Koj puas muaj teeb meem mob plab hnyuv uas tsis kho tau ntev, uas yog mob qog hauv plab (Peptic Ulcer Disease)? Txawm tias tom qab noj tshuaj lawm los, qee zaum cov qog no tseem kho tsis tau zoo. Hauv cov mob hnyav heev, hnub no peb yuav tham txog kev phais tshwj xeeb uas cov kws kho mob pom zoo. Qhov no hu ua Vagotomy. Tej zaum koj yuav tsis tau hnov txog lub npe no. Tab sis qhov no yog ib txoj kev kho mob tseem ceeb heev. Cia peb saib seb nws yog dab tsi yooj yim.
Hais yooj yim xwb, Vagotomy yog dab tsi?
Xav txog tias muaj ib txoj xov tooj tshwj xeeb uas nqa cov ntaub ntawv ntawm koj lub hlwb thiab lub cev zom zaub mov hauv koj lub plab. Hauv kev kho mob, peb hu qhov no ua Vagus Nerve. Cov hlab ntsha no yog qhov uas muab rau koj lub plab lub cim kom "tso cov kua qaub tam sim no." Thaum peb noj mov, nws yog Vagus hlab ntsha no uas xa cov lus los ntawm lub hlwb los tsim cov kua qaub uas xav tau los zom cov zaub mov ntawd.
Tam sim no, qee tus neeg lub plab tsim cov kua qaub ntau dhau. Qhov no tuaj yeem ua rau lub plab puas tsuaj thiab ua rau cov qhov txhab uas tsis kho . Kev phais vagotomy suav nrog kev txiav ib feem ntawm cov hlab ntsha vagus uas xa cov lus los ntawm lub hlwb mus rau lub plab kom tsim cov kua qaub. Ib yam li kev txiav cov xov tooj xov tooj txwv tsis pub xa cov lus, kev txiav cov hlab ntsha no txo cov teeb liab mus rau lub plab kom tsim cov kua qaub. Qhov no pab tswj kev tsim cov kua qaub hauv plab , pab kho cov qhov txhab thiab tiv thaiv cov tshiab los ntawm kev tsim.
Qhov no tsis yog ib yam dab tsi uas ua rau mob gastritis ib txwm muaj. Nws yog qhov kawg rau cov mob ulcers loj heev uas tsis tuaj yeem kho nrog tshuaj.
Cov hom kev phais vagotomy tseem ceeb yog dab tsi?
Cov hlab ntsha vagus zoo li lub cev ntoo uas pib thiab ceg tawm. Kev phais mob vagotomy muaj ob hom loj nyob ntawm seb cov hlab ntsha no raug txiav qhov twg. Cov teebmeem ntawm ob qho no txawv me ntsis.
| Hom kev phais mob | Piav qhia yooj yim |
|---|---|
| Kev phais mob vagotomy ntawm lub qhov ntswg | Qhov no suav nrog kev txiav lub cev tseem ceeb ntawm cov hlab ntsha vagus. Qhov no zoo li txiav lub cev tseem ceeb ntawm tsob ntoo. Qhov no tsis yog tsuas yog cuam tshuam rau lub plab xwb, tab sis kuj tseem cuam tshuam rau lub siab, lub zais zis, lub txiav, thiab cov hnyuv. Txawm hais tias qhov no txo cov kua qaub ntau heev, nws kuj tseem tuaj yeem cuam tshuam rau lwm qhov ntawm lub cev zom zaub mov (cov kev mob tshwm sim). |
| Kev Xaiv Tsa Vagotomy Zoo Heev | Hauv qhov no, tsis muaj dab tsi ua rau lub cev tseem ceeb ntawm cov hlab ntsha. Hloov chaw, tsuas yog cov ceg hlab ntsha me me uas nqa cov cim mus rau cov hlwb tsim cov kua qaub (cov hlwb parietal) hauv lub plab thiaj li raug txiav thiab tshem tawm. Qhov no zoo li txiav ib ceg ntoo yam tsis ua rau lub cev puas tsuaj. Qhov no ua rau muaj kev phiv tsawg heev. Txawm li cas los xij, qhov no yog kev phais mob nyuaj rau tus kws phais thiab xav tau kev txawj ntau dua. |
Yog li ntawd, yuav ua qhov kev phais no rau hauv cov xwm txheej twg?
Feem ntau, cov mob plab kho tau los ntawm kev siv tshuaj. Txawm li cas los xij, muaj qee kis mob hnyav. Thaum ntawd koj yuav tsum xav txog kev phais vagotomy.
