Kho lub paj hlwb aneurysm - kev tso tawm

Koj muaj lub paj hlwb aneurysm. Pob qij txha pob yog qhov chaw tsis muaj zog ntawm phab ntsa ntawm cov hlab ntshav uas ua pa lossis zais pob tawm. Thaum nws nce mus txog qee qhov loj me, nws muaj qhov pheej hmoo ntawm tawg. Nws tuaj yeem tso ntshav tau rau ntawm cov nplaim hlwb. Qhov no tseem hu ua subarachnoid hemorrhage. Qee zaum cov ntshav tuaj yeem tshwm sim sab hauv lub hlwb.

Koj tau txais kev phais kom tiv thaiv pob taws txhaws los ntshav los yog kho pob taws tom qab ntshav. Tom qab koj mus tsev, ua raws koj tus kws kho mob cov lus qhia txog kev saib xyuas koj tus kheej. Siv cov ntaub ntawv hauv qab no los ceeb toom.

Koj yuav muaj ib ntawm ob hom kev phais:

• Qhib craniotomy, thaum lub sijhawm tus kws kho mob ua rau qhib hauv koj lub pob txha taub hau los tso qhov clip ntawm caj dab ntawm qhov quav pob txha.
• Kev kho endovascular, thaum tus kws kho mob ua phais rau thaj chaw ntawm koj lub cev los ntawm cov hlab ntshav.

Yog tias koj tau los ntshav ua ntej, thaum, lossis tom qab phais koj yuav muaj qee qhov teebmeem luv-lossis ntev. Cov no tej zaum yuav mob sib khuav lossis hnyav. Rau ntau tus neeg, cov teeb meem no tau zoo dua thaum lub sijhawm lav.

Yog koj muaj ib hom phais koj yuav:

• Hnov tu siab, npau taws, lossis tshee heev. Qhov no yog qhov qub.
• Tau muaj qaug dab peg thiab yuav noj tshuaj los tiv thaiv lwm tus.
• Muaj mob taub hau uas yuav txuas ntxiv mus ib ntus. Qhov no yog yam.

Dab tsi tshwm sim tom qab craniotomy thiab tso ntawm ib clip:

• Nws yuav siv li 3 mus rau 6 lub lis piam kom rov zoo hlo. Yog tias koj tau los ntshav los ntawm koj lub pob taws txhuam qhov no yuav siv sijhawm ntev dua. Koj yuav nkees ntev txog 12 lossis ntau lub lim tiam.
• Yog tias koj tau mob hlab ntsha tawg lossis hlwb raug mob los ntawm qhov los ntshav, koj yuav muaj teeb meem mus tas li xws li teeb meem nrog kev hais lus lossis kev xav, leeg tsis muaj zog, lossis loog.
• Teeb meem nrog koj lub cim xeeb tau tshwm sim, tab sis cov no yuav txhim kho.
• Koj tuaj yeem hnov ​​zoo li kiv taub hau lossis tsis meej pem, lossis koj cov lus hais yuav tsis zoo tom qab phais tas. Yog tias koj tsis muaj los ntshav, cov teeb meem no yuav tsum zoo dua tuaj.

Dab tsi tshwm sim tom qab kho endovascular:

• Tej zaum koj yuav muaj mob ntawm koj qhov puab tais.
• Koj yuav muaj qee qhov doog nyob ib puag ncig thiab qis hauv qhov phais.

Koj tuaj yeem pib ua haujlwm txhua hnub, xws li tsav tsheb, hauv 1 lossis 2 lub lis piam yog tias koj tsis muaj ntshav tawm. Nug koj tus kws kho mob uas cov haujlwm niaj hnub muaj kev nyab xeeb rau koj ua.

Npaj kev pab muaj nyob tom tsev thaum koj zoo.

Ua lub neej noj qab nyob zoo, xws li:

• Yog tias koj muaj ntshav siab, tswj nws. Nco ntsoov noj cov tshuaj uas koj tus kws kho mob sau rau koj.
• Tsis txhob haus luam yeeb.
• Nug koj tus kws kho mob yog nws tsis ua li cas yog koj haus cawv.
• Nug koj tus kws khomob thaum nws tsis ua li cas thaum pib kev sib deev.

Noj koj cov tshuaj qaug dab peg yog tias ib qho twg tau xaj rau koj. Koj yuav raug xa mus rau ib tus kws hais lus, lub cev, lossis kev ua haujlwm kom pab koj rov zoo los ntawm kev mob hlwb.

Yog tias tus kws kho mob tso txoj raj tso rau ntawm koj lub puab tais (phais endovascular), nws tsis ua li cas taug kev luv nrug ntawm daim tiaj tiaj. Txwv tsis pub nce thiab nqis ntaiv ib puag ncig 2 zaug hauv ib hnub rau 2 txog 3 hnub. Tsis txhob yoj haujlwm, tsav tsheb, lossis ncaws kis las ua si kom koj tus kws kho mob hais tias tsis ua li cas.

