Tej zaum koj yuav tau hnov ib tug kws kho mob qhia koj thaum ib tug neeg hauv koj tsev neeg nyob hauv chav saib xyuas mob hnyav (ICU), "Cov ntshav siab qis heev, yog li peb tau pib siv tshuaj tshwj xeeb los cawm lawv txoj sia." Los yog koj yuav tau pom nws hauv zaj yeeb yaj kiab, qhov twg ib tug neeg thaum muaj xwm txheej ceev txuas nrog ntau lub tshuab, thiab tshuaj raug txhaj rau hauv lub cev los ntawm ib lub koob txhaj me me los ntawm ib lub tshuab. Norepinephrine yog ib yam tshuaj tseem ceeb thiab muaj zog heev uas muab rau lub sijhawm zoo li no. Nws feem ntau siv rau hauv kev sib ntaus sib tua ntawm txoj sia thiab kev tuag. Yog li cia peb tham txog nws yooj yim hnub no.
Dab tsi yog norepinephrine tiag tiag?
Hais yooj yim xwb, Norepinephrine yog ib yam tshuaj uas zoo ib yam li cov tshuaj hormone Adrenaline, uas peb lub cev tsim tawm los ntawm nws tus kheej. Hauv kev kho mob, peb hu nws ua vasoconstrictor .
Xav txog ib lub yeeb nkab dej. Thaum koj nias lub yeeb nkab me ntsis, cov dej ntws tawm nrog lub zog ntau dua, puas yog? Ib yam li ntawd, qhov tshuaj Norepinephrine no ua yog nws ua rau cov hlab ntsha hauv peb lub cev sib zog (nruj). Tom qab ntawd lub zog ntawm cov ntshav uas ntws hauv cov hlab ntsha ntawd, uas yog, lub zog ntshav, cia li nce siab.
Qhov no tsis yog tshuaj rau ib yam kab mob uas ib txwm muaj. Qhov no yog ib yam tshuaj muaj zog heev. Yog vim li ntawd nws tsuas yog siv rau hauv tsev kho mob xwb, tshwj xeeb tshaj yog hauv chav kho mob hnyav (ICU) lossis chav kho mob thaum muaj xwm txheej ceev (ETU), nyob rau hauv kev saib xyuas tag nrho ntawm cov kws kho mob thiab cov neeg ua haujlwm saib xyuas neeg mob.
Cov tshuaj no yuav tsum tau siv rau hauv cov xwm txheej twg?
Feem ntau, thaum ib tug neeg cov ntshav siab poob qis, thawj qhov peb ua yog muab dej ntsev rau lawv. Tab sis qee zaum, txawm tias muaj dej ntsev los xij, qhov siab tsis rov qab mus txog qib uas xav tau. Thaum ntawd cov ntshav siab poob qis mus rau qib uas yuav ua rau tuag taus. Norepinephrine siv los pab.
Piv txwv li:
- Kab Mob Hnyav (Sepsis): Hauv septic shock, kab mob hnyav nkag mus rau hauv lub cev thiab ua rau cov ntshav siab poob qis tam sim ntawd.
- Mob Plawv Nres: Thaum lub plawv tsis tuaj yeem tso ntshav tau zoo tom qab muaj mob plawv nres hnyav.
- Kev Raug Mob Loj: Thaum muaj kev los ntshav ntau dhau tom qab muaj xwm txheej loj.
- Kev Phais Mob Loj: Tshwj xeeb tshaj yog tom qab kev phais mob plawv loj.
- Kev Ua Xua Hnyav (Anaphylactic Shock): Rau qee tus neeg, ntshav siab tuaj yeem poob qis heev thaum muaj kev ua xua hnyav rau ib yam dab tsi.
Hauv qhov xwm txheej zoo li no, yog tias cov kab mob tseem ceeb tshaj plaws ntawm lub cev, xws li lub hlwb, lub plawv, thiab lub raum , tsis tau txais cov ntshav txaus, cov kab mob ntawd yuav ua haujlwm tsis zoo thiab tus neeg mob yuav tuag. Norepinephrine yog siv los ua kom lub siab nce ntxiv thiab xa cov ntshav mus rau cov kab mob ntawd.
Cov tshuaj no muab li cas? Thiab yuav qhia rau tus kws kho mob li cas
Cov tshuaj no muab los ntawm ib lub cannula uas muab tso rau hauv cov leeg ntshav. Tab sis vim tias nws yuav tsum tau xa mus rau lub cev sai sai, ib lub cuab yeej tshwj xeeb hu ua lub twj tso kua mis siv rau qhov no. Tus neeg mob cov ntshav siab raug saib xyuas tas li nrog lub monitor, thiab tus kws kho mob hloov pauv tas li qhov ceev uas cov tshuaj raug muab raws li cov nqi ntawd.
Ua ntej pib kho mob no, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog koj (lossis tus neeg mob) keeb kwm kev noj qab haus huv tag nrho. Tshwj xeeb tshaj yog cov no:
- Koj puas tau muaj kev tsis haum tshuaj rau norepinephrine lossis cov tshuaj hu ua sulfites ?
- Koj puas muaj keeb kwm ntawm lub plawv dhia tsis xwm yeem?
- Koj puas muaj teeb meem nrog cov ntshav txhaws?
- Koj puas muaj teeb meem ntshav ncig hauv koj cov ntiv tes?
- Koj puas cev xeeb tub, vam tias yuav cev xeeb tub, lossis yog niam uas pub niam mis rau menyuam?
- Puas muaj ib qho mob uas lub cev qhuav dej?
Kev kho mob yuav hloov pauv raws li cov ntaub ntawv no.
Tej zaum cov tshuaj no yuav muaj tej yam tshwm sim tsis zoo li cas?
Vim tias qhov no yog ib yam tshuaj muaj zog heev, qee qhov kev phiv tshwm sim tuaj yeem tshwm sim. Yog vim li ntawd cov neeg ua haujlwm hauv tsev kho mob thiaj li ceev faj txog qhov no. Lawv ua haujlwm sai li sai tau thaum lawv pom teeb meem.
| Cov teebmeem sab nraud | Kev piav qhia thiab yuav ua li cas |
|---|---|
| Cov kev mob tshwm sim loj heev uas yuav tsum tau tshaj tawm tam sim ntawd | Cov no tsis tshua muaj, tab sis qhia rau koj tus kws kho mob lossis tus nais tam sim ntawd yog tias koj pom:
|
| Cov kev mob tshwm sim uas feem ntau tsis loj heev | Feem ntau cov no yuav ploj mus ntawm lawv tus kheej, tab sis yog tias lawv tseem muaj, qhia rau koj tus kws kho mob: |
Koj puas yuav tsum ntshai noj tshuaj ntau dhau?
Tsis yog. Qhov no yog vim tias cov tshuaj no tsis yog ib yam dab tsi uas koj tuaj yeem coj mus tsev. Nws yog muab rau hauv tsev kho mob, nyob rau hauv kev saib xyuas tag nrho ntawm cov kws kho mob, thiab nyob rau hauv txoj kev tswj hwm zoo heev, yog li ntawd qhov muaj feem yuav noj tshuaj ntau dhau yog tsawg heev . Yog tias muaj qhov zoo li no tshwm sim, cov neeg ua haujlwm hauv tsev kho mob npaj txhij los muab txhua yam kev kho mob tsim nyog. Yog tias koj muaj kev tsis ntseeg, koj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom paub ntau ntxiv.
Tej zaum yuav muaj kev sib cuam tshuam nrog lwm cov tshuaj
Nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj, vim tias qee cov tshuaj tuaj yeem ua teeb meem thaum ua ke nrog norepinephrine.
- Ergot alkaloids: Qee cov tshuaj siv los kho cov mob xws li mob taub hau migraines.
- Cov Tshuaj Tiv Thaiv Kev Nyuaj Siab: Tshwj xeeb tshaj yog cov tshuaj xws li amitriptyline thiab cov tshuaj hauv chav kawm ntawm cov tshuaj hu ua MAOIs (Monoamine Oxidase Inhibitors).
- Tshuaj loog dav dav: Qee cov tshuaj uas muab los ua kom tsaug zog thaum phais.
- Cov tshuaj kho mob ntshav qab zib: Vim tias norepinephrine tuaj yeem hloov cov ntshav qab zib, qhov ntau npaum li cas ntawm cov tshuaj kho mob ntshav qab zib yuav tsum tau hloov kho.
Qhia rau koj tus kws kho mob txog txhua yam tshuaj, cov vitamins, cov khoom siv tshuaj ntsuab, thiab seb koj puas haus luam yeeb lossis haus cawv, vim tias cov no tuaj yeem cuam tshuam rau koj txoj kev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Norepinephrine yog ib yam tshuaj muaj zog heev uas siv los ua kom ntshav siab nce siab uas ua rau lub neej muaj kev phom sij thaum muaj xwm txheej ceev.
- Qhov no tsuas yog muab rau hauv tsev kho mob xwb, tshwj xeeb tshaj yog nyob rau hauv Chav Saib Xyuas Mob Hnyav (ICU) , nyob rau hauv kev saib xyuas tag nrho ntawm cov kws kho mob thiab cov kws tu mob.
- Qhov no ua rau cov hlab ntsha nqaim, ua kom cov ntshav ntws mus rau cov kabmob tseem ceeb.
- Nco ntsoov qhia rau tus kws kho mob txog txhua yam tshuaj uas koj lossis koj tus neeg mob noj thiab txhua yam kab mob uas twb muaj lawm.
- Tej zaum yuav muaj tej yam tshwm sim tsis zoo, tab sis koj tsis tas yuav txhawj tsis tsim nyog vim tias cov neeg ua haujlwm hauv tsev kho mob yeej saib xyuas lawv tas li.
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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