Qee zaum thaum ib tug me nyuam yaus, lossis tej zaum ib tug neeg laus, ua pa, tej zaum koj yuav tau pom tias qee qhov ntawm lub hauv siab, lub caj dab, mus rau hauv zoo li ntawd. Nws zoo li nws nyuaj heev rau ua pa. Qhov ntawd yog qhov peb hu ua "(Retractions)" hauv kev kho mob. Hnub no peb yuav tham txog qhov no yog dab tsi tiag tiag, vim li cas nws tshwm sim, thiab seb peb puas yuav tsum ntshai.
"(Retractions)" yog dab tsi tiag?
Hais yooj yim xwb, "(Retractions)" yog thaum ib tug neeg nqus pa (uas yog, nqus pa) thiab daim tawv nqaij ntawm thaj chaw xws li caj dab, ntawm cov tav tav, thiab hauv qab cov tav tav nqes mus rau hauv, lossis rub mus rau hauv. Qhov tseem ceeb qhov no qhia peb yog tias tus neeg ntawd tab tom tawm tsam ua pa. Nws zoo li tsa ib qho hnyav, lawv tab tom tawm tsam kom tau cua nkag mus rau hauv lawv lub ntsws. Tej zaum koj twb tau pom tias qee zaum thaum tus menyuam mos ua pa, daim tawv nqaij ntawm lawv lub hauv siab rub mus rau hauv, yog li ntawd nws yog.
Peb feem ntau ua pa li cas?
Yuav kom nkag siab zoo dua txog cov "(Retractions)" no, peb yuav tsum saib seb peb ua pa li cas. Xav txog tias nws zoo li rub ib khob dej los ntawm ib lub raj mis.
Nruab nrab ntawm peb lub hauv siab thiab lub plab yog ib daim leeg loj, tiaj tiaj hu ua diaphragm . Tsis tas li ntawd xwb, muaj cov leeg me me ntawm peb cov tav.
Thaum peb ua pa, lub diaphragm loj no yuav nqes mus, thiab cov leeg nqaij ntawm cov tav yuav rub cov tav mus rau saum thiab tawm me ntsis. Ces qhov chaw hauv lub hauv siab (lub hauv siab) yuav loj dua. Qhov no txo qhov siab hauv lub ntsws, thiab cua sab nraud tsuas yog rub mus rau hauv lub ntsws xwb. Zoo li lub tshuab nqus tsev tau tsim thiab cua raug rub mus rau hauv. Feem ntau qhov no tshwm sim yam tsis tas yuav ua ntau yam.
Yog li ntawd, vim li cas '(Retractions)' thiaj tshwm sim?
Tam sim no xav txog tias muaj qee yam ua rau ib tug neeg ua pa nyuaj. Tej zaum txoj hlab pa (bronchi) uas mus rau lub ntsws raug thaiv, lossis muaj qee yam kab mob hauv lub ntsws.
Thaum ua pa nyuaj li no, cov leeg nqaij uas pab ua pa ib txwm (cov leeg nqaij ntawm daim diaphragm thiab tav) tsis txaus los rub cua txaus rau hauv lub ntsws.
Ces ua li cas? Peb lub cev sim siv cov leeg nqaij ntxiv rau lub hom phiaj no. Tshwj xeeb tshaj yog cov leeg nqaij hauv caj dab, qee cov leeg nqaij me me ntawm cov tav, thiab cov leeg nqaij hauv thaj tsam xub pwg raug ntxiv rau qhov no.
Thaum cov leeg nqaij ntxiv no nruj thiab nruj, daim tawv nqaij thiab cov nqaij mos uas txuas nrog lawv yuav rub mus rau sab hauv. Qhov kev rub mus rau sab hauv no yog qhov peb hu ua "(Retractions)"
Qhov ntawd txhais tau tias, pom `(Retractions)` txhais tau tias tus neeg lub cev siv 'lub zog txhawb nqa ntxiv' los twj cua rau hauv lub ntsws!
Kuv mus saib tau `(Retractions)` qhov twg?
Cov qhov no tuaj yeem pom nyob rau ntau qhov chaw sib txawv. Raws li cov chaw ntawd, peb qee zaum tuaj yeem tau txais qee lub tswv yim ntawm qhov xwm txheej ntawm qhov nyuaj ua pa.
- Kev rub rov qab ntawm cov pob txha subcostal:Daim tawv nqaij yuav nthuav mus rau hauv thaj chaw uas lub plab thiab lub hauv siab sib ntsib, ntawm qab ntawm lub tav tav. Qhov no feem ntau tshwm sim rau cov menyuam mos.
- Intercostal Retractions: Daim tawv nqaij ntawm ob lub tav tav rub mus rau hauv, zoo li cov tav tav tawm los.
- Supraclavicular Retractions: Cov no yog cov qhov me me, zoo li qhov ntawm ob sab ntawm lub caj dab, saum lub pob txha caj dab (clavicle).
- Suprasternal lossis Substernal Retractions: Daim tawv nqaij rub mus rau hauv qab lossis saum toj ntawm pob txha tiaj tiaj hauv nruab nrab ntawm lub hauv siab (sternum), zoo li qhov chaw uas caj dab pib.
Tej zaum yuav pom ib lossis ntau dua ntawm cov no tib lub sijhawm. Yog pom ntau npaum li cas, ces ua pa nyuaj dua.
Dab tsi yog cov ua rau muaj '(Kev rho tawm)'?
"(Kev rub rov qab)" tsis yog ib yam kab mob, nws yog ib qho tsos mob. Nws tuaj yeem pom hauv txhua yam mob uas ua rau ua pa nyuaj. Qee qhov ua rau menyuam yaus feem ntau yog:
- Kab mob ntsws (Bronchiolitis): Ib yam kab mob uas ua rau cov hlab ntsws me me o, tshwj xeeb tshaj yog rau cov menyuam yaus hnub nyoog qis dua 2 xyoos. Feem ntau nws yog los ntawm kev kis kab mob viral.
- Mob hawb pob (asthma): Ib yam mob uas cov hlab pa o thiab nqaim, ua rau ua pa nyuaj.
- Mob ntsws (Pneumonia): Kev kis mob los ntawm cov kab mob hauv lub ntsws.
- Croup: Ib yam kab mob uas ua rau lub caj pas thiab txoj hlab pas sab saud o, ua rau hnoos qhuav.
- Kev nqus cov khoom txawv teb chaws: Yog tias ib tug me nyuam yaus tau ib yam dab tsi zoo li ib daim khoom ua si lossis ib daim khoom noj daig hauv lawv lub qhov ntswg lossis qhov ncauj, qhov no yog qhov xwm txheej ceev!
- Lwm yam ua rau: Kev rub rov qab kuj tseem tuaj yeem pom hauv qee yam mob plawv, xws li kev ua xua hnyav (anaphylaxis).
Rau cov neeg laus, cov tsos mob no kuj tseem tuaj yeem tshwm sim hauv cov mob xws li COPD (Chronic Obstructive Pulmonary Disease), mob ntsws hnyav, thiab lub plawv tsis ua haujlwm.
Peb yuav tsum nrhiav dab tsi ntxiv nrog rau '(Retractions)'? Thaum twg peb yuav tsum mus ntsib kws kho mob?
Yog koj pom `(Kev Rov Qiv Dua)`, nws tsis yog lub tswv yim zoo uas yuav tsis quav ntsej nws. Vim nws txhais tau tias muaj qee yam kev tsis yooj yim.
Tshawb xyuas cov yam ntxwv no nrog 'Retractions':
- Puas yog tus menyuam yaus ua pa sai dhau lawm? `(Ua pa sai / Ua pa ceev heev)` Tus menyuam yaus ua pa li qub nyob ntawm lawv lub hnub nyoog. Tab sis ceev faj yog tias lawv ua pa sai dhau.
- Koj lub qhov ntswg puas tawg? `(Qhov ntswg tawg)` Yog tias koj lub qhov ntswg loj dua thaum koj ua pa.
- Thaum koj ua pa nkag, koj puas ua suab quaj qw? Yog tias koj ua suab zoo li "Agh... agh..." thaum koj ua pa tawm.
- Koj puas muaj lub suab nrov nrov hauv koj lub hauv siab thaum koj ua pa?
- Koj puas muaj hnoos?
- Daim di ncauj, tus nplaig, thiab cov rau tes puas tig xiav? (Cyanosis)Qhov no yog ib qho cim qhia txog kev phom sij heev. Nws txhais tau tias lub cev tsis tau txais oxygen txaus. Qhov no yog ib qho xwm txheej ceev! Mus rau tsev kho mob tam sim ntawd.
- Tus me nyuam puas tsis tau pub niam mis/noj txaus? Nws puas tsaug zog? Los yog nws puas tsis so?
- Koj puas muaj mob kub taub hau?
Qhov tseem ceeb tshaj plaws: Yog tias koj tus menyuam muaj "(Retractions)", tshwj xeeb tshaj yog tias nws yog ib tug menyuam yaus me, coj lawv mus ntsib kws kho mob. Lawv yog cov uas tuaj yeem nrhiav tau qhov ua rau thiab pib kho mob tsim nyog.
Nrhiav kev pab kho mob tam sim ntawd, tshwj xeeb tshaj yog rau cov xwm txheej hauv qab no:
- Yog tus me nyuam hnub nyoog qis dua 3 lub hlis.
- Yog tias koj daim di ncauj tig xiav nrog '(Retractions)' thiab koj zoo li muaj teeb meem ua pa.
- Tus me nyuam ua pa nyuaj heev, thiab hais tsis tau lus.
- Yog tias lub zog ua pa ceev heev.
- Yog tias tus me nyuam zoo li tsis muaj zog thiab tsaug zog heev.
Peb ua tau dab tsi hauv tsev?
Vim tias "(Kev rho tawm)" yog ib qho tsos mob ntawm ib qho mob uas twb muaj lawm, muaj tej yam tsawg uas koj ua tau hauv tsev. Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob.
Txawm li cas los xij, kom txog thaum koj mus ntsib kws kho mob, koj tuaj yeem ua cov no:
- Nyob twj ywm: Yog tias koj ntxhov siab, koj tus menyuam yuav ntshai ntxiv, uas tuaj yeem ua rau ua pa nyuaj dua.
- Ua kom tus me nyuam nyob twj ywm: nrog nws tham nrog kev hlub, puag nws.
- Cia tus me nyuam nyob rau hauv ib qho chaw xis nyob: Nws yuav yooj yim dua rau kev ua pa thaum zaum.
- Yog koj tus menyuam muaj mob hawb pob: Siv cov tshuaj ua pa uas koj tus kws kho mob tau sau tseg raws li tau qhia.
- Yog tias koj kub taub hau: Koj tuaj yeem muab tshuaj xws li Paracetamol rau koj tus kws kho mob.
- Txo cov pa luam yeeb thiab cov hmoov av hauv chav.
Tsis txhob muab tshuaj rau koj tus kheej yam tsis tau sab laj nrog kws kho mob ua ntej.
Cov kws kho mob kuaj mob thiab kho tus mob no li cas?
Thaum koj coj koj tus menyuam mus ntsib kws kho mob, thawj qhov uas nws yuav ua yog kuaj xyuas tus menyuam kom huv si.
- Peb saib tus qauv ua pa, qhov chaw uas muaj "(Retractions)", thiab tus nqi ntawm kev ua pa.
- Tus kws kho mob mloog lub hauv siab nrog lub stethoscope los xyuas seb puas muaj suab (suab nrov, lwm yam suab txawv txawv) hauv lub ntsws.
- Koj tuaj yeem kuaj xyuas koj lub cev cov pa oxygen saturation los ntawm kev siv lub cuab yeej me me hu ua pulse oximeter, uas muab tso rau ntawm koj tus ntiv tes lossis pob ntseg.
- Yog tias tsim nyog, lawv yuav hais kom koj thaij duab X-ray hauv siab. Qhov no tuaj yeem pab kuaj mob xws li mob ntsws.
- Qee zaum, tej yam xws li kev kuaj ntshav thiab kev kuaj qhov ntswg kuj tuaj yeem ua tau.
Kev kho mob nyob ntawm seb ua rau muaj qhov rub rov qab.
- Yog tias nws yog kab mob bacterial (piv txwv li mob ntsws): Tej zaum yuav muab tshuaj tua kab mob rau nws.
- Yog tias nws yog kab mob viral (piv txwv li, bronchiolitis): Feem ntau tsis muaj kev kho mob tshwj xeeb. Lub cev tau tso cai rau nws tus kheej kho thaum kho cov tsos mob (piv txwv li, oxygen, saline).
- Yog tias muaj mob hawb pob: Siv tshuaj nebulization los yog tshuaj nqus pa kom nqus tau cov pa.
- Yog tias ua pa nyuaj heev thiab cov pa oxygen tsawg: Tej zaum koj yuav tsum tau mus pw hauv tsev kho mob thiab muab oxygen.
Qhov tseem ceeb tshaj plaws yog kom tau txais kev kuaj mob kom raug sai li sai tau thiab pib kho mob tsim nyog.
Tej yam tseem ceeb uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)
Zoo, yog li peb tau tham ntau txog '(Kev rho tawm)' tam sim no. Thaum kawg, ntawm no yog cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov:
- "(Retractions)" txhais tau hais tias daim tawv nqaij ntawm lub hauv siab thiab caj dab rub mus rau hauv thaum ua pa. Qhov no txhais tau hais tias tus neeg ua pa nyuaj thiab tab tom siv zog heev.
- Qhov no tsis yog ib yam kab mob, tab sis yog ib qho tsos mob uas qhia tias ua pa nyuaj.
- Nws feem ntau pom muaj ntawm cov menyuam yaus vim yog cov mob xws li "Bronchiolitis", "Asthma", thiab "Pneumonia".
- Saib xyuas kom zoo rau cov cim qhia xws li ua pa sai dua, ntswg nrov, ua pa nrov nrov, thiab daim di ncauj xiav nrog rau "(Retractions)".
- Yog koj tus menyuam muaj '(Retractions)', tshwj xeeb yog tias lawv yog menyuam mos me, koj yuav tsum mus ntsib kws kho mob. Zoo tshaj plaws kom tsis txhob ntshai, tab sis nrhiav kev pab kho mob sai li sai tau.
- Ua raws li tus kws kho mob cov lus qhia kom meej.
Nco ntsoov, thaum koj pom tias koj tus menyuam txoj kev ua pa hloov pauv, tsis txhob xav tias qhov ntawd yooj yim. Kev kho mob sai sai tuaj yeem daws tau ntau yam teeb meem. Xav kom nej txhua tus muaj kev noj qab haus huv!
Ua pa nyuaj, rub rov qab, rub hauv siab, cov kab mob menyuam yaus, teeb meem ua pa, bronchiolitis, mob ntsws, mob hawb pob
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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