Yog tias ib tug kws kho mob hais rau ib tug neeg uas tab tom tawm tsam mob qog noj ntshav, "Cia peb ua ib qho kev kho mob laser tshwj xeeb tam sim no?" Qhov no tsis yog ib qho laser ib txwm muaj. Qhov koj ua yog muab ib yam tshuaj tshwj xeeb rau lub cev uas lo rau cov hlwb qog noj ntshav thiab rhuav tshem lawv thaum lub teeb laser ntaus lawv. Ib yam tshuaj tshwj xeeb zoo li no hu ua Porfimer. Cia peb tham txog qhov no hauv txoj kev yooj yim thiab meej hnub no.
Porfimer no yog dab tsi?
Hais yooj yim xwb, porfimer yog ib yam tshuaj uas ua rau lub teeb ci ntsa iab. Txoj kev uas nws ua haujlwm zoo kawg nkaus. Xav txog nws zoo li lub hlau nplaum uas tsuas yog lo rau cov hlwb qog noj ntshav xwb.
Peb txhaj cov tshuaj no rau hauv lub cev los ntawm cov leeg ntshav. Tom qab ntawd cov khoom me me ntawm cov tshuaj no mus thoob plaws lub cev, tshwj xeeb tshaj yog nrhiav thiab txuas rau cov hlwb qog noj ntshav. Nws tsis cuam tshuam rau cov hlwb noj qab haus huv ntau npaum li cas.
Tom qab muab tshuaj li ob hnub, tus kws kho mob yuav siv lub teeb laser tshwj xeeb rau ntawm qhov chaw mob qog noj ntshav. Cov khoom me me ntawm cov tshuaj uas txuas rau cov hlwb qog noj ntshav yuav nqus tau lub teeb laser no thiab ua haujlwm. Cov tshuaj lom neeg uas tshwm sim tsuas yog rhuav tshem cov hlwb qog noj ntshav uas txuas rau lawv xwb. Peb hu qhov txheej txheem no ua kev kho mob photodynamic (PDT) .
Txoj kev kho mob no feem ntau yog siv rau:
- Rau mob qog nqaij hlav ntawm txoj hlab pas
- Rau mob qog nqaij hlav ntsws
- Kho ib qho mob ua ntej mob qog noj ntshav hu ua Barrett's esophagus .
Sib nrug ntawm qhov no, cov tshuaj no kuj tseem siv tau rau lwm yam mob raws li cov lus qhia ntawm tus kws kho mob.
Tej yam yuav tsum qhia rau koj tus kws kho mob ua ntej kho mob
Ua ntej pib kho mob no, nws yog ib qho tseem ceeb heev uas yuav tsum piav qhia tag nrho koj tus mob rau koj tus kws kho mob. Nco ntsoov qhia rau lawv yog tias koj muaj ib qho ntawm cov mob hauv qab no:
- Yog tias koj muaj cov kab mob ntawm txoj hlab pas, cov kab mob ntawm txoj hlab pas, lossis cov hlab ntsha varicose.
- Yog koj muaj kab mob raum lossis kab mob siab.
- Yog koj muaj tus kab mob tsawg tsawg hu ua porphyria.
- Yog tias koj nyuam qhuav tau txais lossis tab tom tau txais kev kho mob hluav taws xob.
- Yog koj cov kws kho mob tau qhia rau koj tias koj tus mob qog nqaij hlav tau kis mus rau lwm qhov (metastasized) mus rau ib txoj hlab ntshav loj.
- Yog tias koj muaj kev tsis haum tshuaj rau Porfimer lossis lwm yam tshuaj, khoom noj, lossis xim zas.
- Yog tias koj cev xeeb tub , sim xeeb tub , lossis pub niam mis .
Koj siv cov tshuaj no li cas?
Cov tshuaj no tsis yog ib yam tshuaj uas koj coj mus tsev tau. Cov tshuaj no yog muab los ntawm kev txhaj tshuaj rau hauv cov leeg ntshav hauv tsev kho mob lossis chaw kho mob los ntawm tus kws kho mob lossis tus nais maum uas tau kawm tshwj xeeb txog qhov no.
Yog koj muab cov tshuaj no rau cov menyuam yaus, yuav tsum tau saib xyuas tshwj xeeb. Tham nrog koj tus kws kho mob txog qhov no.
Yuav ua li cas yog tias qhov ntau npaum li cas ntawm cov tshuaj nce ntxiv?
Qhov no yuav tsis tshwm sim vim tias nws yog muab rau hauv tsev kho mob. Txawm li cas los xij, yog tias koj xav tias koj tau noj tshuaj ntau dhau, hu rau National Poisons Information Centre ntawm Colombo National Hospital tam sim ntawd, lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws.
Yog tias kuv tsis nco qab noj tshuaj li cas?
Nws yog ib qho tseem ceeb heev uas yuav tsum tau txais kev kho mob rau hnub thiab lub sijhawm uas tus kws kho mob tau muab rau koj. Yog tias muaj qee yam ua rau koj tsis tuaj yeem mus tau lub sijhawm ntawd, hu rau koj tus kws kho mob tam sim ntawd thiab qhia rau nws paub.
Puas muaj kev sib cuam tshuam nrog lwm cov tshuaj?
Yog, qee cov tshuaj tuaj yeem cuam tshuam nrog cov tshuaj no. Yog li qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (tshuaj rau lwm yam mob, cov vitamins, tshuaj ntsuab, cov tshuaj noj ntxiv). Tsis tas li ntawd, qhia rau koj tus kws kho mob yog tias koj haus luam yeeb lossis haus cawv.
Tej teeb meem tuaj yeem tshwm sim, tshwj xeeb, nrog rau cov tshuaj hauv qab no:
- Qee hom tshuaj tua kab mob - piv txwv li, fluoroquinolones, sulfonamides, thiab tetracyclines.
- Qee cov tshuaj kho mob ntshav qab zib.
- Griseofulvin yog tshuaj tua kab mob fungal.
- Phenothiazines yog cov tshuaj siv rau kev mob hlwb.
- Cov tshuaj thiazide diuretics yog cov tshuaj uas ua rau cov zis ntau ntxiv.
Daim ntawv teev npe no tsis tiav, yog li nws yog qhov zoo tshaj plaws los qhia rau koj tus kws kho mob txhua yam koj noj.
Tej yam yuav tsum xav txog thaum lub sijhawm kho mob
Koj yuav tsum tau saib xyuas koj tus kheej zoo tom qab noj cov tshuaj no.
Kev tiv thaiv los ntawm lub hnub thiab lub teeb ci ntsa iab
Qhov no yog cov lus qhia tseem ceeb tshaj plaws thiab yuav tsum ua raws li . Tom qab noj cov tshuaj no, koj daim tawv nqaij yuav rhiab heev rau lub teeb. Yog li ntawd, tsis txhob raug tshav ntuj ncaj qha rau tsawg kawg 30 hnub tom qab noj cov tshuaj . Yog tias koj yuav tsum tawm mus sab nraud, hnav khaub ncaws uas npog tag nrho koj lub cev thiab hnav lub kaus mom. Tshuaj pleev thaiv hnub tsis muab kev tiv thaiv hauv qhov xwm txheej no . Tsis tas li ntawd, koj yuav tsum tsis txhob siv lub teeb ci ntsa iab hauv tsev thiab cov txaj pw tanning.
Koj ob lub qhov muag kuj yuav rhiab heev rau lub teeb, yog li hnav cov tsom iav dub zoo thaum koj tawm mus sab nraum zoov tsawg kawg ib hlis tom qab noj tshuaj.
Cev xeeb tub thiab pub niam mis
- Cov poj niam:Tsis txhob cev xeeb tub thaum noj cov tshuaj no thiab rau 5 lub hlis tom qab tsum tsis txhob kho.
- Txiv neej: Yog tias koj tab tom txais kev kho mob no, tsis txhob muaj menyuam ua txiv thaum lub sijhawm kho mob thiab rau 5 lub hlis tom qab tso tseg.
- Tsis txhob pub mis rau koj tus menyuam thaum lub sijhawm no.
Cov tshuaj no tuaj yeem ua rau muaj kev phom sij loj rau tus menyuam hauv plab.
Tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, cov tshuaj no muaj tej yam tshwm sim tsis zoo. Qee yam mob hnyav heev, qee yam mob tshwm sim ntau zaus.
