Fibromuscular Dysplasia

Zoo Siab

• Cov cim thiab tsos mob zoo li cas?
• Dab tsi ua rau nws?
• Cov Noob
• Cov tshuaj hormones
• Cov leeg ntshav tsis zoo
• Leej twg tau txais nws?
• Nws kuaj tau li cas?
• Yuav kho nws li cas?
• Percutaneous transluminal angioplasty
• Kev phais mob
• Nws cuam tshuam li cas rau lub neej ua haujlwm?

Fibromuscular dysplasia yog dab tsi?

Fibromuscular dysplasia (FMD) yog ib qho mob uas ua rau kom lub hlwb ntxiv ntawm sab hauv cov hlab ntsha. Arteries yog cov hlab ntshav uas xa ntshav los ntawm koj lub siab mus rau tas koj lub cev. Txoj kev loj hlob ntawm tes ntxiv txo cov hlab ntsha, kom ntshav tsawg dua los ntawm lawv. Nws kuj tseem tuaj yeem ua rau pob (pob leeg) thiab kua muag (tawm los ntawm cov hlab ntsha).

FMD feem ntau cuam tshuam rau cov ntshav nruab nrab hauv nruab nrab uas muab cov ntshav mus rau:

• ob lub raum (lub raum hlab ntsha)
• lub hlwb (carotid hlab ntsha)
• plab lossis plab hnyuv (cov leeg ntshav leeg)
• caj npab thiab txhais ceg

Txo cov ntshav txaus rau cov kabmob no tuaj yeem ua rau puas tsuaj mus tas li.

FMD cuam tshuam rau 1 feem pua ​​thiab 5 feem pua ​​neeg Asmeskas. Li ib feem peb ntawm cov neeg uas muaj tus mob no nws muaj ntau dua li ib leeg.

Cov cim thiab tsos mob zoo li cas?

FMD tsis yog ib txwm ua rau cov tsos mob tshwm sim. Thaum nws ua, cov tsos mob nyob ntawm seb yam twg ntawm cov kabmob.

Cov tsos mob ntawm kev txo ntshav txaus rau lub raum suav nrog:

• sab mob
• ntshav siab
• shrinkage ntawm lub raum
• raum tsis ua haujlwm zoo thaum ntsuas los ntawm ntsuas ntshav

Cov tsos mob ntawm kev txo ntshav ntws mus rau lub hlwb suav nrog:

• mob taub hau
• kiv taub hau
• caj dab mob
• lub suab nrov lossis nrov nrov nyob hauv pob ntseg
• droopy tawv muag
• cov tub ntxhais kawm tsis sib haum-qhov loj
• mob stroke lossis ministroke

Cov tsos mob ntawm kev txo ntshav ntws mus rau plab yog:

• mob plab tom qab noj mov
• piav tsis hnyav poob

Cov tsos mob ntawm kev txo ntshav ntws mus rau caj npab thiab txhais ceg suav nrog:

• mob hauv caj pas cuam tshuam thaum taug kev lossis khiav
• tsis muaj zog lossis loog
• kub los yog xim hloov hauv ceg cuam tshuam

Dab tsi ua rau nws?

Cov kws kho mob tsis paub meej tias dab tsi ua rau FMD. Txawm li cas los xij, cov kws tshawb nrhiav tau cog lus tseg rau peb lub ntsiab:

Cov Noob

Txog 10 feem pua ​​ntawm FMD kis tshwm sim hauv cov tswvcuab ntawm ib tsev neeg, qhia tias kev ua raws caj ces yuav ua lub luag haujlwm. Txawm li cas los xij, tsuas yog vim koj niam koj txiv lossis koj cov kwvtij muaj mob tsis txhais tau tias koj yuav kis tau. Ntxiv rau, cov neeg hauv tsev neeg tuaj yeem muaj FMD uas cuam tshuam rau cov hlab ntsha sib txawv.

Cov tshuaj hormones

Cov poj niam muaj peb mus rau plaub zaug feem ntau yuav tau txais FMD ntau dua li tus txiv neej, uas qhia tias poj niam cov tshuaj hormones tej zaum yuav koom nrog. Txawm li cas los xij, kev tshawb fawb ntxiv yog xav tau los tshaj tawm qhov no.

Cov leeg ntshav tsis zoo

Kev tsis muaj oxygen mus rau cov hlab ntsha thaum lawv tau tsim yuav ua rau lawv txhim kho hauv plab, uas ua rau cov ntshav khiav tsis tuaj.

Leej twg tau txais nws?