- Cov Qhov Ncauj Los Ntshav: Yog tias qhov ncauj tseem los ntshav thiab tsis tuaj yeem tswj tau nrog cov txheej txheem xws li endoscopy, yuav tsum tau phais mob los kho qhov ncauj. Kuj tseem yuav tau ua vagotomy kom tiv thaiv kev tsim cov qhov ncauj ntxiv.
- Mob Qhov Ncauj Uas Muaj Qhov: Qhov no yog qhov xwm txheej ceev. Yog tias qhov mob qhov tob txaus ua rau muaj qhov hauv phab ntsa, cov kua qaub hauv plab thiab zaub mov tuaj yeem nkag mus rau hauv lub plab, ua rau muaj kev kis kab mob loj heev. Hauv cov xwm txheej zoo li no, yuav tsum tau phais kom kaw qhov qhov sai li sai tau. Kuj tseem yuav ua tau vagotomy. Hauv cov xwm txheej zoo li no, koj yuav raug xa mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd.
- Kev Thaiv Qhov Tawm ntawm Lub Plab: Cov nqaij caws pliav los ntawm kev raug mob ntev tuaj yeem thaiv txoj kev hla ntawm cov zaub mov los ntawm lub plab mus rau hauv txoj hnyuv me. Qhov no tuaj yeem ua rau cov zaub mov daig hauv lub plab thiab ua rau ntuav . Kev phais vagotomy kuj tseem tuaj yeem ua thaum lub sijhawm phais kom tshem tawm qhov kev thaiv no.
Lwm yam kev phais mob ua nrog rau kev phais vagotomy
Feem ntau, kev phais vagotomy tsis yog ib qho kev phais uas ua nws tus kheej xwb. Nws yog ua ua ke nrog lwm yam kev phais kom kho cov teeb meem uas tshwm sim los ntawm kev raug mob.
1. Kev phais plab nrog kev phais plab
Muaj tej zaum yuav muaj tej yam mob hnyav heev uas yuav tsum tau muab ib feem ntawm lub plab tshem tawm. Qhov no hu ua kev phais plab hnyuv (gastrectomy). Feem ntau, qhov qis ntawm lub plab raug tshem tawm. Qhov no tsim cov tshuaj hormones hu ua gastrin. Cov tshuaj hormones no kuj pab tsim cov kua qaub. Yog li ntawd, thaum ib feem ntawm lub plab raug tshem tawm, yuav tsum tau phais vagotomy kom tiv thaiv kev raug mob dua.
2. Kev phais vagotomy nrog Pyloroplasty
Yog tias peb ua qhov kev phais Truncal Vagotomy uas peb tau tham txog ua ntej, peb yeej yuav tsum ua qhov kev phais pyloroplasty no tib lub sijhawm. Ntawm qhov kawg ntawm lub plab, muaj ib feem zoo li cov leeg nqaij hu ua pylorus. Qhov no zoo li lub rooj vag uas qhib thiab kaw kom cov zaub mov hla mus rau hauv txoj hnyuv me. Thaum lub cev tseem ceeb ntawm cov hlab ntsha vagus raug txiav hauv truncal vagotomy, cov cim uas qhib thiab kaw lub rooj vag no ploj mus. Tom qab ntawd cov zaub mov daig hauv lub plab. Kev phais Pyloroplasty yog ua los kho lub rooj vag ntawd kom nws ib txwm qhib. Tom qab ntawd cov zaub mov hla mus rau hauv txoj hnyuv me yooj yim.
Ua ntej thiab thaum lub sijhawm phais mob muaj dab tsi tshwm sim?
Ua ntej phais, koj yuav tau txais kev kho mob tsim nyog kom koj txoj kev noj qab haus huv zoo. Piv txwv li, koj yuav tau txais cov tshuaj saline yog tias koj lub cev qhuav dej vim ntuav, lossis ntshav yog tias koj tau poob ntshav vim los ntshav. Koj tseem yuav tau txais cov tshuaj tua kab mob kom tiv thaiv kev kis kab mob thiab cov tshuaj kom tiv thaiv cov ntshav txhaws . Kev phais yog ua tiav hauv qab tshuaj loog , uas txhais tau tias koj yuav tsaug zog tag nrho.
Muaj ob txoj kev los ua qhov phais:
- Kev Phais Qhib: Txoj kev ib txwm muaj, ua los ntawm kev phais loj hauv plab.
