Thaum tham txog kev kho mob qog noj ntshav, tej zaum koj yuav tau hnov txog kev kho mob hluav taws xob, lossis kev siv hluav taws xob. Tab sis thaum koj hnov "kev siv hluav taws xob rau tag nrho lub cev," koj yuav ntshai me ntsis. Tab sis qhov no yog kev kho mob tseem ceeb heev uas qee zaum yuav tsum tau ua. Yog li hnub no, cia peb tham txog Total Body Irradiation (TBI) yog dab tsi, vim li cas nws thiaj ua, thiab nws ua haujlwm li cas.
Hauv lwm lo lus, kev siv tshuaj tua kab mob tag nrho lub cev (TBI) yog dab tsi?
Kev Siv Hluav Taws Xob Rau Tag Nrho Lub Cev (TBI) yog ib hom kev kho mob hluav taws xob. Txawm li cas los xij, tsis zoo li kev kho mob hluav taws xob ib txwm muaj, kev siv hluav taws xob tsis yog rau ib qho chaw ntawm lub cev xwb. Hloov chaw , ib qho me me ntawm kev siv hluav taws xob raug xa mus rau koj lub cev tag nrho .
Xav txog nws li no: kev kho mob hluav taws xob tsis tu ncua zoo li ci lub teeb rau ntawm ib qho chaw. Tab sis TBI zoo li tig lub teeb rau hauv tag nrho chav, ua rau me ntsis lub teeb poob rau txhua qhov chaw. Cov koob tshuaj ntawm kev siv hluav taws xob ntawm no qis dua li kev kho mob ib qho chaw.
Vim li cas thiaj kho qhov no? Lub hom phiaj ntawm nws yog dab tsi?
Kev kho mob TBI feem ntau yog ua los npaj koj rau kev hloov pob txha lossis hloov noob hlwb. Muaj peb qho laj thawj tseem ceeb uas koj tus kws kho mob yuav pom zoo kom ua li no.
- Tua cov hlwb qog noj ntshav: Qhov no pab tua cov hlwb qog noj ntshav uas zais rau hauv koj cov pob txha, lub paj hlwb, lossis qhov chaw uas lwm yam kev kho mob tsis yooj yim mus txog.
- Ua chaw rau cov pob txha: Kev kho mob no pab ua chaw rau cov pob txha noj qab haus huv uas nyuam qhuav hloov pauv thiab txo cov haujlwm ntawm cov pob txha qub.
- Tswj koj lub cev tiv thaiv kab mob: Qhov no pab tiv thaiv koj lub cev tiv thaiv kab mob kom tsis txhob paub tias cov pob txha tshiab uas tau hloov pauv yog "txawv teb chaws" thiab tsis lees txais nws, yog li ua rau kev hloov pauv yuav muaj feem ntau dua.
Cov mob twg raug kho nrog TBI?
Kev kho mob TBI feem ntau tsis yog ua ib leeg xwb. Nws feem ntau siv ua ke nrog lwm yam kev kho mob qog noj ntshav, xws li kev siv tshuaj kho mob qog noj ntshav. Lub rooj hauv qab no teev qee yam mob uas feem ntau siv rau kev kho mob no.
| Mob nkeeg | Ib qho lus piav qhia yooj yim |
|---|---|
| Kab mob ntshav dawb (leukemia) | Ib qho mob qog nqaij hlav uas tshwm sim hauv cov ntshav thiab cov pob txha. |
| Lymphoma | Ib qho mob qog nqaij hlav uas tshwm sim hauv lub cev lymphatic. |
| Ntau yam mob myeloma | Ib hom mob qog noj ntshav uas cuam tshuam rau cov hlwb ntshav hauv cov pob txha. |
| Myelodysplastic Syndrome | Ib qho mob uas cov pob txha tsis tsim cov qe ntshav zoo. |
Muaj dab tsi tshwm sim ua ntej kev kho mob? (Kev Ua Qauv)
Ua ntej koj tau txais kev kho mob TBI, koj yuav muaj ib lub sijhawm tshwj xeeb hu ua "kev sim ua." Qhov no zoo li kev ntsuas ua ntej koj tau txais ib lub tsho. Nws zoo li kev xyaum ua ntej koj tau txais kev kho mob. Lub hom phiaj tseem ceeb ntawm qhov no yog los npaj qhov chaw zoo tshaj plaws rau koj kom ntseeg tau tias koj lub cev tau txais cov tshuaj tua kab mob kom raug, raws li txoj kev raug .
