Chung dau nguc khong do tim

Tags: hoi chung co bac thang, day than kinh, chung dau nguc, dau than kinh, cot song, chan doan, nguyen nhan, phan biet, canh tay, dam roi, suon, tim, lien, phat, mach


Khi co bieu hien dau nguc, nhieu nguoi nghi ngay den nguyen nhan do tim nhung thuc te cho thay dieu nay chua hoan toan dung vi co nhieu chung dau o long nguc can phan biet trong chan doan nhu dau than kinh lien suon, hoi chung co bac thang...

>> Canh giac voi dau nguc

>> Kho phat hien benh dau tim o phu nu

Dau nguc do day than kinh lien suon

Co hai loai dau day than kinh lien suon la nguyen phat va thu phat. Khi bi dau nguyen phat, nguoi benh co cam giac dau lien tuc mot ben lung, dan dan lan theo huong cheo xuong duoi va ra truoc tuy theo khu tru o doan cot song lung tren hay duoi. Diem dau rat ro khi an vao nhung diem lo ra cua nhung soi than kinh lien suon, canh cot song, duong giua nach. Doi voi dau thu phat, benh nhan thuong bi dau do benh ly dia dem cot song nguc, lao cot song do ton thuong phoi - mang phoi, hay dau quan gan, can duoc chan doan phan biet.

Nhieu truong hop dau do dia dem cua mot doan cot song, phan lon la o doan tren cot song nguc thi benh nhan co cam giac dau o phia trong sau mo ho, khong co diem dau ro ret khi an tren da. Khu vuc dau thuong gap nhat la vung lien ba vai, canh cot song va vung nguc truoc tim de nham voi con dau that nguc de doa nhoi mau co tim. Ty le benh ly dia dem doan cot song nguc chi chiem 1,96% cac chung benh dia dem cot song toan bo.

Ve dieu tri: Can tim duoc nguyen nhan gay dau day than kinh lien suon bang cac bien phap can lam sang (xet nghiem, Xquang, chup cat lop vi tinh...). Sau do nguoi benh se duoc bac si dieu tri theo nguyen nhan da duoc xac dinh va xu tri theo huong cua viem re than kinh.

Dau nguc do hoi chung co bac thang

Hoi chung co bac thang da duoc H.naffiger mo ta dau tien va Leriche tiep tuc nghien cuu, con duoc goi la hoi chung ngach suon - don, sau nay con goi la hoi chung suon co.

Trong khoang hep o giua co bac thang truoc va co bac thang giua co day than kinh co, dam roi than kinh canh tay va dong mach duoi don chay qua, con giua co bac thang truoc va xuong suon co tinh mach duoi don lach qua. Do su lien quan giai phau nhu vay nen mot trong nhung thanh phan ke tren co nhung bien doi bat thuong se anh huong toi nhung bo phan lan can. Cung vi vay, nguoi ta da dua ra dinh nghia: Hoi chung co bac thang la nhung con dau kich phat voi nhung roi loan than kinh va mach mau do dong mach duoi - don va dam roi than kinh canh tay bi kich thich hay chen ep boi xuong suon co, mom ngang dot song co qua dai hoac nhung bat thuong cua mot co bac thang (phi dai hay that chat).


Bieu hien: dau va di cam o vung mat trong canh tay, cang tay, ban tay va ngon 4, ngon 5. Doi khi dau lan toi ca vung cham va dac biet dau doi len khi xoay dau ve phia tay dau hay sau khi tho vao sau. Truong hop dau lan xien toi xuong long nguc lam cho chan doan nham voi con dau that tim. Roi loan van dong bieu hien suc co yeu di, truong luc co giam dan den teo co o tay va mo ut, nhung dac biet la cang cac co o co, nhat la co bac thang truoc. Khi co roi loan mach mau, tay tro nen te, tim tai, phu ne, lanh chi. Truong hop nang hon con xuat hien trieu chung giam nhe hoac mat mach quay.

Chan doan dua vao lam sang dac trung nhu da noi tren va dau hieu Adson (mach quay bien doi hay mat khi ngoi, hai tay dat tren dau goi, tho that sau, dong thoi nang cam cao len va cho quay dau ve phia ben tay dau) voi ket qua chup Xquang.

Dau nguc do day than kinh lien suon: can phan biet dau nguyen phat va dau thu phat, tu do cac bac si se dieu tri theo nguyen nhan da duoc xac dinh.

Dau nguc do hoi chung co bac thang hay con goi la hoi chung suon co se gay nhung con dau kich phat.

Hoi chung co bac thang can chan doan phan biet voi:

- Hoi chung co nguc be: Khi dang canh tay, co nguc be de ep dong- tinh mach duoi don va dam roi than kinh canh tay vao mom qua cua xuong ba vai.

- Hoi chung suon - don thuong xay ra o nhung nguoi lam viec nang nhoc (doi, ganh, vac...), nhung co the hinh dai manh va suy nguoc do dam roi than kinh canh tay bi chen ep boi xuong don va xuong suon, cung co bang lam sang tuong doi giong nhu cua hoi chung co bac thang.

- Dau tay di cam: dau va di cam ban dem trong khu vuc day than kinh tru va gan ban tay bi dau khi an. Hoi chung nay thuong gap o nhung nguoi co tuoi do tu the bat loi cua tay trong giac ngu sau.

- Viem dam roi than kinh canh tay: co nhieu trieu chung tuong tu nhu hoi chung suon dui.

Dieu tri hoi chung co bac thang, cung tuy theo nguyen nhan dieu tri theo trieu chung chu dao: su dung thuoc giam dau, chong thoai hoa cac day than kinh, chong teo co, giu tay o tu the chuc nang.Dieu tri bang phau thuat nham muc dich loai tru chen ep vao cac mach mau - than kinh, chi dinh cho nhung truong hop da duoc dieu tri bao ton nhung khong dat ket qua nhu mong muon



VietBao.vn (Theo SK&DS)
Tìm hiểu: hoi chung co bac thang, day than kinh, chung dau nguc, dau than kinh, cot song, chan doan, nguyen nhan, phan biet, canh tay, dam roi, suon, tim, lien, phat, mach

Xem Bản Tiếng Việt Có Dấu: Chứng đau ngực không do tim

Ban co the doc ban tieng Viet co dau cua bai viet Chứng đau ngực không do tim bang cach nhan chuot vao duong dan tren.

Lien he ve tin Chung dau nguc khong do tim

Nhan xet, hay lien he ve tin Chung dau nguc khong do tim co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Chung dau nguc khong do tim de lam tham khao. Bai viet nay thuoc chuyen de Nhung dieu nen biet trong chuyen muc Suc khoe.

Cac tin khac:

Xem tiep ... Nhung dieu nen biet
Kenh Tin RSS Kenh Tin RSS | Du Bao Thoi Tiet | Lich Xem TV | Lien He - Contact | Quang Cao | Viec Lam | Dieu Kien Su Dung | Bao Ve Tinh Rieng Tu | Sitemap

Copyright©2008 VietBao.vn, Thu Vien Thong Tin Tong Hop Viet Nam va The Gioi, phien ban thu nghiem phan mem Viet Bao Viet Nam, beta 1.0