Ua rau, kev kho mob ntawm aneurysms yog cov ncauj lus kub rau cov tshuaj niaj hnub no vim muaj kev pheej hmoo siab ntawm tus mob no. Lub sij hawm yog siv los qhia txog cov txheej txheem ntawm kev ncab ntawm cov phab ntsa ntawm cov hlab ntsha, ua rau lub protrusion ntawm ib cheeb tsam. Raws li ib qho kev ywj pheej pathology, aneurysms localized nyob rau hauv lub aorta, lub plawv, lub paj hlwb thiab peripheral circulatory system yog xam.
cov ntaub ntawv dav dav
Aneurysms tsim nyob rau hauv lub hlwb hu ua cerebral, intracranial. Cov no tuaj yeem ua rau muaj kev puas tsuaj rau cov hlab ntsha hauv hlwb, uas dhau sijhawm yuav ua rau hemorrhage. Ib qho aortic aneurysm yog ib qho kev phais ntawm cov ntaub so ntswg uas tsim cov phab ntsa vascular vim cov kua dej tawm. Yog hais tias tag nrho cov txheej ntawm cov hlab ntsha tawg, yuav muaj ib tug loj-scale hemorrhage, heev ntshav poob. Muaj feem yuav tuag.
Aneurysm localized nyob rau hauv peripheral vascular system tuaj yeem cuam tshuam rau txhua tus ceg. Qee zaum qhov mob ntawm cov hlab ntsha visceral lossis carotid artery tau tsim. Cardiac tshwm sim ntau zaus hauvraws li ib qho teeb meem tawm tsam keeb kwm ntawm lub plawv nres, carditis, raug mob. Tag nrho cov mob ntawm lub plawv tsis ua hauj lwm muab faib ua mob, subacute thiab ntev. Kev faib ua peb pawg tau txais: nceb-, hnab-zoo li, nthuav.
qhov teeb meem tuaj qhov twg?
Qhov laj thawj tseem ceeb ntawm kev mob aneurysm yog qhov yuav tsum tau ua ua ntej genetic prerequisites. Muaj qhov tshwm sim ntau dua ntawm cov kab mob pathological yog tias cov ntshav ntws tsis ua haujlwm zoo, muaj kev ua txhaum ntawm kev ua haujlwm ntawm cov ntaub so ntswg los yog lub raum polycystic. Feem pua ntawm cov neeg mob feem ntau yog vim muaj qhov txawv txav hauv lub xeev ntawm cov hlab ntsha.
Yuav ua rau muaj cov tsos mob ntawm aneurysm ntawm cov hlab ntsha ntawm lub paj hlwb, lub plawv, aorta, thiab lwm yam kev xaiv hauv zos yog kev raug mob, neoplasm lossis qhov txhab. Muaj qhov yuav tshwm sim ntau dua ntawm kev ntsib pathology hauv cov neeg haus luam yeeb hnyav thiab cov neeg mob hypertensive. Cov xwm txheej muaj xws li kab mob sib kis, atherosclerosis, cov roj cholesterol plaques ntawm phab ntsa vascular.
Thiab ntau ntxiv?
Ntau zaus ua rau mob aortic aneurysm yog kub siab. Pathology yuav provoked los ntawm kev raug mob, raug mob, qhov txhab nyob rau hauv lub plab kab noj hniav, hauv siab. Kev tsis haum xeeb ntawm cov hlab ntsha no, atherosclerosis, tuaj yeem ua lub luag haujlwm. Muaj kev pheej hmoo siab dua ntawm kev tsim cov kab mob hauv cov neeg mob syphilis, nrog rau cov neeg uas feem ntau raug yuam kom ntsib ntau yam ntau ntxiv - cuam tshuam rau lub cev, lub hlwb.
Ib yam ua rau lub plawv aneurysm yog lub plawv nres. Qhov no pathological mob ua rautsim cov caws pliav ntawm cov leeg nqaij ntawm cardiosystem. Cov phab ntsa tsim los ntawm xws li fibers ua thinner, lub contractility ntawm lub cev txo. Txij li thaum tseem muaj ntshav siab, cov ntaub so ntswg yog ncab thiab ntu protrudes sab nraud. Feem ntau cov kab mob no tau pom nyob rau thaj tsam ntawm lub septum ntawm lub ventricles los yog nyob rau sab laug ntawm lawv cov kab noj hniav.
