Los ntawm tus neeg lub ntsej muag, uas yog hais txog qhov mob ntawm nws cov tawv nqaij, nws muaj peev xwm txiav txim siab tias nws noj qab nyob zoo npaum li cas thiab muaj kab mob dab tsi hauv lub cev. Yog li, qee zaum qee qhov daj tshwm ntawm daim tawv nqaij ntawm daim tawv muag, ib hom quav hniav hu ua xanthelasma.
Rau tib neeg lub zeem muag, cov qauv no tsis tsim kev hem thawj. Lawv tsuas yog cov tsos mob ntawm kev ua txhaum ntawm cov rog metabolism, uas ua rau kev nce siab hauv cov ntshav qab zib thiab cov cholesterol.
Hauv qhov no, cov roj ntsha hnyav tuaj yeem tshwm sim tsis tsuas yog nyob rau cov neeg uas muaj ntshav qab zib mellitus, kub siab lossis rog dhau. Cia peb xav txog hauv cov ntsiab lus ntau ntxiv seb cov plaques mob cholesterol tshwm sim ntawm lub ntsej muag thiab yuav tshem tau li cas.
Xanthelasms yog cov benign formations, lawv tuaj yeem saib zoo li tiaj tus tubercles daj nrog cov npoo ntshiab thiab lub ntsej muag du lossis txhuam. Lawv qhov loj me tuaj yeem hloov los ntawm taum pauv mus rau 5 centimeters lossis ntau dua, qhov sib xws yog mos. Hauv lub ntsej muag lawv tsuas yog tsim hauv qhov muag, tab sis tuaj yeem ua ke nrog plaques ntawm lwm qhov ntawm lub cev - lub hauv caug lossis lub luj tshib. Tsis tshua muaj teeb meem, xanthelasma tuaj yeem ua rau ntawm cov hnoos qeev.
Cov plahaum cov plahaum ntawm daim tawv nqaij ua rau daim tawv nqaij sib deev tsis muaj zog hauv nruab nrab lossis hnub nyoog laus. Qhov ua rau pom tshwm sim ntawm cov roj tubercles yog qhov ua txhaum ntawm lipid metabolism lossis daim siab mob siab nrog cov qib lipids. Pom tau tias ib tus neeg muaj kev cuam tshuam cov rog rog cov rog tsis yog ib txoj haujlwm yooj yim. Txawm hais tias, feem ntau, cov neeg mob muaj cov rog rog concomitant, teeb meem nrog ntshav siab lossis ntshav qab zib.
Cov kev tshawb fawb tham txog yog dab tsi? Cov kws tshawb fawb hauv tebchaws Danish tau pom tias cov roj (plaque) uas cov roj khov tsim hauv lub qhov muag yog qhov qhia txog qhov pheej hmoo ntawm kev muaj kab mob plawv. Yog li, cov kws tshawb nrhiav los ntawm University of Copenhagen tau ua kev tshawb fawb thiab pom tias nyob hauv 50% ntawm cov tib neeg muaj xanthelasma, cov theem ntawm cov roj (cholesterol) hauv cov ntshav tsis ntau dua li cov cai.
Hauv qhov no, ib txoj kev ua rau cov roj ua rau lub ntsej muag tuaj yeem yog qhov taw qhia ntawm tus kheej ntawm kev txhim kho cov leeg ntshav. Yog li, cov ntaub ntawv tau los ntawm cov kev tshawb fawb tuaj yeem pab tau rau lub hom phiaj kho. Rau cov neeg mob uas muaj xanthelasma, nws raug nquahu kom lawv ua tib zoo soj ntsuam kab mob plawv thiab leeg ntshav.
Hauv tib neeg lub cev, cov roj (cholesterol) yog tsim los ntawm cov plab hnyuv siab raum xws li lub siab, ob lub raum thiab qee qhov khoom hauv nruab nrog cev. Cov rog ua los ntawm txoj kev no ua tau li 80% ntawm tag nrho cov roj (cholesterol), cov seem mus hauv nrog cov khoom noj, feem ntau yog los ntawm tsiaj keeb kwm. Qhov piv ntawm enzyme tuaj yeem tswj hwm tus kheej nws tus kheej, namely, hloov los ntawm kev hloov pauv hauv lub neej thiab khoom noj khoom haus.
