Lub hlwb Aneurysm yog dab tsi, Vim Li Cas Nws tshwm sim? Cov tsos mob thiab kev kho mob

mob hlwb aneurysmKuj tseem hu ua cerebral aneurysm. Ib qho aneurysm nyob rau hauv lub hlwb yog ib qho loj uas tshwm sim ntawm qhov tsis muaj zog ntawm cov hlab ntsha. Piv txwv li; cov phab ntsa ntawm cov hlab ntsha ntawm lub hlwb nthuav. 

Nws txhais tau tias yog o ntawm cov hlab ntsha. Cov hlab ntsha o ua npuas. Txawm tias cov leeg tsis muaj zog tuaj yeem tawg. 

Cov mob no feem ntau ua rau subarachnoid hemorrhage. Subarachnoid hemorrhage ua rau dilation, thinning, thiab rupture ntawm cov hlab ntsha. Cov ntshav ua rau hemorrhagic stroke lossis los ntshav hauv lub hlwb, uas ua rau muaj kev pheej hmoo ntawm kev tuag.

Feem ntau lub hlwb aneurysms nyob twj ywm. Nws tsuas yog kuaj pom qhov teeb meem thaum lub sij hawm neuroimaging lossis autopsy.

Dab tsi yog hom mob hlwb aneurysms?

peb hom mob hlwb aneurysm muaj:

1. Saccular aneurysm: mob hlwb aneurysmyog hom ntawv tshaj plaws. Nws zoo nkaus li ib puag ncig lub hnab ntim nrog cov ntshav, txuas nrog cov hlab ntsha loj.
2. Fusiform aneurysm: Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm o raws li ib tug tshwm sim ntawm balloon los yog protrusion los ntawm tag nrho cov sab ntawm cov hlab ntsha.
3. Mycotic aneurysm: Nws zoo ib yam li succulent fungus, vim nws yog tsim los ntawm kev kis kab mob. 

Dab tsi yog qhov ua rau lub hlwb aneurysm?

Thaum cov phab ntsa ntawm cov hlab ntsha hauv hlwb ua nyias, tawg, lossis tsis muaj zog mob hlwb aneurysm nws tshwm sim. Thinning ntawm cov hlab ntsha tuaj yeem tshwm sim rau txhua lub hnub nyoog thiab nyob ntawm ntau yam. Qee yam uas tuaj yeem ua rau kev loj hlob ntawm tus mob muaj xws li:

• Alpha-glucosidase deficiency, 
• Ehlers-Danlos Syndrome, 
• Fibromuscular dysplasia, 
• Polycystic raum kab mob (PCKD)
• Cov kab mob caj ces xws li Klinefelter syndrome.
• Cov kab mob plawv tsis kho xws li ntshav siab thiab atherosclerosis.
• Kev haus cawv ntev
• Kev siv tshuaj tsis raug cai xws li tshuaj yeeb dawb
• Kev haus luam yeeb ntev
• Glioma
• Kab mob ntawm cov hlab ntsha ntawm lub hlwb (mycotic aneurysm).
• taub hau raug mob
• Cov kab mob ntev xws li ntshav qab zib

Cov tsos mob ntawm lub hlwb aneurysm yog dab tsi?

tsis torn ntawm aneurysm Qee cov tsos mob yog:

• Mob taub hau
• hloov tsis pom kev
• Mob qhov muag

Cov tsos mob vim rupture ntawm aneurysm yog manifested li:

• Sudden pib mob taub hau 
• Xeev siab
• Ntuav
• txhav hauv caj dab
• Ntshai
• Tsis nco qab
• poob ntawm kev sib koom tes
• Pob ntseg, qhov ntswg, qhov muag lossis tus nplaig tsis ua haujlwm
• Photophobia i.e. photosensitivity.
• kev loj hlob ntawm cov menyuam kawm ntawv

Leej twg tau txais lub hlwb aneurysm?

Qee yam uas tuaj yeem ua rau mob aneurysm rupture muaj xws li:

• Muaj aneurysm hauv tsev neeg
• Loj aneurysms (11 mus rau 25 mm los yog ntau tshaj).
• Ua tshaj 40.
• Muaj ntau yam aneurysms uas zoo li loj tuaj
• Ntshav siab

Dab tsi yog qhov teeb meem ntawm lub hlwb aneurysm?

Cov mob tau paub tias ua rau tuag tes tuag taw. Tab sis tag nrho hlwb aneurysms tsis ua rau hemorrhagic stroke. mob hlwb aneurysm Cov xwm txheej uas tuaj yeem tshwm sim yog:

• qaug dab peg
• puas hlwb puas tsuaj
• coma
• Sudden tuag

Yuav kuaj mob hlwb aneurysm li cas?

Yog hais tias nws tsis yog ruptured, nws raug kuaj pom thaum lub sij hawm lub hlwb imaging. Qee qhov kev kuaj mob yog:

• Sib nqus resonance imaging (MRI): Nws pab pom kev hloov pauv hauv cov ntaub so ntswg hauv hlwb.
• Cerebral angiography: Nws yog ua los xyuas cov teeb meem hauv cov hlab ntsha.
• Kev kuaj tomography (CT scan): Nws ua haujlwm los txiav txim qhov chaw ntawm aneurysms thiab seb lawv puas tawg.
• Cerebrospinal kua (CSF) tsom xam: Qhov kev tshuaj ntsuam no yog siv los txheeb xyuas cov ntshav ncig lub hlwb.

Nws kho li cas?

Kev kho mob hlwb aneurysmCov txheej txheem yog raws li nram no:

• Microsurgical clipping (MSC): Nws pab tiv thaiv cov ntshav tawm hauv lub hlwb. Nws thaiv kev siv hlau clip. 
• Platinum kauj embolization: Qhov tob ntawm kev cuam tshuam yog txwv ntau dua li lwm txoj kev. Ntawm no, coils yog siv los occlude aneurysms thiab tiv thaiv cov ntshav los ntawm lub hlwb.
• Cov tshuaj kho mob: Cov tshuaj xws li anticonvulsants yog siv.

mob hlwb aneurysm Nws yog ib yam mob uas yuav ua rau muaj kev phom sij. Subarachnoid hemorrhage tuaj yeem ua rau puas hlwb puas tsuaj rau qee tus neeg. Kev kuaj mob ntxov thiab kev kho mob yog qhov tseem ceeb los ua kom txoj hauv kev rov zoo.

Cov ntaub ntawv: 1