Qhov ua rau muaj qhov tsis txaus ntseeg ntawm cov hlab ntsha ntawm cov hlab ntsha peripheral feem ntau yog cov hloov pauv hauv cov ntaub so ntswg thiab kev raug mob tau txais los ntawm tus neeg mob ua ntej. Kev mob ntshav siab ntev thiab mob hauv lub cev, kev sib txawv ntawm cov qauv thiab kev ua haujlwm ntawm cov hlab ntsha tuaj yeem ua rau lawv lub luag haujlwm. Qhov xwm txheej txaus ntshai yog atherosclerosis.
Yuav ua li cas xav?
Txawm hais tias qhov ua rau ntawm qhov aneurysm (lub hlwb, aorta, lwm qhov chaw ntawm qhov chaw), thawj qhov tshwm sim ntawm cov kab mob pathological yuav tingling, kev xav ntawm lub siab, cuam tshuam raws nraim qhov chaw mob vascular nyob.. Kev tsis xis nyob yog vim lub siab ntawm cov txheej txheem organic nyob ib puag ncig ntawm lub nkoj. Yog hais tias qhov aneurysm ruptures, mob hnyav thiab mob hnyav tshwm sim. Hauv qee kis, tsis muaj cov tsos mob tshwm sim. Nws tsis yog qhov tsis yooj yim rau kev kuaj pom kab mob los ntawm kev sib tsoo thaum lub sijhawm kuaj kev tiv thaiv, ultrasound, lossis thaum ntsuas x-ray, uas tus neeg mob raug xa mus rau lwm qhov laj thawj.
Cas refinement
Cov neeg mob uas muaj qhov ua rau mob aneurysm tsim nyog tau txais kev saib xyuas tshwj xeeb. Cov tsos mob ntawm tus mob no raws li qhiasaum toj no, tej zaum yuav tsis tuaj, yog li nws yog ib qho tseem ceeb rau cov neeg muaj kev pheej hmoo kom tsis tu ncua mus rau kev tiv thaiv kev ntsuam xyuas los txiav txim tawm pathology. Yog tias xav tias aortic aneurysm, yuav tsum tau kuaj xyuas tus neeg mob lub cev. Lawv coj ECG, ua aortography, siv cov khoom siv rau ultrasound, x-rays, qhia meej txog Wasserman cov tshuaj tiv thaiv.
Yog xav tias muaj qhov mob cerebral aneurysm, angiography ntawm vascular system ntawm lub cev yog tsim nyog. Yog tias muaj laj thawj xav tias mob plawv aneurysm, tus neeg mob tau pom ECG, kuaj ultrasound, echocardiography. Yog hais tias lub peripheral circulatory system yog xav tias yog ib qho chaw ntawm localization, ib tug neeg raug xa mus rau dopplerography siv ultrasound, CT, angiography.
Yuav ua li cas?
Yog hais tias ib qho aortic aneurysm, cerebral, plawv los yog lwm yam, tau tshwm sim (tsis hais seb yog vim li cas), tus neeg mob raug qhia rau kev phais. Ib qho kev cuam tshuam tsis raws sijhawm lossis qhov tsis muaj qhov ntsuas no cuam tshuam nrog kev pheej hmoo ntawm kev tawg ntawm thaj av. Nrog lub plawv, raws li ib qho chaw ntawm localization, tus neeg mob tau pom lub txaj so. Thaum xub thawj, kev ruaj ntseg ntawm lub xeev tuaj yeem tswj tau nrog cov tshuaj rau kev siab thiab arrhythmias. Nrog rau kev nce qib ntawm rooj plaub thiab lub plawv tsis txaus, nws yog ib qho tseem ceeb uas yuav tsum tau ua haujlwm ntawm tus neeg mob kom sai li sai tau.
