhov seem nyob rau hauv lub hauv siab yog loj.

Qee zaum Aortic aneurysm / Mayo Clinic aneurysm tuaj yeem tshwm sim ntawm thaj chaw thoracic thiab plab, nyob rau hauv rooj plaub no nws yog hu ua thoracoabdominal.

Vim li cas aortic aneurysm tshwm sim?

Qhov tseeb ua rau Abdominal Aortic Aneurysm / Medscape kab mob kev loj hlob tsis paub. Tab sis cov kws kho mob pom zoo rau Thoracic aortic aneurysm / Mayo Clinic tias qhov kev pheej hmoo ntawm txhua yam mob aneurysm nce hauv cov xwm txheej hauv qab no:

• Atherosclerosis. Vim nws, plaques tshwm rau ntawm lub nkoj, uas ua rau lub aorta tsawg elastic. Yog li ntawd, nrog nce ntshav siab, aneurysm tuaj yeem tshwm sim.
• Ntshav siab. Cov phab ntsa ntawm cov hlab ntsha puas lawm thiab tsis muaj zog.
• Kev mob ntawm cov hlab ntsha. Lub aorta poob nws elasticity. Qhov no tshwm sim, piv txwv li, nrog mob loj heev cell arteritis lossis Takayasu syndrome.
• Kev puas tsuaj rau lub aortic valve. Los ntawm nws, cov ntshav tawm hauv lub plawv, yog li ntawd, vim yog kis los yog congenital pathology, lub siab ntawm cov hlab ntsha ntawm phab ntsa yuav tsis sib npaug. Raws li qhov tshwm sim, ib qho thoracic aortic aneurysm tuaj yeem tsim.
• Kab mob. Syphilis, salmonellosis, thiab lwm yam kab mob los yog fungal kab mob tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha puas.
• Mob obstructive pulmonary kab mob. Vim nws, ua tsis taus pa nyuaj, teeb meem hauv lub plawv loj hlob, cov ntshav khiav tsis zoo thiab ntshav siab.
• Lub plawv ischemia. Cov phab ntsa ntawm cov hlab ntsha yog puas thiab thinned.
• Keeb kwm. Hauv qee cov kab mob caj ces, xws li Marfan syndrome, cov qauv ntawm cov ntaub so ntswg hloov pauv. Hauv cov xwm txheej zoo li no, cov phab ntsa ntawm lub aorta pib tsis muaj zog thiab yog li ntawd yooj yim hloov lawv cov qauv.
• Aneurysms ntawm lwm cov hlab ntsha. Piv txwv li, cov hlab ntsha popliteal lossis femoral artery. Tom qab ntawd qhov kev pheej hmoo yuav nce ntxiv tias qhov txawv txav zoo sib xws yuav tshwm sim hauv aorta.
• Kev raug mob. Nyob rau hauv tsawg zaus, aneurysm tuaj yeem tshwm sim tom qab lub caij nplooj zeeg los ntawm qhov siab lossis lub tsheb sib tsoo vim yog kev puas tsuaj rau lub nkoj.

Dab tsi yog cov tsos mob ntawm aortic aneurysm

Feem ntau, ib tug neeg tsis hnov dab tsi txog thaum lub aneurysm ua loj los yog muaj teeb meem tshwm sim. Raws li lub nkoj nthuav dav, qhov tshwm sim ntawm cov tsos mob nce. Qhov kawg nyob ntawm seb hom aneurysm. Nrog thoracoabdominal, muaj cov cim qhia ntawm ob hom pathology.

Mob plab aortic aneurysm

Lub pob tuaj yeem loj hlob qeeb heev lossis nyob twj ywm me me rau ntau xyoo. Tab sis hauv qee tus neeg, qhov aneurysm nthuav dav sai, ua rau muaj kev mob tshwm sim. Ntawm no lawv yog Abdominal aortic aneurysm / Mayo Clinic:

• Tsis tu ncua mob plab hauv plab los yog sab.
• Mob nraub qaum.
• Pulsation hauv plab.

Thoracic aortic aneurysm

Cov tsos mob ntawm Thoracic aortic aneurysm / Mayo Clinic yog raws li nram no:

• mob hauv siab los yog nraub qaum;
• hnoos;
• hawb pob;
• ua pa.

Vim li cas aortic aneurysm txaus ntshai?

