
Kev Kho Mob Ua Tsis Taus Nyob Hauv Tsev Kho Mob ntsws Cancer Kab lus no muab cov ntaub ntawv qhia ntxaws txog kev tswj kev ua pa, ib qho tsos mob ntawm mob ntsws cancer. Peb tshawb nrhiav ntau yam kev kho mob muaj nyob rau hauv cov tsev kho mob tshwj xeeb mob ntsws cancer, tsom rau kev txo cov tsos mob thiab txhim kho lub neej zoo. Cov ntaub ntawv muab yog rau kev paub dav dav thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Txhua zaus nrog koj tus kws kho mob tham txog kev kuaj mob thiab kev kho mob.
Ua tsis taus pa, los yog dyspnea, yog ib qho kev ntxhov siab uas nquag ntsib los ntawm cov tib neeg uas mob ntsws cancer. Qhov hnyav tuaj yeem sib txawv heev nyob ntawm theem ntawm tus mob qog noj ntshav thiab tus kheej yam. Hmoov zoo, ntau yam kev kho mob muaj los txo cov tsos mob no thiab txhim kho lub neej zoo rau cov neeg mob. Kab lus no tshawb txog ntau txoj hauv kev rau kev tswj hwm kev kho mob ua tsis taus pa hauv tsev kho mob ntsws cancer, qhia txog cov kev xaiv uas muaj los ntawm cov chaw tshwj xeeb xws li cov Shandong Baofa Cancer Research Institute.
Ua tsis taus pa hauv ntsws cancer tuaj yeem tshwm sim los ntawm ntau yam. Cov qog loj hlob tuaj yeem ncaj qha mus rau hauv cov hlab cua, txo cov cua ntws. Cov kua dej nyob ib ncig ntawm lub ntsws (pleural effusion) tuaj yeem txwv lub ntsws nthuav dav. Lwm yam tseem ceeb muaj xws li metastasis (mob qog nqaij hlav) rau lub ntsws, kab mob, thiab ntshav liab. Kev kuaj mob kom raug yog qhov tseem ceeb los txiav txim siab qhov laj thawj thiab kho cov tswv yim kho kom tsim nyog.
Ntau cov tshuaj tuaj yeem tswj tau qhov ua tsis taus pa. Bronchodilators so cov hlab cua, txhim kho cov cua. Diuretics pab txo cov kua dej ntau ntxiv, txo qhov siab ntawm lub ntsws. Opioids, thaum siv ceev faj vim muaj cov kev phiv tshwm sim, tuaj yeem pab ua pa hnyav. Cov tshuaj tshwj xeeb thiab ntau npaum li cas raug txiav txim raws li tus neeg xav tau kev pab thiab kev noj qab haus huv. Nco ntsoov sab laj nrog kws kho mob ua ntej pib cov tshuaj tshiab.
Kev kho cov pa oxygen ntxiv feem ntau yog siv los txhim kho cov pa oxygen hauv cov ntshav, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob uas tsis muaj ntshav oxygen saturation. Oxygen tuaj yeem siv los ntawm qhov ntswg cannulas lossis qhov ncauj qhov ntswg, muab kev pab tam sim ntawd los ntawm kev ua tsis taus pa. Tus nqi ntawm cov pa oxygen ntxiv yuav txawv nyob ntawm tus neeg mob qhov kev xav tau tshwj xeeb.
Qee qhov xwm txheej, kev kho hluav taws xob tuaj yeem ua haujlwm los txo cov qog nqaij hlav uas ua rau cov hlab ntsws, yog li ua kom ua pa. Txoj kev no ncaj qha hais txog qhov ua rau ua tsis taus pa hauv cov xwm txheej tshwj xeeb. Qhov ua tau zoo thiab tsim nyog ntawm kev kho hluav taws xob yog nyob ntawm qhov chaw thiab qhov loj ntawm cov qog.
Kev phais yuav raug txiav txim siab rau cov txheej txheem xws li pleurodesis (tshem tawm cov kua dej pleural) lossis tshem cov qog ua rau cov hlab ntsws. Kev txiav txim siab mus rau kev phais yog ua raws li qhov xwm txheej, suav nrog tus neeg mob tag nrho kev noj qab haus huv thiab theem ntawm tus mob qog noj ntshav. Cov txheej txheem no feem ntau yog ua nyob rau hauv tshwj xeeb kev kho mob ua tsis taus pa hauv tsev kho mob ntsws cancer nrog pab pawg kws phais mob.
Palliative care plays lub luag haujlwm tseem ceeb hauv kev tswj tsis tau ua pa, tsom mus rau cov tsos mob nyem thiab txhim kho lub neej zoo. Qhov kev qhuab qhia ntau yam no suav nrog kev tswj qhov mob, txhawb kev xav, thiab hais txog lwm cov tsos mob ntawm lub cev. Palliative care aims los txhim kho kev nplij siab thiab txhim kho tus neeg mob txoj kev noj qab haus huv tag nrho.
Xaiv lub tsev kho mob qog noj ntshav uas tsim nyog yog qhov tseem ceeb heev kom tau txais txiaj ntsig zoo kev kho mob ua tsis taus pa thiab kev saib xyuas mob qog noj ntshav. Xav txog yam xws li lub tsev kho mob cov kws tshaj lij hauv kev kho mob qog noj ntshav, nws lub peev xwm thev naus laus zis, thiab muaj cov kev pabcuam tshwj xeeb xws li kev kho mob palliative. Lub tsev kho mob nrog ntau pab pawg kws kho mob oncologist, pulmonologists, kws kho mob ua pa, thiab cov kws kho mob palliative muaj kev sib koom ua ke ntau dua.
| Txoj kev kho mob | Mechanism ntawm Action | Cov txiaj ntsig | Tej yam tshwm sim |
|---|---|---|---|
| Tshuaj (Bronchodilators) | Relaxes airway cov leeg | Txhim kho cua ntws, ua pa yooj yim dua | tremors, palpitations |
| Kev Kho Oxygen | Ua kom cov ntshav oxygen ntau ntxiv | Txhim kho oxygen saturation, txo ua pa | Qhov ntswg qhuav, tawv nqaij khaus |
| Kev kho hluav taws xob | Shrinks qog compressing pa | Txhim kho airflow, txo ua pa | nkees nkees, khaus tawv nqaij |
Nco ntsoov, cov ntaub ntawv no yog rau kev paub dav dav thiab yuav tsum tsis txhob suav tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob lossis tus kws kho mob kom kuaj xyuas thiab kho qhov ua tsis taus pa lossis lwm yam kev txhawj xeeb txog kev noj qab haus huv. Cov ntaub ntawv muab ntawm no tsis yog hloov pauv rau cov lus qhia kws kho mob. Ib txwm nrhiav kev qhia ntawm koj tus kws kho mob lossis lwm tus kws kho mob uas tsim nyog nrog cov lus nug uas koj muaj txog kev mob nkeeg. Tsis txhob tso tseg cov lus qhia txog kev kho mob lossis ncua sijhawm nrhiav nws vim qee yam koj tau nyeem hauv lub vev xaib no.