Peb txhua tus paub tias lub raum yog cov kabmob tseem ceeb heev uas lim cov khoom pov tseg tawm ntawm peb lub cev thiab pab tswj qhov sib npaug ntawm cov kua dej thiab ntsev hauv lub cev. Tab sis yuav ua li cas yog tias cov ntshav ntws mus rau cov raum no nres tam sim ntawd, lossis yog tias lawv tsis tau txais oxygen txaus? Niaj hnub no peb tab tom tham txog ib qho mob hnyav uas tuaj yeem tshwm sim. Qhov no hu ua Acute Tubular Necrosis, lossis luv luv ATN.
Hais yooj yim xwb, Acute Tubular Necrosis (ATN) yog dab tsi?
Lub npe no tej zaum yuav zoo li nyuaj me ntsis, tab sis cia peb ua kom yooj yim xwb. Hauv peb lub raum, peb muaj cov qauv me me uas zoo li lub raj uas lim ntshav. Peb hu cov no ua "tubules." Lub luag haujlwm tseem ceeb ntawm cov raj no yog lim cov khoom pov tseg, dej tsis tsim nyog, thiab ntsev ntawm peb cov ntshav thiab tso tawm ntawm lub cev ua zis.
Hauv ib qho mob hu ua Acute Tubular Necrosis, cov ntshav thiab cov pa oxygen uas mus txog rau lub raum yuav txo qis tam sim ntawd, ua rau cov hlab me me no puas tsuaj thiab cov hlwb hauv lawv tuag. Thaum cov hlab no puas lawm, lub raum yuav ua tsis tau lawv txoj haujlwm kom zoo. Qhov no ua rau cov khoom pov tseg, cov kua dej ntxiv, thiab cov ntsev sib sau ua ke hauv lub cev. Qhov no tuaj yeem hloov mus rau qhov ua tsis tau haujlwm rau lub raum sai sai .
Cov laj thawj tseem ceeb rau qhov xwm txheej no yog dab tsi?
Xav txog lub raum zoo li ib tsob nroj. Ib yam li ib tsob nroj tuag yam tsis muaj dej, lub raum kuj tuag yam tsis muaj ntshav thiab oxygen. Muaj ob pawg tseem ceeb ntawm cov ua rau ATN.
1. Cov ntshav ntws mus rau lub raum tsis zoo:
- Qhov xwm txheej ceev, xws li mob plawv nres lossis mob hlwb, tuaj yeem ua rau lub cev cov ntshav siab poob qis tam sim ntawd, txo cov ntshav ntws mus rau lub raum.
- Vim los ntshav ntau heev thaum lub sijhawm phais loj lossis muaj xwm txheej loj.
- Ntshav siab qis vim yog lub cev qhuav dej lossis muaj kab mob hnyav (sepsis).
2. Kev nkag mus rau hauv cov tshuaj lom rau hauv lub raum:
- Cov xim sib txawv yog cov xim uas raug txhaj rau hauv lub cev thaum lub sijhawm kuaj mob, xws li X-ray lossis CT scan.
- Qee cov tshuaj tua kab mob thiab tshuaj loog .
- Kev noj lwm yam tshuaj lom neeg.
Cov yam no tuaj yeem ua rau lub raum puas tsuaj ncaj qha thiab ua rau lawv tsis ua haujlwm.
Leej twg muaj feem yuav mob ATN ntau dua?
Muaj ib txhia neeg muaj feem yuav mob no ntau dua li lwm tus. Cia peb saib seb lawv yog leej twg.
| Qhov ua rau muaj kev pheej hmoo | Ib qho lus piav qhia yooj yim |
|---|---|
| Ntshav siab uas tseem qis rau lub sijhawm ntev | Thaum cov ntshav siab poob qis (shock), cov ntshav ntws mus rau cov kabmob tseem ceeb, suav nrog lub raum, txo qis. |
| Kev phais loj lossis kev raug mob loj | Hauv cov xwm txheej zoo li no, lub cev tuaj yeem poob ntshav ntau heev. |
| Lwm yam kab mob uas twb muaj lawm | Cov neeg uas muaj kab mob siab , ntshav qab zib , thiab kab mob raum uas twb muaj lawm yog cov muaj feem yuav mob ntau dua. |
| Cov ntshav txhaws | Yog tias cov ntshav txhaws nkag mus rau hauv cov hlab ntsha uas muab ntshav mus rau lub raum, nws tuaj yeem thaiv cov ntshav ntws thiab ua rau puas tsuaj. |
Cov tsos mob ntawm qhov no yog dab tsi?
Cov tsos mob ntawm ATN tuaj yeem tshwm sim sai sai. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no.
Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, mus ntsib kws kho mob sai li sai tau. Qhov no tsis yog ib qho mob uas yuav tsum tsis quav ntsej.
| Cov tsos mob | Qhov ntawd txhais li cas? |
|---|---|
| Cov zis tso tawm tsawg dua | Cov zis uas tawm hauv ib hnub yuav txo qis heev. Tej zaum ib txhia neeg yuav tsum tsis txhob tso zis kiag li. |
| Lub cev o (Kev khaws cov kua dej) | Vim tias cov raum tsis tuaj yeem tshem tawm cov kua dej ntxiv, ob txhais ceg, pob luj taws, tes, thiab lub ntsej muag pib o. |
| Xeev siab thiab ntuav | Kev sib sau ua ke ntawm cov khib nyiab hauv lub cev tuaj yeem ua rau mob plab thiab ntuav. |
| Kev tsaug zog ntau dhau thiab kev tsis meej pem ntawm lub hlwb | Tej zaum yuav ua rau sawv tsis taus, yooj yim tsaug zog, thiab tsis meej pem. Cov no yog cov tsos mob uas tshwm sim los ntawm cov tshuaj lom uas ua rau lub hlwb puas tsuaj. |
Tus kws kho mob yuav kuaj pom qhov no li cas?