- Kev Phais Mob Laparoscopic: Qhov no kuj hu ua 'keyhole surgery'. Nws yog ib qho txheej txheem uas tsuas yog ua ob peb qhov me me hauv plab thiab ntxig lub koob yees duab thiab cov cuab yeej siv yooj yim. Qhov no ua rau lub sijhawm kho tsawg dua thiab cov qhov txhab me dua.
Tus kws phais yuav txiav txim siab seb txoj kev twg zoo tshaj plaws rau koj.
Tom qab phais lawm, yuav muaj dab tsi tshwm sim? Tej yam txaus ntshai thiab tej yam tshwm sim tsis zoo uas yuav tshwm sim
Nyob ntawm seb qhov kev phais mob zoo li cas, tej zaum koj yuav tau nyob hauv tsev kho mob ob peb hnub. Koj yuav raug xa mus tsev thaum koj taug kev tau thiab ua haujlwm tau ywj pheej dua. Tej zaum yuav siv sijhawm ob peb lub lis piam kom rov zoo tag nrho. Koj yuav pib noj zaub mov ua kua thiab maj mam hloov mus noj zaub mov li qub.
Ib yam li lwm yam kev phais mob, qhov no muaj qee qhov kev pheej hmoo.
| Kev pheej hmoo thiab cov kev mob tshwm sim | Kev piav qhia |
|---|---|
| Kev pheej hmoo thaum lub sijhawm phais | Kev puas tsuaj rau cov kabmob ib puag ncig, cov hlab ntsha, lossis cov hlab ntsha, kev kis kab mob, los ntshav ntau dhau, cov ntshav txhaws, thiab lwm yam. |
| Mob raws plab | Qhov no yog ib qho kev mob tshwm sim uas tshwm sim ntau zaus, tshwj xeeb tshaj yog tom qab truncal vagotomy. Qhov mob no tshwm sim thaum cov kua tsib ntws mus rau hauv txoj hnyuv vim yog txo qis ntawm cov hlab ntsha mus rau lub zais zis. Qhov no feem ntau yog ib ntus xwb. |
| Kev Tso Tseg Syndrome | Qhov no yog tshwm sim los ntawm kev phais pyloroplasty. Thaum cov khoom noj txav mus sai sai los ntawm lub plab mus rau cov hnyuv, xeev siab, mob plab, thiab raws plab yuav tshwm sim tam sim ntawd tom qab noj mov. Qee zaum, ob peb teev tom qab, cov ntshav qab zib yuav poob qis thiab koj yuav xav tias tsaus muag. Qhov no tuaj yeem tswj tau los ntawm kev hloov koj cov zaub mov noj. |
| Pob zeb hauv lub zais zis | Tom qab truncal vagotomy, cov kua tsib yuav sib sau ua ke thiab ua pob zeb vim yog qhov ua haujlwm ntawm lub zais zis tsis zoo. |
Cov kev mob tshwm sim no tsis tshwm sim rau txhua tus neeg. Thiab koj tus kws kho mob yuav muab tshuaj thiab lus qhia rau koj kom tswj tau feem ntau ntawm lawv. Qhov tseem ceeb tshaj plaws, qhov txiaj ntsig tseem ceeb ntawm kev phais mob no yog lub peev xwm kho tau tag nrho cov qhov txhab hauv plab uas tau ntev thiab tsis tau kho.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Vagotomy yog ib qho kev phais tshwj xeeb uas ua rau mob qog hauv plab hnyav thiab nyuaj (Peptic Ulcers) uas tsis tuaj yeem kho tau nrog tshuaj.
- Ntawm no, qhov tseem ceeb ntawm Vagus Nerve, uas nqa cov teeb liab los ntawm lub hlwb mus rau lub plab kom tsim cov kua qaub, raug txiav thiab tshem tawm.
- Muaj ob hom kev phais mob no tseem ceeb: Truncal Vagotomy thiab Highly Selective Vagotomy.
- Qhov no feem ntau ua ua ke nrog lwm yam kev phais mob, xws li gastrectomy lossis pyloroplasty.
- Tej zaum yuav muaj tej yam tshwm sim xws li raws plab thiab mob plab hnyuv tom qab phais, tiam sis feem ntau ntawm lawv yeej tswj tau.
- Seb qhov kev phais mob no puas yog rau koj yuav tsum txiav txim siab tom qab kuaj xyuas koj tus mob kom zoo thiab sab laj nrog koj tus kws phais mob tshwj xeeb.
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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