Xav txog seb yog tias ib tug neeg muaj mob qog noj ntshav hauv qhov ncauj, lossis muaj kev kis kab mob hnyav rau hauv pob txha qis qis ... qee zaum qhov mob yuav tsum tau phais tshem tawm tag nrho. Yog li, hauv tsab xov xwm no hnub no, peb yuav tham txog kev phais mob tseem ceeb heev uas tau ua hauv qhov xwm txheej zoo li no. Txawm hais tias qhov no yog ib qho teeb meem nyuaj me ntsis, cia peb tham txog nws kom yooj yim li sai tau.
Kev phais mandibulectomy yog dab tsi?
Hais yooj yim xwb, kev phais mandibulectomy yog kev phais tshem tawm ib feem lossis tag nrho koj lub puab tsaig qis/mandible. Cov kws kho mob feem ntau ua qhov kev phais no los tshem tawm cov qog nqaij hlav lossis lwm qhov mob ntawm lub puab tsaig. Qhov no kuj hu ua kev phais mandibular .
Cov hom phais mob no yog dab tsi?
Kev phais mob no muaj ob hom loj. Cia peb saib seb lawv yog dab tsi.
| Hom kev phais mob | Tsuas yog piav qhia xwb |
|---|---|
| Kev Kho Mob Ib Nrab ntawm Mandibulectomy (Marginal Mandibulectomy) | Qhov no tsuas yog yuav tsum tau tshem ib feem me me ntawm koj lub puab tsaig qis xwb. Qhov no feem ntau tsis tas yuav phais kho dua tshiab. |
| Segmental Manbulectomy | Hauv txoj kev kho mob no, ib feem loj ntawm lub puab tsaig qis raug tshem tawm. Yog li ntawd, lub puab tsaig yuav tsum tau kho dua tshiab. Yuav ua li no, cov kws phais yuav siv pob txha, cov hlab ntsha, thiab cov nqaij ntawm lwm qhov ntawm koj lub cev (piv txwv li, ceg, xub pwg) los kho lub puab tsaig. Txoj kev kho mob no kuj hu ua kev kho dua tshiab dawb-flap . |
Koj tau pob txha los kho koj lub puab tsaig qhov twg?
Hauv kev phais mob segmental mandibulectomy, peb hais tias cov pob txha uas xav tau los kho lub puab tsaig yog coj los ntawm lwm qhov ntawm lub cev. Cov txheej txheem feem ntau siv rau qhov no yog:
- Ceg qis
- Lub xub pwg hniav
- Lub duav
Qee zaum, cov hlau phaj lossis pob txha los ntawm tus neeg pub dawb tuaj yeem siv rau lub hom phiaj no.
Leej twg xav tau kev phais mob no?
Muaj ntau qhov xwm txheej uas koj tus kws kho mob yuav pom zoo kom ua hom kev phais no.
- Yog koj muaj mob qog noj ntshav hauv qhov ncauj .
- Thaum koj muaj mob qog noj ntshav hauv nruab nrab ntawm lub caj pas (mob qog noj ntshav oropharyngeal) .
- Thaum muaj kev kis kab mob hnyav rau pob txha puab tsaig (osteomyelitis) .
- Thaum qee cov tshuaj (bisphosphonate therapy) ua rau pob txha poob loj heev hauv lub puab tsaig (osteonecrosis ntawm lub puab tsaig) .
- Thaum muaj kev raug mob hnyav heev rau lub puab tsaig qis.
Qhov tseem ceeb tshaj plaws yog koj pab neeg kho mob yuav txiav txim siab seb kev kho mob twg zoo tshaj plaws rau koj hauv qhov xwm txheej no. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog lawv thiab daws koj cov lus nug thiab kev txhawj xeeb.
Muaj dab tsi tshwm sim ua ntej phais?
Ua ntej ua hom kev phais mob no, koj pab neeg kho mob yuav ua ntau yam kev kuaj mob, suav nrog kev luam theej duab CT, kom ntsuas tau qhov loj thiab mob ntawm lub qog hauv koj lub puab tsaig zoo dua.
Yog tias koj xav tau kev phais kho lub puab tsaig, tej zaum yuav muaj kev kuaj ntxiv los xyuas seb cov hlab ntsha ntawm qhov chaw pub puas noj qab haus huv.
Tsis tas li ntawd xwb, koj tus kws kho mob yuav qhia koj kom tsis txhob ua tej yam hauv qab no ua ntej phais, vim tias cov no tuaj yeem ua rau ntshav ntau ntxiv thaum phais thiab qeeb qhov txhab kho tom qab.
- Cawv
- Cov tshuaj tua mob xws li aspirin thiab ibuprofen
- Haus luam yeeb
- Qee cov tshuaj ntsuab ntxiv
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Kev phais mandibulectomy yog ib qho kev phais mob ntev uas kav ntev li ob peb teev. Nws yog ua thaum koj tsaug zog nrog kev siv tshuaj loog dav dav .
Hauv Marginal Mandibulectomy ...
