Peb ua pa nkag... peb ua pa tawm... qhov no yog ib yam dab tsi uas tshwm sim yam tsis tau peb paub, puas yog? Tab sis koj puas tau xav tias lub tshuab tom qab qhov kev ua yooj yim no nyuaj thiab zoo kawg nkaus li cas? Muaj ib txoj hlab ntsha tshwj xeeb hauv peb lub cev uas tswj hwm tag nrho cov txheej txheem no, ua haujlwm zoo li tus tswv zais cia. Hnub no peb yuav tham txog tus phab ej ntsiag to ntawd, lub hlab ntsha phrenic. Tej zaum koj yuav tsis tau hnov txog lub npe no, tab sis cov hlab ntsha no ua haujlwm zoo rau koj txhua ob ntawm koj lub neej.
Lub paj hlwb Phrenic yog dab tsi? Nws ua dab tsi?
Hais yooj yim xwb, lub paj hlwb Phrenic yog lub paj hlwb uas tswj koj lub diaphragm. Tam sim no tej zaum koj yuav nug tias, "Lub diaphragm no yog dab tsi?" Nws yog cov leeg nqaij loj, zoo li lub dome uas cais koj lub hauv siab thiab koj lub plab. Nws yog cov leeg nqaij tseem ceeb uas tswj thaum koj ua pa nkag thiab tawm.
Xav txog tias koj lub diaphragm yog ib qho acter thiab koj lub paj hlwb phrenic yog ib qho director. Tus acter tsis ua haujlwm kom txog thaum tus thawj coj muab lub teeb liab. Yog li ntawd, lub diaphragm pib ua haujlwm tsuas yog thaum lub teeb liab los ntawm lub paj hlwb phrenic.
Nov yog li cas nws tshwm sim:
1. Kev ua pa: Cov hlab ntsha phrenic xa ib lub teeb liab mus rau lub diaphragm, hais tias, "Okay, tam sim no contract." Thaum lub teeb liab ntawd tuaj txog, lub diaphragm contract thiab flattened. Qhov no ua rau muaj chaw ntau dua hauv lub hauv siab. Koj lub ntsws yuav nqus pa thiab nqus pa.
2. Kev ua pa tawm: Cov hlab ntsha phrenic ces qhia rau lub diaphragm, "Okay, so kom txaus tam sim no." Lub diaphragm ces rov qab mus rau saum. Tib lub sijhawm, lub ntsws tawg, thiab cov huab cua hauv lawv raug tso tawm.
Cov txheej txheem no txuas ntxiv mus txawm tias thaum peb tsaug zog lawm los xij, peb tsis paub tias nws yog dab tsi. Lub paj hlwb Phrenic yog tus ua rau nws. Yog li ntawd, lub paj hlwb no yog ib qho ntawm cov tswj hwm tseem ceeb ntawm koj lub cev ua pa.
Tsis tas li ntawd xwb, cov hlab ntsha no tsis yog tsuas yog pab txhawb rau kev ua pa xwb. Cov hlab ntsha no kuj tseem pab peb hnov qhov kov thiab mob hauv qee qhov ntawm peb lub hauv siab thiab lub plab. Ntawd yog, nws muab kev rhiab heev.
- Lub diaphragm thiab cov ntaub so ntswg nyob ib puag ncig nws
- Cov nqaij uas kab lub hauv siab ntawm ob lub ntsws
- Cov ntaub thaiv uas nyob ib puag ncig lub plawv (pericardium)
- Peritoneum (txheej tiv thaiv sab hauv lub plab)
Yog tias koj hnov mob lossis muaj kev nyuaj siab rau cov cheeb tsam no, Phrenic Nerve pab nqa lub teeb liab ntawd mus rau lub hlwb.
Cov hlab ntsha zoo kawg no nyob qhov twg?
Tej zaum koj yuav xav paub tias qhov twg hauv peb lub cev muaj ib txoj hlab ntsha tseem ceeb li no. Lub hlab ntsha Phrenic pib hauv koj lub caj dab. Yog hais kom meej, nws pib hauv cov pob txha caj dab, uas yog C3, C4, thiab C5.
Txij ntawd mus, cov hlab ntsha no mus rau hauv qab. Thaum nws mus, nws hla peb lub hauv siab, hla lub plawv thiab lub ntsws, thiab thaum kawg txuas mus rau lub septum.
Qhov tseem ceeb yog, peb tsis muaj ib lub Phrenic Nerve, tab sis ob lub! Ib lub nyob rau sab laug, thiab ib lub nyob rau sab xis. Lub Phrenic Nerve sab laug tswj sab laug ntawm lub diaphragm. Ib lub nyob rau sab xis tswj sab xis. Ua ke, ob lub no ua rau lub diaphragm ua haujlwm zoo.
Yog tias cov hlab ntsha no puas lawm ces yuav ua li cas?
Tam sim no koj nkag siab tias cov hlab ntsha no tseem ceeb npaum li cas. Yog li xav txog seb yuav muaj dab tsi tshwm sim yog tias muaj qee yam ua rau cov hlab ntsha no puas tsuaj. Yog tias cov hlab ntsha phrenic puas lawm, nws tuaj yeem qaug zog lossis tsis xa cov cim mus rau lub diaphragm. Ces lub diaphragm yuav tsis ua haujlwm zoo. Ntawd yog, nws tuaj yeem ua rau tuag tes tuag taw. Hauv kev kho mob, peb hu qhov no ua diaphragm paralysis .
Thaum lub diaphragm tsis nruj lossis so kom zoo, lub ntsws yuav tsis tuaj yeem nqus cua thiab ua pa tawm tau zoo. Qhov no yog ib qho ua rau ua pa nyuaj.
Qhov kev ua tsis zoo no tsuas yog cuam tshuam rau ib sab xwb (ib sab xwb). Ntawd yog, tsuas yog sab xis lossis sab laug ntawm lub diaphragm loj xwb thiaj ua tsis tau zoo. Qee zaum nws tuaj yeem cuam tshuam rau ob sab (ob sab). Yog tias ob sab ua tsis tau zoo, nws yog ib qho mob hnyav heev . Yog tias qhov no tshwm sim, tus neeg mob yuav tsis tuaj yeem ua pa ntawm nws tus kheej. Hauv cov xwm txheej zoo li no, nws yuav tsum tau txuas nrog lub cuab yeej ua pa cuav, uas yog lub tshuab ua pa, los pab nws ua pa.
Dab tsi yog cov ua rau muaj qhov tsis ua haujlwm ntawm Great Diaphragm?
Tsis muaj ib qho ua rau qhov no, tab sis muaj ntau yam ua rau nws. Nws tuaj yeem yog los ntawm qee yam uas ua rau lub paj hlwb phrenic puas tsuaj, lossis los ntawm kab mob uas cuam tshuam rau lub paj hlwb.
| Vim li cas | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev phais mob lossis kev raug mob | Cov hlab ntsha no tuaj yeem raug puas tsuaj thaum lub sijhawm phais mob ntawm lub caj dab lossis hauv siab, lossis los ntawm kev sib tsoo rau cov chaw ntawd. |
| Cov kab mob ntawm cov hlab ntsha hauv lub hlwb | Kev nias ntawm cov hlab ntsha tuaj yeem tshwm sim vim yog kev raug mob ntawm tus txha caj qaum, mob caj dab spondylosis, lossis qog nqaij hlav hauv tus txha caj qaum. |
| Cov kab mob ntawm lub paj hlwb | Cov kab mob uas cuam tshuam rau lub paj hlwb, xws li ALS (Amyotrophic Lateral Sclerosis) thiab MS (Multiple Sclerosis), tuaj yeem ua rau muaj kev puas tsuaj rau lub paj hlwb. |
| Cov kab mob autoimmune | Hauv cov kab mob zoo li Guillain-Barré syndrome, lub cev lub cev tiv thaiv kab mob tawm tsam cov hlab ntsha. Qhov no kuj tuaj yeem ua rau cov hlab ntsha phrenic puas tsuaj. |
| Mob qog noj ntshav | Mob qog nqaij hlav ntsws lossis mob qog nqaij hlav kis mus rau lwm qhov chaw (metastatic cancer) tuaj yeem nias lossis ua rau cov hlab ntsha puas. |
| Teeb meem thaum yug los | Qee zaum cov teeb meem thaum yug menyuam tuaj yeem ua rau tus menyuam lub paj hlwb phrenic puas tsuaj. |
Cov tsos mob ntawm kev ua haujlwm tsis zoo ntawm txoj hlab pas yog dab tsi?
