Koj puas tau muaj ib zaug uas koj xav tias koj ua pa nyuaj, lossis zoo li koj ua tsis taus pa kiag li? Tej zaum koj kiv taub hau lossis nkees. Ib qho ua rau tej yam no tshwm sim yog ua pa tsis tau zoo, uas yog qhov peb hu ua (Kev Nyuaj Siab Ua Pa) lossis (Kev Nyuaj Siab Hnyav) .
Kev nyuaj siab ua pa yog dab tsi?
Hais yooj yim xwb, kev ua pa nyuaj ( lossis hypoventilation) yog thaum koj lub sijhawm ua pa qeeb dhau, lossis koj ua pa tob dhau. Thaum qhov no tshwm sim, kev sib pauv cua tsis tshwm sim zoo hauv koj lub ntsws. Xav txog nws, thaum peb ua pa, cov pa oxygen hauv huab cua ntshiab mus rau hauv cov ntshav los ntawm cov hnab cua me me (alveoli) hauv peb lub ntsws. Tsis tas li ntawd, carbon dioxide (CO2) , uas yog cov khoom pov tseg rau peb lub cev, rov qab mus rau hauv lub ntsws los ntawm cov ntshav thiab raug tso tawm. Qhov no yog qhov peb hu ua kev sib pauv roj .
Tam sim no, nyob rau hauv rooj plaub ntawm (Hypoventiation) , qhov tshwm sim yog tias vim koj tsis ua pa kom zoo, cov pa roj carbon dioxide (CO2) tsis tawm hauv lub cev thiab sib sau ua ke hauv cov ntshav. Peb hu qhov no (Hypercapnia) . Tsis yog li ntawd xwb, qee zaum lub ntsws yuav tsis tau txais oxygen txaus. Tom qab ntawd cov pa oxygen hauv cov ntshav txo qis, uas hu ua (Hypoxemia) . Koj puas nkag siab?
Cov tsos mob yog dab tsi?
Thaum koj ua pa tsis tau zoo (hypoventilation) , koj yuav muaj cov tsos mob xws li:
- Xeev siab thiab ntuav.
- Mob taub hau.
- Xav tias nkees, tsaug zog , lossis qaug zog txhua lub sijhawm.
- Kev tsis paub tseeb, kev tsis meej pem , lossis kev hloov pauv ntawm lub hlwb.
- Lub plawv dhia nce ntxiv.
- Kiv taub hau.
- Ua pa qeeb, tsis tob, lossis ua haujlwm hnyav.
- Tawv nqaij, daim di ncauj, lossis rau tes xim xiav (cyanosis) . Qhov no yog ib qho cim qhia loj dua.
Dab tsi ua rau qhov no?
Cov ua rau ua tsis taus pa yog vim siv tshuaj tsis raug, noj ntau dhau , lossis ua xua rau cawv lossis tshuaj yeeb. Xav txog cov no:
- Cov tshuaj opioids: Cov no kuj hu ua cov tshuaj narcotics . Piv txwv li suav nrog morphine , tramadol, oxycodone (OxyContin®) , thiab fentanyl . Ib txhia neeg siv cov tshuaj no tsis raug.
- Cov tshuaj Benzodiazepines:Feem ntau cov no yog cov tshuaj loog thiab cov tshuaj pw tsaug zog. Piv txwv li suav nrog lorazepam (Ativan®) , alprazolam (Xanax®) , thiab diazepam (Valium®) .
- Barbiturates: Cov tshuaj no qee zaum muab rau qaug dab peg lossis mob taub hau migraines .
- Cov tshuaj yeeb tsis raug cai: Tej yam xws li heroin thiab gamma hydroxybutyrate (GHB) .
- Cov tshuaj tsaug zog: Cov tshuaj uas yuav tsum tau kev tso cai los ntawm kws kho mob xws li zolpidem (Ambien®) .