Qhov loj dua qhov protrusion ua, qhov siab dua qhov kev pheej hmoo ntawm rupture los yog dissection ntawm phab ntsa aortic. Qhov no yog ib qho teeb meem tuag taus uas hnyav sab hauv pib. Vim nws, 65% ntawm cov neeg tuag Abdominal Aortic Aneurysm / Medscape txawm ua ntej lawv pib pab.

Tsis tas li ntawd, nrog aneurysm, cov ntshav ntws tsis sib xws los ntawm cov hlab ntsha, tsim cov vortexes, thiab yog li ntawd cov ntshav tau tsim, thiab tom qab ntawd cov ntshav txhaws Abdominal aortic aneurysm / Mayo Clinic. Yog tias lawv tawg, lawv tuaj yeem thaiv lwm lub nkoj thiab thaiv cov ntshav ntws. Piv txwv li, rau ob txhais ceg, ob lub raum los yog lub plab mog.

Yuav ua li cas yog tias muaj cov tsos mob ntawm aortic aneurysm

Ua ntej koj yuav tsum mus ntsib kws kho mob lossis kws kho plawv. Tus kws kho mob yuav xaj kom kuaj xyuas kom paub tseeb tias qhov kev kuaj mob. Cov no tuaj yeem yog Abdominal aortic aneurysm / Mayo Clinic:

• Ultrasound. Nyob ntawm seb hom aneurysm, Thoracic aortic aneurysm / Mayo Clinic tshuaj xyuas lub plab kab noj hniav lossis lub plawv.
• Muab xam tomography los yog MRI. Cov txheej txheem no pab tus kws kho mob pom qhov tseeb ntawm qhov aneurysm, nws qhov loj thiab cov yam ntxwv. Feem ntau, tus neeg sawv cev sib txawv yog txhaj rau hauv cov hlab ntsha ua ntej kuaj xyuas kom tau txais cov duab tseeb ntawm lub aorta.
• Angiography. Kuj tseem siv Abdominal Aortic Aneurysm Workup / Medscape contrast tus neeg saib xyuas thiab coj X-rays.
• ECG. Koj xav tau qhov Abdominal Aortic Aneurysm Workup / Medscape los kuaj koj lub siab.

Yuav kho aortic aneurysm li cas?

Cov tshuaj yuav tsis pab. Lub nkoj tuaj yeem rov qab tau tsuas yog nrog kev pab ntawm kev ua haujlwm. Nws yog ua txhua zaus los yog ceev ceev yog tias muaj aneurysm rupture tshwm sim.

Muaj Abdominal Aortic Aneurysm Treatment & Management / Medscape ob hom kev phais. Tus kws kho mob yuav xaiv qhov tsim nyog, suav nrog qhov loj thiab qhov chaw ntawm qhov aneurysm, hnub nyoog ntawm tus neeg mob, thiab cov kab mob sib kis.

1. Qhib kev ua haujlwm

Ib tus neeg lub plab lossis lub hauv siab raug txiav qhib, ntu ntawm lub aorta nrog cov hlab ntsha raug tshem tawm, thiab lub raj hluavtaws yog sewn rau ntawm qhov hloov. Kev ua haujlwm yog qhov mob hnyav heev: rov qab siv sijhawm li ib hlis rau Abdominal aortic aneurysm / Mayo Clinic.

2. Kev phais mob endovascular

Lub plab aortic aneurysm / Mayo Clinic nyias tube (catheter) tau muab tso rau ntawm cov hlab ntsha femoral thiab thawb mus rau txhua txoj kev mus rau aorta. Txuas mus rau qhov kawg ntawm cov cuab yeej yog compressed graft, cov ntaub hluavtaws nrog cov hlau mesh. Nws tau muab tso rau hauv qhov xav tau ntawm lub aorta, qhov twg nws nthuav dav thiab ruaj khov. Qhov no yuav ntxiv dag zog rau qhov aneurysm thiab tiv thaiv nws los ntawm tawg.

Kev tuag tom qab qhib kev phais ntawm lub thoracic thiab plab aorta nce mus txog 4% Abdominal Aortic Aneurysm / Medscape. Tom qab kev cuam tshuam ntawm endovascular, qhov ciaj sia taus yog siab dua, tab sis dhau sij hawm, cov graft yuav tsis muaj zog. Ces Abdominal Aortic Aneurysm / Medscape yuav tsum tau ua haujlwm thib ob.