Qhov teeb meem loj tshaj plaws nrog qhov no yog tias qee zaum cov tsos mob tsis pom tseeb. Tshwj xeeb tshaj yog tias tsuas yog ib sab ntawm lub diaphragm ua haujlwm tsis zoo, tus neeg yuav tsis hnov mob ntau thaum lub sijhawm ua ub no ib txwm. Txawm li cas los xij, qee cov tsos mob yuav tshwm sim.
| Cov tsos mob | Xav txog qhov no ib pliag. |
|---|---|
| Ua tsis taus pa | Nws yuav ua rau nyuaj rau ua pa, tshwj xeeb tshaj yog thaum pw lossis pw hauv av. Qhov no tshwm sim vim tias cov kabmob plab thawb tawm tsam lub diaphragm. |
| Mob ntsws ntau zaus | Muaj feem yuav kis tau kab mob ntau vim tias lub ntsws tsis ua haujlwm zoo. Yog li ntawd, kev kis kab mob ntsws thiab mob ntsws tuaj yeem tshwm sim ntau zaus. |
| Teeb meem pw tsaug zog | Tej zaum yuav muaj teeb meem tshiab ntsig txog kev pw tsaug zog, xws li kev pw tsaug zog apnea thiab kev pib ua snoring tshiab. |
| Kev quaj tsis zoo li qub rau cov menyuam mos | Thaum ib tug me nyuam mos uas muaj tus mob no quaj, lub suab quaj yuav tsis muaj zog heev. Qhov no yog vim lawv tswj tsis tau lawv txoj kev ua pa kom zoo. |
Yog koj ua tsis taus pa lossis mob hauv siab, tsis txhob tsis quav ntsej. Mus ntsib kws kho mob kom tau lus qhia.
Qhov kev sib txuas ntawm kev mob ntsws tas li thiab cov hlab ntsha no yog dab tsi?
Peb txhua tus muaj mob ntsws, puas yog? Feem ntau lawv ploj mus li ob peb feeb xwb. Tab sis koj puas paub, qee tus neeg muaj mob ntsws rau ntau hnub, ntau lub lis piam, lossis txawm tias ntau lub hlis ib zaug? Peb hu qhov no ua mob ntsws tas li .
Ib qho laj thawj rau qhov no yog teeb meem nrog Phrenic Nerve. Yog tias cov hlab ntsha no khaus rau qee qhov laj thawj, uas yog, yog tias nws raug txhawb nqa qee txoj kev, nws pib xa cov cim tsis raug mus rau lub diaphragm. Tom qab ntawd lub diaphragm mam li pib cog lus tsis tuaj yeem tswj tau. Qhov ntawd yog qhov peb xav tias zoo li hiccups.
Kev phais, qog nqaij hlav hauv siab, thiab lwm yam tuaj yeem ua rau cov hlab ntsha phrenic khaus thiab ua rau hom kev mob ntsws no. Qhov no yog ib qho mob uas ua rau neeg chim siab heev. Nws tuaj yeem cuam tshuam rau tej yam xws li kev hais lus, kev noj mov, thiab kev pw tsaug zog.
Cov kws kho mob pom zoo ntau yam kev kho mob rau tus mob no:
- Cov Tshuaj: Cov tshuaj xws li Chlorpromazine, Baclofen, Gabapentin.
- Cov hlab ntsha thaiv: Yuav muab tshuaj txhaj rau hauv cov hlab ntsha kom tiv thaiv cov cim tsis raug kom tsis txhob mus rau lub diaphragm.
- Kev Phais Mob: Qhov no yog ib qho kev phais mob tsawg heev. Nws yog kev txiav cov hlab ntsha phrenic thiab ua rau ib sab ntawm lub septum tsis ua haujlwm mus tas li. Qhov no hu ua phrenicotomy.
Peb yuav ua li cas kom peb lub paj hlwb noj qab nyob zoo?
Cov hlab ntsha phrenic kuj yog ib feem ntawm peb lub paj hlwb tag nrho. Yog li ntawd, kev ua kom tag nrho lub paj hlwb noj qab haus huv yog qhov tseem ceeb heev rau kev noj qab haus huv ntawm cov hlab ntsha no. Muaj ob peb yam yooj yim uas peb tuaj yeem ua rau qhov ntawd.
- Noj zaub mov zoo: Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov khoom noj muaj txiaj ntsig zoo thiab tswj qhov hnyav kom zoo uas haum rau koj.
- Pw tsaug zog txaus: Tau tsawg kawg 7-8 teev pw tsaug zog zoo hauv ib hnub.
- Kev Ua Si: Ua kom koj lub cev muaj zog txhua hnub. Txawm tias yog ib yam yooj yim xws li kev taug kev lossis kev khiav los kuj zoo.
- Tswj lwm yam kab mob: Yog tias koj muaj cov kab mob xws li ntshav qab zib lossis ntshav siab, tswj lawv kom zoo, vim tias cov kab mob no tuaj yeem ua rau cov hlab ntsha puas tsuaj.
- Tswj kev ntxhov siab: Kev ntxhov siab tsis zoo rau lub paj hlwb. Tej yam xws li kev xav thiab kev ua yoga tuaj yeem pab txo kev ntxhov siab.
- Tsis txhob haus luam yeeb: Kev haus luam yeeb thiab lwm yam khoom haus luam yeeb ua rau cov hlab ntsha thiab lub cev puas tsuaj.
Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob.
Ua pa nyuaj yeej tsis yog ib yam uas yuav tsum tsis quav ntsej. Nws yuav yog teeb meem nrog cov hlab ntsha phrenic, lossis tej zaum yuav muaj lwm yam ua rau mob hnyav. Yog li, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, tsis txhob nkim sijhawm thiab mus ntsib koj tus kws kho mob.
| Qhov tshwj xeeb uas yuav tsum tau them sai sai rau | Kev piav qhia |
|---|---|
| Mob taub hau tas li | Yog tias cov mob ntsws tsis nres tom qab ib hnub lossis ob hnub. |
| Ua pa nyuaj | Tshwj xeeb tshaj yog tias koj ua pa nyuaj thaum pw, thiab koj yuav tsum pw nrog koj lub taub hau siab thiab muaj ntau lub hauv ncoo. |
| Teeb meem pw tsaug zog | Yog tias koj nyuam qhuav pib ua hawb pob, yog tias koj sawv los ntawm kev pw tsaug zog thiab ua tsis taus pa, lossis yog tias koj nkees heev thaum nruab hnub (cov tsos mob ntawm kev pw tsaug zog apnea). |
| Lwm cov tsos mob uas tsis paub meej | Yog tias koj mob xub pwg lossis caj npab tsis muaj zog nrog rau ua pa nyuaj. |
Lub paj hlwb Phrenic yog ib feem tseem ceeb ntawm koj lub neej. Nws yog qhov uas ua rau koj lub ntsws ua haujlwm tau zoo. Tej zaum koj yuav tsis xav txog lub paj hlwb no li. Txawm li cas los xij, yog tias koj pom muaj kev hloov pauv lossis tsis xis nyob hauv koj tus cwj pwm ua pa, tsis txhob tsis quav ntsej nws. Txawm tias nws tsis yog teeb meem ntawm lub paj hlwb Phrenic los xij, ua pa nyuaj yog ib qho mob uas xav tau kev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha phrenic yog cov hlab ntsha tseem ceeb uas khiav ntawm peb lub caj dab mus rau lub diaphragm thiab tswj kev ua pa.
- Cov hlab ntsha no ua lub cim qhia rau lub diaphragm kom nws cog lus thaum peb ua pa thiab kom nws so thaum peb ua pa tawm.
- Yog tias cov hlab ntsha no puas lawm, lub diaphragm tuaj yeem ua rau lub cev tsis ua haujlwm thiab ua rau muaj teeb meem loj heev rau kev ua pa.
- Cov mob ntsws uas kav ntev ntau hnub kuj tseem yuav yog vim muaj teeb meem nrog cov hlab ntsha phrenic.
- Nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob tam sim ntawd yog tias koj muaj teeb meem ua pa, tshwj xeeb tshaj yog thaum pw, lossis muaj teeb meem pw tsaug zog.
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