Yog koj muaj cov tsos mob no, koj tus kws kho mob yuav xub kuaj koj thiab nug koj txog koj cov tsos mob. Tom qab ntawd, lawv yuav xaj ntau qhov kev kuaj mob kom paub tseeb tias koj mob. Feem ntau, tus kws kho mob nephrologist (tus kws kho mob uas tshwj xeeb hauv kev mob raum) yuav tshuaj xyuas qhov mob no kom tob.
- Kev kuaj ntshav: Qhov no feem ntau yog xyuas cov khoom pov tseg hauv cov ntshav. Lawv xyuas seb puas muaj cov khoom xws li 'Blood Urea Nitrogen (BUN)' thiab 'Creatinine' ntau hauv cov ntshav. Cov qib siab ntawm cov no qhia tau tias lub raum tsis ua haujlwm zoo. Lawv kuj xyuas cov ntsev xws li 'potassium' hauv cov ntshav.
- Kev kuaj zis: Ib qho qauv ntawm koj cov zis raug coj mus kuaj hauv qab lub tshuab kuaj mob me me. Hauv ATN, tej daim ntawm cov raj raum uas puas lawm yuav pom nyob rau hauv cov zis.
- Kev kuaj mob raum: Muaj tej lub sij hawm, yog tias nrhiav tsis tau qhov ua rau mob, yuav muab ib daim nqaij me me ntawm lub raum coj mus kuaj. Qhov no yuav pab kom pom tseeb tias cov raj raum puas tsuaj li cas.
Yuav kho li cas?
Lub hom phiaj tseem ceeb ntawm kev kho ATN yog kho qhov ua rau mob . Piv txwv li, yog tias nws yog kev kis kab mob, yuav muab tshuaj tua kab mob, lossis yog tias nws cov ntshav qis, nws yuav rov qab mus rau qhov qub. Kev kho qhov ua rau mob muab sijhawm rau lub raum kho nws tus kheej.
Lub sijhawm no, ua cov hauv qab no los txhawb koj lub cev kom txog thaum koj lub raum zoo:
- Kev Noj Haus: Yuav kom tsis txhob ua rau lub raum mob ntau dhau, lawv yuav qhia kom koj tsis txhob haus dej ntau, ntsev (sodium), thiab cov khoom noj uas muaj potassium ntau (xws li txiv tsawb thiab txiv kab ntxwv) .
- Cov Tshuaj: Cov tshuaj diuretics yuav muab tau los pab tshem tawm cov kua dej ntau dhau ntawm lub cev. Cov tshuaj kuj tseem yuav muab tau los tswj cov potassium hauv cov ntshav.
- Kev ntxuav lub raum: Yog tias lub raum ua haujlwm tsis zoo thiab cov khoom pov tseg tau sib sau ua ke mus rau qib txaus ntshai, koj yuav tsum tau ntxuav lub raum kom ntxuav koj cov ntshav ib ntus kom txog thaum koj lub raum zoo.
Lub sijhawm rov zoo txawv ntawm ib tus neeg mus rau ib tus neeg. Ib tus neeg noj qab nyob zoo uas tsis muaj lwm yam mob hnyav feem ntau tuaj yeem rov zoo li qub hauv ob peb hnub lossis ob peb lub lis piam. Txawm li cas los xij, nws yuav siv sijhawm ntev me ntsis rau ib tus neeg uas muaj lwm yam mob kom rov zoo.
Puas zam tau qhov xwm txheej no?
Txawm hais tias qee zaum nws nyuaj rau tiv thaiv ATN, muaj ntau yam uas peb tuaj yeem ua tau los txo qhov kev pheej hmoo.
- Yog koj muaj tej yam mob ntev xws li ntshav qab zib, ntshav siab, kab mob plawv, lossis kab mob siab , tswj lawv raws li koj tus kws kho mob pom zoo .
- Yog koj tab tom kuaj mob uas siv cov xim sib txawv, haus dej ntau ua ntej thiab tom qab kuaj mob. Qhov no yuav pab cov raum ntxuav cov tshuaj tawm ntawm koj lub cev sai dua.
- Tsis txhob noj cov tshuaj tiv thaiv kev o xws li ibuprofen thiab naproxen yam tsis tau kev qhia los ntawm kws kho mob, tshwj xeeb tshaj yog tias koj twb muaj kab mob raum lawm. Cov no tuaj yeem ua rau koj lub raum puas tsuaj.
- Yog koj yuav tau txais kev hloov ntshav, xyuas kom tseeb tias koj cov hom ntshav sib phim.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob ntsws Acute Tubular Necrosis (ATN) yog ib qho mob hnyav uas ua rau lub raum puas tsuaj vim yog cov ntshav thiab cov pa oxygen tsis txaus mus rau lub raum.
- Tsis txhob tso zis ntau dhau, o, tsaug zog ntau dhau, thiab tsis meej pem. Yog koj pom cov no, nrhiav kev pab kho mob tam sim ntawd.
- Thaum kho tus mob no, nws yog ib qho tseem ceeb uas yuav tsum kho qhov ua rau mob. Yog tias kho kom zoo, feem ntau cov neeg tuaj yeem rov zoo.
- Kev tswj cov kab mob ntev xws li ntshav qab zib thiab ntshav siab thiab tsis txhob siv cov tshuaj tua kab mob yam tsis tau kev qhia los ntawm kws kho mob tuaj yeem pab tiv thaiv cov raum.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus