Koj puas tau hnov lub suab txawv txawv, zoo li lub suab pw tsaug zog, thaum koj tus menyuam me ua pa, tshwj xeeb tshaj yog thaum nqus pa? Qee tus niam txiv txhawj xeeb me ntsis txog qhov no. Ib qho laj thawj rau qhov no yuav yog tus mob hu ua 'Laryngomalacia'. Yog li hnub no peb tab tom tham txog kev phais mob hu ua 'Supraglottoplasty' uas ua los daws qhov teeb meem no. Tsis txhob ntshai thaum koj hnov qhov no, cia peb piav qhia txhua yam txog nws yooj yim.
Hais yooj yim xwb, Supraglottoplasty yog dab tsi?
Hais yooj yim xwb, 'Supraglottoplasty' yog ib txoj kev phais. Yog tias muaj cov nqaij ntau dhau hauv peb lub caj pas, lossis 'lub thawv suab' uas peb siv thaum peb hais lus, ces qhov kev phais no yog ua kom ua pa yooj yim dua. Xav txog, thaum koj ua pa, cov nqaij ntau dhau no raug rub mus rau hauv thiab thaiv txoj hlab pa. Tom qab ntawd nws ua rau tus menyuam ua pa nyuaj. Yog li qhov kev phais no tshem tawm qhov kev thaiv ntawd thiab ua rau ua pa yooj yim dua.
Txawm hais tias qhov kev phais no feem ntau ua rau cov menyuam yaus me, qee zaum nws yuav tsim nyog rau cov menyuam loj dua thiab cov neeg laus. Cov kws kho mob tsuas yog pom zoo kom phais no yog tias lwm yam kev kho mob, xws li tshuaj, tsis tau ua tiav. Zuag qhia tag nrho, nws yog kev phais mob uas muaj kev nyab xeeb, sai, thiab ua tiav. Koj (lossis koj tus menyuam) tuaj yeem rov qab mus rau lub neej ib txwm li ntawm ob lub lis piam xwb.
Cov mob twg yuav tsum tau phais mob no?
Feem ntau qhov kev phais no yog ua rau cov menyuam yaus uas muaj mob hu ua 'Laryngomalacia.' Cia peb saib seb nws yog dab tsi.
- Laryngomalacia: Qhov no yog thaum cov nqaij nyob ib puag ncig lub larynx dhau los ua 'xoob' heev. Tom qab ntawd, txhua zaus tus menyuam ua pa, cov nqaij xoob no rub mus rau hauv thiab thaiv txoj hlab pa. Qhov no yog qhov ua rau muaj lub suab snoring uas peb tau hais ua ntej. Tsis yog txhua tus menyuam mos yuav tsum tau phais, thiab feem ntau yuav zoo dua ntawm lawv tus kheej dhau sijhawm. Txawm li cas los xij, kwv yees li 20% ntawm cov menyuam yaus, lossis kwv yees li ib ntawm tsib tus, yuav xav tau qhov kev phais no.
- Kev Pw Tsaug Zog Tsis Taus (OSA): Tsis tas li ntawd, qhov kev phais no qee zaum ua los ntawm kev kho mob rau Kev Pw Tsaug Zog Tsis Taus (OSA) rau cov menyuam yaus thiab cov neeg laus.
Muaj dab tsi tshwm sim ua ntej thiab thaum lub sijhawm phais?
Kev npaj ua ntej phais
Tsis tas yuav npaj ntau ua ntej phais, tab sis koj tus kws kho mob yuav qhia koj txog qee yam.
- Kev tswj cov kua qaub hauv plab: Yog tias koj tus menyuam muaj teeb meem xws li mob plab zom mov tsis zoo, uas txhais tau tias cov kua qaub hauv plab nce mus rau hauv caj pas (acid reflux), koj yuav tau txais tshuaj kom pib ob peb hnub ua ntej phais. Qhov no tuaj yeem pab tiv thaiv cov teeb meem uas yuav tshwm sim tom qab phais.
- Kev ntsuam xyuas kev nqos:Kuj tseem yuav muaj kev kuaj tshwj xeeb (kev kawm txog kev nqos) los saib seb tus menyuam puas nqos tau zoo li qub.
- Kev Yoo Mov: Koj yuav tsum tsis txhob noj thiab haus dej li ob peb teev ua ntej phais. Koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau koj txog qhov no.
Thaum lub sijhawm phais
Qhov no yog ib qho kev phais uas ua nyob rau hauv tsev kho mob, nyob rau hauv kev saib xyuas ntawm tus kws kho mob anesthesiologist, thiab nyob rau hauv kev siv tshuaj loog dav dav. Yog li ntawd, tus menyuam mos tsis hnov mob dab tsi.
Hauv cov lus yooj yim, qhov tshwm sim thaum lub sijhawm phais yog raws li nram no:
1. Ua ntej, tus kws kho mob muab tshuaj loog rau tus menyuam.
2. Tom qab ntawd, tus kws phais siv lub cuab yeej tshwj xeeb uas muaj lub koob yees duab ('laryngoscope') los kuaj lub suab ntawm tus menyuam.
3. Cov nqaij ntau dhau ntawd, uas yog, cov aryepiglottic folds ntawm ob sab ntawm lub larynx, raug tshem tawm siv cov cuab yeej me me los ntawm kev phais me me.
4. Siv daim ntaub qhwv los tswj kev los ntshav.
Tag nrho kev phais mob siv sijhawm tsawg dua ib teev, tab sis tus menyuam yuav raug khaws cia hauv tsev kho mob ib hmos rau kev soj ntsuam tom qab kev phais.
