'Glossectomy'... Qhov ntawd txhais tau tias txawm tias thaum koj hnov txog kev phais kom tshem tus nplaig, koj lub cev xav tias me ntsis loog, puas yog? Qhov tseeb, thaum koj yuav tsum tham txog kev phais loj li no, thaum koj yuav tsum ntsib nws, nws yog ib qho ib txwm muaj kev ntshai, kev ntxhov siab, thiab ntau cov lus nug loj los rau hauv koj lub siab. "Kuv puas yuav tsis muaj peev xwm hais lus dua?", "Kuv puas yuav tsis muaj peev xwm noj mov?", "Kuv lub neej yuav zoo li cas yav tom ntej?" Tej yam no yuav rov hais dua hauv koj lub siab. Tab sis yog tias peb paub cov ntaub ntawv tseeb thiab meej txog qhov no, kev ntshai thiab kev tsis paub tseeb hauv koj lub siab tuaj yeem txo qis mus rau qhov ntau. Yog li cia peb tham txog kev phais glossectomy no hnub no, zoo li koj tab tom tham nrog koj tus phooj ywg lossis tsev neeg.
Hais yooj yim xwb, 'Glossectomy' yog dab tsi?
Kev phais tshem koj tus nplaig yog ib txoj kev phais kom tshem koj tus nplaig tawm. Txawm li cas los xij, tsis yog txhua lub sijhawm yuav raug tshem tawm tag nrho. Nws nyob ntawm seb tus mob thiab qhov mob hnyav npaum li cas. Nws muaj peev xwm muab faib ua ntau hom loj.
| Hom kev phais mob | Piav qhia yooj yim |
|---|---|
| Kev phais tshem ib feem ntawm daim tawv nqaij (partial glossectomy) | Qhov no suav nrog kev txiav thiab tshem tawm tsuas yog qhov mob ntawm tus nplaig xwb. Qhov no tej zaum yuav yog ib daim me me ntawm tus nplaig. |
| Hemiglossectomy (tshem ib nrab ntawm tus nplaig) | Raws li lub npe qhia, qhov no cuam tshuam txog kev tshem ib nrab ntawm koj tus nplaig, lossis theej ib sab, tag nrho. |
| Tshem tawm tag nrho tus nplaig (Total Glosectomy) | Qhov no yog qhov phais loj tshaj plaws. Hauv qhov no, tag nrho tus nplaig yuav tsum tau phais tshem tawm. |
Yog li ntawd, vim li cas koj thiaj li yuav tsum tau phais mob zoo li no?
Feem ntau, kev phais glossectomy yog ua los kho mob qog nqaij hlav ntawm tus nplaig. Qhov no yuav tsum tau ua kom tshem tawm cov qog nqaij hlav thiab tiv thaiv lawv kom tsis txhob kis mus rau lwm qhov ntawm lub cev.
Tiamsis qhov ua rau tsis yog mob qog noj ntshav tas li. Muaj tej lub sijhawm uas yuav tsum tau phais mob no vim muaj ntau yam laj thawj ntxiv.
- Kev Ua Pa Pw Tsaug Zog: Tej tus neeg yuav muaj tus mob uas lawv tus nplaig poob rov qab thaum pw tsaug zog, ua rau lawv txoj hlab pa txhaws. Yog tias qhov no hnyav heev thiab lwm yam kev kho mob tsis tau ua haujlwm, tej zaum yuav pom zoo kom phais kom tshem ib feem ntawm tus nplaig thiab ua kom txoj hlab pa qhib.
- Macroglossia (tus nplaig loj): Yog tias tus nplaig loj dhau, txawm yog vim yug los lossis lwm yam mob, nws tuaj yeem ua rau nws nyuaj rau hais lus, noj mov, lossis ua pa. Hauv cov xwm txheej zoo li no, kev phais no yog ua los txo qhov loj ntawm tus nplaig.
Muaj dab tsi tshwm sim ua ntej phais?
Thaum koj txiav txim siab ua hom kev phais mob no, cov kws kho mob tsis yog tsuas yog maj nroos koj mus phais xwb. Muaj ntau yam kev kuaj thiab kev npaj uas yuav tsum tau ua ua ntej ntawd.
1. Kev kuaj mob: Ua ntej, tus kws kho mob yuav kuaj koj kom meej. Nws yuav ua tib zoo kuaj koj lub qhov ncauj, tus nplaig, thiab caj dab.
2. Kev Kuaj Duab: Tom ntej no, koj yuav raug hais kom ua qhov kev kuaj xws li CT scan lossis MRI scan kom pom tseeb tias qhov teeb meem hauv koj tus nplaig tau kis mus deb npaum li cas thiab nws tob npaum li cas.
3. Kev kuaj mob: Qhov no yog ib kauj ruam tseem ceeb heev. Hauv qhov no, ib daim ntaub me me raug coj los ntawm thaj chaw uas muaj kev xav tias muaj tus nplaig thiab xa mus rau chav kuaj mob kom kuaj. Qhov no yog qhov yuav ua kom paub tseeb tias nws puas yog mob qog noj ntshav lossis tsis yog, thiab yog tias yog, hom twg.
Tom qab tag nrho cov no, tus kws kho mob yuav muab cov lus qhia rau koj txog yam koj yuav tsum ua ua ntej phais. Piv txwv li, tsum tsis txhob noj thiab haus dej hmo ua ntej phais, thiab muab cov lus qhia rau koj txog lwm yam tshuaj uas koj yuav tsum noj. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia no kom meej.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Thaum koj mus rau hauv chav phais, koj yuav raug muab tshuaj loog ua ntej kom koj thiaj li tsis hnov mob lossis tsis xis nyob. Qhov no txhais tau tias koj yuav tsaug zog tag nrho kom txog thaum phais tas.
Tom qab ntawd, tus kws phais yuav ua qhov phais kom raug raws li koj tus mob.
- Hauv kev phais ib feem ntawm daim tawv nqaij: Tus kws kho mob yuav ua tib zoo tshem tawm tsuas yog qhov mob ntawm tus nplaig thiab xaws qhov seem. Qee zaum, yuav siv ib daim nqaij me me (cov nqaij sib txuas) uas tau coj los ntawm lwm qhov ntawm lub cev los ua kom tiav qhov seem uas tau raug tshem tawm.
- Hauv kev phais hemiglossectomy: Thaum ib nrab ntawm tus nplaig raug tshem tawm, muaj feem ntau dua ntawm kev ua pa nyuaj vim yog o ntawm tus nplaig tom qab phais. Yog li ntawd, qee zaum tracheostomy kuj tseem ua tib lub sijhawm phais no. Tsis txhob txhawj, qhov no suav nrog kev ua ib lub qhov me me ib ntus rau pem hauv ntej ntawm lub caj dab kom ua pa yooj yim dua. Koj tus kws kho mob yuav tham txog qhov no nrog koj ua ntej phais.
- Hauv Kev Tshem Tawm Tag Nrho: Thaum tag nrho tus nplaig raug tshem tawm, ib qho qauv tshiab zoo li tus nplaig raug tsim los sau qhov sib txawv. Rau qhov no, cov kws phais yuav siv daim tawv nqaij thiab cov nqaij los ntawm lwm qhov ntawm koj lub cev, xws li koj txhais caj npab, hauv siab, lossis ncej puab . Cov nqaij tshiab txuas nrog cov hlab ntsha hauv koj lub caj dab kom muab cov ntshav ntws. Cov no yog cov kev phais mob nyuaj heev thiab siab heev.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais tas, koj yuav tsum tau nyob hauv tsev kho mob ob peb hnub, feem ntau yog txog li ib lub lim tiam. Thaum lub sijhawm no, cov kws kho mob thiab cov neeg ua haujlwm tu mob yuav tshuaj xyuas koj tus mob tas li.
Thaum lub sijhawm no, koj yuav ntsib ib tug neeg tseem ceeb heev. Tus neeg ntawd yog tus kws kho mob hais lus thiab hais lus . Nws yuav pab koj kawm hais lus thiab nqos kom zoo dua tom qab phais mob no.
Qee zaum, tshwj xeeb tshaj yog tias tau phais rau tus mob qog noj ntshav, koj tus kws kho mob kuj tseem yuav pom zoo kom siv tshuaj tua kab mob kom tua cov hlwb qog noj ntshav uas tseem tshuav thiab txo qhov kev pheej hmoo ntawm tus mob qog noj ntshav rov qab los.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob no yog dab tsi?
