Tus po yog ib lub cev me me, loj li lub nrig nyob rau sab laug ntawm koj lub plab, nyob saum koj lub tav. Tej zaum koj yuav tsis tau hnov txog nws, tab sis nws yog ib feem tseem ceeb heev ntawm peb lub cev tiv thaiv kab mob. Hais yooj yim, lub luag haujlwm tseem ceeb ntawm tus po yog tsim cov qe ntshav dawb uas tawm tsam kab mob, thiab lim cov qe ntshav qub, puas lawm. Yog li, yog tias tus po tsis tuaj yeem ua cov haujlwm no kom raug, txawm tias yog vim muaj xwm txheej lossis mob, nws tuaj yeem ua rau koj txoj kev noj qab haus huv. Thaum ntawd cov kws kho mob txiav txim siab phais tus po tawm (splenectomy).
Puas ua tau kom nyob tsis muaj tus po?
Lo lus nug no tej zaum yuav tau los rau koj thiab. Yog lawm, nws yeej ua tau. Tom qab tshem lub qhov zis tawm lawm, feem ntau ntawm txoj haujlwm uas nws ua yog peb lub siab thiab pob txha ua. Yog li ntawd, tsis muaj teeb meem rau koj kom ua neej nyob zoo, noj qab nyob zoo, thiab muaj txiaj ntsig.
Tiam sis muaj ib yam. Lub qhov ntswg yog ib tug tub rog muaj zog uas tawm tsam cov kab mob. Yog li thaum nws ploj mus, peb lub cev lub peev xwm los tawm tsam cov kab mob yuav qaug zog me ntsis. Yog li peb yuav tsum ceev faj dua li niaj zaus.
Qhov ntawd txhais tau tias peb yuav tsum ceev faj tshwj xeeb txog tej yam xws li kev txhaj tshuaj tiv thaiv kab mob raws sijhawm thiab ceev faj txog cov tsos mob ntawm kev kis kab mob.
Vim li cas koj thiaj yuav tsum tshem tawm tus po no?
Muaj ntau yam ua rau lub qhov ntswg raug tshem tawm. Txij li qhov xwm txheej mus rau kev mob ntev, muaj ntau yam ua rau qhov no. Cia peb saib cov laj thawj tseem ceeb.
| Vim li cas | Kev piav qhia |
|---|---|
| Lub qhov ncauj tawg | Qhov no yog qhov xwm txheej ceev tshaj plaws. Xav txog seb koj raug ntaus hnyav rau sab laug ntawm koj lub plab, txawm yog los ntawm kev sib tsoo tsheb, kev poob ntawm qhov siab, lossis thaum ua si kis las. Qhov no tuaj yeem ua rau koj lub pores puas tsuaj thiab ua rau los ntshav sab hauv. Qhov no tuaj yeem ua rau tuag taus thiab yuav tsum tau phais tam sim ntawd. |
| Kev Mob Ntshav | Thaum lwm yam kev kho mob tsis ua haujlwm rau qee yam kab mob ntsig txog ntshav, yuav muab tus po tshem tawm. Piv txwv li: Idiopathic Thrombocytopenic Purpura (ITP), Polycythemia Vera, Thalassemia, Sickle Cell Anemia, thiab Autoimmune Hemolytic Anemia. |
| Hom Mob Cancer | Yog tias tus po loj hlob thiab mob vim yog mob qog noj ntshav xws li Hodgkin Lymphoma thiab Non-Hodgkin Lymphoma, nws yuav tsum tau raug tshem tawm. Qee zaum tus po kuj raug tshem tawm thaum lub sijhawm phais mob qog noj ntshav pancreatic. |
| Splenomegaly | Yog tias tus po loj tuaj yam tsis muaj laj thawj pom tseeb thiab ua rau muaj cov tsos mob xws li mob plab, yuav muab tus po tshem tawm kom nrhiav tau qhov ua rau thiab tswj cov tsos mob. |
| Kev kis kab mob | Tsis tshua muaj, yog tias muaj ib yam dab tsi zoo li qaws tawm hauv lub po, yuav tsum tau phais kom tshem tawm. |
Ua ntej koj phais koj yuav tsum ua dab tsi?
