Koj puas tau muaj teeb meem ua pa nyuaj, o ntawm koj ob txhais ceg, lossis muaj teeb meem plawv thiab koj tus kws kho mob tau qhia koj txog kev phais mob hu ua "Pericardiectomy"? Tej zaum koj yuav ntshai me ntsis thaum koj hnov lub npe ntawd, thiab qhov ntawd yog ib txwm muaj. Tab sis tsis txhob txhawj. Txoj hauv kev zoo tshaj plaws los daws txhua yam yog kom paub txog nws tag nrho. Yog li hnub no, peb yuav tham txog kev phais mob no, vim li cas nws thiaj ua tiav, nws ua li cas, thiab muaj dab tsi tshwm sim tom qab phais mob hauv txoj hauv kev yooj yim heev uas koj tuaj yeem nkag siab.
Ua ntej tshaj plaws, qhov 'pericardium' no yog dab tsi?
Hais yooj yim xwb, lub pericardium yog lub hnab tiv thaiv uas nyob ib puag ncig koj lub plawv. Yog hais kom meej, nws yog ib lub hnab uas muaj ob phab ntsa. Nruab nrab ntawm ob phab ntsa no muaj ib qho kua me me heev . Cov kua no pab kom lub plawv dhia du, tsis muaj teeb meem, tsis muaj kev sib txhuam. Hauv lwm lo lus, nws ua haujlwm zoo li cov roj nplua nyeem rau lub plawv ua haujlwm.
Tab sis koj puas tuaj yeem nyob tsis muaj daim npog no?
Yog, nws yeej ua tau. Qhov 'Pericardium' no tsis tseem ceeb rau kev ua haujlwm ntawm lub plawv. Yog tias koj lub ntsws thiab cov leeg loj hauv qab lawv hu ua diaphragm zoo, tshem tawm qhov npog no yuav tsis ua rau muaj teeb meem. Qhov tseeb, yog tias koj muaj mob zoo li 'Pericarditis' (mob ntawm pericardium), cov khoom siv roj ntawm koj 'Pericardium' twb ploj lawm. Yog li tshem nws tawm yuav tsis ua rau mob hnyav dua.
Yog li, yog vim li cas thiaj ua qhov kev phais mob no (Pericardiectomy)?
Qhov laj thawj tseem ceeb thiab feem ntau ua rau qhov kev phais no yog ib qho mob hu ua Constrictive Pericarditis .
Xav txog seb, yuav ua li cas yog tias lub hnab yas uas yoog tau no nyob ib puag ncig koj lub siab qhuav, tuab, thiab zoo li lub plhaub txiv maj phaub tawv? Nws yuav txwv qhov chaw rau koj lub plawv dhia tau yooj yim thiab puv nrog ntshav, puas yog? Qhov ntawd hu ua 'Constrictive Pericarditis'.
Thaum lub plawv sab hauv tuab thiab tawv li no:
- Cov chav plawv tsis puv nrog cov ntshav txaus.
- Cov ntshav uas yuav tsum tau nqus los ntawm lub plawv pib rov qab mus rau hauv lub ntsws.
- Lub plawv tsis muaj peev xwm tso ntshav tau li qub.
- Ob txhais ceg thiab lub plab pib o.
- Cov no yog cov tsos mob zoo ib yam li lub plawv tsis ua haujlwm.
Yog tias muaj mob hnyav hu ua 'Constrictive Pericarditis', qhov kev daws teeb meem zoo tshaj plaws yog phais tshem tawm cov ntaub npog tuab no.
Cov lus hauv qab no teev ntau yam uas ua rau muaj 'Constrictive Pericarditis'.
| Vim li cas | Kev piav qhia |
|---|---|
| Cov ua rau tsis paub meej (Idiopathic) | Feem ntau, tsis tuaj yeem nrhiav tau ib qho laj thawj tshwj xeeb rau qhov mob no. |
| Kev phais plawv yav dhau los | Nws tuaj yeem tshwm sim ua ib qho kev phiv los ntawm kev phais plawv yav dhau los. |
| Kev kho mob hluav taws xob rau lub hauv siab | Yog tias koj tau txais kev kho mob hluav taws xob rau thaj tsam hauv siab rau cov kab mob xws li mob qog noj ntshav. |
| Lwm yam kab mob | Cov kab mob xws li Tuberculosis thiab Mesothelioma. |
| Kev kis kab mob los yog kab mob bacterial | Cov kab mob hnyav uas cuam tshuam rau lub plawv. |
Ntxiv rau qhov laj thawj tseem ceeb no, kev phais mob Pericardiectomy yog ua rau ntau lwm yam xwm txheej:
- Thaum muaj mob pericarditis rov tshwm sim.
- Vim muaj teeb meem los ntawm qee cov tshuaj.
- Tsis tshua muaj mob hu ua 'Cardiac Tamponade' tshwm sim thaum cov kua dej sib sau ua ke ncig lub plawv thiab nias rau ntawm lub plawv.
Yuav ua li cas phais thiab lub sijhawm rov zoo
Kev phais plawv qhib yog kev phais qhib lub plawv. Pawg neeg phais:
1. Yuav muaj ib qho kev phais raws lub pob txha hauv siab ("sternum") hauv nruab nrab ntawm koj lub hauv siab kom nkag mus rau hauv lub plawv. Cov txheej txheem no hu ua Median Sternotomy .
2. Feem ntau koj yuav txuas nrog lub tshuab uas ua haujlwm rau koj lub plawv thiab lub ntsws ib ntus (cardiopulmonary bypass). Qhov no tso cai rau cov kws kho mob tshem tawm cov ntaub sab hauv ntawm sab nraub qaum thiab sab ntawm koj lub plawv kom muaj kev nyab xeeb.
3. Cov txheej tuab thiab tawv uas npog lub plawv ('pericardium') raug tshem tawm kom zoo zoo.
4. Tom qab phais lawm, lub sternum raug txuas dua nrog cov xov hlau thiab qhov phais raug kaw nrog cov xov.
Feem ntau qhov kev phais no yuav siv sijhawm li ob mus rau peb teev . Tom qab phais tas, koj yuav raug saib xyuas hauv chav saib xyuas mob hnyav rau ob peb hnub, thiab feem ntau yuavKoj yuav tsum tau nyob hauv tsev kho mob li ntawm 5 txog 7 hnub .
Yuav siv sijhawm li ntawm 6 txog 8 lub lis piam kom rov zoo tag nrho. Koj yuav tsum tsis txhob tsa cov khoom hnyav thaum lub sijhawm no, tab sis koj maj mam rov qab ua haujlwm hauv tsev.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob yog dab tsi?
Ib yam li lwm yam kev phais loj, qhov no muaj ob qho txiaj ntsig thiab kev pheej hmoo. Cov kev pheej hmoo tuaj yeem txo qis los ntawm kev phais los ntawm tus kws phais plawv uas muaj kev paub dhau los.
| Cov txiaj ntsig | Kev Pheej Hmoo |
|---|---|
| Yuav luag tag nrho cov tsos mob ploj mus. | Cov teeb meem los ntshav. |
| Yuav muaj feem rov zoo tag nrho dua li siv tshuaj. | Yuav tsum tau hloov ntshav. |
| Tiv thaiv kev puas tsuaj ntxiv rau cov leeg nqaij plawv. | Lub plawv dhia tsis sib xws (Atrial Fibrillation). |
| Lub neej zoo dua. | Kev puas tsuaj rau lub raum. |
| Tsis tshua muaj kev puas tsuaj rau cov hlab ntsha uas pab ua pa (phrenic nerve). | |
| Me me heev, muaj 1% - 2% kev pheej hmoo ntawm kev tuag. |
Thaum twg kuv yuav tsum mus ntsib kws kho mob tom qab phais tas?
Tom qab koj mus tsev los ntawm tsev kho mob, koj yuav tsum qhia rau koj tus kws kho mob tam sim ntawd yog tias muaj cov cim ceeb toom tshwm sim.
- Yog tias koj mob hauv siab heev .
- Yog koj kub taub hau .
- Yog tias muaj kua dej ntau dua li qub ntws tawm ntawm qhov txhab phais.
Feem ntau, koj yuav mus ntsib koj tus kws kho mob plawv li ib lossis ob lub lis piam tom qab koj tawm hauv tsev kho mob. Tsis tas li ntawd, yuav muaj kev kuaj echocardiogram li ntawm 6 lub lis piam tom qab los xyuas seb koj lub plawv ua haujlwm li cas.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Pericardiectomy yog ib qho kev phais loj uas tshem tawm cov txheej tuab thiab tawv ntawm lub plawv.
- Qhov no feem ntau ua los kho tus mob hu ua 'Constrictive Pericarditis'.
- Txawm hais tias qhov no yog kev phais plawv qhib, cov txiaj ntsig zoo tuaj yeem ua tiav thaum ua tiav nyob rau hauv kev saib xyuas ntawm pab pawg kws kho mob uas muaj kev paub dhau los.
- Txawm hais tias nws yuav siv sijhawm li 6-8 lub lis piam kom rov zoo tag nrho tom qab phais, feem ntau cov neeg muaj cov txiaj ntsig zoo heev rau lub sijhawm ntev.
- Yog koj muaj kev ntshai lossis lus nug txog kev phais mob, tham nrog koj tus kws kho mob kom meej. Lawv yuav muab txhua yam ntaub ntawv thiab kev txhawb nqa uas koj xav tau rau koj.
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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