Hnub no, coob leej xav tias yog ob txhais ceg xiav, txhais li cas.
Lub sij hawm kho mob rau cov kab mob pathological thaum tus neeg muaj ceg xiav yog cyanosis. Qhov tshwm sim no feem ntau yog tshwm sim los ntawm qhov tsis muaj oxygen hauv cov ntshav. Qee zaum cov xim cyanotic ntawm ob txhais ceg yog nrog los ntawm o, qhov no, qee cov kab mob, nrog rau cov hlab ntsha sib sib zog nqus, kuj tseem tuaj yeem yog qhov tshwm sim ntawm qhov tshwm sim.
Ua rau xiav qis qis
Qhov laj thawj tseem ceeb ntawm ob txhais ceg xiav yog qhov hnyav heev thiab xav tau kev kho mob sai. Txawm li cas los xij, qee yam hauv kev txhim kho cov kab mob pathological no tsis loj heev thiab tuaj yeem raug tshem tawm siv ntau yam tshuaj hauv tsev.
Ib qho ntawm feem ntau thiab tsawg tshaj plaws pab cuam rau xiav taw yog qhov kub thiab txias. Yog hais tias ob txhais ceg tig xiav thaum ib tug neeg txias, yog vim li cas rau qhov noQhov tshwm sim feem ntau yog kev txhim kho ntawm Raynaud tus kab mob. Nws yog ib qho teeb meem kev kho mob hnyav uas feem ntau tshwm sim hauv cov neeg haus luam yeeb thaum lub sij hawm extremities tig thawj kab mob dawb thiab tom qab ntawd xiav, tshwj xeeb tshaj yog thaum raug kub hnyiab.
Yog vim li cas qhov no yog nyob rau hauv cov khoom ntawm cov ntshav ncig. Thaum ib tug neeg khov, cov ntshav pib ntws mus rau hauv lub cev tseem ceeb kom lawv sov. Nyob rau tib lub sijhawm, muaj qhov txo qis hauv cov ntshav ncig hauv cov ceg. Yog tias ib tug neeg pom tias lawv ob txhais ceg tig xiav thaum qhov kub thiab txias, lawv yuav tsum sim ua kom sov kom maj mam.
Feem ntau ua rau xiav ob txhais ceg loj txaus xav tau kev pab tshaj lij.
Raws li Lub Chaw Tiv Thaiv Kab Mob, ntau dua 33,000 tus neeg tuag hauv ib xyoos yog tshwm sim los ntawm kev raug mob lom. Thiab ib qho ntawm feem ntau cov tsos mob ntawm kev lom yog xiav ob txhais ceg. Hauv particular, cyanosis tshwm sim vim muaj tshuaj lom cyanide. Cyanide cuam tshuam cov txheej txheem ntawm kev sib cuam tshuam ntawm lub cev nrog oxygen, ua rau kev loj hlob ntawm xiav sab.
Congenital heart disease
Qee tus menyuam yaus muaj kev tshaib plab hnyav thaum yug los, qee zaum cov menyuam mos yug los nrog daim tawv nqaij xiav. Lub npe nrov rau qhov tshwm sim pathological no yog "blue baby syndrome". Lub cev xiav kiag li lossis tsuas yog ob txhais ceg tuaj yeem tshwm sim los ntawm tus mob hu ua cyanotic heart disease. Lwm cov kab mob plawv yog cuam tshuam nrog cyanosis hauv neeg laus.
Qee lub plawv tsis xws luagntawm ib tug congenital xwm qhia tau hais tias txoj cai seem ntawm lub plawv ntws mus rau sab laug, tsis ncav cuag lub ntsws, thiaj li yuav tau txais ib tug loj ntim ntawm oxygen. Vim li ntawd, daim tawv nqaij tig xiav.
Lub plawv tsis xws luag tshwm sim thaum yug los thiab xav tau kev saib xyuas zoo.
Qhov xwm txheej twg tuaj yeem hais thaum ob txhais ceg tig xiav?
Atherosclerosis
Ib yam mob uas tseem ua rau cov ceg xiav yog atherosclerosis, uas yog tus cwj pwm los ntawm kev tsim cov roj cholesterol thiab calcium plaques hauv lumen ntawm cov hlab ntsha, uas cuam tshuam cov ntshav khiav. Raws li kev tshawb fawb hauv Munich hauv xyoo 2008 tau pom tias, cov hlab ntsha thickening thiab hardening ua rau cov pa oxygen tsawg dua rau ob txhais ceg, vim tias tus neeg mob cov ntiv taw tig xiav ua ntej, thiab tom qab ntawd cov xim xiav ntawm cov extremities tshwm sim.
