Kab mob hawb pob yog ib yam kab mob uas ua rau neeg ntxhov siab thiab cuam tshuam rau lawv lub neej txhua hnub, tsuas yog cov neeg uas muaj tus kab mob no thiaj paub xwb. Lawv ua pa nrov nrov tas li, zoo li lawv lub hauv siab nqaim, tsis tuaj yeem mus qhov twg yog tsis muaj lawv lub tshuaj nqus pa... Tej yam zoo li no ua rau lawv ua tsis tau lawv tej haujlwm txhua hnub kom zoo, puas yog? Qhov no ua rau cov neeg uas tsis tuaj yeem tswj tau lawv tus kab mob hawb pob txawm tias tom qab siv cov tshuaj uas tus kws kho mob sau thiab lawv lub tshuaj nqus pa kom zoo lawm ntxhov siab heev. Yog li, hnub no peb yuav tham txog ib txoj kev kho mob niaj hnub tshwj xeeb uas tuaj yeem pab cov neeg uas muaj tus kab mob hawb pob hnyav heev. Ntawd yog Bronchial Thermoplasty .
Hauv lwm lo lus, Bronchial Thermoplasty yog dab tsi?
Zoo, cia peb hais qhov no yooj yim xwb. Xav txog tias muaj ib txheej me me ntawm cov leeg nqaij nyob ib puag ncig lub raj cua (peb hu ua lub trachea) hauv koj lub ntsws. Hauv ib tus neeg uas muaj mob hawb pob, cov leeg nqaij no yuav qaug zog yam tsis tsim nyog, uas yog, nws nruj. Tom qab ntawd lub raj cua ntawd yuav nqaim. Ib yam li thaum koj nias lub raj dej, nws yuav nyuaj rau ntws, thaum lub bronchi nqaim, nws yuav nyuaj rau ua pa. Thaum peb muaj mob hawb pob, qhov ntawd yog qhov ua rau peb ua pa nrov nrov thiab peb lub hauv siab nruj.
Kev kho mob ntsws (Bronchial Thermoplasty) yog ib txoj kev kho mob uas siv cua sov tswj tau rau cov leeg nqaij tawv thiab tuab no, uas pab kom lawv so. Yog xav kom meej meej, feem ntau tus kws kho mob ntsws ua qhov no. Nws siv ib lub raj nyias nyias los nkag mus rau hauv koj txoj hlab pa thiab siv cua sov rau cov leeg nqaij. Thaum cov leeg nqaij no so, lawv yuav tsis nruj npaum li yav tas los. Qhov no qhib txoj hlab pa, ua rau nws yooj yim dua rau kev ua pa.
Qhov tseem ceeb yog tias qhov no tsis yog kev kho mob hawb pob. Txawm li cas los xij, nws tuaj yeem txo qhov hnyav ntawm cov tsos mob hawb pob thiab qhov zaus ntawm kev mob hawb pob.
Txoj kev kho mob no haum rau leej twg?
Qhov no tsis yog kev kho mob rau txhua tus neeg mob hawb pob. Feem ntau, kev kho mob ntsws (Bronchial Thermoplasty) yog rau cov neeg uas muaj mob hawb pob hnyav uas tsis tuaj yeem tswj tau nws nrog kev kho mob ib txwm muaj.
Cia peb saib seb "mob hawb pob hnyav" txhais li cas li no.
| Xwm txheej | Piav qhia yooj yim |
|---|---|
| Tsis raug tswj los ntawm kev kho mob ib txwm muaj | Yog tias koj cov tsos mob ntawm tus mob hawb pob (ua pa nrov nrov, hnoos, hauv siab nruj) tseem muaj txawm tias koj siv cov tshuaj nqus pa ntau, cov tshuaj noj, lossis cov tshuaj txhaj tshwj xeeb (biologicals). |
| Kev cuam tshuam rau qhov zoo ntawm lub neej | Yog tias koj tus mob hawb pob tseem cuam tshuam rau koj cov dej num txhua hnub, kev pw tsaug zog, kev ua haujlwm, thiab kev tawm dag zog. |
| Mob hawb pob ntau zaus | Yog tias koj muaj mob hawb pob ntau zaus thiab ua pa nyuaj dua li qub. |
| Yuav tsum tau mus pw hauv tsev kho mob | Yog koj tus mob hawb pob hnyav zuj zus, txhais tau tias koj ua pa nyuaj thiab yuav tsum tau mus pw hauv tsev kho mob kom tau txais kev kho mob. |
Yog tias koj muaj ib yam mob zoo sib xws, koj tuaj yeem tham txog kev kho mob Bronchial Thermoplasty nrog koj tus kws kho mob thiab txiav txim siab seb nws puas yog rau koj.
