Koj lub ntsws puas zoo li lawv puv nrog dej? (Pulmonary Edema) - Cia peb tham txog qhov no!

Puas muaj tej lub sij hawm koj xav tias koj ua tsis taus pa? Los yog koj puas xav tias koj lub hauv siab nruj, los yog koj hnoos tawm cov hnoos qeev thiab ua npuas dej? Cov no tsis yog cov tsos mob uas yuav tsum tsis quav ntsej. Qhov no yuav yog ib qho mob uas koj lub ntsws puv nrog dej, uas peb hu ua Pulmonary Edema . Qhov no tuaj yeem ua rau mob hnyav heev, yog li ntawd xav tau kev kho mob tam sim ntawd. Cia peb tham txog qhov no kom meej hnub no.

Kab mob ntsws edema yog dab tsi?

Hais yooj yim xwb, Kab mob ntsws o yog qhov uas muaj cov kua dej ntau dhau, xws li dej, hauv koj lub ntsws. Xav txog nws zoo li lub paj rwb. Cov hnab cua me me hauv lawv nqus cov pa oxygen rau hauv cov ntshav thaum peb ua pa. Tab sis yog tias cov hnab cua no puv nrog dej, zoo li lub paj rwb ntub dej, cov pa oxygen uas tuaj yeem nkag mus rau hauv cov ntshav yuav txo qis. Thaum ntawd koj yuav muaj teeb meem ua pa, hnoos, thiab mob hauv siab. Qhov no tuaj yeem ua rau tuag taus, yog li nws tseem ceeb heev uas yuav tsum nrhiav kev kho mob tam sim ntawd.

Mob ntsws edema (HAPE) yog dab tsi?

Koj puas tau nce roob dua li? Los yog nce mus rau qhov chaw siab heev sai sai? Thaum koj ua li ntawd, qee tus neeg tuaj yeem muaj tus mob hu ua High Altitude Pulmonary Edema (HAPE) . Qhov no yog ib hom mob hnyav ntawm qhov siab/mob roob. Qhov laj thawj tseem ceeb rau qhov no yog tias qib oxygen hauv huab cua txo qis thaum koj nce siab.

Thaum koj muaj HAPE, koj yuav xav tias nkees, tsis muaj zog, mob lub cev, thiab ua pa nyuaj. Koj kuj tseem yuav hnoos thiab mob hauv siab. Nco ntsoov tias, HAPE yog qhov xwm txheej ceev hauv kev kho mob. Yog tias koj muaj cov tsos mob no, koj yuav tsum mus rau qhov chaw qis dua tam sim ntawd thiab nrhiav kev kho mob.

Qhov txawv ntawm Pulmonary Edema thiab Pneumonia yog dab tsi?

Ob qho mob no ua rau cov kua dej sib sau ua ke hauv lub ntsws. Tab sis qhov ua rau txawv. Mob ntsws yog los ntawm kev kis kab mob. Kev kis kab mob no tuaj yeem tshwm sim los ntawm cov kab mob, cov kab mob me me, lossis cov pwm. Cov kab mob no ua rau cov kua dej puv koj lub hnab cua. Mob ntsws o tsis yog los ntawm kev kis kab mob, thiab cov kua dej uas sib sau ua ke feem ntau tsis tuab npaum li mob ntsws, tab sis muaj dej ntau dua.

Qhov txawv ntawm Pulmonary Edema thiab Pleural Effusion yog dab tsi?

Qhov no yuav ua rau kuv tsis meej pem me ntsis. Pleural effusion yog cov kua dej sib sau ua ke hauv pleura, daim nyias nyias uas nyob ib puag ncig lub ntsws . Pleura yog daim ntaub ntawm lub ntsws thiab phab ntsa hauv siab. Feem ntau, tsuas muaj ib txheej nyias nyias ntawm cov kua dej nyob ntawd. Pleural effusion tuaj yeem tshwm sim los ntawm cov mob xws li mob ntsws, mob plawv tsis ua haujlwm, lossis mob qog noj ntshav.Nws tuaj yeem tshwm sim. Tsis zoo li Pulmonary Edema , qhov twg cov kua dej nyob sab nraum lub ntsws, cov kua dej ntawd tuaj yeem ua rau muaj kev nyuaj rau lub ntsws.

Mob ntsws o vim ua luam dej yog dab tsi?

Qhov mob no qee zaum yuav tshwm sim rau cov neeg ua luam dej thiab cov neeg dhia dej sib tw. Nws tseem hu ua (Immersion Pulmonary Edema) . Thaum dhia dej, cov ntshav los ntawm ob txhais ceg thiab lub plab raug xa mus rau lub ntsws. Qhov ntim ntshav ntxiv no ua rau muaj kev siab ntxiv hauv cov hlab ntsha hauv lub ntsws. Tom qab ntawd, cov kua dej ntws tawm ntawm cov kav dej ntawd thiab sib sau ua ke hauv cov hnab cua. Qhov no tuaj yeem ua rau lub ntsws puas tsuaj.

Dab tsi yog cov ua rau mob ntsws edema?

Cov ua rau muaj kua dej hauv lub ntsws tuaj yeem muab faib ua ob pawg tseem ceeb.

1. Cov ua rau mob plawv

2. Lwm yam ua rau lwm yam tsis yog kab mob plawv (Tsis yog mob plawv)

1. Cov ua rau muaj kab mob plawv (Cardiogenic Pulmonary Edema)

Kab mob Cardiogenic Pulmonary Edema yog ib yam mob uas cov kua dej sib sau ua ke hauv lub ntsws vim muaj teeb meem nrog lub plawv. Xav txog nws zoo li lub twj tso dej. Yog tias sab laug ntawm lub plawv tsis tso cov ntshav kom zoo, cov ntshav yuav daig hauv cov hlab ntsha hauv lub ntsws, zoo li tsheb sib tsoo. Lub siab hauv cov hlab ntsha ntawd nce ntxiv, thawb cov kua dej mus rau hauv cov hnab cua.

Qhov mob plawv tseem ceeb uas ua rau cov kua dej puv lub ntsws yog congestive heart failure . Tsis tas li ntawd, nws kuj tuaj yeem tshwm sim los ntawm cov mob xws li:

• Mob plawv.
• Cov leeg nqaij plawv tsis muaj zog (Cardiomyopathy).
• Kev xau lossis nqaim ntawm cov hlab ntsha plawv (Valvular heart disease).
• Ntshav siab (Hypertension).
• Lub plawv dhia tsis sib xws (Arrhythmia).
• Myocarditis (mob ntawm cov leeg plawv).
• Pericardial effusion (cov kua dej sib sau ua ke hauv pericardium, daim nyias nyias uas nyob ib puag ncig lub plawv).

2. Kab Mob Ntsws Uas Tsis Yog Kab Mob Plawv (Noncardiogenic Pulmonary Edema)

Kab mob o ntawm lub ntsws uas tsis yog los ntawm lub plawv yog ib qho mob uas cov kua dej sib sau ua ke hauv lub ntsws, tsis yog vim muaj teeb meem plawv. Qhov no tshwm sim thaum cov hlab ntsha hauv lub ntsws o lossis puas lawm. Cov kua dej ces tawm ntawm cov hlab ntsha ntawd thiab sib sau ua ke hauv cov hnab cua.

Kab Mob Ua Pa Nyuaj Rau Cov Neeg Laus (ARDS) yog lwm lub npe rau tus mob no (Noncardiogenic Pulmonary Edema) . Qhov teeb meem tseem ceeb hauv (ARDS) yog o. Qhov no tuaj yeem tshwm sim los ntawm:

• Mob ntsws o.
• Kab mob hnyav heev (Sepsis).
• Kev raug mob ntawm lub cev (Kev raug mob hnyav).
• Kab mob Pancreatitis.
• Kab mob siab.
• Qee cov tshuaj.
• Los ntshav los yog o hauv lub hlwb(Neurogenic pulmonary edema).

Tsis tas li ntawd xwb, ib qho mob hu ua negative pressure pulmonary edema tuaj yeem tshwm sim tom qab muaj kev thaiv txoj hlab pa sab saud. Thaum koj sim ua pa thaum muaj qhov kev thaiv no, cov hlab ntsha hauv lub ntsws raug puas tsuaj thiab cov kua dej ntws tawm. Qhov no kuj yog qhov tshwm sim hauv High Altitude Pulmonary Edema (HAPE) , uas peb tau tham ua ntej.

