Xav txog thaum koj raug rub ib tug hniav, lossis ib qho qhov txhab me me uas yuav tsum tau xaws, tus kws kho mob xub muab ib koob tshuaj me me rau koj kom ua rau thaj chaw ntawd tsis mob, puas yog? Qhov no yog los txo qhov mob uas koj hnov thaum ntawd. Ib qho ntawm cov tshuaj uas siv ntau tshaj plaws hauv cov xwm txheej zoo li no yog Lidocaine; Epinephrine. Qhov no tsis yog tsuas yog tshuaj tua kab mob xwb, tab sis yog ib yam tshuaj uas ua rau ib qho chaw
tshwj xeeb tsis mob ib ntus. Cia peb tham txog qhov no kom meej me ntsis thiab yooj yim hnub no.
Hauv lus yooj yim, Lidocaine yog dab tsi; Epinephrine yog dab tsi?
Qhov no yog kev sib xyaw ua ke ntawm ob hom tshuaj. 1.
Lidocaine: Qhov no yog cov tshuaj ua kom loog tseem ceeb. Hauv kev kho mob, peb hu qhov no "Local Anesthetics". Ntawd yog, nws tsuas yog ua rau ib cheeb tsam me me ntawm lub cev loog xwb. Qhov no ib ntus nres cov cim mob ntawm thaj chaw ntawd mus rau lub hlwb. Nws zoo li nres ib tus neeg uas nqa cov lus. 2.
Epinephrine (Adrenaline): Cov tshuaj Epinephrine uas ntxiv rau qhov no ua ib yam tseem ceeb heev. Nws ua rau cov hlab ntsha hauv thaj chaw ntawd nqaim me ntsis. Thaum qhov no tshwm sim, muaj ob qho txiaj ntsig tseem ceeb:
- Qhov loog ntev dua: Lidocaine nyob hauv thaj chaw ntev dua vim yog cov ntshav ntws tsawg dua. Yog li ntawd, qhov loog tuaj yeem kav ntev li ob peb teev.
- Txo kev los ntshav : Epinephrine feem ntau tswj kev los ntshav thaum phais lossis rho hniav.
Cov tshuaj no feem ntau siv rau kev kho hniav, kev phais me, thiab kev qhwv qhov txhab.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej koj txhaj tshuaj tiv thaiv kab mob no
Ua ntej koj muab cov tshuaj no rau koj, koj tus kws kho mob yuav nug koj ob peb lo lus nug. Txawm li cas los xij, koj yuav tsum qhia cov ntaub ntawv no rau lawv. Nws yog ib qho tseem ceeb heev rau koj txoj kev nyab xeeb. Tsis txhob zais dab tsi, txawm tias yog qhov me tshaj plaws los xij.
- Kev Ua Xua : Yog tias koj ua xua rau Lidocaine, Epinephrine, lossis lwm yam tshuaj loog, koj yuav tsum qhia rau koj tus kws kho mob ua ntej. Tsis tas li ntawd, qhia rau koj tus kws kho mob yog tias koj ua xua rau lwm yam tshuaj, khoom noj, xim, lossis cov tshuaj tiv thaiv.
- Lwm yam mob uas koj muaj: Yog tias koj muaj cov mob no, koj yuav tsum qhia rau koj tus kws kho mob paub.
- Kab mob plawv
- Ntshav siab los yog qis
- Kab mob siab
- Kab mob raum
- Kab mob ntsws
- Cov mob caj ces hu ua G6PD deficiency
- Cev Xeeb Tub thiab pub niam mis rau menyuam: Nco ntsoov qhia rau koj tus kws kho mob yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis pub niam mis rau menyuam.
Raws li cov ntaub ntawv no, tus kws kho mob yuav txiav txim siab seb puas yuav muab cov tshuaj no rau koj, siv lwm txoj hauv kev, lossis hloov qhov ntau npaum li cas.
Koj siv cov tshuaj no li cas?
Qhov no tsis yog tshuaj uas koj tuaj yeem nqa mus tsev. Yog li ntawd tsis muaj dab tsi yuav tsum txhawj txog. Qhov no yog tshuaj tiv thaiv kab mob uas muab
rau hauv tsev kho mob lossis chaw kho mob, los ntawm tus kws kho mob lossis tus kws tshaj lij kev noj qab haus huv . Feem ntau nws raug txhaj tshuaj "hauv qab daim tawv nqaij" rau hauv thaj chaw uas xav tau kev ua kom loog. Txawm tias cov menyuam yaus, hnub nyoog tshaj 1 xyoos, kuj tau muab cov tshuaj no rau qee kis. Tab sis nws ua tib zoo heev thiab nyob rau hauv kev saib xyuas tshwj xeeb.
Yuav ua li cas yog tias qhov tshuaj ntau ntxiv?
Vim tias qhov no yog muab rau hauv tsev kho mob, qhov kev pheej hmoo ntawm kev siv tshuaj ntau dhau yog tsawg heev. Txawm li cas los xij, yog tias koj xav tias muaj qee yam tshwm sim, mus rau tsev kho mob
ETU (Emergency Treatment Unit) tam sim ntawd. Los yog koj tuaj yeem hu rau
National Poisons Information Centre ntawm Colombo National Hospital kom tau txais lus qhia.
Cov tshuaj twg lwm yam uas yuav cuam tshuam nrog cov tshuaj no?
Yog tias koj noj tshuaj rau lwm yam mob, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog tag nrho koj cov tshuaj (xws li cov vitamins thiab cov tshuaj ntsuab). Qee cov tshuaj tuaj yeem cuam tshuam nrog Lidocaine thiab Epinephrine thiab ua rau muaj teeb meem tsis xav tau. Lub rooj hauv qab no piav qhia ntxiv txog qhov no.
Cov tshuaj uas yuav tsum tsis txhob noj ua ke Lwm cov tshuaj uas yuav muaj kev sib cuam tshuam (daim ntawv teev npe no tsis tiav) | Hom tshuaj | Kev piav qhia |
|---|
| Dofetilide | Ib yam tshuaj uas cuam tshuam rau lub plawv dhia. |
| Saquinavir | Ib yam tshuaj siv los kho tus kab mob HIV. |
| Acetaminophen | Cov tshuaj tua kab mob xws li paracetamol. |
| Qee cov tshuaj tua kab mob | Piv txwv li: dapsone, nitrofurantoin, sulfonamides. |
| Qee cov tshuaj kho mob qaug dab peg | Piv txwv li: phenobarbital, phenytoin, valproic acid. |
| Lwm cov tshuaj loog hauv zos | Piv txwv li: bupivacaine, pramoxine. |
| Nitroglycerin | Ib yam tshuaj siv rau kab mob plawv. |
Qhov tseem ceeb tshaj plaws: Muab daim ntawv teev tag nrho cov tshuaj, cov vitamins, cov tshuaj ntsuab, thiab cov tshuaj ntxiv uas koj noj rau koj tus kws kho mob. Tsis tas li ntawd, qhia rau koj tus kws kho mob yog tias koj haus luam yeeb lossis haus cawv.
Tej yam yuav tsum tau ceev faj tom qab txhaj tshuaj tiv thaiv kab mob
Qhov no yog qhov tseem ceeb tshaj plaws uas koj yuav tsum tau ua tib zoo saib xyuas. Yog tias cov tshuaj ua haujlwm, uas yog, yog tias muaj qhov mob tingling,
thaj chaw ntawd yuav tsis hnov mob. Xav txog tias koj tau rho ib tug hniav thiab sab ntawd tingling. Koj tuaj yeem noj rau sab ntawd thiab tom koj daim di ncauj lossis sab plhu. Tab sis vim yog qhov mob tingling, koj yuav tsis hnov nws. Yog li ntawd, nws tuaj yeem raug mob loj.
Yog li ntawd, nws yog koj lub luag haujlwm los saib xyuas qhov chaw loog yam tsis ua rau raug mob. Ua raws li cov lus qhia ntawm tus kws kho mob. Saib xyuas qhov chaw ntawd kom txog thaum qhov loog ploj mus tag.
Tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, cov tshuaj no muaj tej yam tshwm sim tsis zoo. Txawm li cas los xij, tsis yog txhua tus neeg yuav muaj tej yam tshwm sim tsis zoo. Qee yam tshwm sim tsis zoo yog qhov loj heev thiab koj yuav tsum nrhiav kev pab kho mob tam sim ntawd. Qee yam yog ib txwm muaj thiab yuav ploj mus tom qab ib pliag.
Cov kev mob tshwm sim uas yuav tsum tau qhia rau koj tus kws kho mob tam sim ntawd feem ntau tsis loj heev (tab sis qhia rau
koj tus kws kho mob yog tias lawv tseem muaj).
| Kev ua xua | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj, tus nplaig lossis caj pas. |
| Kev hloov pauv ntawm lub plawv dhia | Lub plawv dhia ceev los yog tsis xwm yeem, kiv taub hau, mob hauv siab, ua pa nyuaj. |
| Kev hloov pauv ntawm cov ntshav siab | Ntshav siab nce lossis txo. Yog tias nws txo qis, cov tsos mob xws li kiv taub hau thiab pom kev tsis meej yuav tshwm sim. |
| Cov tsos mob ntawm Methemoglobinemia | Mob taub hau, qaug zog txawv txawv, ua pa nyuaj, xeev siab, ntuav, lub plawv dhia ceev, daim tawv nqaij lossis daim di ncauj xiav (ib yam mob uas cuam tshuam rau cov ntshav lub peev xwm nqa oxygen). |
| Cov teebmeem rau lub paj hlwb hauv nruab nrab (CNS kev nyuaj siab) | Ua pa qeeb qeeb , ua pa nyuaj, tsaug zog ntau dhau, tsis meej pem, qhib qhov muag tsis tau. |
| Qaug dab peg | Tej zaum muaj kev sib haum xeeb. |
| Cov teebmeem ntawm kev puas siab puas ntsws | Kev ntxhov siab, kev ntxhov siab. |
| Kev tsaug zog tsis taus | Xav tias me ntsis tsaug zog. |
| Xeev siab thiab ntuav (Xausea, Ntuav) | Mob plab, zoo li ntuav. |
Daim ntawv teev npe no tsis suav nrog txhua yam kev mob tshwm sim uas yuav tshwm sim. Yog tias koj muaj cov tsos mob txawv txawv, nrog koj tus kws kho mob tham txog lawv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lidocaine; Epinephrine yog ib qho tshuaj txhaj uas muab rau ib ntus ib qho chaw ntawm lub cev thiab txo qhov mob. Nws tsuas yog muab los ntawm tus kws kho mob hauv tsev kho mob lossis chaw kho mob.
- Nco ntsoov qhia rau koj tus kws kho mob txog txhua yam kev ua xua uas koj muaj, lwm yam mob (tshwj xeeb tshaj yog kab mob plawv, siab, thiab raum), thiab txhua yam tshuaj uas koj noj.
- Tom qab txhaj tshuaj tiv thaiv kab mob tas, koj lub luag haujlwm yog tiv thaiv thaj chaw ntawd kom tsis txhob raug mob kom txog thaum qhov kev xav khaus khaus ploj mus tag.
- Yog koj muaj tej yam tsos mob txawv txawv (tshwj xeeb yog ua pa nyuaj, mob hauv siab, kiv taub hau heev, tawv nqaij xiav) nrhiav kev kho mob tam sim ntawd.
- Yog koj muaj lus nug txog cov tshuaj no, tsis txhob ntshai nug koj tus kws kho mob.
Lidocaine, Epinephrine, Tshuaj Tua Kab Mob, Tshuaj Tua Kab Mob, Tshuaj Txhaj Tiv Thaiv Kab Mob, Cov Kev Mob Tshwm Sim Sab Nraud, Kev Rho Hniav, Tshuaj loog
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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