Koj npaj li cas ua ntej kev kho mob?
Thaum koj thiab koj tus kws kho mob tau txiav txim siab kho qhov no lawm, yuav muaj qee yam kev npaj ua ntej. Feem ntau tus kws kho mob yuav muab cov lus qhia rau koj li no:
- Koj yuav raug hais kom tsis txhob noj lossis haus dab tsi li tsawg kawg yog yim teev ua ntej kev kho mob.
- Koj yuav raug hais kom noj tshuaj steroid (piv txwv li prednisolone) ob mus rau peb hnub ua ntej kev kho mob. Qhov no yog los tswj kev o thiab cov tsos mob uas yuav tshwm sim tom qab kev kho mob.
- Vim tias kev kho mob ua tiav hauv qab tshuaj loog, koj yuav tsis tuaj yeem tsav tsheb tom qab kev kho mob. Yog li ntawd, koj yuav raug thov kom npaj ib tus neeg coj koj mus tsev ua ntej .
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Qhov uas tshwm sim rau hnub kho mob no yog ib qho txheej txheem heev.
1. Ua ntej, koj yuav raug muab tshuaj loog los ntawm cov leeg ntshav kom koj thiaj li tsis hnov mob lossis tsis xis nyob. Yog li ntawd, koj yuav tsaug zog thoob plaws hauv kev kho mob.
2. Tom qab ntawd, tus kws kho mob siv lub bronchoscope.Muaj ib lub raj nyias nyias thiab yoog tau uas muaj lub koob yees duab txuas nrog, raug xa mus los ntawm koj lub qhov ncauj mus rau hauv cov hlab pa ntawm koj lub ntsws.
3. Muaj ib lub cuab yeej tshwj xeeb ntxiv rau hauv lub raj no thiab xa cov cua sov uas tswj tau ('lub zog zaus xov tooj cua') mus rau thaj chaw uas cov leeg nqaij tuab. Qhov cua sov no ua rau cov leeg nqaij nyias.
4. Tom qab kho tag nrho cov cheeb tsam tsim nyog, tus kws kho mob yuav ua tib zoo tshem lub bronchoscope.
Tag nrho cov txheej txheem no feem ntau siv sijhawm ntawm 45 feeb thiab ib teev .
Tom qab kev kho mob thiab tag nrho cov kev kho mob
Tom qab kev kho mob tiav lawm, cov kws kho mob thiab cov kws tu mob yuav saib xyuas koj ob peb teev kom txog thaum koj sawv los ntawm kev siv tshuaj loog. Yog tias koj cov tsos mob ntawm tus mob hawb pob hnyav zuj zus lossis koj muaj lwm yam kev mob tshwm sim, tej zaum koj yuav tsum tau nyob hauv tsev kho mob hmo ntawd.
Qhov tseem ceeb tshaj plaws yog tias kev kho mob no tsis yog ua tiav ib zaug xwb. Yuav kho txhua qhov chaw ntawm lub ntsws, koj yuav tsum tau mus koom peb zaug kev kho mob .
- Kho qhov qis ntawm lub ntsws sab xis hauv ib zaug xwb.
- Hauv lwm lub sijhawm, qhov qis ntawm lub ntsws sab laug yuav raug kho.
- Hauv kev kho mob zaum peb, cov qhov sab saud ntawm ob lub ntsws raug kho.
Muaj qhov sib txawv tsawg kawg yog peb lub lis piam ntawm cov kev sib tham no.
