Tus kws kho mob tej zaum yuav tau qhia rau koj tias koj tus me nyuam muaj Kab Mob Sickle Cell (SCD). Nws yog ib qho ib txwm rau koj, ua niam txiv, kom ntshai thiab ntxhov siab ntau thaum koj hnov qhov no. Thaum nyob nrog tus kab mob no, peb yuav tsum ceev faj txog ntau yam. Yog vim li cas peb thiaj li yuav tsum tau them sai sai, thiab hnub no peb tab tom tham txog qhov teeb meem txaus ntshai uas tuaj yeem ua rau tuag taus. Qhov no hu ua 'Splenic Sequestration'. Txawm hais tias lub npe no txawv me ntsis, yog tias koj paub txog nws kom zoo, koj tuaj yeem tiv thaiv koj tus menyuam.
Splenic Sequestration yog dab tsi tiag?
Yuav kom nkag siab qhov no, cia peb xub nco ntsoov me ntsis txog tus kab mob ntshav liab (SCD). Feem ntau, cov qe ntshav liab hauv ib tus neeg noj qab haus huv yog puag ncig thiab tiaj tus. Zoo li lub disc me me. Lawv txav tau yooj yim los ntawm cov hlab ntsha yam tsis tau daig. Txawm li cas los xij, vim muaj kev hloov pauv ntawm hemoglobin hauv cov qe ntshav liab ntawm ib tug menyuam uas muaj SCD, cov qe ntshav no ua rau tawv thiab zoo li lub qe ntshav liab.
Tam sim no xav txog nws, cov hlwb zoo li daim duab sickle no puas ua luam dej hla cov hlab ntsha yooj yim ib yam li cov hlwb puag ncig ib txwm? Tsis yog, puas yog? Lawv lo ua ke thiab sim nkag mus rau hauv cov hlab ntsha me me.
Qhov ntawd yog qhov uas qhov teeb meem pib. Hauv peb lub cev, sab laug ntawm lub plab, muaj ib lub cev hu ua ' spleen '. Qhov no zoo li tus neeg saib xyuas kev ruaj ntseg hauv peb lub cev. Nws lub luag haujlwm tseem ceeb yog ntxuav cov ntshav los ntawm kev tshem tawm cov kab mob thiab cov qe ntshav qub hauv cov ntshav. Tab sis rau ib tug menyuam uas muaj SCD, cov qe ntshav zoo li tus sickle-shaped no tau daig hauv cov hlab ntsha me me hauv lub spleen. Nws zoo li kev sib tsoo ntawm txoj kev.
Thaum qhov no tshwm sim, cov ntshav uas yuav tsum tau tawm hauv lub qhov ntswg yuav tsis ntws tawm, thiab nws sib sau ua ke sab hauv. Maj mam, lub qhov ntswg yuav puv nrog cov ntshav, o, thiab loj dua. Qhov mob txaus ntshai ntawd hu ua 'Splenic Sequestration.'
Thaum cov ntshav ntau heev uas xav tau kev ncig hauv lub cev mus rau hauv lub qhov ntswg, tus naj npawb ntawm cov qe ntshav liab uas nqa oxygen mus rau lwm qhov ntawm lub cev yuav txo qis sai sai. Qhov no hu ua ntshav tsis txaus. Qhov no tuaj yeem ua rau tus menyuam tsis muaj zog thiab daj ntseg.
Cov tsos mob ntawm tus mob no yog dab tsi? Tej yam koj yuav tsum paub ua niam txiv
Qhov no yog qhov tseem ceeb tshaj plaws. Yog tias koj paub txog cov tsos mob no, koj tuaj yeem ua sai sai thiab cawm tus menyuam txoj sia. Txawm hais tias tus mob no feem ntau tshwm sim rau cov menyuam yaus, nws tuaj yeem tshwm sim rau cov neeg txhua lub hnub nyoog uas muaj SCD.
| Cov tsos mob | Yam koj yuav tsum ceev faj txog |
|---|---|
| Mob rau sab laug ntawm lub plab | Qhov no yog qhov tsos mob tseem ceeb tshaj plaws thiab feem ntau tshwm sim. Yog tias koj tus menyuam yws tias mob thaj chaw uas lub qhov zis nyob, ces txhawj xeeb. |
| Kev loj hlob ntawm tus po (o) | Nug koj tus kws kho mob thiab kawm paub yuav ua li cas kov koj tus menyuam lub qhov ncauj. Yog tias nws zoo li loj dua li qub thiab tawv, qhov ntawd yog ib qho cim ceeb toom. |
| Tsis muaj zog sai sai thiab qaug zog heev | Ceev faj yog tias koj tus menyuam, uas ua si zoo, cia li nkees thiab tsis muaj zog ua rau nws tsis tuaj yeem taug kev. |
| Daim tawv nqaij daj ntseg | Yog tias koj tus menyuam daim di ncauj, cov pos hniav, thiab sab hauv ntawm lawv txhais tes daj ntseg, nws yog ib qho cim qhia tias muaj ntshav tsis txaus. |
| Ua pa sai lossis lub plawv dhia ceev | Thaum lub cev tsis tau txais oxygen txaus, lub plawv thiab lub ntsws ua haujlwm sai dua los them rov qab. |
| Kev npau taws thiab kev chim siab uas tsis piav qhia | Vim tus me nyuam mob, nws yuav npau taws thiab quaj rau tej yam me me. |
| Kev tsaug zog txawv txawv | Yog tias tus me nyuam tsaug zog heev ua rau nws tsis tuaj yeem tsa nws sawv, qhov ntawd kuj yog ib qho cim qhia loj heev. |
Qhov tseem ceeb tshaj plaws: Qee zaum, txawm tias lwm cov tsos mob tsis pom tseeb los xij, tus po o tuaj yeem ua rau cov qe ntshav liab qis heev. Yog li ntawd, yog tias koj pom ib qho ntawm cov cim no, coj koj tus menyuam mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd. Qhov no tsis yog ib qho mob uas tuaj yeem kho tau hauv tsev.
