Koj puas pom tias nws nyuaj rau nce ntaiv, taug kev me ntsis, lossis ua tej yam txhua hnub vim yog mob hauv caug? Tej zaum koj tau noj tshuaj tua kab mob, mus kho lub cev, thiab ua ntau yam, tab sis qhov mob hauv koj lub hauv caug tseem tsis tau ploj mus. Yog tias yog, hnub no peb yuav tham txog kev kho mob tshwj xeeb uas koj tus kws kho mob yuav qhia rau koj. Qhov no hu ua 'Genicular Nerve Block.'
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 rau hauv ib txoj hlab ntsha tshwj xeeb nyob ib puag ncig koj lub hauv caug uas nqa qhov mob mus rau koj lub hlwb. Cov tshuaj txhaj no muab kev pab ib ntus ntawm qhov mob hauv caug. Qee zaum qhov kev pab no tuaj yeem kav ntev. Nws feem ntau yog ua los ntawm kev sib xyaw cov tshuaj loog hauv zos nrog cov tshuaj steroid.
Peb lub pob qij txha tau txais kev pab los ntawm ntau cov hlab ntsha. Ntawm cov no, ntau ceg hlab ntsha loj tau nthuav dav nyob ib puag ncig lub hauv caug. Cov ceg hlab ntsha me me no yog qhov peb hu ua 'Genicular Nerves'. Tshwj xeeb, cov no yog cov hlab ntsha uas cov kws kho mob tsom mus rau hauv kev kho mob no:
- Cov hlab ntsha genicular superolateral (SLGN)
- Cov hlab ntsha superomedial genicular (SMGN)
- Cov hlab ntsha Inferomedial genicular (IMGN)
Thaum lub sijhawm kho mob no, txawm hais tias muaj lwm txoj hlab ntsha zoo li no (lub hlab ntsha Inferolateral genicular - ILGN), nws tsis raug txhaj tshuaj. Qhov no yog vim nws nyob ze heev rau lwm txoj hlab ntsha loj (lub hlab ntsha Peroneal) uas tseem ceeb rau kev txav mus los ntawm peb ob txhais ceg, yog li qhov no tau ua los tiv thaiv qhov ua rau nws puas tsuaj.
Thaum twg txhaj tshuaj tiv thaiv kab mob no?
Muaj ob qho laj thawj tseem ceeb rau kev siv Genicular Nerve Block.
1. Mob Pob Qij Txha Ntev: Yog tias koj tau mob pob qij txha ntev heev, tshwj xeeb yog vim muaj mob xws li Mob Pob Qij Txha Osteoarthritis, thiab yog tias qhov mob tsis tau tswj hwm nrog kev kho mob ib txwm muaj (xws li tshuaj tua kab mob thiab kev kho lub cev), koj tus kws kho mob yuav pom zoo kom txhaj tshuaj no.
2. Rau qhov mob tom qab phais lub hauv caug: Cov kws kho mob siv tshuaj loog siv cov tshuaj txhaj no los tswj qhov mob hnyav ua ntej thiab tom qab phais lub hauv caug loj, xws li kev phais pob qij txha tag nrho. Qhov no yog muab ntxiv rau kev siv tshuaj loog dav dav.
Qhov tseem ceeb yog, qhov no tsis yog ib qho kev daws teeb meem uas haum rau txhua tus. Tsuas yog koj tus kws kho mob thiaj li txiav txim siab seb qhov kev kho mob no puas yog rau koj.
Ua ntej kho 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 kom pab koj so, uas txhais tau tias koj yuav tsaug zog me ntsis. Hauv qhov no, koj yuav raug qhia kom tsis txhob noj lossis haus dab tsi li 6-8 teev ua ntej kev kho mob. Nws tseem ceeb heev kom muaj ib tus neeg tsav koj mus tsev tom qab kev kho mob.
Txawm li cas los xij, koj tus kws kho mob yuav muab cov lus qhia meej rau koj txog qhov no. Ua raws li cov lus qhia ntawd kom meej. Tsis txhob ntshai nug cov lus nug uas koj muaj.
Thaum koj txhaj tshuaj tiv thaiv kab mob lawm, yuav muaj dab tsi tshwm sim?
Qhov no feem ntau yog ib qho kev kho mob me me uas ua nyob rau hauv ib qho chaw kho mob sab nraud, es tsis yog nyob rau hauv tsev kho mob. Qhov no txhais tau tias koj tuaj yeem mus tsev sai tom qab txhaj tshuaj. Nov yog qhov tshwm sim thaum lub sijhawm kho mob:
- Koj yuav raug yuam kom pw saum ib lub txaj tshwj xeeb, nrog ib lub hauv ncoo me me tso rau hauv qab lub hauv caug mob thiab koj lub hauv caug khoov me ntsis.
- Tej zaum yuav muab tshuaj rau koj los ntawm txoj kab IV kom pab koj so.
- Tom qab ntawd tus kws kho mob yuav ntxuav daim tawv nqaij ntawm koj lub hauv caug kom huv si nrog cov tshuaj tua kab mob.
- Tom qab ntawd, yuav muab tshuaj loog me me rau thaj chaw uas yuav muab tshuaj loog. Thaum lub sijhawm no, koj yuav hnov qhov mob me ntsis thaum koj rab koob nkag mus rau hauv.
- Tom qab ntawd, siv lub tshuab luam theej tshwj xeeb xws li ultrasound lossis fluoroscopy , tus kws kho mob yuav nrhiav qhov chaw tseeb ntawm cov hlab ntsha los txhaj tshuaj.
- Thaum kawg, cov tshuaj raug txhaj kom ze rau ntawm cov hlab ntsha ntawd li sai tau.
Tag nrho cov txheej txheem tsuas yog siv sijhawm 5 txog 10 feeb xwb. Tom qab ntawd, koj tuaj yeem so ib pliag thiab mus tsev.
| Cov theem ntawm kev kho mob | Kev piav qhia |
|---|---|
| Kev Npaj | Feem ntau tsis tas yuav npaj dab tsi tshwj xeeb. Yog tias koj raug muab tshuaj loog me me, koj yuav tsum tau yoo mov li 6-8 teev. |
| Kev Kho Mob | Lub hauv caug raug ntxuav, muab tshuaj txhaj tshuaj loog, thiab muab tshuaj loog txhaj ze ntawm cov hlab ntsha kom raug siv cov thev naus laus zis scanning. (5-10 feeb) |
| Tom qab kev kho mob | So li 15-30 feeb thiab mus tsev yog tias tsis muaj kev phiv. Nws raug nquahu kom so rau hnub ntawd. |
Cov txiaj ntsig thiab kev pheej hmoo ntawm qhov no yog dab tsi?
Cov txiaj ntsig
Muaj ntau yam txiaj ntsig uas tuaj yeem tau txais los ntawm kev kho mob no:
- Kev pab kom tsis txhob mob ib ntus lossis ntev mus , ua rau nws yooj yim dua rau kev ua ub ua no txhua hnub.
- Qhov o ntawm cov hlab ntsha uas ua rau mob raug txo qis, pab kom lawv zoo.
- Tau txais kev pab zoo los ntawm qhov mob tom qab phais.
- Nws yog ib qho kev xaiv zoo rau kev tswj qhov mob rau cov neeg uas tsis tuaj yeem phais lub hauv caug vim muaj lwm yam teeb meem kev noj qab haus huv.
Kev Pheej Hmoo
Ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo, tab sis cov teeb meem loj tsis tshua muaj.
- Tej zaum yuav muaj qee qhov o lossis mob me ntsis ntawm qhov chaw txhaj tshuaj. Feem ntau qhov no yuav ploj mus hauv ib lossis ob hnub.
- Tsis tshua muaj, tej yam uas yuav tshwm sim tau yog:
- Kev kis kab mob ntawm qhov chaw txhaj tshuaj.
- Ntshav los ntawm qhov chaw.
- Kev txhaj tshuaj tsis raug cai rau hauv cov hlab ntsha.
- Txhaj tshuaj rau hauv pob qij txha tsis raug.
- Tsis tshua muaj, yog tias cov tshuaj tsis tau mus rau lwm cov hlab ntsha ze (Common Peroneal Nerve), ib qho mob hu ua 'foot drop' , uas tsis tuaj yeem tsa ko taw ntawm pob luj taws, tuaj yeem tshwm sim.
Cov tshuaj tiv thaiv kab mob no yuav siv tau ntev npaum li cas?
Qhov no yog ib qho teeb meem uas ntau tus neeg muaj. Qhov tseeb, qhov kev pab los ntawm qhov no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Ib txhia neeg yuav tau txais kev pab rau ob peb hnub, thaum lwm tus yuav tau txais kev pab rau ntau lub lis piam, ntau lub hlis, lossis txawm tias ib xyoos. Qhov nruab nrab, koj tuaj yeem cia siab tias yuav tau txais kev pab li ntawm 3 lub hlis. Txawm li cas los xij, ib txhia neeg yuav tsis tau txais kev pab li.
Qhov tseem ceeb, yog tias koj tau txais kev pab txo qhov mob zoo los ntawm kev txhaj tshuaj no, koj tus kws kho mob yuav qhia kom koj siv kev kho mob hu ua Genicular Nerve Ablation (GNA) ua kauj ruam tom ntej. Qhov no yuav tiv thaiv cov hlab ntsha no kom tsis txhob xa cov cim mob mus ntev. Kev kho mob GNA tuaj yeem pab txo qhov mob mus ntev txog li 18 lub hlis.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Tom qab koj tau txhaj tshuaj tiv thaiv kab mob lawm, yog tias koj muaj cov tsos mob tshiab, piv txwv li, cov cim qhia txog kev kis kab mob xws li o, liab, lossis kua paug ntawm qhov chaw txhaj tshuaj, lossis yog tias koj kub hnyiab, loog, lossis tsis muaj zog , qhia rau koj tus kws kho mob tam sim ntawd.
Yog koj muaj kev txhawj xeeb lossis kev tsis ntseeg txog kev kho mob no, nrog koj tus kws kho mob tham txog qhov no. Nws yuav teb tag nrho koj cov lus nug.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib qho kev thaiv cov hlab ntsha genicular yog ib qho tshuaj txhaj tshuaj loog uas raug txhaj ze ntawm cov hlab ntsha nyob ib puag ncig lub hauv caug kom tswj tau qhov mob hauv caug.
- Qhov no feem ntau yog siv rau mob hauv caug ntev thiab mob tom qab phais hauv caug.
- Kev kho mob sai heev (5-10 feeb) thiab tsis tas yuav nyob hauv tsev kho mob.
- Lub sijhawm uas siv los pab kom qhov mob tsis txhob mob ntau dhau ntawm ib tus neeg mus rau ib tus neeg. Tej zaum yuav muaj ib txhia neeg uas tsis tau mob li.
- Cov kev mob tshwm sim loj heev tsis tshua muaj, tab sis yog tias koj muaj cov tsos mob txawv txawv, hu rau koj tus kws kho mob tam sim ntawd.
- Tsuas yog koj tus kws kho mob thiaj li txiav txim siab tau seb qhov kev kho mob no puas yog rau koj.
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