Koj puas tau xav txog seb cov hlab ntsha lossis cov hlab ntsha, me me uas peb tsis pom nrog peb lub qhov muag, puas tuaj yeem rov txuas tau yog tias nws raug txiav? Nws yeej ua tau tiag. Cov thev naus laus zis zoo kawg nkaus hauv kev kho mob yog qhov peb hu ua 'microsurgery.' Niaj hnub no peb tab tom tham txog cov thev naus laus zis zoo kawg no.
Kev phais me me yog dab tsi?
Hais yooj yim xwb, kev phais me me yog ib txoj kev phais tshwj xeeb uas siv lub tshuab microscope muaj zog heev thiab cov cuab yeej tshwj xeeb uas zoo heev los kho lossis rov tsim cov khoom me me ntawm peb lub cev. Tshwj xeeb, txoj kev no kho cov khoom me tshaj plaws ntawm peb lub cev, xws li cov hlab ntsha thiab cov hlab ntsha .
Lub hom phiaj tseem ceeb ntawm no yog los kho qhov ua haujlwm ntawm ib feem ntawm lub cev uas tsis ua haujlwm zoo vim muaj xwm txheej, mob qog noj ntshav, lossis lwm yam. Kev phais mob no tuaj yeem ua rau txhua qhov ntawm lub cev.
Cov mob twg siv microsurgery rau?
Qhov no tsis yog kev phais mob uas siv rau txhua yam. Nws yog siv rau cov haujlwm me me uas ua tsis tau nrog kev phais mob ib txwm. Xav txog, ib tug ntiv tes raug txiav tawm hauv qhov xwm txheej loj heev. Kev phais me me tuaj yeem rov txuas cov hlab ntsha me me thiab cov hlab ntsha hauv tus ntiv tes ntawd thiab coj tus ntiv tes ntawd rov qab los. Cia peb saib seb qhov no siv rau cov xwm txheej twg feem ntau.
| Lub cib fim siv | Kev piav qhia |
|---|---|
| Kev raug mob hnyav lossis kev raug mob hnyav (Kev raug mob lub cev) | Rov cog cov qhov ntawm lub cev uas raug txiav lawm (piv txwv li cov ntiv tes, tes, pob ntseg). Kho cov hlab ntsha thiab cov hlab ntsha uas puas lawm. |
| Cov teebmeem ntawm mob qog noj ntshav | Kev kho dua tshiab suav nrog kev hloov cov ntaub so ntswg (daim tawv dawb) los ntawm lwm qhov ntawm lub cev los hloov cov ntaub so ntswg uas raug tshem tawm vim yog mob qog noj ntshav (piv txwv li, tus nplaig, lub puab tsaig, lub mis). |
| Kev kho cov kab mob lymphatic | Txhawm rau kho cov mob xws li lymphedema uas tshwm sim los ntawm kev phais mob qog noj ntshav lossis kev kho mob hluav taws xob. |
| Cov teeb meem tsis zoo uas muaj txij thaum yug los | Txhawm rau kho qee yam kev puas tsuaj ntawm lub cev uas muaj thaum yug los (piv txwv li, qhov tsis zoo ntawm caj npab lossis ceg). |
Muaj dab tsi tshwm sim ua ntej phais?
Yog koj txiav txim siab ua microsurgery, koj yuav tsum tau ntsib nrog koj tus kws phais kom tau kev sab laj ua ntej. Tus kws kho mob yuav tham txog koj tus mob thiab yam koj xav tau los ntawm kev phais. Nws kuj tseem yuav thaij duab ntawm thaj chaw ntawm koj lub cev ua ntej thiab tom qab phais los sib piv cov txiaj ntsig.
Tus kws kho mob kuj yuav piav qhia rau koj txog kev pheej hmoo thiab tej yam tshwm sim ntawm kev phais no. Koj tseem yuav tau txais cov lus qhia txog yuav ua li cas npaj rau kev phais thiab yuav ua li cas tom qab phais.
Yog koj muaj lus nug txog kev phais, tsis txhob ntshai nug tus kws kho mob tam sim ntawd. Lub sijhawm ntawd yog lub sijhawm zoo tshaj plaws.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Thaum koj phais me me, koj yuav raug muab tshuaj loog rau hauv. Qhov no txhais tau tias koj tsaug zog tag nrho. Koj yuav tsis hnov mob dab tsi. Kev phais no ua tiav hauv tsev kho mob.
Txhua txoj kev phais me me txawv. Nws nyob ntawm seb koj tus kws kho mob yuav tsum ua dab tsi. Piv txwv li, xav txog kev hloov cov ntaub so ntswg. Xav txog tias ib feem ntawm koj lub puab tsaig tau raug tshem tawm vim yog mob qog noj ntshav. Tus kws kho mob muab ib daim ntaub so ntswg (ib daim ntaub nplaum) los ntawm ib feem ntawm koj lub cev noj qab haus huv (xws li koj ceg lossis nraub qaum) nrog rau cov hlab ntsha tsim nyog. Tom qab ntawd, cov ntaub so ntswg raug muab tso rau hauv qhov chaw khoob hauv lub puab tsaig thiab, nyob rau hauv lub tshuab microscope, cov hlab ntsha raug txuas nrog zoo zoo. Thaum cov txheej txheem tiav lawm, cov qhov txiav raug kaw nrog cov xov uas yaj tau lossis tshem tau.
'Flap' yog dab tsi?
Qhov no yog ib lo lus siv yooj yim me ntsis, tab sis cia kuv hais yooj yim xwb. Ib daim 'free flap' yog ib daim nqaij uas muaj nws cov ntshav ntws. Nws raug coj los ntawm ib feem ntawm koj lub cev (qhov chaw pub dawb) thiab siv los hloov mus rau lwm qhov ntawm koj lub cev uas xav tau cov nqaij. Vim tias nws raug hloov nrog tib cov ntshav ntws, cov nqaij pib loj hlob hauv qhov chaw tshiab. Koj puas nkag siab?
Tom qab phais lawm, muaj dab tsi tshwm sim?
Cov kev kho mob uas koj tau txais tom qab phais mob kuj yuav txawv nyob ntawm hom kev phais mob uas koj tau ua. Piv txwv li, yog tias koj tau hloov daim tawv nqaij, koj pab neeg kho mob yuav saib xyuas cov nqaij uas tau hloov ze heev. Qhov no yog kom paub tseeb tias cov hlab ntsha tshiab uas tau hloov ua haujlwm zoo. 24 teev thawj zaug yog qhov tseem ceeb heev rau qhov no.
Nws yuav siv sijhawm ob peb lub hlis rau koj lub cev kom zoo thiab kom koj pom tag nrho cov txiaj ntsig ntawm koj qhov kev phais. Thaum lub sijhawm ntawd, koj yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua kom kuaj xyuas koj qhov kev zoo rov qab. Tej zaum koj yuav tsis tuaj yeem tsav tsheb, ua haujlwm, lossis mus kawm ntawv tam sim ntawd tom qab phais.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais me me yog dab tsi?
Ib yam li lwm yam kev phais mob, kev phais me me muaj ob qho txiaj ntsig thiab kev pheej hmoo. Koj tus kws kho mob yuav tham txog cov no nrog koj ua ntej txoj kev phais mob.
Qhov zoo tshaj plaws yog tias nws tuaj yeem kho cov qhov ntawm lub cev uas tsis ua haujlwm zoo thiab rov ua haujlwm tau zoo.
| Tej zaum yuav muaj kev pheej hmoo/teeb meem | Kev piav qhia |
|---|---|
| Kev kho mob tsis sib xws | Thaj chaw phais zoo li txawv ntawm sab tod. |
| Los ntshav | Los ntshav ntau dhau ntawm qhov chaw phais. |
| Kev kis kab mob, mob, thiab o | Kev kis kab mob ntawm qhov chaw txiav, mob tsis tau xav txog lossis o. |
| Kev tsis muaj zog | Khaus khaus hauv lossis ib puag ncig thaj chaw phais. |
| Kev ua kom mob | Cov qhov txhab uas tshuav tom qab kev phais mob. |
| Kev poob ntawm cov nqaij / Necrosis | Muaj ib qho kev pheej hmoo me me uas cov ntshav mus rau cov nqaij hloov pauv yuav raug cuam tshuam thiab cov nqaij yuav tuag. |
| Xav tau kev phais ntxiv | Qee zaum, vim muaj teeb meem lossis txhawm rau txhim kho cov txiaj ntsig, yuav tsum tau phais ntxiv. |
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Thaum koj mus tsev tom qab phais lawm, nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas koj lub cev. Yog tias koj muaj mob, o, liab, lossis kua paug ntawm qhov chaw phais , nws yuav yog ib qho cim qhia txog kev kis kab mob. Yog tias qhov no tshwm sim , mus ntsib koj tus kws kho mob tam sim ntawd.
Tsis tas li ntawd, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Mob hauv siab
- Lub plawv dhia tsis xwm yeem
- Ua pa nyuaj
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais me me yog ib txoj kev phais mob uas siv thev naus laus zis siab heev, tshwj xeeb uas kho cov qhov chaw ntawm lub cev uas yooj yim puas tsuaj (cov hlab ntsha, cov hlab ntsha).
- Lub hom phiaj tseem ceeb yog los kho qhov ua haujlwm ntawm cov khoom hauv lub cev uas puas lawm vim yog tej yam xws li xwm txheej lossis mob qog noj ntshav.
- Ib yam li txhua yam kev phais mob, muaj tej yam txaus ntshai. Tham txog tej no nrog koj tus kws kho mob ua ntej phais mob.
- Yuav siv sijhawm kom rov zoo tag nrho, thiab nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom tau txiaj ntsig zoo tshaj plaws.
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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