Koj tsev neeg puas muaj niam los yog txiv laus uas mob hauv caug? Los yog koj tus kheej kuj mob qhov mob no? Cov neeg uas paub paub tias nws ua rau koj mob hauv caug heev ua rau nyuaj rau nce ntaiv, taug kev luv luv, lossis mus rau lub tuam tsev. Txawm tias noj ntau yam tshuaj thiab siv ntau yam roj los xij, qee zaum qhov mob no tsis ploj mus. Hauv cov xwm txheej zoo li no, peb yuav tham txog txoj kev kho mob tshwj xeeb uas cov kws kho mob pom zoo.
Hais yooj yim xwb, Genicular Nerve Block yog dab tsi?
Nws yooj yim heev. Kev thaiv cov hlab ntsha genicular yog txhaj tshuaj tua kab mob ze ntawm ntau cov hlab ntsha uas xa qhov mob mus rau koj lub hauv caug. Ib yam li tua lub teeb, qhov kev txhaj tshuaj no ib ntus kaw "cov xov paj hlwb" uas nqa qhov mob ntawm koj lub hauv caug mus rau koj lub hlwb. Qhov no muab kev pab rau koj ib ntus ntawm qhov mob. Qee zaum qhov kev pab no tuaj yeem kav ntev.
Tam sim no cia peb saib cov hlab ntsha nyob ib puag ncig lub hauv caug no. Peb lub pob qij txha hauv caug tau muab faib ua cov ceg uas los ntawm ntau cov hlab ntsha tseem ceeb kom ua haujlwm tau zoo. Cov hlab ntsha tseem ceeb ntawd yog:
- Cov hlab ntsha femoral
- Cov hlab ntsha peroneal feem ntau
- Cov hlab ntsha saphenous
- Cov hlab ntsha tibial
- Cov hlab ntsha obturator
Cov ceg me me uas tawm ntawm cov hlab ntsha no nyob ib puag ncig lub hauv caug hu ua "Genicular Nerves." Lo lus "Genicular" txhais tau tias "cuam tshuam nrog lub hauv caug." Cov hlab ntsha no yog cov uas xa cov kev xav hauv lub hauv caug, tshwj xeeb tshaj yog qhov mob, mus rau lub hlwb. Cov kws kho mob feem ntau tsom mus rau plaub lub hlab ntsha Genicular no thaum lawv txhaj tshuaj no.
1. Cov hlab ntsha genicular superolateral (SLGN)
2. Cov hlab ntsha Superomedial genicular (SMGN)
3. Cov hlab ntsha Inferomedial genicular (IMGN)
4. Cov hlab ntsha Inferolateral genicular (ILGN)
Tiam sis muaj ib qho me me ntawm no. Cov kws kho mob tsuas yog txhaj peb ntawm plaub qhov no xwb. Lawv tsis txhaj qhov kawg , lub paj hlwb Inferolateral genicular (ILGN) . Qhov laj thawj rau qhov ntawd yog tias lub paj hlwb ntawd nyob ze heev rau lub paj hlwb Common peroneal, uas yog qhov tseem ceeb rau kev txav mus los ntawm peb txhais taw. Yog tias nws raug txhaj tshuaj tsis raug, nws tuaj yeem ua rau muaj mob uas ko taw tsis tuaj yeem tsa tau, uas yog, ib yam dab tsi zoo li (Foot Drop) , yog li lawv zam lub paj hlwb ntawd rau kev nyab xeeb.
Txoj kev kho mob no zoo tshaj plaws rau leej twg?
Muaj ob qho laj thawj tseem ceeb rau kev siv cov hlab ntsha genicular block.
1. Txo qhov mob hauv caug ntev
Yog tias koj tau mob hauv caug ntev lawm, nws yog ib qho mob uas peb hu ua (Mob hauv caug ntev) . Qhov no yuav yog vim raug mob hauv caug lossis, feem ntau, (Knee Osteoarthritis) , uas yog qhov hnav thiab tsim kua muag ntawm cov pob qij txha hauv caug. Yog tias koj tau sim kho lub cev, noj tshuaj tua kab mob (NSAIDs), thiab muaj kev txhaj tshuaj steroid hauv koj lub hauv caug, tab sis qhov mob tsis tau ploj mus, koj tus kws kho mob yuav qhia qhov no Genicular nerve block.
Xav txog koj niam lub hauv caug qaug zog lawm, nws pw tsis tsaug zog zoo thaum hmo ntuj, nws qw vim mob. Kev noj tshuaj tsuas pab tau ib ntus xwb. Cov tshuaj txhaj no yuav pab tau tus neeg zoo li no zoo heev.
2. Tswj qhov mob tom qab phais lub hauv caug
Muaj ib txhia neeg yuav tsum tau phais Total Knee Arthroplasty , uas yog ib qho kev phais hloov tag nrho lub pob qij txha hauv caug. Yuav kom tswj tau qhov mob hnyav uas tshwm sim tom qab phais loj, tus kws kho mob anesthesiologist lossis kws phais mob muab cov tshuaj txhaj no ua ntej phais. Qhov no yog muab ntxiv rau kev siv tshuaj loog dav dav.