Thaum uas tsis paub tseeb tias FMD tsis paub tseeb, nws muaj qee qhov tshwm sim uas yuav ua rau koj muaj feem los txhim kho nws. Cov no suav nrog:

• ua poj niam hnub nyoog qis dua 50 xyoo
• muaj ib lossis ntau tus neeg hauv tsev neeg uas muaj tus mob no
• haus luam yeeb

Nws kuaj tau li cas?

Koj tus kws kho mob yuav xav tias koj muaj FMD tom qab hnov ​​lub suab nrov dua thaum mloog koj cov leeg ntshav nrog lub taub hau tsom. Ntxiv nrog rau kev txheeb xyuas koj cov tsos mob lwm yam, lawv kuj tseem yuav siv cov ntawv ntsuas ntsuas kom paub meej koj txoj kev kuaj mob.

Kev ntsuas ntsuas ntsuas los ntsuas FMD suav nrog:

• Duplex (Doppler) ultrasound. Qhov kuaj no siv cov suab nrov siab ntau zaus thiab cov khoos phis tawm los tsim cov duab ntawm koj cov hlab ntshav. Nws tuaj yeem pom tias cov ntshav ntws zoo npaum li cas los ntawm koj cov hlab ntsha.
• Magnetic resonance angiography. Qhov kev kuaj no siv cov hlau nplaum muaj zog thiab xov tooj cua los tsim cov duab ntawm koj cov hlab ntshav.
• Tham tomography angiography. Qhov kev kuaj no siv duab hluav taws xob xoo thiab duab zas xim los tsim cov ncauj lus kom ntxaws ntawm koj cov hlab ntsha.
• Arteriography. Yog tias qhov kev soj ntsuam uas tsis txawv txav tsis tuaj yeem lees paub qhov kev kuaj mob, koj yuav tsum muaj txoj hlab ntsha hauv plab. Qhov kev kuaj no siv cov xim sib txawv uas txhaj los ntawm cov hlau tso rau hauv koj lub puab tais lossis cov qhov ntawm koj lub cev. Tom qab ntawd xoo hluav taws xob tau xoo ntawm koj cov hlab ntshav.

Yuav kho nws li cas?

Tsis muaj ib txoj kev kho tau FMD, tab sis koj tuaj yeem tswj hwm nws. Cov kev kho tuaj yeem pab koj tswj hwm koj cov tsos mob thiab tiv thaiv kev cuam tshuam ntawm tus kab mob.

Coob tus neeg pom tias muaj qee yam zoo los ntawm cov tshuaj ntshav siab, suav nrog:

• angiotensin II receptor blockers: candesartan (Atacand), irbesartan (Avapro), losartan (Cozaar), valsartan (Diovan)
• angiotensin-converting enzyme inhibitors (ACE inhibitors): benazepril (Lotensin), enalapril (Vasotec), lisinopril (Prinvil, Zestril)
• beta–blockers: atenolol (Tenormin), metoprolol (Lopressor, Toprol-XL)
• calcium channel blockers: amlodipine (Norvasc), nifedipine (Adalat CC, Afeditab CR, Procardia)

Koj kuj yuav tsum tau noj cov ntshav txhaws, xws li tshuaj aspirin, tiv thaiv cov ntshav txhaws. Cov no ua kom cov ntshav hla yooj yim dua los ntawm cov hlab ntshav.

Cov kev kho mob ntxiv muaj xws li:

Percutaneous transluminal angioplasty

Txoj kab xaim nyias hu ua txoj raj yas nrog lub zais pa ntawm ib qho kawg yog xov mus rau txoj leeg leeg. Tom qab ntawd, lub zais pa yog inflated kom cov leeg ntshav qhib.

Kev phais mob

Yog tias koj txoj kev txhaws ntawm koj cov leeg ntshav, lossis koj cov leeg ntshav yog qhov nqaim heev, koj yuav tsum tau phais kho kom kho tau. Koj tus kws phais yuav tshem ib feem ntawm koj cov leeg ntshav lossis rov mus ntshav ncig nws.

Nws cuam tshuam li cas rau lub neej ua haujlwm?

FMD feem ntau yuav yog lub neej ntev. Txawm li cas los xij, cov kws tshawb nrhiav tsis pom cov pov thawj tias nws txo qis kev ua neej nyob ntev, thiab ntau tus neeg uas muaj FMD tau nyob rau hauv lawv 80s thiab 90s.

Ua haujlwm nrog koj tus kws kho mob kom pom txoj hauv kev zoo tshaj plaws los tswj koj cov tsos mob, thiab nco ntsoov qhia lawv yog tias koj pom muaj cov tsos mob tshiab, suav nrog:

• kev pom kev hloov
• kev hais lus hloov
• piav tsis hloov pauv ntawm koj sab caj npab lossis ceg