Hauv cov ntshav, cov roj (cholesterol) nyob hauv daim ntawv ntawm lipoproteins ntawm cov qib sib txawv - qis thiab siab. Kev noj tshuaj lipoproteins tsawg kawg (LDL) yog suav tias "tsis zoo", qhov nce ntxiv hauv lawv qib ua rau pom cov tsos mob atherosclerotic plaques hauv cov hlab ntsha, thiab ua rau muaj mob stroke lossis lub plawv nres.
Dab tsi ua rau muaj LDL ntau ntxiv hauv cov ntshav? Los ntawm kev noj cov rog rog, cov khoom noj siv mis uas muaj cov ntsiab lus siab ntawm cov rog thiab cov khoom qab zib ci rau ntawm cov roj margarine. Thaum muas cov khoom lag luam hauv khw muag khoom, koj yuav tsum them sai sai rau cov lus qhia hauv daim ntawv. Lub hauv paus tseem ceeb ntawm cov roj "tsis zoo" yog coke thiab xibtes roj.
Lwm qhov xwm txheej dab tsi tuaj yeem ua rau muaj qhov lipoproteins uas tsis muaj ntau ntxiv thiab txaws cov cholesterol nyob ntawm daim tawv muag? Ib txoj kev ua neej nyob sedentary, sedentary ua rau muaj qhov tsis zoo. Cov kev tawm dag zog lub cev yuav pab txhim kho qhov xwm txheej, nws nce qib ntawm lipoproteins "zoo". Tsis tas li lub luag haujlwm yog ua si los ntawm tus neeg lub hnub nyoog thiab kev muaj mob. Tom qab hla 20 lub xyoo tseem ceeb, muaj sia, lub cim lim ntshav cov ntshav pib loj hlob tuaj, qhov xwm txheej tau loj zuj zus tuaj los ntawm kev muaj keeb kwm caj ces rau cov kab mob zoo li no. Yog li, koj yuav tsum tau saib xyuas cov qib roj cholesterol hauv cov ntshav tsis tu ncua.
Qhov tshwm sim ntawm ntshav qab zib atherosclerosis ntawm lub ntsej muag yog lub tswb nrov. Tom qab tag nrho, yog tias cov quav ntim rau ntawm lub ntsej muag, lawv nyob ntawm cov nkoj. Hauv qhov no, nws yog ib qho tsim nyog los tawm tsam tsis yog nrog qhov tshwm sim ntawm tus kabmob, tab sis ua ntej ntawm txhua tus nrog rau cov laj thawj ntawm nws cov tsos.
Txoj kev kho yuav tsum muaj txhij txhua, sib xyaw ua ke ntawm kev noj tshuaj uas tsim nyog nrog kev noj zaub mov noj.
Ua cov txheej txheem rau kev kho mob rau cov plahaum roj cholesterol tsis tau lees tias qhov kev loj hlob yuav tsis tshwm sim ntxiv lawm.
Ib qho mob tseem ceeb rau txoj kev rov zoo los yuav tsum yog saib xyuas koj tus kheej kev noj qab haus huv, thiab ua raws li kev tiv thaiv kev tiv thaiv.
Txij li cov roj (cholesterol) hauv lub cev nkag mus rau hauv lub cev los ntawm cov khoom noj, koj yuav tsum tau sau cov ntawv qhia zaub mov kom raug.
Cov khoom lag luam uas yuav tsum tau suav nrog khoom noj:
- zaub roj;
- tshiab cov zaub thiab txiv hmab txiv ntoo;
- nqaij ntshiv;
- zaub ntsuab;
- ib tug noog;
- ntses
- cereals;
- qe
- ceev thiab noob.
