Koj lossis ib tug neeg koj paub puas tau txais kev kho mob hluav taws xob rau lub hauv siab rau mob qog noj ntshav? Yog tias yog, zaj dab neeg no yuav tseem ceeb heev rau koj. Txawm hais tias kev kho mob qog noj ntshav yog qhov tseem ceeb, qee zaum kev kho mob kuj tseem tuaj yeem cuam tshuam rau peb lub siab. Tsis txhob txhawj, qhov no tsis yog ib yam dab tsi uas tshwm sim rau txhua tus, thiab nrog rau cov thev naus laus zis siab heev niaj hnub no, qhov kev pheej hmoo no tau txo qis ntau. Txawm li cas los xij, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no. Cia peb tham txog txhua yam hauv cov lus yooj yim.
Kab Mob Plawv Los Ntawm Kev Siv Hluav Taws Xob Yog Dab Tsi?
Hais yooj yim xwb, thaum cov hluav taws xob muaj zog heev (kev siv hluav taws xob) siv los tua cov qog nqaij hlav raug muab rau thaj tsam hauv siab, lub plawv nyob ze kuj yuav raug puas tsuaj. Ntau yam mob plawv uas tshwm sim los ntawm qhov kev puas tsuaj rau lub plawv no feem ntau hu ua kab mob plawv los ntawm kev siv hluav taws xob .
Qhov tshwj xeeb txog qhov no yog tias qee zaum cov tsos mob ntawm tus kab mob plawv no tuaj yeem tshwm sim hauv ob peb lub lis piam tom qab kho. Txawm li cas los xij, rau lwm tus, cov teeb meem no tuaj yeem mus ntev ntau xyoo, tej zaum txawm tias 10 lossis 20 xyoo, yam tsis muaj tsos mob.
Qhov kev pheej hmoo no feem ntau siab tshaj plaws rau cov neeg uas tau txais kev kho mob hluav taws xob rau hauv siab rau cov hom mob qog noj ntshav hauv qab no:
- Mob qog noj ntshav hauv lub mis (tshwj xeeb tshaj yog nyob rau sab laug ntawm lub mis)
- Mob qog nqaij hlav ntsws
- Mob qog nqaij hlav ntawm txoj hlab pas
- Cov qog nqaij hlav ntawm cov qog ntshav lymphoma, xws li Hodgkin lymphoma
Kev kho mob hluav taws xob no cuam tshuam li cas rau lub plawv?
Xav txog seb, ib txoj kab hluav taws xob muaj zog heev uas tua cov hlwb qog noj ntshav kuj ntaus rau cov nqaij mos ntawm lub plawv, uas nyob ze. Qhov no tuaj yeem ua rau muaj ob yam tseem ceeb.
1. Cov teebmeem luv luv: Tej zaum yuav muaj kev o ntawm cov nqaij plawv thaum lub sijhawm lossis tom qab kev kho mob sai sai. Qhov no txhais tau tias qee qhov ntawm lub plawv yuav o.
2. Cov teebmeem mus sij hawm ntev: Raws li lub sijhawm dhau mus, cov nqaij ntawm lub plawv uas raug hluav taws xob ua rau maj mam tuab zuj zus, ua cov fiber ntau, thiab poob nws qhov elasticity . Zoo li qhov txhab hloov mus ua ib qho caws pliav. Thaum qhov no tshwm sim, cov nqaij ntawd ua tsis tau nws txoj haujlwm zoo lawm.
Muaj ntau qhov tseem ceeb ntawm lub plawv uas tuaj yeem raug puas tsuaj li no. Cia peb saib seb lawv yog dab tsi.
| Ib feem ntawm lub siab | Qhov cuam tshuam tsuas yog |
|---|---|
| Cov hlab ntsha hauv lub plawv | Cov hlab ntsha uas muab ntshav mus rau lub plawv tuaj yeem nqaim lossis thaiv, ua rau muaj kev pheej hmoo ntawm kev mob plawv. |
| Cov hlab ntsha hauv lub plawv | Cov qhov dej uas ua haujlwm zoo li lub qhov rooj ntawm cov chav ntawm lub plawv yuav tuab thiab tsis qhib lossis kaw kom raug. |
| Cov leeg nqaij plawv (Myocardium) | Cov leeg nqaij uas pab lub plawv twj tuaj yeem qaug zog lossis tuab zuj zus, ua rau lub plawv tsis ua haujlwm tau zoo. |
| Pericardium | Cov daim nyias nyias uas tiv thaiv lub plawv yuav o (o) lossis tuab thiab tawv. |
| Kev siv hluav taws xob | Lub cev hluav taws xob uas tswj lub plawv dhia thiab lub suab nrov tuaj yeem puas tsuaj, ua rau lub plawv dhia tsis xwm yeem. |
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob yuav txawv nyob ntawm seb lawv tshwm sim thaum twg thiab qhov chaw ntawm lub plawv uas raug cuam tshuam. Cia peb muab cov no faib ua ob pawg.