Yog tias qhov kev phais no tsis yog xwm txheej ceev, tab sis yog ib qho kev phais uas tau npaj tseg lawm, koj yuav muaj sijhawm npaj. Koj tus kws kho mob yuav piav qhia txog tej no rau koj.
- Txhaj tshuaj tiv thaiv kab mob: Qhov no tseem ceeb heev. Vim tias qhov kev pheej hmoo ntawm kev kis kab mob siab dua tom qab tshem lub qhov ntswg, nws yog ib qho tseem ceeb kom tau txais cov tshuaj tiv thaiv kab mob tsim nyog los tiv thaiv cov kab mob ntawd ob peb lub lis piam ua ntej phais. Ua li no, koj lub cev txoj kev tiv thaiv kab mob yuav nyob rau ntawm nws qhov siab tshaj plaws thaum phais tiav.
- Tsis txhob haus luam yeeb: Yog tias koj haus luam yeeb, kev txiav luam yeeb ua ntej phais mob tuaj yeem pab koj cov qhov txhab kho sai dua.
- Kev kuaj mob: Koj tus kws kho mob yuav kuaj koj, ua kev kuaj ntshav, luam theej duab, thiab lwm yam kev kuaj kom paub tseeb tias koj lub cev nyob rau hauv qhov zoo rau kev phais.
- Lwm cov lus qhia: Koj tus kws kho mob yuav qhia koj thaum twg yuav tsum tsis txhob noj thiab haus dej ib hnub ua ntej phais, thiab seb koj puas yuav tsum tsis txhob noj qee yam tshuaj ib ntus, xws li cov tshuaj ua kom ntshav nyias.
Yuav ua li cas thiaj phais tau?
Muaj ob txoj kev phais mob tseem ceeb los tshem tawm lub qhov ntswg. Hauv ob txoj kev phais mob no, koj raug muab tshuaj loog rau hauv koj lub qhov ntswg, yog li koj tsis hnov dab tsi thiab pw tsaug zog lawm.
Kev Phais Mob Laparoscopic
Qhov no yog txoj kev siv ntau tshaj plaws tam sim no. Nws tseem hu ua "keyhole surgery." Hloov chaw ua qhov phais loj hauv plab, qhov kev phais yog ua los ntawm 3 lossis 4 qhov phais me me, uas siv lub koob yees duab (laparoscope) thiab cov cuab yeej phais mos mos. Tus kws phais ua qhov phais thaum saib cov duab los ntawm lub koob yees duab ntawm lub monitor. Hauv txoj kev no, qhov phais me me, yog li muaj mob tsawg dua, rov zoo sai dua , thiab siv sijhawm tsawg dua hauv tsev kho mob.
Kev Phais Qhib
Yog tias lub qhov hnyuv loj heev lossis los ntshav tsis tu ncua, nws yuav nyuaj rau tshem nws tawm los ntawm kev phais laparoscopic. Thaum ntawd cov kws kho mob thiaj li siv kev phais qhib. Qhov no suav nrog kev phais loj me ntsis hauv plab.
Tom qab phais tas, muaj dab tsi tshwm sim?
Koj yuav rov qab mus tsev tau li ob mus rau peb hnub yog tias koj tau phais laparoscopic, thiab li tsib mus rau xya hnub yog tias koj tau phais qhib. Ua ntej koj mus tsev, pab neeg kho mob yuav piav qhia rau koj txog tej yam uas koj yuav tsum tau saib xyuas thaum tsis muaj lub qhov zis.
- Tau txais cov tshuaj tiv thaiv kab mob kom raug: Koj yuav tau txais ib daim ntawv teem sijhawm txhaj tshuaj tiv thaiv kab mob tshwj xeeb. Cov no suav nrog cov tshuaj tiv thaiv kab mob Pneumococcus, Meningococcus, Haemophilus influenzae type b (Hib), thiab cov tshuaj tiv thaiv kab mob khaub thuas txhua xyoo thiab cov tshuaj tiv thaiv COVID. Nws yog ib qho tseem ceeb kom tau txais cov tshuaj tiv thaiv kab mob no raws sijhawm.
