Qee zaum koj yuav mob heev rau sab ntawm koj lub hauv siab lossis hauv koj lub tav. Qhov mob no tuaj yeem zoo li riam chob koj, ua rau nws nyuaj rau ua pa. Qee zaum hom mob no tshwm sim tom qab tav tawg lossis tom qab phais hauv siab. Hnub no peb tab tom tham txog kev kho mob tshwj xeeb rau hom mob no, uas yog kev txhaj tshuaj ncaj qha rau thaj chaw uas mob.
Intercostal Nerve Block yog dab tsi?
Hais yooj yim xwb, qhov no yog ib qho tshuaj txhaj uas muab rau ze ntawm ib txoj hlab ntsha uas nyob hauv qab ib qho ntawm koj cov tav. Koj puas paub tias muaj ib txoj hlab ntsha khiav hauv qab txhua tus tav hauv peb lub hauv siab? Peb hu cov no ua 'Intercostal Nerves'. Yog tias vim li cas cov hlab ntsha no lossis cov nqaij nyob ib puag ncig nws raug nias, puas tsuaj, lossis o, nws tuaj yeem ua rau mob hnyav.
Yog li ntawd, qhov kev txhaj tshuaj no ua yog ib ntus 'thaiv' cov hlab ntsha uas ua rau mob. Kev txhaj tshuaj no feem ntau muaj ob hom tshuaj:
- Tshuaj loog hauv zos: Qhov no ua rau thaj chaw loog tam sim ntawd tom qab txhaj tshuaj, txo qhov mob sai sai.
- Tshuaj Steroid: Qhov no txo qhov o thiab o ntawm cov hlab ntsha. Nws yuav siv sijhawm ob mus rau peb hnub kom pib ua haujlwm, tab sis nws muab kev pab mus sij hawm ntev.
Cov tshuaj tiv thaiv kab mob no siv rau hauv cov xwm txheej twg?
Txoj kev kho mob no siv rau ntau lub hom phiaj tseem ceeb. Qee zaum nws pab txo qhov mob, thiab lwm lub sijhawm nws pab nrhiav qhov ua rau mob.
| Cov xwm txheej siv | Kev piav qhia |
|---|---|
| Txhawm rau txo qhov mob | Nws yog siv los tswj qhov mob uas tshwm sim sai sai (mob hnyav) lossis mob ntev ntev (mob ntev). Piv txwv li: pob txha tav thiab mob hlab ntsha hnyav tom qab mob qaib ntxhw (mob pob khaus lossis mob hlwb tom qab mob herpetic). |
| Kev phais mob | Cov tshuaj txhaj no yog muab los tswj qhov mob tom qab qee qhov kev phais mob. Piv txwv li: Kev phais mob hauv siab, Kev phais mob mis, thiab Kev phais mob plab sab saud. |
| Txhawm rau txheeb xyuas qhov ua rau mob | Qee zaum tus kws kho mob yuav tsum txiav txim siab seb koj qhov mob puas yog los ntawm ib qho chaw hauv koj lub cev (mob visceral) lossis los ntawm qhov chaw hauv koj cov leeg lossis daim tawv nqaij (mob somatic). Yog tias qhov mob ploj mus tom qab koj txhaj tshuaj no, nws txhais tau tias qhov teeb meem yog nrog cov hlab ntsha no. |
Kuv yuav tsum npaj li cas thiaj li tau txhaj tshuaj tiv thaiv kab mob no?
Qhov no feem ntau tsis tas yuav npaj ntau. Txawm li cas los xij, muaj ob peb yam uas koj yuav tsum paub txog.
Qhov tseem ceeb tshaj plaws yog tias yog koj noj cov tshuaj anticoagulants, xws li warfarin, koj yuav tsum qhia rau koj tus kws kho mob txog qhov ntawd. Vim tias cov tshuaj no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav ntawm qhov chaw txhaj tshuaj. Tab sis nco ntsoov, tsis txhob tsum noj lawv tshwj tsis yog koj tus kws kho mob hais kom koj ua.
Qee zaum yuav muab tshuaj loog rau koj kom koj tsaug zog. Yog ua li no, lawv yuav hais kom koj tsis txhob noj lossis haus dab tsi li 6-8 teev ua ntej kev kho mob. Koj kuj tseem yuav tsum coj ib tus neeg tuaj tos koj mus tsev, vim koj yuav tsav tsheb tsis tau.
Txawm li cas los xij, koj tus kws kho mob yuav piav qhia txhua yam no rau koj. Tsis txhob ntshai nug cov lus nug uas koj muaj.
Yuav ua li cas thiaj kho tau qhov Intercostal Nerve Block no?
Txoj kev kho mob no yooj yim heev. Feem ntau nws zoo li no:
- Ua ntej, koj yuav raug yuam kom pw saum txaj, txawm tias nyob ntawm koj ib sab, uas tsis mob, lossis pw ntawm koj lub plab.
- Yuav kom koj so, koj yuav tau txais tshuaj loog me me los ntawm txoj kab IV hauv koj txhais caj npab.
- Tom qab ntawd, qhov chaw txhaj tshuaj raug ntxuav kom huv si nrog cov tshuaj tua kab mob.
- Tom qab ntawd, yuav muab tshuaj loog me me rau thaj chaw uas yuav thaiv cov hlab ntsha kom tsis txhob mob. Thaum lub sijhawm no, koj yuav hnov qhov mob me ntsis thaum koj muab koob txhaj rau hauv.
- Yuav kom nrhiav tau qhov chaw tseeb ntawm cov hlab ntsha, tus kws kho mob yuav siv cov duab qhia kev, xws li ultrasound lossis fluoroscopy . Qhov no tso cai rau tus kws kho mob pom tseeb qhov twg yuav tsum ntxig rab koob.
- Thaum nrhiav tau qhov chaw zoo lawm, cov tshuaj uas txo qhov mob yuav raug txhaj rau ze rau ntawm cov hlab ntsha li sai tau.
- Tom qab txhaj tshuaj tas, lawv yuav hais kom koj so ib pliag kom txog thaum cov tshuaj pib ua haujlwm.
Tom qab txhaj tshuaj tas, lawv yuav saib koj li ntawm 15-30 feeb kom paub seb puas muaj tej yam tshwm sim tsis zoo. Yog tias txhua yam zoo, koj mus tsev tau.
Kev kho mob no zoo npaum li cas? Thiab yuav siv sijhawm ntev npaum li cas thiaj li mob ploj mus?
Rau ntau tus neeg, qhov no muab kev pab txo qhov mob ib ntus zoo, tab sis qhov kev pab ntawd kav ntev npaum li cas nyob ntawm ib tus neeg mus rau ib tus neeg.
Cov tshuaj loog uas muab tam sim ntawd tom qab txhaj tshuaj yuav txo qhov mob. Txawm li cas los xij, tom qab ob peb teev, cov tshuaj loog yuav ploj mus thiab qhov mob yuav rov qab los. Tsis txhob txhawj, qhov no yog qhov ib txwm muaj. Kev pab mus sij hawm ntev yuav los tom qab cov tshuaj steroid pib ua haujlwm hauv ob mus rau peb hnub.
Tej zaum yuav muaj ib txhia neeg tsis mob tau ob peb lub hlis . Yog tias kev kho mob ua tiav, tej zaum koj yuav rov tau txhaj tshuaj dua ib ntus ib ntus raws li qhov xav tau los tswj qhov mob. Txawm li cas los xij, tej zaum ib txhia neeg yuav tsis muaj kev cuam tshuam dab tsi los ntawm kev txhaj tshuaj. Yog tias qhov ntawd tshwm sim, koj tus kws kho mob yuav qhia koj txog lwm yam kev kho mob.
Cov kev pheej hmoo thiab cov teeb meem ntawm qhov no yog dab tsi?
Feem ntau qhov no yog kev kho mob uas muaj kev nyab xeeb heev. Tej zaum yuav muaj qee qhov mob thiab mob qhov chaw txhaj tshuaj, tab sis qhov no yuav ploj mus li ob mus rau peb hnub.
Txawm li cas los xij, muaj qee qhov teeb meem loj heev uas tsis tshua muaj tab sis tsim nyog paub txog.
- Los ntshav
- Kev kis kab mob
- Lub ntsws tawg: Qhov no yog ib qho tshwm sim tsawg heev. Nws tuaj yeem tshwm sim yog tias rab koob ntaus lub ntsws.
- Kev puas tsuaj rau cov hlab ntsha
Cov kev pheej hmoo no tsawg heev, tshwj xeeb tshaj yog thaum ua los ntawm tus kws kho mob uas muaj kev paub dhau los siv cov thev naus laus zis xws li ultrasound.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog koj muaj cov tsos mob tshiab lossis teeb meem tom qab koj tau txhaj tshuaj tiv thaiv kab mob no, hu rau koj tus kws kho mob tam sim ntawd . Yuav tsum paub txog cov tsos mob no:
- Cov cim qhia txog kev kis kab mob: kub taub hau, liab, o, mob hnyav, lossis kua paug ntawm qhov chaw txhaj tshuaj.
- Teeb meem ntsig txog cov hlab ntsha: Cov tsos mob tshiab xws li loog thiab qaug zog ntawm ob txhais ceg.
- Ua pa nyuaj: Qhov no yuav yog ib qho cim qhia txog teeb meem ntawm lub ntsws.
Yog koj xav li no, tsis txhob ncua sijhawm thiab nrhiav kev pab kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev thaiv cov hlab ntsha intercostal yog ib qho tshuaj txhaj tshwj xeeb uas muab rau kev mob ntsig txog hlab ntsha ntawm cov tav tav.
- Nws yog siv rau tej yam xws li pob txha tawg, mob tom qab phais, thiab mob hlab ntsha tom qab mob qaib qhua pias.
- Txawm hais tias qhov no feem ntau yog kev kho mob muaj kev nyab xeeb los xij, los ntshav thiab kev kis kab mob tsis tshua muaj tshwm sim.
- Yog tias koj noj tshuaj uas ua rau cov ntshav nyias, nco ntsoov qhia rau koj tus kws kho mob txog nws ua ntej kho.
- Yog tias koj kub taub hau, o ntawm qhov chaw txhaj tshuaj, ua pa nyuaj, lossis loog tom qab kho mob, 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