Koj puas tau muaj mob taub hau hnyav tom qab koj nias lub pob txha caj qaum, lossis siv tshuaj epidural rau kev yug menyuam? Qhov mob taub hau no, uas ua rau koj ntxhov siab tshwj xeeb thaum koj sawv ntsug lossis sawv ntsug, tab sis txo qis thaum koj pw, ua rau ntxhov siab heev, puas yog? Hnub no peb tab tom tham txog kev kho mob tshwj xeeb uas cov kws kho mob pom zoo thaum cov tshuaj tua kab mob ib txwm tsis pab tau. Ntawd yog daim ntawv nplaum ntshav epidural.
Daim ntawv nplaum ntshav epidural yog dab tsi?
Hais yooj yim xwb, qhov no yog kev muab koj cov ntshav thiab txhaj rau hauv qhov chaw nyob ib puag ncig koj tus txha caj qaum hu ua 'epidural space'. Tam sim no tej zaum koj yuav xav tias, "Vim li cas kuv thiaj txhaj kuv cov ntshav dua?"
Qhov no yog vim li cas. Raws li peb tau hais ua ntej lawm, thaum koj muaj lub lumbar puncture lossis epidural, ib lub qhov me me tuaj yeem tsim nyob rau hauv dura, lub membrane uas nyob ib puag ncig koj tus txha caj qaum. Qhov no tso cai rau qee cov kua dej muaj nqis hauv nws, hu ua cerebrospinal fluid (CSF), kom xau tawm. Thaum cov kua dej no poob qis, koj tuaj yeem ntsib mob taub hau hnyav uas ua rau nws nyuaj rau tuav koj lub taub hau kom ncaj.
Yog li ntawd, daim ntawv ntshav no ua ob yam tseem ceeb:
1. Tiv thaiv kom tsis txhob xau: Thaum koj cov ntshav raug txhaj rau hauv qhov chaw epidural, cov ntshav yuav txhaws thiab kaw lub qhov me me. Nws zoo li muab daim ntaub qhwv rau. Qhov no tiv thaiv cov kua CSF kom tsis txhob xau tawm.
2. Lub zog rov qab los: Thaum ntxiv cov ntshav rau hauv qhov chaw, lub zog uas poob sab hauv yuav rov qab los rau qee qhov thiab mob taub hau sai sai ploj mus.
Qhov no yog ib qho kev xaiv ua uas ua raws li cov lus qhia ntawm tus kws kho mob thiab tuaj yeem xaiv raws li koj xav tau.
Yuav tsum tau kho qhov no thaum twg?
Yog koj mob taub hau hnyav heev uas tsis ploj mus nrog kev kho mob ib txwm muaj, koj tus kws kho mob yuav qhia kom siv daim ntawv ntshav no. Feem ntau, thawj qhov uas yuav tsum sim yog:
- Nyob hauv txaj thiab so kom txaus li ntau tau.
- Haus dej thiab kua dej ntau ntau (tej zaum yuav muab cov kua dej IV, piv txwv li, saline).
- Siv cov tshuaj xws li tshuaj tua kab mob (NSAIDs).
- Haus cov dej haus uas muaj caffeine, xws li kas fes.
Tiamsis yog tias cov kev kho mob no tsis pab txo qhov mob taub hau, lossis yog tias koj tsis tuaj yeem pw hauv txaj (piv txwv li, leej niam tshiab uas muaj menyuam lossis ib tus neeg uas yuav tsum mus ua haujlwm sai), daim ntawv ntshav yog ib qho kev daws teeb meem zoo.
Mob taub hau ntawm tus txha caj qaum tshwm sim tshwj xeeb tshaj yog tom qab cov xwm txheej zoo li no:
- Tom qab haus cov kua dej ntawm tus txha nqaj qaum (Spinal tap / Lumbar Puncture).
- Tom qab muab tshuaj epidural, uas yog muab los txo qhov mob thaum yug menyuam lossis phais.
- Yog tias daim nyias nyias uas npog cov hlab ntsha qaum (dura) raug puas tsuaj thaum lub sijhawm phais nraub qaum lossis muaj xwm txheej.
Koj npaj li cas ua ntej kev kho mob?
Tsis txhob txhawj, koj tus kws kho mob yuav piav qhia txog cov txheej txheem, nws qhov zoo thiab qhov tsis zoo, thiab nws ua haujlwm li cas. Tej zaum yuav qhia koj kom tsis txhob noj lossis haus dej li 8 teev ua ntej cov txheej txheem. Tsis tas li ntawd, nco ntsoov qhia rau koj tus kws kho mob cov hauv qab no:
- Yog tias koj noj tshuaj xws li tshuaj thinner (anticoagulants).
- Yog tias koj muaj ntshav qab zib thiab siv tshuaj insulin.
- Yog tias koj ua xua rau ib yam tshuaj twg, tshwj xeeb yog tshuaj loog.
- Yog koj cev xeeb tub.