Hauv qhov kev sim no:
- Koj yuav raug muab tso rau ntawm ib lub rooj tshwj xeeb thiab yuav ua ib daim duab CT scan los qhia thaj chaw uas yuav kho.
- Tus kws kho mob siv hluav taws xob yuav ntsuas ntau yam ntawm koj lub cev.
- Tom qab txiav txim siab qhov chaw zoo tshaj plaws rau koj lub cev, lawv yuav ua qee cov cim me me rau ntawm koj daim tawv nqaij. Lawv kuj tseem yuav thaij duab. Cov no yuav pab koj nyob twj ywm rau tib qho chaw thaum hnub kho mob. Cov cim no yuav nyob mus ib txhis, tab sis lawv me heev.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Tej zaum koj yuav tau nyob hauv tsev kho mob ob peb hnub tom qab tau txais kev kho mob TBI. Nov yog qhov tshwm sim thaum lub sijhawm kho mob:
- Tus kws kho mob hluav taws xob yuav muab koj tso rau tib qho chaw li koj tau nyob hauv qhov kev sim ua ntej.
- Yuav kom txo tau qhov koob tshuaj radioactive rau qee cov kabmob, xws li koj lub ntsws, cov vaj huam sib luag tshwj xeeb lossis cov ntaub thaiv tuaj yeem muab tso rau saum cov kabmob ntawd.
- Yuav kom ntseeg tau tias cov hluav taws xob tau faib thoob plaws hauv koj lub cev, koj tuaj yeem teeb tsa ib yam dab tsi zoo li lub vijtsam loj rau ntawm koj xub ntiag.
- Ces tus kws kho mob mam li tawm hauv chav. Tiamsis tsis txhob txhawj, koj tsis nyob ib leeg xwb. Koj tuaj yeem tham nrog lawv los ntawm lub intercom. Lawv tab tom saib koj los ntawm sab nraud.
- Ib lub tshuab loj hu ua "linear accelerator" txav mus los ib puag ncig koj, xa cov hluav taws xob raws li txoj kev npaj tseg.
Qhov tseem ceeb tshaj plaws yog koj yuav tsis hnov mob thaum lub sijhawm kho mob no. Koj yuav tsis hnov cov teeb ci ntsa iab, thiab lub tshuab yuav tsis ntaus koj lub cev.
Ib zaug kev kho mob feem ntau yuav siv sijhawm txog li 60 feeb. Koj thawj zaug kev kho mob yuav siv sijhawm ntev dua me ntsis vim tias tus kws kho mob yuav thaij duab X-ray ntxiv kom paub tseeb tias koj lub cev zoo 100%. Koj kuj tseem yuav raug tso cai ua tej yam xws li mloog nkauj thaum lub sijhawm no.
Kuv yuav siv txoj kev kho mob no ntev npaum li cas?
Feem ntau cov neeg tau txais kev kho mob TBI ob lossis peb zaug hauv ib hnub rau peb txog tsib hnub. Koj pab neeg kho mob yuav piav qhia tias koj yuav tsum tau kho pes tsawg zaus ua ntej koj pib kho mob.
Cov kev pheej hmoo thiab cov kev phiv ntawm qhov no yog dab tsi?
Ib yam li kev kho mob twg los xij, kev kho mob TBI tuaj yeem muaj cov kev mob tshwm sim. Cov kev mob tshwm sim no tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg. Muaj ntau yam uas tuaj yeem cuam tshuam rau lawv:
- Tus naj npawb ntawm kev kho mob uas koj yuav tau txais.
- Qhov koob tshuaj ntawm kev tawg hluav taws xob uas tau muab.
- Koj txoj kev noj qab haus huv tag nrho.
Cov kev mob tshwm sim feem ntau muab faib ua ob pawg: luv luv thiab ntev.
Cov kev mob tshwm sim luv luv
Cov no feem ntau tshwm sim ob peb hnub lossis ob peb lub lis piam tom qab pib kho mob thiab ploj mus raws sijhawm.
| Cov kev mob tshwm sim luv luv uas tshwm sim ntau zaus | |
|---|---|
| Mob raws plab | Kev qaug zog |
| Kev poob plaub hau | Mob taub hau |
| Xeev siab los yog ntuav | Kev hloov pauv ntawm daim tawv nqaij (khaus, hloov xim) |
| Kev pheej hmoo vim muaj cov qe ntshav tsawg | |
| Los ntshav (ntswg los ntshav, cov pos hniav los ntshav - epistaxis) | Kev pheej hmoo ntawm kev kis kab mob ntau ntxiv |
| Kab mob ntshav tsis txaus hlau | |
Cov kev mob tshwm sim mus sij hawm ntev
Cov no tsis tshua muaj, tej zaum yuav tshwm sim ntev tom qab kho mob, thiab tej zaum yuav kav ntev heev.
