Endoscopic thoracic sympathectomy

Endoscopic thoracic sympathectomy (ETS) yog kev phais mob los kho kev tawm hws uas hnyav dua li ib txwm. Tus mob no yog hu ua hyperhidrosis. Feem ntau phais yog siv los kho hws nyob rau xib teg lossis lub ntsej muag. Cov leeg tswj lub siab xav tswj hws. Qhov kev phais txiav cov leeg no rau ntawm lub cev uas tawm hws ntau dhau.

Koj yuav tau txais tshuaj loog ua ntej kev phais mob. Qhov no yuav ua rau koj tsaug zog thiab tsis hnov ​​mob.

Qhov phais feem ntau tau ua raws li cov hauv qab no:

• Tus kws phais yuav ua 2 lossis 3 leeg me me (txiav txuas) hauv ib txhais caj npab rau ntawm sab uas tawm hws ntau dhau.
• Koj lub ntsws ntawm sab no yog deflated (tsaus muag) kom cov cua tsis txav mus los hauv nws thaum lub sijhawm phais. Qhov no ua rau cov kws phais neeg pw ntau qhov chaw ua haujlwm.
• Lub koob yees duab me me hu ua qhov endoscope yog tso los ntawm ib qho kev txiav rau hauv koj lub hauv siab. Yees duab los ntawm lub koob yees duab qhia ntawm tus saib hauv chav ua haujlwm. Tus kws phais mob saib cov ntsuas thaum ua qhov kev phais mob.
• Lwm cov cuab yeej me me tau ntxig los ntawm lwm qhov kev txiav.
• Siv cov cuab yeej no, tus kws phais yuav pom cov hlab ntshav uas tswj kev tawm hws hauv thaj chaw muaj teeb meem. Cov no yog txiav, clipped, lossis rhuav tshem.
• Koj lub ntsws ntawm sab no yog inflated.
• Cov ntawv txiav raug kaw nrog stitches (sutures).
• Ib lub raj dej me me tso rau hauv koj lub hauv siab rau ib hnub lossis hnub ntawd.

Tom qab ua cov txheej txheem no rau ntawm koj ib sab ntawm koj lub cev, tus kws phais mob yuav ua ib yam rau sab tom qab. Qhov phais yuav siv li 1 mus rau 3 teev.

Qhov kev phais no ib txwm ua rau cov neeg uas xib teg tawm hws ntau dua li ib txwm. Nws kuj tseem siv tau los kho mob tawm hle. Nws tsuas yog siv thaum lwm txoj kev kho mob los txo kev tawm hws tsis ua haujlwm.

Kev phom sij ntawm cov tshuaj loog thiab phais feem ntau yog:

• Kev fab tshuaj rau cov tshuaj
• Cov teeb meem ua pa
• Los ntshav, txhaws ntshav, lossis kis tus kab mob

Kev phom sij rau txoj kev ua no yog:

• Ntshav hauv lub hauv siab (hemothorax)
• Pa ya hauv siab (pneumothorax)
• Puas rau cov hlab ntsha lossis cov hlab ntshav ntaws
• Cov Horner Syndrome (txo ntsej muag tawm thiab ntsej muag tawv muag)
• Nce lossis tawm hws tshiab
• Muaj kev tawm hws nyob rau lwm qhov chaw ntawm lub cev (tawm hws)
• Qeeb ntawm lub plawv dhia
• Mob ntsws o

Qhia koj tus kws phais mob lossis tus kws khomob:

• Yog tias koj lossis cev xeeb tub
• Cov tshuaj twg, cov vitamins, tshuaj ntsuab, thiab lwm yam tshuaj koj siv, txawm tias koj yuav yam tsis muaj tshuaj

Thaum lub hnub ua ntej kev phais mob:

• Koj yuav tau hais kom tsum tsis txhob noj cov ntshav thinner tshuaj. Qee qhov ntawm cov no yog cov tshuaj aspirin, ibuprofen (Advil, Motrin), thiab warfarin (Coumadin).
• Nug koj tus kws phais neeg uas koj yuav tsum tau noj cov tshuaj hnub koj phais.
• Yog koj haus luam yeeb, sim nres. Nug koj tus kws kho mob kom pab txiav. Kev haus luam yeeb nce qhov kev pheej hmoo rau cov teeb meem xws li kho qeeb qeeb.

Hnub koj phais:

• Ua raws li cov lus qhia txog thaum twg tsum kom txhob noj thiab haus.
• Siv cov tshuaj uas koj tus kws phais mob tau hais kom coj nrog lub pas dej me me.
• Mus txog tsev kho mob kom ncav sijhawm.

Cov neeg feem coob tau nyob hauv tsev kho mob ib hmos thiab rov mus tsev hnub tom qab. Tej zaum koj yuav mob rau ib lub lim tiam lossis ob hnub. Noj tshuaj mob raws li koj tus kws kho mob pom zoo. Koj yuav tsum muaj tshuaj acetaminophen (Tylenol) lossis tshuaj noj kom mob muab tshuaj. TSIS TXHOB tsav tsheb yog tias koj noj tshuaj mob taub haus.

Ua raws li tus kws phais mob cov lus qhia txog kev saib xyuas ntawm cov phais, suav nrog:

• Khaws thaj chaw phais ntawd kom huv, qhuav, thiab npog nrog ntaub qhwv (ntaub qhwv). Yog tias koj qhov phais mob them nrog Dermabond (kua ntaub qhwv) koj tsis tas yuav xav tau hnav khaub ncaws.
• Ntxuav thaj chaw thiab hloov kev hnav khaub ncaws raws li kev qhia.
• Nug koj tus kws phais mob thaum koj tuaj yeem da dej lossis da dej.

Maj mam rov qab ua koj li dej num li niaj zaus koj ua tau.

Kav tsij rov qab ntsib tus kws phais mob. Ntawm cov kev mus ntsib no, tus kws phais yuav kuaj cov phais thiab saib seb qhov phais puas ua tiav.

Qhov kev phais mob no tuaj yeem txhim kho lub neej zoo rau cov neeg feem coob. Nws tsis ua haujlwm zoo rau cov neeg uas tawm hws hnyav heev. Qee tus neeg pom tawm hws nyob hauv cov chaw tshiab hauv lub cev, tab sis qhov no yuav ploj mus nws tus kheej.

Sympathectomy - endoscopic thoracic; ETC; Hyperhidrosis - endoscopic thoracic sympathectomy

• Kev phais mob kho mob - qhib

Thoob ntiaj teb Hyperhidrosis Society lub vev xaib. Endoscopic thoracic sympathectomy. www.sweathelp.org/hyperhidrosis-treatments/ets-surgery.html. Nkag mus rau Lub Plaub Hlis 3, 2019.

Langtry JAA. Hyperhidrosis. Hauv: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson Kuv, eds. Kev Kho Mob Ntawm Cov tawv nqaij: Cov Tshuaj Txhuam Kho Kom ZooCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2018: chap 109.

Miller DL, Miller HLI. Kev phais mob ntawm hyperhidrosis. Hauv: Sellke FW, del Nido PJ, Swanson SJ, eds. Sabiston thiab Spencer phais ntawm lub hauv siabCov. 9le ed. Philadelphia, PA: Elsevier; 2016: chaaj 44.