- Tshuaj loog: Nws kuj tseem tuaj yeem tshwm sim los ntawm cov tshuaj uas tau muab los ua rau koj tsaug zog ua ntej phais.
Ntxiv rau cov tshuaj no, lwm yam kab mob thiab tej yam mob kuj tuaj yeem ua rau hypoventilation :
- Kev Rog Phem: Qhov no hu ua Obesity Hypoventilation Syndrome (OHS) . Nws txhais tau tias ua pa nyuaj vim yog kev rog dhau.
- Cov mob uas ua rau ua pa nyuaj: Piv txwv li, mob ntsws ntev (COPD) thiab mob pw tsaug zog tsis taus pa .
- Cov mob uas txo qhov ua pa: Piv txwv li , mob stroke thiab hypothyroidism .
- Cov mob uas cuam tshuam rau tus txha nraub qaum, cov hlab ntsha, lossis kev tswj cov leeg nqaij: Piv txwv li suav nrog cov leeg nqaij dystrophy, cov hlab ntsha lossis cov hlab ntsha hauv tus txha nraub qaum, ntau yam kab mob sclerosis (MS) , thiab amyotrophic lateral sclerosis (ALS) .
- Kev hloov pauv ntawm cov duab ntawm lub hauv siab lossis tus txha nqaj qaum: Cov mob xws li scoliosis ( qhov nkhaus ntawm tus txha nqaj qaum), ankylosing spondylitis, thiab flail chest .
- Cov tshuaj lom lossis lom: Tej yam xws li kab mob tetanus , tshuaj lom los ntawm ciguatera, thiab kab mob botulism .
Tej yam dab tsi ua rau muaj kev pheej hmoo ntau ntxiv?
Qhov kev pheej hmoo ntawm kev ua pa luv luv yuav nce ntxiv vim yog cov laj thawj hauv qab no:
- Siv cov tshuaj tsis raug xws li opioids lossis benzodiazepines .
- Yog tias koj nyuam qhuav phais (vim yog siv tshuaj loog).
- Yog tias muaj qee yam kab mob ntawm lub ntsws, cov leeg nqaij, thiab lub paj hlwb (lub hlwb thiab tus txha caj qaum), raws li peb tau tham saum toj no.
Qhov no ua rau muaj teeb meem dab tsi?
Cov pa roj carbon dioxide hauv koj cov ntshavYog tias cov pa roj carbon dioxide (CO2) siab dhau, nws tuaj yeem ua rau muaj teeb meem txaus ntshai, txawm tias ua rau tuag taus. Saib seb:
- Kev Ua Pa Acidosis: Qhov no txhais tau tias koj cov ntshav muaj acidic ntau dua li nws yuav tsum yog.
- Kev Ua Pa Tsis Zoo: Qhov no yog thaum koj lub cev cov nqaij tsis tau txais oxygen txaus.
- Cardiac Arrest: Lub plawv nres tam sim ntawd.
- Coma.
- Mob Ntshav Siab Hauv Plawv: Kev siab ntxiv hauv cov hlab ntsha uas txuas nrog lub ntsws.
Koj kuaj qhov no li cas?
Yuav kom kuaj tau tus mob ua pa nyuaj siab , tus kws kho mob yuav xub nug koj txog koj cov tsos mob, koj keeb kwm kev kho mob, thiab cov tshuaj uas koj noj. Tom qab ntawd, lawv yuav xaj kom kuaj ntshav tshwj xeeb los ntsuas qhov ntau ntawm cov pa roj carbon dioxide (CO2) hauv koj cov ntshav. Lawv kuj tseem yuav xaj lwm yam kev kuaj kom paub tseeb tias yog dab tsi ua rau muaj qhov ua rau hypoventilation .
Yuav ua li cas thiaj kuaj tau?
Cov kev ntsuam xyuas hauv qab no tuaj yeem ua tau los nrhiav qhov ua rau ua pa luv luv:
- Kev Ntsuas Pa Ntshav Hauv Cov Ntshav: Qhov no xyuas seb muaj oxygen, carbon dioxide, thiab acidity ntau npaum li cas hauv cov ntshav.
- Kev Ntsuas Kev Ua Haujlwm ntawm Lub Ntsws: Cov no yog cov kev ntsuam xyuas uas xyuas seb koj lub ntsws ua haujlwm zoo npaum li cas.
- Kev Ntsuas Pa oxygen: Ib lub cuab yeej uas ntsuas qhov ntau ntawm cov pa oxygen hauv koj cov ntshav los ntawm kev muab ib daim clip me me rau koj tus ntiv tes. Tej zaum koj twb tau pom qhov no lawm.
- Kev Kuaj Ntshav: Muaj ntau lwm yam kev kuaj ntshav uas tuaj yeem pab kuaj mob no lossis nws cov ua rau. Piv txwv li suav nrog Kev suav ntshav tag nrho (CBC) , Basic Metabolic Panel (BMP) , Toxicology Screen (los xyuas cov tshuaj xws li tshuaj), Kev kuaj ntshav Carbon Dioxide (CO2) , thiab Kev Kuaj Mob Thyroid .
- Kev Thaij Duab: Tus kws kho mob yuav hais kom thaij duab X-ray ntawm koj lub hauv siab, CT scans (Computed Tomography scans) ntawm koj lub hauv siab lossis lub taub hau kom nrhiav lwm yam mob hauv qab.
- Kev Kawm Txog Kev Pw Tsaug Zog / Polysomnography: Qhov kev kuaj no pab nrhiav cov mob xws li pw tsaug zog apnea thiab rog dhau heev ua pa tsis taus .
Yuav kho li cas?
Kev kho mob rau qhov ua tsis taus pa nyob ntawm seb ua rau mob li cas thiab mob hnyav npaum li cas. Cov kws kho mob yuav muab kev kho mob rau koj xws li:
- Kev Ua Pa Tsis Muaj Kev Cuam Tshuam: Qhov no suav nrog kev siv lub tshuab uas pab koj ua pa los ntawm lub npog ntsej muag uas haum rau koj lub ntsej muag. Piv txwv li, lub tshuab Continuous Positive Airway Pressure (CPAP) lossis lub tshuab Bilevel Positive Airway Pressure (BiPAP®) . Tej zaum koj yuav tau hnov txog cov no.
- Cov Tshuaj Pab Ua Pa: Qee zaum, yog tias qhov mob no yog los ntawm kev siv tshuaj ntau dhau lossis ua ib qho kev phiv los ntawm cov tshuaj, cov tshuaj kho mob rov qab tuaj yeem muab tau. Piv txwv li, yog tias qhov mob no yog los ntawm cov tshuaj opioids , cov teebmeem tuaj yeem txo qis los ntawm kev muab tshuaj hu ua Naloxone/Narcan® .
- Kev Kho Mob Oxygen: Yog tias tsim nyog, koj tuaj yeem muab oxygen rau nws.
- Kev Siv Tshuab Pa: Yog tias tus mob hnyav heev, tus neeg yuav tsum tau siv tshuaj loog, muab tso rau hauv ib lub raj, thiab kom lub tshuab ua pa.
Yuav muaj xwm txheej zoo li cas yav tom ntej? (Outlook)
Qhov kev kwv yees rau kev ua pa luv luv nyob ntawm seb ua li cas. Kev xwm txheej ceev, xws li kev siv tshuaj opioid ntau dhau, tuaj yeem ua rau tuag taus yog tias tsis kho sai. Txawm li cas los xij, yog tias qhov mob yog los ntawm kev pw tsaug zog apnea, kev rog dhau los ntawm kev pw tsaug zog apnea syndrome ( OHS ) , lossis lwm yam mob mus sij hawm ntev, nws yuav xav tau kev kho mob tas mus li thiab yuav zoo dua maj mam.
Puas tiv thaiv tau?
Txoj kev zoo tshaj plaws los tiv thaiv kev ua pa luv luv yog noj koj cov tshuaj raws li tau sau tseg thiab tswj hwm txhua yam mob uas muaj. Nco ntsoov nug koj tus kws kho mob lossis kws muag tshuaj ua ntej noj ob lossis ntau dua cov tshuaj, tshwj xeeb tshaj yog cov tshuaj opioids thiab benzodiazepines, uas ua rau koj tsis nco qab lossis ua rau koj tsaug zog. Tsis tas li ntawd , nco ntsoov txog cov kev tsis zoo uas yuav tshwm sim thaum noj cov tshuaj no nrog cawv.
"Tshuaj yog ib tug phooj ywg yog tias siv kom raug, tab sis yog ib tug yeeb ncuab yog tias siv tsis raug."
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Tham nrog koj tus kws kho mob hauv cov xwm txheej no:
- Yog koj muaj lus nug lossis kev tsis ntseeg txog tus mob uas koj muaj.
- Yog koj muaj lus nug lossis kev tsis ntseeg txog cov tshuaj uas tus kws kho mob tau sau tseg.
- Yog tias koj muaj cov tsos mob ntawm kev ua pa luv luv, tshwj xeeb tshaj yog tias koj muaj lwm yam mob uas ua rau koj muaj feem yuav mob ntxiv.
Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ?
Yog koj muaj ib qho ntawm cov tsos mob loj no , mus rau chav kho mob ceev ze tshaj plaws tam sim ntawd:
- Yog koj muaj qaug dab peg .
- Yog tias lub siab lub ntsws tau hloov pauv thiab muaj kev tsis meej pem .
- Yog koj xav tias koj tsaug zog heev ua rau koj tsis tuaj yeem tsaug zog.
- Yog koj tsis paub meej tias koj nyob qhov twg thiab thaum twg.
- Yog koj muaj kev ntshai lossis kev ua xyem xyav txawv txawv (paranoia) .
- Yog tias daim tawv nqaij, rau tes, lossis daim di ncauj tig xiav.
Koj yuav tsum nug tus kws kho mob li cas?
Tej zaum yuav pab tau yog koj nug koj tus kws kho mob cov lus nug zoo li no:
- "Ua cas qhov no ho tshwm sim rau kuv?"
- Kuv yuav tsum ua li cas thiaj li tiv thaiv tau qhov teeb meem zoo li no kom tsis txhob tshwm sim yav tom ntej?
- Kuv muaj cov kev kho mob twg?
Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)
Kev nyuaj siab ua pa yog ib qho mob hnyav uas cov pa roj carbon dioxide (CO2) sib sau ua ke hauv koj cov ntshav. Tab sis feem ntau nws tuaj yeem tiv thaiv tau. Yog tias koj noj tshuaj uas tuaj yeem ua rau kev nyuaj siab ua pa, nrog koj tus kws kho mob tham kom paub tseeb tias koj noj lawv kom raug thiab muaj kev nyab xeeb. Yog tias koj muaj lwm yam mob uas tuaj yeem ua rau muaj tus mob no, nug koj tus kws kho mob txog cov kauj ruam uas koj tuaj yeem ua kom txo koj qhov kev pheej hmoo. Nws tuaj yeem tham nrog koj txog koj qhov kev txhawj xeeb thiab tsim ib txoj kev npaj los tswj koj tus mob thiab cov tshuaj kom muaj kev nyab xeeb. Kev saib xyuas koj txoj kev noj qab haus huv yog qhov tseem ceeb tshaj plaws.
Kev ua pa nyuaj, hypoventilation, ua pa tsis tau zoo, carbon dioxide, oxygen, kab mob ntsws, kev siv tshuaj yeeb tsis raug
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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