- Cov Tshuaj Tua Kab Mob: Ib txhia neeg, tshwj xeeb tshaj yog cov menyuam yaus hnub nyoog qis dua 5 xyoos thiab cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog, yuav tau txais kev noj tshuaj tua kab mob txhua hnub. Tsis tas li ntawd, koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj tua kab mob thaum muaj xwm txheej ceev thaum koj muaj cov tsos mob ntawm kev kis kab mob, xws li kub taub hau lossis hnoos.
- Daim Ntawv Pov Thawj Kho Mob: Nws yog ib qho tseem ceeb heev uas yuav tsum nqa daim npav lossis daim ntawv pov thawj kho mob uas qhia tias koj lub qhov zis tau raug tshem tawm lawm. Qhov no yuav pab tau zoo rau cov neeg uas kho koj thaum muaj xwm txheej ceev.
- Thaum mus ncig teb chaws: Yog tias koj yuav mus ncig teb chaws ntev, tshwj xeeb tshaj yog mus rau thaj chaw uas muaj cov kab mob xws li mob malaria, mus ntsib koj tus kws kho mob ob peb lub lis piam ua ntej koj tawm mus kom tau txais cov lus qhia thiab kev txhaj tshuaj tiv thaiv kab mob tsim nyog.
Tej yam yuav tsum tau ceev faj thiab thaum twg yuav tsum nrhiav kev pab kho mob
Rau ib tug neeg uas tsis muaj lub qhov ntswg, txawm tias yog ib qho kev kis kab mob me me xwb los kuj tuaj yeem ua rau mob hnyav sai sai. Yog li ntawd, yuav tsum paub txog cov tsos mob no. Cov no kuj hu ua "cov cim qhia liab."
| Yog koj muaj cov tsos mob no, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) uas nyob ze tshaj plaws tam sim ntawd! | |
|---|---|
| Kub taub hau (ntau tshaj 101°F / 38.5°C) | Ntshai vim txias |
| Cov kua tawm zoo li kua qaub los ntawm qhov txhab phais | Liab thiab o ntawm qhov txhab |
| Hnoos thiab ua pa nyuaj | Mob plab heev, xeev siab, thiab ntuav |
| Yog koj raug tsiaj tom (tshwj xeeb yog dev, miv) | Qhov mob tsis ploj mus txawm tias noj tshuaj loog mob |
OPSI (Owwhelming Post-Splenectomy Infection) yog ib qho kab mob hnyav uas tshwm sim tom qab phais. Qhov no tuaj yeem ua rau tuag taus yog tias tsis kho sai. Yog li ntawd , yog tias koj muaj ib qho ntawm cov tsos mob saum toj no, tsis txhob nkim sijhawm thiab mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais tshem lub qog ntshav tawm yog ib qho kev phais kom tshem lub qog ntshav tawm. Txawm hais tias qhov no yog ib qho kev phais loj, koj tuaj yeem ua neej nyob zoo thiab noj qab nyob zoo yam tsis muaj lub qog ntshav.
- Yog tsis muaj lub noob qes, koj lub cev lub peev xwm los tawm tsam cov kab mob yuav txo qis me ntsis. Yog li ntawd, kev tiv thaiv koj tus kheej ntawm cov kab mob yog qhov tseem ceeb tshaj plaws.
- Tau txais tag nrho cov tshuaj tiv thaiv kab mob uas koj tus kws kho mob tau sau tseg raws sijhawm, tsis txhob hla ib qho ntawm lawv.
- Yog koj muaj tej yam cim qhia tias koj muaj kab mob, xws li kub taub hau, mob khaub thuas, lossis qhov txhab o, tsis txhob tsis quav ntsej. Nrhiav kev pab kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) uas nyob ze tshaj plaws.
- Los ntawm kev ua raws li koj tus kws kho mob cov lus qhia raws nraim, koj tuaj yeem nyob twj ywm thiab noj qab nyob 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