Koj puas paub txog tus kws kho mob plawv (Cardio-Oncologist) uas pab tswj kev noj qab haus huv ntawm lub plawv nrog rau kev kho mob qog noj ntshav?

Yog tias koj yog ib tug neeg uas tab tom kho mob qog noj ntshav, lossis yog tias koj muaj ib tug neeg hauv tsev neeg lossis ib tug phooj ywg uas yog, tej zaum koj yuav xav txog qhov no. Kev kho mob qog noj ntshav yog ib txoj kev kho mob uas cawm tau txoj sia. Txawm li cas los xij, qee zaum kev kho mob no tuaj yeem muaj feem cuam tshuam rau peb lub siab. Hnub no, peb yuav tham txog ib pawg kws tshwj xeeb uas tuaj pab peb thaum lub sijhawm zoo li no.

Tus kws kho mob plawv thiab mob qog noj ntshav no yog leej twg?

Hais yooj yim xwb, cov no yog cov kws kho mob uas ua tib zoo saib xyuas kev noj qab haus huv ntawm lub plawv ntawm cov neeg mob qog noj ntshav thaum kho lawv. Tam sim no saib, muaj cov kws kho mob plawv, thiab muaj cov kws kho mob qog noj ntshav. Tus kws kho mob "cardio-oncologist" yog tus kws kho mob plawv lossis tus kws kho mob qog noj ntshav. Txawm li cas los xij, ntxiv rau lawv txoj kev tshwj xeeb, lawv tau txais kev cob qhia tshwj xeeb los tswj cov kab mob plawv hauv cov neeg mob qog noj ntshav.

Koj paub, kev kho mob qog noj ntshav, zoo li kev siv tshuaj kho mob qog noj ntshav thiab kev kho mob hluav taws xob , pab tib neeg nyob ntev dua. Qhov ntawd zoo heev. Tab sis hmoov tsis zoo, cov kev kho mob no tuaj yeem muaj cov kev mob tshwm sim . Qee qhov ntawm cov no yog kab mob plawv tshiab lossis kev mob plawv uas twb muaj lawm zuj zus tuaj. Hom kev puas tsuaj rau koj lub plawv thiab kev pheej hmoo ntawm cov teeb meem tuaj yeem sib txawv ntawm kev kho mob mus rau kev kho mob. Hom kev puas tsuaj rau lub plawv no hu ua cardiotoxicity , lossis kab mob plawv hluav taws xob.

Qhov no yog vim li cas ib qho kev tshwj xeeb tshiab ntawm kev kho mob hu ua Cardio-Oncology tau tshwm sim. Cardio-Oncology tsom mus rau kev kuaj mob, saib xyuas, thiab kho cov kab mob plawv uas tshwm sim los ntawm kev kho mob qog noj ntshav. Lub hom phiaj yog kom txo cov kev phiv ntawm kev kho mob qog noj ntshav rau koj lub plawv.

Cov kws kho mob tshwj xeeb no pab koj kom tau txais kev kho mob qog noj ntshav zoo tshaj plaws, nrog rau kev puas tsuaj tsawg tshaj plaws rau koj lub plawv. Lawv ua haujlwm nrog lwm tus kws kho mob los npaj koj txoj kev kho mob kom haum rau koj cov kev xav tau.

Cov kws tshwj xeeb no tau txais kev cob qhia hom twg?

Cov "Cardio-Oncologists" no yog cov kws kho mob uas twb muaj kev txawj ntse hauv lawv txoj haujlwm, txawm tias "Cardiology" lossis "Oncology." Ntxiv rau lawv txoj kev kawm tshwj xeeb, lawv tau txais kev cob qhia ntxiv kom kawm cov hauv qab no:

• Cov kev mob tshwm sim ntawm kev kho mob qog noj ntshav uas cuam tshuam rau koj lub plawv thiab cov hlab ntsha yog dab tsi?
• Kab mob qog noj ntshav cuam tshuam rau tag nrho lub cev li cas, tshwj xeeb tshaj yog lub plawv thiab cov hlab ntsha.
• Yuav ua li cas kuaj xyuas kev pheej hmoo ntawm lub plawv ua ntej, thaum lub sijhawm, thiab tom qab kev kho mob qog noj ntshav.
• Yuav ua li cas txheeb xyuas thiab tswj cov kab mob plawv hauv cov neeg uas muaj mob qog noj ntshav.
• Yuav ua li cas txiav txim siab seb cov kev kho mob chemotherapy twg muaj kev nyab xeeb rau koj lub plawv thiab cov twg muaj kev pheej hmoo siab tshaj plaws.
• Yuav ua li cas saib xyuas koj cov leeg nqaij plawv thiab cov hlab ntsha plawv kom paub txog cov kev mob tshwm sim ntawm kev kho mob qog noj ntshav thaum lub sijhawm thiab tom qab kev kho mob.

