Dab tsi yog aortic dissection, cov tsos mob tseem ceeb thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav ua li cas kom paub meej tias kuaj mob
• Dab tsi ua rau aortic dissection
• Yuav kho tus mob li cas
• Muaj teeb meem tshwm sim

Aortic dissection, tseem hu ua aortic dissection, yog qhov mob uas tsis tshua muaj xwm txheej ceev, qhov chaw sab hauv txheej ntawm aorta, hu ua intima, ntsib lub kua muag me me, los ntawm kev uas cov ntshav tuaj yeem nkag, mus txog qhov deb tshaj plaws sib sib zog nqus ntawm lub nkoj thiab ua rau cov tsos mob xws li mob sai thiab mob hauv siab, hnov ​​txog txog siav thiab txawm tsaus muag.

Txawm hais tias muaj tsawg, tus mob no muaj ntau rau cov txiv neej muaj hnub nyoog 60 xyoo, tshwj xeeb tshaj yog thaum muaj keeb kwm kev kho mob ntawm cov ntshav siab tsis txaus, atherosclerosis, siv tshuaj yeeb los yog qee yam teeb meem mob plawv.

Thaum muaj kev xoom xaim ntawm ortho dissection, nws yog qhov tseem ceeb heev uas yuav tsum mus rau lub tsev kho mob sai, txij li thaum nws tau txheeb xyuas hauv thawj 24 teev, muaj kev kho mob siab dua, uas feem ntau ua nrog cov tshuaj ncaj qha rau hauv txoj hlab ntshav. los tswj ntshav siab.

Cov tsos mob tseem ceeb

Cov tsos mob ntawm aortic dissection tuaj yeem sib txawv ntawm ib tus neeg mus rau lwm tus, txawm li cas los xij, lawv tuaj yeem suav nrog:

• Cia li mob nrawm thiab mob hauv siab, nraub qaum lossis plab;
• Hnov txog qhov ua tsis taus pa;
• Kev tsis muaj zog hauv txhais ceg lossis caj npab;
• Tsaus muag
• Nyuaj hais lus, pom lossis taug kev;
• Cov mem tes tsis muaj zog, uas yuav tshwm sim tsuas yog ntawm ib sab ntawm lub cev.

Txij li thaum cov tsos mob no zoo li ob peb lwm yam teeb meem mob plawv, nws yog qhov yuav ua rau kev kuaj mob ntev dua rau cov neeg uas twb muaj mob plawv dhau los, yuav tsum tau kuaj ob peb yam. Txheeb xyuas 12 qhov tsos mob ntawm lub siab.

Thaum twg cov tsos mob ntawm lub siab tshwm sim, nws yog ib qho tseem ceeb heev kom sai sai mus rau tsev kho mob kom paub qhov ua rau thiab pib kho sai li sai tau.

Yuav ua li cas kom paub meej tias kuaj mob

Kev kuaj mob ntawm tus mob orta dissection feem ntau yog ua los ntawm kev kho plawv, tom qab ntsuam xyuas cov tsos mob, tus neeg lub keeb kwm kho mob thiab muaj kev kuaj mob xws li lub hauv siab xoo hluav taws xob, electrocardiogram, echocardiogram, suav tomography thiab magnetic resonance.

Dab tsi ua rau aortic dissection

Aortic dissection feem ntau tshwm sim hauv lub aorta uas tsis muaj zog thiab yog li ntawd ntau dua rau cov neeg uas muaj keeb kwm ntawm ntshav siab lossis atherosclerosis. Txawm li cas los xij, nws tseem tuaj yeem tshwm sim vim lwm yam kev mob uas cuam tshuam rau aortic phab ntsa, xws li Marfan's syndrome lossis kev hloov pauv ntawm bicuspid valve ntawm lub siab.

Tsis tshua muaj ntau, kev sib cais kuj tuaj yeem tshwm sim los ntawm kev ua kom raug mob, uas yog, vim muaj xwm txheej lossis raug mob hnyav rau lub plab.

Yuav kho tus mob li cas

Kev kho mob rau aortic dissection yuav tsum tau ua sai sai tom qab kev kuaj mob tau paub meej, pib nrog kev siv tshuaj kom txo qis ntshav siab, xws li beta-blockers. Tsis tas li ntawd, raws li qhov mob yuav ua rau muaj kev tiv thaiv nce ntxiv thiab mob heev dua ntawm cov mob, muaj zog ua kom loog, xws li morphine, kuj tseem siv tau.

Qee qhov xwm txheej, nws kuj tseem yuav tsum tau muaj kev phais los kho lub ntsa aortic. Qhov xav tau rau kev phais mob raug soj ntsuam los ntawm tus kws phais plawv mob, tab sis feem ntau nws yog nyob ntawm qhov twg dissection coj qhov chaw. Yog li, yog tias lub dissection cuam tshuam qhov nce qib ntawm aorta, kev phais tam sim ntawd feem ntau yog qhia, whereas yog qhov dissection tshwm hauv qhov nqis qis, tus kws phais tau tuaj yeem soj ntsuam qhov ua ntej ntawm qhov mob thiab cov tsos mob, thiab kev phais kuj tsis tseem ceeb. Cov.

Thaum tsim nyog, feem ntau nws yog qhov nyuaj thiab siv sij hawm los phais, vim tias cov kws phais yuav tsum hloov cov cheeb tsam cuam tshuam ntawm aorta nrog kev zam ntawm cov khoom siv hluavtaws.

Muaj teeb meem tshwm sim

Muaj ntau qhov teeb meem cuam tshuam nrog aortic dissection, lub ntsiab ob ntawm cov suav nrog kev sib tawg ntawm cov hlab ntsha, nrog rau kev txhim kho ntawm qhov tsis sib haum rau lwm cov hlab ntsha tseem ceeb, xws li cov uas nqa ntshav mus rau lub plawv. Yog li, ntxiv rau kev kho mob rau mob aortic dissection, cov kws kho mob feem ntau soj ntsuam qhov pom ntawm cov teeb meem uas yuav tsum tau kho, txhawm rau txo qis kev phom sij.

Txawm hais tias kev kho mob tom qab, muaj kev pheej hmoo siab heev uas tshwm sim thaum thawj 2 xyoos thiab, yog li ntawd, tus neeg yuav tsum muaj kev sib tham nrog cov kws kho plawv, nrog rau kev soj ntsuam, xws li suav tomography thiab cov duab sib nqus resonance, los txheeb xyuas cov teeb meem uas tshwm sim thaum ntxov Cov.

Txhawm rau kom tsis txhob muaj qhov pib ntawm cov teeb meem, cov neeg uas tau ua rau aortic dissection yuav tsum ua raws li tus kws kho mob cov lus qhia, nrog rau kev zam tus cwj pwm uas tuaj yeem ua rau ntshav nce ntxiv. Yog li, nws raug nquahu kom tsis txhob ua ntau dhau ntawm lub cev thiab muaj lub cev yoo mov kom muaj ntsev tsawg.