Ua ntej koj yuav txhaj tshuaj tiv thaiv kab mob, koj yuav tsum ua li cas?
Qhov no feem ntau tsis tas yuav npaj ntau. Txawm li cas los xij, qee zaum, koj tus kws kho mob yuav txiav txim siab muab tshuaj loog rau koj (tshuaj loog me me). Yog tias koj ua li no, koj yuav raug hais kom yoo mov li 6 txog 8 teev. Koj kuj tseem yuav raug hais kom muaj ib tus neeg tsav koj mus tsev , vim tias koj yuav tsis tuaj yeem tsav tsheb hnub ntawd.
Txawm li cas los xij, koj tus kws kho mob yuav piav qhia txhua yam no rau koj kom meej. Ua raws li cov lus qhia ntawd kom meej. Tsis txhob ntshai nug yog tias koj muaj lus nug dab tsi.
Muaj dab tsi tshwm sim thaum lub sijhawm txhaj tshuaj tiv thaiv kab mob? Cia peb saib ib kauj ruam zuj zus.
Feem ntau kev kho mob no yog ua rau ntawm tus neeg mob sab nraud. Qhov no txhais tau tias koj tsis tas yuav nyob hauv tsev kho mob, thiab koj tuaj yeem mus tsev thaum ua tiav cov txheej txheem. Nws siv sijhawm li 5 txog 10 feeb.
| Cov kauj ruam | Muaj dab tsi tshwm sim? |
|---|---|
| 1. Kev Npaj | Koj yuav raug muab tso rau saum ib lub txaj tshwj xeeb nrog koj txhais tes tsa. Ib lub hauv ncoo me me yuav raug muab tso rau hauv qab lub hauv caug mob thiab koj lub hauv caug yuav khoov me ntsis. Yog tias tsim nyog, tej zaum yuav muab cov kua ntsev txhaj rau hauv koj txhais caj npab kom muab tshuaj loog rau koj. |
| 2. Kev ntxuav tawv nqaij | Daim tawv nqaij nyob ib ncig ntawm lub hauv caug raug ntxuav kom huv si nrog tshuaj tua kab mob. |
| 3. Kev tsis hnov mob ntawm daim tawv nqaij | Ua ntej txhaj tshuaj loj, yuav muab tshuaj me me (tshuaj loog hauv zos) rau kom loog qhov chaw ntawd. Lub sijhawm no, koj yuav hnov qhov mob me ntsis, zoo li raug ntsaum tom. |
| 4. Nrhiav qhov chaw zoo | Tus kws kho mob siv cov khoom siv tshwj xeeb los nrhiav qhov chaw tseeb ntawm cov hlab ntsha. Qhov no tuaj yeem ua tiav los ntawm kev siv ultrasound scan lossis hom X-ray hu ua fluoroscopy . Qhov no zoo li saib sab hauv koj lub hauv caug los ntawm lub vijtsam TV. Qhov no tso cai rau kev txhaj tshuaj kom raug rau qhov chaw raug. |
| 5. Kev txhaj tshuaj tiv thaiv tseem ceeb | Tom qab nrhiav tau qhov chaw zoo lawm, tus kws kho mob txhaj tshuaj tua kab mob ze ntawm cov hlab ntsha. |
| 6. Kev Saib Xyuas | Tom qab txhaj tshuaj tas, lawv yuav saib koj li ntawm 15-30 feeb kom paub tseeb tias cov tshuaj ua haujlwm thiab koj tsis muaj lwm yam kev mob tshwm sim. Tom qab ntawd, lawv mam li tso cai rau koj mus tsev. |
Cov txiaj ntsig ntawm cov tshuaj tiv thaiv kab mob no yog dab tsi?
Koj tuaj yeem tau txais ntau yam txiaj ntsig los ntawm kev thaiv cov hlab ntsha genicular.
- Kev txo qhov mob: Qhov mob yuav ploj mus ib ntus lossis tej zaum yuav ploj mus tas li, ua rau koj ua tau koj tej dej num txhua hnub yooj yim dua .
- Txo qhov o: Qhov o ntawm cov hlab ntsha raug txo qis, pab lawv kho.
- Kev daws teeb meem rau qhov mob tom qab phais mob: Ib qho kev daws teeb meem zoo rau qhov mob tom qab phais mob hauv caug.
- Lwm txoj hauv kev rau cov neeg uas tsis tuaj yeem phais mob: Rau cov neeg uas tsis tuaj yeem phais mob hauv caug vim muaj lwm yam teeb meem kev noj qab haus huv, qhov no yog ib txoj hauv kev zoo rau kev tswj qhov mob.
Qhov tseem ceeb yog tias tsis yog txhua tus neeg tau txais cov txiaj ntsig zoo ib yam. Ib txhia neeg tau txais kev pab hauv ob peb teev. Rau lwm tus, nws tuaj yeem siv sijhawm txog ob lub lis piam rau cov tshuaj steroid kom ua haujlwm tiag tiag. Muaj feem me me uas qee tus neeg yuav tsis tau txais kev pab txhua.
