Koj tus tub hluas nyob hauv tsev puas feem ntau ntshav ntswg? Puas zoo li nws muaj qhov ntswg txhaws ib sab? Qee zaum peb xav tias cov no yog tej yam ib txwm muaj, tab sis tej zaum yuav muaj ib qho mob tshwj xeeb tom qab qhov no uas peb yuav tsum tau them sai sai rau. Yog vim li ntawd peb thiaj yuav tham txog ib qho qog nqaij hlav uas tsuas yog tshwm sim rau cov tub hluas xwb. Qhov no hu ua 'Juvenile Nasopharyngeal Angiofibroma' lossis '(JNA)' luv.
Hais yooj yim xwb, JNA no yog dab tsi?
Tsis txhob ntshai lub npe ntev no. Cia peb piav qhia kom meej thiab nkag siab.
- "Hluas Hluas" - Qhov no txhais tau tias "hluas." Qhov no txhais tau tias tus mob no feem ntau tshwm sim rau cov hluas.
- "Nasopharyngeal" - Qhov no yog hais txog thaj chaw tom qab peb lub qhov ntswg, uas txuas rau sab saud ntawm peb lub caj pas. Qhov ntawd yog qhov uas cov qog tsim.
- "Angiofibroma" - Qhov no muaj ob ntu. "Angio" txhais tau tias cov hlab ntsha (cov hlab ntsha). "Fibroma" txhais tau tias yog ib qho qog nqaij hlav uas tsis yog mob qog noj ntshav uas ua los ntawm cov nqaij sib txuas.
Yog li, hais yooj yim xwb, JNA yog ib qho mob qog nqaij hlav uas tsis yog mob qog nqaij hlav uas ua los ntawm cov hlab ntsha ntau dhau uas tsim tom qab lub qhov ntswg thaum tseem hluas.
Tiam sis qhov tseem ceeb tshaj plaws ntawm no yog tias txawm hais tias qhov no tsis yog mob qog noj ntshav, nws yog ib qho mob qog nqaij hlav uas hnyav heev. Qhov ntawd txhais tau tias, zoo li cov nroj tsuag, cov mob qog nqaij hlav no tuaj yeem kis mus rau thaj chaw ze. Nws tuaj yeem kis mus rau lub qhov ntswg, sinuses, pob txha taub hau, thiab txawm tias lub hlwb. Yog tias tsis kho, nws tuaj yeem ua rau tuag taus. Yog vim li cas nws thiaj li tseem ceeb heev uas yuav tsum paub txog qhov no. Tab sis cov xov xwm zoo yog, nrog kev kho mob zoo, cov mob qog nqaij hlav no tuaj yeem kho tau tag nrho.
Leej twg yuav pom qhov mob no tshaj?
Qhov no yog ib qho mob tshwj xeeb heev. Vim tias JNA feem ntau tsuas yog tshwm sim rau cov tub hluas hnub nyoog ntawm 10 thiab 25 xwb. Tsis tshua muaj, nws tuaj yeem tshwm sim rau cov txiv neej hnub nyoog tshaj 25 lossis rau cov menyuam yaus hnub nyoog li 7 xyoo. Nws yog qhov tseeb hais tias cov ntxhais tsis muaj tus kab mob no.
Thiab qhov no yog ib qho mob tsis tshua muaj. Tej zaum nws tsuas cuam tshuam rau ib ntawm ib lab tus tib neeg xwb. Yog li ntawd, tsis txhob ntshai ua tus uas muaj cov tsos mob no, tab sis qhov tseem ceeb tshaj plaws yog yuav tsum paub txog.
Cov tsos mob ntawm JNA yog dab tsi?
