Koj puas tau hnov ib tug kws kho mob hais rau ib tug neeg mob hauv chav kho mob hnyav (ICU) lossis chav kho mob ceev (ETU) tias lawv "muab tshuaj tshwj xeeb los ua kom lub plawv muaj zog"? Qee zaum, tshwj xeeb tshaj yog thaum lub plawv tsis ua haujlwm tam sim ntawd, cov tshuaj tshwj xeeb raug siv los ua kom nws muaj zog dua. Isoproterenol yog ib yam tshuaj tseem ceeb heev uas siv rau hauv cov xwm txheej ceev. Nws yog ib qho tseem ceeb uas yuav tsum paub txog nws, vim tias qhov no tsis yog tshuaj uas koj feem ntau yuav los ntawm lub tsev muag tshuaj thiab siv hauv tsev. Cia peb tham txog nws yooj yim hnub no.
Isoproterenol yog dab tsi?
Hais yooj yim xwb, Isoproterenol yog ib yam tshuaj uas ua rau lub plawv dhia ceev thiab muaj peev xwm nqus tau ntshav los ntawm kev muab lub zog, lossis kev rub, rau cov leeg nqaij plawv. Hauv kev kho mob, peb hu cov tshuaj no ua 'inotropes'.
Cov tshuaj no feem ntau yog siv rau:
- Kev Mob Plawv Tsis Ua Haujlwm: Txhawm rau txhim kho kev ua haujlwm ntawm lub plawv thaum nws tsis tuaj yeem tso ntshav txaus rau lub cev.
- Teeb meem plawv dhia: Txhawm rau kho lub plawv dhia li qub thaum lub plawv dhia qeeb tsis zoo (Bradycardia) lossis lwm yam teeb meem plawv dhia.
Qhov tseem ceeb tshaj plaws yog tias qhov no yog cov tshuaj uas tsuas yog muab rau hauv tsev kho mob xwb, nyob rau hauv kev saib xyuas ncaj qha ntawm cov kws kho mob thiab cov kws tu mob.
Tej yam tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob ua ntej muab cov tshuaj no
Ua ntej koj muab cov tshuaj no rau koj, koj tus kws kho mob yuav xav paub txog koj keeb kwm kev noj qab haus huv tag nrho. Vim tias qee yam mob yuav tsum tau ceev faj ntxiv thaum siv cov tshuaj no. Yog li ntawd, nco ntsoov qhia rau koj tus kws kho mob yog tias koj muaj ib qho ntawm cov mob hauv qab no:
| Koj puas muaj cov mob no? | Vim li cas nws thiaj tseem ceeb uas yuav tsum qhia rau tus kws kho mob? |
|---|---|
| Kab mob ntshav qab zib | Cov tshuaj no yuav cuam tshuam rau cov ntshav qab zib. |
| Lwm yam kab mob plawv | Yuav tsum tau saib xyuas tshwj xeeb thaum muab cov tshuaj no rau cov neeg uas muaj mob plawv ua ntej lawm. |
| Kab mob thyroid | Cov tshuaj no yuav ua rau muaj kev phiv ntxiv rau cov neeg uas muaj cov thyroid caj pas ua haujlwm ntau dhau. |
| Kev ua xua | Nws yog ib qho tseem ceeb heev uas yuav tsum qhia txog tej yam koj ua xua rau Isoproterenol lossis lwm yam tshuaj, khoom noj, lossis xim pleev. |
| Cev xeeb tub los yog sim cev xeeb tub | Koj yuav tsum tham txog tej yam uas yuav ua rau tus menyuam hauv plab tsis zoo nrog koj tus kws kho mob. |
| Kev pub niam mis | Tham nrog koj tus kws kho mob seb cov tshuaj puas hla mus rau koj tus menyuam los ntawm mis niam. |
Yuav siv cov tshuaj no li cas thiab yog tias koj noj ntau dhau lawm ces yuav ua li cas?
Zoo li kuv tau hais ua ntej lawm, qhov no yog ib yam tshuaj uas muab rau hauv cov leeg ntshav los yog ua ib yam tshuaj saline. Qhov no tsuas yog ua hauv tsev kho mob lossis chaw kho mob los ntawm ib tug kws kho mob uas tau kawm tiav. Yog tias muab cov tshuaj no rau cov menyuam yaus, nws yuav tsum tau muaj kev saib xyuas tshwj xeeb los ntawm ib tug kws kho mob menyuam yaus.