Cov tsos mob luv luv
Feem ntau cov no tshwm sim li ob peb lub lis piam lossis ob peb lub hlis tom qab kev kho mob. Cov mob tseem ceeb yog mob pericarditis thiab pericardial effusion .
Cov tsos mob tseem ceeb ntawm ob qho mob no yog mob hauv siab heev . Muaj ntau yam ntxwv tshwj xeeb ntawm qhov mob no:
- Qhov mob txo qis thaum kuv zaum thiab nyo hau mus tom ntej .
- Qhov mob yuav nce ntxiv thaum koj ua pa tob tob .
- Ib txhia neeg kuj tseem yuav muaj kev ua pa luv luv (dyspnea) uas yuav txo qis thaum lawv khoov mus tom ntej .
Cov tsos mob mus sij hawm ntev
Cov no yog cov uas feem ntau tshwm sim ntau xyoo tom qab. Tej zaum yuav tsis muaj tsos mob thaum xub thawj, tab sis cov tsos mob tsuas yog tshwm sim tom qab tus kab mob tau loj hlob me ntsis. Txawm hais tias cov tsos mob sib txawv nyob ntawm hom kab mob plawv, cov no yog cov tsos mob feem ntau:
- Mob hauv siab los yog tsis xis nyob: Tej zaum yuav zoo li raug nias los yog raug nias.
- Ua tsis taus pa (dyspnea): Ua tsis taus pa txawm tias ua haujlwm me me lossis taug kev. Qhov teeb meem no qee zaum tuaj yeem tshwm sim txawm tias thaum pw tsaug zog hmo ntuj.
- Ob txhais ceg, pob luj taws, taw, lossis plab o (Edema): Ib qho kev xav tias muaj kua dej puv lub cev.
- Kev Ntshai: Lub plawv dhia ceev heev lossis tsis xwm yeem .
- Kiv taub hau los yog tsaus muag (syncope) .
- Nquag qaug zog thiab tsis muaj zog .
- Hnoos qhuav .
- Xeev siab .
Ib yam dab tsi yuav tsum tau them sai sai!
Qee zaum mob hnyav heev, qhov mob no tuaj yeem ua rau mob plawv nres lossis lub plawv nres. Cov no yog cov xwm txheej ceev uas hem txoj sia. Yog tias koj muaj cov tsos mob xws li mob hauv siab heev, ua pa nyuaj heev, lossis mob mus rau koj sab caj npab laug , mus rau chav kho mob ceev (ETU) ntawm tsev kho mob yam tsis muaj kev ncua.
Leej twg muaj kev pheej hmoo tshaj plaws?
Tsis yog txhua tus neeg uas tau txais kev kho mob hluav taws xob rau hauv siab yuav muaj tus mob no, tab sis qee yam tseem ceeb yuav ua rau muaj kev pheej hmoo ntxiv.
| Qhov ua rau muaj kev pheej hmoo | Kev piav qhia |
|---|---|
| Cov koob tshuaj hluav taws xob tau txais | Lub chav ntsuas rau kev raug hluav taws xob yog Gray (Gy). Feem ntau, yog tias lub plawv tau txais ntau dua 30 Gy, qhov kev pheej hmoo siab dua. |
| Thaj chaw raug tshav ntuj | Qhov kev pheej hmoo yuav ntau dua yog tias muab hluav taws xob rau sab laug ntawm lub hauv siab (sab uas lub plawv nyob). |
| Lwm yam kev kho mob qog noj ntshav | Qhov kev pheej hmoo yuav nce ntxiv yog tias koj tau txais qee yam tshuaj chemotherapy (piv txwv li anthracyclines, trastuzumab ) uas tuaj yeem cuam tshuam rau lub plawv nrog rau kev kho mob hluav taws xob. |
| Hnub nyoog ntawm kev kho mob | Yog koj tau txais kev kho mob hluav taws xob thaum koj tseem hluas, koj yuav muaj feem ntau dua los ntawm kev mob plawv mus sij hawm ntev. |
| Cov kab mob uas twb muaj lawm | Muaj tej yam mob xws li kab mob plawv, ntshav qab zib, ntshav siab, thiab roj cholesterol ntau txawm tias ua ntej kev kho mob hluav taws xob los kuj ua rau muaj kev pheej hmoo ntxiv. |
| Txoj kev ua neej | Cov cwj pwm xws li haus luam yeeb, haus cawv ntau dhau, rog dhau, thiab tsis tawm dag zog kuj ua rau muaj qhov kev pheej hmoo no ntau ntxiv. |
Puas yog qhov kev pheej hmoo no tau txo qis nrog cov thev naus laus zis niaj hnub no?
Yog, yeej muaj tseeb tiag. Qhov no yog xov xwm zoo tshaj plaws. Txij li thaum cov kws kho mob thiab cov kws tshawb fawb tau kawm txog qhov kev pheej hmoo no, lawv tau tsim cov txheej txheem siab heev uas tuaj yeem txo qhov ntau ntawm cov hluav taws xob uas ncav cuag lub plawv. Yog li ntawd, cov neeg uas tau txais kev kho mob hluav taws xob niaj hnub no muaj kev pheej hmoo tsawg dua ntawm kev mob plawv no.
