Puas muaj tej lub sij hawm koj muaj mob txawv txawv hauv koj lub plab uas maj mam zuj zus txhua hnub, thiab mob nraub qaum? Tej zaum koj tso zis tsawg dua, ib ceg o, thiab xim ntawm koj daim tawv nqaij tau hloov pauv? Txawm hais tias cov no yuav zoo li qub, qee zaum lawv tuaj yeem yog cov cim qhia ntawm tus mob tsis tshua muaj tab sis tseem ceeb. Niaj hnub no peb tab tom tham txog ib qho mob zoo li no - Retroperitoneal Fibrosis . Txawm hais tias lub npe yuav zoo li nyuaj, cia peb ua kom yooj yim.
Retroperitoneal Fibrosis yog dab tsi?
Hais yooj yim xwb, qhov no yog kev loj hlob ntawm cov ntaub so ntswg fibrous tom qab (lo lus retro txhais tau tias 'tom qab') daim nyias nyias tiv thaiv (peritoneum) uas nyob ib puag ncig cov kabmob xws li cov hnyuv hauv peb lub plab. Tshwj xeeb, cov ntaub so ntswg no loj hlob nyob ib puag ncig cov hlab ntsha tseem ceeb hauv peb lub plab (lub plab aorta) thiab lwm cov hlab ntsha uas ceg tawm ntawm nws.
Xav txog seb yuav muaj li cas thaum cov nqaij tsis xav tau no loj hlob tuaj. Cov nqaij ntawd tuaj yeem thaiv cov hlab ntsha ureters, cov raj uas nqa cov zis los ntawm peb lub raum mus rau peb lub zais zis. Qhov no tuaj yeem thaiv cov zis ntws. Nws kuj tseem tuaj yeem cuam tshuam rau lwm yam kabmob hauv plab. Tus mob no kuj hu ua Ormond's disease.
Cov nqaij uas loj hlob li no yuav yog mob qog noj ntshav lossis tsis yog mob qog noj ntshav. Qhov no yog ib yam kab mob uas pom ntau heev. Feem ntau pom muaj rau cov txiv neej hnub nyoog nruab nrab. Tab sis txawm tias ntawm lawv, nws tsis tshua muaj.
Dab tsi ua rau muaj qhov xwm txheej no?
Cov kws kho mob tseem tsis tau paub qhov ua rau muaj qhov teeb meem no, tab sis qee cov kws tshaj lij ntseeg tias nws muaj feem cuam tshuam nrog qee yam hauv peb lub cev tiv thaiv kab mob . Qhov ntawd yog, peb lub cev tiv thaiv kab mob tab tom ua haujlwm tawm tsam peb.
Tsis tas li ntawd xwb, muaj ntau lwm yam uas tau txheeb xyuas uas yuav ua rau muaj tus mob no.
| Ua rau | Kev piav qhia |
|---|---|
| haus luam yeeb | Kev haus luam yeeb yog ib qho tseem ceeb uas ua rau muaj qhov no. |
| Kev raug mob ntawm lub cev (Kev raug mob hnyav) | Raug mob hnyav rau lub plab lossis thaj chaw ib puag ncig. |
| Kev phais mob | Nws tuaj yeem tshwm sim tom qab qee qhov kev phais plab. |
| Qee cov tshuaj lom neeg | Kev raug cov tshuaj xws li asbestos. |
| Kev kis kab mob | Qee cov kab mob bacterial lossis fungal. |
| Cov qog nqaij hlav/Cov qog nqaij hlav me me | Ua ib qho kev phiv ntawm lwm yam mob qog noj ntshav. |
| Kev kho mob los ntawm kev siv hluav taws xob | Kev kho mob hluav taws xob rau mob qog noj ntshav. |
| Qee cov tshuaj | Qee cov tshuaj qub siv rau mob migraines. |
| Kev siv tshuaj | Siv cov tshuaj yeeb tsis raws cai xws li cocaine. |
Tsis muaj pov thawj tseeb tias tus kab mob no kis tau los ntawm ib tiam neeg mus rau ib tiam neeg . Feem ntau, nws tshwm sim yam tsis muaj laj thawj.