Cov tsos mob ntawm Pulmonary Edema yog dab tsi?

Tus mob no tuaj yeem tshwm sim sai sai (mob hnyav heev) lossis maj mam tshwm sim raws sijhawm (mob ntev).

Mob ntsws o tuaj sai sai

Cov tsos mob ntawm qhov no tshwm sim sai sai.

• Ua pa nyuaj (ua tsis taus pa) , tshwj xeeb tshaj yog thaum txav mus los lossis khoov.
• Cov kua qaub ncaug uas muaj ntshav los yog ua npuas.
• Lub suab nrov nrov yog lub suab whistling thaum ua pa.
• Ib qho kev xav tias ua tsis taus pa.
• Zoo li koj ua tsis taus pa.
• Mob hauv siab los yog mob.

Mob ntsws ntev ntev

Cov tsos mob zoo ib yam li cov mob uas pib tshwm sim sai sai, tab sis tej zaum yuav tsis hnyav heev. Lwm cov tsos mob muaj xws li:

• Sawv los ntawm kev pw tsaug zog vim muaj kev xav tias ua tsis taus pa.
• Ua pa nyuaj zuj zus thaum pw.
• Ob txhais ceg o.
• Xav tias nkees thiab qaug zog heev.

Yuav kuaj mob ntsws edema li cas?

Thaum koj mus ntsib kws kho mob, nws yuav kuaj koj lub cev ua ntej kom paub seb puas muaj kua dej hauv koj lub ntsws. Nws yuav mloog koj lub plawv thiab koj lub ntsws nrog lub stethoscope. Nws yuav nrhiav tshwj xeeb rau:

• Lub plawv dhia ceev lossis ntshav siab nce lossis txo qis.
• Ua pa ceev dua.
• Lub suab plawv txawv txawv.
• Suab nrov nrov los yog ua pa nrov hauv lub ntsws.
• Kev o ntawm lub cev.
• Cov tawv nqaij xim grey los yog xiav.

Cov kev kuaj mob yog dab tsi?

Yog koj tus kws kho mob xav tias koj muaj kua dej hauv koj lub ntsws, lawv yuav xaj kom kuaj ntxiv ob peb zaug. Cov no suav nrog:

• Kev suav cov ntshav tag nrho (CBC).
• Cov tshuaj lom neeg hauv cov ntshav.
• Kev ntsuas pulse oximetry los xyuas cov pa oxygen hauv cov ntshav.
• Ib daim duab X-ray hauv siab kom pom seb puas muaj kua dej hauv lub ntsws.
• Yuav ua ib daim echocardiogram, uas yog ib daim ultrasound ntawm lub plawv, los xyuas seb puas muaj kev ua haujlwm ntawm lub plawv tsis zoo.
• Ib daim Electrocardiogram (EKG) los xyuas seb puas muaj teeb meem ntawm lub plawv dhia lossis mob plawv nres.
• Ib qho kev kuaj hu ua cardiac catheterization los xyuas seb puas muaj kev thaiv hauv cov hlab ntsha ntawm lub plawv.

Yuav kho tus mob ntsws edema li cas?

Kab mob ntsws o yog ib qho mob hnyav heev. Yog tias koj muaj tus mob no tam sim ntawd (mob hnyav heev),Yuav tsum tau kho mob tam sim ntawd. Tej zaum koj yuav tsum tau mus kho mob hauv Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) lossis Chav Saib Xyuas Mob Hnyav (ICU) .

Nov yog qee txoj kev kho mob:

• Muab cov pa oxygen los ntawm cov raj me me (prongs) uas muab tso rau hauv lub qhov ntswg.
• Kev siv cov tshuab uas tshuab cua rau hauv lub ntsws los ntawm lub npog ntsej muag.
• Kev siv cov tshuab ua pa lossis cov tshuab ua pa uas tshuab cua los ntawm lub raj uas ntxig rau hauv lub trachea.
• Cov tshuaj uas ua rau kom tso zis ntau ntxiv kom tshem tawm cov kua dej lossis cov tshuaj uas ua rau lub plawv muaj zog.
• Yog tias qhov o ntawm lub ntsws tsis yog los ntawm kev ua tsis taus pa ntawm lub plawv, lwm yam tshuaj xws li tshuaj tua kab mob thiab tshuaj steroids yuav raug sau ntawv kom noj.

Kuv yuav ua li cas thiaj tiv thaiv tau qhov mob ntsws o?

Yog tias koj muaj feem yuav mob ntsws o, koj tuaj yeem ua ob peb kauj ruam los saib xyuas koj tus kheej.

• Yog koj muaj mob plawv, noj koj cov tshuaj raws nraim li koj tus kws kho mob tau qhia.
• Mus txhaj tshuaj tiv thaiv kab mob tsis tu ncua.
• Mus ntsib koj tus kws kho mob ntau zaus, tshwj xeeb yog tias koj ua pa nyuaj.
• Noj zaub mov kom noj qab nyob zoo, tsis muaj ntsev ntau.
• Tsis txhob haus luam yeeb.
• Tswj koj qhov hnyav kom noj qab nyob zoo.
• Yog tias koj tab tom npaj ua tej yam uas yuav ua rau lub ntsws o, xws li taug kev, nrog koj tus kws kho mob tham txog qhov ntawd.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Kev raug mob ntsws sai sai tuaj yeem ua rau tuag taus. Yog tias koj muaj ib qho ntawm cov tsos mob no, hu rau 911 lossis mus rau chav kho mob ceev ze tshaj plaws tam sim ntawd:

• Ua pa nyuaj heev.
• Zoo li koj ua tsis taus pa.
• Ua tsis taus pa.
• Hnoos ntshav los yog cov hnoos qeev uas muaj xim ntshav.
• Lub suab hu nkauj los yog kev xav tias ua pa nyuaj.
• Lub plawv dhia ceev ceev.
• Tsis xis nyob lossis ntxhov siab.
• Cov tawv nqaij xiav lossis grey.
• Tawm hws ntau dhau.
• Kiv taub hau los yog tsis muaj zog.

Tseem Ceeb: Kab mob ntsws o yog ib qho mob hnyav heev. Yog tias koj muaj tus mob no sai sai, koj yuav tsum nrhiav kev kho mob tam sim ntawd. Lub sijhawm zoo ntawm kev rov zoo los ntawm tus mob no nyob ntawm qhov ua rau tus mob, qhov hnyav ntawm tus mob, thiab koj nrhiav kev kho mob sai npaum li cas. Thaum koj tau txais kev kho mob sai npaum li cas, koj yuav muaj feem rov zoo dua.

Qhov mob no yuav kav ntev npaum li cas? Los yog nws puas ua rau tuag tam sim ntawd?

Koj yuav nyob tau ntev npaum li cas nrog tus mob no nyob ntawm seb ua rau muaj tus mob no thiab koj tau txais kev kho mob sai npaum li cas. Yog tias koj muaj mob ntsws hnyav, koj yuav tsum tau kho tam sim ntawd. Hauv cov xwm txheej hnyav, nws tuaj yeem ua rau tuag taus yog tias tsis kho sai. Yog li ntawd, kev mus pw hauv tsev kho mob feem ntau yog qhov tsim nyog, tshwj xeeb tshaj yog thaum muaj xwm txheej ceev.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Yog li, qhov peb tau tham txog hnub no (Pulmonary Edema)Los yog kuv vam tias koj tam sim no nkag siab zoo dua txog qhov mob hu ua kua dej puv lub ntsws.

• Qhov no yog ib qho mob hnyav heev: tsis txhob tsuas yog tsis quav ntsej xwb. Nrhiav kev pab kho mob sai li sai tau thaum koj pom cov tsos mob.
• Muaj ntau yam ua rau: qhov no tshwm sim tau rau lwm yam, tsis yog vim muaj kab mob plawv xwb.
• Kev kho mob thaum ntxov yog qhov tseem ceeb heev: Thaum koj tau txais kev kho mob sai npaum li cas, koj yuav muaj feem rov zoo ntau npaum li ntawd.
• Ceev faj txog cov tsos mob: Saib xyuas tej yam xws li ua pa nyuaj, mob hauv siab, thiab hnoos ua npuas ncauj.
• Sim zam: Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li kev noj qab haus huv.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig los nrog koj tus kws kho mob tham. Nyob kom noj qab nyob zoo!

` Mob ntsws o, Ua pa nyuaj, Kab mob plawv, Kab mob ntsws, ARDS, Kev kho mob thaum muaj xwm ceev