Kev cog tawv nqaij yog dab tsi? (Kev cog tawv nqaij) - Cia peb tham txog qhov no yooj yim!

Koj puas tau pom ib qho caws pliav loj tom qab kub hnyiab loj lossis qhov txhab loj kho tau? Qee zaum, txawm tias koj muab tshuaj ntau npaum li cas rau ntawm qhov txhab, nws yuav siv sijhawm ntev heev kom kho tau. Qhov no yog thaum cov kws kho mob tham txog " kev hloov daim tawv nqaij ." Qhov no txhais li cas tiag? Qhov no puas yog ib yam dab tsi loj thiab txaus ntshai? Tsis yog... Cia peb tham txog txhua yam yooj yim heev.

Hais yooj yim xwb, daim tawv nqaij graft yog dab tsi?

Qhov no yog ib lub tswv yim yooj yim heev. Xav txog tias koj muaj ib feem ntawm koj cov khaub ncaws uas raug rhuav lossis puas lawm. Peb yuav ua li cas? Peb muab lwm daim ntaub los xaws kom npog qhov, puas yog? Kev cog tawv nqaij zoo li ntawd. Nws yog ib qho kev phais. Qhov peb ua yog muab ib daim tawv nqaij me me los ntawm ib feem ntawm koj lub cev noj qab haus huv (piv txwv li, koj lub duav) thiab hloov mus rau qhov uas raug puas lossis ploj lawm.

Ob peb hnub tom qab hloov daim tawv nqaij no, daim tawv nqaij tshiab uas tau hloov daim tawv nqaij pib loj hlob cov hlab ntsha. Tom qab ntawd nws sib xyaw nrog daim tawv nqaij ib puag ncig thiab pib ua haujlwm ua ib daim tawv nqaij. Qhov no yog ib qho txheej txheem zoo kawg nkaus.

Thaum twg yuav tsum tau hloov daim tawv nqaij?

Feem ntau, thaum peb muaj ib qho qhov txhab me me, peb daim tawv nqaij tuaj yeem kho nws tus kheej. Tab sis qee zaum, qhov kev puas tsuaj rau daim tawv nqaij hnyav heev uas nws tsis tuaj yeem kho nws tus kheej. Thaum ntawd tus kws kho mob txiav txim siab ua qhov kev hloov pauv daim tawv nqaij.

• Kub Hnyiab: Kub hnyiab hnyav los ntawm hluav taws, dej kub, lossis tshuaj lom neeg tuaj yeem ua rau daim tawv nqaij puas tsuaj loj heev.
• Kev kis kab mob: Qee qhov kev kis kab mob hnyav tuaj yeem ua rau thaj chaw loj ntawm daim tawv nqaij tuag.
• Kev phais mob qog nqaij hlav ntawm daim tawv nqaij: Txhawm rau sau qhov khoob uas tseem tshuav tom qab phais mob qog nqaij hlav ntawm daim tawv nqaij.
• Cov qhov txhab ntawm daim tawv nqaij thiab cov qhov txhab pw hauv txaj: Cov qhov txhab uas tsis kho tau ntawm ob txhais ceg uas tshwm sim los ntawm cov kab mob xws li ntshav qab zib, lossis kev raug mob ntawm cov neeg mob uas pw hauv txaj.
• Cov qhov txhab loj heev: Ib thaj chaw loj ntawm daim tawv nqaij tau ploj tom qab muaj xwm txheej loj.

Koj tau daim tawv nqaij los cog rau qhov twg?

Feem ntau, cov kws kho mob siv daim tawv nqaij ntawm tus neeg mob lub cev mus hloov. Peb hu qhov no ua "Autograft". Vim lawv siv lawv daim tawv nqaij, lub cev tsis tsis lees txais nws. Qhov ntawd yog txoj kev zoo tshaj plaws thiab ua tau zoo tshaj plaws.

Tiam sis xav txog tias kwv yees li 80% ntawm ib tug neeg lub cev tag nrho raug hlawv. Ces nws yuav nyuaj rau nrhiav tau daim tawv nqaij noj qab haus huv ntawm lawv lub cev, puas yog? Hauv cov xwm txheej tshwj xeeb no, lwm txoj hauv kev siv los ua cov kev daws teeb meem ib ntus.

• Allograft: Kev siv daim tawv nqaij ntawm tus neeg tuag (lub cev tuag) ib ntus.
• Kev cog noob caj noob ces:Kev siv daim tawv nqaij ntawm tus tsiaj ib ntus, feem ntau yog npua.

Cov hom tawv nqaij tseem ceeb yog dab tsi?

Thaum nws los txog rau kev txiav tawv nqaij, muaj ntau hom tseem ceeb nyob ntawm seb daim tawv nqaij tuab npaum li cas. Koj tus kws kho mob yuav xaiv hom uas haum tshaj plaws raws li cov yam ntxwv xws li qhov xwm txheej ntawm koj qhov txhab thiab nws qhov chaw.

Ua ntej phais koj yuav tsum paub dab tsi?

Ua ntej phais, tus kws kho mob yuav nrog koj tham thiab piav qhia txhua yam.

• Koj yuav tsum qhia rau koj tus kws kho mob txog cov tshuaj uas koj noj (tshwj xeeb yog cov tshuaj uas ua rau cov ntshav nyias). Nws yuav hais kom koj tsum tsis txhob noj ib pliag ua ntej phais.
• Qhov tseem ceeb tshaj plaws, yog tias koj haus luam yeeb, koj yuav tsum tsis txhob haus luam yeeb kiag li ob peb lub lis piam ua ntej koj phais. Kev haus luam yeeb ua rau cov hlab ntsha nqaim thiab txo cov ntshav ntws mus rau qhov txhab. Qhov no txhais tau tias daim tawv nqaij tshiab tsis tau txais cov pa oxygen thiab cov as-ham uas nws xav tau. Qhov no ua rau muaj kev pheej hmoo ntawm nws tsis lo rau zoo thiab raug tsis lees txais.
• Tus kws kho mob yuav txiav txim siab seb qhov twg zoo tshaj plaws los coj daim tawv nqaij mus rau kev hloov pauv (qhov chaw pub) thiab qhov chaw puas tsuaj (qhov chaw hloov pauv). Daim tawv nqaij uas raug xaiv yuav tsum muaj xim thiab qauv zoo ib yam li qhov chaw puas tsuaj li sai tau.

Muaj dab tsi tshwm sim thaum lub sijhawm phais?

Qhov kev phais no ua nyob rau hauv tsev kho mob. Feem ntau koj yuav tau txais tshuaj loog dav dav, yog li koj tsis hnov ​​​​dab tsi.

1. Ua ntej, tus kws phais yuav txiav thiab tshem tawm cov tawv nqaij ntawm qhov chaw pub dawb raws li qhov xav tau.

2. Tom qab ntawd, yuav muaj ntau qhov me me txiav rau ntawm daim tawv nqaij uas raug tshem tawm, zoo li ib daim ntaub mesh. Qhov no hu ua 'meshing'. Qhov no ua kom txawm tias daim tawv nqaij me me tuaj yeem rub ua ke los npog thaj chaw loj. Tsis tas li ntawd, cov qhov no tsim ib txoj hauv kev rau cov kua dej los ntawm qhov txhab kom ntws tawm.

3. Thaum kawg, daim tawv nqaij uas tau npaj lawm no raug muab tso rau saum qhov chaw puas tsuaj (qhov chaw cog hniav) thiab khi nrog cov xov lossis cov staples tshwj xeeb.

4. Tom qab ntawd, ob qho chaw (qhov chaw cog tawv nqaij thiab qhov chaw cog tawv nqaij) raug ntxuav kom huv si thiab npog nrog cov ntaub qhwv tshwj xeeb.

Koj lub luag haujlwm tom qab phais mob yog dab tsi?

Qhov kev phais mob zoo nyob ntawm seb koj saib xyuas nws zoo npaum li cas tom qab phais. Koj yuav tsum saib xyuas ob qho chaw - qhov chaw txuas daim tawv nqaij thiab qhov chaw txuas daim tawv nqaij.