Thiab cov khoom lag luam xws li margarine thiab butter, qab zib thiab khoom qab zib, dej qab zib, cov zaub mov tiav thiab cov khoom noj ceev, nrog rau cov rog rog thiab cov nqaij npuas, nws zoo dua rau cais tawm ntawm cov zaub mov noj lossis txo qis kev noj, vim tias lawv yog ib lub tsev muag khoom ntawm cov "roj" rog. Nws yog qhov zoo heev rau haus qej sab hauv, cov khoom no pab ntxiv dag zog rau kev tiv thaiv kab mob thiab tshem tawm cov roj hauv neoplasms. Cov tshuaj tua kab mob hauv lub cev no muaj cov nyhuv tawm tsam sclerotic, ob peb cloves ntawm cov khoom no ib hnub pab tshem cov roj (cholesterol) uas tau txiav txim rau ntawm phab ntsa ntawm cov hlab ntsha.
Cov roj nplaum rau ntawm lub ntsej muag tsis yog qhov pom kev zoo nkauj, cov txheej txheem ntawm cov tshuaj pleev ib ce yuav pab tiv thaiv nws kom pom thiab loj hlob. Ib qho cuab yeej zoo tshaj plaws hauv kev tawm tsam xanthelasm yog zaws. Txhawm rau txhim kho ntshav txaus, koj yuav tsum tau thov cov tshuaj pleev tshwj xeeb txhua hnub rau ntawm daim tawv nqaij, koj yuav tsum zaws lub thaj maj mam, hauv kev ncig, kom tsis txhob ncab cov tawv nqaij. Tsib mus rau xya feeb ua ntej yuav mus pw yuav txhim kho qhov txiaj ntsig.
Cov looj ntsej muag ua kom sov kuj tseem pom zoo, lawv ua kom cov hlab ntshav txhawm rau, ua kom ntshav khiav ceev thiab tsis txhob tso cov plahaum tawm ntawm cov hlab ntsa. Cov npog ntsej muag lossis ua kom zoo nkauj los ntawm cov tshuaj pleev ib ce, cov roj tseem ceeb yog tsim nyog.
Rau qhov tseeb ua tiav kom ua tiav, qhov kub ntawm qhov sib tov yuav tsum nyob hauv thaj tsam li 30 txog 40 degrees, tsis muaj ntxiv thiab tsis tsawg dua.
Muaj peb txoj hauv kev kom tshem tau cov roj tsim cov tawv nqaij ntawm lub qhov muag - siv cryodestruction, kev phais mob tshem tawm thiab siv lub laser.
Cov txheej txheem cryodestructive yog qhov tsim nyog yog tias cov quav hniav nws yog me me thiab tuaj yeem tshem tawm hauv ib txheej txheem. Ntawm qhov zoo ntawm cov qauv, tsis muaj kev puas tsuaj rau kev ncaj ncees ntawm cov ntaub so ntswg, yog li ntawd, tom qab tshem cov quav hniav, nti tsis tas rau ntawm daim tawv nqaij. Kev tshem tawm cov rog rog tshwm sim tsis muaj tshuaj loog thiab tshuaj loog thiab siv sijhawm ntev tsis ntau li ib teev. Tab sis muaj qhov tsis txaus ntseeg ntawm cov txheej txheem no. Nws tuaj yeem nqa tsis tau rau cov neeg muaj hnub nyoog qis dua 20 xyoo, thiab nyob rau hauv qhov muaj ntau yam kis mob, mob ntshav qab zib thiab qog ntshav siab. Kuj tseem muaj kev pheej hmoo ntawm hypothermia ntawm daim tawv muag thiab lub qhov muag.
Lub qub thiab ntau zaus ua pov thawj txoj hauv kev kom tshem cov plaques yog tshem nws txoj hauv kev txhag cia. Tus neeg mob nyob rau hauv lub zog ntawm kev ua kom loog ua rau kev phais hauv thaj chaw ntawm kev tsim muaj roj, tom qab ntawd xanthelasma tau sib cais los ntawm cov hlab ntsha muab nws thiab ua rau tsis zoo. Lub qhov txhab yog sutured nrog tshem tawm lossis tus kheej-absorbable xov.
