Koj paub tias koj tus me nyuam yuav xav tau kev saib xyuas tshwj xeeb vim nws yug los ua ntej lub sijhawm. Qee zaum, cov hlab ntsha me me hauv lub plawv ntawm cov menyuam mos no tseem qhib tom qab yug los, uas yuav tsum tau kaw. Niaj hnub no, peb tab tom tham txog kev txhaj tshuaj tshwj xeeb uas tau muab los kho qhov no. Nws yog ib qho ib txwm muaj kev ntshai thiab txhawj xeeb me ntsis thaum lub sijhawm zoo li no. Tab sis thaum koj tau paub txog qhov no zoo , koj yuav xav tias muaj kev nplij siab zoo heev.
Indomethacin yog dab tsi?
Hais yooj yim xwb, indomethacin yog ib hom tshuaj uas koom nrog ib pawg tshuaj hu ua cov tshuaj tiv thaiv kev o uas tsis yog steroidal . Hauv kev kho mob, peb hu pawg no ua NSAID (Nonsteroidal Anti-inflammatory Drug) .
Lub hom phiaj tseem ceeb ntawm cov tshuaj tiv thaiv no yog kho ib qho mob tshwj xeeb uas tshwm sim hauv lub plawv ntawm cov menyuam mos yug tsis tau hli. Peb hu qhov mob no ua Patent Ductus Arteriosus (PDA) . Xav txog, thaum tus menyuam mos nyob hauv plab, ib txoj hlab ntshav tshwj xeeb hauv lub plawv yuav kaw nws tus kheej hauv ob peb teev tom qab yug los. Tab sis rau qee tus menyuam mos yug tsis tau hli, txoj hlab ntshav no tseem qhib. Yog li, qhov tshuaj tiv thaiv indomethacin no ua yog pab cov hlab ntshav ntawd kaw.
Tej yam tseem ceeb uas yuav tsum qhia rau tus kws kho mob ua ntej muab cov tshuaj no rau koj tus menyuam
Ua ntej pib kho mob no rau koj tus menyuam, pab pawg kws kho mob yuav kuaj xyuas ntau yam txog kev noj qab haus huv ntawm koj tus menyuam. Txawm li cas los xij, yog tias koj tus menyuam muaj ib qho ntawm cov mob hauv qab no, nco ntsoov qhia rau tus kws kho mob.
- Teeb meem los ntshav: Yog tias tus menyuam muaj teeb meem ntshav txhaws lossis muaj feem yuav los ntshav tau yooj yim.
- Kab mob plawv: Yog tias muaj lwm yam kab mob plawv ntxiv rau tus mob PDA.
- Kev kis kab mob: Yog tias muaj kev kis kab mob hauv lub cev.
- Kab mob raum: Yog tias muaj teeb meem nrog kev ua haujlwm ntawm lub raum.
- Kab mob siab: Yog tias muaj kev puas tsuaj rau lub siab ua haujlwm.
- Teeb meem ntawm lub plab zom mov: Yog tias muaj teeb meem cuam tshuam nrog txoj hnyuv.
- Kev ua xua yav dhau los: Yog tias koj tau muaj kev ua xua rau indomethacin, aspirin lossis lwm yam NSAID, lossis lwm yam tshuaj lossis khoom noj yav dhau los.
Tsis tas li ntawd, nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog tej teeb meem kev noj qab haus huv uas koj muaj thaum cev xeeb tub.
Koj muab cov tshuaj no rau tus menyuam li cas?
Cov tshuaj no muab los ntawm kev txhaj tshuaj qeeb qeeb rau hauv cov leeg ntshav los ntawm lub cannula. Kev kho mob no ua tiav hauv tsev kho mob, nyob rau hauv kev saib xyuas ze ntawm cov kws kho mob thiab cov kws tu mob.Feem ntau, cov tshuaj no muab rau tus menyuam hauv peb koob tshuaj, sib nrug li 12 txog 24 teev.
Qhov no yog kev kho mob uas muab rau cov menyuam mos tshiab, tshwj xeeb tshaj yog cov menyuam yug tsis tau lub sijhawm, tsuas yog rau qee yam kev mob xwb. Nws tsis yog tshuaj kho hauv tsev.
Yog koj muab tshuaj ntau dhau lawm ces yuav ua li cas?
Vim tias cov tshuaj no raug muab rau hauv kev saib xyuas ntawm kws kho mob hauv tsev kho mob, koj tsis tas yuav txhawj txog kev siv tshuaj ntau dhau. Pab pawg kho mob ua tib zoo saib xyuas nws. Yog tias muaj kev xav tias muaj tej yam zoo li no, cov kws kho mob yuav ua cov kauj ruam tsim nyog tam sim ntawd. Yog tias tsim nyog, lawv kuj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom tau txais cov lus qhia ntawm cov kws tshaj lij. Lawv kuj npaj txhij xa tus menyuam mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob yog tias muaj xwm txheej ceev.
Lwm cov tshuaj uas yuav cuam tshuam nrog cov tshuaj no (Kev Sib Cuam Tshuam Tshuaj)
Indomethacin tuaj yeem cuam tshuam nrog qee yam tshuaj uas koj tus menyuam noj, yog li nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj muab rau koj tus menyuam.
| Hom tshuaj | Ib qho lus piav qhia yooj yim |
|---|---|
| Aspirin thiab cov tshuaj zoo sib xws | Cov tshuaj xws li aspirin. |
| Qee cov tshuaj tua kab mob | Tshwj xeeb tshaj yog cov tshuaj tua kab mob aminoglycoside. |
| Digoxin | Ib yam tshuaj kho mob plawv. |
| Cov tshuaj diuretic | Cov tshuaj hu ua "tshuaj ntsiav dej" pab lub cev tshem tawm cov kua dej. |
| Cov tshuaj tiv thaiv kev coagulant | Cov tshuaj xws li Warfarin. |
| Lwm hom NSAIDs | Cov tshuaj loog mob xws li ibuprofen los yog naproxen. |
| Cov tshuaj steroids | Cov tshuaj xws li Prednisone lossis Cortisone. |
Daim ntawv teev npe no tsis yog tag nrho, yog li nco ntsoov qhia rau koj tus kws kho mob txog cov tshuaj, cov vitamins, lossis cov tshuaj ib txwm muaj uas koj muab rau koj tus menyuam.
Cov kev phiv uas peb yuav tsum paub txog
Ib yam li lwm yam tshuaj, cov tshuaj no tuaj yeem ua rau muaj qee qhov kev mob tshwm sim. Vim tias koj tus menyuam nyob hauv Chav Saib Xyuas Menyuam Mos (NICU) ntawm tsev kho mob, pab pawg kho mob yuav saib xyuas cov tsos mob no tas li. Tab sis ua niam txiv, nws yog ib qho tseem ceeb rau koj kom paub txog cov no thiab.
| Hom kev phiv tshuaj | Cov yam ntxwv uas yuav tsum tau saib xyuas |
|---|---|
| Cov kev mob tshwm sim loj heev uas yuav tsum tau tshaj tawm rau tus kws kho mob lossis tus kws saib mob tam sim ntawd | |
| Kev ua xua | Tawv nqaij ua pob khaus, khaus; o ntawm lub ntsej muag, daim di ncauj lossis tus nplaig. |
| Los ntshav | Cov quav dub, uas muaj kua qaub; ntuav cov hmoov kas fes; cov pob liab ntawm daim tawv nqaij; los ntshav tsis zoo li qub los ntawm lub qhov ntswg thiab cov pos hniav. |
| Kev raug mob raum | Tso zis tsawg dua los yog tso zis nyuaj. |
| Kev raug mob siab | Qhov muag lossis daim tawv nqaij daj; zis daj/xim av tsaus; mob nyob rau sab xis saum toj ntawm lub plab. |
| Kab mob plawv los yog lub plawv tsis ua haujlwm | Ua pa nyuaj; lub plawv dhia ceev thiab tsis xwm yeem; hnyav nce sai; pob luj taws thiab ko taw o. |
| Kev ua xua rau daim tawv nqaij hnyav | Cov pob liab los yog xim av tshwm sim rau ntawm daim tawv nqaij, uas tom qab ntawd yuav ua pob liab los yog tev tawm. |
| Mob stroke | Tsis muaj zog tam sim ntawd, loog ntawm lub ntsej muag, caj npab, lossis ceg. |
| Cov kev mob tshwm sim uas feem ntau tsis loj heev, tab sis yuav tsum tau qhia rau tus kws kho mob yog tias lawv tseem muaj | |
| Teeb meem ntawm lub plab zom mov | Raws plab, ntuav, mob plab. |
| Nyuaj haus mis nyuj | Tus me nyuam tsis kam haus mis nyuj los yog muaj teeb meem haus mis nyuj. |
| Mob ntawm qhov chaw txhaj tshuaj | Liab los yog o ntawm qhov chaw uas muab lub cannula tso rau. |
Txawm tias tsis tau hais nyob rau hauv daim ntawv teev npe no los xij, yog tias koj pom muaj dab tsi txawv txawv lossis txawv ntawm koj tus menyuam tus cwj pwm lossis qhov tsos, tsis txhob yig qhia rau tus kws kho mob lossis tus nais maum tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Indomethacin yog ib yam tshuaj siv los kho ib yam mob tshwj xeeb hu ua PDA, uas tshwm sim hauv lub plawv ntawm cov menyuam mos yug ua ntej lub sijhawm.
- Kev kho mob no yog ua tiav tag nrho hauv tsev kho mob, nyob rau hauv kev saib xyuas tag nrho ntawm cov kws kho mob thiab cov kws tu mob.
- Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau tus kws kho mob txog tus menyuam yaus lwm yam mob thiab lwm yam tshuaj uas tau noj.
- Cov kws kho mob saib xyuas tus menyuam mos ze heev thaum lub sijhawm kho mob.
- Ua ib tug niam txiv, yog tias koj muaj kev tsis ntseeg lossis kev txhawj xeeb txog koj tus menyuam, tsis txhob ntshai tham nrog pab pawg kws kho mob tam sim ntawd. Koj qhov kev soj ntsuam tseem ceeb heev rau lawv.
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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