Nws yog ib qho ib txwm muaj rau txhua tus neeg uas yuav ntshai thiab ntxhov siab me ntsis thaum lawv raug qhia tias lawv yuav tsum tau phais lub hlwb. Nws tsis yog koj xwb, nws yog ib qho kev xav rau txhua tus. Txawm li cas los xij, thaum koj tau txais kev qhia kom raug thiab meej meej txog qhov kev phais no, koj qhov kev ntshai thiab kev tsis ntseeg tuaj yeem txo qis mus rau qhov ntau. Yog li hnub no, cia peb tham txog txhua yam txog qhov kev phais lub hlwb no, uas hu ua '(Craniotomy)' hauv kev kho mob.
Hais yooj yim xwb, qhov Craniotomy no yog dab tsi?
Kev phais lub taub hau yog ib txoj kev phais uas tus kws phais hlwb yuav rho ib daim pob txha me me ntawm koj lub taub hau kom nkag mus rau koj lub hlwb, ua qhov kev phais tsim nyog, thiab tom qab ntawd rov txuas daim pob txha uas raug tshem tawm . Qhov no yog kev phais loj. Cov kws kho mob feem ntau ua hom kev phais no rau cov mob hnyav xws li qog hauv hlwb, mob hnyav uas yuav ua rau tuag taus, lossis raug mob taub hau los ntawm qhov xwm txheej loj.
Tam sim no tej zaum koj yuav xav paub, muaj lwm qhov kev phais mob zoo li no hu ua craniectomy, qhov txawv ntawm ob qho no yog dab tsi?
Hauv kev phais pob txha taub hau , daim pob txha uas raug tshem tawm ntawm lub taub hau yuav raug txuas rov qab thaum lub sijhawm phais tib yam . Txawm li cas los xij, hauv kev phais pob txha taub hau , daim pob txha tsis raug txuas rov qab tam sim ntawd. Qhov no yog vim tias yog tias muaj o hauv lub hlwb, nws yuav tsum tau cia kom ploj mus. Tom qab ntawd, daim pob txha yuav raug txuas rov qab hauv kev phais sib cais ('(Cranioplasty)').
Vim li cas koj thiaj yuav tsum tau phais mob li no?
Muaj ntau yam ua rau koj yuav tsum tau phais lub taub hau. Yog tias koj tus kws kho mob tau pom zoo kom ua hom kev phais no rau koj, tej zaum yuav yog vim ib qho ntawm cov laj thawj hauv qab no.
| Vim li cas thiaj phais | Ib qho lus piav qhia yooj yim |
|---|---|
| Mob qog hauv hlwb | Txhawm rau tshem tawm cov hlwb tsis zoo hauv lub hlwb. |
| Cov ntshav txhaws | Tshem tawm cov ntshav txhaws hauv lub hlwb thiab rov qab cov ntshav ntws. |
| Teeb meem ntawm cov hlab ntsha | Piv txwv li, kho qhov aneurysm lossis arteriovenous malformation. |
| Kev o los yog kev ntxhov siab rau lub hlwb | Yog tias qhov siab hauv lub hlwb tau nce ntxiv, txo nws. |
| Kab mob qaug dab peg | Hauv qee kis mob qaug dab peg hnyav, yuav tsum tshem tawm ib feem ntawm lub hlwb uas ua rau muaj tus kab mob. |
| Pob txha taub hau tawg | Rov txuas lub pob txha taub hau thaum nws tawg hauv qhov xwm txheej loj heev. |
Koj npaj li cas ua ntej phais?
Koj pab neeg kho mob npaj txhua yam kom zoo ua ntej phais loj zoo li no, thiab koj kuj yuav tsum txhawb nqa qhov ntawd thiab.
Ua ntej phais, koj yuav tsum ua cov hauv qab no:
- Teem caij mus ntsib kws kho mob: Koj tus kws phais yuav nrog koj tham kom meej txog kev phais, nws cov kev pheej hmoo, thiab cov txiaj ntsig. Nug txhua lo lus nug lossis kev txhawj xeeb uas koj muaj lub sijhawm no .
- Muaj ntau yam kev kuaj mob: Ntxiv rau kev kuaj ntshav los xyuas koj txoj kev noj qab haus huv, kev kuaj duab xws li '(MRI)', '(CT scan)', '(PET scan)' kuj tseem yuav raug txiav txim kom kuaj xyuas koj lub hlwb zoo li cas.
- Cov lus qhia ua ntej phais:
- Lawv hais kom koj noj lub plab khoob rau hnub phais.
- Yog tias koj noj cov tshuaj ua kom cov ntshav nyias, koj yuav raug hais kom tsum tsis txhob noj ob peb hnub ua ntej phais.
- Tej zaum koj yuav raug hais kom pib siv tshuaj tua kab mob lossis lwm yam tshuaj thaum ntxov kom tiv thaiv kev kis kab mob.
Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia kom meej. Qhov no tseem ceeb heev rau kev phais kom ua tiav.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Thaum hnub koj phais mob, koj yuav raug muab tshuaj loog ('(Anesthesia)'). Qhov no txhais tau tias koj yuav tsaug zog tag nrho kom koj yuav tsis hnov mob dab tsi. Hauv chav phais mob, koj lub taub hau thiab lub cev yuav nyob rau qhov chaw raws nraim li qhov xav tau, thiab kev phais mob yuav pib.
1.Kev Npaj: Ua ntej, cov plaub hau nyob ib puag ncig qhov chaw phais raug txiav thiab thaj chaw ntawd raug ntxuav kom huv si kom tshem tawm cov kab mob.
2. Txiav daim tawv nqaij: Tom ntej no, tus kws kho mob yuav txiav daim tawv nqaij.
3. Tshem tawm cov pob txha: Tom ntej no, ib daim me me ntawm cov pob txha taub hau raug txiav siv cov cuab yeej tshwj xeeb thiab ua tib zoo tshem tawm. Daim pob txha no yuav tsum tau rov txuas dua tom qab, yog li nws thiaj li tso tseg tau zoo.
4. Phais Lub Hlwb: Tam sim no koj tuaj yeem nkag mus rau hauv lub hlwb tau. Tus kws kho mob yuav daws qhov teeb meem uas ua rau muaj kev phais (piv txwv li, tshem tawm ib qho qog, kho ib txoj hlab ntshav).
5. Rov Txuas Dua: Tom qab phais lub hlwb tiav lawm, cov pob txha taub hau uas raug tshem tawm yuav raug muab rov qab ua ke zoo li ib daim duab sib dhos, thiab muab cov phaj me me thiab cov ntsia hlau khi kom ruaj. Tom qab ntawd, daim tawv nqaij yuav raug xaws rov qab ua ke.
Feem ntau, kev phais mob yuav siv sijhawm li 3-5 teev, tab sis nws yuav siv sijhawm ntev dua nyob ntawm seb yuav ua dab tsi.
Koj puas ua qhov phais no thaum koj tseem tsaug zog?
Yog lawm, yog lawm. Hauv qee kis tshwj xeeb, qhov kev phais no yuav tsum tau ua thaum koj tseem tsaug zog. Nws hu ua "Awake Craniotomy." Xav txog, yog tias thaj chaw uas yuav tsum tau phais yog nyob ze rau ib feem ntawm koj lub hlwb uas tswj kev hais lus, kev pom, lossis kev txav mus los, tus kws phais xav pom seb cov haujlwm ntawd puas tshwm sim thaum lub sijhawm phais. Tab sis tsis txhob txhawj, koj yuav tsis hnov mob . Vim tias lub hlwb tsis hnov mob, thiab koj lub pob txha taub hau thiab daim tawv nqaij loog. Tus kws kho mob yuav hais kom koj hais lus, txheeb xyuas ib daim duab, lossis txav koj txhais tes, yog li nws tuaj yeem ua haujlwm rau qhov chaw raug.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais tas, koj yuav raug xa mus rau chav saib xyuas mob hnyav (ICU). Nyob ntawd, koj tus mob (ua pa, lub plawv dhia, ntshav siab) yuav raug saib xyuas tas li los ntawm pab pawg kws kho mob. Thaum koj tus mob ruaj khov lawm, koj yuav raug xa mus rau chav kho mob ib txwm.
- Nyob hauv tsev kho mob: Feem ntau, koj yuav tsum nyob hauv tsev kho mob li ib lub lim tiam.
- So: Nws yog ib qho tseem ceeb uas yuav tsum so hauv txaj nrog koj lub taub hau me ntsis siab thaum lub sijhawm no.
- Kev rov zoo hauv tsev: Tom qab koj mus tsev lawm, kev so yog qhov tseem ceeb tshaj plaws . Feem ntau nws yuav siv sijhawm li 6-8 lub lis piam kom rov zoo tag nrho. Koj yuav tsum tau nrog koj tus kws kho mob tham ua ntej mus ua haujlwm lossis ua tej yam kev ua ub ua no hnyav.
Puas muaj tej yam tshwm sim los yog tej yam txaus ntshai?
Ib yam li lwm yam kev phais loj, muaj kev pheej hmoo thiab teeb meem uas tuaj yeem tshwm sim nrog kev phais pob txha taub hau. Txawm li cas los xij, nrog rau cov txheej txheem kho mob niaj hnub no, cov no tsis tshua muaj. Pab pawg phais ua qhov zoo tshaj plaws los tiv thaiv cov no.
Tej yam txaus ntshai yuav muaj xws li:
- Ntshav (`(Ntshav)`)
- Mob
- Kev kis kab mob (`(Kev kis kab mob)`)
- Mob qaug dab peg (Status epilepticus)
- Mob stroke
- Mob taub hau
Txawm hais tias tej zaum yuav muaj tej yam tshwm sim mus sij hawm ntev xws li nyuaj taug kev, nyuaj hais lus, lossis hloov tus cwj pwm los xij, tej no tsis tshua muaj. Koj tus kws kho mob yuav piav qhia txog tej kev pheej hmoo no rau koj ua ntej.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Thaum koj mus txog tsev lawm, saib xyuas koj txoj kev noj qab haus huv kom zoo. Nws yog ib qho tseem ceeb uas yuav tsum qhia txog tej teeb meem sai li sai tau.
| Cov xwm txheej uas xav tau kev saib xyuas sai | |
|---|---|
| Tham nrog koj tus kws kho mob: |
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| Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd: |
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Thaum kawg, kev phais lub taub hau yog ib qho kev phais tseem ceeb heev uas tuaj yeem kho cov mob hnyav thiab cawm tau txoj sia. Cov neeg feem coob rov zoo tag nrho thiab ua neej nyob li qub tom qab phais. Qhov tseem ceeb tshaj plaws yog ntseeg koj pab neeg kho mob, ua raws li lawv cov lus qhia, thiab qhia rau lawv paub yog tias koj muaj kev txhawj xeeb dab tsi.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais craniotomy yog ib qho kev phais loj uas ib feem ntawm pob txha taub hau raug tshem tawm ib ntus thiab tom qab ntawd rov txuas dua kom nkag mus rau lub hlwb.
- Qhov no yog ua los kho cov mob hnyav xws li qog hauv hlwb, cov ntshav txhaws, thiab cov xwm txheej.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia ua tib zoo ua ntej phais thiab nug txhua yam lus nug uas koj muaj.
- Kev so yog qhov tseem ceeb rau kev rov zoo tag nrho tom qab phais, uas feem ntau yuav siv sijhawm li 6-8 lub lis piam.
- Yog tias koj muaj cov tsos mob txawv txawv (mob hnyav, kub taub hau, mob plab) thaum koj rov zoo, nrhiav kev pab kho mob tam sim ntawd.
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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