Koj puas tau mob nraub qaum, caj dab, lossis hauv caug ntev heev lawm? Txawm hais tias koj noj tshuaj thiab ua kev kho lub cev , koj tseem tsis tau zoo? Tej zaum tus kws kho mob twb qhia koj txog kev phais loj lawm. Tab sis ua ntej koj mus phais loj, muaj lwm txoj hauv kev los tswj qhov mob. Yog vim li ntawd peb thiaj tham txog txoj kev kho mob uas tsis tas phais, tab sis zoo heev niaj hnub no.
Kev Siv Hluav Taws Xob Los Kho Mob (RFA) yog dab tsi?
Lub npe yuav zoo li nyuaj me ntsis, tab sis lub tswv yim yeej yooj yim heev. Hais yooj yim xwb, RFA siv cov nthwv dej xov tooj cua los ua kom sov ib feem me me ntawm cov hlab ntsha uas ua rau koj mob, thiab ua rau nws tsis ua haujlwm ib ntus. Hauv lwm lo lus, nws zoo li txiav lub "cable teeb liab" uas nqa qhov mob mus rau lub hlwb ib ntus. Thaum qhov no ua rau cov teeb liab mob tsis mus rau koj lub hlwb, qhov mob uas koj hnov ploj mus lossis txo qis heev. Qhov no kuj hu ua Radiofrequency Neurotomy.
Vim li cas thiaj ua qhov kev kho mob RFA no?
Cov kws kho mob muaj ntau yam laj thawj tseem ceeb rau kev pom zoo rau kev kho mob no. Cia peb saib seb tus neeg mob tau txais txiaj ntsig dab tsi los ntawm nws.
| Lub hom phiaj tseem ceeb | Qhov txiaj ntsig |
|---|---|
| Kev tshem tawm lossis txo qhov mob | Qhov tseem ceeb tshaj plaws yog kom tau kev pab los ntawm kev mob mus sij hawm ntev. |
| Ua kom lub cev ua haujlwm ntau ntxiv | Thaum qhov mob ploj mus lawm, koj yuav tsis muaj teeb meem khoov, ncab, taug kev, thiab ua koj cov dej num txhua hnub lawm. |
| Txo kev siv tshuaj tua kab mob | Koj tuaj yeem tshem tawm cov kev mob tshwm sim ntawm kev noj tshuaj tua kab mob txhua hnub. |
| Tsis txhob phais lossis ncua kev phais | Txoj kev yooj yim no muab sijhawm los tswj qhov mob yam tsis tas yuav phais loj thiab nyuaj. |
Cov mob twg tuaj yeem kho tau nrog RFA?
Kev kho mob no feem ntau yog siv rau mob ntev (mob ntev). Piv txwv li:
- Spondylosis: Mob nraub qaum ntev ntev los ntawm kev hnav thiab rhuav ntawm cov pob qij txha hauv tus txha nqaj qaum.
- Mob pob qij txha Sacroiliac (SI): Mob hauv pob qij txha ntawm qhov qis tshaj plaws ntawm nraub qaum, qhov chaw nws txuas rau pob txha ntawm lub duav.
- Mob caj dab, nraub qaum, thiab lub hauv caug: Mob pob qij txha uas tsis tau teb rau lwm yam kev kho mob.
- Mob qog noj ntshav: Txhawm rau tswj qhov mob hnyav uas tshwm sim los ntawm qee yam mob qog noj ntshav.
- Mob ntsej muag (Trigeminal Neuralgia): Mob hnyav, zoo li hluav taws xob ntawm lub ntsej muag.
- Mob Nerve Peripheral: Mob los ntawm cov hlab ntsha hauv cov cheeb tsam ntawm lub cev xws li ceg.
- Teeb meem plawv dhia: Ntxiv rau qhov mob, qhov no kuj siv los kho qee cov hlwb uas ua rau lub plawv dhia.
- Cov qog nqaij hlav: Cov thev naus laus zis no kuj tseem siv los rhuav tshem cov hlwb hauv qee cov qog nqaij hlav me me.
