Thaum cov kws kho mob qhia rau koj tias koj tus menyuam mos muaj mob plawv nyuaj, nws nyuaj rau piav qhia qhov kev ntshai thiab kev poob siab uas koj xav ua niam txiv. Ib sab tes, koj tu siab thiab ntshai rau koj tus menyuam. Ib sab tes, koj xav tias koj tsis nkag siab ib lo lus uas cov kws kho mob hais lossis cov npe ntawm cov tshuaj. Thaum lub sijhawm zoo li no, ib lub npe paub zoo uas koj yuav hnov yog 'Alprostadil.' Yog li hnub no, cia peb tham yooj yim thiab ua siab zoo txog cov tshuaj no yog dab tsi, vim li cas nws thiaj muab rau cov menyuam mos, thiab koj yuav tsum paub dab tsi txog nws.
Vim li cas cov tshuaj no thiaj muab rau ib tug me nyuam? Cia peb xub nkag siab qhov no.
Ua ntej peb tham txog cov tshuaj no, peb yuav tsum nkag siab me ntsis. Xav txog nws, thaum tus menyuam nyob hauv niam lub tsev menyuam, nws lub ntsws tsis ua haujlwm, puas yog? Nws tau txais cov pa oxygen uas nws xav tau los ntawm txoj hlab ntaws. Yog li lub sijhawm no, muaj kev sib txuas me me, zoo li txoj kev 'bypass', ntawm cov hlab ntsha uas nqa ntshav los ntawm lub plawv mus rau lub ntsws (Pulmonary Artery), thiab cov hlab ntsha tseem ceeb uas nqa ntshav mus rau lub cev (Aorta). Qhov no yog qhov peb hu ua Ductus Arteriosus . Thaum tus menyuam yug los thiab pib ua pa ntawm nws tus kheej, txoj kev 'bypass' no tsis xav tau lawm. Yog li nws kaw nws tus kheej hauv ob peb teev. Qhov ntawd yog cov txheej txheem ib txwm muaj.
Txawm li cas los xij, qee tus menyuam yug los muaj cov teeb meem plawv nyuaj heev (Congenital Heart Defects). Piv txwv li, cov hlab ntsha uas nqa ntshav mus rau lub ntsws yuav tsis tsim tau zoo, lossis tej zaum yuav muaj qhov sib txawv ntawm txoj kev uas cov hlab ntsha tseem ceeb txuas nrog. Hauv qhov no, yog tias txoj kev 'bypass' uas peb tau tham txog ua ntej hu ua Ductus Arteriosus raug thaiv, tus menyuam lub cev thiab lub ntsws yuav tsis tau txais cov ntshav oxygenated txaus. Qhov no txaus ntshai heev rau tus menyuam lub neej.
Yog lub sijhawm ntawd cov kws kho mob yuav tsum tau phais kom txoj kev 'bypass', uas yog ductus arteriosus, qhib kom txog thaum qhov teeb meem plawv raug kho. Cov tshuaj cawm siav uas muab rau qhov no hu ua alprostadil.
Yog li, Alprostadil yog dab tsi tiag?
Hais yooj yim xwb, alprostadil yog ib yam tshuaj uas zoo ib yam li cov tshuaj hu ua 'Prostaglandin' uas tsim tawm hauv peb lub cev. Feem ntau siv nws hauv peb lub tebchaws raws li lub npe lag luam Prostin VR .
Lub luag haujlwm tseem ceeb ntawm qhov no yog tiv thaiv cov hlab ntsha ductus arteriosus kom tsis txhob kaw thiab ua kom nws qhib. Nws zoo li muab ib tug pas me me tso rau hauv nruab nrab ntawm lub qhov rooj kom nws qhib. Cov tshuaj no ua rau lub cev ntawm tus menyuam tau txais cov ntshav uas nws xav tau kom txog thaum phais plawv. Yog li qhov no yog ib qho tshuaj tseem ceeb heev, zoo li ib lub choj ib ntus .
Koj muab cov tshuaj no rau tus menyuam li cas?
Cov tshuaj no tsis yog siv hauv tsev. Alprostadil raug muab rau hauv tsev kho mob, tshwj xeeb tshaj yog nyob rau hauv Chav Saib Xyuas Me Nyuam Mos (NICU) lossis Chav Saib Xyuas Me Nyuam Mos (PICU).
Qhov no yog vim tias cov tshuaj no yuav tsum tau muab ncaj qha rau hauv cov leeg ntshav, zoo li cov kua saline (infusion) , ua tib zoo heev, txuas ntxiv mus. Tsis tas li ntawd, thaum muab cov tshuaj no, cov kws kho mob thiab cov neeg saib xyuas neeg mob yuav saib xyuas cov yam xws li lub plawv dhia ntawm tus menyuam, ntshav siab, thiab cov pa oxygen 24 teev hauv ib hnub nrog cov khoom siv tshwj xeeb. Yog li ntawd, nco ntsoov tias koj tus menyuam muaj kev nyab xeeb heev.
