Yuav Ua Cas Thiaj Rov Qab Zoo Thiab Yuav Tsum Tau Kev Pab Tom Qab Tshem Tawm

Zoo Siab

• Yuav npaj rau kev phais li cas
• Thaum phais mob qhia
• Yuav ua li cas spleen raug tshem tawm
• Kev phom sij thiab cov teeb meem tshwm sim ntawm kev phais mob
• Saib xyuas rau cov neeg uas tshem tawm tus po

Splenectomy yog phais los tshem tawm tag nrho lossis ib feem ntawm tus po, uas yog ib qho khoom hauv lub plab zom mov thiab muaj lub luag haujlwm tsim khoom, khaws cia thiab tshem tawm qee cov tshuaj tawm ntawm cov ntshav, ntxiv rau kev tsim cov tshuaj tiv thaiv thiab ua kom lub cev tshuav nyiaj li cas, zam kev kis mob.

Lub ntsiab tseem ceeb rau tus mob splenectomy yog thaum muaj qee qhov kev puas tsuaj lossis puas ntawm caj npab, txawm li cas los xij, qhov kev phais mob no tseem tuaj yeem pom zoo nyob rau hauv kev mob ntshav, qee yam mob qog lossis vim muaj cov hlav tsis ua haujlwm lossis qog. Kev phais mob feem ntau yog ua los ntawm laparoscopy, nyob rau hauv uas muaj qhov me me ua rau lub plab kom tshem tawm cov khoom, uas ua rau cov caws pliav me me thiab qhov kev ua kom rov zoo dua.

Yuav npaj rau kev phais li cas

Ua ntej yuav kho cov hnoos qeev, tus kws kho mob pom zoo kom kuaj ntshav thiab ultrasound lossis tomography txhawm rau txhawm rau ntsuas tus neeg mob feem ntau thiab muaj lwm qhov hloov pauv, xws li mob qog, rau piv txwv. Ib qho ntxiv, kev tswj hwm ntawm cov tshuaj tiv thaiv thiab tshuaj tua kab mob tuaj yeem pom zoo lub lis piam ua ntej kev ua, ua kom txo qis kev pheej hmoo kis mob.

Thaum phais mob qhia

Qhov taw qhia tseem ceeb rau kev tshem tawm ntawm tus po yog thaum lub pob zeb ua paug rau qhov khoom no yog qhia tau tseeb vim raug mob plab. Txawm li cas los xij, lwm qhov kev qhia rau tus mob splenectomy yog:

• Mob khees xaws hauv qhov txha caj qaum;
• Kev paug tawm ntawm tus txha caj qaum, yog hais tias mob leukemia, feem ntau;
• Spherocytosis;
• Sickle cell anemia;
• Idiopathic thrombocytopenic purpura;
• Cov kab mob tsis zoo;
• Congenital hemolytic anemia;
• Qog ntawm Hodgkin lub lymphoma.

Raws li qib kev hloov ntawm tus po thiab qhov pheej hmoo tias qhov kev hloov pauv no tuaj yeem sawv cev rau tus neeg, tus kws kho mob yuav qhia tias muaj qee qhov lossis tag nrho cov kev tshem tawm.

Yuav ua li cas spleen raug tshem tawm

Feem ntau, video laparoscopy yog qhia, nrog 3 lub qhov me me hauv plab, los ntawm qhov uas cov leeg thiab cov khoom siv tsim nyog rau kev tshem tawm ntawm tus po, tsis tas yuav txiav loj. Tus neeg mob xav tau tshuaj loog dav dav thiab qhov phais yuav siv sijhawm li 3 teev, nyob pw tsev kho mob txog 2 rau 5 hnub.

Qhov txheej txheem phais no tsis tshua muaj kev cuam tshuam thiab, yog li ntawd, ua rau mob tsawg dua thiab qhov caws pliav yog me dua, ua rau rov zoo thiab rov qab ua haujlwm ib hnub kom sai dua. Txawm li cas los xij, nyob hauv qee kis, nws yuav tsim nyog yuav tsum muaj kev phais qhib, nrog kev txiav loj dua.

Kev phom sij thiab cov teeb meem tshwm sim ntawm kev phais mob

Tom qab phais mob txhawm rau tshem tus po, nws yog qhov ib txwm ua rau tus neeg mob hnov ​​mob thiab qee qhov kev txwv ua cov haujlwm ib hnub rau ib leeg, xav tau kev pab los ntawm tsev neeg ua tus saib xyuas kev nyiam huv, piv txwv. Laparoscopy phais, txawm hais tias pom tias muaj kev nyab xeeb, tuaj yeem ua rau muaj teeb meem xws li hematoma, los ntshav lossis pleural effusion. Txawm li cas los xij, qhib kev phais yuav tuaj yeem nqa ntau qhov kev pheej hmoo.

Saib xyuas rau cov neeg uas tshem tawm tus po

Tom qab tshem tawm ntawm tus po, lub cev muaj peev xwm los tua tus kab mob tsawg dua thiab lwm yam hauv nruab nrog cev, tshwj xeeb tshaj yog lub siab, nce nws lub peev xwm los tsim cov tshuaj tiv thaiv los tua kab mob thiab tiv thaiv lub cev. Yog li, daim tawv nqaij ua rau muaj kev kis mob ntau dhau losPneumococcus, mob hlwb thiab mob haemophilus, thiab yog li nws yuav tsum:

• Mus txhaj tshuaj tiv thaiv tawm tsam ntau Kab mob ntsws thiab ua cov tshuaj tiv thaiv rau Haemophilus mob npawshom B thiab mob hlwb hom C, nruab nrab ntawm 2 lub lis piam ua ntej thiab 2 lub lis piam tom qab phais mob;
• Mus txhaj tshuaj tiv thaiv pneumococci txhua txhua 5 xyoos (lossis thaum lub sijhawm luv dua yog tias qhov mob qes ntshav tsis muaj ntshav lossis cov mob lymphoproliferative);
• Noj tshuaj tua kab mob koob tshuaj qis rau lub neej lossis siv benzathine penicillin txhua 3 lub lis piam.

Tsis tas li ntawd, nws tseem yog ib qho tseem ceeb kom noj zaub mov zoo, zam tej zaub mov muaj piam thaj thiab rog ntau, ua kom ib ce muaj zog tas li, zam kev hloov kub sai kom tsis txhob tau khaub thuas thiab mob khaub thuas, thiab tsis txhob noj tshuaj yam tsis muaj lus qhia kho mob.