Kev cob qhia no feem ntau yog muab los ntawm kev cob qhia tshwj xeeb (Fellowship) uas kav ntev li ib xyoos. Nws suav nrog:

• Kev qhia ncaj qha los ntawm kev qhuab qhia.
• Tuaj koom cov rooj sib tham.
• Tau txais kev paub dhau los nrog cov neeg mob hauv Cardio-Oncology Clinics.
• Kev tshawb nrhiav.

Muaj ib txhia kws kho mob plawv thiab mob qog noj ntshav uas muaj daim ntawv pov thawj los ntawm International Cardio-Oncology Society, uas txhais tau tias lawv cov kev paub thiab kev txawj ntse tau lees paub thoob ntiaj teb.

Vim li cas cov kws kho mob plawv thiab mob qog noj ntshav no thiaj tseem ceeb ua luaj?

Thaum kev kho mob qog noj ntshav zoo zuj zus txhua hnub, qhov tseem ceeb ntawm cov kws kho mob '(Cardio-Oncologist)' no tau nce ntxiv. Qhov laj thawj rau qhov no yog tias cov neeg rov zoo los ntawm qog noj ntshav tau nce ntxiv tas li. Xav txog, xyoo 2016, muaj ntau dua 15 lab tus neeg uas muaj sia nyob los ntawm qog noj ntshav hauv Tebchaws Meskas xwb. Cov kws tshawb fawb kwv yees tias tus lej no yuav nce mus txog 26 lab los ntawm xyoo 2040! Yog li, thaum cov neeg rov zoo los ntawm qog noj ntshav nce ntxiv, cov neeg uas muaj kev phiv los ntawm kev kho mob kuj nce ntxiv, puas yog?

Kwv yees li xya ntawm kaum tus neeg uas muaj sia nyob los ntawm mob qog noj ntshav muaj hnub nyoog tshaj 65 xyoos. Thaum cov neeg muaj sia nyob los ntawm mob qog noj ntshav no laus zuj zus, lawv yuav ntsib kev pheej hmoo ntawm kab mob plawv ntau ntxiv vim lawv cov kev kho mob qog noj ntshav. Tsis tas li ntawd xwb, qhov kev pheej hmoo yuav nce ntxiv raws li hnub nyoog, yam ntxwv ntawm kev ua neej, thiab lwm yam kab mob cuam tshuam. Yog li, nws yog ib qho tseem ceeb uas yuav tsum kho lawv thiab xav txog txhua yam no .

Cov kws tshwj xeeb hauv kev kho mob plawv thiab mob qog noj ntshav no muaj kev cob qhia thiab kev paub dhau los uas xav tau los txhawb cov pej xeem uas tab tom loj hlob no.

Tus kws kho mob plawv thiab mob qog noj ntshav no ua dab tsi tiag?

Cov neeg no kuaj mob thiab kho cov teeb meem plawv hauv cov neeg mob qog noj ntshav. Thawj qhov uas lawv yuav tsum ua yog nrhiav qhov ua rau muaj teeb meem. Piv txwv li, nws tsis yog ib txwm meej tias qhov mob zoo li lub plawv tsis ua haujlwm yog los ntawm kev kho mob qog noj ntshav. Feem ntau, cov neeg uas muaj qog noj ntshav muaj lwm yamTej zaum yuav muaj tej yam ua rau muaj kab mob plawv . Yog li ntawd, cov kws kho mob "Cardio-Oncologists" no yuav tsum nrhiav qhov ua rau muaj kab mob plawv tiag tiag.

Tsis tas li ntawd xwb, lawv yuav tsum sib npaug ob lub hom phiaj uas qee zaum yuav tsis sib haum:

• Qhov xav tau kev kho mob rau koj tus mob qog noj ntshav.
• Qhov xav tau los tiv thaiv koj lub siab .

Qhov no yog qhov uas kev koom tes ntawm ntau yam kev kawm sib txawv los ua qhov tseem ceeb heev. Cov kws kho mob plawv thiab mob qog noj ntshav ua haujlwm nrog lwm cov kws tshwj xeeb los txiav txim siab txoj kev kho mob zoo tshaj plaws rau txhua tus neeg.

