Peb lub siab zoo li ib yam khoom muaj nqis heev, puas yog? Yog li ntawd, xwm tau tsim ib yam dab tsi zoo kawg nkaus los tiv thaiv qhov khoom muaj nqis ntawd. Qhov ntawd yog ib daim nyias nyias uas nyob ib puag ncig lub siab. Tab sis qee zaum qhov kev tiv thaiv no tuaj yeem ua rau lub siab muaj teeb meem. Thaum lub sijhawm zoo li no, daim nyias nyias no yuav tsum tau phais tshem tawm. Qhov ntawd yog qhov peb tab tom tham txog hnub no.
Qhov tseeb yog dab tsi yog pericardiectomy?
Hais yooj yim xwb, kev phais mob pericardiectomy yog kev phais tshem tawm tag nrho lossis ib feem ntawm pericardium , daim nyias nyias uas nyob ib puag ncig koj lub plawv. Qhov no qee zaum hu ua "pericardial stripping."
Xav txog nws, qhov pericardium no zoo li lub hnab ob daim nyias nyias uas yog lub tsev rau lub plawv. Muaj cov kua me me ntawm ob daim nyias nyias no. Nws yog cov kua ntawd uas pab lub plawv dhia zoo thiab tsis muaj kev sib txhuam.
Peb puas ua neej nyob tsis muaj lub pericardium no?
Yog, nws yeej ua tau. Lub pericardium nws tus kheej tsis tseem ceeb rau kev ua haujlwm ntawm lub plawv. Yog tias koj lub ntsws thiab lub diaphragm, cov leeg nqaij uas cais koj lub hauv siab thiab lub plab, nyob rau hauv qhov zoo, yuav tsis muaj teeb meem nrog kev tshem tawm pericardium.
Qhov tseeb, thaum ib tug neeg mob pericarditis, lub pericardium poob nws qhov du, uas txhais tau tias nws muaj peev xwm txo qhov kev sib txhuam. Yog li tshem nws tawm tsis ua rau qhov xwm txheej hnyav dua.
Cov laj thawj dab tsi rau kev ua pericardiectomy?
Qhov laj thawj tseem ceeb thiab feem ntau ua rau muaj qhov kev phais no yog ib qho mob hu ua Constrictive Pericarditis . Qhov no yog thaum lub membrane uas nyob ib puag ncig lub plawv ua tuab, tawv, thiab qee zaum muaj cov calcium uas ua rau nws tawv zoo li pob zeb.
Xav txog seb yuav muaj li cas thaum lub hnab nyob ib puag ncig lub plawv cia li nruj zuj zus.
- Lub plawv raug rub nruj thiab tsis tuaj yeem cog lus.
- Yog li ntawd, cov chav plawv tsis puv nrog cov ntshav txaus.
- Cov ntshav uas mus rau lub plawv raug yuam rov qab mus rau lub ntsws.
- Lub plawv tsis muaj peev xwm tso ntshav tau li qub.
- Qhov no ua rau ob txhais ceg thiab lub plab o, uas zoo ib yam li cov tsos mob ntawm kev ua tsis tau zoo ntawm lub plawv.
Qhov kev phais mob no yog qhov kev daws teeb meem zoo tshaj plaws rau cov teeb meem hnyav tshaj plaws ntawm Constrictive Pericarditis.
Ua rau mob Pericarditis nruj
- Idiopathic: Feem ntau, tsis muaj qhov ua rau mob tshwj xeeb.
- Kev phais plawv yav dhau los: Tej zaum yuav yog vim muaj kev phais plawv yav dhau los.
- Kev kho mob hluav taws xob rau hauv siab: Kev kho mob hluav taws xob rau thaj tsam hauv siab rau cov mob xws li mob qog noj ntshav.
- Cov kab mob xws li Tuberculosis: Qhov no tuaj yeem tshwm sim los ntawm qee yam mob.
- Cov kab mob kis los yog cov kab mob bacterial:Qhov no kuj tseem tuaj yeem tshwm sim vim muaj qee yam mob sib kis.
Ntxiv rau, qhov kev phais no yog ua rau ntau lwm yam xwm txheej:
- Mob Pericarditis Rov Qab Los: Yog tias qhov mob no tseem tshwm sim txawm tias noj tshuaj los xij.
- Cov kev mob tshwm sim los ntawm cov tshuaj tiv thaiv kev o: Yog tias muaj teeb meem tshwm sim los ntawm cov tshuaj xws li cov tshuaj steroids uas tau muab los tswj kev nruj ntawm cov hlab ntsha pericardial.
- Cardiac Tamponade: Tsis tshua muaj, qhov no kuj ua tiav thaum cov kua dej sib sau ua ke nyob ib puag ncig lub plawv thiab nias nws.
Ua ntej thiab thaum lub sijhawm phais mob muaj dab tsi tshwm sim?
Ua ntej phais
Koj pab neeg kho mob yuav npaj txhua yam khoom siv tsim nyog los ua qhov kev phais kom muaj kev nyab xeeb. Feem ntau, tus kws phais yuav siv lub tshuab cardiopulmonary bypass , tseem hu ua lub tshuab plawv-ntsws. Lub tshuab no yuav ua haujlwm ntawm lub plawv thiab ntsws ib ntus thaum lub sijhawm phais. Qhov no tso cai rau tus kws kho mob tshem tawm cov pericardium ntawm ob sab thiab tom qab lub plawv kom muaj kev nyab xeeb.
Thaum lub sijhawm phais
1. Ua qhov kev phais: Tus kws kho mob ua ib qho kev phais hauv nruab nrab ntawm koj lub hauv siab, raws li lub hauv siab (sternum), kom ncav cuag lub plawv. Qhov no hu ua Median Sternotomy .
2. Tshem tawm ntawm daim pericardium: Daim pericardial membrane raug tshem tawm ntawm lub plawv kom zoo.
3. Kho lub sternum: Lub sternum raug kho dua siv cov xov hlau.
4. Xaws qhov phais: Thaum kawg, qhov phais raug kaw nrog cov xov.
Kev phais plawv qhib yog kev phais qhib lub plawv. Qhov laj thawj rau qhov no yog vim tias txhawm rau tshem tawm tag nrho cov pericardium, tus kws kho mob yuav tsum pom lub plawv kom meej. Txoj kev no yog qhov zoo tshaj plaws rau qhov ntawd.
Feem ntau qhov kev phais no yuav siv sijhawm li ob mus rau peb teev, tab sis lub sijhawm no yuav txawv yog tias muaj lwm cov txheej txheem ua tib lub sijhawm.
Tom qab phais tas, muaj dab tsi tshwm sim?
Koj yuav hnov mob me ntsis thaum koj sawv tom qab phais. Koj tseem yuav muaj ib lossis ntau lub raj (cov kav dej) tso rau hauv koj lub hauv siab kom ntws cov kua ntau dhau. Koj yuav muaj peev xwm haus dej txij hnub tom qab phais thiab tom qab ntawd maj mam noj zaub mov. Tej zaum koj yuav tsum tau noj cov tshuaj diuretics, txawm tias noj tsawg dua li koj tau noj ua ntej phais.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob no yog dab tsi?
Ib yam li lwm yam kev phais loj, muaj cov txiaj ntsig thiab cov kev pheej hmoo. Kev xaiv ib tus kws phais plawv uas muaj kev paub dhau los tuaj yeem txo cov kev pheej hmoo.
