Lub plab anortic aneurysm

Txoj kev aorta yog lub roj ntsha tseem ceeb uas muab cov ntshav xa mus rau lub plab, pelvis, thiab ceg. Lub plab pob txha aortic pob txha caj qaum tshwm sim thaum thaj tsam ntawm aorta ua loj heev lossis zais tawm.

Qhov tseeb ua rau mob aneurysm tsis paub. Nws tshwm sim vim yog tsis muaj zog ntawm phab ntsa ntawm leeg.Qhov tseeb uas tuaj yeem ua rau kom koj muaj feem ntau nrog qhov teebmeem no suav nrog:

• Haus Yeeb
• Ntshav siab
• Txiv neej nrog txiv neej pw
• Yam caj ces

Kev mob plab pob txha pob ntseg yog feem ntau pom hauv cov txiv neej hnub nyoog 60 xyoo uas muaj ib lossis ntau yam kev pheej hmoo. Qhov loj dua ntawm qhov quav pob txha, qhov ntau yog nws tawg qhib lossis ntuag. Qhov no tuaj yeem tsim kev hem thawj ua neej.

Aneurysms tuaj yeem maj mam dhau ntau xyoo, feem ntau tsis muaj tsos mob tshwm sim. Cov tsos mob tuaj yeem tshwm sim sai yog tias pob qij txha nthuav tawm sai sai, kua muag qhib los yog to ntshav hauv phab ntsa ntawm lub nkoj (aortic dissection).

Cov tsos mob ntawm kev tshem tawm yog:

• Hnov mob hauv plab lossis hauv qab. Qhov mob yuav mob hnyav, dheev, nrhuav, los sis tas li. Nws kis tau rau sab hauv puab tais, pob tw, lossis ceg.
• Dhau tawm.
• Clammy tawv nqaij.
• Kiv taub hau.
• Xeev siab thiab ntuav.
• Lub plawv dhia nrawm.
• Poob Siab.

Koj tus kws kho mob yuav kuaj xyuas koj lub plab thiab hnov ​​cov mem tes hauv koj txhais ceg. Tus kws kho mob yuav pom:

• Ib qho qog (ntau) hauv plab
• Kev hnov ​​qhov mob nyob hauv plab
• Lub cev txhav lossis txhav

Koj tus kws kho mob yuav pom qhov teeb meem no los ntawm kev sim cov hauv qab no:

• Ultrasound ntawm lub plab mog thaum mob plab pob ntseg yog thawj zaug xav tias tsam yog
• CT scan ntawm lub plab mog kom paub meej tias qhov loj ntawm pob qij txha
• CTA (suav txog tomographic angiogram) los pab nrog kev npaj phais mob

Ib qho ntawm cov kev sim no tuaj yeem ua thaum koj muaj cov tsos mob.

Tej zaum koj yuav muaj qhov mob plab aortic aneurysm uas tsis yog ua kom muaj tsos mob. Koj tus kws kho mob yuav xaj kom tso ib qho hnoos qeev ntawm lub plab los kuaj xyuas pob taws.

• Feem coob ntawm cov txiv neej hnub nyoog 65 mus txog 75, uas tau haus luam yeeb hauv lawv lub neej yuav tsum tau kuaj no ib zaug.
• Qee tus txiv neej uas muaj hnub nyoog 65 mus txog 75, uas ib txwm tsis tau haus luam yeeb hauv lawv lub neej yuav xav tau qhov kev sim no ib zaug.

Yog tias koj los ntshav hauv koj lub cev los ntawm qhov hlab ntsha aortic, koj yuav tsum tau phais mob tam sim ntawd.

Yog tias tus pob qij taws me me thiab tsis muaj cov tsos mob:

• Kev phais yog tsis tshua ua.
• Koj thiab koj tus kws kho mob yuav tsum txiav txim siab seb qhov kev pheej hmoo ntawm kev phais yuav me dua qhov kev pheej hmoo los ntshav yog tias koj tsis phais.
• Koj tus kws kho mob yuav xav kuaj xyuas qhov ntsuas pob tes luaj li cas nrog kev kuaj ntshav txhua 6 lub hlis.

Feem ntau, phais yog ua tiav yog tias pob qij txha loj dua 2 nti (5 centimeters) hla lossis loj hlob sai. Lub hom phiaj yog ua kev phais mob ua ntej cov teeb meem tshwm sim.

Muaj ob txoj kev phais:

• Qhib kev kho - kev txiav loj yog tsim hauv koj lub plab. Lub nkoj muaj qhov txawv txav tau hloov nrog cov pob zeb los ntawm tib neeg ua khoom.
• Endovascular stent grafting - Txoj kev ua no tuaj yeem ua kom tsis muaj qhov txiav loj hauv koj lub plab, yog li koj tuaj yeem yuav rov qab sai dua. Qhov no tuaj yeem ua kom muaj kev nyab xeeb dua yog tias koj muaj lwm yam teeb meem kev kho mob lossis cov neeg laus zog. Kev kho endovascular qee zaum yuav ua tiav rau txoj kev xoo lossis ntshav los ntshav.

Qhov tshwm sim yog feem ntau zoo yog tias koj muaj kev phais mob los kho lub pob qij txha ua ntej nws tawg.

Thaum mob plab pob txha aortic pob txha pib los kua muag lossis mob hauv plab, nws yog mob kub ntxhov. Tsuas yog li ntawm 1 ntawm 5 tus neeg muaj sia nyob nrog txoj hnyuv pob txha pob txha.

Mus rau chav kho mob maj nrawm lossis hu 911 yog tias koj mob lub plab lossis sab nraub qis uas tsis zoo lossis tsis ploj mus.

Txo txoj kev pheej hmoo ntawm pob taws:

• Noj zaub mov kom zoo rau lub plawv, tawm dag zog, txiav kev haus luam yeeb (yog tias koj haus luam yeeb), thiab txo kev ntxhov siab.
• Yog tias koj muaj ntshav siab lossis ntshav qab zib, noj koj cov tshuaj raws li koj tus kws kho mob tau hais rau koj.

Cov neeg uas muaj hnub nyoog 65 xyoos uas ib txwm haus luam yeeb yuav tsum tau kuaj ntsuas cov tshuaj ultrasound ib zaug.

Aneurysm - aortic; AAA

• Kho lub plab anortic aneurysm kho - qhib - kev tso tawm
• Aortic aneurysm kho - endovascular - paug

• Aortic ruture - xoo lub hauv siab
• Aortic aneurysm

Braverman AC, Schermerhorn M. Cov kab mob ntawm aorta. Hauv: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 63.

Colwell CB, Hma liab CJ. Lub plab anortic aneurysm. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 76.

LeFevre ML; Teb Chaws Asmeskas Kev Pabcuam Tiv Thaiv. Kev soj ntsuam rau lub plab aortic aneurysm: Tebchaws Asmeskas Cov Kev Pabcuam Tiv Thaiv Cov lus pom zoo. Ann Intern MedCov. Xyoo 2014; 161 (4): 281-290. PMID: 24957320 www.ncbi.nlm.nih.gov/pubmed/24957320.

Woo EW, Damrauer SM. Lub plab pob txha taub hau hauv plab: qhib kev phais mob. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 71.