Lub tswv yim ntawm kev phais lub hlwb yog qhov tsis xis nyob rau txhua tus. Peb feem ntau pom nws ua ib qho kev phais mob uas nyuaj heev. Txawm hais tias nws yog ib qho kev kho mob loj, qee zaum nws yog ib qho tseem ceeb, kev ntsuas cawm txoj sia. Kev phais Craniotomy yog ib qho kev phais cawm txoj sia . Ntawm Nirogi Lanka, peb xav pab txo koj qhov kev ntxhov siab los ntawm kev piav qhia meej tias qhov kev phais no yog dab tsi, vim li cas nws thiaj ua, thiab koj tuaj yeem cia siab li cas, hauv cov lus yooj yim, meej.
Craniotomy yog dab tsi tiag?
Hauv cov lus yooj yim, tus kws phais hlwb yuav tshem ib daim pob txha taub hau ib ntus kom nkag mus rau hauv lub hlwb. Xav txog nws zoo li qhib lub qhov rooj los ua qhov kho tsim nyog sab hauv thiab tom qab ntawd kaw nws kom ruaj ntseg tom qab lawv. Thaum cov txheej txheem ua tiav, pob txha raug hloov thiab ruaj ntseg rov qab rau hauv nws qhov chaw qub.
Qhov no yog ib qho kev phais loj. Feem ntau cov kws kho mob pom zoo kom ua rau cov mob uas yuav ua rau tuag taus, xws li mob qog hauv hlwb, ntshav hauv hlwb, lossis raug mob taub hau hnyav los ntawm qhov xwm txheej.
Qhov txawv ntawm Craniotomy thiab Craniectomy yog dab tsi?
Txawm hais tias cov lus no zoo ib yam, muaj qhov sib txawv tseem ceeb heev ntawm ob txoj kev no.
Hauv kev phais Craniotomy , daim pob txha uas raug tshem tawm ntawm lub taub hau raug hloov pauv thaum lub sijhawm phais tib yam. Txawm li cas los xij, hauv kev phais Craniectomy , pob txha uas raug tshem tawm tsis raug muab tso rov qab tam sim ntawd. Yog tias muaj qhov o ntawm lub hlwb loj heev, lub taub hau yuav raug tso qhib kom muaj chaw rau qhov o ntawd kom ploj mus. Tom qab hnub, cov txheej txheem thib ob hu ua Cranioplasty raug ua los npog qhov qhib. Qhov ntawd yog qhov sib txawv tseem ceeb.
Puas muaj ntau hom kev phais mob taub hau sib txawv?
Yog, muaj ntau hom kev phais pob txha taub hau nyob ntawm qhov chaw uas muaj teeb meem rau lub hlwb. Txawm hais tias cov npe yuav zoo li kev siv tshuab, lawv hais txog thaj chaw tshwj xeeb ntawm lub taub hau uas raug nkag mus.
| Hom Kev Phais Mob | Qhov Chaw Qhib |
|---|---|
| Pem hauv ntej | Pem hauv ntej ntawm lub taub hau, ze ntawm lub hauv pliaj (ze ntawm txoj kab plaub hau) |
| Lub sijhawm | Sab ntawm lub pob txha taub hau, nyob rau hauv pem hauv ntej ntawm pob ntseg thiab nyob ze ntawm lub qhov muag |
| Parietal | Sab saud thiab nruab nrab ntawm lub taub hau |
| Pterional | Sab ntawm lub pob txha taub hau, tom qab lub tuam tsev |
| Retrosigmoid | Qhov txiav me me tom qab pob ntseg |
| Suboccipital | Qis dua ntawm lub pob txha taub hau, tsuas yog saum lub caj dab |
Vim li cas tus kws kho mob thiaj li pom zoo kom ua Craniotomy?
Muaj ntau yam kev kho mob rau qhov kev phais no, txhua yam cuam tshuam nrog cov mob hnyav ntsig txog lub hlwb.
| Mob | Piav Qhia Yooj Yim |
|---|---|
| Mob qog hauv hlwb | Txhawm rau tshem tawm qhov kev loj hlob tsis zoo ntawm cov hlwb hauv lub hlwb. |
| Ntshav txhaws | Txhawm rau txo qhov siab uas tshwm sim los ntawm cov ntshav txhaws hauv lub hlwb. |
| Aneurysm | Kho qhov uas zoo li lub npas hauv cov hlab ntsha ua ntej nws tawg. |
| Kev Ua Tsis Zoo ntawm AV | Kho qhov sib txuas tsis zoo ntawm cov hlab ntsha thiab cov leeg ntshav hauv lub hlwb. |
| Lub hlwb o/siab | Txhawm rau txo qhov kev nyuaj siab txaus ntshai uas tshwm sim los ntawm kev raug mob lossis lwm yam mob hauv qab. |
| Kab mob qaug dab peg | Txhawm rau tshem tawm qhov tshwj xeeb ntawm lub hlwb ua rau muaj qaug dab peg uas tshuaj tsis tuaj yeem tswj tau. |
| Pob txha taub hau tawg | Kho lub taub hau tom qab raug mob hnyav lossis raug xwm txheej. |
Koj yuav tsum npaj li cas rau kev phais?
Ua ntej koj phais mob, koj pab neeg kho mob yuav soj ntsuam koj txoj kev noj qab haus huv kom zoo thiab tsim ib txoj kev npaj kho mob kom tiav. Cov txheej txheem no yuav suav nrog ntau kauj ruam kuaj mob:
- Kev kuaj lub cev kom meej
- Kev kuaj ntshav
- Kev kuaj duab siab heev xws li MRI , CT scan , PET scan, lossis Angiography
Tom qab cov kev kuaj no, koj tus kws kho mob yuav piav qhia meej txog kev phais, tej yam tshwm sim tsis zoo, thiab koj lub sijhawm rov zoo uas yuav tshwm sim. Lawv kuj tseem yuav muab cov lus qhia tshwj xeeb txog yam koj yuav tsum ua los npaj rau kev phais.
- Koj yuav tsum tau yoo movrau hnub phais mob.
- Yog tias koj noj cov tshuaj ua kom cov ntshav nyias ( cov tshuaj ua kom cov ntshav nyias ), koj tus kws kho mob yuav qhia koj kom tsis txhob noj lawv ob peb hnub ua ntej txoj kev kho mob.
- Tej zaum yuav muaj tshuaj tua kab mob rau koj ua ntej kom pab tiv thaiv kev kis kab mob.
Qhov no yog ib theem tseem ceeb heev. Thov koj nug koj tus kws kho mob txhua yam lus nug, txawm tias lawv yuav zoo li me me los xij. Txawm tias koj xav paub tias, "Yuav muaj dab tsi tshwm sim tom qab qhov no?", "Puas yuav mob?", lossis "Kuv yuav mus tsev thaum twg?", kev tau txais cov lus teb no yuav pab kom koj muaj kev thaj yeeb nyab xeeb.
Muaj dab tsi tshwm sim tiag tiag thaum lub sijhawm phais?
Thaum hnub koj phais mob, koj yuav tau txais tshuaj loog ua ntej. Qhov no ua kom koj tsis hnov mob thiab pw tsaug zog thoob plaws hauv txoj kev phais mob.
Thaum koj mus txog hauv chav phais lawm, koj pab neeg phais yuav ua tib zoo muab koj lub taub hau tso rau. Yuav muab ib cheeb tsam me me ntawm cov plaub hau txiav rau ntawm qhov chaw phais, thiab daim tawv nqaij yuav raug ntxuav thiab tua kab mob kom huv si. Tom qab ntawd koj tus kws kho mob yuav ua ib qho kev txiav me me rau ntawm lub taub hau kom txog rau lub pob txha taub hau.
Siv cov khoom siv kho mob tshwj xeeb, ib daim pob txha uas raug tshem tawm ntawm koj lub taub hau yuav raug tshem tawm kom zoo. Daim pob txha no khaws cia rau ib sab kom ruaj ntseg kom rov txuas tau thaum phais tiav.
Tom ntej no yog lub hom phiaj tseem ceeb ntawm cov txheej txheem: tus kws phais nkag mus rau hauv lub hlwb los daws qhov teeb meem hauv qab, xws li tshem tawm cov qog, tshem tawm cov ntshav txhaws, lossis txiav cov aneurysm.
Thaum cov txheej txheem ua tiav lawm, daim tawv nqaij ntawm pob txha raug hloov thiab ruaj khov rau hauv nws qhov chaw qub siv cov phaj titanium me me thiab cov ntsia hlau, thiab lub taub hau raug xaws kom zoo zoo.
Puas muaj tseeb tias qhov kev phais no qee zaum ua thaum tseem tsaug zog?
Yog, qhov ntawd yog qhov tseeb. Hauv cov xwm txheej tshwj xeeb, cov kws kho mob yuav tsum tau saib xyuas koj lub hlwb ua haujlwm thaum lub sijhawm phais. Qhov no yog qhov tshwm sim tshwj xeeb yog tias cov txheej txheem nyob ze rau thaj chaw uas tswj kev hais lus, kev pom, lossis kev txav mus los. Tsis txhob txhawj; tsuas yog thaj chaw taub hau xwb thiaj li loog, thiab koj yuav tsis hnov mob thaum lub sijhawm no.
