Koj tus me nyuam puas muaj qaug dab peg ntau zaus? Koj yuav tsum txhawj heev vim koj tswj tsis tau lawv txawm tias lawv muab tshuaj rau koj ntau npaum li cas los xij. Qee zaum, cov kws kho mob tham txog kev phais loj hu ua 'Hemispherectomy' hauv qhov xwm txheej zoo li no. Nws yog ib qho ib txwm muaj kev ntshai heev thaum koj hnov lub npe no. Vim tias qhov no txhais tau tias tshem tawm ib nrab ntawm lub hlwb. Tab sis tsis txhob txhawj, hnub no peb yuav tham txog qhov no yooj yim heev, hauv txoj kev uas koj tuaj yeem nkag siab.
Hauv lus yooj yim, Hemispherectomy yog dab tsi?
Kev phais mob hemispherectomy yog kev phais tshem tawm tag nrho lossis ib feem ntawm lub hlwb ntawm tus menyuam (ib sab) lossis txiav nws txoj kev sib txuas rau lwm qhov ntawm lub hlwb. "Hemi" txhais tau tias "ib nrab." Qhov no yog ib qho kev phais mob tshwj xeeb heev.
Qhov no feem ntau yog ua rau cov menyuam yaus uas muaj mob qaug dab peg uas tsis tuaj yeem tswj tau los ntawm tshuaj. Rau cov menyuam yaus zoo li no, ib sab ntawm lub hlwb tsis zoo kiag li, thiab sab ntawd yog qhov ua rau qaug dab peg. Yog li lub hom phiaj ntawm kev phais mob no yog kom tiv thaiv qaug dab peg los ntawm kev tshem tawm lossis txiav qhov mob ntawd.
Muaj ob hom kev phais mob no tseem ceeb.
Muaj ob txoj kev tseem ceeb rau kev ua qhov kev phais no. Cov kws kho mob yuav xaiv txoj kev zoo tshaj plaws raws li koj tus menyuam tus mob.
| Hom kev phais mob | Hais yooj yim xwb... |
|---|---|
| Kev phais mob hemispherectomy uas ua haujlwm tau (tsis txuas) | Txoj kev no yog rho ib feem me me ntawm sab uas muaj mob ntawm lub hlwb tawm, thiab txiav tag nrho qhov kev sib txuas ntawm sab ntawd thiab sab noj qab nyob zoo. Qhov no tsis tshem ib feem loj ntawm lub hlwb tawm. Yog li ntawd, qhov kev pheej hmoo ntawm teeb meem tsawg heev. Feem ntau yuav sim txoj kev no ua ntej. |
| Kev phais mob ntawm lub cev thiab lub plawv | Hauv txoj kev phais no, tus kws phais yuav tshem tawm tag nrho plaub lub hlwb loj (frontal, parietal, temporal, thiab occipital lobes) ntawm sab uas raug mob. Txoj kev phais no tsuas yog siv yog tias qhov qaug dab peg tsis raug tswj tom qab phais mob. Muaj kev pheej hmoo siab dua me ntsis ntawm cov teeb meem, xws li los ntshav ntau dhau. |
Qhov tseem ceeb yog tias ob txoj kev ua tiav zoo ib yam. Ob txoj kev no muaj peev xwm zoo los tiv thaiv qhov haum.
Cov menyuam yaus hom twg xav tau kev phais mob no?
Qhov kev phais no tsis yog ua rau txhua tus menyuam uas muaj mob. Nws ua rau cov xwm txheej tshwj xeeb heev. Yog tias koj tus menyuam muaj cov tsos mob lossis mob hauv qab no, koj tus kws kho mob yuav xav txog qhov kev phais no:
- Muaj mob qaug dab peg (qaug dab peg) uas tshuaj kho tsis tau .
- Tsis muaj zog ntawm ib sab ntawm lub cev. Piv txwv li, tsis muaj peev xwm siv ib sab caj npab zoo ib yam li lwm sab caj npab.
- Poob ntawm qhov muag pom kev.
- Daim duab MRI ntawm lub hlwb qhia txog qhov tsis zoo ntawm ib sab ntawm lub hlwb xwb.
- Qhov mob sib tsoo ntau zaus tuaj yeem ua rau tus menyuam txoj kev loj hlob qeeb .
Cov mob uas ua rau muaj cov tsos mob no:
- Kev Ua Tsis Zoo ntawm Cortical Kev Loj Hlob: Qee qhov kev ua tsis zoo uas tshwm sim thaum lub sijhawm loj hlob ntawm lub hlwb lub cortex.
- Mob Stroke (Perinatal Infarction): Mob stroke uas tshwm sim hauv plab lossis tom qab yug me nyuam.
- Hemimegalencephaly: Ib sab ntawm lub hlwb loj dua li lwm sab.
- Kab Mob Sturge-Weber: Ib qho mob uas cov hlab ntsha loj hlob tsis zoo. Cov no kuj tuaj yeem tshwm sim hauv lub hlwb.
- Rasmussen's Encephalitis: Ib yam mob uas tsuas cuam tshuam rau ib sab ntawm lub hlwb xwb thiab ua rau mob vim yog o.
Muaj dab tsi tshwm sim ua ntej thiab thaum lub sijhawm phais?
Kev npaj koj tus menyuam rau kev phais loj no tuaj yeem yog ib qho kev cov nyom loj rau koj, tab sis cov kws kho mob thiab cov kws tu mob hauv tsev kho mob yuav pab koj los ntawm kev piav qhia txhua yam.