1. Tus kws phais yuav txiav ib qho rau sab hauv ntawm koj lub puab tsaig.
2. Cov qog nqaij hlav ntawm lub puab tsaig qis thiab cov nqaij nyob ib puag ncig nws raug tshem tawm.
3. Cov qhov txiav raug xaws rov qab kaw.
Hauv kev phais mob Segmental Manbulectomy ...
Qhov no yog ib qho txheej txheem nyuaj dua.
1. Ua ntej, mob qog ntawm lub puab tsaig thiab cov nqaij nyob ib puag ncig nws raug tshem tawm.
2. Cov khoom uas raug tshem tawm yuav raug xa mus kuaj seb puas tseem muaj cov qog nqaij hlav.
3. Kuj tseem kuaj xyuas seb tus mob qog noj ntshav puas tau kis mus rau cov qog ntshav hauv lub cev.
4. Tom qab ntawd, ib daim pob txha, cov nqaij, thiab daim tawv nqaij raug coj los ntawm qhov chaw uas tau teem tseg ua ntej (xws li ceg, xub pwg, thiab lwm yam).
5. Cov pob txha uas rho tawm tau raug ua kom haum rau qhov uas raug rho tawm ntawm lub puab tsaig.
6. Cov hlab ntsha (arteries thiab veins) los ntawm thaj chaw uas tau sau qoob loo txuas nrog cov hlab ntsha hauv lub taub hau thiab caj dab. Qhov no tau ua kom zoo zoo heev.
7. Thaum kawg, lub puab tsaig tshiab raug kho nrog cov phaj thiab cov ntsia hlau, thiab cov qhov txiav raug xaws kaw.
Tom qab phais lawm, tej zaum koj yuav xav tau qee yam ntawm cov no:
- Cov pas nrig thiab cov hlua roj hmab sab hauv lub qhov ncauj kom cov hniav thiab lub puab tsaig sib dhos.
- Ib lub raj tracheostomy los pab koj ua pa.
- Ib lub raj pub mis yog ib lub raj xa los ntawm lub qhov ntswg mus rau lub plab kom muab cov khoom noj khoom haus kom zoo.
Tom qab phais tas, muaj dab tsi tshwm sim?
Nyob ntawm seb koj tau phais hom twg, tej zaum koj yuav tau nyob hauv tsev kho mob ob hnub txog ob lub lis piam. Tom qab koj mus tsev, koj yuav tsum ua raws li koj tus kws kho mob cov lus qhia txog kev ua kom koj cov qhov txiav huv si thiab noj mov . Thaum xub thawj, tej zaum koj yuav tau noj zaub mov uas muaj kua lossis siv lub raj mis pub mov. Kuj tham nrog koj tus kws kho mob txog yuav ua li cas tswj koj qhov mob.
Thaum lub sijhawm kho mob, koj yuav xav tau kev kho mob hais lus thiab kev kho lub cev. Yog tias koj muaj mob qog noj ntshav, kev kho mob hluav taws xob lossis kev kho mob chemotherapy kuj tseem yuav raug pom zoo kom tua cov hlwb qog noj ntshav uas tseem tshuav.
Cov tsos mob dab tsi uas yuav tsum tau kho mob tam sim ntawd?
Yog tias koj muaj tej yam cim qhia tom qab koj phais tas, nws yog ib qho tseem ceeb heev uas koj yuav tsum nrhiav kev pab kho mob tam sim ntawd. Saib xyuas cov tsos mob hauv qab no:
| Qhov tshwj xeeb uas yuav tsum tau them sai sai rau |
|---|
| Kub taub hau ntau dua 100.5 Fahrenheit (38.05 Celsius) |
| Mob taub hau hnyav heev |
| Mob hnyav heev uas tsis ploj mus txawm tias noj tshuaj loog mob los xij |
| Ua pa nyuaj (ua tsis taus pa) |
| Mob o (angioedema) ntawm qhov chaw phais lossis lwm qhov |
| Xeev siab los yog ntuav |
| Ib qho mob zoo li pob khaus ntawm daim tawv nqaij |
Yog koj pom ib yam dab tsi zoo li no, qhia rau koj tus kws kho mob tam sim ntawd. Yog tias muaj xwm txheej ceev, mus rau Chav Kho Mob Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mandibulectomy yog ib qho kev phais loj uas siv rau cov mob hnyav xws li mob qog noj ntshav hauv qhov ncauj thiab cov kab mob hnyav.
- Hauv qhov no, ib feem me me lossis loj ntawm lub puab tsaig raug tshem tawm, thiab qee zaum lub puab tsaig raug tsim dua tshiab los ntawm kev siv pob txha coj los ntawm lwm qhov hauv lub cev.
- Cov txheej txheem kho mob yuav siv sijhawm thiab xav tau kev txhawb nqa los ntawm pab pawg kws kho mob, suav nrog cov kws kho mob thiab cov kws kho kev hais lus.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tag nrho cov lus qhia uas koj tus kws kho mob muab rau koj ua ntej thiab tom qab phais.
- Yog koj pom muaj tej yam cim qhia tom qab phais lawm, tsis txhob ncua sij hawm thiab nrhiav kev pab kho mob tam sim ntawd.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus