Tej zaum koj yuav tau pom lossis hnov txog cov neeg hauv tsev kho mob tau txais 'saline drip.' Nws yog ib lub cannula uas muab tso rau hauv cov leeg ntshav, txuas nrog lub hnab kua dej dai ntawm lub rooj siab. Muaj ntau tus neeg ntshai me ntsis txog qhov no, lossis xav tias nws tsuas yog siv rau cov mob hnyav xwb. Yog li, cov kua IV, feem ntau hu ua saline yog dab tsi? Thaum twg lawv thiaj tsim nyog tiag tiag? Cia peb piav qhia qhov no kom yooj yim thiab meej nrog Nirogi Lanka.
Vim li cas koj thiaj xav tau cov kua IV?
Hais yooj yim xwb, cov kua dej IV (intravenous) yog cov kua tshwj xeeb uas xa ncaj qha mus rau hauv koj cov ntshav los ntawm cov leeg ntshav. Qhov laj thawj tseem ceeb rau kev siv lawv yog los tiv thaiv lossis kho qhov qhuav dej - qhov xwm txheej uas koj lub cev cov dej thiab cov electrolyte tseem ceeb ncav cuag cov qib qis heev.
Kwv yees li 60% ntawm koj lub cev yog ua los ntawm dej. Xav txog seb yuav muaj dab tsi tshwm sim thaum qib no poob qis heev. Txhua lub cell thiab cov kab mob hauv koj lub cev vam khom dej kom ua haujlwm. Thaum koj tsis tuaj yeem tswj tau dej txaus los ntawm kev haus dej ntawm koj tus kheej, kev kho mob IV yuav tseem ceeb heev.
| Cov Xwm Txheej Feem Ntau Xav Tau Cov Kua IV | |
|---|---|
| Mob Hnyav | Thaum koj ntuav thiab raws plab hnyav heev, koj lub cev poob dej ntau heev sai sai. Hauv cov xwm txheej zoo li no, koj lub cev zom zaub mov yuav tsis nqus tau yam koj haus. |
| Kev Ua Si thiab Kev Raug Kub | Kev ua si nawv hnyav lossis kev raug cua sov ntev heev tuaj yeem ua rau poob dej ntau los ntawm kev hws. |
| Kev Raug Mob Loj Los Yog Kub Hnyiab | Kev raug mob loj lossis kub hnyiab hnyav tuaj yeem ua rau cov kua dej hauv lub cev poob sai sai. |
| Kev phais mob | Thaum lub sijhawm phais mob uas xav tau kev siv tshuaj loog, koj yuav tsis tuaj yeem noj lossis haus dej tau, thiab koj lub cev xav tau kev txhawb nqa dej ntxiv thaum lub sijhawm phais thiab tom qab phais. |
Qhov Cuam Tshuam ntawm Kev Qhuav Dej
Thaum koj lub cev qhuav dej, nws cuam tshuam rau ntau lub cev:
- Kev cuam tshuam ntawm koj qhov electrolyte sib npaug .
- Kev puas hlwb thiab teeb meem nco qab.
- Tsis muaj zog thiab qaug zog tas li.
- Kev zom zaub mov tsis zoo thiab kev ua haujlwm ntawm txoj hnyuv.
- Mob taub hau ntau zaus thiab mob heev.
- Kev puas tsuaj rau cov kabmob tseem ceeb , xws li lub raum, lub plawv , thiab lub hlwb.
- Txo kev ua haujlwm ntawm lub cev.
- Kev puas tsuaj ntawm daim tawv nqaij.