Tus kws kho mob kuaj mob li cas?
Thaum koj coj koj tus menyuam mus rau tsev kho mob, tus kws kho mob yuav ua ob peb kauj ruam los xyuas kom meej qhov mob no.
1. Kev kuaj lub cev : Ua ntej, tus kws kho mob yuav kov tus menyuam lub plab thiab xyuas seb lub po puas o lossis loj dua.
2. Kev kuaj ntshav: Qhov no yog ib qho kev kuaj tseem ceeb. Yuav muab ib qho qauv ntshav ntawm tus menyuam thiab kuaj xyuas seb cov qe ntshav liab qis npaum li cas. Lawv kuj tseem yuav nrhiav kev hloov pauv ntawm cov qe ntshav dawb thiab cov qe ntshav dawb.
3. Lwm yam kev kuaj mob: Qee zaum, yuav muaj kev thaij duab X-ray lossis CT scan kom pom tseeb dua ntawm qhov mob ntawm lub po.
Yuav kho li cas? Tsis txhob ntshai.
Txawm hais tias qhov no yog xwm txheej ceev, nws tuaj yeem tswj tau zoo yog tias koj mus pw hauv tsev kho mob sai sai.
Txoj kev kho mob tseem ceeb yog kev hloov ntshav . Qhov no txhais tau tias tus menyuam cov ntshav liab yuav rov qab zoo li qub los ntawm kev muab ntshav rau nws. Qhov no pab lub cev tau txais cov pa oxygen uas nws xav tau, thiab tus menyuam tus mob yuav zoo sai sai. Qee zaum, yog tias cov ntshav hauv tus po ntau dhau, tus kws kho mob yuav tsum tshem tawm qee cov ntshav ntawm tus menyuam lub cev thaum muab ntshav.
Yuav ua li cas yog tias nws rov tshwm sim?
Ib qho teeb meem nrog kev cais cov noob qes yog tias thaum nws tshwm sim, nws yuav tshwm sim dua . Qee tus menyuam yuav tau ntsib qhov mob no ntau zaus hauv lawv lub neej.
Yog tias qhov teeb meem no tseem tshwm sim, cov kws kho mob yuav hais kom phais tshem lub qhov ncauj tawm (splenectomy). Kev tshem lub qhov ncauj tawm tuaj yeem tiv thaiv qhov mob txaus ntshai no kom tsis txhob rov tshwm sim dua. Txawm li cas los xij, tom qab tshem lub qhov ncauj tawm lawm, lub cev lub peev xwm los tiv thaiv kab mob (kev tiv thaiv kab mob) yuav txo qis me ntsis, yog li tus menyuam yuav tsum tau noj tshuaj tua kab mob tshwj xeeb thiab tshuaj tiv thaiv kab mob kom tiv thaiv qee yam kab mob. Koj tus kws kho mob yuav piav qhia qhov no rau koj kom meej meej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev tso zis tsis pub dhau, uas tuaj yeem tshwm sim rau ib tug me nyuam uas muaj kab mob sickle cell, yog ib qho mob hnyav, txaus ntshai rau lub neej uas yuav tsum tau kho mob ceev.
- Nco ntsoov saib xyuas cov tsos mob xws li mob sab laug ntawm lub plab, ntsej muag dawb paug, qaug zog heev, thiab lub qhov zis o.
- Kawm ntawm koj tus kws kho mob seb yuav ua li cas kov koj tus menyuam lub qhov ncauj. Nws yuav pab cawm koj tus menyuam txoj sia.
- Thaum twg koj pom ib qho ntawm cov tsos mob uas tau hais los saum toj no, tsis txhob nkim sijhawm thiab coj koj tus menyuam mus rau chav kho mob ceev (ETU) ze tshaj plaws hauv tsev kho mob .
- Vim tias muaj kev pheej hmoo siab uas tus mob no yuav rov tshwm sim dua, yuav tsum nrog koj tus kws kho mob sib tham tas li thiab ua raws li cov lus qhia uas tau muab.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus