Koj puas hnov mob hauv koj lub hauv siab, zoo li rab koob raug rub tawm ntawm koj cov tav, lossis zoo li riam raug chob? Tej zaum nws yog tav tawg, lossis mob ntev uas tshwm sim tom qab koj zoo los ntawm tus kab mob xws li mob pob qij txha. Hnub no, peb yuav tham txog kev kho mob tshwj xeeb uas cov kws kho mob siv rau hom mob uas nyuaj kho no.
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Hais yooj yim xwb, Intercostal Nerve Block yog dab tsi?
Kev Txhaj Tshuaj Rau Nerve Block yog ib qho tshuaj txhaj tshwj xeeb uas muab rau hauv qab ib qho ntawm koj cov tav, qhov chaw uas mob. Xav txog nws, muaj cov hlab ntsha khiav hauv qab peb txhua tus tav. 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, o, lossis puas tsuaj, nws tuaj yeem ua rau mob tsis tuaj yeem ua tau.
Yog li ntawd, qhov kev txhaj tshuaj no ua rau cov hlab ntsha uas ua rau mob "tsis muaj zog" ib ntus. Kev txhaj tshuaj no feem ntau muaj ob hom tshuaj:
1. Ib hom tshuaj steroid: Qhov no txo qhov o thiab o ntawm cov hlab ntsha.
2. Tshuaj loog hauv zos: Qhov no ua rau thaj chaw ntawd loog tam sim ntawd, zoo ib yam li ua rau cov pos hniav loog ua ntej rho hniav. Qhov no yuav pab txo qhov mob sai sai.
Qee zaum cov tshuaj txhaj no kuj siv los txheeb xyuas qhov ua rau mob, uas yog, rau kev kuaj mob.
Cov tshuaj tiv thaiv kab mob no siv tau rau dab tsi?
Txoj kev kho mob no feem ntau yog siv los tswj qhov mob hauv siab thiab lub plab sab saud.
| Cov xwm txheej siv | Ib qho lus piav qhia yooj yim |
|---|---|
| Ua ib qho kev kho mob rau qhov mob |
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| Kev phais mob |
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| Rau kev kuaj mob | Qee zaum qhov kev kuaj no kuj tseem tuaj yeem pab txiav txim siab seb koj qhov mob puas yog los ntawm lwm qhov chaw, xws li koj cov leeg lossis daim tawv nqaij (mob somatic) lossis los ntawm ib qho khoom hauv lub cev, xws li koj lub ntsws lossis lub plawv (mob visceral). |
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Check Availability →Kuv yuav tsum npaj li cas rau qhov tshuaj tiv thaiv kab mob no?
Qhov no feem ntau tsis tas yuav npaj ntau. Txawm li cas los xij, muaj qee yam tseem ceeb heev uas koj yuav tsum qhia rau koj tus kws kho mob.
- Tham txog cov tshuaj ua kom cov ntshav nyias: Yog tias koj noj cov tshuaj anticoagulants, xws li Warfarin, koj yuav tsum qhia rau koj tus kws kho mob paub . Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav ntawm qhov chaw txhaj tshuaj. Tsis txhob tsum noj cov tshuaj no yam tsis tau tham nrog koj tus kws kho mob ua ntej.
- Yog tias koj tau txais tshuaj loog: Qee zaum koj yuav tau txais tshuaj loog (tshuaj) rau hauv cov hlab ntsha ua ntej ua qhov kev phais. Yog tias ua li no, koj yuav raug hais kom yoo mov li 6-8 teev. Koj tseem yuav xav tau ib tus neeg tsav koj mus tsev tom qab ua qhov kev phais.
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.
Cov txheej txheem txhaj tshuaj tiv thaiv kab mob ua haujlwm li cas?
Qhov no yog ib qho txheej txheem yooj yim uas feem ntau siv sijhawm ob peb feeb xwb.
1. Txoj Haujlwm: Koj yuav raug muab tso rau ntawm ib lub txaj, txawm tias nyob rau ntawm koj ib sab tsis mob lossis rau ntawm koj lub plab.
2. Tshuaj loog (yog tias tsim nyog): Yog tias koj ntxhov siab lossis ntshai, tshuaj loog tuaj yeem muab los ntawm ib lub cannula uas muab tso rau hauv cov leeg ntawm koj txhais caj npab.
3. Kev Ntxuav: Qhov chaw txhaj tshuaj tiv thaiv kab mob raug ntxuav kom huv si nrog cov tshuaj tua kab mob.
4. Ua kom loog: Tom ntej no, yuav muab ib rab koob me me txhaj rau hauv qhov chaw ntawd. Thaum lub sijhawm no, koj yuav xav tias koj raug ib tug ntsaum me me tom.