Ib yam li kev kho mob, qhov kev phais no muaj nws cov txiaj ntsig thiab kev pheej hmoo.
Qhov zoo tshaj plaws
Qhov zoo tshaj plaws thiab tseem ceeb tshaj plaws ntawm kev phais mob no yog tias nws yog kev kho mob zoo heev rau mob qog noj ntshav hauv tus nplaig. Kev phais mob no yog kev kho mob tseem ceeb rau mob qog noj ntshav, tshwj xeeb tshaj yog nyob rau hauv qhov txav tau ntawm tus nplaig. Nws muaj feem ntau heev uas yuav cawm tau ib tug neeg txoj sia.
Tej yam txaus ntshai uas yuav tshwm sim
Ib yam li lwm yam kev phais mob, muaj tej yam txaus ntshai thiab teeb meem uas yuav tshwm sim tau, thiab nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no ua ntej.
| Kev Pheej Hmoo/Teeb Meem | Kev piav qhia |
|---|---|
| Los ntshav | Tej zaum yuav muaj ntshav los ntawm qhov txhab tom qab phais. |
| Kev kis kab mob | Muaj kev pheej hmoo ntawm kev kis kab mob hauv qhov txhab. |
| Nyuaj nqos zaub mov | Tej zaum yuav nyuaj rau nqos zaub mov, tshwj xeeb tshaj yog thaum ntxov. |
| Kev raug mob ntawm cov hlab ntsha | Muaj ib qho kev pheej hmoo me me ntawm kev puas tsuaj rau cov hlab ntsha hauv thaj chaw phais. |
| Kev thaiv txoj hlab pa vim yog o | Qhov txhab o yuav ua rau ua pa nyuaj. |
| Kev tsis lees txais cov khoom cog | Muaj feem me me heev uas lub cev yuav tsis lees txais cov nqaij uas tau hloov los kho tus nplaig. |
| Kev rov qab mob qog noj ntshav | Txawm tias tom qab phais lawm los, tseem muaj kev pheej hmoo ntawm kev rov qab mob qog noj ntshav. |
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo? Lub neej tom qab phais...
Nov yog lo lus nug loj tshaj plaws uas ntau tus neeg muaj: "Kuv yuav siv sijhawm ntev npaum li cas kuv thiaj rov qab mus ua neej nyob li qub?"
Qhov tseeb, lub sijhawm kho mob nyob ntawm seb koj tus nplaig raug tshem tawm ntau npaum li cas.
- Kev phais ib feem ntawm tus nplaig (yog tias ib feem ntawm tus nplaig raug tshem tawm): Koj yuav muaj peev xwm noj thiab haus tau li qub li ntawm ob lub lis piam.
- Kev phais tag nrho cov qog hauv lub plab (yog tias tshem tag nrho cov qog hauv lub plab): Tej zaum yuav tsis muaj peev xwm nqos tau tag nrho. Yog li ntawd, tej zaum yuav tsum tau muab cov kua dej rau hauv lub raj mis nasogastric (NG tube) lossis lub raj uas txuas rau lub plab (PEG tube).
Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum txuas ntxiv ua haujlwm nrog koj tus kws kho kev hais lus thiab lus.
Yuav ua li cas rau lub peev xwm hais lus?
Qhov no kuj nyob ntawm seb tus nplaig raug tshem tawm ntau npaum li cas.
- Cov neeg uas tau muab ib feem ntawm lawv tus nplaig tshem tawm lawm:Lub peev xwm hais tau ntau lub suab thiab cov lus yuav nyob mus li. Lub peev xwm no tuaj yeem txhim kho ntxiv nrog kev kho mob hais lus.
- Cov neeg uas tau muab lawv tus nplaig tshem tawm tag nrho: Lawv yuav poob peev xwm hais lus, tab sis qhov ntawd tsis tau txhais hais tias lawv poob kev sib cuag nrog lub ntiaj teb. Lawv tuaj yeem sib txuas lus nrog lwm tus siv thev naus laus zis, xws li cwj mem thiab ntawv, ntsiav tshuaj, lossis lub khoos phis tawj .
Ua li cas rau qhov kev xav ntawm saj?