Yog tias koj qhov mob tau txo qis tom qab txhaj tshuaj no, koj tus kws kho mob yuav pom zoo kom siv Genicular Nerve Ablation (GNA) ua kauj ruam tom ntej.Muaj kev kho mob hu ua GNA. Nws siv lub zog hluav taws xob los ua kom cov hlab ntsha no tsis ua haujlwm ntev. Kev kho mob GNA feem ntau tuaj yeem pab txo qhov mob tau li ntawm 18 lub hlis.
Puas muaj tej yam txaus ntshai lossis teeb meem nrog qhov no?
Tej zaum yuav muaj qee qhov mob lossis mob ntawm qhov chaw txhaj tshuaj, tab sis qhov no feem ntau yuav ploj mus hauv ob hnub.
Cov teeb meem loj tsis tshua muaj , tab sis zoo li lwm yam kev txhaj tshuaj tiv thaiv kab mob, muaj qee qhov kev pheej hmoo uas tsim nyog paub txog.
- Kev kis kab mob ntawm qhov chaw txhaj tshuaj.
- Los ntshav ntawm qhov chaw txhaj tshuaj.
- Kev txhaj tshuaj tsis raug cai rau hauv cov hlab ntsha .
- Txhaj tshuaj rau hauv pob qij txha tsis txhob txwm.
- Ko taw poob (tsis muaj peev xwm tsa ko taw) tshwm sim thaum cov hlab ntsha peroneal, uas peb tau tham ua ntej, raug puas tsuaj.
Qhov muaj feem yuav muaj tej yam no tshwm sim tsawg heev vim cov kws kho mob siv cov thev naus laus zis xws li kev luam theej duab thiab ua qhov kev kho mob no kom zoo zoo.
Kuv puas taug kev tau tom qab kuv tau txhaj tshuaj tiv thaiv kab mob lawm?
Yog, koj ua tau. Koj tuaj yeem tawm hauv chav tom qab kev kho mob tiav lawm. Tab sis nws yog qhov zoo tshaj plaws los so ib pliag hnub ntawd. Tom qab ntawd koj tuaj yeem rov qab mus ua koj cov dej num ib txwm.
Qhov kev txo qhov mob no yuav kav ntev npaum li cas?
Qhov no txawv ntawm ib tus neeg mus rau ib tus neeg. Kev txo qhov mob yuav kav ntev li ob peb hnub, ob peb lub lis piam, ob peb lub hlis, lossis txawm tias ntau xyoo. Txawm li cas los xij, kev txo qhov mob feem ntau kav ntev li 3 lub hlis .
Kuv yuav tsum hu rau kws kho mob thaum twg?
Yog tias koj muaj cov tsos mob tshiab lossis teeb meem tom qab kev thaiv cov hlab ntsha genicular , hu rau koj tus kws kho mob tam sim ntawd . Nco ntsoov txog cov hauv qab no:
- Yog tias qhov chaw txhaj tshuaj liab, o, lossis sov (cov cim qhia tias muaj kev kis kab mob).
- Yog tias tseem los ntshav ntawm qhov chaw txhaj tshuaj.
- Yog tias koj hnov mob kub hnyiab, loog, lossis tsis muaj zog heev hauv koj ob txhais ceg.
Kev kho mob no yuav yog ib qho kev daws teeb meem zoo rau koj qhov mob hauv caug. Txawm li cas los xij, cov txiaj ntsig sib txawv ntawm ib tus neeg mus rau ib tus neeg. Yog tias koj muaj kev txhawj xeeb lossis kev tsis ntseeg txog kev txhaj tshuaj no, tham nrog koj tus kws kho mob txog nws qhib siab. Nws yuav teb tau tag nrho koj cov lus nug.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Genicular Nerve Block yog kev txhaj tshuaj uas pab txo qhov mob hauv caug ntev, ze ntawm cov hlab ntsha nyob ib puag ncig lub hauv caug.
- Qhov no zoo tagnrho rau cov neeg uas tsis tau mob los ntawm lwm yam kev kho mob (tshuaj, kev kho lub cev) thiab rau qhov mob uas tshwm sim tom qab phais lub hauv caug.
- Qhov no yog ib qho kev kho mob yooj yim uas tuaj yeem ua tiav hauv 10 feeb xwb, thiab koj tuaj yeem mus tsev yam tsis tas yuav nyob hauv tsev kho mob.
- Cov txiaj ntsig yuav txawv ntawm ib tus neeg mus rau ib tus neeg, thiab qhov nruab nrab, kev txo qhov mob yuav xav tau li 3 lub hlis.
- Qhov kev pheej hmoo ntawm kev muaj teeb meem tsawg heev, tab sis yog tias koj muaj cov tsos mob txawv txawv tom qab tau txhaj tshuaj tiv thaiv kab mob, qhia rau koj tus kws kho mob tam sim ntawd.
- Yog tias koj muaj lus nug dab tsi, nrog koj tus kws kho mob tham ua ntej kho thiab daws txhua yam kev txhawj xeeb.
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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