| Cov teebmeem sab nraud | Kev piav qhia |
|---|---|
| Cov kev mob tshwm sim loj heev uas yuav tsum tau qhia rau koj tus kws kho mob tam sim ntawd | |
| Kev ua xua | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj lossis tus nplaig. |
| Ua pa nyuaj | Ua pa nyuaj, ua pa nrov nrov. |
| Mob hauv siab | Mob hauv siab tam sim ntawd, mob hnyav. |
| Hnoos ntshav | Hnoos ntshav nrog cov hnoos qeev. |
| Ua npaws | Kub taub hau tsis muaj laj thawj. |
| Cov tsos mob ntawm kev poob ntshav ( anemia ) | Xav tias nkees dua li niaj zaus, xav tias tsis muaj zog, thiab xav tias tsis muaj sia nyob. |
| Nyuaj nqos | Nyuaj nqos zaub mov los yog dej haus. |
| Feem ntau tsis loj heev (tab sis qhia rau koj tus kws kho mob yog tias nws tseem muaj) | |
| Teeb meem ntawm lub plab zom mov | Cem quav, raws plab, xeev siab, ntuav. |
| Kev tsis muaj zog noj mov | Txo kev ntshaw noj mov. |
Yog tias koj muaj lwm yam tsos mob txawv txawv uas tsis tau hais hauv daim ntawv teev npe no, nrog koj tus kws kho mob tham txog lawv thiab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Porfimer yog ib yam tshuaj tshwj xeeb uas siv lub teeb laser los tua cov hlwb qog noj ntshav thiab tua cov hlwb qog noj ntshav.
- Tom qab kev kho mob no, koj daim tawv nqaij thiab ob lub qhov muag yuav rhiab heev rau lub teeb rau tsawg kawg 30 hnub . Tiv thaiv koj tus kheej ntawm lub hnub ci thiab lub teeb ci ntsa iab tag nrho. Tshuaj pleev thaiv hnub tsis muab kev tiv thaiv dab tsi .
- Nws yog ib qho tseem ceeb uas yuav tsum muab rau koj tus kws kho mob piav qhia txog txhua yam tshuaj, cov vitamins, thiab cov mob uas koj noj.
- Tsis txhob cev xeeb tub lossis muaj menyuam thaum lub sijhawm kho mob thiab rau 5 lub hlis tom qab nws xaus.
- Yog tias koj muaj tej yam kev mob tshwm sim loj xws li ua pa nyuaj, mob hauv siab, lossis ua xua hnyav, qhia rau koj tus kws kho mob lossis tsev kho mob tam sim ntawd.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Porfimer Injection / Photofrin siv rau dab tsi?
Qhov no yog kev kho mob qog noj ntshav uas siv Photodynamic Therapy / PDT uas siab heev! Cov tshuaj tiv thaiv no feem ntau yog siv los rhuav tshem cov qog nqaij hlav loj hauv caj pas/pob ntseg (qog nqaij hlav esophageal) thiab lub ntsws (NSCLC), yam tsis tas yuav txiav thiab tshem tawm lawv los ntawm kev phais, los ntawm kev siv 'lub teeb laser' los rhuav tshem cov qog nqaij hlav.
💬 Cov tshuaj no (Porfimer) thiab lub teeb laser tua cov cell mob qog noj ntshav li cas?
Cov tshuaj no tsis muaj txiaj ntsig rau koj, nws tsuas ua haujlwm ntawm 'lub teeb' xwb! (Photosensitizer). Thaum txhaj tshuaj no rau hauv cov hlab ntsha, cov tshuaj no mus rau hauv cov ntshav thiab tso rau hauv cov hlwb qog noj ntshav rau ob peb hnub. Tom qab ntawd tus kws kho mob ntxig ib lub raj thiab ci 'lub teeb laser liab (630nm Teeb)' rau ntawm qog noj ntshav! Thaum lub teeb ci ntsa iab, cov tshuaj no ua haujlwm sab hauv qog noj ntshav thiab tsim 'cov pa oxygen lom (Singlet oxygen)', rhuav tshem cov qog noj ntshav los ntawm sab hauv zoo li lub foob pob tawg.
💬 Vim li cas koj thiaj hais kom tsis txhob tawm mus rau hauv lub hnub (Photosensitivity) tom qab txhaj tshuaj tiv thaiv kab mob no?
Qhov no yog qhov teeb meem txaus ntshai tshaj plaws thiab loj tshaj plaws nrog kev kho mob no! Cov tshuaj tsis yog nyob hauv qog nqaij hlav xwb tab sis kuj nyob hauv daim tawv nqaij / cov ntaub so ntswg. Yog li ntawd, yog tias koj raug 'hnub ci (hnub ci) lossis lub teeb ci ntsa iab' rau 30-90 hnub (1-3 lub hlis) tom qab kev kho mob no, koj daim tawv nqaij / lub cev tag nrho yuav kub hnyiab zoo li nws raug hluav taws (Kev Ua Teeb Meem Hnyav Photosensitivity)! Yog li ntawd, nws yog qhov yuav tsum tau nyob hauv chav tsaus ntuj / hnav khaub ncaws kom npog tag nrho lub cev.
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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