Lm th no cc th nghim s cm nhn

Bn c th c mt Ly m m mt quyt nh v p ca bn s kh chu t mt thanh kim. Bn c th cm thy cc triu chng nh bng mt vo mt hoc cc b phn khc ca c th. Cc triu chng chnh xc s ph thuc vo cc phn ca c th c kim tra.Nu bn c mt tim vng hng ca bn, bn s thng xuyn c yu cu nm phng trn lng ca bn trong mt vi gi sau khi th nghim. iu ny l trnh chy mu. Nm thng c th gy kh chu cho mt s ngi.Ti sao thc hin xt nghim

An arteriogram c thc hin xem lm th no mu di chuyn qua cc ng mch. N cng c s dng kim tra cc ng mch b chn hoc b h hng. Trong mt s trng hp, phng php iu tr c th c thc hin cng mt lc nh mt arteriogramCc ri ro ph thuc vo loi arteriogram thc hin. Ni chuyn vi bc s v nhng ri ro lin quan trc khi bn c xt nghim.Phn ng d ng vi thuc nhum c s dng Chy mu, nhim trng, v au ti ch tim

Thit hi cho thn ca thuc nhum c s dng (ri ro cao hn i vi nhng ngi c bnh tiu ng hoc chc nng thn yu)

Kern M. t ng thng v chp ng mch. Trong: Goldman L, Schafer AI, eds. Cecil Y GoldmanTrng CJ. Bnh x va ng mch ngoi bin. Trong: Goldman L, Schafer AI, eds. Cecil Y GoldmanZivin JA. Phng php tip cn n cc bnh mch mu no. Trong: Goldman L, Schafer AI, eds. Cecil Y Goldman

Mt ng tnh mch d dng mch mu no l mt kt ni bt thng gia ng mch v tnh mch trong no thng hnh thnh trc khi sinh.Nguyn nhn

Cc nguyn nhn gy ra d tt ng tnh mch no (AVM) l khng r. iu kin xy ra khi ng mch trong no kt ni trc tip n cc tnh mch gn m khng c cc mch bnh thng (mao mch) gia chng.D dng ng tnh mch thay i kch thc v v tr trong no.An v AVM xy ra v p lc v thit hi cho cc m mch mu. iu ny cho php mu r r vo trong no hoc cc m xung quanh, v lm gim lu lng mu n no.AVMs no xy ra trong vng cha y 1% s ngi. Mc d tnh trng ny l do bm sinh, cc triu chng c th xy ra mi la tui. Xut huyt xy ra thng nht nhng ngi tui t 15-20, nhng cng Ly m m mt quyt nh v p ca bn c th xy ra sau ny trong cuc sng. Mt s bnh nhn c mt AVM cng c phnh ng mch no.Cc triu chng

Trong khong mt na s bnh nhn AVMs, cc triu chng u tin l nhng ngi ca mt cn t qu do xut huyt no.Cc triu chng ca mt AVM rng chy mu l:Nhc u trong mt hoc nhiu b phn ca ngi ng u, c th c v ging nh mt cn au na u

Cc triu chng do p lc trn mt khu vc ca no b:

C bp yu trong bt k phn no ca c th hoc khun mt

Mt cuc kim tra sc khe tng qut v khm thn kinh l cn thit, nhng h c th hon ton bnh thng.Cc xt nghim c th c s dng chn on mt AVM bao gm:Tm iu tr tt nht cho mt AVM c tm thy trn mt x-ray hoc cc xt nghim hnh nh khc nhng khng gy ra bt k triu chng c th kh khn. Bc s s tho lun vi bn:Nguy c AVM ca bn s v ra (v). Nu iu ny xy ra, c th c tn thng no vnh vin.

Cc nguy c ca bt k tn thng no nu bn c mt trong cc phng php iu tr phu thut c lit k di y.

Bc s c th tho lun v cc yu t khc nhau m c th lm tng nguy c chy mu, trong c:Nhng g cc AVM trng ging nh trn kim tra hnh nh

Mt AVM chy mu l mt cp cu y t. Mc tiu ca iu tr l ngn nga bin chng hn na bng cch kim sot chy mu v co git v, nu c th, loi b cc AVM.Ba phng php iu tr phu thut c sn. Mt s phng php iu tr c s dng cng nhau.M phu thut no - loi b cc kt ni bt thng thng qua mt l c thc hin trong hp s. N phi c thc hin bi mt bc s phu thut c tay ngh cao.Thuyn tc ( iu tr endovascular ):Mt ng thng c hng dn qua mt vt ct nh hng vo mt ng mch v sau n cc mch mu nh trong no ca bn, ni phnh mch nm.

Mt cht ging nh keo c tim vo mch mu bt thng ngn chn dng chy ca mu trong AVM v gim nguy Ly m m mt quyt nh v p ca bn c chy mu. iu ny c th l s la chn u tin i vi mt s loi AVMs, hoc nu phu thut khng th c thc hin.