- Cataracts: Kev ua kom lub lens ntawm lub qhov muag puas.
- Kev Tsis Muaj Me Nyuam: Cuam tshuam rau lub peev xwm muaj menyuam.
- Kab mob ntsws fibrosis: Kev mob ntsws ua rau cov nqaij ntsws caws pliav, ua rau ua pa nyuaj.
- Hypothyroidism: Txo cov thyroid hormone, uas tswj lub cev cov metabolism.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias muaj kev pheej hmoo me me ntawm kev mob qog noj ntshav hom thib ob tom qab hloov pob txha. Txawm li cas los xij, qhov kev pheej hmoo no me heev piv rau cov kev pheej hmoo kev noj qab haus huv ntawm kev tsis muaj kev hloov pob txha. Tham nrog koj tus kws kho mob txog qhov no qhib siab.
Koj yuav saib xyuas koj tus kheej li cas tom qab kho mob?
Kev tswj cov kev mob tshwm sim tuaj yeem ua rau lub sijhawm kho mob no yooj yim dua. Nov yog qee yam koj tuaj yeem ua tau:
- Yog koj xav tias xeev siab, tsis txhob yig nug txog tshuaj .
- Saib xyuas koj daim tawv nqaij. Ua raws li koj tus kws kho mob cov lus qhia saib xyuas daim tawv nqaij. Siv cov tshuaj pleev kom noo noo tsis tu ncua.
- Yog tias koj ua tau, koom nrog ib pawg neeg txhawb nqa nrog cov neeg uas tau muaj kev paub zoo sib xws.
- Qhia koj tej kev xav thiab kev xav txog txoj kev kho mob no rau ib tus neeg uas koj ntseeg siab (tus kws kho mob hlwb, ib tug neeg hauv tsev neeg, lossis ib tug phooj ywg).
- Sim kom tau tsawg kawg yim teev pw tsaug zog zoo txhua hmo.
- Tom qab tawm hauv tsev kho mob, yog tias ua tau , so me ntsis ntawm kev ua haujlwm thiab so kom txaus.
Thaum twg koj yuav tsum tau nrog kws kho mob tham?
Yog tias koj muaj cov tsos mob hauv qab no thaum lub sijhawm lossis tom qab kho mob, qhia rau koj tus kws kho mob tam sim ntawd.
- Mob khaub thuas
- Ua npaws
- Kev hloov pauv ntawm daim tawv nqaij (piv txwv li, ua pob khaus, tawv nqaij tev tawm)
Nws yog ib qho ib txwm muaj uas yuav ntshai thaum koj hnov cov lus "kev siv hluav taws xob tag nrho lub cev" thiab leej twg tsis ntshai? Tab sis tham nrog koj tus kws kho mob txog kev siv hluav taws xob txog tej lus nug lossis kev txhawj xeeb uas koj muaj. TBI siv cov tshuaj hluav taws xob tsawg dua li lwm yam kev kho mob hluav taws xob. Cov thev naus laus zis tshiab kuj tau txo qis cov tshuaj hluav taws xob uas siv los kho cov nqaij noj qab haus huv. Nws tuaj yeem tua cov hlwb qog nqaij hlav uas tiv taus lwm yam kev kho mob. Nws kuj tseem ua rau muaj feem ntau ntawm kev hloov pob txha kom ua tiav yam tsis muaj kev tsis lees paub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Siv Hluav Taws Xob Rau Tag Nrho Lub Cev (TBI) yog kev kho mob uas xa cov hluav taws xob tsawg tsawg rau koj lub cev tag nrho los npaj koj rau kev hloov pob txha.
- Koj yuav tsis hnov mob dab tsi li no.
- Lub hom phiaj tseem ceeb yog rhuav tshem cov hlwb qog nqaij hlav uas tseem tshuav, ua chaw rau cov pob txha tshiab, thiab tiv thaiv kom tsis txhob muaj kev tsis lees txais cov pob txha hloov.
- Tej zaum yuav muaj tej yam tshwm sim luv luv xws li plaub hau poob, qaug zog, thiab xeev siab. Tej no yeej tswj tau.
- Tham nrog koj pab neeg kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj. Lawv yeej npaj siab pab koj.
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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