Tej zaum koj yuav tau nyob hauv tsev kho mob ob peb hnub lossis ob peb lub lis piam, nyob ntawm seb qhov loj thiab hom implant. Tom qab koj mus tsev, koj yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom zoo .

• Yuav ua li cas saib xyuas daim ntaub qhwv: Khaws daim ntaub qhwv raws li koj tus kws kho mob qhia rau koj. Nug kom paub meej ntxiv txog yuav hloov nws li cas, yuav tsum hnav nws ntev npaum li cas, thiab seb puas yuav tsum muab nws tso rau hauv dej lossis tsis tau. Tej zaum yuav muaj lus qhia rau koj kom siv cov tshuaj pleev.
• Tiv thaiv qhov txhab: Qhov no tseem ceeb heev. Tsis txhob ua txhua yam uas yuav ua rau muaj kev sib txhuam lossis rub rau thaj chaw ntawd kom txog thaum daim tawv nqaij txuas zoo. Koj yuav tsum tsis txhob tsa cov hnyav, khiav, dhia, lossis ua tej yam kev tawm dag zog uas yuav ua rau daim tawv nqaij ncab tsawg kawg yog 3-4 lub lis piam.
• Kev tswj qhov mob: Tej zaum koj yuav mob me ntsis tom qab phais. Noj cov tshuaj tua kab mob uas koj tus kws kho mob tau sau tseg raws sijhawm.
• Kev Ua Raws Li: Nco ntsoov mus ntsib kws kho mob kom paub seb qhov txhab puas zoo lawm. Tej zaum koj yuav raug xa mus rau kev kho lub cev (PT). Qhov no yuav pab ua kom daim tawv nqaij uas tau cog rau hauv qhov chaw mos thiab tiv thaiv kom cov nqaij caws pliav tsis txhob nruj.

Puas muaj tej yam txaus ntshai hauv qhov no?

Feem ntau cov tawv nqaij grafts ua tiav. Tab sis zoo li txhua qhov kev phais, muaj qee qhov kev pheej hmoo. Qhov kev pheej hmoo loj tshaj plaws yog tias daim tawv nqaij grafted yuav tsis lo rau qhov chaw zoo (graft failure) . Muaj ntau yam ua rau qhov no tshwm sim.

• Ntshav los yog kua qaub ncaug sib sau ua ke hauv qab daim tawv nqaij uas tau cog rau.
• Kev kis kab mob ntawm qhov txhab.
• Kev puas tsuaj rau qhov chaw cog hniav thaum lub sijhawm kho (piv txwv li, lub pob tawv, rub).
• Teeb meem ntawm cov ntshav ncig. Qhov kev pheej hmoo no muaj ntau dua rau cov neeg haus luam yeeb .

Lwm yam teeb meem yuav suav nrog kev los ntshav, kev sib zog ntawm daim tawv nqaij uas tau cog rau hauv qhov chaw mos, kev hloov pauv ntawm daim tawv nqaij, kev poob/kev hnov ​​​​​​ntau ntxiv, thiab kev caws pliav.

Yog koj muaj cov tsos mob no, qhia rau koj tus kws kho mob tam sim ntawd.

• Yog tias qhov txhab los ntshav ntau dhau los yog kua qaub tawm los.
• Yog koj mob hnyav heev ces txawm tias noj tshuaj tua kab mob los yeej tswj tsis tau.
• Yog koj muaj cov tsos mob ntawm kev kis kab mob xws li kub taub hau thiab mob khaub thuas.

Kev phais tawv nqaij yog ib qho kev phais uas hloov pauv lub neej thiab muaj txiaj ntsig zoo heev. Nws tuaj yeem kho cov tawv nqaij uas ploj lawm, ua kom zoo nkauj dua, thiab rov ua haujlwm ntawm lub cev. Yog li ntawd, tsis txhob ntshai nws. Yog tias koj ua raws li koj tus kws kho mob cov lus qhia, koj tuaj yeem ua tiav cov txiaj ntsig zoo heev.