Koj tus kws khomob yuav qhia rau koj tias thaum koj hnav khaub ncaws yuav tsum pauv. Tsis txhob da dej los yog ua luam dej rau 1 lub lim tiam.

Yog tias koj muaj ntshav me me los ntawm qhov phais ntawd, pw thiab tso qhov chaw uas nws ua ntshav rau 30 feeb.

Nco ntsoov tias koj nkag siab cov lus qhia txog kev noj tshuaj xws li cov ntshav ua ntshav (tshuaj ua kom tsis haum thaj), tshuaj aspirin, lossis NSAIDs, xws li ibuprofen thiab naproxen.

Nco ntsoov rov qab mus ntsib koj tus kws phais mob qhov chaw haujlwm ua ntej 2 lub lis piam tom qab raug rho tawm hauv tsev kho mob.

Nug koj tus kws phais mob yog tias koj xav tau kev soj ntsuam ntev ntev thiab kuaj, nrog rau CT scan, MRIs, lossis angiograms ntawm koj lub taub hau.

Yog tias koj tau tso lub hlwb txha caj qaum (CSF) tso rau, koj yuav tsum tau taug qab ib txwm ua kom nws ua haujlwm tau zoo.

Hu rau koj tus kws phais mob yog tias koj muaj:

• Mob tob hau lossis mob tob hau uas mob heev dua thiab koj hnov ​​kiv tob hau
• Ib caj dab txhav
• Xeev siab thiab ntuav
• Qhov muag mob
• Cov teeb meem tsis pom kev zoo (ntawm qhov muag tsis pom kev mus rau qhov teeb meem pom kev tsis pom kev zoo rau ob lub zeem muag)
• Teeb meem hais lus
• Teeb meem xav lossis nkag siab
• Cov teeb meem pom yam nyob ib puag ncig koj
• Hloov pauv koj tus cwj pwm
• Xav tias tsis muaj zog lossis poob siab
• Kev poob ntawm kev sib npaug lossis kev sib koom ua ke lossis cov leeg siv cov leeg
• Tsis muaj zog lossis loog ntawm ib sab caj npab, ceg, lossis koj lub ntsej muag

Thiab, hu rau koj tus kws phais mob yog tias koj muaj:

• Los ntshav nyob ntawm thaj chaw phais uas tsis ploj mus tom qab koj thov nias lub siab
• Caj npab lossis txhais ceg uas hloov xim, dhau los ua qhov chwv txias, lossis ua rau loog
• Liab, mob, lossis daj los yog ntsuab paug rau hauv lossis ncig thaj chaw phais
• Kub taub hau siab dua 101 ° F (38.3 ° C) lossis ua daus no

Aneurysm kho - cerebral - paug; Cerebral aneurysm kho - paug; Coiling - paug; Kev Kho Saccular aneurysm kho - paug; Berry aneurysm kho - tso tawm; Kev kho fusiform aneurysm - kev tso tawm; Kev kho lub pob taws ua kom zoo - paug; Kev kho endovascular aneurysm - kev tso tawm; Aneurysm clipping - tawm

Bowles E. Cerebral aneurysm thiab aneurysmal subarachnoid haemorrhage. Saib Xyuas Tub XyoojCov. Xyoo 2014; 28 (34): 52-59. PMID: 24749614 pubmed.ncbi.nlm.nih.gov/24749614/.

Connolly ES Jr, Rabinstein AA, Carhuapoma JR, li al. Cov txheej txheem rau kev tswj hwm pob txha nqaj hlau (aneurysmal subarachnoid hemorrhage): cov lus qhia rau cov kws kho mob los ntawm American Heart Association / American Stroke Association. Mob strokeCov. Xyoo 2012; 43 (6): 1711-1737. PMID: 22556195 pubmed.ncbi.nlm.nih.gov/22556195/.

Endovascular Lub vev xaib niaj hnub no. Reade De Leacy, MD, FRANZCR; Gal Yaniv, MD, PhD; thiab Kambiz Nael, MD. Cerebral Aneurysm Soj Qab Xyuas: Yuav ua li cas Cov Qauv tau Hloov thiab Vim Li Cas. Ib qho kev xav txog ntawm qhov tau pom rov qab ua dua thiab ntsuas hom qog ua qauv rau kev kho cov nqaij pob txha caj dab. Lub Ob Hlis 2019. evtoday.com/articles/2019-feb/cerebral-aneurysm-follow-up-how-sards-have-chaw-and-why. Nkag mus rau Lub Kaum Hlis 6, 2020.

Szeder V, Tateshima S, Duckwiler GR. Intracranial aneurysms thiab mob hauv qhov nqaij ntuag ntshav nrog. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 67.

• Aneurysm hauv lub hlwb
• Lub paj hlwb rov ua haujlwm
• Kev phais mob hlwb
• Rov qab tuaj tom qab mob stroke
• Qaug dab peg
• Mob stroke
• Cov lus qhia txog yuav ua li cas txiav luam yeeb

• Kev phais mob hlwb - tso tawm
• Sib txuas lus nrog ib tus neeg nrog aphasia

• Lub Hlwb Aneurysm