Feem ntau, ib qho txheej txheem zoo li no tuaj yeem siv sijhawm 3 txog 5 teev , txawm hais tias lub sijhawm ntev npaum li cas yuav txawv raws li qhov nyuaj ntawm rooj plaub.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab ua tiav cov txheej txheem, koj yuav raug coj mus rau Chav Saib Xyuas Mob Hnyav (ICU) . Nyob ntawd, pab pawg kws kho mob yuav saib xyuas koj tus mob kom zoo, saib xyuas koj lub plawv dhia, ntshav siab, thiab ua pa kom zoo.
Tom qab ob peb hnub, koj yuav raug xa mus rau chav kho mob dav dav, thiab tej zaum koj yuav tsum nyob hauv tsev kho mob li ib lub lim tiam. Thaum lub sijhawm no, lub hom phiaj tseem ceeb yog so, feem ntau nrog koj lub taub hau tsa me ntsis. Ua ntej koj mus tsev, koj yuav tau txais cov lus qhia ntxaws ntxaws txog yuav ua li cas saib xyuas koj tus kheej thiab yuav tsum ua li cas.
Puas muaj kev pheej hmoo cuam tshuam, zoo li lwm yam kev phais?
Yog, zoo li txhua yam kev phais mob, muaj qee qhov kev pheej hmoo, tab sis peb cov pab pawg kho mob siv zog los txo cov no kom tsawg li ntau tau. Tej zaum yuav muaj kev pheej hmoo xws li:
- Los ntshav
- Mob
- Kev kis kab mob
- Qaug dab peg
- Mob stroke
- Hydrocephalus (kua dej sib sau ua ke hauv lub hlwb)
- Coma
Koj tus kws kho mob yuav tham txog txhua yam kev pheej hmoo no nrog koj kom meej ua ntej phais.
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tag nrho?
Feem ntau, kev rov zoo tag nrho yuav siv sijhawm li 6 txog 8 lub lis piamTxawm li cas los xij, qhov no txawv ntawm ib tus neeg mus rau ib tus neeg thiab nyob ntawm seb qhov kev phais mob zoo li cas. Tsis txhob nqa khoom hnyav lossis ua si nawv kom txog thaum koj tus kws kho mob pom zoo rau koj. Koj pab neeg kho mob yuav qhia rau koj paub thaum twg koj rov qab mus kawm ntawv lossis ua haujlwm tau. Kev so yog qhov tseem ceeb tshaj plaws thaum lub sijhawm no.
Kuv puas ua tau lub neej li qub tom qab phais lawm?
Nov yog ib lo lus nug uas neeg feem ntau nug. Cov lus teb yog, Yog! Feem ntau cov neeg rov zoo tag nrho tom qab phais mob no thiab rov qab mus rau lawv lub neej niaj hnub yam tsis muaj teeb meem ntev. Thov tsis txhob txhawj txog yav tom ntej.
Yog koj muaj cov tsos mob no, nrhiav kev pab kho mob tam sim ntawd!
Thaum koj rov qab los tsev, koj yuav tsum nco ntsoov txog qee cov cim ceeb toom. Yog tias koj ntsib ib qho ntawm cov hauv qab no, nrhiav kev kho mob tam sim ntawd.
| Hu rau koj tus kws kho mob yog tias: | |
|---|---|
| - Qhov phais mob tsis kho tau zoo. | |
| - Koj mob heev los yog o ntawm qhov txhab. | |
| Koj pib kub taub hau. | |
| Mus rau chav kho mob ceev (ER) tam sim ntawd yog tias: | |
| - Koj pom cov cim qhia tias muaj mob stroke (ntsej muag qaug zog, caj npab tsis muaj zog, lossis hais lus tsis tau). | |
| Koj ua pa nyuaj. | |
| - Koj muaj kev qaug dab peg. | |
Take-Home Message (Nirogi Lanka)
- Kev phais lub hlwb yog ib qho kev phais loj tab sis feem ntau cawm tau txoj sia.
- Feem ntau daim pob txha uas raug tshem tawm ntawm lub taub hau yuav raug txuas rov qab rau tib txoj kev kho mob.
- Kev rov zoo yuav siv sijhawm, thiab kev so yog qhov tseem ceeb thaum lub sijhawm no.
- Tsis txhob yig los tham txog tej lus nug lossis kev txhawj xeeb nrog koj tus kws kho mob.
- Muaj coob tus neeg rov zoo tag nrho thiab ua neej nyob li qub, txaus siab tom qab ua qhov kev kho mob no.
Kev phais pob txha taub hau, kev phais hlwb, pob txha taub hau, kev phais hlwb, qog nqaij hlav hauv hlwb, kev rov qab phais hlwb, cov ntaub ntawv txog kev phais pob txha taub hau
