Kev Pheej Hmoo thiab Teeb Meem ntawm Kev Kho Mob Txhua Yam Hauv Paus

Zoo Siab

• Yuav muaj cov kev mob tshwm sim heev li cas?
• Teeb meem los ntawm cov tshuaj loog
• Cov ntshav txhaws
• Kab mob
• Mob siab rau tas li
• Teeb meem los ntawm kev hloov ntshav
• Kev fab tshuaj rau cov khoom siv hlau
• Lub qhov txhab thiab mob ntshav los tsis zoo
• Hlab ntsha raug mob
• Kev puas ntsoog lossis mob neurovascular
• Lub hauv caug txhav thiab tsis muaj suab
• Kev cog hniav teeb meem
• Nqa Nyiaj

Kev kho lub hauv caug tau tam sim no tus txheej txheem, tab sis koj tseem yuav tsum paub txog cov kev pheej hmoo ua ntej koj nkag mus hauv chav ua haujlwm.

Yuav muaj cov kev mob tshwm sim heev li cas?

Ntau tshaj 600,000 leej neeg raug phais mob lub hauv caug txhua txhua xyoo hauv Tebchaws Meskas. Cov mob hnyav, xws li muaj mob sib kis, muaj tsawg. Nws tshwm sim hauv tsawg dua 2 feem pua ​​ntawm cov neeg mob.

Tus me ntsis cov nyom tshwm sim thaum nyob hauv tsev kho mob tom qab hloov lub hauv caug.

Healthline txheeb xyuas cov ntaub ntawv ntau dua 1.5 lab Medicare thiab cov tib neeg lub tuam txhab pov hwm kom coj los saib kom ze. Lawv tau tshawb pom tias 4.5 feem pua ​​ntawm cov neeg uas muaj hnub nyoog qis dua 65 xyoo muaj teebmeem tshwm sim thaum nyob hauv tsev khomob tom qab hloov lub hauv caug.

Rau cov neeg laus dua, txawm li cas los xij, kev pheej hmoo ntawm cov teeb meem no tau ntau dua li ob npaug.

• Li ntawm 1 feem pua ​​ntawm tib neeg muaj mob tom qab kev phais mob.
• Tsawg dua li 2 feem pua ​​ntawm tib neeg tsim tau cov ntshav txhaws.

Tsawg tsawg zaus, tus neeg ntawd yuav muaj osteolysis. Qhov no yog tus mob uas tshwm sim vim yog tsom qhov me me coj ntawm cov yas hauv lub hauv caug cog hniav. Cov mob ua rau pob txha tseem ceeb yaj thiab ua kom tsis muaj zog.

Teeb meem los ntawm cov tshuaj loog

Tus kws phais yuav siv tshuaj loog dav dav lossis hauv zos thaum phais. Nws yog feem ntau muaj kev nyab xeeb, tab sis nws tuaj yeem muaj cov nyom tsis zoo.

Feem ntau cov kev mob tshwm sim muaj xws li:

• ntuav
• kiv taub hau
• tshee
• mob caj pas
• ib ce thiab hauj sim
• tsis xis nyob
• tsaug zog

Lwm cov teebmeem cuam tshuam suav nrog:

• ua pa nyuaj
• kev fab tshuaj tsis haum
• leeg raug mob

Txo txoj kev pheej hmoo ntawm teeb meem, nco ntsoov qhia koj tus kws kho mob ua ntej txog tej yam hauv qab no:

• cov tshuaj noj lossis cov tshuaj yuav tom kiab khw
• tshuaj noj
• haus luam yeeb
• siv lossis ua si tshuaj lom los yog dej caw

Cov no tuaj yeem cuam tshuam nrog cov tshuaj noj thiab yuav cuam tshuam nrog tshuaj loog.

Cov ntshav txhaws

Muaj kev pheej hmoo ntawm kev txhim kho mob ntshav txhaws tom qab kev phais mob xws li mob tob rau txoj hlab ntshav (DVT).

Yog tias ib qho ntshav txav mus los ntawm cov ntshav thiab ua rau txhaws ntawm lub ntsws, mob ntsws ntsig (PE) tuaj yeem tshwm sim. Qhov no tuaj yeem tsim kev tuag taus.

Cov ntshav txhaws tuaj yeem tshwm sim thaum lossis tom qab phais ib qho twg, tab sis lawv muaj ntau dua tom qab phais mob pob qij txha zoo li hloov hauv caug.

Cov tsos mob feem ntau tshwm sim hauv 2 lub lis piam ntawm kev phais, tab sis cov ntshav txhaws tuaj yeem tsim nyob hauv ob peb teev lossis txawm tias thaum ua haujlwm.

Yog tias koj muaj khaub thuas, koj yuav tsum siv sijhawm ntxiv hauv tsev kho mob.

Cov ntawv soj ntsuam kev noj qab haus huv ntawm Medicare thiab tus kheej them nyiaj ntiag tug cov ntaub ntawv pom tias:

• Tsawg dua li 3 feem pua ​​ntawm cov neeg tau hais qhia DVT thaum lub sijhawm lawv nyob hauv tsev khomob.
• Tsawg dua li 4 feem pua ​​tshaj tawm DVT ua ntej 90 hnub ntawm kev phais mob.

Cov ntshav uas txhaws thiab nyob hauv ob txhais ceg ua rau muaj kev pheej hmoo me. Txawm li cas los xij, lub duav uas rhuav tshem thiab taug kev ntawm lub cev mus rau lub siab lossis lub ntsws yuav ua rau muaj kev phom sij heev.

Kev ntsuas uas tuaj yeem txo qhov txaus ntshai muaj xws li:

• Ntshav qab zib-tshuaj noj. Koj tus kws kho mob yuav sau ntawv noj tshuaj xws li warfarin (Coumadin), heparin, enoxaparin (Lovenox), fondaparinux (Arixtra), lossis tshuaj aspirin los txo qis kev txhaws tom qab kev phais mob.
• Cov tswv yim los txhim kho kev ncig. Txhawb nqa vuam txwv ntev, sab ceg qoj ib ce, plab hlaub tawm, lossis tsa koj ob sab ceg tuaj yeem txhawb kev ncig thiab tiv thaiv cov ntshav txhaws.

Nco ntsoov koj tham koj qhov txaus ntshai ua rau txhaws ua ntej kev phais mob koj. Qee yam xwm txheej, xws li kev haus luam yeeb lossis rog rog, ua rau koj tus mob ntau dua.

Yog tias koj pom cov ntawv hauv qab no hauv qee qhov chaw ntawm koj txhais ceg, nws yuav yog daim phiajcim ntawm DVT:

• liab
• o tuaj
• kev mob
• kev sov siab

Yog tias cov tsos mob hauv qab no tshwm sim, nws tuaj yeem txhais tau hais tias ib qho ntshav tau mus txog hauv lub ntsws:

• ua pa nyuaj
• kiv taub hau thiab tsaus muag
• lub plawv dhia sai
• mob npaws me me
• ib qho hnoos, uas yuav yog lossis tsis tsim cov ntshav

Qhia rau koj tus kws kho mob paub tam sim yog tias koj pom muaj qee yam tau pauv hloov no.

Txoj hauv kev tiv thaiv cov ntshav txhaws muaj xws li:

• ua kom cov ceg tsa sawv
• noj yam tshuaj uas kws kho mob pom zoo
• Tsis txhob zaum tseem nyob ntev dhau

Kab mob

Cov kab mob tsis tshua muaj tshwm sim tom qab phais mob hauv caug, tab sis lawv tuaj yeem tshwm sim. Kev kis mob yog qhov mob hnyav, thiab nws xav tau kev kho mob tam sim ntawd.

Raws li Healthline qhov kev tshawb fawb ntawm Medicare thiab tus kheej cov ntaub ntawv them nyiaj ntiag tug, 1.8 feem pua ​​tau tshaj tawm tias muaj tus kabmob ua ntej 90 hnub ntawm kev phais mob.

Kev kis mob tuaj yeem tshwm sim yog tias cov kab mob nkag mus rau hauv lub hauv caug pob txha thaum lub sijhawm lossis tom qab phais.

Cov kws kho mob txo qhov kev pheej hmoo no los ntawm:

• kom ntseeg tau tias ib puag ncig huv huv hauv chav ua haujlwm
• siv cov khoom siv kom tsis muaj menyuam thiab siv pleev tshuaj xwb
• muab tshuaj tua kab mob ua ntej, thaum, thiab tom qab phais tas

Txoj hauv kev tiv thaiv lossis tswj kev mob kis yog:

• noj yam tshuaj uas kws kho mob sau tseg
• ua raws txhua cov lus qhia txog kev tu lub qhov txhab kom huv
• hu rau kws kho mob yog tias muaj cov tsos mob ntawm tus mob, xws li liab, mob, lossis o uas mob heev dua li tsis zoo
• Nco ntsoov tias tus kws kho mob paub txog lwm yam kev mob uas koj muaj lossis cov tshuaj koj noj

Qee tus neeg siv tshuaj ntau dua thaum lawv lub cev tiv thaiv kab mob los ntawm kev mob nkeeg lossis siv qee yam tshuaj kho. Qhov no suav nrog cov neeg muaj ntshav qab zib, HIV, cov neeg uas siv cov tshuaj tiv thaiv kab mob, thiab cov uas siv tshuaj tom qab hloov ntshav.

Tshawb nrhiav yog tias muaj kev kis mob tshwm sim tom qab hloov lub hauv caug thiab yuav ua li cas yog tias nws ua li ntawd.

Mob siab rau tas li

Nws yog ib qho muaj qee qhov mob tom qab phais, tab sis qhov no yuav tsum txhim kho kom raws sijhawm. Cov kws kho mob tuaj yeem muab cov tshuaj zoo mob kom txog thaum qhov no tshwm sim.

Tsawg zaus kawg, qhov mob yuav mob mob. Cov tib neeg uas muaj mob los yog mob ntxiv mus yuav tsum nrhiav tswv yim los ntawm lawv tus kws kho mob, vim tias yuav muaj qhov nyom ntxiv.

Cov kev mob uas nquag tshaj plaws yog cov tib neeg tsis nyiam txoj kev ua lawv lub hauv caug lossis lawv tseem muaj mob lossis mob txhav.

Teeb meem los ntawm kev hloov ntshav

Muaj qee zaus, qee tus neeg yuav xav tso ntshav tom qab ua lub hauv caug tas.

Cov tsev txhab ntshav nyob hauv Tebchaws Asmeskas tshuaj ntsuam txhua tus ntshav rau kis tau tus mob. Nws yuav tsum tsis muaj kev pheej hmoo ntawm cov teeb meem vim qhov hloov ntshav.

Qee lub tsev kho mob thov kom koj txhab nyiaj koj cov ntshav ua ntej kev phais mob. Koj tus kws phais mob yuav qhia koj txog qhov no ua ntej ntawm txoj kev.

Kev fab tshuaj rau cov khoom siv hlau

Qee tus neeg yuav hnov ​​cov tshuaj tiv thaiv rau cov hlau uas siv hauv qhov sib nrawm sib chaws hauv caug.

Kev cog qoob loo yuav muaj cov titanium lossis ib qho cobalt-chromium-based alloy. Cov neeg feem ntau uas muaj kev fab tshuaj hlau tau paub tias lawv muaj.

Nco ntsoov qhia koj tus kws phais mob txog qhov no lossis lwm yam kev fab tshuaj koj tuaj yeem ua ntej yuav phais mob.

Lub qhov txhab thiab mob ntshav los tsis zoo

Tus kws phais yuav siv sutures lossis staples siv los kaw qhov txhab. Lawv feem ntau tshem tawm cov tom qab li 2 lub lis piam.

Lwm yam teeb meem uas tuaj yeem tshwm sim suav nrog:

• Thaum lub qhov txhab qeeb yuav kho tau thiab los ntshav ntxiv rau ob peb hnub.
• Thaum cov ntshav ua nyias thooj, uas tuaj yeem pab tiv thaiv txhaws, ua rau muaj teeb meem los ntshav. Tus kws phais yuav xav rov qhib cov qhov txhab thiab ntws ua kua.
• Thaum Baker's cyst tshwm sim, thaum kua tsim tuaj tom qab hauv caug. Tus kws saib xyuas kev noj qab haus huv tej zaum yuav xav tso dej tawm nrog rab koob.
• Yog tias cov tawv nqaij tsis zoo li qub, koj yuav tsum muaj daim tawv nqaij txhuam pob txha.

Txo txoj kev pheej hmoo ntawm teeb meem, saib xyuas qhov txhab thiab qhia koj tus kws kho mob yog tias nws tsis zoo lossis yog tias nws tseem los ntshav.

Hlab ntsha raug mob

Cov hlab ntsha loj ntawm txhais ceg yog ncaj qha tom qab lub hauv caug. Vim li no, muaj tsawg heev uas yuav muaj kev puas tsuaj rau cov nkoj no.

Tus kws phais vascular feem ntau tuaj yeem kho cov hlab ntsha yog tias muaj kev puas tsuaj.

