2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Vim qhov hloov pauv tsis zoo ntawm cov thyroid caj pas tsis zoo thiab RLN RLN Kev raug mob rau cov hlab ntsha rov qab tuaj yeem ua rautsis muaj suab nrov (qhoarseness) lossis poob suab (aphonia) thiab ua rau muaj teeb meem hauv kev ua pa. Kev raug mob rau cov hlab ntsha tuaj yeem ua rau tuag tes tuag taw cov leeg tom qab cricoarytenoid ntawm tib sab. https://en.wikipedia.org › wiki › Recurrent_laryngeal_nerve
Recurrent laryngeal paj hlwb - Wikipedia
nws tau hais tias cov hlab ntsha yuav ligated yog ze lossis ntawm nws cov ceg ntoo ntawm cov thyroid capsule. Cov ceg sab hauv ntawm SLN tsis tuaj yeem muaj kev pheej hmoo thaum lub sij hawm thyroidectomy tshwj tsis yog tias cov thyroid caj pas zoo tshaj yog ligated ze.
Koj Ligate superior thyroid nyob qhov twg?
Nws muaj kev nyab xeeb rau ligate superior thyroid artery ze rau tus ncej superior ntawm cov thyroid caj pasli ua tau. Nws yog qhov muaj kev nyab xeeb dua los txheeb xyuas cov ceg ntawm cov hlab ntsha ntawm cov thyroid caj pas thiab tsis txhob ligating lub cev loj xws li feem ntau ntawm cov hlab ntsha superior laryngeal nyob ze rau lub cev loj.
Vim li cas cov hlab ntsha zoo tshaj plaws yuav tsum tau khi ze ze ntawm ciam teb zoo dua ntawm cov thyroid thaum ua haujlwm ntawm nws?
Ntawm txhua sab, sab nraud ntawm cov hlab ntsha zoo tshaj plaws ntawm cov hlab ntsha innervates cov leeg nqaij cricothyroid. Feem ntau, cov hlab ntsha no nyob ze rau lub vascular pedicle ntawm tus ncej superior ntawm cov thyroidlobe uas xav kom cov hlab ntsha yog ligated nrog kev saib xyuas kom tsis txhob raug mob rau nws (Fig. 6) (7).
Yuav ua li cas cov hlab ntsha thaum lub sij hawm phais thyroid?
Feem ntau cov kws phais pom zoo tias kev txheeb xyuas SLN, sib piv rau RLN, yog qhov tsis tsim nyog. Hloov chaw, ligate lub davhlau ya nyob twg ntawm cov hlab ntsha zoo tshaj plaws ntawm cov thyroid caj pas kom ze rau cov thyroid capsulekom tsis txhob ua rau cov hlab ntsha puas tsuaj.
Cov hlab ntsha twg tuaj yeem raug puas tsuaj yooj yim thaum cov thyroid kab mob siab tshaj plaws yog ligated?
Cov ceg sab nraud ntawm cov hlab ntsha zoo tshaj plaws (EBSLN) muaj kev pheej hmoo ntawm kev raug mob thaum lub sij hawm cov thyroid ua haujlwm thaum txiav ntawm tus ncej superior thiab ligation ntawm superior thyroid hlab ntsha (STV) raug ua. Tus nqi ntawm kev raug mob rau cov hlab ntsha no yog qhov sib txawv heev hauv cov ntaub ntawv, tab sis tuaj yeem siab li 58% (1).
Pom zoo:
Lub sijhawm twg ntawm lub sijhawm cev xeeb tub yog progesterone siab tshaj?
Theem luteal: Lub sijhawm ntawm ovulation thiab ua ntej pib cev xeeb tub, thaum lub cev npaj rau kev xeeb tub. Progesterone raug tsim, ncov, thiab tom qab ntawd poob. Thaum nyob rau hauv lub uterine voj voog yog cov qib progesterone siab tshaj?
Qhov twg kom ligate superior thyroid artery?
Nws muaj kev nyab xeeb rau ligate superior thyroid artery ze rau tus ncej superior ntawm cov thyroid caj pas li ua tau. Nws yog qhov muaj kev nyab xeeb dua los txheeb xyuas cov ceg ntawm cov hlab ntsha ntawm cov thyroid caj pas thiab tsis txhob ligating lub cev loj xws li feem ntau ntawm cov hlab ntsha superior laryngeal paj superior laryngeal paj Lub superior laryngeal paj yog ib ceg ntawm vagus hlab ntsha.
Lub sijhawm kuv lub sijhawm dawb lossis thaum kuv lub sijhawm dawb?
yog li, qhov no txhais tau tias "thaum kuv lub sijhawm dawb" tsis siv ntauthiab koj muab "hauv kuv lub sijhawm dawb" ntau dua nyob rau qhov kawg ntawm kab lus. Piv txwv li: Kuv tau taug kev tus dev thaum kuv lub sijhawm dawb.
Lub sijhawm nyob qhov twg ntawm lub sijhawm teem sijhawm?
kab kab rov tav ntawm lub rooj ntu ntu yog hu ua ntu ntu. Lub sijhawm nyob rau ntawm lub sijhawm nyob qhov twg? Ib lub sijhawm yog kab kab rov tav ntawm lub rooj ntu ntu. Muaj xya lub sij hawm nyob rau hauv lub sij hawm ntawm lub sij hawm, nrog txhua tus pib ntawm sab laug.
Ntawm lub sijhawm lub sijhawm lub atomic loj?
Lub atomic mass ntawm ib lub caij yog qhov nruab nrab loj ntawm cov atoms ntawm ib lub ntsiab ntsuas hauv atomic mass unit(amu, tseem hu ua d altons, D). Lub atomic huab hwm coj yog qhov hnyav nruab nrab ntawm tag nrho cov isotopes ntawm lub caij ntawd, nyob rau hauv uas qhov loj ntawm txhua isotope yog sib npaug los ntawm kev nplua nuj ntawm cov isotope.
