Koj tus kws kho mob puas tau sau ntawv kom koj txhaj tshuaj folic acid? Tej zaum koj cev xeeb tub, lossis tej zaum koj tau raug sau ntawv kom txhaj tshuaj rau lwm yam teeb meem kev noj qab haus huv. Hnov lub npe no tej zaum yuav ua rau muaj ntau lo lus nug. Nws yog ib qho ib txwm muaj rau tej yam xws li "Qhov no yog rau dab tsi?", "Yuav ua li cas rau nws?", "Puas muaj kev nyab xeeb?" los rau hauv siab. Yog li hnub no, cia peb tham txog qhov kev txhaj tshuaj no, nws qhov tseem ceeb, thiab tej yam uas yuav tsum ceev faj thaum siv nws, hauv txoj kev yooj yim thiab tus phooj ywg.
Ua ntej, cia peb saib, folic acid yog dab tsi?
Hais yooj yim xwb, folic acid yog ib hom vitamin B uas tseem ceeb rau peb lub cev. Yog hais kom meej, nws yog hom vitamin B9 uas tsim los ntawm tib neeg. Xav txog peb lub cev zoo li ib lub tsev. Peb xav tau ntau hom cib los ua lub tsev no, puas yog? Ib yam li ntawd, cov vitamin no kuj xav tau los tsim thiab tswj cov khoom tseem ceeb tshaj plaws hauv peb lub cev.
Folic acid ua ntau yam haujlwm tseem ceeb hauv peb lub cev:
- Tsim cov qe ntshav liab: Folic acid yog qhov tseem ceeb rau kev tsim cov qe ntshav liab, uas nqa cov pa oxygen thoob plaws peb lub cev. Thaum cov no tag, peb yuav muaj ib qho mob hu ua anemia.
- Kev noj qab haus huv ntawm lub hlwb: Qhov no kuj pab tswj kom lub hlwb ua haujlwm zoo.
- Thaum cev xeeb tub: Folic acid yog qhov tseem ceeb rau leej niam thiab tus menyuam hauv plab. Nws yog qhov tseem ceeb tshwj xeeb rau kev loj hlob ntawm lub hlwb thiab tus txha caj qaum ntawm tus menyuam. Kev tsis txaus Folic acid txo qhov kev pheej hmoo ntawm kev yug los tsis zoo hauv lub paj hlwb.
Feem ntau peb tau txais qhov no ua cov tshuaj ntsiav. Tab sis qee zaum, thaum lub cev tsis tuaj yeem nqus tau nws zoo los ntawm cov khoom noj, lossis thaum koj xav tau kom koj lub cev cov folic acid ntau ntxiv sai sai, cov kws kho mob pom zoo kom nws ua cov tshuaj txhaj.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej txhaj tshuaj tiv thaiv kab mob
Txawm hais tias qhov no yog ib qho vitamin los xij, nws yog ib qho tseem ceeb kom koj tus kws kho mob paub txog koj txoj kev noj qab haus huv, tshwj xeeb tshaj yog cov hauv qab no:
| Koj qhov xwm txheej | Vim li cas qhov ntawd thiaj tseem ceeb? |
|---|---|
| Kab mob raum | Vim tias cov tshuaj raug tshem tawm ntawm lub cev los ntawm lub raum, tej zaum yuav tsum tau hloov kho qhov ntau npaum li cas. |
| Kev tsis muaj vitamin B12 lossis pericious anemia | Qhov no tseem ceeb heev. Folic acid tuaj yeem txo cov tsos mob ntawm qhov tsis txaus vitamin B12. Tab sis qhov kev puas tsuaj ntawm cov hlab ntsha tseem txuas ntxiv mus. Yog li ntawd, cov ntaub ntawv no tseem ceeb rau tus kws kho mob kom ua qhov kev kuaj mob kom raug. |
| Kev ua xua | Qhia rau koj tus kws kho mob yog tias koj muaj kev tsis haum rau folic acid, lwm yam vitamin B, lwm yam khoom xyaw hauv tshuaj tiv thaiv kab mob (piv txwv li benzyl alcohol), lossis lwm yam tshuaj lossis khoom noj. |
| Cev xeeb tub los yog sim cev xeeb tub | Txawm hais tias qhov no feem ntau pom zoo thaum cev xeeb tub, nws yog ib qho tseem ceeb uas koj tus kws kho mob paub txog koj tus mob. |
| Kev pub niam mis | Nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham txog kev siv tshuaj thaum pub niam mis. |
Cov tshuaj tiv thaiv kab mob no siv li cas?
Feem ntau cov tshuaj tiv thaiv folic acid no yog muab rau hauv tsev kho mob lossis chaw kho mob. Tus kws kho mob lossis tus nais maum yog tus muab rau. Muaj ntau txoj hauv kev kom tau txais cov tshuaj tiv thaiv:
- Tshuaj txhaj rau hauv cov hlab ntsha (IV) - `(Rau hauv cov hlab ntsha)`
- Kev txhaj tshuaj rau hauv cov leeg (IM)
- Hauv qab daim tawv nqaij - `(Subcutaneous lossis SC)`
Qee zaum, koj tus kws kho mob yuav qhia koj txog kev txhaj tshuaj tiv thaiv kab mob hauv tsev. Yog tias yog, ua raws li cov lus qhia kom meej . Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj kom raug thiab lub sijhawm raug.
Tseem ceeb heev: Tsis txhob muab cov koob txhaj tshuaj thiab cov koob txhaj tshuaj uas siv lawm pov tseg rau hauv lub thoob khib nyiab. Lawv tuaj yeem ua rau lwm tus muaj kev phom sij. Muaj ib lub thawv tshwj xeeb rau cov khoom siv ntse. Yog tias koj tsis muaj, nug koj tus kws kho mob txog qhov ntawd.
Yuav ua li cas yog tias koj noj tshuaj ntau dhau?
Yog koj xav tias koj tau noj cov tshuaj no ntau dhau lawm, mus rau lub tsev kho mob ze tshaj plaws (ETU) tam sim ntawd . Los yog hu rau National Poisons Information Centre ntawm Colombo National Hospital .
Yog tias kuv tsis tau teem caij noj tshuaj ne?
Noj cov tshuaj sai li sai tau thaum koj nco qab. Tab sis yog tias yuav luag txog lub sijhawm rau koj cov tshuaj tom ntej, hla cov tshuaj uas koj tsis nco qab thiab noj cov tshuaj tom ntej raws sijhawm teem tseg. Tsis txhob noj ob zaug ib zaug.
Lwm yam uas yuav cuam tshuam nrog cov tshuaj no
Qee cov tshuaj uas koj noj tuaj yeem cuam tshuam rau txoj kev ua haujlwm ntawm folic acid, thiab folic acid tuaj yeem cuam tshuam rau cov tshuaj ntawd. Piv txwv li:
- Chloramphenicol (tshuaj tua kab mob)
- 'Cholestyramine' (tshuaj txo cov roj cholesterol)
- Qee cov tshuaj rau kev qaug dab peg
- 'Methotrexate' (tshuaj siv rau mob qog noj ntshav thiab lwm yam kab mob)
- Nitrofurantoin (tshuaj tua kab mob)
- Pyrimethamine (ib yam tshuaj siv los kho cov kab mob xws li malaria)
Daim ntawv teev npe no tsis yog tag nrho. Yog li ntawd, nco ntsoov qhia rau koj tus kws kho mob txog lwm yam tshuaj, cov vitamins, cov tshuaj ntsuab, lossis cov khoom noj khoom haus uas koj noj. Tsis tas li ntawd, qhia rau koj tus kws kho mob yog tias koj haus luam yeeb lossis haus cawv.
Tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, kev txhaj tshuaj folic acid tuaj yeem ua rau muaj kev phiv rau qee tus neeg. Txawm li cas los xij, cov no tsis tshua muaj. Cia peb saib seb cov kev phiv no yog dab tsi.