Rau aortic aneurysm, nws raug qhia kom noj tshuaj kom ruaj khov. Nyob rau hauv ib qho teeb meem nyuaj, endovascular cuam tshuam los yog qhib kev phais yog ua. Ib qho aneurysm hauv lub hlwb tsuas yog kho tau nrog kev phais. Thaum muaj kev cuam tshuam, cov kws kho mob hauv thaj chaw muaj kab mob, tshem tawm nws los ntawm kev sib txuas ntawm cov hlab ntsha.nkoj.
Cerebral aneurysm: rooj plaub nta
Koj tuaj yeem xav tias daim ntawv no yog tias koj txhawj xeeb txog qhov mob ntawm qhov muag, hauv pliaj, cov menyuam kawm ntawv nce, qhov muag tsis pom kev, thiab tsis pom kev. Feem ntau cov neeg mob tsis nyiam cov neeg mob, vim tias qhov mob hnyav zuj zus tuaj. Pathology tuaj yeem xav tias loog ntawm lub ntsej muag, thaum mob hnyav - tuag tes tuag taw. Daim tawv muag poob.
mob nrawm nrawm, qhov muag tsis pom kev, nruj ntawm lub ncauj tsev menyuam cov nqaij mos, xeev siab, ntuav qhia txog qhov tawg ntawm thaj chaw. Tej zaum convulsive lossis tsis nco qab lub xeev, photophobia. Rau qee tus, muaj peev xwm hais lus sib txuas lus thiab hais lus tsis zoo.
Txawm tias zoo li tsis muaj laj thawj rau qhov tshwm sim ntawm lub paj hlwb aneurysm, nrog rau qhov mob sai thiab ntse, nrog rau ob lub zeem muag, koj yuav tsum mus ntsib kws kho mob. Yog hais tias ib tug neeg nyob ze ntog unpredictably, convulsive txav yog pom tau hais tias, koj yuav tsum tau hu mus rau kev pab tsim nyog.
Muaj peev xwm ua tau: nuances ntawm localization hauv hlwb
Tej zaum qhov tseem ceeb tshaj plaws thiab tseem ceeb ua rau mob hlwb pob txha yog qhov yuav tsum tau ua ua ntej. Ib qho kev txawv txav, kev khoov tsis raug ntawm cov ntsiab lus ntawm lub cev, nrog rau kev ua txhaum ntawm kev ncaj ncees thiab kev ua haujlwm ntawm cov ntaub so ntswg tuaj yeem ua si lawv lub luag haujlwm. Qhov tshwm sim ntawm aneurysm raws li qhov teeb meem yog nce yog tias ib tug neeg raug kev txom nyem los ntawm Ehlers-Danlos pathology. Ib qho aneurysm tuaj yeem xav tias mob taub hau yog tias qhov mob taub hau tau raug mob yav dhau los, ib tus neeg tau muaj kab mob sib kis, raug mob fungal, lossismob syphilis. Ntawm cov ua rau cerebral aneurysm yog cov qog nqaij hlav neoplasms ntawm thaj chaw no, nrog rau atherosclerosis.
Cov pab pawg muaj kev pheej hmoo rau cov kab mob piav qhia suav nrog cov rog rog thiab cov neeg haus luam yeeb, nrog rau cov uas niaj hnub siv tshuaj hormonal. Qhov phom sij yog siab dua yog tias pom cov ntsiab lus ntawm cov roj (cholesterol) siab hauv cov hlab ntshav. Ib qho ntawm cov ua rau cerebral aneuryms yog ntshav siab. Cov neeg uas raug kev puas tsuaj los ntawm kev ntxhov siab yog qhov txaus ntshai dua. Qee qhov kev pheej hmoo cuam tshuam nrog ionizing hluav taws xob, lub raum hypoplasia.
Minimize risks: puas ua tau?
Paub qhov ua rau lub hlwb aneurysm, koj tuaj yeem kho koj txoj kev ua neej kom tsis txhob muaj kev phom sij tsawg. Tshwj xeeb, koj yuav tsum tswj hwm cov khoom noj khoom haus, txo qis cov roj cholesterol los ntawm cov zaub mov, qhia txog kev ua kom lub cev txaus rau hauv lub neej txhua hnub thiab tshem tawm qhov hnyav dhau. Tsis tas li ntawd, txhua tus cwj pwm phem, thiab tshwj xeeb tshaj yog kev haus luam yeeb, yuav tsum nyob hauv yav dhau los.
Txheeb xyuas qhov ua rau lub hlwb aneurysm, nws yog qhov tseeb tias koj tuaj yeem txo qhov kev pheej hmoo yog tias koj tswj siab, noj kom raug, dilute cov zaub mov nrog txiv hmab txiv ntoo thiab zaub. Koj yuav tsum txwv tsis pub siv cov tshuaj hormonal, thiab nws yog ib qho tseem ceeb uas yuav tsum koom tes nrog txhua cov tshuaj noj nrog tus kws kho mob. Txhawm rau txo kev phom sij, ib tus yuav tsum rov xav txog txoj hauv kev thiab kev sib hloov ntawm lub neej kom txo qis kev ntxhov siab, thiab thaum muaj teeb meem kev noj qab haus huv, tsis zoo. Zoo siab, mus ntsib kws kho mob kom paub qhov tseeb.
Kev nthuav qhia thiab kev kho mob
Yog tias muaj laj thawj xav tias muaj mob aneurysm, ces koj yuav tsum tuaj tos txais. Ua ntej, tus kws kho mob yuav tshuaj xyuas tus neeg mob, sau cov lus tsis txaus siab thiab xa lawv mus kuaj kom paub meej txog kev ua haujlwm ntawm lub cev. Cov ntaub ntawv yooj yim tau txais los ntawm kev tshuaj xyuas cov kua cerebrospinal. Txhawm rau kom paub meej qhov kev kuaj mob lossis tsis suav nrog nws, CT scan ntawm lub hlwb, MRI, angiography yog sau.
Aneurysms ua rau muaj kev txhawj xeeb, yog li kev kho mob yuav tsum pib sai li sai tau thaum kuaj pom tseeb. Nrog rau qhov me me ntawm cov kab mob pathology, nws yuav tsum rov xav txog txoj kev ua neej, tswj lub siab thiab txo qis cov roj cholesterol, thiab tuaj rau kev ntsuam xyuas nrog kev ua haujlwm tsis tu ncua. Yog tias yuav tsum tau ua haujlwm, qhib ib qho tuaj yeem ua tau los ntawm kev ua haujlwm cranial trepanation. Siv tshuab shunting, kws kho mob yuav ntxiv dag zog rau cov phab ntsa vascular. Txoj kev endovascular cuam tshuam nrog kev qhia txog cov kab mob microscopic los ntawm cov hlab ntsha femoral, uas thaiv thaj chaw muaj kab mob.
Localization - aorta
Cov kab mob no feem ntau tshwm sim, hauv pawg hnub nyoog tshaj 65 nws tshwm sim nrog ntau zaus ntawm ib kis ntawm nees nkaum tus neeg. Yog hais tias qhov teeb meem cheeb tsam ruptures, muaj feem ntau yuav tuag. Txoj kev kho mob yog tshem tawm cov kab mob thiab lawv hloov nrog cov khoom siv dag zog.
Ua ntej xav txog qhov ua rau mob aneurysm, ib tus yuav tsum tau saib xyuas tib neeg lub cev. Lub aorta yog cov hlab ntsha loj tshaj plaws hauv tib neeg lub cev. Los ntawm nws, lub plawv yog nkag nrog cov ntshav, los ntawm qhov twg cov kua los ntawm cov cegcov hlab ntsha nkag mus rau ntau yam ntaub so ntswg thiab kabmob. Lub aorta ntawm lub plawv nce mus rau hauv daim ntawv ntawm arc, nqis los ntawm lub hauv siab, plab kab noj hniav.
Aortic aneurysm yog tsim yog tias ib feem ntawm lub nkoj no nthuav dav, protrudes. Qhov feem pua ntawm cov neeg mob feem ntau poob rau ntawm thaj chaw hauv cheeb tsam hauv lub plab kab noj hniav, qhov thoracic raug kev txom nyem tsawg dua. Cov phab ntsa aortic tsis muaj zog, thiab ntshav siab ua rau muaj kev hem thawj rau nws. Qhov tshwm sim ntawm rupture feem ntau nyob ntawm qhov loj ntawm qhov aneurysm. Nrog rau qhov loj ntawm ntau tshaj 5 cm nyob rau hauv txhua txhua plaub tus neeg mob, rupture tshwm sim nyob rau hauv cuaj xyoo tom ntej. Nrog qhov loj me, qhov txaus ntshai yog siab dua. Yog tias qhov aneurysm me me, kev phais yuav tsis teem sijhawm, tab sis koj yuav tau mus ntsib lub tsev kho mob txhua rau lub hlis txhawm rau saib xyuas kev nce qib.
Cov tsos mob thiab kev loj hlob ntawm pathology
Nrog rau qhov aneurysm localized nyob rau hauv lub plab kab noj hniav ntawm phab ntsa aortic, ib tug neeg txhawj xeeb txog pulsation, mob dull. Koj lub nraub qaum yuav mob. Raws li txoj cai, ob peb xyoos dhau los ua ntej thawj qhov tshwm sim tshwm sim los ntawm lub sij hawm aneurysm tshwm.
Yog tias muaj qhov tawg, qhov mob hnyav tshwm sim hauv plab, kis mus rau sab nraub qaum. Rupture yog qhov ua rau los ntshav hnyav. Yog tias koj tsis ua kev phais sai, muaj feem ntau ntawm kev tuag.
Ua rau thiab qhov tshwm sim
feem ntau ua rau mob plab aortic aneurysm yog atherosclerotic plaques. Nrog rau tus kab mob, cov roj cholesterol accumulates ntawm phab ntsa vascular, calcium deposits kuj nyob ntawm no thiabfibrin. Tag nrho cov no provokes protrusion thiab tsis muaj zog ntawm phab ntsa. Qhov tshwm sim ntawm kev tsim atherosclerosis, thiab yog li ntawd, aneurysms, yog siab dua yog tias ib tug neeg haus luam yeeb, raug kev txom nyem los ntawm ntshav siab thiab hnyav dhau. Qhov phom sij loj dua yog tias tsis muaj kev tawm dag zog lub cev. Keeb kwm predisposition, poj niam txiv neej plays lub luag hauj lwm (rau cov txiv neej, qhov txaus ntshai yog ntau dua). Aneurysms muaj ntau dua rau cov neeg tshaj 55.
Qee lub sij hawm aortic aneurysm yog tsim los ntawm keeb kwm ntawm kev raug mob (ntau zaus - vim muaj kev sib tsoo ntawm txoj kev), kab mob (syphilis), kab mob hauv lub cev. Qhov kawg yog qhov tsawg tshaj plaws. Piv txwv li, Marfan's Syndrome yog ib qho ntawm cov laj thawj uas ua rau muaj qhov tshwm sim ntawm tus mob thoracic aortic aneurysm.
Yuav kom paub meej lossis tsis lees paub qhov kev kuaj mob, koj yuav tsum sab laj nrog kws kho mob. Tus kws kho mob yuav tshuaj xyuas tus neeg mob, muab CT scan, ultrasound, x-ray nrog tus neeg sawv cev sib txawv. Thaum kuaj pom tseeb, kev kho mob tau sau tseg raws li cov tsos mob ntawm tus mob, qhov loj ntawm thaj chaw muaj kab mob. Ib qho rupture yuav tsum tau phais sai. Qhov xwm txheej no cuam tshuam nrog kev pheej hmoo siab, kev pheej hmoo ntawm kev tuag tseem ceeb heev.
Txoj kev sib nrauj
Tam sim no, nws tsis tuaj yeem txheeb xyuas qhov ua rau ntawm qhov txhab pob txha. Nws tsuas yog paub tias qhov no tuaj yeem tshwm sim sai heev, tsis muaj qhov yuav tsum tau ua ua ntej. Los ntawm cov txheeb cais nws ua raws li kev so, txog li 60% ntawm cov neeg raug tsim txom tuag tam sim ntawd, kwv yees li ib lub hlis twg tau txais kev tsis taus, thiab tsuas yog 15% ntawm cov tib neeg tuaj yeem rov qab mus rau lub neej zoo, kev ua haujlwm.
