Kev phom sij ntawm lub ntsag thiab lub hauv caug hloov

Txhua yam kev phais muaj qhov txaus ntshai rau qhov teeb meem. Paub txog cov kev pheej hmoo no yog dab tsi thiab seb lawv thov rau koj yog ib feem ntawm kev txiav txim siab tias puas yuav tsum tau phais koj tus mob.

Koj tuaj yeem pab txo qis koj txoj kev pheej hmoo txaus los ntawm kev phais mob los ntawm kev npaj ua ntej.

• Xaiv kws kho mob thiab tsev kho mob uas muab txoj kev kho mob zoo.
• Tham nrog koj tus kws kho mob ntev ua ntej koj phais.
• Nrhiav seb koj tuaj yeem ua dab tsi los pab tiv thaiv teeb meem thaum lub sijhawm thiab tom qab phais neeg.

Txhua hom kev phais mob cuam tshuam nrog kev pheej hmoo. Qee qhov ntawm no suav nrog:

• Ua tsis taus pa teeb meem tom qab phais. Cov no feem ntau yog tias koj tau muaj tshuaj loog thiab lub ntsws ua pa.
• Plawv nres lossis mob stroke thaum lossis tom qab phais tas.
• Kab mob hauv qhov sib koom tes, lub ntsws (mob ntsws), lossis tso zis.
• Txhaum tsis zoo kho. Qhov no feem ntau yuav ua rau cov neeg tsis noj qab haus huv ua ntej kev phais mob, uas haus luam yeeb lossis muaj ntshav qab zib, lossis tus uas noj tshuaj uas ua rau lub cev tsis muaj zog tiv thaiv kab mob.
• Kev ua xua tsis haum rau cov tshuaj uas koj tau txais. Qhov no tsis tshua muaj, tab sis qee qhov kev tsis haum no tuaj yeem cuam tshuam tau lub neej.
• Ntog hauv tsev kho mob. Ntog tuaj yeem ua teeb meem loj. Ntau yam tuaj yeem ua rau lub caij nplooj zeeg, suav nrog cov khaub ncaws xoob, cov plag tsev qis, cov tshuaj uas ua rau koj tsaug zog, mob, thaj chaw ib puag ncig tsis muaj zog, tsis muaj zog tom qab phais, lossis txav ib puag ncig nrog ntau txoj hlab dej txuas rau koj lub cev.

Nws yog ib qho yuav plam ntshav thaum thiab tom qab lub duav lossis hauv caug hloov phais. Qee tus neeg xav tau ntshav ntxiv thaum phais mob lossis thaum lawv rov qab pw hauv tsev kho mob. Koj yuav tsis muaj qhov ntxiv ntshav yog tias koj qhov ntshav liab yog qhov siab txaus ua ntej kev phais mob. Qee cov kev phais xav kom koj pub ntshav ua ntej kev phais mob. Koj yuav tsum nug koj tus kws kho mob txog seb puas muaj qhov xav tau ntawd.

Feem ntau los ntshav thaum phais mob los ntawm cov pob txha uas tau txiav. Qhov doog ntshav yuav tshwm sim yog ntshav sib txuam puag ncig cov pob qij txha tshiab lossis hauv qab daim tawv nqaij tom qab kev phais mob.

Koj txoj kev muaj feem ntshav khov yuav tshwm sim tau ntau dua lub sijhawm thiab tom qab phais mob lub duav lossis hauv caug. Zaum lossis pw qog ntev ntev hauv sijhawm thiab tom qab phais tas yuav ua rau koj cov ntshav txav qeeb ntawm koj lub cev. Qhov no yuav ua rau koj muaj feem ntshav txhaws.

Ob hom ntshav txhaws yog:

• Kev mob ntsws txoj leeg ntshav khov (DVT). Cov no yog cov ntshav txhaws uas tuaj yeem tsim hauv koj cov leeg ntshav tom qab kev phais mob.
• Pulmonary embolism. Cov no yog cov ntshav txhaws uas tuaj yeem mus txog rau hauv koj lub ntsws thiab ua rau ua pa nyuaj.

Txo koj txoj kev pheej hmoo ntawm cov ntshav txhaws:

• Koj yuav tau txais ntshav nyias ua ntej thiab tom qab phais.
• Koj tuaj yeem hnav lub vuam txwv ntev ntawm koj ob sab ceg txhawm rau txhim kho cov ntshav tom qab kev phais.
• Koj yuav tau txhawb kom ua ce thaum nyob hauv txaj thiab tau txaj thiab taug kev hauv cov halls txhim kho cov ntshav txaus.

Qee cov teeb meem uas yuav tshwm sim tom qab kev hloov lub ntsag lossis hauv caug muaj xws li:

• Kev kis mob hauv koj qhov sib koom tes tshiab. Yog tias qhov no tshwm sim, koj txoj kev sib koom tes tshiab yuav tsum tau muab tshem tawm kom tshem tawm tus mob. Qhov teeb meem no tau ntxim rau cov neeg muaj ntshav qab zib lossis lub cev tsis muaj zog tiv thaiv kab mob. Tom qab phais mob, thiab feem ntau ua ntej kev phais mob, koj yuav kawm paub dab tsi koj tuaj yeem ua kom tiv thaiv kev kis kab mob hauv koj qhov sib koom tes tshiab.
• Kev muab tawm ntawm koj txoj kev sib koom tes tshiab. Qhov no tsis tshua muaj. Nws feem ntau tshwm sim yog tias koj rov qab mus ua si ua ntej koj npaj txhij. Qhov no tuaj yeem ua rau mob sai thiab tsis tuaj yeem taug kev. Koj yuav tsum hu rau koj tus kws khomob yog tias qhov no tshwm sim. Nws zoo li koj yuav tsum mus rau tom chav haujlwm xwm txheej kub ntxhov. Koj yuav tsum tau muaj kev kho dua tshiab yog tias qhov no pheej rov qab ua dua.
• Kev ua xoob ntawm koj qhov kev koom tes tshiab dhau sijhawm. Qhov no tuaj yeem ua rau mob, thiab qee zaum yuav tsum muaj lwm qhov kev phais mob los kho qhov teeb meem ntawd.
• Hnav thiab tsim kua muag ntawm qhov txav ntawm koj qhov kev sib koom tes tshiab dhau sijhawm. Cov ntawv me me tuaj yeem tsoo thiab ua rau pob txha puas. Qhov no yuav xav tau lwm txoj haujlwm los hloov qhov chaw txav thiab kho tus pob txha.
• Kev ua xua rau cov khoom hlau ntawm qee qhov khoom sib txuas. Qhov no yog qhov tsawg kawg.

Lwm yam teeb meem los ntawm kev phais ntsag lossis hauv caug tuaj yeem tshwm sim. Txawm hais tias lawv tsis tshua muaj, cov teeb meem no suav nrog:

• Kev mob siab tsis txaus. Kev phais mob sib koom tes txhawb qhov mob thiab txhav ntawm kev mob caj dab rau neeg feem coob. Qee tus neeg kuj tseem muaj qee cov tsos mob ntawm kev mob caj dab. Rau ntau tus neeg, kev phais mob feem ntau muab kev kho mob txaus rau cov tsos mob rau cov neeg feem coob.
• Ib txoj kab ntev dua lossis luv dua. Vim tias cov pob txha txiav tawm thiab ib qho tshiab hauv caug ntxiv yog tso, koj ob txhais ceg nrog cov leeg tshiab yuav ntev lossis luv dua koj lwm ceg. Qhov sib txawv no feem ntau yog li ntawm 1/4 ntawm ib nti (0.5 centimeter). Nws tsis tshua muaj teeb meem lossis cov tsos mob.

Ferguson RJ, Palmer AJ, Taylor A, Tus neeg nqa khoom ML, Malchau H, Glyn-Jones S. Lub duav hloov. Kev Looj MemCov. 2018; 392 (10158): 1662-1671. PMID: 30496081 www.ncbi.nlm.nih.gov/pubmed/30496081.

Harkess JW, Crockarell JR. Arthroplasty ntawm lub ntsag. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 3.

McDonald S, Nplooj ntawv MJ, Beringer K, Wasiak J, Sprowson A. Kev kawm ua ntej rau kev hloov lub duav lossis hauv caug. Cochrane Database Syst RevCov. Xyoo 2014; (5): CD003526. PMID: 24820247 www.ncbi.nlm.nih.gov/pubmed/24820247.

Mihalko WM. Arthroplasty ntawm lub hauv caug. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 7.