| Hom kev phiv tshuaj | Cov tsos mob |
|---|---|
| Yog koj muaj cov tsos mob no, qhia rau koj tus kws kho mob tam sim ntawd. | |
| Kev ua xua | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj, tus nplaig lossis caj pas. |
| Ua pa nyuaj | Ua pa nyuaj, ua pa luv luv, thiab lwm yam. |
| Cov tsos mob ntawm lub paj hlwb | Mob, loog, lossis tsis hnov mob hauv ob txhais ceg. |
| Feem ntau cov no tsis yog qhov loj heev, tab sis yog tias lawv tseem nyob, qhia rau koj tus kws kho mob. | |
| Kev tsis xis nyob dav dav | Xav tias tsis muaj sia nyob thiab nkees. |
| Kev tsis muaj zog noj mov | Txo kev ntshaw noj mov. |
| Xeev siab | Zoo li ntuav. |
Yog tias koj muaj lwm yam tsos mob txawv txawv uas tsis nyob hauv daim ntawv teev npe no, nrog koj tus kws kho mob tham txog lawv thiab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Folic acid (vitamin B9) yog qhov tseem ceeb rau peb lub cev, tshwj xeeb tshaj yog rau kev tsim cov qe ntshav liab, kev ua haujlwm ntawm lub hlwb, thiab kev loj hlob ntawm tus menyuam thaum cev xeeb tub.
- Nco ntsoov qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj thiab lwm yam mob uas koj muaj (tshwj xeeb tshaj yog kab mob raum, vitamin B12 tsis txaus).
- Yog koj xav tias koj tau noj tshuaj ntau dhau lawm, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd.
- Yog tias koj muaj cov tsos mob ntawm kev ua xua (mob tawv nqaij, khaus, o ntawm lub ntsej muag/caj pas, ua pa nyuaj), nrhiav kev pab kho mob tam sim ntawd.
- Txawm hais tias qhov no yog ib hom vitamin los xij, tsuas yog siv nws raws li tus kws kho mob qhia, raws li qhov ntau npaum li tau teev tseg. Tham nrog koj tus kws kho mob txog koj qhov kev txhawj xeeb.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Cov tshuaj ntsiav/tshuaj ntsiav Dofetilide (Dofetilide / Tikosyn) yog ib yam tshuaj muaj zog heev uas siv rau kab mob twg?
Qhov no tsis yog tshuaj kho mob ib txwm muaj! Qhov no yog tshuaj muaj zog tshaj plaws thiab siv tau kawg (Chav Kawm III Antiarrhythmic) uas cov kws kho mob siv los coj lub plawv rov qab mus rau 'Normal Sinus Rhythm' thaum tus neeg mob lub plawv sab saud dhia ceev heev (Atrial Fibrillation / Atrial Flutter), ib qho mob txaus ntshai heev uas lub plawv sab saud dhia ceev heev thiab tsis tuaj yeem tswj tau!
💬 Thaum lub plawv dhia ceev heev, cov tshuaj no (Dofetilide) yuav ua li cas thiaj ua rau lub plawv dhia zoo li qub?
Lub plawv dhia los ntawm cov teeb liab hluav taws xob (Action Potentials). Thaum nws dhia ceev heev, cov hlwb hluav taws xob yuav them sai sai! Yam uas cov tshuaj no (Potassium channel blocker) ua thaum nws nkag mus rau hauv lub plawv yog kom ncua sijhawm thiab ncua sijhawm rau lub plawv cov hlwb hluav taws xob kom them thiab rov pib dua / so dua (Repolarization phase / QT interval)! Tom qab ntawd lub plawv tsis tuaj yeem dhia sai sai rau lub sijhawm tom ntej thiab lub plawv dhia rov qab mus rau qhov qub (qeeb).
💬 Vim li cas nws thiaj hais tias 'Koj yuav tsum nyob hauv tsev kho mob li 3 hnub (Black Box Warning)' thaum koj pib noj cov tshuaj no (Tikosyn)?
Qhov ntawd yog qhov txaus ntshai tshaj plaws thiab ua rau tuag taus! Qhov no zoo li tsim lub plawv dhia ceev, thiab thaum koj noj ob peb lub tshuaj, 'lub plawv dhia ceev tshiab (Torsades de pointes / Proarrhythmia)' tuaj yeem tshwm sim thiab tus neeg mob tuaj yeem tuag tam sim ntawd / mus rau hauv lub xeev tsis nco qab! Yog li ntawd, rau 3 hnub thawj zaug, cov kws kho mob yeej yuav tsum saib xyuas tus neeg mob ntawm ECG thiab kuaj xyuas lub raum ua ntej hloov kho cov tshuaj.
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