Carotid leeg ntshav kab mob

Carotid artery disease tshwm sim thaum carotid cov hlab ntsha tau nqaim los yog txhaws.

Cov hlab ntsha carotid muab ib feem ntawm cov ntshav tseem ceeb rau koj lub hlwb. Lawv nyob rau txhua sab ntawm koj lub caj dab. Koj tuaj yeem hnov ​​lawv cov mem tes hauv qab koj lub puab tsaig.

Tus mob Carotid leeg tshwm sim thaum cov khoom siv rog hu ua quav hniav txhim rau hauv cov hlab ntsha. Qhov no buildup ntawm cov quav hniav yog hu ua hardening ntawm cov hlab ntsha (atherosclerosis).

Cov quav hniav yuav maj mam thaiv lossis txiav cov carotid leeg. Lossis nws tuaj yeem ua rau txhaws ntshav sai sai. Ib qho ntshav uas ua kom txoj hlab ntshav tawm tag tuaj yeem ua rau mob stroke.

Yam txaus ntshai txhaws lossis txhaws ntawm cov hlab ntsha muaj xws li:

• Haus luam yeeb (cov neeg uas haus luam yeeb ib hnub ntim ob zaug lawv yuav muaj mob hlab ntsha hlwb)
• Mob ntshav qab zib
• Ntshav siab
• Cov roj (cholesterol) thiab triglycerides
• Muaj hnub nyoog laus dua
• Tsev neeg muaj keeb kwm mob ntshav khov
• Siv dej cawv
• Kev ua si siv tshuaj yeeb
• Kev raug mob rau caj dab thaj tsam, uas tuaj yeem ua rau txhaws hauv lub qhov carotid leeg

Hauv cov theem thaum ntxov, koj yuav tsis muaj tsos mob dab tsi. Tom qab cov quav hniav plam, cov thawj cov tsos mob ntawm tus kab mob carotid leeg yuav yog mob stroke lossis cov hlab ischemic nres (TIA). Ib qho TIA yog ib qho me me uas tsis ua rau kom muaj kev puas tsuaj ntev.

Cov tsos mob ntawm tus mob stroke thiab TIA suav nrog:

• Qhov muag plooj
• Tsis meej pem
• Poob nco
• Tsis hnov
• Teeb meem hais lus thiab hais lus, suav nrog poob ntawm kev hais lus
• Tsis pom kev (tsis pom kev ib nrab los yog ua tiav)
• Kev tsis muaj zog ntawm ib qho ntawm koj lub cev
• Teeb meem nrog kev xav, kev xav, thiab nco qab

Koj tus kws kho mob yuav kuaj mob lub cev. Koj tus kws kho mob yuav siv lub stethoscope mloog cov ntshav ntws hauv koj lub caj dab rau lub suab txawv txawv hu ua bruit. Cov suab no tej zaum yuav yog tus mob carotid leeg ntshav tau.

Koj tus kws kho mob tseem yuav pom cov ntshav txhaws hauv cov hlab ntshav qhov muag. Yog tias koj tau mob stroke lossis TIA, lub paj hlwb (lub paj hlwb) tshuaj ntsuam yuav pom lwm yam teeb meem.

Koj kuj tuaj yeem muaj cov kev xeem hauv qab no:

• Kev kuaj ntshav hauv cov ntshav thiab triglycerides
• Ntshav qab zib (piam thaj) ntsuas
• Ultrasound ntawm cov carotid hlab ntsha (carotid duplex ultrasound) kom pom zoo npaum li cas cov ntshav ntws los ntawm cov carotid leeg

Kev ntsuam xyuas cov duab hauv qab no yuav raug siv los kuaj cov ntshav hauv lub caj dab thiab lub hlwb:

• Cerebral angiography
• CT angiography
• MR angiography

Cov kev kho mob suav nrog:

• Cov tshuaj ntshav ntshav xws li cov tshuaj aspirin, clopidogrel (Plavix), warfarin (Coumadin), dabigatran (Pradaxa), lossis lwm tus kom txo koj cov ntshav phom sij
• Noj tshuaj thiab zaub mov hloov kom txo koj cov roj (cholesterol) lossis ntshav siab
• Tsis muaj kev kho mob, dua li kev kuaj xyuas koj cov carotid leeg txhua xyoo

Koj yuav muaj qee cov txheej txheem los kho qhov nqaim lossis txhaws carotid leeg:

• Carotid endarterectomy - Qhov kev phais no tshem tawm cov quav hniav tawm hauv cov hlab ntsha carotid.
• Carotid angioplasty thiab stenting - Txoj kev ua no qhib ib txoj hlab ntshav uas thaiv thiab tso ib qho xov me me rau ntawm cov leeg kom nws qhib.

Vim tias tsis muaj cov tsos mob tshwm sim, koj yuav tsis paub tias koj muaj carotid leeg mob txog ntua thaum koj mob hlab ntsha tawg lossis TIA.

• Stroke yog qhov ua rau ua ntej ploj tuag hauv Tebchaws Meskas.
• Qee cov neeg uas mob hlab ntsha rov qab feem ntau lossis tag nrho lawv cov haujlwm.
• Lwm cov tuag ntawm tus mob stroke nws lossis los ntawm cov teebmeem.
• Li ntawm ib nrab ntawm cov neeg uas muaj tus mob stroke muaj teeb meem ntev.

Cov teebmeem hnyav ntawm cov kabmob carotid yog:

• Lub ischemic nres. Qhov no tshwm sim thaum uas ntshav ntuav luv luv thaiv cov hlab ntshav mus rau lub hlwb. Nws ua rau tib co mob stroke. Cov tsos mob yuav mob ntev li ntawm ob peb feeb mus rau ib teev lossis ob teev, tab sis tsis pub ntev tshaj 24 teev. TIA tsis ua kom muaj kev puas tsuaj ntev. TIAs yog lub cim ceebtoom tias qhov mob stroke yuav tshwm sim tom ntej yog tias tsis muaj dab tsi los tiv thaiv nws.
• Mob stroke. Thaum cov ntshav xa mus rau lub hlwb yog qee lossis txhawm, nws ua rau mob stroke. Feem ntau, qhov no tshwm sim thaum txhaws ntshav txhaws ntawm cov hlab ntshav mus rau lub hlwb. Mob stroke tseem tuaj yeem tshwm sim thaum cov hlab ntsha tawg lossis qhib tawm. Mob stroke tuaj yeem ua rau mob hlwb ntev mus los yog tas sim neej.

Mus rau chav kho mob ceev lossis hu rau tus npawb xov tooj xwm ceev hauv nroog (xws li 911) sai li sai tau yog muaj cov tsos mob. Thaum koj tau txais kev kho mob sai dua, koj muaj feem yuav rov zoo dua. Nrog rau mob stroke, txhua thib ob ntawm kev ncua yuav ua rau lub hlwb raug mob.

Nov yog yam koj tuaj yeem ua los pab tiv thaiv kab mob carotid leeg thiab mob stroke:

• Txiav Luam Yeeb.
• Noj zaub mov zoo thiab muaj roj tsawg nrog kev noj zaub thiab txiv hmab txiv ntoo kom ntau.
• Tsis txhob haus ntau tshaj li 1 txog 2 khob dej nyob rau ib hnub.
• Tsis txhob siv cov tshuaj ua si.
• Tawm dag zog tsawg kawg 30 feeb nyob rau ib hnub, feem ntau hnub ntawm lub lim tiam.
• Tau kuaj koj cov roj (cholesterol) txhua tsib xyoos. Yog tias koj tau mus kho mob ntshav siab, koj yuav tsum tau kuaj xyuas ntau zaus.
• Kuaj xyuas koj cov ntshav siab txhua txhua 1 txog 2 xyoos. Yog tias koj muaj ntshav siab, mob plawv, ntshav qab zib, lossis koj tau mob stroke, koj yuav tsum kuaj nws ntau zaus. Nug koj tus kws khomob.
• Ua raws li koj tus kws kho mob pom zoo rau kev kho mob yog tias koj muaj ntshav siab, ntshav qab zib, ntshav siab, lossis mob plawv.

Carotid stenosis; Stenosis - carotid; Mob stroke - carotid leeg; TIA - carotid leeg leeg

• Angioplasty thiab stent tso kawm - carotid leeg - tso tawm
• Carotid leeg txoj kev phais - kev tshem tawm
• Roj Cholesterol - tshuaj kho mob
• Noj warfarin (Coumadin)

Biller J, Ruland S, Schneck MJ. Ischemic cerebrovascular tus kab mob. 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 65.

Brott TG, Halperin JL, Abbara S, li al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS cov lus qhia txog kev tswj hwm cov neeg mob nrog mob ntxiv ntawm lub cev thiab lub pob txha caj qaum: cov ntaub ntawv tshaj tawm: tsab ntawv ceeb toom ntawm Asmeskas Lub Tsev Kawm Qib Siab ntawm Cardiology Foundation / American Heart Association Task Force ntawm Kev Coj Ua, thiab American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress ntawm Neurological Surgeons, Society of Atherosclerosis Kev Tshawb Xyuas thiab Tiv Thaiv, Lub Koom Haum Rau Kev Kho Mob Hlawv Mob Hlaus thiab Kev Tiv Thaiv, Lub Koom Haum ntawm Kev Tiv Thaiv Hluav Taws Xob, Lub Zej Zog ntawm NeuroInterventional Kev Kho Mob, Lub Koom Haum rau Vascular Tshuaj, thiab Lub Koom Haum Rau Kev Kho Vascular Catheter Cardiovasc IntervCov. 2013; 81 (1): E76-E123. PMID: 23281092 www.ncbi.nlm.nih.gov/pubmed/23281092.

Meschia JF, Bushnell C, Boden-Albala B, li al. Cov lus qhia rau kev tiv thaiv kev tiv thaiv mob stroke thawj: ib nqe lus rau cov kws kho mob los ntawm American Heart Association / American Stroke Association. Mob strokeCov. Xyoo 2014; 45 (12): 3754-3832. PMID: 25355838 www.ncbi.nlm.nih.gov/pubmed/25355838.

Meschia JF, Klaas JP, Brown RD Jr, Brott TG. Kev tshuaj ntsuam xyuas thiab kev tswj hwm ntawm atherosclerotic carotid stenosis. Mayo Clin ProcCov. 2017; 92 (7): 1144-1157. PMID: 28688468 www.ncbi.nlm.nih.gov/pubmed/28688468.