Atherosclerosis yog kho nrog kev noj zaub mov, kev tawm dag zog thiab tshuaj tshwj xeeb.
Asthma
mob hawb pob tuaj yeem ua rau muaj xwm txheej uas ob txhais ceg o thiab xiav. Tus kab mob no txwv tsis pub cov pa oxygen nkag mus rau hauv lub ntsws, thiab qhov mob tsis txaus oxygen hauv ntau zaus ua rau lub ntsej muag daj rau ntawm daim tawv nqaij. Mob hawb pob tuaj yeem tsim tawm tsam keeb kwm ntawm kev ua xua, ntau lub plawv mob, thiab lwm yam. Vim li cas ob txhais ceg tig xiav nrog mob hawb pob? Cov lus teb rau lo lus nug no yog hais tias nrog ib tug tsis muaj oxygen, cov ntshav yuav tsum tsis txhob tag nrho ntws mus rau hauv tej thaj chaw deb cov ntaub so ntswg ntawm lub cev, thiab cyanosis yog pom meej nyob rau hauv lub extremities, feem ntau yog cov qis dua.
Emphysema
Raws li ntau qhov kev tshawb fawb thiab kev soj ntsuam, emphysema yog qhov thib plaub ua rau tus neeg mob tuag hauv Tebchaws Meskas, thiab feem ntau cuam tshuam nrog kev haus luam yeeb. Raws li nrog rau kev txhim kho mob hawb pob, tsis muaj oxygen yog qhov ua rau cov tawv nqaij ntawm qhov kawg tig xiav. Yog hais tias hawb pob nyob rau hauv lub ntsws thiab expectoration ntawm cov ntshav los yog hnoos qeev tau pom, thiab nyob rau tib lub sij hawm ob txhais ceg ua bluish, ces qhov no tej zaum yuav emphysema, uas yog ib tug kab mob ntawm lub ua pa kab mob, uas yog yus muaj los ntawm kev nthuav dav ntawm huab cua nyob rau hauv lub distal bronchioles.. Cov neeg uas raug kev txom nyem los ntawm qhov tshwm sim pathological no tau kho nrog oxygen thiab tshuaj.
txhais li cas thaum cov ntiv taw loj tig xiav?
YDeep vein thrombosis
Qhov no yog ib yam mob uas cov ntshav txhaws (cov ntshav txhaws) tsim nyob rau hauv cov hlab ntsha, tiv thaiv cov ntshav tsis zoo. Nyob rau hauv kev kho mob, thrombosis ntawm ob txhais ceg yog ntau tshaj li venous thrombosis ntawm lwm yam localizations.
Thrombi tuaj yeem tsim tsis yog hauv cov leeg sib sib zog nqus, tab sis kuj nyob rau hauv cov leeg subcutaneous, tab sis hom thrombosis no tsis tshua muaj teeb meem loj. Tsis zoo li cov kab mob xws li thrombophlebitis, cov hlab ntsha sib sib zog nqus yuav tsum tau saib xyuas thaum muaj xwm txheej ceev, vim tias nws cuam tshuam nrog kev pheej hmoo ntawm kev tsim cov teeb meem loj heev rau lub neej, xws li nce ntshav txhaws mus rau lub plawv.
Ntau yam tsim nyog rau kev txhim kho tus kab mob no:
- kev puas tsuajCov txheej txheem sab hauv ntawm phab ntsa venous vim raug tshuaj lom neeg, tshuab, kis kab mob lossis ua xua;
- hloov pauv hauv cov ntshav coagulation;
- slow blood flow.
Raws li qee qhov xwm txheej, qhov ntom ntawm cov ntshav nce ntau heev. Yog tias muaj teeb meem ntawm cov phab ntsa ntawm cov hlab ntsha rau nws txoj kev loj hlob ib txwm, qhov tshwm sim ntawm cov ntshav txhaws yuav nce. Cov ntshav me me uas ua rau ntawm phab ntsa venous ua rau mob thiab puas rau phab ntsa, uas ua rau muaj lwm cov ntshav txhaws.
Qhov tshwm sim ntawm qhov tshwm sim xws li cov hlab ntsha sib sib zog nqus ua rau muaj qhov txhaws ntawm cov leeg ntawm ob txhais ceg. Yog vim li cas rau qhov stagnation no yog ib tug sedentary txoj kev ua neej nyob rau lub sij hawm ntev.