Cov txiaj ntsig, kev pheej hmoo, thiab cov kev mob tshwm sim ntawm kev kho mob no yog dab tsi?
Ib yam li kev kho mob twg los xij, Bronchial Thermoplasty muaj nws cov txiaj ntsig nrog rau qee qhov kev pheej hmoo thiab cov kev mob tshwm sim. Nws yog ib qho tseem ceeb kom nkag siab meej txog cov no.
| Cov txiaj ntsig | Kev Pheej Hmoo & Cov Kev Mob Tshwm Sim |
|---|---|
| Txo qhov hnyav thiab zaus ntawm cov tsos mob ntawm tus mob hawb pob. | Cov tsos mob ntxiv ib ntus (hnoos, ua pa nrov nrov, mob hauv siab) rau ob peb hnub tom qab kho (feem ntau cov no yuav ploj mus hauv ib lub lim tiam). |
| Txo qhov tshwm sim ntawm kev mob hawb pob . | Muaj kev pheej hmoo me me ntawm kev mus pw hauv tsev kho mob vim yog cov tsos mob hnyav. |
| Txhim kho qhov zoo ntawm lub neej. | Kev pheej hmoo ntawm kev kis kab mob ntsws. |
| Kev tshawb fawb qhia tau tias cov txiaj ntsig zoo kav ntev li ntawm 10 xyoo. | Tsis tshua muaj feem yuav muaj mob xws li lub ntsws tawg (atelectasis) lossis txoj hlab pa dav (bronchiectasis). |
Thaum twg yuav tsum mus ntsib kws kho mob thiab mus rau tsev kho mob tam sim ntawd
Tom qab kho mob tas, nws yog ib qho tseem ceeb kom paub qhov txawv ntawm qhov mob ib txwm muaj, qhov xav tias yuav mob thiab cov mob hnyav uas xav tau kev saib xyuas sai.
| Cov xwm txheej uas yuav tsum tau them sai sai rau | |
|---|---|
| Tham nrog koj tus kws kho mob: | |
| Tham txog tej lus nug lossis kev txhawj xeeb uas koj muaj ua ntej lossis tom qab kev kho mob. Piv txwv li, "Kws kho mob, kuv hnoos me ntsis, puas yog qhov ntawd ib txwm muaj?" | |
| Mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) uas nyob ze tshaj plaws tam sim ntawd: | |
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Mob hawb pob tuaj yeem ua rau koj tuag taus. Tshwj xeeb tshaj yog tias koj tus mob hawb pob rov tshwm sim ntau zaus, koj yuav plam qee yam zoo siab tshaj plaws hauv lub neej. Kev kho mob ntsws tsis yog ib txoj kev daws teeb meem uas haum rau txhua tus. Txawm li cas los xij, yog tias koj xav tias koj tus mob hawb pob cuam tshuam rau koj lub neej hnyav, txawm tias tom qab noj koj cov tshuaj uas tau sau tseg, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob kom tham txog seb qhov kev kho mob no lossis lwm txoj kev kho mob lwm yam puas yog rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Bronchial Thermoplasty yog kev kho mob tshwj xeeb rau kev mob hawb pob hnyav uas tsis tuaj yeem tswj tau nrog kev kho mob ib txwm muaj.
- Qhov no ua rau cov leeg nqaij uas tuab nyob ib puag ncig cov hlab pa sov thiab ua rau lawv nyias dua, ua rau ua pa yooj yim dua.
- Qhov no tsis ua tiav hauv ib zaug xwb, tab sis muaj peb zaug kev kho mob uas sib nrug li peb lub lis piam.
- Txawm hais tias qhov no tsis yog kev kho mob hawb pob, nws tuaj yeem txo cov tsos mob thiab qhov tshwm sim ntawm kev mob hawb pob.
- Ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo thiab cov kev mob tshwm sim ib ntus.
- Koj yuav tsum tau tham txog qhov kev kho mob no nrog koj tus kws kho mob ntsws lossis koj tus kws kho mob kom paub seb nws puas yog rau koj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus