Kev daws teeb meem rau cov teeb meem plawv tam sim ntawd? Cia peb kawm txog kev txhaj tshuaj Esmolol!

Koj puas tau hnov ​​txog ib tug neeg uas tam sim ntawd muaj ntshav siab heev, lossis lub plawv dhia tsis xwm yeem, thiab raug coj mus pw hauv tsev kho mob? Qee zaum, thaum muaj xwm txheej ceev thiab mob hnyav, muaj cov tshuaj tshwj xeeb uas cov kws kho mob siv los kho sai. Ib qho tshuaj zoo li no yog Esmolol. Feem ntau nws yog muab ua tshuaj txhaj. Yog li, hnub no peb yuav tham txog cov tshuaj no hu ua Esmolol kom ntxaws me ntsis thiab yooj yim.

Esmolol no yog dab tsi? Nws ua dab tsi?

Hais yooj yim xwb, Esmolol yog ib yam tshuaj siv los kho cov ntshav siab . Nws kuj tseem siv los tswj cov arrhythmias, uas yog lub plawv dhia tsis xwm yeem lossis thaum lub plawv dhia ceev dhau.

Qhov no yog ib hom tshuaj hu ua '(Beta blockers)'. Xav txog koj lub plawv zoo li lub cav me me. Cov '(Beta blockers)' no ua dab tsi yog tswj qhov ceev ntawm lub cav ntawd me ntsis. Ntawd yog, lawv ua rau koj lub plawv dhia qeeb, lawv txo koj cov ntshav siab. Ces lub plawv tuaj yeem nqus ntshav tau yooj yim dua thoob plaws lub cev. Qhov no kuj txo qhov haujlwm ntawm lub plawv. Qee zaum koj tuaj yeem pom cov tshuaj no nyob rau hauv lub npe lag luam '(Brevibloc)'.

Thaum twg siv Esmolol?

Cov kws kho mob feem ntau siv cov tshuaj no hu ua Esmolol hauv ob qho xwm txheej tshwj xeeb.

1. Yuav tswj tau ntshav siab:

Qee zaum, tshwj xeeb tshaj yog thaum lub sijhawm phais lossis tom qab phais lossis lwm yam xwm txheej ceev, ntshav siab tuaj yeem nce siab heev. Qhov no yog qhov xwm txheej txaus ntshai heev. Vim tias ntshav siab tuaj yeem ua rau lub plawv, lub hlwb, thiab lub raum puas tsuaj. Hauv cov xwm txheej zoo li no, Esmolol pab tswj ntshav siab sai.

2. Yuav kom tswj tau lub plawv dhia ceev lossis tsis xwm yeem (Arrhythmia):

Feem ntau peb lub plawv dhia hauv ib lub suab nrov. Txawm li cas los xij, vim muaj qee yam mob, lub plawv dhia tuaj yeem sai heev (Tachycardia) lossis lub plawv dhia tuaj yeem tsis xwm yeem (Arrhythmia). Hauv cov xwm txheej zoo li no, lub plawv muaj teeb meem tso ntshav kom raug, thiab tus neeg mob yuav hnov ​​​​​​mob, mob hauv siab, thiab kiv taub hau. Esmolol pab tswj lub plawv dhia ceev, tsis xwm yeem no thiab rov qab ua haujlwm ntawm lub plawv zoo li qub.

Tseem Ceeb: Cov tshuaj no feem ntau yog siv rau cov neeg mob hauv tsev kho mob, nyob rau hauv kev saib xyuas ntawm kws kho mob. Nws tsis yog tshuaj rau siv hauv tsev.

Yuav muab cov tshuaj no rau koj li cas?

Cov tshuaj no hu ua Esmolol yog muab rau koj los ntawm kev txhaj tshuaj rau hauv cov leeg ntshav., uas yog, los ntawm txoj kev "Intravenous lossis IV". Qhov no ua tiav hauv tsev kho mob lossis chaw kho mob, los ntawm cov neeg ua haujlwm kho mob uas tau kawm tiav. Qhov no txhais tau tias qhov no tsis yog tshuaj uas koj tuaj yeem mus yuav ntawm lub tsev muag tshuaj thiab coj mus tsev.

Tus kws kho mob lossis tus nais maum yuav txhaj tshuaj raws li koj tus mob thiab qhov nrawm ntawm kev txhaj tshuaj. Koj lub plawv dhia thiab ntshav siab yuav raug saib xyuas tas li thaum koj noj cov tshuaj no.

Cov tshuaj no puas siv rau menyuam yaus?

Yog, qee zaum tshwj xeeb, cov tshuaj no kuj tuaj yeem muab rau menyuam yaus. Tab sis nws xav tau kev saib xyuas tshwj xeeb . Qhov ntau npaum li cas yog txiav txim siab raws li qhov hnyav, hnub nyoog, thiab mob ntawm tus menyuam. Yog li ntawd, yog tias tus menyuam xav tau cov tshuaj no, nws yuav tsum tau tham nrog pab pawg kws kho mob kom zoo thiab yuav tsum tau txiav txim siab.

Ua ntej koj noj Esmolol, koj yuav tsum qhia rau koj pab neeg kho mob li cas?

Qhov no tseem ceeb heev. Ua ntej koj txhaj tshuaj Esmolol, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob lossis tus kws saib mob txog cov ntaub ntawv hauv qab no. Kev zais cov no tuaj yeem ua rau koj raug mob.

• Yog tias koj lub cev qhuav dej: Thaum koj lub cev qhuav dej, qee cov tshuaj yuav ua haujlwm txawv.
• Yog koj muaj tus kab mob ntshav qab zib: Cov tshuaj beta blockers qee zaum tuaj yeem npog cov tsos mob ntawm hypoglycemia (piv txwv li, lub plawv dhia ceev). Yog li ntawd, yuav tsum tau ceev faj tshwj xeeb thaum muab cov tshuaj no rau cov neeg mob ntshav qab zib.
• Yog tias koj muaj lwm yam kab mob plawv: Piv txwv li, yog tias koj muaj mob xws li "Bradycardia" uas lub plawv dhia qeeb dhau, lossis "Heart block", cov tshuaj no yuav tsis haum.
• Yog koj muaj kab mob raum: Lub raum yog lub luag haujlwm lim thiab tshem tawm feem ntau cov tshuaj tawm ntawm lub cev. Yog tias lub raum tsis ua haujlwm zoo, cov tshuaj tuaj yeem sib sau ua ke hauv lub cev thiab ua rau muaj kev pheej hmoo ntawm cov kev mob tshwm sim.
• Yog koj muaj mob ntsws lossis mob ua pa xws li mob hawb pob: Qee cov beta blockers tuaj yeem ua rau mob hawb pob hnyav dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog qhov no thiab.
• Yog tias koj muaj lossis tau muaj kev tsis haum tshuaj rau Esmolol, lwm yam beta blockers, lwm yam tshuaj, khoom noj, xim, lossis cov tshuaj preservatives: Qhov no tseem ceeb heev. Qhia rau peb paub, txawm tias koj xav tias nws yog ib qho me me los xij.
• Yog tias koj cev xeeb tub lossis tab tom sim cev xeeb tub: Qee cov tshuaj thaum cev xeeb tub tuaj yeem cuam tshuam rau tus menyuam.
• Yog koj pub niam mis rau menyuam: Qee cov tshuaj tuaj yeem hla mus rau koj tus menyuam los ntawm mis niam.

Yog koj paub cov ntaub ntawv no kom raug, pab neeg kho mob tuaj yeem muab kev kho mob zoo tshaj plaws thiab muaj kev nyab xeeb tshaj plaws rau koj.

Yuav ua li cas yog tias koj noj tshuaj ntau dhau (Overdose)?

Vim tias Esmolol yog tshuaj uas muab rau hauv tsev kho mob uas muaj kev saib xyuas los ntawm kws kho mob, feem ntau yuav muaj tsawg txoj hauv kev uas yuav noj tshuaj ntau dhau vim tias cov kws kho mob thiab cov kws tu mob yeej ib txwm saib xyuas nws tas li.

