Qee zaum qhov mob hauv plab qis thiab lub duav hnyav heev uas nyuaj rau piav qhia. Koj puas muaj teeb meem nrog qhov mob uas hnyav heev uas nyuaj rau ua tej yam txhua hnub txawm tias noj tshuaj los xij? Hnub no peb yuav tham txog ib txoj kev kho mob tshwj xeeb uas siv los tswj hom mob ntev no. Qhov no hu ua 'Hypogastric Plexus Block'.
Hypogastric Plexus Block yog dab tsi?
Hais yooj yim xwb, qhov no yog ib qho tshuaj txhaj tshwj xeeb uas muab los tswj qhov mob. Hauv peb lub nraub qaum qis, muaj ib lub hlab ntsha, ib qho chaw uas ntau lub hlab ntsha uas nqa cov cim qhia mob ntsig txog lub plab qis thiab thaj tsam pelvic tuaj ua ke rau lub hlwb. Qhov no hu ua 'Hypogastric Plexus'.
Xav txog nws zoo li ib tug ncej xov tooj loj uas muaj ib pawg xov hlau txuas nrog nws. Tag nrho cov teeb liab mob los ntawm koj lub plab qis, lub tsev menyuam, lub zais zis, lossis cov kab mob ib puag ncig mus rau koj lub hlwb los ntawm cov hlab ntsha no. Yog li, qhov koj ua hauv kev kho mob no yog, koj siv X-ray los nrhiav qhov twg ntawm cov hlab ntsha ntawd nyob, thiab koj txhaj tshuaj rau hauv nws. Cov tshuaj no ib ntus lossis ntev ntev tso cov hlab ntsha uas nqa cov teeb liab mob kom tsaug zog. Qhov ntawd txhais tau tias cov teeb liab mob tsis mus ncig. Qhov no yog qhov peb hu ua 'block'.
Cov kev kho mob no feem ntau siv rau hom mob twg?
Cov kws kho mob feem ntau pom zoo kom siv cov tshuaj tua kab mob no rau cov neeg uas muaj mob hauv lub duav uas nyuaj rau tswj. Nws zoo heev rau qhov mob hauv cov cheeb tsam hauv qab no:
- Lub zais zis
- Colon
- Lub tsev menyuam los yog zes qe menyuam
- Prostate los yog noob qes
Cov lus hauv qab no teev cov mob uas yuav xav tau kev kho mob no.
| Mob nkeeg | Kev piav qhia |
|---|---|
| Mob qog noj ntshav | Mob hnyav heev los ntawm mob qog noj ntshav hauv plab. |
| Kev mob endometriosis | Mob plab hnyuv loj heev thiab mob mus ntev rau cov poj niam. |
| Kab mob cystitis interstitial | Ib qho mob heev hauv lub zais zis. |
| Mob tom qab phais lossis kho mob hluav taws xob | Mob ntev tom qab phais plab lossis kho mob hluav taws xob. |
| Lwm yam mob ntev | Qhov mob tshwm sim los ntawm cov mob xws li Irritable Bowel Syndrome (IBS) thiab Pelvic Inflammatory Disease. |
Kuv yuav tsum npaj li cas ua ntej kho mob?
Yog koj ua qhov kev kho mob no, koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau koj. Cov lus qhia tseem ceeb yog:
- Koj yuav raug hais kom tsis txhob noj thiab haus dej kiag li ob peb teev ua ntej kev kho mob.
- Tej tshuaj uas koj noj (tshwj xeeb yog cov tshuaj uas ua rau cov ntshav nyias xws li Aspirin thiab Warfarin) yuav tsum tau tsum tsis txhob noj ib lossis ob hnub ua ntej. Txawm li cas los xij, qhov no tsuas yog yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm koj tus kws kho mob. Tsis txhob tsum lossis pib noj tshuaj yam tsis tau koj tus kws kho mob qhia.
- Tom qab kho mob tas, koj yuav qaug zog heev ua rau koj tsav tsis tau koj tus kheej. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav ib tus neeg los tsav koj mus tsev thiab rov qab los.
Yuav ua li cas kev kho mob ua haujlwm ib kauj ruam zuj zus
Feem ntau kev kho mob no yuav siv sijhawm li 30 feeb thiab yog ua los ntawm tus kws kho mob uas tshwj xeeb hauv kev tswj qhov mob.