Ua ntej phais
Ua ntej hnub phais, lawv yuav hais kom koj tsum tsis txhob noj thiab haus tom qab ib lub sijhawm. Lawv yuav qhia koj meej txog cov tshuaj uas koj tus menyuam noj, cov tshuaj twg yuav tsum tsis txhob noj, thiab cov tshuaj twg yuav tsum noj ntxiv mus. Tej zaum koj yuav txiav plaub hau lossis tshem tawm tag nrho rau ntawm sab ntawm koj tus menyuam lub taub hau uas yuav phais.
Thaum lub sijhawm phais
Tus me nyuam tau txais tshuaj loog dav dav , uas ua rau lawv tsaug zog tag nrho thiab tsis mob. Kev phais yuav siv sijhawm li 5 teev, qee zaum ntev dua. Tus kws phais yuav ua raws li cov kauj ruam no:
1. Tshem ib feem me me ntawm lub taub hau (qhov no hu ua 'Craniotomy').
2. Tshem tawm lossis tshem tawm ib feem ntawm cov nqaij ntawm sab uas muaj mob ntawm lub hlwb tag nrho.
3. Txiav cov fibers uas txuas ob sab ntawm lub hlwb (corpus callosum). (Qhov no hu ua 'Corpus Callosotomy').
4. Qhov uas raug tshem tawm ntawm lub pob txha taub hau raug muab rov qab rau hauv qhov chaw thiab daim tawv nqaij raug xaws kaw.
Tom qab phais tas, yuav muaj dab tsi tshwm sim? Thiab cov txiaj ntsig zoo li cas?
Tom qab phais tas, tus menyuam raug xa mus rau Chav Saib Xyuas Mob Hnyav (ICU) thiab raug saib xyuas ze heev. Tom qab ob mus rau peb hnub, lawv raug xa mus rau chav kho mob ib txwm.
Qhov xov xwm zoo yog tias cov txiaj ntsig ntawm kev phais no zoo heev. Kev tshawb fawb tau qhia tias ntawm 66% thiab 80% ntawm cov menyuam yaus uas tau phais mob tau zoo tag nrho. Ntau tus menyuam yaus kuj pom tias muaj kev mob nkeeg tsawg dua.
Ib pab neeg kws tshwj xeeb tab tom ua haujlwm los pab tus menyuam kom rov zoo.
- Kev Kho Mob Lub Cev: Pab koj taug kev, khiav, thiab tswj kev sib npaug.
- Kev Kho Mob Ua Haujlwm: Qhia koj yuav ua li cas ua tej haujlwm txhua hnub xws li noj mov thiab hnav khaub ncaws.
- Kev Kho Mob Hais Lus: Pab kov yeej cov teeb meem hauv kev hais lus thiab kev qhia tawm cov tswv yim.
Puas muaj kev pheej hmoo thiab teeb meem?
Ib yam li lwm yam kev phais loj, muaj kev pheej hmoo thiab teeb meem uas tuaj yeem tshwm sim, tab sis cov no tsis tshua muaj.
| Hom teeb meem | Kev piav qhia |
|---|---|
| Tej yam teeb meem uas yuav tshwm sim ua ntej | Nws tuaj yeem tshwm sim thaum lub sijhawm phais lossis tom qab phais tas. Piv txwv li, poob ntshav ntau dhau, kis kab mob, thiab hypothermia. |
| Tej yam teeb meem tom qab | Qhov teeb meem loj tshaj plaws yog ib qho mob hu ua Hydrocephalus . Qhov no yog qhov dej sib sau ua ke hauv lub hlwb. Lub caij nyoog uas qhov no tshwm sim thaum lub sijhawm phais mob yog tsawg dua 5%. Yog tias qhov no tshwm sim, yuav tsum tau ntxig ib lub raj me me hu ua 'shunt' kom tshem tawm cov dej. |
Thaum koj xav tau tham nrog kws kho mob sai sai
Tom qab koj mus tsev los ntawm tsev kho mob, koj yuav tsum tau ua tib zoo saib xyuas koj tus menyuam. Yog tias koj pom ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd lossis coj koj tus menyuam mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob ze tshaj plaws.
- Qhia cov cim qhia txog kev kis kab mob, xws li kub taub hau , o, liab, lossis kua paug los ntawm qhov txhab phais.
- ntuav ntau zaus, mob taub hau hnyav, thiab hloov tus cwj pwm (tej zaum cov no yog cov cim qhia tias muaj mob hu ua Hydrocephalus).
- Rov qab muaj mob qaug dab peg.
Kev txiav txim siab txog kev phais mob no tsis yog ib qho yooj yim rau cov niam txiv. Nws yog ib lub nra hnyav heev. Tab sis nco ntsoov, tus kws kho mob tsuas yog yuav pom zoo kom phais mob yog tias nws paub tseeb tias tsis muaj lwm txoj kev xaiv thiab nws yuav pab tau tus menyuam lub neej ntau heev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob hemispherectomy yog ib txoj kev phais mob zoo heev rau cov menyuam yaus uas muaj mob qaug dab peg hnyav uas tsis tuaj yeem tswj tau los ntawm tshuaj.
- Qhov yuav ua rau qhov haum no tsis ua haujlwm tag nrho lossis txo qis heev nrog kev phais mob no yog qhov muaj feem ntau heev.
- Lub hlwb ntawm tus menyuam lub hlwb uas tseem noj qab nyob zoo yuav pib ua haujlwm ntau yam ntawm sab uas raug tshem tawm mus tas li. Qhov no yog ib qho zoo kawg nkaus li!
- Kev kho lub cev, kev ua haujlwm, thiab kev hais lus (kev kho kom rov zoo) tom qab phais mob yog qhov tseem ceeb rau kev kho tus menyuam.
- Yog koj muaj lus nug lossis kev txhawj xeeb dab tsi, thov koj nrog koj tus kws kho mob tham. Lawv yeej npaj txhij pab koj txhua lub sijhawm.
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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