Qee zaum, nws yog ib qho ib txwm muaj uas yuav ntshai thiab ntxhov siab me ntsis thaum tus kws kho mob hais rau koj tias ib feem ntawm koj txoj hnyuv yuav tsum tau muab tshem tawm vim muaj mob. "Kuv puas yuav muaj peev xwm nyob tau li qub tom qab ib feem ntawm kuv txoj hnyuv raug tshem tawm?" "Puas yog zaub mov yuav tsis zom tau?" Tej zaum koj muaj ntau cov lus nug zoo li no hauv koj lub siab. Yog vim li ntawd, hnub no, peb yuav tham txog qhov 'kev phais plab me me' lossis '(Kev phais plab me me)' hauv cov lus yooj yim.
Hais yooj yim xwb, qhov kev phais no yog phais tshem ib feem ntawm koj txoj hnyuv me uas puas lawm lossis muaj mob. Peb txoj hnyuv me yog ib lub cev ntev heev, ntswj, thiab zoo kawg nkaus uas feem ntau ntev li ntawm 20 thiab 30 feet. Nws yog qhov chaw uas lub cev nqus feem ntau ntawm cov as-ham los ntawm cov khoom noj uas peb noj. Yog li ntawd, txawm tias ib feem me me ntawm txoj hnyuv ntev no raug tshem tawm, peb lub cev feem ntau tuaj yeem hloov kho rau nws thiab ua kom txoj hnyuv ua haujlwm li qub.
Vim li cas thiaj li yuav tsum tau phais mob zoo li no?
Muaj ntau yam ua rau ib feem ntawm txoj hnyuv me me raug tshem tawm. Cov kws kho mob feem ntau pom zoo kom phais qhov no thaum qhov mob tsis tau tswj hwm nrog cov tshuaj lossis kev noj zaub mov tshwj xeeb. Txawm li cas los xij, thaum muaj cov mob uas ua rau tuag taus xws li txoj hnyuv txhaws, kev phais yuav tsum tau ua tam sim ntawd . Nov yog qee qhov laj thawj tseem ceeb rau kev phais no.
| Vim li cas | Piav Qhia Yooj Yim |
|---|---|
| Kev tsim kho txawv txawv | Cov mob xws li cov qog nqaij hlav uas tsis yog mob qog noj ntshav hauv txoj hnyuv me, xws li cov qog nqaij hlav, polyps, lossis mob qog noj ntshav hauv txoj hnyuv me. |
| Teeb meem txij thaum yug los | Cov mob xws li Meckel's diverticulum lossis malrotation ntawm txoj hnyuv, uas muaj txij thaum yug los. |
| Kev kis kab mob mus sij hawm ntev | Cov mob xws li tus kab mob Crohn ua rau cov phab ntsa ntawm txoj hnyuv tuab thiab nqaim (stricture). |
| Mob hernia uas raug zawm | Thaum ib feem ntawm txoj hnyuv raug daig hauv ib qho hernia, cov ntshav ntws mus rau thaj chaw ntawd raug txiav thiab muaj kev pheej hmoo ntawm kev tuag ntawm cov nqaij. |
| Kev thaiv plab hnyuv | Kev txhaws ntawm txoj hnyuv me yog ib qho mob uas txoj hnyuv raug txhaws tag vim qee yam. Qhov no yog ib qho mob uas yuav tsum tau phais mob ceev. |
| Kev sib tsoo | Kev puas tsuaj rau txoj hnyuv vim muaj xwm txheej lossis raug mob, piv txwv li, qhov tho. |
Cov txheej txheem ua phais mob yog dab tsi?
Kev phais mob no ua tau peb txoj kev tseem ceeb. Kev xaiv ib txoj kev no nyob ntawm koj tus mob thiab tus kws phais mob cov lus qhia.
1. Kev phais mob Laparoscopic: Qhov no tsis yog yuav tsum tau phais loj hauv plab. Tiam sis, yuav muaj ob peb qhov kev phais me me xwb thiab yuav muaj lub koob yees duab thiab cov cuab yeej phais mob ntxig rau hauv. Qhov zoo ntawm txoj kev no yog tias nws kho tau sai thiab tsis mob heev.
2. Kev phais mob los ntawm neeg hlau: Qhov no zoo ib yam li kev phais mob laparoscopic, tab sis ntawm no tus kws phais mob tswj cov caj npab ntawm lub tshuab neeg hlau, ua qhov phais mob kom meej dua thiab yooj yim dua .
3. Phais Qhib: Qhov no yog txoj kev ib txwm muaj. Hauv qhov no, yuav muaj kev phais loj hauv plab thiab nkag mus rau hauv cov hnyuv. Txoj kev no siv thaum ob txoj kev ntawd tsis haum.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Nws yog ib qho tseem ceeb uas koj muaj qee lub tswv yim txog qhov no.
Ua ntej, koj yuav raug muab tshuaj loog tag nrho, yog li koj yuav tsis hnov dab tsi thaum lub sijhawm phais.
Tom qab ntawd, tus kws phais yuav siv ib txoj kev uas tau hais ua ntej los txiav qhov uas puas lawm ntawm txoj hnyuv. Tom qab ntawd, yuav siv cov cuab yeej tshwj xeeb (clamps) los tuav qhov seem ntawd rau ob sab thiab mam li txiav qhov uas puas lawm tawm.
Kauj ruam tom ntej yog qhov tseem ceeb tshaj plaws.
- Kev sib txuas ntawm lub cev:Feem ntau, qhov kawg ntawm ob ntu ntawm txoj hnyuv uas tseem nyob tom qab tshem qhov seem ntawd lawm ces yuav raug sib txuas ua ke thiab xaws rov qab ua ke. Qhov no yog ua los ntawm kev siv cov xov tshwj xeeb lossis cov staples. Cov txheej txheem no hu ua anastomosis.
- Ileostomy: Txawm li cas los xij, qee zaum nws tsis tuaj yeem txuas ob feem seem ntawm txoj hnyuv. Piv txwv li, yog tias qhov deb ntawm ob feem loj dhau, lossis yog tias muaj kev kis kab mob tiv thaiv kev sib txuas tam sim ntawd, tus kws kho mob yuav ua lwm yam. Hauv qhov no, qhov qhib (stoma) raug tsim kom qhov kawg ntawm txoj hnyuv me me raug rau ntawm daim tawv nqaij ntawm lub plab. Cov quav tawm los ntawm qhov qhib no thiab sau rau hauv lub hnab tshwj xeeb (lub hnab ostomy) uas txuas rau ntawm daim tawv nqaij. Qhov no hu ua ileostomy. Qhov no tuaj yeem yog ib ntus lossis mus tas li.
Tom qab phais tas, yuav muaj dab tsi tshwm sim? Yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
Koj yuav tau nyob hauv tsev kho mob ob peb hnub tom qab phais.
- Kev Noj Mov: Thaum tseem yau, vim tias cov hnyuv yuav tsum tau so, lawv tsis pub zaub mov los ntawm qhov ncauj. Hloov chaw, lawv pub zaub mov los ntawm kev siv lub raj (tube feeding). Thaum tus menyuam maj mam zoo, cov kua thiab cov khoom noj mos mos tuaj yeem pib noj los ntawm qhov ncauj, raws li tus kws kho mob hais.
- Kev Taug Kev: Thaum nyob hauv tsev kho mob, thiab tom qab koj mus tsev, nws yog ib qho tseem ceeb heev uas yuav tsum sawv ntawm txaj thiab taug kev ncig me ntsis kom tiv thaiv cov ntshav txhaws .
- Lub sijhawm rov zoo: Nws yuav siv sijhawm ob peb lub hlis kom rov zoo tag nrho, tab sis feem ntau cov neeg tuaj yeem rov qab mus ua ub ua no txhua hnub hauv ob peb lub lis piam.
Cov kev pheej hmoo thiab cov teeb meem ntawm kev phais no yog dab tsi?
Ib yam li kev phais mob, muaj qee qhov kev pheej hmoo koom nrog, thiab nws yog ib qho tseem ceeb kom paub txog lawv.
| Kev Pheej Hmoo / Cov Teeb Meem Sab Nraud | Kev piav qhia |
|---|---|
| Qhov xau ntawm qhov anastomotic | Xaus los ntawm cov xov/cov ntsia hlau. Qhov no yog ib qho txaus ntshai heev thiab muaj peev xwm ua rau tuag taus. |
| Mob raws plab | Tej zaum yuav raws plab tau ob peb lub lis piam tom qab phais mob thaum lub cev tab tom hloov kho rau qhov xwm txheej tshiab. |
| Kab mob hernia | Cov ib feem ntawm txoj hnyuv raug thawb tawm los ntawm qhov kev txiav thaum lub sijhawm phais. |
| Lwm yam kev pheej hmoo | Kev kis kab mob, cov ntshav txhaws, ntshav tsis txaus, thiab kev puas tsuaj rau cov kabmob ze xws li lub siab lossis lub txiav. |
Yog koj muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd!
Thaum koj mus tsev tom qab phais lawm, koj yuav tsum tau saib xyuas koj lub cev kom zoo. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob lossis mus rau tsev kho mob tam sim ntawd .
- Nyuaj siab tso quav los yog tsis tso quav tau ob peb hnub.
- Xeev siab thiab ntuav mus txog rau qhov uas tsis tuaj yeem noj mov lossis haus dej.
- Kua paug los yog los ntshav ntawm qhov phais.
- Mob hnyav heev uas tsis ploj mus txawm tias tom qab noj tshuaj lawm los xij.
- Cov cim qhia txog kev kis kab mob, xws li kub taub hau, liab thiab sov so ib ncig ntawm qhov phais.
Nco ntsoov, yog tias koj muaj teeb meem nrog cov tsos mob no, tsis txhob nkim sijhawm thiab mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- 'Kev phais tshem tawm ib feem ntawm txoj hnyuv me uas muaj kab mob lossis puas lawm. Tsis txhob ntshai qhov no.
- Vim tias peb txoj hnyuv me ntev heev, lub cev feem ntau tuaj yeem ua haujlwm tau zoo li qub txawm tias ib feem me me ntawm nws raug tshem tawm los xij.
- Yuav siv sijhawm me ntsis los kho kom zoo tom qab phais. Thaum lub sijhawm ntawd, ua raws li tus kws kho mob cov lus qhia kom zoo.
- Tom qab phais tas, yuav tsum paub txog tej yam txaus ntshai (xws li kub taub hau, mob heev, ntuav, thiab kua tawm ntawm qhov phais). Yog koj pom tej yam no, nrhiav kev pab kho mob tam sim ntawd.
- Yog tias koj muaj lus nug ntxiv txog qhov no, thov nrog koj tus kws kho mob tham.
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