5. Nrhiav qhov chaw zoo:Tam sim no yog qhov tseem ceeb tshaj plaws. Tus kws kho mob feem ntau yuav siv lub cuab yeej zoo li lub tshuab ntsuas (ultrasound lossis fluoroscopy) los saib qhov chaw tseeb ntawm cov hlab ntsha ntawm lub vijtsam. Qhov no tso cai rau kev txhaj tshuaj kom raug rau qhov chaw uas nws xav tau.
6. Muab cov tshuaj txhaj tseem ceeb: Tom qab ntawd, cov tshuaj uas muaj cov tshuaj steroid thiab tshuaj loog raug txhaj rau ntawm ib sab ntawm cov hlab ntsha.
7. So: Tom qab txhaj tshuaj tiv thaiv kab mob tiav lawm, yuav muaj neeg saib xyuas koj li ntawm 15-30 feeb ua ntej yuav xa koj mus tsev.
Tej yam teeb meem thiab kev pheej hmoo tom qab kev kho mob
Txawm hais tias qhov no yog kev kho mob uas muaj kev nyab xeeb heev, zoo li lwm yam kev kho mob, tej zaum yuav muaj kev pheej hmoo me ntsis.
Tej zaum yuav muaj qhov mob me ntsis los yog xiav ntawm qhov chaw txhaj tshuaj li ob mus rau peb hnub. Qhov no yog ib txwm muaj.
Txawm li cas los xij, muaj qee qhov teeb meem loj heev uas tuaj yeem tshwm sim tsis tshua muaj.
| Kev Pheej Hmoo | Kev piav qhia |
|---|---|
| Los ntshav | Lub koob txhaj tshuaj tuaj yeem ua rau cov hlab ntsha me me puas tsuaj. |
| Kev kis kab mob | Ib yam li lwm yam tshuaj tiv thaiv kab mob, muaj feem me me heev uas cov kab mob nkag mus rau hauv. |
| Lub ntsws tawg / Pneumothorax | Tsis tshua muaj, cov koob txhaj tshuaj yuav ntaus tau lub ntsws, ua rau muaj qhov me me. Qhov kev pheej hmoo no tam sim no qis heev ua tsaug rau kev siv cov tshuab ntsuas. |
| Kev puas tsuaj rau cov hlab ntsha | Qhov no kuj yog ib yam uas tshwm sim tsis tshua muaj. |
Qhov kev txo qhov mob yuav kav ntev npaum li cas?
Qhov no txawv ntawm ib tus neeg mus rau ib tus neeg.
- Rau ib txhia neeg, qhov mob yuav ploj mus tom qab txhaj tshuaj. Tab sis qhov ntawd yog vim muaj cov tshuaj ua rau loog. Nws tuaj yeem ploj mus hauv ob peb teev.
- Kev pab mus sij hawm ntev tiag tiag pib tom qab cov tshuaj steroid pib ua haujlwm, uas txhais tau tias tom qab ob mus rau peb hnub.
- Muaj ib txhia neeg yuav zoo siab tau ob peb lub hlis . Yog tias kev kho mob zoo rau koj, koj tuaj yeem txhaj tshuaj no dua yog tias qhov mob rov qab los, raws li koj tus kws kho mob qhia.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog koj muaj cov tsos mob tshiab lossis xav tias muaj teeb meem tom qab tau txhaj tshuaj tiv thaiv kab mob, qhia rau koj tus kws kho mob tam sim ntawd . Tshwj xeeb tshaj yog:
- Yog tias qhov chaw txhaj tshuaj liab, o, lossis muaj kua qaub tawm (cov cim qhia txog kev kis kab mob).
- Yog koj kub taub hau.
- Yog tias koj muaj qhov tsis muaj zog lossis tsis muaj zog tshiab ntawm ib ceg lossis caj npab.
- Yog koj ua pa nyuaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Txhaj Tshuaj Rau Cov Nerve Block yog ib qho kev txhaj tshuaj tshwj xeeb uas muab rau qee yam mob hauv siab lossis sab plab sab saud.
- Qhov no feem ntau muaj kev nyab xeeb heev, thiab qhov teeb meem tsawg heev vim tias nws tau ua tiav nrog kev pab los ntawm cov scanners.
- Ua ntej kho mob, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, tshwj xeeb yog cov tshuaj uas ua rau cov ntshav nyias.
- Lub sijhawm uas siv rau kev txo qhov mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg.
- Yog tias muaj cov tsos mob txawv txawv tshwm sim tom qab kho mob, nrhiav kev pab 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 nws yam tsis muaj kev ntshai.
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