Nws yog ib qho ib txwm rau txhua tus neeg yuav ntshai thiab poob siab heev thaum lawv paub tias lawv muaj mob qog noj ntshav, tshwj xeeb tshaj yog thaum lawv hnov tias nws tau kis mus rau lwm qhov ntawm lub cev. Txawm li cas los xij, hauv kev tshawb fawb kho mob niaj hnub no, muaj cov kev kho mob muaj zog uas tuaj yeem pab ua kom lub neej ntev thiab tswj cov tsos mob txawm tias nyob rau hauv cov xwm txheej zoo li no. Hnub no, peb yuav tham txog ib qho kev phais tshwj xeeb zoo li no. Qhov no hu ua kev phais tshem cov qog tawm.
Hais yooj yim xwb, kev phais mob Debulking yog dab tsi?
Xav txog tias ib lub vaj muaj ntau cov nroj tsuag. Peb yuav ua li cas? Peb rho tawm ntau cov nroj tsuag ntawd kom ntau li ntau tau, puas yog? Ces cov ntoo thiab cov txiv hmab zoo muaj lub sijhawm rov qab loj hlob zoo. Kev phais tshem cov noob, lossis kev phais '(Cytoreduction), yog ib yam zoo li ntawd.
Hais yooj yim xwb, qhov no yog kev phais tshem tawm ntau yam mob qog noj ntshav kom ntau li ntau tau thaum nws kis mus thoob plaws lub cev. Qee zaum nws yuav tsis tuaj yeem tshem tawm tag nrho cov mob qog noj ntshav. Tab sis kev tshem tawm ntau li ntau tau ua rau nws yooj yim dua rau lwm yam kev kho mob, xws li kev siv tshuaj kho mob qog noj ntshav, los tswj cov qe ntshav qog noj ntshav uas tseem tshuav.
Qhov no muaj ntau lub hom phiaj tseem ceeb:
- Pab kom lub neej ntev dua.
- Ua kom qeeb qeeb qhov kev kis tus kab mob qog noj ntshav.
- Txo cov tsos mob xws li mob thiab siab rau cov kabmob ib puag ncig uas tshwm sim los ntawm cov qog nqaij hlav.
- Muaj tej lub sij hawm, qhov kev phais no kuj pab kho tau cov kab mob xws li mob qog nqaij hlav zes qe menyuam.
Qhov kev phais no feem ntau yog ua rau cov mob twg?
Kev phais kom cov qog tawm feem ntau yog siv rau cov mob qog noj ntshav uas tau kis mus rau lub plab (sab hauv plab) thiab lub duav. Cov kws kho mob yuav xav txog kev phais no hauv cov xwm txheej hauv qab no:
| Mob nkeeg | Ib qho kev taw qhia luv luv |
|---|---|
| Mob Cancer ntawm zes qe menyuam | Qhov kev phais mob no feem ntau yog ua thaum mob qog nqaij hlav epithelial ovarian, uas yog los ntawm cov hlwb uas nyob rau sab nraud ntawm lub ovarian, tau kis mus rau lwm qhov. |
| Mob Cancer Peritoneal | Nws yog siv rau cov mob qog noj ntshav uas kis mus rau peritoneum , lub membrane nyob ib puag ncig cov kabmob hauv plab, xws li lub siab thiab lub plab. |
| Peritoneal Mesothelioma | Qhov kev phais mob no kuj tseem ua rau tus mob qog noj ntshav no, uas tuaj yeem tshwm sim los ntawm cov yam xws li kev ua pa asbestos. |
| Pseudomyxoma Peritonei | Qhov no yog ib qho mob uas mob qog noj ntshav hauv cov hnyuv ntxwm kis cov hnoos qeev mus thoob plaws hauv plab. Kev phais mob yog ua los tshem cov hnoos qeev tawm. |
Muaj dab tsi tshwm sim ua ntej phais?
Vim qhov no yog ib qho kev phais loj, yuav tsum muaj kev npaj zoo ua ntej.
Kev sib tham nrog tus kws kho mob
Koj tus kws phais mob qog noj ntshav yuav piav qhia txhua yam rau koj kom meej.
- Kev Kho Mob Ua Ntej Kev phais: Qee zaum kev kho mob neoadjuvant, xws li chemotherapy, yuav muab ua ntej kev phais kom txo qhov mob qog noj ntshav.
- Hom kev phais: Tus kws kho mob yuav txiav txim siab seb qhov no puas yuav ua raws li "kev phais laparoscopic", txhais tau tias lub koob yees duab raug ntxig los ntawm ob peb qhov me me, lossis ua "laparotomy", txhais tau tias lub plab qhib.
- Cov noob caj noob ces raug tshem tawm: Thaum muaj mob qog nqaij hlav zes qe menyuam, feem ntau cov noob caj noob ces, cov hlab qe menyuam, lub tsev menyuam, thiab lub qhov ncauj tsev menyuam yuav raug tshem tawm. Nyob ntawm seb mob qog nqaij hlav kis mus deb npaum li cas, ib feem ntawm txoj hnyuv me lossis txoj hnyuv loj kuj yuav tsum tau tshem tawm.
- Lub Sijhawm Phais Mob: Qhov no yog ib qho kev phais mob loj uas siv sijhawm ntau teev, tab sis lub sijhawm yuav txawv nyob ntawm koj tus mob.
Cov kev ntsuam xyuas uas yuav tsum tau ua
Yuav muaj ntau qhov kev kuaj mob kom paub seb koj lub cev puas haum rau kev phais mob.
- Kev kuaj ntshav: Cov ntshav qab zib, kev suav cov ntshav tag nrho (CBC), kev kuaj mob raum thiab siab ua haujlwm.
- Kev kuaj duab: Tej yam xws li X-ray hauv siab, CT scans, MRI scans, thiab PET scans yuav ua tau.
Ntsib nrog tus kws kho mob anesthesiologist
Tus kws kho mob anesthesiologist yuav nug koj ob peb lo lus nug ua ntej muab tshuaj loog. Piv txwv li, lawv yuav nug txog koj qhov kev paub dhau los nrog tshuaj loog, cov tshuaj uas koj noj, cov vitamins uas koj noj, lwm yam mob uas koj muaj, thiab qhov mob ntawm koj cov hniav.
Koj yuav tsum npaj li cas rau kev phais?
- Tsis txhob haus luam yeeb:Yog koj siv cov tshuaj nicotine, suav nrog cov luam yeeb thiab cov luam yeeb hluav taws xob, tsum tam sim ntawd. Nicotine tuaj yeem cuam tshuam cov ntshav ncig thiab qeeb qhov txhab kho tom qab phais.
- Kev Yoo Mov: Koj yuav raug qhia kom tsis txhob noj mov lossis haus dej li ob peb teev ua ntej phais. Ua raws li cov lus qhia no kom zoo zoo.
- Npaj koj lub sijhawm nyob hauv tsev kho mob: Koj yuav tsum nyob hauv tsev kho mob ob peb hnub (feem ntau yog 3-7) tom qab phais mob no. Nws yuav pab tau yog tias koj npaj koj lub tsev thiab koj txoj haujlwm ua ntej rau lub sijhawm ntawd.
- Ib tug neeg los pab koj tom qab koj mus txog tsev: Nws zoo heev uas muaj ib tug neeg los pab koj ob peb hnub tom qab koj mus txog tsev.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Tom qab koj tau txais tshuaj loog, koj yuav tsaug zog tag nrho. Koj yuav tsis hnov mob dab tsi li. Tus kws phais yuav ua ib lossis ntau qhov txiav hauv koj lub plab thiab ua tib zoo tshem tawm cov qog nqaij hlav thiab cov nqaij uas tau kis mus. Qee zaum, kev kho mob tshwj xeeb hu ua "Hyperthermic Intraperitoneal Chemotherapy (HIPEC)", uas cov tshuaj chemotherapy kub raug txhaj rau hauv lub plab thaum lub sijhawm phais, yuav ua tau. Thaum kawg, cov qhov txiav yuav raug xaws, thiab lub raj "dej ntws" yuav raug muab tso rau kom ntws cov kua dej uas tau sib sau ua ke hauv koj lub cev.
Tom qab phais tas, muaj dab tsi tshwm sim?
Cov neeg ua haujlwm kho mob yuav saib xyuas koj hauv chav kho mob kom txog thaum koj sawv los ntawm kev siv tshuaj loog. Thaum ob peb hnub koj yuav nyob hauv tsev kho mob, lawv yuav muab tshuaj loog rau koj, ntxuav koj qhov txhab, thiab lwm yam. Lawv yuav muab me ntsis dej rau koj haus ua ntej, thiab tom qab ntawd lawv yuav qhia koj txog cov khoom noj ua kua.
Tseem Ceeb: Koj yuav tau qhia qee yam kev tawm dag zog tshwj xeeb hauv tsev kho mob. Kev tawm dag zog ceg pab tiv thaiv cov ntshav txhaws (cov leeg ntshav tob). Kev ua pa tob thiab hnoos pab ua kom lub ntsws huv thiab txo qhov kev pheej hmoo ntawm kev kis kab mob xws li mob ntsws. Cov no yog qhov tseem ceeb.
Cov kev mob tshwm sim thiab tej yam teeb meem uas yuav tshwm sim yog dab tsi?
Ib yam li lwm yam kev phais loj, qhov no tuaj yeem muaj cov kev mob tshwm sim thiab teeb meem.
- Cov kev mob tshwm sim feem ntau: los ntshav ntawm qhov txhab, qaug zog heev, tsis xav noj mov, mob, thiab nyuaj rau tso quav.
- Tej zaum yuav muaj teeb meem: cov ntshav txhaws, kev kis kab mob ntawm qhov txhab, lymphedema, thiab ib ntus ileus.
Tsis tas yuav ntshai vim tias cov neeg ua haujlwm kho mob yeej ib txwm ua tib zoo saib xyuas cov yam no.
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
Tej zaum yuav siv sijhawm ob peb lub hlis kom rov zoo. Nws yog ib qho ib txwm muaj uas yuav xav tias nkees dua li niaj zaus tom qab phais.Koj lub cev siv zog ntau heev los kho. Yog li ntawd, so kom txaus. Koj yuav tsum tsis txhob nqa ntau tshaj 4-5 kilograms tom qab phais. Koj tus kws kho mob yuav qhia koj tias koj yuav tsum tsis txhob nqa ntev npaum li cas.
Thaum twg koj yuav tsum nrhiav kev kho mob tam sim ntawd?
Yog tias koj muaj cov tsos mob hauv qab no tom qab rov qab los tsev, koj yuav tsum ua tam sim ntawd .
| Xwm txheej ceev - mus rau ETU tam sim ntawd! | |
|---|---|
| Cov tsos mob ntawm cov ntshav txhaws | - Ua pa nyuaj - Hnoos nrog ntshav - Mob hauv siab los yog sab nraub qaum - O, liab, lossis sov so rau ib ceg |
| Hu rau koj tus kws kho mob tam sim ntawd. | |
| Cov tsos mob ntawm kev kis kab mob | - Lub cev tshee hnyo, qhov kev xav tias ntub thiab txias. - Kub taub hau (ntau tshaj 38 degrees Celsius / 100.4 Fahrenheit) |
Nco ntsoov tias, cov ntshav txhaws hauv ceg (cov hlab ntsha tob thrombosis) tuaj yeem tawg thiab mus rau hauv cov hlab ntsha hauv lub ntsws (pulmonary embolism). Qhov no yog qhov xwm txheej ceev uas txaus ntshai rau lub neej. Yog li ntawd, yuav tsum paub txog cov tsos mob no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais tshem cov qog nqaij hlav tawm yog ib qho kev phais loj uas tshem tawm ntau yam mob qog nqaij hlav uas tau kis thoob plaws lub cev li sai tau.
- Qhov no tuaj yeem tswj cov tsos mob, ua kom lub neej muaj sia nyob ntev dua, thiab ua kom kev kho mob qog noj ntshav ua tiav zoo dua.
- Vim qhov no yog ib qho kev phais loj, nws yuav siv sijhawm ob peb lub hlis kom rov zoo. Nws yog ib qho ib txwm muaj uas yuav xav tias nkees thaum lub sijhawm no.
- Ua raws li koj tus kws kho mob cov lus qhia kom zoo tom qab phais, tshwj xeeb tshaj yog hais txog kev tawm dag zog thiab tsis txhob nqa khoom hnyav.
- Yog koj muaj cov tsos mob ntawm cov ntshav txhaws lossis kev kis kab mob, nrhiav kev pab kho mob tam sim ntawd yam tsis muaj kev ncua.
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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