| Cov txiaj ntsig | Kev Pheej Hmoo |
|---|---|
| Muaj ntau tus neeg nyob tau ntau xyoo yam tsis muaj tsos mob lossis muaj ob peb yam tsos mob xwb. | Cov teeb meem ntawm kev los ntshav thiab qhov xav tau kev pub ntshav. |
| Yuav muaj feem rov zoo tag nrho dua li siv tshuaj. | Kev tsis sib xws ntawm lub plawv dhia, tshwj xeeb tshaj yog atrial fibrillation . |
| Tiv thaiv kev puas tsuaj rau cov leeg nqaij plawv vim yog qhov nruj ntawm pericardial. | Kev puas tsuaj rau lub raum. |
| Tsis tshua muaj kev puas tsuaj rau cov hlab ntsha uas pab ua pa (phrenic nerve). | |
| Muaj kev pheej hmoo me me ntawm kev tuag thaum lub sijhawm phais, ntawm 1% thiab 2%. |
Cov neeg uas tau phais plawv yav dhau los, muaj lwm yam mob loj, lossis tau txais kev kho mob hluav taws xob muaj feem yuav muaj teeb meem ntau dua me ntsis.
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
Feem ntau koj yuav tsum nyob hauv tsev kho mob li tsib txog xya hnub. Tom qab koj mus tsev lawm, koj tsis tas yuav tsa tej yam hnyav thiab maj mam rov ua lwm yam dej num li qub.
Yuav siv sijhawm li ntawm 6 txog 8 lub lis piam kom rov zoo tag nrho. Lub sijhawm no yuav txawv nyob ntawm seb koj tus mob hnyav npaum li cas ua ntej phais. Tej zaum yuav siv sijhawm ntev dua rau cov neeg uas muaj mob hnyav tshaj plaws. Txawm li cas los xij, feem ntau cov neeg xav tias zoo siab tam sim ntawd tom qab phais.
Koj yuav tsum mus ntsib koj tus kws kho mob dua thaum twg?
Koj yuav tsum tau mus ntsib koj tus kws kho mob plawv hauv ib lossis ob lub lis piam tom qab tawm hauv tsev kho mob. Koj tseem yuav tsum tau kuaj lub plawv echocardiogram (ultrasound scan ntawm lub plawv) rau lub lis piam tom qab phais.
Qhia rau koj tus kws kho mob tam sim ntawd yog tias cov tsos mob hauv qab no tshwm sim:
- Mob hauv siab
- Ua npaws
- Yog tias muaj kua dej ntau dua li qub ntws tawm ntawm qhov txhab phais
Kev phais plawv, kev phais plawv thiab kev phais plawv - Qhov txawv yog dab tsi?
Peb lub npe no zoo sib xws me ntsis, yog li nws yuav ua rau tsis meej pem. Cia peb saib seb qhov txawv yog dab tsi.
| Txheej Txheem | Kev Piav Qhia Yooj Yim |
|---|---|
| Kev phais plawv | Kev phais tshem tawm tag nrho lossis ib feem ntawm daim nyias nyias uas nyob ib puag ncig lub plawv (pericardium). |
| Kev kuaj mob plawv (pericardiocentesis) | Tshem tawm cov kua dej ntau dhau uas tau sib sau ua ke hauv pericardium siv koob. |
| Kev phais plawv | Tsuas yog ua ib qho kev phais me me rau ntawm pericardium kom tshem tawm cov kua dej. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Pericardiectomy yog ib qho kev phais mob zoo heev, tab sis kev phais loj tau ua rau cov mob xws li Constrictive Pericarditis.
- Koj tuaj yeem ua neej nyob ib txwm yam tsis muaj pericardium, daim nyias nyias nyob ib puag ncig koj lub plawv.
- Yuav siv sijhawm me ntsis kom rov zoo, yog li ua siab ntev thiab ua raws li koj tus kws kho mob cov lus qhia. Nws yog ib qho tseem ceeb kom tsis txhob ua tej yam xws li nqa khoom hnyav kom txog thaum koj tus kws kho mob hais kom koj ua.
- Yog koj muaj lus nug, kev ntshai, lossis kev tsis ntseeg txog qhov kev phais no, tsis txhob ntshai tham nrog koj tus kws kho mob txog qhov 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