Yuav ua li cas ua ib daim Blood Patch kauj ruam yog kauj ruam
Txoj kev kho mob no yooj yim heev. Cia peb saib seb muaj dab tsi tshwm sim ib kauj ruam zuj zus.
| Kauj Ruam | Muaj Dab Tsi Tshwm Sim |
|---|---|
| 1. Kev sawv ntsug | Lawv yuav hais kom koj tig koj ib sab thiab pw los yog zaum. Qhov tseem ceeb tshaj plaws yog nyob twj ywm thaum lub sijhawm no. |
| 2. Kev Ntxuav | Thaj chaw uas muab koob txhaj rau sab nraub qaum thiab thaj chaw uas rub cov ntshav ntawm caj npab raug ntxuav kom huv si nrog tshuaj tua kab mob. |
| 3. Tsis muaj zog | Yuav kom txo qhov mob, yuav muab tshuaj loog txhaj rau hauv thaj chaw uas muab koob txhaj rau. |
| 4. Kev sau ntshav | Ib lub cannula (IV catheter) raug ntxig rau hauv cov leeg ntshav hauv koj txhais caj npab thiab kwv yees li 15-20 milliliters ntawm koj cov ntshav raug coj mus. |
| 5. Muab koob txhaj rau hauv | Tus kws kho mob siv tshuaj loog lossis kws kho mob duab hluav taws xob ntxig ib rab koob tshwj xeeb rau hauv qhov chaw epidural tom qab, qee zaum siv ultrasound los qhia qhov chaw tseeb. |
| 6. Kev tso ntshav tawm | Cov ntshav uas tau los ntawm caj npab raug txhaj maj mam rau hauv nraub qaum li 30-60 vib nas this. Lub sijhawm no, koj yuav hnov mob me ntsis lossis nruj hauv koj nraub qaum. Koj yuav tsum qhia rau tus kws kho mob tam sim ntawd txog koj qhov kev xav. |
| 7. Kev Ua Tiav | Muab rab koob tshem tawm thiab muab ib daim ntaub qhwv rau thaj chaw ntawd. |
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Muaj coob tus neeg mob taub hau zoo sai sai tom qab kho qhov no. Qhov ntawd yog qhov txiaj ntsig loj tshaj plaws ntawm kev kho mob no.
Tom qab kho mob tas, lawv yuav coj koj mus rau chav kho mob kom so ib pliag. Tom qab ntawd, koj tuaj yeem mus tsev. Tus kws kho mob yuav qhia koj kom tsis txhob ua tej yam hnyav, tsa tej yam hnyav, thiab khoov rau 24 teev . Tom qab ntawd, koj tuaj yeem rov qab mus ua koj tej dej num li qub.
Qhov no puas ua rau koj npau suav?
Feem ntau, cov neeg laus tsis tau raug tshuaj loog tag nrho thaum lub sijhawm kho mob no. Qhov no yog vim koj yuav tsum qhia rau tus kws kho mob txog koj xav li cas thaum cov ntshav raug txhaj rau hauv koj nraub qaum. Txawm li cas los xij, tsuas yog qhov chaw txhaj tshuaj thiaj li loog kom koj tsis hnov qhov mob. Txawm li cas los xij, yog tias koj muaj kev txhawj xeeb lossis kev txhawj xeeb txog qhov no, nco ntsoov qhia rau koj tus kws kho mob. Cov menyuam yaus yuav raug tshuaj loog thaum lub sijhawm kho mob no.
Cov txiaj ntsig thiab tej yam teeb meem ntawm Blood Patch
Ib yam li kev kho mob, muaj cov txiaj ntsig zoo thiab qee qhov kev pheej hmoo me.
| Cov txiaj ntsig | Cov Kev Mob Tshwm Sim thiab Cov Teeb Meem |
|---|---|
| Kev pab sai thiab ntev. Muab kev pab tam sim ntawd los ntawm kev mob taub hau hnyav uas tuaj yeem kav ntev txog ob lub lis piam. Zoo dua li kev daws teeb meem ib ntus xws li tshuaj tua kab mob. |
|
Raws li kev tshawb fawb, kev kho mob no ua tau zoo rau 85 ntawm 100 tus neeg (85%). Yog tias thawj zaug ua tsis tau zoo, qhov ntshav thib ob muaj feem ua tau zoo 90%.
Thaum twg kuv yuav tsum hu rau kws kho mob tam sim ntawd?
Yog tias koj muaj cov cim qhia tias muaj kab mob tom qab koj kho mob, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd . Saib xyuas cov cim no:
- Liab, xim tsis zoo, mob, thiab kua paug ntawm qhov chaw txhaj tshuaj.
- Ua npaws .
- Xav tias nkees heev.
Yog koj pom ib yam dab tsi zoo li no, tsis txhob ncua sij hawm. Nrhiav kev pab kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- "Mob taub hau ntawm tus txha caj qaum" tsis yog mob taub hau ib txwm muaj. Daim Epidural Blood Patch yog ib qho kev daws teeb meem zoo heev rau qhov mob no, uas mob hnyav dua thaum koj sawv ntsug.
- Hauv qhov no, me ntsis ntawm koj cov ntshav raug txhaj rau hauv tus txha nqaj qaum. Yog li ntawd tsis muaj dab tsi yuav tsum ntshai. Qhov no suav hais tias yog kev kho mob muaj kev nyab xeeb heev.
- Kev kho mob no muaj li ntawm 85% kev vam meej. Tab sis zoo li txhua yam, muaj qhov kev pheej hmoo me me. Tham nrog koj tus kws kho mob txog nws thiab nug txhua yam koj muaj.
- Yog tias koj pom ib yam dab tsi tom qab kho mob, xws li kub taub hau, o, liab, lossis kua qaub ntawm qhov chaw txhaj tshuaj , 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