Qhov teeb meem no nkag siab tau, vim peb qhov kev saj pom ntawm tus nplaig. Kev tshawb fawb tau qhia tias cov neeg uas muaj tsawg kawg ib nrab ntawm lawv tus nplaig tseem zoo muaj kev saj zoo. Txawm li cas los xij, yog tias ntau tshaj ib nrab ntawm tus nplaig raug tshem tawm, nws tuaj yeem ua rau muaj teeb meem me ntsis rau kev paub qhov txawv thiab txheeb xyuas qee qhov saj (dysgeusia) .
Tiam sis qhov xav tsis thoob yog tias txawm tias qee tus neeg mob uas tau tshem lawv tus nplaig tag nrho (tag nrho cov glossectomy) tau raug tshaj tawm tias muaj qee qib saj thiab muaj peev xwm txaus siab rau cov zaub mov.
Yog koj muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd!
Thaum koj rov qab los tsev tom qab phais lawm, nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas qhov kev hloov pauv hauv koj lub cev. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm koj lub tsev kho mob ze tshaj plaws.
| Cov cim ceeb toom uas yuav tsum tau saib xyuas | |
|---|---|
| Los ntshav ntau dhau ntawm lub qhov ncauj | Ua ib yam dab tsi tam sim ntawd. |
| Yog tias qhov o nce ntxiv tom qab ob peb hnub thawj zaug | Qhov no yuav yog ib qho cim qhia txog kev kis kab mob. |
| Tsis muaj peev xwm noj mov lossis haus dej li | Yuav tsum tau kho mob kom tsis txhob qhuav dej. |
| Ntuav los yog xeev siab | Tshwj xeeb tshaj yog tias nws txuas ntxiv mus. |
| Cov cim qhia txog kev kis kab mob xws li kub taub hau thiab mob khaub thuas | Ib qho cim qhia tias qhov txhab tau kis kab mob. |
| Kev txhaws caj pas | Qhov no yog xwm txheej ceev. |
| Nyuaj heev rau nqos zaub mov | Yog tias qhov tsis xis nyob nce ntxiv, qhia rau koj tus kws kho mob . |
| Mob hnyav heev uas tsis ploj mus txawm tias noj tshuaj los xij | Tej zaum yuav yog ib qho cim qhia txog lwm qhov teeb meem. |
Kev phais mob Glossectomy yeej yog ib qho kev phais uas hloov lub neej tiag tiag. Kev txiav txim siab zoo li no yog ib qho nyuaj heev thiab nyuaj heev. Yog li, nrog koj tus kws kho mob tham kom zoo zoo thiab xyuas kom koj nkag siab txog txhua txoj kev kho mob uas koj xaiv. Nug txhua lo lus nug uas koj muaj txog qhov zoo thiab qhov tsis zoo ntawm kev phais mob no thiab yam uas yuav tshwm sim tom qab kev phais mob. Cov txheej txheem rov zoo tuaj yeem nyuaj, tab sis nco ntsoov, koj muaj ib pab kws kho mob, kws tu mob, thiab tshwj xeeb tshaj yog cov kws kho kev hais lus los pab koj. Nrog lawv txoj kev pab, koj tuaj yeem kawm hais lus, nqos, thiab txhim kho koj lub neej zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Glosectomy yog ib txoj kev phais uas tshem tus nplaig tawm. Feem ntau nws yog ua los kho mob qog nqaij hlav ntawm tus nplaig.
- Qhov cuam tshuam rau kev hais lus, kev nqos, thiab saj yuav txawv nyob ntawm seb qhov kev phais mob ntawd ntev npaum li cas (ib feem, ib nrab, lossis tag nrho tus nplaig).
- Kev txhawb nqa ntawm tus kws kho kev hais lus thiab kev hais lus yog qhov tseem ceeb rau txoj kev rov zoo tom qab phais. Lawv yuav pab koj rov qab muaj peev xwm nqos thiab sib txuas lus.
- Nws yog ib qho ib txwm muaj uas yuav ntshai thiab ntxhov siab thaum ntsib kev phais mob zoo li no. Qhib siab qhia koj txoj kev xav thiab cov lus nug rau koj pab neeg kho mob.
- Yog koj muaj cov cim ceeb toom xws li kub taub hau, los ntshav ntau dhau, lossis mob hnyav tom qab phais, 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