Tej yam tseem ceeb uas yuav tsum qhia rau tus kws kho mob
Ua ntej pib noj cov tshuaj no, nws yog ib qho tseem ceeb heev uas yuav tsum tham txog cov ntaub ntawv no txog koj tus menyuam nrog koj pab neeg kho mob. Feem ntau, cov kws kho mob yuav nug koj li no, tab sis nws zoo rau koj kom paub txog qhov no thiab.
- Yog tias tus me nyuam muaj teeb meem los ntshav (piv txwv li, ib qho mob uas cov ntshav tsis yooj yim txhaws).
- Yog tias tus me nyuam muaj teeb meem ua pa .
- Yog tias koj tau ua xua rau tshuaj lossis khoom noj ua ntej.
- Yog koj muaj lwm yam mob.
Cov tshuaj no tej zaum yuav muaj tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, alprostadil tuaj yeem ua rau muaj qee qhov kev mob tshwm sim. Tab sis tsis txhob txhawj, vim tias tus menyuam mos nyob hauv chav saib xyuas mob hnyav, cov neeg ua haujlwm npaj txhij los txheeb xyuas thiab kho cov no tam sim ntawd.
| Cov teebmeem sab | Yuav tsum paub dab tsi |
|---|---|
| Tej yam yuav tsum tau qhia rau tus kws kho mob lossis cov neeg ua haujlwm saib xyuas neeg mob tam sim ntawd | |
| Kev Ua Xua | Tawv nqaij ua pob khaus, khaus, o ntawm daim di ncauj/tus nplaig/lub ntsej muag. |
| Kev hloov pauv ntawm kev ua pa | Ua tsis taus pa ib ntus (Apnea), ua pa qeeb lossis ua pa ntau dua. |
| Kev hloov pauv ntawm lub plawv dhia lossis ntshav siab | Lub plawv dhia qeeb lossis nce ntxiv, ntshav siab txo qis. |
| Ua npaws | Kub lub cev nce ntxiv. |
| Qaug dab peg | Lub cev tshee hnyo los yog qaug dab peg. |
| Flushing | Liab ntawm daim tawv nqaij. |
| Tej yam yuav tsum qhia rau tus kws kho mob yog tias lawv tseem mob ntxiv | |
| Mob plab | Mob raws plab. |
| Mob qhov twg muab tshuaj | O los yog liab qhov chaw uas muab tshuaj rau hauv cov leeg ntshav. |
Nco ntsoov, daim ntawv teev npe no tsis suav nrog txhua yam kev mob tshwm sim uas yuav tshwm sim. Yog li ntawd , yog tias koj pom muaj kev hloov pauv txawv txawv hauv koj tus menyuam tus cwj pwm lossis tsos, lossis yog tias koj muaj kev txhawj xeeb, qhia rau tus kws kho mob lossis tus nais tam sim ntawd.
Yuav ua li cas yog tias cov tshuaj ntau ntxiv?
Qhov no yog muab rau hauv tsev kho mob, los ntawm cov neeg ua haujlwm kho mob uas tau kawm tiav, siv cov tshuab tshwj xeeb (cov twj tso kua mis), yog li ntawd qhov muaj feem yuav noj tshuaj ntau dhau yog tsawg heev. Txawm li cas los xij, yog tias koj muaj kev tsis ntseeg, tham nrog kws kho mob lossis tus nais uas saib xyuas koj tus menyuam tam sim ntawd. Yog xav paub ntxiv txog cov tshuaj lossis kev lom, koj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National . Thaum muaj xwm txheej ceev, koj yuav tsum mus ncaj qha rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Alprostadil yog ib yam tshuaj cawm siav ib ntus uas muab rau cov menyuam mos uas muaj kab mob plawv txij thaum yug los.
- Nws lub luag haujlwm tseem ceeb yog ua kom ib txoj hlab ntshav tshwj xeeb hu ua Ductus Arteriosus qhib kom txog thaum tus menyuam lub plawv raug phais.
- Cov tshuaj no muab rau hauv chav saib xyuas mob hnyav hauv tsev kho mob, nyob rau hauv kev saib xyuas tag nrho ntawm cov kws kho mob thiab cov kws tu mob . Yog li ntawd, tsis txhob txhawj txog kev nyab xeeb ntawm tus menyuam.
- Yog koj pom muaj tej yam tsos mob txawv txawv hauv koj tus menyuam (xws li kub taub hau, ua pa nyuaj, tawv nqaij hloov pauv) thaum muab tshuaj, qhia rau cov neeg ua haujlwm kho mob tam sim ntawd .
- Cov tshuaj no tsis yog ib qho kev daws teeb meem mus tas li rau tus menyuam lub plawv teeb meem. Txawm li cas los xij, nws yog ib lub choj tseem ceeb heev uas npaj tus menyuam rau kev phais, uas yog qhov kev daws teeb meem mus tas li.
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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