Aneurysm muaj peb theem: prehemorrhagic, hemorrhagic,posthemorrhagic. Ua ntej rupture, feem ntau xyaum tsis muaj tsos mob. Qhov sib txawv atypical nrog ib daim duab uas tau muab tshem tawm yog ua tau, tsim cov ntim me me. Nyob rau hauv cov ntaub ntawv no, lub rupture ntawm ib tug cerebral aneurysm zoo ib yam li inflammatory dab nyob rau hauv lub meninges, ib tug hypertensive ntsoog.
Brain aneurysm: chav kawm thiab rupture
Tau tsim qhov mob loj heev. Ua ntej rupture, qhov no zoo ib yam li tshwm sim rau lub hlwb neoplasm. Tus neeg mob txhawj xeeb txog qhov mob hauv lub taub hau, nws nyuaj rau kev sib koom tes, qhov muag tsis pom kev, thiab lub taub hau tig. Thaum lub sij hawm ntawm rupture, qhov tshwm sim zoo ib yam li subarachnoid hemorrhage ntawm ib tug tsis muaj mob. Ib tug neeg yws txog qhov mob taub hau, kev hnov lus zoo piv rau lub tshuab muaj zog, nws ua tsis tau rau kev taug kev hauv qhov chaw. Cov tsos mob zoo ib yam li mob meningitis: cov leeg ntawm lub nraub qaum ntawm lub taub hau yog nruj, lub teeb ntshai, tus neeg mob hnov mob, ntuav. Maj mam, cov tsos mob ntawm tus mob stroke yuav tshwm sim: rhiab heev tsis muaj zog, cov menyuam kawm ntawv tsis hnov mob rau lub teeb, lub ntsej muag nqaij asymmetrical, lub luag nyav yog spastic, twisted.
Yog qhov mob hnyav, cov tsos mob ntawm kev ua haujlwm tsis zoo ntawm lub paj hlwb ntawm lub paj hlwb tau maj mam pom. Nystagmus tshwm, ntawm ib sab ntawm lub ntsej muag daim tawv muag poob, lub qhov ncauj dries, muaj peev xwm paub qhov tsw ploj. Meninges khaus los ntawm cov ntshav thiab nws cov metabolites. Ib qho kev tshwm sim tshwm sim yog vasospasm. Cov teeb meem zoo li no feem ntau tshwm sim ob peb hnub tom qab cov ntshav poob, vim muaj cov tshuaj lom ntawm cov chaw vasomotor. Qee zaum, vasospasm txuas ntxiv mus txog thaum lub crescent. Nws tsis tuaj yeem kho tau, thiab qhov tshwm sim yog mob stroke ischemic. Lub nuances ntawm cov tsos mob nyob ntawm seb qhov chaw ntawm lub zos.
Kev tshwm sim thiab kev qhia meej ntawm lub xeev
Qhov tawg ntawm qhov aneurysm yog qhia los ntawm kev tsis zoo ntawm tus neeg mob qhov kev xav ntawm kev hais lus. Los ntawm sab, kev cuam tshuam ntawm lub cev muaj zog, qhov nyuaj ntawm kev sib koom tes yog pom. Cov suab nrov hauv pob ntseg, tso zis tsis tswj tau. Tom qab thawj qhov hemorrhage, rov tshwm sim yog qhov tshwj xeeb tshaj nyob rau lub hli tom ntej.
Yuav kom paub meej tus neeg mob tus mob, cerebral angiography los ntawm CT tau qhia. Raws li ib feem ntawm txoj kev tshawb no, qhov chaw ntawm protrusion thiab thaj chaw uas cov vascular lumen tau nthuav dav heev tau txiav txim siab. Raws li cov txiaj ntsig ntawm CT, los ntshav yog nyob hauv cheeb tsam, qhov ntim ntawm cov cheeb tsam cuam tshuam raug soj ntsuam, thiab qhov muaj thiab qib ntawm hydrocephalus raug txiav txim. Ntawm cov kauj ruam ua ntej hemorrhagic, cov ntaub ntawv tseem ceeb tshaj plaws tuaj yeem tau txais los ntawm MRI. Ntawm cov invasive, txoj kev kuaj pom muaj txiaj ntsig zoo tshaj plaws yog cerebral angiography.