Nov yog qee txoj haujlwm uas tus kws kho mob plawv ua ib feem ntawm lawv txoj haujlwm:

• Ua ntej pib kho mob qog noj ntshav, yuav muaj kev ntsuam xyuas kom meej txog koj qhov kev pheej hmoo ntawm lub plawv thiab cov hlab ntsha.
• Muaj kev kuaj duab thiab kuaj mob uas zoo tshaj plaws los xyuas seb puas muaj teeb meem dab tsi nrog lub plawv lossis cov hlab ntsha.
• Ib txoj kev npaj kho mob yog tsim los tsom rau koj tus mob qog noj ntshav hauv txoj kev uas ua rau koj lub plawv puas tsuaj tsawg li tsawg tau.
• Koj yuav raug saib xyuas thoob plaws koj txoj kev kho mob qog noj ntshav thiab txhua yam teeb meem plawv yuav raug txheeb xyuas sai sai.
• Kev saib xyuas tom qab ntawd tseem muab rau txawm tias koj txoj kev kho mob qog noj ntshav tiav lawm los xij.
• Kev phais thiab lwm yam kev kho mob raug pom zoo rau cov kab mob plawv uas tshwm sim los ntawm kev kho mob qog noj ntshav.

Cov "Cardio-Oncologists" no pab tswj ntau yam mob plawv. Nov yog ob peb yam piv txwv:

• Cov teeb meem ntawm lub plawv dhia tsis xwm yeem (Arrhythmias), xws li Atrial Fibrillation thiab Torsade de Pointes.
• Kab mob plawv.
• Lub Plawv Tsis Ua Haujlwm.
• Kab Mob Plawv.
• Ntshav siab (Hypertension).
• Kev txwv tsis pub muaj Cardiomyopathy.

Leej twg tau txais kev kho mob los ntawm cov kws kho mob plawv thiab mob qog noj ntshav no?

Cov kws kho mob no saib xyuas cov neeg uas muaj mob qog noj ntshav uas muaj kab mob plawv lossis muaj cov yam ntxwv ua rau muaj kab mob plawv. Lawv kuj kho cov neeg uas muaj kab mob plawv tom qab kho mob qog noj ntshav. Qee qhov kev mob plawv tshwm sim tam sim ntawd. Tab sis lwm tus tshwm sim ntau xyoo tom qab kho mob qog noj ntshav (tej zaum 10 xyoo lossis ntau dua). Qhov ntawd zoo li txaus ntshai, puas yog? Tab sis tsis txhob txhawj, muaj cov kev daws teeb meem rau qhov ntawd thiab.

Cov kws kho mob Cardio-Oncologist pab cov neeg zoo li:

• Cov neeg uas tab tom yuav pib kho mob qog noj ntshav thiab muaj ib lossis ntau yam uas ua rau muaj kab mob plawv. Piv txwv li, rog dhau , ntshav qab zib, thiab ntshav siab .
• Cov neeg uas tab tom yuav pib kho mob qog noj ntshav, thiab cov neeg uas twb muaj mob plawv lawm.
• Cov neeg uas muaj cov tsos mob ntawm lub plawv thaum lawv tau txais kev kho mob chemotherapy lossis kev kho mob hluav taws xob. Piv txwv li , o (edema) , qaug zog , mob hauv siab, thiab lub plawv dhia tsis xwm yeem (arrhythmia).
• Cov neeg uas tau kho mob qog noj ntshav ua ntej lawm thiab tam sim no tab tom ntsib teeb meem plawv tshiab.
• Cov neeg uas tau muaj teeb meem plawv vim yog kev kho mob qog noj ntshav thiab xav tau kev phais plawv lossis lwm yam kev kho mob.
• Cov neeg uas muaj mob qog hauv lub plawv.

Kuv puas yuav tsum mus ntsib kws kho mob plawv thiab?

Tus neeg zoo tshaj plaws los nug txog koj cov kev xav tau kev kho mob yog koj tus kws kho mob thawj zaug lossis tus kws kho mob uas kho koj tus mob qog noj ntshav (kws kho mob qog noj ntshav). Yog xav mus ntsib kws kho mob plawv thiab qog noj ntshav, koj yuav tsum tau kev xa mus los ntawm koj tus kws kho mob.

Yog tias koj poob rau hauv ib qho ntawm cov pawg no, koj kuj tseem yuav tsum tau mus ntsib kws kho mob tshwj xeeb:

• Yog tias koj muaj kab mob plawv thiab nyuam qhuav kuaj pom tias muaj mob qog noj ntshav.
• Yog tias koj tau kho mob qog noj ntshav yav dhau los, txawm tias thaum koj tseem hluas.
• Yog tias koj tab tom kho mob qog noj ntshav tam sim no.

Kuv yuav tsum mus ntsib kws kho mob plawv thaum twg?

Lub sijhawm uas koj yuav tsum mus ntsib kws kho mob plawv thiab mob qog nqaij hlav txawv ntawm ib tus neeg mus rau ib tus neeg. Tej zaum koj yuav pib tau txais kev kho mob ua ntej koj pib kho mob qog nqaij hlav thiab tom qab ntawd muaj kev teem sijhawm mus ntsib kws kho mob rau ntau xyoo. Koj yuav tsum ua raws li cov lus qhia los ntawm koj pab neeg kho mob txog seb koj yuav tsum mus ntsib ntau zaus npaum li cas.

Cov kev kuaj mob plawv, xws li echocardiograms , yog ib feem tseem ceeb heev ntawm koj txoj kev kho mob qog noj ntshav hauv lub plawv. Qhov no muaj tseeb txawm tias tom qab koj txoj kev kho mob qog noj ntshav tas lawm. Cov kev kuaj no tuaj yeem qhia cov cim qhia ntxov ntawm kab mob plawv. Yog li, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj cov sijhawm teem tseg .

Tawm ntawm kev kho mob qog noj ntshav yog ib kauj ruam loj. Tom qab ntawd, kev nrhiav pom tias koj muaj teeb meem plawv thiab xav tau kev kho mob rau lawv tuaj yeem ua rau koj ntxhov siab heev. Nws tuaj yeem zoo li koj tau ua tiav ib qho marathon thiab mam li nco dheev yuav tsum khiav lwm qhov. Tab sis nco ntsoov, koj tsis yog tib tug hauv txoj kev no . Cov kws kho mob plawv-oncologists yog cov kws tshwj xeeb uas tuaj yeem pab koj tswj hwm kab mob plawv, txawm tias koj muaj kev pheej hmoo lossis tau kuaj pom tias muaj nws. Tham nrog koj tus kws kho mob tsev neeg lossis kws kho mob oncologist kom paub ntau ntxiv txog seb tus kws kho mob plawv-oncologist tuaj yeem pab koj li cas.

Cov lus tseem ceeb tshaj plaws uas yuav tsum nco ntsoov los ntawm qhov peb tau tham txog (Cov Lus Coj Mus Tsev)

Zoo, yog li, peb puas yuav tsum nco ntsoov qee yam tseem ceeb tshaj plaws uas peb tau tham txog?

• (Kws Kho Mob Plawv thiab Mob Cancer)Qhov no txhais tau tias yog ib tus kws kho mob uas them sai sai rau kev noj qab haus huv ntawm lub plawv ntawm cov neeg mob qog noj ntshav thaum kho lawv.
• Kev kho mob qog noj ntshav (piv txwv li, `(Chemotherapy)`, `(Radiation Therapy)`) tuaj yeem ua rau muaj kev phiv rau lub plawv. Qhov no hu ua `(Cardiotoxicity)` .
• Cov kws tshwj xeeb no pab txo qhov kev puas tsuaj rau lub plawv thaum tseem muab kev kho mob zoo tshaj plaws rau mob qog noj ntshav.
• Yog tias koj muaj kab mob plawv nrog rau mob qog noj ntshav, muaj tej yam uas ua rau koj muaj kab mob plawv, lossis muaj cov tsos mob ntawm lub plawv tom qab kho mob qog noj ntshav, nrog koj tus kws kho mob tham txog kev mus ntsib kws kho mob plawv thiab mob qog noj ntshav.
• Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua tib zoo saib xyuas koj lub plawv ua ntej, thaum lub sijhawm, thiab tom qab kev kho mob qog noj ntshav.

Nco ntsoov tias, nws yuav nyuaj rau xav txog koj lub plawv kev noj qab haus huv thaum tawm tsam mob qog noj ntshav. Tab sis, muaj cov kws tshaj lij nyob ntawd los pab koj thiab saib xyuas koj. Yog li ntawd, tsis txhob ntshai!

Kws kho mob plawv thiab mob qog noj ntshav, kev kho mob qog noj ntshav, kab mob plawv, cov kev mob tshwm sim, kev siv tshuaj kho mob qog noj ntshav, kev kho mob hluav taws xob, kev noj qab haus huv ntawm lub plawv