Cov tsos mob ntawm tus kab mob no yog dab tsi?
Cov tsos mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Tsis tas li ntawd, cov tsos mob yuav txawv nyob ntawm seb cov nqaij tsis xav tau uas kuv hais tau nthuav dav npaum li cas thiab nws tau tsim nyob qhov twg.
Thaum pib mob, koj yuav hnov mob tob tob hauv koj lub plab qis. Qhov mob no yuav nce zuj zus txhua hnub. Tib lub sijhawm, cov ntshav mus rau koj ob txhais ceg yuav txo qis.Thaum nws txo qis, koj yuav pom qhov hloov pauv ntawm xim ntawm koj txhais taw lossis o ntawm ib ceg .
Qhov tseem ceeb tshaj plaws yog yuav tsum tau ua tib zoo saib xyuas cov tsos mob no sai li sai tau thaum koj pom lawv. Yog tias koj kuj muaj mob plab lossis mob nraub qaum, tshwj xeeb tshaj yog tias koj cov zis tso tawm tau txo qis, mus ntsib koj tus kws kho mob tam sim ntawd.
| Lwm cov tsos mob cuam tshuam nrog Retroperitoneal Fibrosis | |
|---|---|
| Xeev siab thiab ntuav | - Ua npaws |
| - Mob hauv cov noob qes (rau cov txiv neej) | - Nqhis dej ntau dua li niaj zaus |
| - Kev xav tias tsis muaj sia nyob hauv lub cev | - Mob nraub qaum |
| - Poob phaus | - Nyuaj tso zis (tsis muaj peev xwm tso zis, los ntshav, tso zis ntau zaus thaum hmo ntuj) |
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug txog koj keeb kwm kev mob nkeeg thiab kuaj lub cev. Nws yuav tsum tau kuaj ntau zaus kom paub seb qhov ua rau koj cov tsos mob yog Retroperitoneal Fibrosis lossis lwm yam mob.
Cov kev xeem hauv qab no siv tau rau qhov no:
- Kev kuaj ntshav : Nrhiav seb puas muaj kab mob hauv lub cev thiab kev ua haujlwm ntawm lub raum.
- Kev kuaj zis : Xyuas seb puas muaj ntshav lossis lwm yam teeb meem hauv cov zis.
- Kev kuaj mob ultrasound ntawm lub raum: Xyuas seb lub raum thiab cov zis puas zoo li cas.
- Kev kuaj CT ntawm lub plab:Qhov no cia koj pom tseeb qhov chaw, qhov loj me, thiab qhov cuam tshuam ntawm cov ntaub so ntswg ntxiv rau cov kabmob ib puag ncig.
- Kev thaij duab MRI ntawm lub plab: Ib qho kev kuaj zoo ib yam li kev thaij duab CT, tab sis muaj cov duab ntxaws ntxaws dua.
- Kev kuaj mob X-ray: Tej zaum yuav tsim nyog rau qee kis.
- Kev kuaj mob qog nqaij hlav (Biopsy): Qhov no suav nrog kev muab ib daim me me ntawm cov nqaij uas loj hlob tuaj thiab kuaj nws hauv qab lub tshuab microscope kom pom tias nws puas yog mob qog nqaij hlav lossis tsis yog.
Yuav kho li cas? Puas kho tau?
Yog, muaj kev kho mob rau tus kab mob no. Txoj kev kho mob nyob ntawm seb ua rau muaj tus kab mob li cas, qhov hnyav ntawm tus kab mob, thiab qhov kev puas tsuaj uas tau ua tiav lawm.
Muaj ntau txoj kev kho mob tseem ceeb:
- Cov tshuaj tiv thaiv kev o: Cov tshuaj ntau xws li corticosteroids raug muab los tswj kev o thiab kev loj hlob ntawm cov nqaij hauv lub cev.
- Kev Kho Mob Qhov Ua Rau Mob: Yog tias tus mob yog los ntawm kev kis kab mob lossis mob qog noj ntshav, qhov ua rau mob yuav raug kho.
- Kev Phais Mob: Kev phais tshem tawm cov qog. Qhov no yog qhov tsim nyog tshwj xeeb yog tias cov zis raug thaiv.
- Tshem tawm cov zis ntawm lub raum: Yog tias cov ureters raug thaiv tag, ib lub raj me me (stent) raug ntxig rau hauv daim tawv nqaij kom tshem tawm cov zis uas sau rau hauv lub raum.
- Cov tshuaj tiv thaiv kab mob: Yog tias qhov no yog los ntawm lub cev tiv thaiv kab mob ua haujlwm ntau dhau, cov tshuaj yuav muab los tswj nws.
Qhov xov xwm zoo yog tias feem ntau cov neeg teb tau zoo rau kev kho mob. Hauv ob lub lis piam tom qab pib kho mob, cov cim qhia tias lub raum rov zoo li qub pib tshwm sim. Tus mob no tsis tshua muaj kev loj hlob mus rau qhov ua tsis tau haujlwm tag nrho.
Tiam sis nco ntsoov tias, txawm tias tom qab kho mob thiab zoo lawm los xij, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob tas li kom tau kev saib xyuas ntxiv. Qhov no yog vim rau qee tus neeg, tus kab mob no tuaj yeem rov tshwm sim dua txawm tias ntau xyoo tom qab kho mob lawm los xij.
Cov neeg uas muaj mob Retroperitoneal Fibrosis uas tsis yog mob qog noj ntshav (benign) muaj feem zoo dua los kho thiab muaj sia nyob dua li cov neeg uas muaj mob qog noj ntshav (malignant).
Puas muaj ib txoj kev los tiv thaiv qhov no?
Vim tias qhov no yog ib yam kab mob tsis tshua muaj, muaj tej yam uas ua tau tsawg tsawg los tiv thaiv nws. Tiam sis muaj ib qho tseem ceeb. Kev tshawb fawb tau pom tias kev siv tshuaj 'methysergide' mus sij hawm ntev, uas yog siv rau mob taub hau migraines, tuaj yeem ua rau muaj tus kab mob no. Yog li ntawd, tsis txhob siv cov tshuaj no ntev yam tsis tau kev qhia los ntawm kws kho mob.
Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob sai li sai tau thaum cov tsos mob tshwm sim. Thaum kuaj pom tus kab mob sai npaum li cas, ces yuav muaj feem ntau dua los tiv thaiv cov teeb meem thiab kho tau zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Retroperitoneal Fibrosis yog ib qho mob tsis tshua muaj uas cov ntaub so ntswg fibrous tsis xav tau loj hlob tom qab cov kabmob plab.
- Cov tsos mob tseem ceeb yuav muaj xws li mob nraub qaum thiab mob plab qis uas tsis paub ua cas, tso zis tsawg dua, thiab o ntawm ob txhais ceg.
- Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob tso tseg thiab mus ntsib koj tus kws kho mob tam sim ntawd. Kev kuaj mob thaum ntxov yog qhov tseem ceeb heev.
- Kev kho mob feem ntau kho tau tus kab mob, tab sis kev saib xyuas tsis tu ncua yog qhov tseem ceeb vim tias tus kab mob tuaj yeem rov qab los dua.
- Tsis txhob siv tshuaj ntev ntev yam tsis tau kev qhia los ntawm kws kho mob.
Kab mob Fibrosis hauv plab, Kab mob Ormond, Mob nraub qaum, Mob plab, Kab mob ntawm txoj hlab zis, Kab mob raum, Kev noj qab haus huv ntawm txiv neej
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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