Tus neeg mob tuaj yeem tso zis thiab ntshav mus kuaj. Ob qhov kev sim dav dav thiab kev tshawb fawb biochemistry qhia tsis muaj qhov txawv txav.
Txoj kev tshwm sim thiab yav tom ntej
Rupture ntawm lub hlwb aneurysm ua rau mob stroke, vasospasm, hemorrhage. Cov mob no tuaj yeem ua rau mob khaub thuas hnyav. Tej zaum ib qho kev ua txhaum ntawm cov qauv ntawm lub paj hlwb - lawv yog irreversible. Ib qho aneurysm rupture tuaj yeem ua rau tsis pom kev, tsis muaj peev xwm hais lus. Tej yam tshwm sim - paresis, tuag tes tuag taw, tsis muaj peev xwm txav mus los, koom tes ua haujlwm. Nws paub tias qee qhov xwm txheej, qhov tawg ntawm qhov aneurysm dhau los ua qhov ua rau muaj kev nyiam ua rau qaug dab peg.
Nrog daim duab kho mob ntawm subarachnoidlos ntshav ntawm qhov tsis raug mob, nws yog ib qho tsim nyog yuav tsum tau mus pw kho mob sai sai rau tus neeg mob hauv tsev kho mob. Txawm hais tias qhov chaw ntawm qhov sib txawv thiab nws qhov ntev npaum li cas, yuav tsum tau ua haujlwm ceev. Vascular spasm ho ua rau daim duab tsis zoo thiab kev cia siab, txo qhov yuav ua kom rov zoo dua. Thaum ntsuas qhov ua tau zoo ntawm cov kev kho mob uas tau xaiv, nws yog ib qho tsim nyog los tshuaj xyuas qhov kev ua tiav ntawm cov tsos mob nyem thiab tus nqi rov qab mus rau qhov qub ntawm cov haujlwm tseem ceeb cuam tshuam.
Txoj kev kho mob
Ua ntej kev phais, kev kho kom zoo yog qhia. Lub luag haujlwm tseem ceeb uas cov kws kho mob tau ua yog txhawm rau txhim kho tus neeg mob tus mob thiab tiv thaiv kev rov qab los, nrog rau vasospasm. Yog tias ib tug tau tsim, cov tshuaj raug xaiv kom txo tau tus mob. Nrog kev tshwm sim ntawm ischemia, kev kho mob yog tsom rau lawv txoj kev pab. Txhawm rau txo qhov tshwm sim ntawm cov teeb meem hauv lub sijhawm postoperative, kom yooj yim rau kev cuam tshuam nws tus kheej, lumbar kua yuav tsum tau ua. Nws tau pom tias tshem tawm txog 20 ml ntawm cerebrospinal kua. Txhawm rau txo qhov kev pheej hmoo ntawm kev nqhis dej, siv cov kua dej tawm sab nraud. Lawv tiv thaiv vascular spasm los ntawm kev tshem tawm cov ntshav txhaws, tshem tawm cov hematoma, thiab tom qab ntawd tsis suav nrog thaj tsam ntawm qhov aneurysm los ntawm cov ntshav ncig.
Qee zaum, kev ua haujlwm tsis tuaj yeem ua tsis tau - piv txwv li, tus neeg mob tus mob tuaj yeem hnyav heev, nws tsis tuaj yeem ua kom ruaj khov. Nyob rau hauv cov xwm txheej zoo li no, sab nraud decompression thiab tshem tawm ntawm hematoma yog qhia yam tsis muaj kev cais tawm aneurysm. Tus neeg mob tau muab cov dej ntws tawm. Nrog rau qhov me me ntawm thaj chaw pathological, lub caj dab dav ntawm qhov aneurysm, nrog rau thaj tsam loj heev uas tsis tuaj yeem ua tau.ua haujlwm, occlusion hauv cov hlab ntsha yog qhia. Siv lub qhov rooj lossis lub npas hloov kho.
Yog tias cov ntshav seem tseem nyob tom qab kev phais endovascular, kev ua haujlwm yuav tsum rov ua dua siv cov cuab yeej qhib. Tom qab txiav tawm, pom qhov puncture lossis qhib, tsim los tshem tawm thaj chaw muaj kab mob los ntawm kev sib txuas ntawm cov hlab ntsha.
