Cov leeg ntshav liab

Cov hlwv cov leeg ntshav liab tau xoo hluav taws xob xoo tshwj xeeb ntawm cov hlab ntshav ob lub raum.

Qhov kev kuaj mob no yog kuaj hauv tsev kho mob lossis chaw ua haujlwm sab nraud. Koj yuav tau pw ntawm ib lub rooj ua pais.

Cov kws saib xyuas kev noj qab haus huv feem ntau siv txoj hlab ntshav ze ntawm lub puab tais rau kev kuaj mob. Qee zaum, tus kws kho mob yuav siv txoj hlab leeg ntawm dab teg.

Koj tus kws khomob yuav:

• Huv thiab chais thaj chaw.
• Tso tshuaj loog rau thaj chaw.
• Tso rab koob rau ntawm cov leeg.
• Hla ib daim hlau nyias nyias los ntawm rab koob mus rau hauv cov leeg.
• Noj tawm lub koob.
• Ntxig lub raj ntev, nqaim thiab yoog raws hu ua raj yas hauv nws qhov chaw.

Tus kws kho mob qhia tus kav raj rau hauv qhov chaw kom yog siv duab xoo duab ntawm lub cev. Qhov ntsuas hu ua fluoroscope xa cov duab rau TV saib, uas tus kws zov me nyuam tuaj yeem pom.

Lub raj xa hluav taws raug thawb ua ntej hla lub xaim mus rau hauv lub aorta (cov hlab ntsha tseem ceeb los ntawm lub siab). Nws mam li nkag mus rau lub raum leeg ntshav. Kev ntsuam xyuas siv cov xim zas xim tshwj xeeb (hu ua kev sib piv) los pab qhia cov hlab ntsha qhia ntawm xoo hluav taws xob. Cov hlab ntshav ntawm lub raum tsis pom nrog xoo hluav taws xob zoo tib yam. Zas ntws los ntawm cov raj xa mus rau lub raum leeg ntshav.

Cov duab xoo hluav taws xob yog coj los ua xim zas hla cov hlab ntshav. Cov tshuaj saline (cov ntsev ua kom tsis muaj kab mob) muaj cov ntshav ua kom sib txawv kuj tuaj yeem xa mus rau hauv lub raj yas txhawm rau ua kom ntshav hauv thaj chaw tsis txhob txhaws.

Lub raj xa hluav taws xob raug tshem tawm tom qab xoo hluav taws xob. Ib qho khoom siv tau tso rau hauv lub puab tais lossis nias siab siv rau thaj chaw kom nres qhov los ntshav. Thaj tsam tau tshuaj xyuas tom qab 10 lossis 15 feeb thiab muab ntaub nplaum pov tseg. Koj yuav raug hais kom ua kom koj sab ceg ncaj rau 4 rau 6 teev tom qab tus txheej txheem.

Qhia tus kws kho mob yog tias:

• Koj xeeb menyuam
• Koj tau muaj teeb meem los ntshav
• Koj tam sim no noj ntshav thinner, suav nrog cov tshuaj aspirin txhua hnub
• Koj puas tau muaj qhov tsis haum hlo li, tshwj xeeb cov txheeb cov xoo hluav taws xob tsis zoo lossis cov tshuaj iodine
• Koj ib txwm tau muaj mob raum tsis ua haujlwm lossis lub raum tsis ua haujlwm

Koj yuav tsum kos npe rau tsab ntawv tso cai. TSIS TXHOB noj lossis haus dab tsi rau 6 rau 8 teev ua ntej ntsuas. Koj yuav muab txoj phuam hauv tsev kho mob rau hnav thiab thov kom tshem tawm tag nrho cov hniav nyiaj hniav kub. Koj yuav muab cov tshuaj loog (tshuaj tsaug zog) rau koj ua ntej cov txheej txheem lossis IV tshuaj tiv thaiv thaum ua txoj kev.

Koj yuav tau pw ncaj qha ntawm qhov chaw ua pais. Muaj feem ntau yog lub ncoo, tab sis nws tsis zoo nyob li txaj. Koj yuav hnov ​​cov sting thaum muab cov tshuaj kom ua kom loog. Koj tuaj yeem hnov ​​qee qhov siab thiab tsis xis nyob li tus catheter tau muab tso rau.

Qee tus neeg hnov ​​lub siab sov so thaum txhaj tshuaj zas xim, tab sis neeg feem coob tsis tuaj yeem hnov ​​nws. Koj tsis hnov ​​qhov catheter hauv koj lub cev.

Tej zaum yuav muaj qhov sib tw me me thiab ua pob rau ntawm qhov chaw ntawm kev txhaj tshuaj tom qab kuaj.

Cov leeg ntshav liab feem ntau xav tau los pab txiav txim siab txog kev kho mob zoo tshaj plaws tom qab lwm qhov kev sim ua ntej. Cov no suav nrog cov duplex ultrasound, CT lub plab, CT angiogram, MRI plab, lossis MRI angiogram. Cov kev xeem no yuav qhia cov teeb meem nram qab no.

• Kev tsis ncaj ncees ntawm txoj leeg ntshav, hu ua aneurysm
• Kev sib txuas tsis zoo ntawm cov leeg thiab cov hlab ntsha (fistulas)
• Cov ntshav txhaws cov hlab ntsha mus rau lub raum
• Kev tsis pom txog kev mob ntshav siab xav txog vim qhov nqaim ntawm cov hlab ntshav ntawm lub raum
• Benign cov qog thiab mob qog nqaij hlav uas koom nrog lub raum
• Nquag los ntshav tawm ntawm lub raum

Kev kuaj ntshav no yuav raug siv los tshuaj xyuas cov neeg pub nyiaj thiab cov neeg txais txiaj ntsig ua ntej lub raum hloov.

Cov txiaj ntsig kuj yuav sib txawv. Tham nrog koj tus kws kho mob hais txog lub ntsiab lus ntawm koj cov kev sim tshwj xeeb.

Cov duab pob qij txha lub ntsej muag yuav pom tias muaj cov qog, ua kom txoj leeg ntshav lossis leeg ntshav (nthuav dav leeg ntshav lossis leeg ntshav), ntshav txhaws, fistulas, lossis los ntshav hauv lub raum.

Kev kuaj mob kuj tseem ua tau nrog cov xwm txheej hauv qab no:

• Qhov txhaws ntawm cov leeg ntshav txhaws
• Plab leeg mob leeg
• Mob raum cell
• Angiomyolipomas (mob qog lub raum tsis zoo)

Qee qhov teeb meem no tuaj yeem kho nrog cov txuj ci ua rau tib lub sijhawm ua rau cov hlab ntsha ua haujlwm.

• Angioplasty yog tus txheej txheem los qhib lub nqaim lossis thaiv cov hlab ntsha uas muab cov ntshav rau koj ob lub raum.
• Lub stent yog qhov me me, cov hlau mesh uas ua rau txoj leeg leeg. Nws tuaj yeem muab tso rau kom txoj kab sib chaws nqaim qhib.
• Mob qog nqaij hlav thiab mob qog nqaij hlav tuaj yeem kho kho uas siv txheej txheem hu ua embolization. Qhov no suav nrog kev siv cov tshuaj uas thaiv cov ntshav kom txaus los tua lossis ua kom cov leeg mob. Qee zaum, qhov no tau ua nrog kev phais mob.
• Kev los ntshav tseem tuaj yeem kho nrog embolization.
  

Cov txheej txheem feem ntau nyab xeeb. Tej zaum yuav muaj qee qhov kev pheej hmoo, xws li:

• Kev tsis haum cov zas xim (qhov sib piv nruab nrab)
• Arterial kev puas tsuaj
• Kev puas tsuaj rau cov leeg ntshav lossis leeg phab ntsa, uas tuaj yeem ua rau ntshav txhaws
• Lub raum puas tsuaj los ntawm cov hlab ntsha los yog ntawm cov zas

Muaj hluav taws xob hluav taws xob tsawg tsawg. Cov poj niam cev xeeb tub thiab cov menyuam yaus muaj kev cuam tshuam ntau dua rau cov kev pheej hmoo cuam tshuam nrog xoo hluav taws xob.

Qhov ntsuas yuav TSIS ua yog tias koj cev xeeb tub lossis muaj teeb meem los ntshav hnyav.

Magnetic resonance angiography (MRA) lossis CT angiography (CTA) tuaj yeem ua tau. MRA thiab CTA yog qhov ua tsis tau zoo thiab tuaj yeem muab cov duab zoo li lub raum cov hlab ntsha, tab sis lawv tsis tuaj yeem siv rau kev kho mob.

Tshuaj raum angiogram; Angiography - raum; Cov duab hluav taws xob qub; Hlab leeg mob leeg - txoj hlab ntsha

• Raum anatomy
• Hlab ntsha

Azarbal AF, Mclafferty RB. Arteriography. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob Endovascular. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 25.

Duddalwar VA, Jadvar H, Palmer SL. Kev kuaj mob lub raum duab. Hauv: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner thiab Rector's Raum. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 25.

Textor SC. Renovascular tawg siab thiab ischemic nephropathy. Hauv: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner thiab Rector's Raum. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 47.