Aneurysm

Tus pob qij txha pob yog ib qho txawv txav los yog npas ntawm qhov chaw ntawm txoj hlab ntshav vim qhov tsis muaj zog ntawm phab ntsa ntawm cov hlab ntshav.

Nws tsis paub meej tias dab tsi ua rau mob aneurysms. Qee qhov mob aneurysms nyob rau thaum yug (yug los ua neeg). Kev ua tsis zoo hauv qee qhov chaw ntawm phab ntsa leeg tuaj yeem yog qhov laj thawj.

Ntau qhov chaw rau cov leeg pob txha muaj:

• Cov hlab ntsha loj los ntawm lub plawv xws li thoracic lossis mob plab aorta
• Hlwb (hlwb hlwb pob txha)
• Qab ntawm lub hauv caug hauv ob txhais ceg (popliteal leeg leeg aneurysm)
• Mob hnyuv (leeg ntshav liab aneurysm)
• Artery hauv spleen (splenic artery aneurysm)

Ntshav siab, ntshav siab, thiab haus luam yeeb yuav ua rau koj muaj kev pheej hmoo rau qee cov pob txha caj qaum. Ntshav siab yog xav tau lub luag haujlwm ntawm lub plab aortic aneurysms. Kab mob Atherosclerotic (cov roj ntsha ua rau cov leeg ntshav) kuj tuaj yeem ua rau qee qhov tsim pob txha pob txha caj qaum. Qee yam noob lossis kev mob xws li fibromuscular dysplasia tuaj yeem ua rau aneurysms.

Cev xeeb tub feem ntau txuas nrog kev tsim thiab kev sib deev ntawm splenic artery aneurysms.

Cov tsos mob nyob ntawm qhov chaw uas pob txha ntshav nyob. Yog tias qhov mob pob qij txha tshwm sim ze rau lub cev lub cev, qhov mob thiab o nrog lub qog ntawm caj pas feem ntau pom.

Aneurysms hauv lub cev lossis lub hlwb feem ntau ua rau tsis muaj cov tsos mob. Aneurysms hauv lub hlwb yuav nthuav dav yam tsis qhib kev qhib (kev sib tawg). Cov leeg pob txha ntau ntxiv tuaj yeem nias rau cov leeg ntshaus thiab ua rau ob lub zeem muag, kiv taub hau, lossis mob taub hau. Qee cov pob taws pob txha pob ua pob ua pob ntseg.

Yog tias tus pob taws ua pob txha, mob, ntshav qis, ua kom lub plawv khiav ceev, thiab pom muaj lub taub hau me. Thaum lub hlwb pob txha caj dab tawg, muaj qhov mob taub hau sai sai uas ib txhia hais tias yog "mob taub hau phem tshaj plaws hauv kuv lub neej." Txoj kev pheej hmoo ntawm kev tuag tsis xeev los yog kev tuag tom qab tawg tau loj.

Tus kws kho mob yuav kuaj xyuas lub cev.

Kev ntsuam xyuas uas siv los kuaj xyuas pob taws ua pob txha:

• Iav scan
• CT angiogram
• MRI
• MRA
• Ultrasound
• Angiogram

Kev kho mob nyob ntawm qhov loj thiab thaj chaw ntawm pob qij txha. Koj tus kws kho mob tsuas pom zoo kom kuaj ib txwm ib ntus saib seb lub ntsaws pob taws puas nce zuj zus.

Kev phais mob yuav ua tau. Hom kev phais mob uas tau ua thiab thaum koj xav tau nws nyob ntawm koj qhov tsos mob thiab qhov loj thiab hom ntawm pob qij txha.

Cov kev phais mob tuaj yeem suav nrog kev phais loj (qhib) phais. Qee zaum, ib qho txheej txheem hu ua endovascular embolization tau ua. Cov pa roj los yog stents ntawm cov hlau tau muab tso rau hauv lub hlwb pob txha los ua kom cov leeg pob zeb txhaws. Qhov no txo ​​cov kev pheej hmoo rau kev ua kom tawg thaum ua kom cov leeg qhib. Lwm lub hlwb pob txha caj dab yuav tau muaj qhov clip tso rau lawv kom lawv kaw thiab tiv thaiv kom txhob tawg.

Aneurysms ntawm aorta tuaj yeem siv dag zog nrog kev phais mob kom ntxiv dag zog rau cov hlab ntsha phab ntsa.

Hu rau koj tus kws kho mob yog tias koj muaj mob pob rau hauv koj lub cev, txawm hais tias mob los yog mob qa.

Nrog rau qhov mob pob txha caj qaum, mus rau chav kho mob ceev lossis hu rau 911 lossis tus xov tooj xwm ceev hauv zos yog tias koj mob mob hauv koj lub plab lossis sab nraub qaum uas tsis zoo lossis tsis ploj mus.

Nrog lub paj hlwb rov qab, mus rau chav kho mob ceev lossis hu rau 911 lossis tus npawb xov tooj xwm ceev hauv zej zog yog tias koj mob taub hau sai lossis mob hnyav, tshwj xeeb yog tias koj muaj xeev ntuav, ntuav, qaug dab peg, lossis lwm yam tsos mob ntawm lub paj hlwb.

Yog tias koj tus neeg mob aneurysm uas tsis tau ua rau ntshav, koj yuav tsum yauv mus kuaj kom tsis tu ncua seb nws puas loj tuaj.

Kev tswj hwm ntshav siab tuaj yeem pab tiv thaiv kom txhob mob aneurysms. Ua raws li kev noj zaub mov zoo, ua kom tawm dag zog kom tsis tu ncua, thiab ua kom koj cov roj (cholesterol) nyob rau hauv cov qib noj qab haus huv los pab tiv thaiv pob taws lossis lawv cov teeb meem.

Tsis txhob haus luam yeeb. Yog tias koj haus luam yeeb, txiav yuav txo koj txoj hlab ntsws pob txha.

Aneurysm - splenic leeg; Aneurysm - popliteal leeg dawb; Aneurysm - leeg ntshav leeg nqaij

• Cerebral aneurysm
• Aortic aneurysm
• Intracerebellar hemorrhage - CT scan

Britz GW, Zhang YJ, Desai VR, Scranton RA, Pai NS, West GA. Kev phais mus kom ze rau cov leeg pob txha pob. Hauv: Winn HR, ed. Youmans thiab Winn Neurological phais. 7 tus ed. Philadelphia, PA: Elsevier; 2017: cha 383.

Cheng CC, Cheema F, Fankhauser G, Silva MB. Peripheral leeg hlab ntsha. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: cha 62.

Lawrence PF, Rigberg DA. Arterial aneurysms: etiology, mob kis, thiab keeb kwm ntuj. 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 69.