Nov yog qee cov txheej txheem siab heev no:
- Kev kho mob hluav taws xob uas hloov kho qhov hnyav (IMRT): Qhov no yog ib txoj kev uas siv daim duab peb-seem (3D) ntawm qhov zoo li ntawm lub qog thiab tsuas yog xa hluav taws xob mus rau nws xwb. Qhov no ua rau muaj kev puas tsuaj tsawg kawg nkaus rau cov nqaij noj qab haus huv nyob ib puag ncig, tshwj xeeb tshaj yog lub plawv.
- Kev kho mob Proton: Qhov no kuj yog ib txoj kev kho mob siab heev, tsom mus rau.
- Cov txheej txheem tswj kev ua pa: Tshwj xeeb tshaj yog thaum kho mob qog noj ntshav hauv lub mis, tus neeg mob raug hais kom ua pa tob tob thiab tuav nws thaum lub sijhawm muab tshuaj tua kab mob. Qhov no ua rau lub ntsws nthuav dav thiab lub plawv nyob deb me ntsis ntawm qog noj ntshav, txo cov tshuaj tua kab mob uas mus txog lub plawv.
Kuv yuav ua li cas thiaj txo tau kuv qhov kev pheej hmoo?
Yog tias koj tau txais kev kho mob hluav taws xob rau koj lub hauv siab, qhov zoo tshaj plaws uas koj tuaj yeem ua tau yog ua lub neej noj qab haus huv rau lub plawv . Qhov no tuaj yeem pab txo koj qhov kev pheej hmoo ntawm kab mob plawv.
- Yog koj haus luam yeeb, tso tseg hnub no. Qhov no yog qhov kev txiav txim siab tseem ceeb tshaj plaws uas koj ua tau.
- Noj zaub mov kom zoo. Noj zaub, txiv hmab txiv ntoo, taum pauv, thiab cov nplej tag nrho. Txo cov roj, ntsev, thiab qab zib.
- Ua si nawv tsis tu ncua. Txawm tias yog ib yam yooj yim xws li taug kev li 30 feeb hauv ib hnub tuaj yeem ua qhov sib txawv loj heev.
- Tswj cov ntshav siab thiab cov roj cholesterol.Nrog koj tus kws kho mob tham thiab kom lawv mus kuaj mob tsis tu ncua. Noj tshuaj yog tias tsim nyog.
- Txwv kev haus cawv.
- Yog koj muaj ntshav qab zib, tswj nws kom zoo.
- Tswj koj qhov hnyav ntawm lub cev.
Qhov tseem ceeb tshaj plaws yog kom koj nrog koj tus kws kho mob sib txuas lus txawm tias koj txoj kev kho mob qog noj ntshav tas lawm los xij. Nco ntsoov qhia rau nws tias koj tau txais kev kho mob hluav taws xob. Koj tus kws kho mob yuav pom zoo kom kuaj xyuas koj lub plawv, xws li echocardiogram, txhua 5 txog 10 xyoo.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog tias koj tau txais kev kho mob hluav taws xob rau koj lub hauv siab thiab muaj cov tsos mob ntawm lub plawv uas teev saum toj no (xws li mob hauv siab, ua tsis taus pa, o ntawm koj ob txhais ceg, lossis lub plawv dhia tsis xwm yeem), mus ntsib koj tus kws kho mob tam sim ntawd. Thaum ntxov pom tus kab mob, nws yuav yooj yim dua los kho.
Yog koj muaj cov tsos mob ntawm kev mob plawv nres, tsis txhob nyob hauv tsev. Mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kho mob siv hluav taws xob rau mob qog noj ntshav hauv thaj tsam hauv siab tuaj yeem ua rau muaj mob plawv rau qee tus neeg raws sijhawm. Cov tsos mob no yuav tsis tshwm sim txog thaum ntau xyoo tom qab.
- Tiamsis tsis tas yuav ntshai. Ua tsaug rau cov thev naus laus zis niaj hnub no los kho mob los ntawm kev siv hluav taws xob, qhov kev pheej hmoo no tau raug txo qis heev.
- Ceev faj txog cov tsos mob xws li mob hauv siab, ua pa nyuaj, o ntawm ob txhais ceg, thiab lub plawv dhia tsis xwm yeem.
- Qhov zoo tshaj plaws uas koj ua tau yog ua lub neej noj qab haus huv rau lub plawv. Tsis txhob haus luam yeeb, noj zaub mov zoo, thiab tawm dag zog yog qhov tseem ceeb heev.
- Txawm tias tom qab kho mob qog noj ntshav lawm los, koj yuav tsum nrog koj tus kws kho mob sib tham tas li thiab mus kuaj mob uas tsim nyog. Kev kuaj pom thaum ntxov yuav ua rau kev kho mob zoo.
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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