Vim tias qhov no yog muab rau hauv tsev kho mob, qhov muaj feem yuav muaj "dose overdose" tshwm sim tsawg heev. Yog tias qhov no tshwm sim, cov neeg ua haujlwm kho mob yuav ua cov kauj ruam tsim nyog. Txawm li cas los xij, yog tias koj xav tau lus qhia txog kev lom tshuaj, koj tuaj yeem hu rau National Poisons Information Center ntawm Colombo National Hospital . Thaum muaj xwm txheej ceev, nws yog ib qho tseem ceeb heev uas yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob ze tshaj plaws.
Puas muaj teeb meem nrog lwm cov tshuaj?
Yog, Isoproterenol tuaj yeem cuam tshuam nrog qee cov tshuaj. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov tshuaj rau lwm yam mob, cov vitamins, cov tshuaj ib txwm muaj, thiab cov tshuaj Ayurvedic). Tsis tas li ntawd, qhia rau koj tus kws kho mob yog tias koj haus luam yeeb, haus cawv, lossis siv lwm yam tshuaj.
| Pawg tshuaj | Piv txwv |
|---|---|
| Tsis txhob muab cov tshuaj no ua ke. | |
| Cov alkaloids Ergot | Cov tshuaj migraine xws li dihydroergotamine thiab ergotamine |
| MAOIs | Cov tshuaj rau kev mob hlwb xws li Marplan, Nardil, Parnate |
| Tej zaum yuav muaj kev sib cuam tshuam nrog cov tshuaj no. | |
| Epinephrine | Ib yam tshuaj siv rau kev ua xua thaum muaj xwm txheej ceev |
| Cov tshuaj loog dav dav | Cov tshuaj siv rau hauv kev phais, xws li halothane thiab isoflurane |
Tej yam tshwm sim tsis zoo li cas?
Thaum koj noj cov tshuaj no, cov neeg ua haujlwm kho mob yuav saib xyuas koj lub plawv dhia thiab ntshav siab. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum qhia rau lawv tam sim ntawd yog tias koj muaj cov kev mob tshwm sim hauv qab no:
| Cov teebmeem sab nraud | Kev piav qhia |
|---|---|
| Tej yam yuav tsum tau qhia rau tus kws kho mob lossis tus nais maum tam sim ntawd | |
| Kev ua xua | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj lossis tus nplaig. |
| Kev hloov pauv txaus ntshai ntawm lub plawv dhia | Mob hauv siab, kiv taub hau, lub plawv dhia ceev lossis tsis xwm yeem, lub plawv dhia tsis xwm yeem, tsaus muag, ua pa nyuaj. |
| Tej yam uas feem ntau tsis loj heev, tab sis yuav tsum tau tshaj tawm yog tias lawv tseem muaj | |
| kiv taub hau | Xav tias tsis muaj zog. |
| Mob taub hau | Mob taub hau ib txwm muaj. |
| Kev kub hnyiab ntawm lub ntsej muag | Lub ntsej muag kub thiab hloov liab. |
| Xeev siab | Zoo li ntuav. |
Thov nco ntsoov tias daim ntawv teev npe no yuav tsis muaj tag nrho cov kev mob tshwm sim. Yog tias koj muaj lus nug txog qhov no, nug koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Isoproterenol yog ib yam tshuaj tshwj xeeb uas tsuas yog muab rau hauv tsev kho mob thaum lub plawv tsis muaj zog lossis muaj teeb meem nrog lub plawv dhia.
- Qhov no ua rau cov leeg nqaij plawv muaj zog thiab ua rau nws lub peev xwm nqus dej ntau ntxiv.
- Ua ntej noj cov tshuaj no, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog tag nrho koj cov mob thiab lwm yam tshuaj uas koj noj.
- Qhov no yog muab los ntawm kev saib xyuas ntawm kws kho mob, thiab koj tus mob yuav raug saib xyuas tas li.
- Yog koj muaj cov tsos mob xws li mob hauv siab, kiv taub hau heev, lossis ua pa nyuaj thaum noj tshuaj, qhia rau cov neeg ua haujlwm kho mob tam sim ntawd.
- Qhov no tsis yog tshuaj rau siv hauv tsev.
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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