Qhov tseem ceeb yog tias koj tsis raug muab tso pw tsaug zog thaum lub sijhawm kho mob no. Koj tsuas yog muab tshuaj loog (sedation) rau hauv cov hlab ntsha xwb. Vim tias koj tseem sawv, tus kws kho mob tuaj yeem tham nrog koj thiab ua kev kho mob.
| Cov kauj ruam | Muaj dab tsi tshwm sim? |
|---|---|
| 1. Kev Npaj | Lawv yuav hais kom koj pw hauv koj lub plab rau ntawm lub rooj thaij duab X-ray. Tom qab ntawd lawv yuav muab ib lub cannula ntxig rau hauv cov leeg ntshav hauv koj txhais caj npab thiab muab tshuaj rau koj kom koj so kom txaus. |
| 2. Tawv nqaij tsis muaj zog | Thaj chaw ntawm sab nraub qaum qis uas yuav muab koob txhaj rau hauv raug ntxuav thiab muab tshuaj loog rau hauv thaj chaw ntawd. |
| 3. Muab koob txhaj rau hauv | Nrog kev pab los ntawm lub tshuab X-ray (fluoroscopy), tus kws kho mob ntxig ob lub koob me me rau hauv koj lub nraub qaum qis thiab coj lawv mus rau qhov chaw tseeb ntawm cov hlab ntsha plexus. |
| 4. Kev lees paub qhov chaw | Yuav kom paub tseeb tias cov koob txhaj tshuaj nyob rau qhov chaw zoo, yuav muab me ntsis xim zas txhaj rau thiab thaij duab X-ray kom paub meej. |
| 5. Kev txhaj tshuaj | Thaum paub tseeb tias qhov chaw raug mob lawm, yuav muab tshuaj tua mob (feem ntau yog tshuaj loog thiab tshuaj steroid) txhaj rau ib ncig ntawm cov hlab ntsha. Hauv cov mob xws li mob qog noj ntshav, tej zaum yuav muab tshuaj cawv lossis phenol uas ua rau cov hlab ntsha puas tsuaj rau kev kho mob mus sij hawm ntev. |
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Tom qab kho mob tas, koj yuav raug saib xyuas li ib nrab teev thiab tom qab ntawd tso cai rau koj mus tsev hauv ib teev.
- Kev txo qhov mob: Feem ntau cov neeg yuav pom tias qhov mob ploj mus ntau heev hauv 30 feeb tom qab txhaj tshuaj. Nws yog ib qho ib txwm rau thaj chaw ntawm lub duav kom sov me ntsis lossis "txawv."
- Cov kev mob tshwm sim: Qhov chaw txhaj tshuaj yuav mob me ntsis thiab raug mob rau ob mus rau peb hnub. Qhov no yog ib txwm muaj.
- So: Nws yog ib qho tseem ceeb uas yuav tsum so 24 teev tom qab mus tsev. Tsis txhob ua haujlwm hnyav lossis tawm dag zog. Koj tuaj yeem rov ua koj cov dej num ib txwm hnub tom qab.
Qhov kev txo qhov mob yuav kav ntev npaum li cas?
Qhov no nyob ntawm seb koj tau txais hom tshuaj twg. Yog tias koj tau txais tshuaj loog ib leeg xwb, qhov kev pab yuav kav ntev li ob peb teev lossis ob peb hnub. Yog tias koj tau txais tshuaj steroid, qhov kev pab txo qhov mob yuav kav ntev li ntau lub lis piam mus rau ntau lub hlis. Ib txhia neeg yuav tsum tau txhaj tshuaj ntau zaus kom tau txais cov txiaj ntsig zoo tshaj plaws.
Kuv yuav tsum hu rau kws kho mob thaum twg?
Qhov kev pheej hmoo ntawm cov teeb meem loj uas cuam tshuam nrog kev kho mob no yog tsawg heev. Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd .
- Yog tias qhov mob nce ntxiv es tsis txo qis.
- Yog koj kub taub hau .
- Yog tias qhov chaw txhaj tshuaj mob heev, o, lossis liab .
- Yog tias koj xav tias koj ob txhais ceg tsis muaj zog .
Kev nyob nrog mob ntev tuaj yeem muaj kev cuam tshuam loj rau koj lub hlwb thiab lub cev kev noj qab haus huv. Yog li ntawd, tsis tas yuav "ua siab ntev" rau qhov mob. Yog tias koj tsis tau txais kev pab los ntawm cov tshuaj tua kab mob ib txwm muaj, tham nrog koj tus kws kho mob txog cov kev kho mob tshwj xeeb zoo li no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hypogastric Plexus Block yog kev txhaj tshuaj tshwj xeeb uas siv rau qhov mob hnyav hauv qab plab thiab thaj chaw pelvic uas tsis tuaj yeem tswj hwm nrog lwm cov tshuaj.
- Qhov no tswj qhov mob los ntawm kev ua rau ib pawg ntawm cov hlab ntsha uas nqa cov cim qhia qhov mob mus rau lub hlwb raug kaw ib ntus lossis ntev.
- Qhov no yog ib txoj kev kho mob uas ua los ntawm ib tus kws tshwj xeeb, muaj kev pheej hmoo tsawg heev, thiab tuaj yeem ua tiav hauv lub sijhawm luv luv.
- Qhov no tuaj yeem yog ib qho kev daws teeb meem zoo rau ntau yam mob, xws li endometriosis, mob qog noj ntshav, thiab mob tom qab phais.
- Yog tias koj kuj raug mob plab mog ntev, nrog koj tus kws kho mob tham seb txoj kev kho mob no puas yog rau koj.
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