Lwm yam tshwm sim rau kev sib sib zog nqus thrombosis yog:
- kev mob nkeeg;
- surgery;
- lub cev muaj zog;
- kis kab mob;
- ncua ntev immobility tom qab phais, kho mob thiab cov kab mob neurological;
- postpartum;
- noj tshuaj hormonal qhov ncauj contraceptives;
- tsim ntawm malignant qog;
- DIC.
Qhov kev pheej hmoo ntawm tus kab mob no nce ntxiv nrog kev tsis tuaj yeem ntev nrog ob txhais ceg qis. Yog li ntawd, congestion tshwm sim nyob rau hauv qis extremities, uas ua rau cov hlab ntsha sib sib zog nqus thrombosis.
Thawj yam uas tshwm sim thaumqhov tshwm sim ntawm no pathology, ob txhais ceg los yog ib tug limb yuav xiav heev. Yog hais tias tus neeg mob mam li nco dheev pom tias nws txhais ceg o thiab nws cov ntiv tes los yog tag nrho cov tawv nqaij ntawm ceg tawv yog xiav, nws yog ib qho tseem ceeb hu rau lub tsev kho mob. Cov tsos mob no yog cov cim qhia pom tseeb ntawm cov hlab ntsha sib sib zog nqus ntawm txhais ceg.
txhais li cas yog txhais ceg tig xiav thiab mob?
Buerger's disease
Buerger tus kab mob yog thromboangiitis obliterans - qhov nqaim ntawm cov hlab ntsha ntawm qhov nruab nrab thiab me me nyob rau hauv qis qis vim muaj qee yam txheej txheem inflammatory. Qee zaum, pathology tuaj yeem pom nws tus kheej hauv cov hlab ntsha, visceral thiab cerebral hlab ntsha. Nws yog ib txwm ntseeg hais tias qhov no pathology cuam tshuam feem ntau cov txiv neej haus luam yeeb los ntawm 20-40 xyoo. Txawm li cas los xij, nyob rau hauv xyoo tas los no, cov neeg mob ntawm kev loj hlob ntawm tus kab mob hauv cov poj niam tau dhau los ua ntau zaus, vim muaj kev sib kis ntawm kev haus luam yeeb ntawm lawv.
Txawm hais tias qhov kev xav ntawm cov kws kho mob, qhov etiology ntawm tus kab mob tsis tau qhia meej meej: muaj cov lus qhia txog kev cuam tshuam rau lub cev ntawm cov neeg mob ntawm cov tshuaj tiv thaiv kab mob thiab muaj cov tshuaj tiv thaiv kab mob tiv thaiv laminin, elastin thiab collagens. Cov tsos mob tseem ceeb ntawm pathology yog cyanosis ntawm ob txhais ceg, o thiab mob.
Nws tshwm sim tias tus ntiv taw loj tig xiav. Qhov ntawd hais li cas?
Mob ntshav qab zib yog ib qho ua rau cov ceg xiav. Cov neeg uas raug kev txom nyem los ntawm hom 2 mob ntshav qab zib mellitus yog ob peb zaug ntau dua yuav saib xyuas cov hlab ntsha xiav hauv lawv tus kheej, uas yog vim lawv cov hlab plawv tsis zoo los ntawm lub ntsiab.kab mob. Ntshav qab zib tuaj yeem ua rau kom cov hlab ntsha nqaim nrog cov ntshav qab zib kom siab. Yog li ntawd, kev ua tsis taus pa tuaj yeem ua rau ob txhais ceg xiav.
Yuav ua li cas rau qhov no pathology?
txoj kev kho
Cov txheej txheem kho mob kom tshem tawm cov xim xiav ntawm ob txhais ceg yog txhawm rau kho cov kab mob hauv qab uas ua rau muaj qhov tshwm sim pathological. Kev kho mob nyob rau hauv txhua rooj plaub pib sib txawv. Yog tias ob txhais ceg xiav tau pom nrog cov ntshav tsis txaus, cov tshuaj ua kom ntshav hnyav thiab rub tawm. Atherosclerosis yog kho nrog cov tshuaj uas ua kom yaj cov atherosclerotic plaques hauv cov hlab ntsha.
Thiab yog cov ntiv taw tig xiav, kuv yuav ua li cas?
Yog tias ib tug neeg muaj cyanosis ntawm ob txhais ceg vim thrombosis, kev phais raug txiav txim kom immobilize lub thrombus thiab ntau yam tshuaj uas tiv thaiv cov ntshav ntom. Yog tias ntshav qab zib mellitus los ua qhov ua rau muaj xim xiav ntawm ob txhais ceg, yuav tsum muaj ntau yam kev kho mob - normalization ntawm cov ntshav qab zib, ntshav thinning, thiab tiv thaiv cov txheej txheem vascular blockage.