Txawm li cas los xij, yog tias koj xav tias koj tau noj tshuaj ntau dhau, lossis yog tias koj muaj cov tsos mob xws li lub plawv dhia qeeb heev, kiv taub hau heev, lossis tsis nco qab, koj yuav tsum qhia rau cov neeg ua haujlwm kho mob tam sim ntawd.

Nco ntsoov: Cov tshuaj no tsuas yog rau koj xwb. Tsis txhob muab rau lwm tus lossis faib rau lwm tus. (Qhov no yog tshuaj IV, yog li nws tsis yog ib yam dab tsi uas koj tuaj yeem coj mus tsev, tab sis qhov no yog cov lus qhia tseem ceeb txog kev kho mob feem ntau.)

Yog tias kuv tsis nco qab noj tshuaj li cas?

Lo lus nug no tsis muaj feem cuam tshuam rau ntawm no. Vim tias Esmolol tsis yog tshuaj uas koj yuav tsum noj txhua hnub, rau lub sijhawm teem tseg. Qhov no yog kev kho mob uas cov kws kho mob hauv tsev kho mob muab, raws li qhov xav tau.

Muaj lwm yam dab tsi uas yuav cuam tshuam nrog cov tshuaj no? (Kev cuam tshuam)

"Kev sib cuam tshuam" txhais tau hais tias ib yam tshuaj uas koj noj cuam tshuam rau txoj kev uas lwm yam tshuaj uas koj noj ua haujlwm. Qee zaum qhov no tuaj yeem ua rau muaj kev phiv ntau ntxiv lossis ua rau cov tshuaj tsis zoo.

Qee cov tshuaj uas yuav cuam tshuam nrog Esmolol suav nrog:

• Qee cov tshuaj kho mob rau ntshav siab, kab mob plawv, thiab lub plawv dhia tsis xwm yeem.
• Digoxin (tseem yog tshuaj rau kab mob plawv)
• Mivacurium (tshuaj siv los so cov leeg thaum phais)
• Succinylcholine (tseem yog ib qho tshuaj ua kom cov leeg nqaij so)

Daim ntawv teev npe no tsis tiav. Yog li ntawd, qhia rau koj tus kws kho mob lossis tus nais txog txhua yam tshuaj , tshuaj ntsuab , tshuaj uas tsis tas yuav tsum tau kev tso cai , thiab cov tshuaj noj uas koj noj. Tsis tas li ntawd, nco ntsoov qhia rau lawv yog tias koj haus luam yeeb , haus cawv , lossis siv tshuaj yeeb tsis raug cai . Qee yam ntawm cov no tuaj yeem cuam tshuam nrog koj cov tshuaj.

Kuv yuav tsum ceev faj txog dab tsi thaum siv cov tshuaj no?

Thaum koj tab tom kho nrog Esmolol, koj tus mob yuav raug saib xyuas ze los ntawm cov neeg ua haujlwm kho mob. Qhov no txhais tau tias koj cov ntshav siab, lub plawv dhia thiab lub suab, thiab kev ua pa yuav raug kuaj xyuas tsis tu ncua. Yog li tsis muaj dab tsi yuav txhawj txog. Koj nyob hauv ib puag ncig muaj kev nyab xeeb.

Cov tshuaj no tej zaum yuav muaj tej yam tsis zoo li cas? (Cov Kev Mob Tsis Zoo)

Ib yam li txhua yam tshuaj, Esmolol tuaj yeem ua rau muaj kev phiv rau qee tus neeg, txawm hais tias tsis yog txhua tus neeg tau txais lawv.

Cov kev mob tshwm sim uas yuav tsum tau tshaj tawm rau pab pawg kho mob tam sim ntawd:

Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob xav tias nws yog ib yam me me, tab sis qhia rau koj tus kws kho mob lossis tus nais maum tam sim ntawd .

• Kev ua xua:
• Mob pob khaus ntawm daim tawv nqaij
• Khaus
• Mob pob khaus
• O ntawm lub ntsej muag, daim di ncauj, tus nplaig, lossis caj pas - Qhov no tuaj yeem ua rau ua pa nyuaj.
• Cov Cim Qhia Txog Kev Ua Tsis Tau Zoo ntawm Lub Plawv: (Cov no yog cov cim qhia txog kev ua haujlwm ntawm lub plawv tsis muaj zog)
• Ua tsis taus pa
• O ntawm cov pob luj taws, taw, lossis tes
• Qhov hnyav nce sai sai
• Tsis muaj zog lossis qaug zog txawv txawv
• Cov potassium ntau hauv cov ntshav:
• Cov leeg tsis muaj zog
• Lub plawv dhia ceev lossis tsis xwm yeem
• Ntshav siab qis:
• kiv taub hau
• Xav tias tsis muaj zog los yog lub taub hau me me
• Pom tsis meej
• Lub plawv dhia qeeb:
• kiv taub hau
• Xav tias tsis muaj zog los yog lub taub hau me me
• Kev tsis meej pem, nyuaj rau tsom ntsoov
• Ua pa tsis tau zoo
• Tsis muaj zog lossis qaug zog txawv txawv

Cov kev mob tshwm sim uas feem ntau tsis tas yuav kho mob, tab sis yuav tsum tau qhia rau pab pawg kho mob yog tias lawv tseem muaj lossis ua rau mob:

Cov kev mob tshwm sim no feem ntau tsis loj heev thiab yuav ploj mus tom qab ib pliag. Txawm li cas los xij, yog tias lawv tseem muaj lossis ua rau koj ntxhov siab heev, qhia rau koj pab neeg kho mob txog lawv.

• kiv taub hau
• Kev qaug zog
• Mob taub hau
• Xeev siab - zoo li ntuav
• Mob, liab, lossis khaus ntawm qhov chaw txhaj tshuaj

Daim ntawv teev npe no tsis yog txhua yam kev mob tshwm sim uas yuav tshwm sim. Yog tias koj muaj cov tsos mob txawv txawv, thov nrog koj tus kws kho mob tham.

Koj khaws cov tshuaj no rau qhov twg?

Qhov no kuj yooj yim heev. Esmolol yog ib yam tshuaj uas muab rau hauv qab kev saib xyuas ntawm kws kho mob hauv tsev kho mob lossis chaw kho mob. Yog li ntawd, nws tsis yog ib yam dab tsi uas koj tuaj yeem coj mus tsev thiab khaws cia. Koj yuav tau txais kev kho mob uas koj xav tau hauv tsev kho mob.

Thaum kawg, ob peb yam uas yuav tsum nco ntsoov

Zoo, yog li tam sim no koj nkag siab zoo txog yam peb tau tham hnub no, Esmolol. Cia peb rov xyuas dua cov yam tseem ceeb tshaj plaws:

• Esmolol yog tshuaj txhaj rau hauv cov hlab ntsha (IV) siv los tswj cov ntshav siab thiab lub plawv dhia tsis xwm yeem thaum muaj xwm txheej ceev.
• Cov tshuaj no yog ib hom tshuaj hauv pawg '(Beta blocker)'.
• Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau pab neeg kho mob txog tag nrho koj cov mob, kev ua xua, thiab lwm yam tshuaj uas koj noj ua ntej tau txais kev kho mob no.
• Koj yuav raug saib xyuas ze thaum lub sijhawm kho mob.
• Yog koj muaj tej yam tsos mob lossis tej yam tsis zoo tshwm sim, qhia rau cov neeg ua haujlwm kho mob tam sim ntawd.
• Qhov no yog tshuaj uas muab rau hauv tsev kho mob, tsis yog rau kev siv hauv tsev.

Peb vam tias cov ntaub ntawv no yuav pab tau koj. Nco ntsoov, yog tias koj muaj lus nug ntxiv txog cov tshuaj no, tsis txhob yig nug koj tus kws kho mob, tus nais maum, lossis tus kws muag tshuaj.

` esmolol, ntshav siab, lub plawv dhia ceev, beta blocker, arrhythmia, beta blocker, Brevibloc, kev kho mob thaum muaj xwm ceev