Kev kho mob no ua haujlwm li cas?
Xav txog tias qhov ua rau koj mob nraub qaum yog ib txoj hlab ntsha txuas nrog ib qho pob qij txha me me hauv koj tus txha nqaj qaum.
Tus kws kho mob ua li cas, nyob rau hauv kev coj ntawm lub tshuab X-ray tshwj xeeb hu ua fluoroscopy, nws ntxig ib rab koob me me rau hauv cov hlab ntsha uas ua rau mob. Thaum lub koob nyob rau hauv qhov chaw zoo, nws ntxig ib lub electrode me me los ntawm nws thiab tso tawm lub xov tooj cua.
Qhov kub ntawm cov xov tooj cua no ua rau ib feem me me ntawm cov hlab ntsha 'kub hnyiab'. Qhov no hu ua tsim 'qhov mob'. Tab sis tsis txhob txhawj, qhov no ua tib zoo thiab meej heev. Qhov no tiv thaiv cov hlab ntsha kom tsis txhob xa cov cim mob mus rau lub hlwb. Qhov zoo kawg nkaus yog, nws tsis ua rau cov hlab ntsha noj qab nyob zoo nyob ib puag ncig nws puas tsuaj.
Hais yooj yim xwb, RFA mus rau "hauv paus" ntawm qhov mob thiab ua rau lub paj hlwb uas nqa cov lus mob ntsiag to ib ntus.
Leej twg thiaj tsim nyog rau txoj kev kho mob no?
Txoj kev kho mob no tsis yog rau txhua tus. Koj tus kws kho mob yuav saib ntau yam los txiav txim seb koj puas haum rau txoj kev kho mob no.
Tej zaum koj yuav tsim nyog yog tias:
- Yog tias koj tau txhaj tshuaj thaiv cov hlab ntsha yav dhau los uas txo koj qhov mob: Qhov no yog qhov tseem ceeb tshaj plaws. Ua ntej RFA, koj tus kws kho mob yuav txhaj tshuaj loog ze ntawm cov hlab ntsha uas ua rau koj mob ua 'kev sim'. Qhov no hu uaNws hu ua kev thaiv kev kuaj mob . Yog tias koj qhov mob ploj mus li ob peb teev tom qab txhaj tshuaj, nws txhais tau tias tus kws kho mob tau 'tsom' rau cov hlab ntsha. Rau cov neeg zoo li no, qhov muaj feem ntau dua uas kev kho mob RFA yuav ua tiav.
- Yog tias lwm yam kev kho mob (tshuaj, kev kho lub cev) tsis pab: Yog tias koj tau noj tshuaj loog mob thiab tau txais kev kho lub cev ntev lawm thiab tsis tau txais txiaj ntsig dab tsi, RFA yuav yog ib qho kev xaiv zoo.
Tej zaum koj yuav tsis tsim nyog yog tias:
- Yog koj cev xeeb tub .
- Yog koj muaj kab mob .
- Yog tias koj muaj teeb meem ntshav txhaws lossis muaj teeb meem ntshav ntws.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Cov txheej txheem no feem ntau siv sijhawm ntawm 15 feeb thiab 2 teev, nyob ntawm thaj chaw kho mob thiab tus naj npawb ntawm cov hlab ntsha koom nrog.
1. Ua ntej, koj yuav pw rau ntawm koj lub plab saum ib lub txaj X-ray tshwj xeeb. Cov khoom siv saib xyuas yuav txuas nrog los saib xyuas koj tus mob thoob plaws hauv kev kho mob.
2. Koj tseem muaj kev paub, vim tus kws kho mob tab tom nrog koj tham. Yog tias tsim nyog, nws tuaj yeem muab tshuaj me ntsis rau koj kom koj so.
3. Muab tshuaj loog rau thaj chaw uas yuav muab koob txhaj rau hauv.
4. Tom qab ntawd, nyob rau hauv kev taw qhia ntawm fluoroscopy X-ray, lub koob txhaj tshuaj raug coj mus rau ntawm cov hlab ntsha ua rau mob.
5. Yuav kom paub tseeb tias lub koob txhaj tshuaj nyob rau qhov chaw zoo, tus kws kho mob yuav xa ib lub teeb liab me me los ntawm nws thiab nug koj tias, "Koj puas hnov dab tsi, zoo li qhov tingling lossis trickling?" Yog tias koj hnov nws, nws txhais tau tias lub koob txhaj tshuaj nyob rau qhov chaw zoo.
6. Tom qab ntawd, yuav muab lwm yam tshuaj txhaj rau kom cov hlab ntsha tsis txhob loog, thiab yuav muab hluav taws xob los ua kom cov hlab ntsha sov, ua kom cov hlab ntsha tsis txhob xa cov cim qhia mob.
7. Yog tias tsim nyog, yuav kho tau ntau tshaj ib lub paj hlwb tib lub sijhawm.
Kuv yuav tsum ua li cas tom qab kho mob?
Koj tuaj yeem mus tsev tau ob peb teev tom qab kev kho mob.
- Koj yeej xav tau ib tug neeg nrog koj mus. Koj yeej tsav tsheb tsis tau ib leeg.
- Mus tsev thiab so kom txaus li 24 teev. Tsis txhob ua haujlwm hnyav.
- Koj tuaj yeem rov ua koj cov dej num ib txwm ua tau hauv ib lossis ob hnub.
- Tej zaum yuav muaj mob me ntsis thiab mob nqaij ntawm qhov chaw txhaj tshuaj rau ob peb hnub. Tus kws kho mob qhia kom muab ib lub hnab dej khov rau ntawm nws li 20 feeb thiab tshem nws tawm ntau zaus hauv ib hnub.
Kev kho mob no zoo npaum li cas?
Muaj ntau tus neeg tau txais kev pab txo qhov mob tom qab kev kho mob RFA. Ib txhia neeg xav tias qhov mob zoo tam sim ntawd tom qab kev kho mob. Rau lwm tus, qhov mob maj mam txo qis hauv 10 hnub lossis 3 lub lis piam.
Qhov kev txo qhov mob no feem ntau kav ntev li 6 txog 12 lub hlis , qee zaum ntev dua, txawm tias ntau xyoo.
Tiam sis nco ntsoov tias, cov hlab ntsha hauv peb lub cev tuaj yeem loj hlob rov qab. Yog tias cov hlab ntsha zoo li no loj hlob rov qab, qhov mob yuav rov qab los. Yog tias qhov ntawd tshwm sim, kev kho mob RFA no tuaj yeem rov ua dua.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias cov tsos mob hauv qab no tshwm sim tom qab kho mob, hu rau koj tus kws kho mob tam sim ntawd:
- Yog tias koj mob heev, liab, lossis o ntawm qhov chaw uas tau ntxig koob.
- Yog tias qhov tsis muaj zog lossis loog ntawm ib sab caj npab lossis ceg nce ntxiv .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev siv hluav taws xob Radiofrequency Ablation (RFA) yog ib txoj kev kho mob zoo heev, tsis tas phais, thiab tsis tas phais ntau rau qhov mob ntev.
- Qhov kev txo qhov mob ntawm qhov no tuaj yeem kav ntev li 6-12 lub hlis lossis ntev dua. Kev kho mob tuaj yeem rov ua dua yog tias cov hlab ntsha rov loj hlob dua.
- Koj tus kws kho mob yuav txiav txim siab seb qhov kev kho mob no puas yog rau koj tom qab kuaj xyuas. Nws tsis haum rau txhua tus.
- Txawm hais tias qhov no yog kev kho mob uas muaj kev nyab xeeb heev, ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo me me. Tham nrog koj tus kws kho mob txog cov no.
- Yog tias koj muaj cov tsos mob txawv txawv (mob hnyav, o, qaug zog) tom qab kho mob, nrhiav kev pab kho mob tam sim ntawd.
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