Hauv lub sijhawm ze tom qab kev phais mob, yuav tsum ua kom lub qhov txhab kho pom. Qhov tsis zoo ntawm qhov kev phais mob suav nrog muaj qhov caws pliav ntawm daim tawv muag tom qab tshem tawm, yog li ntawd, niaj hnub no nws siv tsawg dua thiab tsawg dua. Kev tshem tawm me me ntawm cov plaques tuaj yeem nqa tawm, tus nqi ntawm kev ua haujlwm zoo li no yuav siab dua, tab sis tom qab nti nti yuav tsis tshua pom kev.
Qhov thib peb hom rau tshem tawm cov roj stains ntawm lub ntsej muag yog laser irradiation. Hom no tso cai rau koj kom xanthelasma tshem tawm thiab kom nyab xeeb. Cov plahaum roj av tuaj yeem pub rau lub ntsej muag laser, cov khoom siv hluav taws xob ntau kis tau hauv qab daim tawv nqaij, ua rau rov ua haujlwm.
Cov ntaub so ntswg nyob ib puag ncig cov rog tuaj raug pov tseg, thiab cov roj (cholesterol) nyob rau hauv lawv tau yooj yim tawm mus rau hauv cov ntshav.
Dab tsi yog qhov zoo thiab qhov tsis zoo ntawm hom no?
Kev kho laser yog nqa tawm sai thiab tsis mob, ntxiv rau, nws tsis tawm ntawm qhov tawv nqaij. Txoj kev pheej hmoo ntawm cov teeb meem thaum lub sijhawm tshem tawm cov plaques yog qhov qis dua, thiab qhov tshwm sim ntawm kev rov ua dua ntawm cov qauv tsim yog qhov qis dua, hauv kev sib piv, piv txwv li, nrog kev quaj ntsuag. Laser tshem tawm cov roj tsuas yog contraindicated nyob rau hauv rooj plaub ntawm qhov muag rhiab, raws li cov txheej txheem tuaj yeem ua rau voos.
Tsis tas li ntawd, tus txheej txheem tsis tuaj yeem nqa tawm ntawm qhov chaw cog hniav hlau ntawm daim tawv nqaij ntawm lub ntsej muag. Tus so ntawm cov txheej txheem yog kev nyab xeeb kiag. Thawj thawj zaug tom qab nws, kev tu tawv nqaij rau cov tawv muag yuav tsum xav tau, tab sis qhov tshwm sim ntawm cov neeg mob yuav yeej haum siab. Tom qab thawj txheej txheem, daim tawv nqaij ntawm lub qhov muag txais tau ib txwm, cov tsos. Tag nrho tus naj npawb ntawm cov txheej txheem tsim nyog tau teeb tsa ua ntu zus, nyob ntawm kev tsis saib xyuas ntawm qhov xwm txheej thiab thaj tsam ntawm thaj chaw muaj cuam tshuam.
Kev kho cov roj khov ua rau ntawm daim tawv muag tsis yog txheej txheem ua haujlwm, txawm li cas los xij, nws xav tau kev saib xyuas tas li ntawm cov nyhuv, thiab ua raws li cov txheej txheem tiv thaiv kom tsis txhob rov ua dua thiab nce cov plaques. Nws tsis tuaj yeem txiav txim siab ntawm nws tus kheej rau kev kho mob ntawm xanthelasma, vim tias koj tuaj yeem ua rau koj lub qhov muag muaj kev phom sij thiab pom qhov yuav tshwm sim yam tsis tau pom. Yog li, nws raug nquahu kom tau txais kev sib tham ntawm tus kws kho mob uas tsim nyog.
Yuav ua li cas kom tshem tau cov roj hauv plaques yuav qhia tus kws tshaj lij hauv daim yeeb yaj kiab hauv tsab xov xwm no.