Lub qog tsis qhia cov tsos mob loj thaum nws me. Cov tsos mob tsuas yog tshwm sim thaum nws loj me ntsis thiab pib thaiv txoj hlab pa ntawm lub qhov ntswg. Cia peb saib seb cov tsos mob tseem ceeb yog dab tsi.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Ntsws ntshav ntau zaus | Qhov no yog cov tsos mob tseem ceeb thiab feem ntau tshwm sim . Qee zaum yuav muaj kev los ntshav ntau, uas nyuaj me ntsis rau kev nres. |
| Ua pa nyuaj los ntawm lub qhov ntswg | Feem ntau, ib sab ntawm lub qhov ntswg zoo li raug txhaws tas li. Zoo li muaj cov hnoos qeev lo rau hauv, tab sis tsis muaj hnoos qeev. |
| Lub ntsej muag o | Thaum lub qog loj hlob tuaj, nws yuav o, tshwj xeeb tshaj yog nyob rau thaj chaw xws li sab plhu. |
| Mob taub hau | Tej zaum yuav mob taub hau tas li vim tias lub qog nqaij hlav nias rau thaj chaw ib puag ncig. |
| Kev hloov pauv ntawm kev pom kev lossis kev hnov lus | Qhov no yog ib qho mob hnyav dua. Yog tias lub qog nias rau ntawm cov hlab ntsha uas txuas ob lub qhov muag lossis pob ntseg, nws tuaj yeem ua rau pom kev tsis meej, pom ob sab, thiab hnov lus tsis zoo. |
Vim li cas JNA no thiaj raug tsim? Yog vim li cas?
Qhov tseeb, qhov ua rau qhov no tseem tsis tau pom. Tab sis vim tias nws tsuas tshwm sim rau cov tub hluas xwb, cov kws kho mob xav tias cov tshuaj hormones txiv neej muaj feem cuam tshuam nrog nws. Tab sis qhov ntawd tseem tsis tau muaj pov thawj.
Qhov no tsis yog ib yam kab mob uas los ntawm noob caj noob ces. Qhov no txhais tau tias tsuas yog vim leej txiv muaj tus kab mob no, tus tub yuav tsis tau tus kab mob no. Txawm li cas los xij, cov kws tshawb fawb tau pom ib yam. Yog tias ib tug neeg hauv tsev neeg muaj lwm yam mob hu ua "Familial Adenomatous Polyposis (FAP)", muaj kev pheej hmoo me me ntawm kev mob JNA. Qhov kev sib txuas ntawm ob yam mob no tseem tab tom tshawb nrhiav.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob zoo li no, nws yuav kuaj koj li no.
1. Nug txog cov tsos mob:Ua ntej, tus kws kho mob yuav nug koj thiab koj tus menyuam txog cov tsos mob, xws li ntshav ntswg tau ntev npaum li cas thiab nws ntev npaum li cas.
2. Kev kuaj lub cev: Tom qab ntawd yuav kuaj koj lub qhov ntswg. Feem ntau koj yuav raug xa mus rau tus kws kho mob pob ntseg, qhov ntswg thiab caj pas (ENT surgeon) .
3. Kev kuaj tshwj xeeb: Cov kev kuaj no ua tau los xyuas kom meej tias muaj tus kab mob.
- Kev kuaj duab: Yuav ua ib daim CT scan lossis MRI kom pom tseeb tias qhov mob qog nyob qhov twg, nws loj npaum li cas, thiab seb nws puas tau kis mus rau lwm qhov. Qhov no tuaj yeem pom tseeb tias qhov mob qog nyob qhov twg.
- Kev kuaj mob ntawm lub qhov ntswg: Ib qho kev kuaj uas muab ib lub raj nyias nyias nrog lub koob yees duab me me ntxig rau hauv lub qhov ntswg kom saib ncaj qha rau ntawm qhov mob qog. Qhov no ua rau pom tau zoo dua ntawm qhov mob qog.
Cov kev kho mob rau JNA yog dab tsi?
Yog tias kuaj pom tseeb tias yog JNA, muaj ntau txoj kev kho mob. Tus kws kho mob yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws raws li qhov loj thiab kev sib kis ntawm lub qog.
| Txoj kev kho mob | Ua li cas rau nws? |
|---|---|
| Kev phais mob | Qhov no yog txoj kev kho mob tseem ceeb . Tus kws kho mob yuav sim tshem tawm cov qog nqaij hlav tag nrho. Feem ntau, kev phais mob no ua yam tsis muaj kev txiav, siv lub endoscope los ntawm lub qhov ntswg. Txawm li cas los xij, yog tias cov qog nqaij hlav loj, tej zaum yuav xav tau kev txiav me me. |
| Kev Siv Tshuaj Embolization | Qhov no ua ua ntej phais. Vim tias qhov mob qog JNA muaj ntau cov hlab ntsha, yuav muaj ntau qhov los ntshav thaum phais. Yuav kom tsis txhob muaj qhov ntawd, qhov no txhais tau tias yuav tsum thaiv cov hlab ntsha uas pub rau qhov mob qog. Thaum ua qhov no tiav lawm, nws yuav yooj yim dua rau kev phais kom muaj kev nyab xeeb. |
| Kev kho mob hluav taws xob | Kev kho mob no yog siv yog tias cov pob me me tseem nyob tom qab phais, lossis yog tias cov pob rov qab los. Qhov no suav nrog kev siv cov hluav taws xob muaj zog heev los rhuav tshem cov hlwb seem. |
Cov qog puas tuaj yeem loj hlob rov qab tau?
Yog, qee zaum nws tuaj yeem rov qab los. Cov kev tshawb fawb tau qhia tias muaj 37% feem pua ntawm nws rov qab los. Yog vim li cas tus kws kho mob yuav txuas ntxiv saib xyuas koj (ua raws li) txawm tias tom qab phais lawm. Nws yuav kuaj koj ntawm lub sijhawm tshwj xeeb thiab, yog tias tsim nyog, ua MRI scan kom pom tias qhov qog puas tau rov qab los. Yog tias nws rov qab los, tsis muaj dab tsi yuav txhawj txog vim nws tuaj yeem kho tau sai.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj tus menyuam yaus pib muaj cov tsos mob xws li ntswg txhaws, tshwj xeeb tshaj yog cov ntshav ntswg ntau zaus uas nyuaj rau nres, tsis txhob tso tseg qhov no li ib txwm muaj.
Tsis muaj leej twg paub koj lub cev zoo dua koj. Koj yog tus uas nkag siab txog kev hloov pauv hauv koj tus menyuam lub cev zoo tshaj plaws. Yog tias koj xav tias muaj kev tsis ntseeg lossis txawm tias muaj kev hloov pauv me ntsis, mus ntsib kws kho mob tam sim ntawd thiab nrhiav kev pab tswv yim. Qhov no tuaj yeem pab koj tswj qhov xwm txheej ua ntej nws dhau los ua teeb meem loj.
JNA tsis yog mob qog noj ntshav, tab sis nws yog ib yam mob uas yuav tsum tau kho sai sai. Yog tias kuaj pom thiab kho thaum ntxov, nws tuaj yeem kho tau tag nrho thiab ua neej nyob li qub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- JNA yog ib qho qog nqaij hlav uas tsis yog mob qog noj ntshav, tab sis nws kis tau sai heev uas tshwm sim rau cov menyuam tub hluas.
- Cov tsos mob tseem ceeb yog ntshav ntswg ntau zaus thiab txhaws ntswg rau ib sab.
- Yog koj pom cov tsos mob no, tsis txhob ntshai thiab mus ntsib kws kho mob pob ntseg, qhov ntswg, thiab caj pas (ENT) tam sim ntawd.
- Cov kev kho mob muaj xws li phais thiab siv hluav taws xob los kho. Tom qab kho tas, yuav zoo tag nrho.
- Vim tias qhov mob qog no yuav rov qab tshwm sim dua, nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj mob raws li tus kws kho mob hais.
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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