Cov no yog cov tsos mob uas feem ntau tshwm sim los ntawm kev qhuav dej heev. Yog tias koj muaj ib lossis ntau yam ntawm cov no, thov nrhiav kev pab kho mob sai sai. Yog tias nws yog xwm txheej ceev, hu rau 911 lossis mus ntsib koj lub tsev kho mob ze tshaj plaws.
| Cov tsos mob | Tej zaum koj yuav pom dab tsi |
|---|---|
| kiv taub hau | Hnov mob taub hau thaum sawv ntsug lossis txav mus los. |
| Qhov Muag Qhuav | Qhov muag qhuav, txawm tias koj sim ua kua muag los xij. |
| Qhov Ncauj Qhuav/Daim di ncauj | Tsis muaj cov qaub ncaug, daim di ncauj tawg, thiab tus nplaig qhuav. |
| Tawv Nqaij Qhuav | Tawv nqaij zoo li qhuav, ntsws, lossis tab tom tsim cov pob. |
| Qaug zog heev | Xav tias qaug zog txawm tias tsis tau siv zog los xij. |
| Ua pa sai | Ua pa sai dua li koj lub sijhawm so ib txwm. |
| Mob Khaub Thuas | Tes thiab taw txias thaum kov. |
| Tso zis tsawg dua | Tso zis tsawg dua plaub zaug hauv ib hnub, nrog rau cov zis xim tsaus. |
Hom kua IV
Koj tus kws kho mob yuav txiav txim siab seb hom kua IV twg zoo raws li koj tus mob. Muaj ob pawg tseem ceeb:
Cov Kev daws teeb meem Crystalloid
Cov no yog cov kua dej uas siv ntau tshaj plaws. Lawv muaj cov khoom me me uas yooj yim hla los ntawm koj cov hlab ntsha mus rau hauv koj cov hlwb.
- Cov Ntshav Ntshav Ib Txwm : Qhov no yog 'ntshav ntshav' uas txhua tus neeg paub txog. Nws yog ib qho sib xyaw ntawm dej thiab sodium chloride (ntshav).
- D5W: Qhov no muaj dextrose (ib hom suab thaj) sib xyaw nrog dej.
- Cov tshuaj Lactated Ringer's: Qhov no suav nrog sodium, chloride, potassium, calcium, thiab lactate. Feem ntau siv thaum xav tau dej ntau sai sai.
Cov tshuaj Colloid
Cov no muaj cov molecule loj dua uas tsis yooj yim hla dhau cov phab ntsa cell, feem ntau tseem nyob hauv cov ntshav kom tswj tau qhov ntim. Piv txwv li suav nrog Albumin thiab Hetastarch.
Thaum koj tau txais IV, yuav muaj dab tsi tshwm sim?
Cov txheej txheem no yog ua los ntawm tus kws kho mob lossis tus kws tu neeg mob uas tau kawm tiav hauv txoj kev ua haujlwm zoo thiab ua haujlwm tau zoo.
1. Ua ntej, koj tus kws kho mob yuav txiav txim siab seb koj xav tau hom thiab ntau npaum li cas ntawm cov kua IV raws li koj qhov hnyav, hnub nyoog, thiab koj tus mob tam sim no.
2. Tom ntej no, qhov chaw ntxig (feem ntau yog sab hauv lub luj tshib lossis sab saum toj ntawm koj txhais tes) raug ntxuav kom huv si nrog cov tshuaj tua kab mob .
3. Muaj ib daim ntaub qhwv caj dab khi ncig koj sab caj npab kom pom cov leeg ntshav ntau dua.
4. Tom qab xaiv tau ib txoj hlab ntshav uas haum lawm, ces yuav muab ib lub raj yas me me uas muaj ib rab koob tso rau hauv. Tej zaum koj yuav hnov me ntsis qhov mob, tiam sis nws tsuas kav ib pliag xwb.
5. Thaum lub cannula raug muab tso rau hauv cov leeg ntshav lawm, lub tourniquet raug tshem tawm.
6. Lub cannula raug khi rau koj txhais caj npab nrog daim kab xev kho mob kom tiv thaiv kev txav mus los tsis raug.
7. Cov yeeb nkab uas txuas nrog koj lub hnab kua IV ces txuas rau lub cannula.
8. Lub hnab IV raug dai rau ntawm lub rooj sawv IV, thiab cov kua dej raug xa mus rau qhov nrawm tswj tau los ntawm lub twj tso kua dej lossis lub ntiajteb txawj nqus, kom ntseeg tau tias kev tswj hwm raug.
9. Peb cov neeg ua haujlwm kho mob yuav saib xyuas tag nrho cov txheej txheem tas li rau koj txoj kev nyab xeeb.
Thaum koj txhaj tshuaj IV, yog tias koj pom tias qhov ntws ntawm cov tshuaj sai lossis qeeb dhau, yog tias koj hnov mob ntawm qhov chaw txhaj tshuaj, yog tias lub cannula xoob, lossis yog tias koj mob taub hau lossis ua pa nyuaj, qhia rau koj tus kws kho mob lossis tus nais maum tam sim ntawd.
Cov txiaj ntsig thiab kev pheej hmoo yog dab tsi?
Kev muab dej rau hauv lub cev (IV rehydration) yog ib txoj kev kho mob uas siv ntau heev, yooj yim, thiab muaj kev nyab xeeb. Nws pab kom cov neeg mob zoo sai thiab, rau cov neeg mob uas mob hnyav heev, nws tuaj yeem cawm tau neeg txoj sia.
Txawm hais tias cov teeb meem tsis tshua muaj tshwm sim los xij, nws yog ib qho zoo kom paub txog lawv kom koj paub tias yuav tsum saib xyuas dab tsi.
| Kev nyuaj siab | Kev piav qhia |
|---|---|
| Kev Mob Hlwb Los Ntawm Huab Cua | Cua nkag mus rau hauv cov leeg ntshav los ntawm cov raj. Qhov no tsis tshua muaj tab sis yuav tsum tau kho mob tam sim ntawd. |
| Cov leeg ntshav uas tawg | Cov leeg ntshav yuav tawg thaum muab ntxig rau hauv lossis tom qab siv ntev. Yog tias qhov no tshwm sim, cov neeg ua haujlwm yuav tsuas yog siv lwm qhov chaw xwb. |
| Kev Ua Kua Ntau Dhau | Yog tias muab cov kua dej sai dhau, nws tuaj yeem ua rau mob taub hau, ntshav siab, lossis ua pa nyuaj. Kev kho qhov nrawm ntawm cov kua dej kom daws tau qhov teeb meem no. |
| Cov ntshav tawm | Ntshav ntws mus rau hauv cov nqaij ib puag ncig. Nws zoo li qhov mob thiab feem ntau yuav zoo li qub hauv ob peb lub lis piam. |
| Kev kis kab mob | Yog tias qhov chaw ntxig tsis huv, qhov no yuav kho tau zoo nrog cov tshuaj tua kab mob. |
| Kev nkag mus | Yog tias lub cannula txav mus los, cov kua dej yuav ntws mus rau hauv cov nqaij ib puag ncig. Tej zaum yuav ua rau mob me ntsis/o, tab sis yooj yim tswj. |
| Kab mob ntshav | Mob o ntawm cov leeg ntshav. Feem ntau tshwm sim; kho tau los ntawm kev tshem lub cannula thiab siv cov ntaub sov sov. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov kua dej IV, lossis 'saline,' feem ntau yog siv los kho qhov qhuav dej thiab rov qab kho qhov electrolyte kom sib npaug.
- Kev qhuav dej tsis yog ib qho yooj yim ua; yog tias koj muaj cov tsos mob hnyav, nrhiav kev pab kho mob tam sim ntawd lossis hu rau cov kev pabcuam thaum muaj xwm txheej ceev.
- Kev kho mob IV yog ib qho txheej txheem ib txwm muaj, muaj kev nyab xeeb heev uas ua hauv tsev kho mob txhua hnub. Thov tsis txhob txhawj txog nws.
- Tus kws kho mob txiav txim siab hom thiab qhov ntau npaum li cas ntawm cov kua dej uas koj tau txais raws li koj qhov kev ntsuam xyuas kev noj qab haus huv.
- Yog tias koj xav tias tsis xis nyob thaum lub sijhawm IV nyob rau hauv qhov chaw, ib txwm qhia rau koj tus kws saib mob lossis tus kws kho mob tam sim ntawd.
Cov kua dej IV, saline, dehydration, cannula, kev kho mob intravenous, Nirogi Lanka