Kev puas ntsoog lossis mob neurovascular

Txog li 10 feem pua ​​ntawm cov neeg yuav muaj kev puas siab puas ntsoog thaum phais mob. Yog tias qhov no tshwm sim, koj yuav ntsib kev:

• loog
• ko taw poob
• tsis muaj zog
• tingling
• qhov kev hnov ​​tsis kub lossis kub

Yog tias koj pom cov tsos mob no, tiv tauj koj tus kws kho mob. Cov kev kho mob yuav ua raws seb qhov twg ntawm kev puas tsuaj.

Lub hauv caug txhav thiab tsis muaj suab

Caws pliav nqaij los yog lwm qhov kev cuam tshuam qee zaum tuaj yeem cuam tshuam qhov txav hauv lub hauv caug. Kev tawm dag zog tshwj xeeb lossis kev tawm dag zog lub cev tuaj yeem pab daws qhov no.

Yog tias muaj mob txhav hnyav, tus neeg yuav xav tau kev rov qab ua dua los txhawm rau ua kom cov nqaij caws pliav lossis kho qhov ntxiv ntawm cov hauv caug.

Yog tias tsis muaj ib qho teeb meem ntxiv, cov hau kev ntawm kev tiv thaiv txhav suav nrog kev tawm dag zog kom ib ce thiab qhia rau koj tus kws kho mob yog tias qhov tsis txhav txhawm tsis txo lub sijhawm.

Kev cog hniav teeb meem

Qee zaum, nws yuav muaj teeb meem nrog kev cog hniav. Piv txwv li:

• Lub hauv caug yuav tsis khoov zoo.
• Kev cog hniav yuav xoob lossis tsis khov thaum lub sijhawm.
• Qee feem ntawm kev cog ntoo yuav tawg lossis hnav tawm.

Raws li Healthline qhov kev tshawb fawb ntawm Medicare thiab cov nyiaj them cov nuj nqis ntiag tug, tsuas yog 0.7 feem pua ​​ntawm cov neeg muaj teeb meem siv lub tshuab thaum lawv nyob hauv tsev kho mob, tab sis cov teeb meem tseem tuaj yeem tshwm sim nyob rau lub lim tiam tom qab phais mob.

Yog tias cov teeb meem no tshwm sim, tus neeg yuav xav tau ib tus txheej txheem taug qab, lossis kho dua tshiab, los kho qhov teeb meem.

Lwm cov laj thawj yog vim li cas qhov kev kho dua tshiab yuav tsim nyog muaj xws li:

• kis tau tus mob
• txuas ntxiv mob
• lub hauv caug txhav

Kev tsom xam cov ntaub ntawv los ntawm Medicare qhia tias qhov ntsuas nruab nrab ntawm kev kho qhov kev phais kom tsis pub dhau 90 hnub yog 0.2 feem pua, tab sis qhov no nce mus rau 3.7 feem pua ​​hauv 18 lub hlis.

Qee qhov kev tshawb fawb qhia tau tias kev hnav ntev thiab ua haujlwm ntawm qhov cog hniav cuam tshuam rau 6 feem pua ​​ntawm cov neeg tom qab 5 xyoo thiab 12 feem pua ​​tom qab 10 xyoo.

Tshaj tag nrho, ntau dua los ntawm kev hloov lub hauv caug lub hauv caug tseem ua haujlwm 25 xyoo tom qab, raws li cov ntaub ntawv luam tawm xyoo 2018.

Txoj hauv kev txo qhov hnav thiab tsim kua muag thiab qhov kev pheej hmoo ntawm kev puas tsuaj muaj xws li:

• tswj lub cev noj qab nyob zoo
• zam kev cuam tshuam nrog cov haujlwm siab, xws li khiav thiab dhia, vim tias cov no tuaj yeem ua rau muaj kev ntxhov siab ntawm qhov sib koom ua ke

Nqa Nyiaj

Tag nrho lub hauv caug hloov yog txheej txheem txheej txheem uas txhiab tus neeg nyob rau hauv txhua xyoo. Ntau ntawm lawv tsis muaj teeb meem.

Nws yog qhov yuav tsum paub tias qhov txaus ntshai yog li cas thiab yuav ua li cas hnov ​​cov cim ntawm qhov tsis txaus ntseeg.

Qhov no yuav pab koj txiav txim siab txog qhov yuav ua mus tom ntej. Nws tseem yuav kom koj nqis tes ua yog tias muaj teeb meem tshwm sim.