Cov txiaj ntsig, feem pua ntawm kev vam meej, thiab kev pheej hmoo ntawm kev phais mob no yog dab tsi?
Qhov zoo tshaj plaws ntawm qhov no yog ua pa yooj yim dua. Cov menyuam mos uas muaj 'Laryngomalacia' tuaj yeem noj tau zoo thiab pw tsaug zog zoo tom qab phais no. Cov no tseem ceeb heev rau kev loj hlob ntawm lub cev, lub hlwb thiab kev sib raug zoo ntawm tus menyuam. Qee tus menyuam yaus hlawv ntau calories dua li qub vim qhov nyuaj ua pa thiab poob phaus. Kev phais no daws qhov teeb meem ntawd thiab.
Kev tshawb fawb qhia tau tias qhov kev phais mob no muaj kev vam meej txog li 70% txog 100% . Qhov ntawd txhais tau tias feem ntau nws ua tiav.
Ib yam li lwm yam kev phais mob, muaj qee qhov kev pheej hmoo, tab sis tsis muaj dab tsi yuav tsum txhawj txog, vim tias cov kws kho mob ua tib zoo saib xyuas nws heev.
| Tej yam teeb meem tom qab phais (tsis tshua muaj) | |
|---|---|
| Khoom noj los yog kua dej nkag mus rau hauv lub trachea | Kev ntshaw |
| Kev txhaws ntshav | Cov ntshav txhaws |
| Ua pa nyuaj tas li | Teeb meem ua pa tsis tu ncua |
| Kev puas tsuaj rau cov ntaub so ntswg ib puag ncig | Kev puas tsuaj rau cov qauv nyob ib puag ncig |
| Nyuaj nqos | Nyuaj nqos |
| Los ntshav ntau dhau | Los ntshav ntau dhau |
| Cov kab mob sib kis | Kev kis kab mob |
Yuav ua li cas saib xyuas tus menyuam tom qab phais?
Kev Rov Qab Zoo
Feem ntau kev zoo tag nrho yuav tshwm sim hauv ib mus rau ob lub lis piam . Hauv ob peb hnub tom qab phais, tej zaum yuav muaj qee qhov o thiab mob hauv caj pas. Lub suab koj ua thaum ua pa yuav nrov dua li ua ntej phais. Tej zaum koj kuj yuav xav tias tsis xav noj mov me ntsis. Cov no yog ib txwm muaj thiab yuav ploj mus hauv ob peb hnub. Yog li ntawd, tsis txhob txhawj. Txawm li cas los xij, yog tias cov tsos mob no tsis ploj mus tom qab ob lub lis piam, lossis yog tias lawv hnyav zuj zus, nco ntsoov qhia rau koj tus kws kho mob.
Kev saib xyuas hauv tsev
Tus kws kho mob yuav muab cov lus qhia rau koj txog kev saib xyuas koj tus menyuam tom qab phais. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li lawv kom meej.
- Cov Tshuaj: Cov tshuaj tiv thaiv kev rov qab los ntawm cov kua qaub ncaug, xws li H2 blockers lossis proton pump inhibitors, yuav muab tau los tiv thaiv kev kis kab mob hauv tus menyuam lub caj pas thiab txoj hlab pa. Cov tshuaj kuj tseem yuav raug sau kom txo qhov mob.
- Kev Hlub thiab Kev So: Qhov zoo tshaj plaws uas koj ua tau yog kho koj tus menyuam nrog kev hlub ntau. Cia nws so kom zoo thiab muab tshuaj rau nws raws sijhawm. Nco ntsoov, koj tus kws kho mob yeej npaj txhij los pab koj yog tias koj muaj teeb meem lossis kev ntshai.
| Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob tam sim ntawd. |
|---|
| Yog tias lub suab ua pa tseem nce ntxiv tom qab ob lub lis piam. |
| Yog koj hnoos thaum koj haus dej. |
| Yog koj kub taub hau. |
| Yog tias qhov mob tsis ploj mus txawm tias tom qab noj tshuaj loog mob. |
| Yog tias koj ua tsis taus pa hnyav heev. |
Kev phais, tshwj xeeb tshaj yog rau koj tus menyuam me, tuaj yeem ua rau txhua tus niam txiv ntshai. Tab sis 'Supraglottoplasty' yog ib txoj kev phais mob uas ua tiav uas qhib koj tus menyuam lub qhov ncauj thiab pab lawv ua pa tau yooj yim. Qhov no ua rau koj tus menyuam tau pw tsaug zog zoo thiab noj zaub mov zoo uas lawv xav tau rau lawv txoj kev loj hlob. Nug koj tus kws kho mob txhua lo lus nug uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Supraglottoplasty yog ib qho kev phais mob uas muaj kev nyab xeeb thiab ua tau zoo rau cov teeb meem ua pa xws li Laryngomalacia.
- Qhov kev phais no pab tus me nyuam ua pa, noj mov, thiab pw tsaug zog zoo dua.
- Kev rov zoo yuav siv sijhawm ib mus rau ob lub lis piam, thiab nws yog ib qho ib txwm muaj rau cov tsos mob yuav nce me ntsis rau ob peb hnub thawj zaug tom qab phais.
- Ua raws li koj tus kws kho mob cov lus qhia thiab cov tshuaj raws li tau hais tom qab phais.
- Yog koj muaj kev txhawj xeeb lossis kev ntshai, tsis txhob yig nug koj tus kws kho mob.
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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