Muaj tej lub sijhawm hauv peb lub neej, vim muaj xwm txheej, phais, lossis qee yam mob, peb lossis ib tus neeg hlub yuav tsum tau txais kev hloov ntshav. Qhov no yog ib qho kev kho mob tseem ceeb heev uas tuaj yeem cawm tau txoj sia. Txawm li cas los xij, txawm hais tias nws muaj kev nyab xeeb hauv feem ntau, tsis tshua muaj teeb meem tshwm sim vim yog kev hloov ntshav no. Niaj hnub no peb tab tom tham txog ib qho mob uas hnyav me ntsis, tab sis yog ib qho uas peb txhua tus yuav tsum paub txog. Ntawd yog TACO, lossis hauv cov lus kho mob 'Transfusion-Associated Circulatory Overload'.
TACO yog dab tsi tiag?
Hais yooj yim xwb, TACO yog thaum cov kua dej hauv koj lub cev cov ntshav ntws sai sai tom qab pub ntshav, thiab koj tsis tuaj yeem ua tau. Xav txog nws zoo li lub taub dej uas puv nkaus dej tam sim ntawd.
Thaum peb pub ntshav, qee cov kua dej yuav ntxiv rau hauv peb cov hlab ntsha. Feem ntau, peb lub plawv thiab lub raum tuaj yeem tswj cov kua dej ntxiv no zoo thiab ua kom lub cev sib npaug. Tab sis qee zaum, tshwj xeeb tshaj yog tias koj pub ntshav ntau dhau ib zaug, lossis yog tias koj lub plawv lossis lub raum tsis muaj zog, cov kua dej ntxiv no yuav tsis tuaj yeem tswj tau. Tom qab ntawd, qhov siab hauv cov hlab ntsha nce ntxiv, thiab cov kua dej pib xau rau hauv cov kabmob xws li lub ntsws . Qhov no ua rau nws nyuaj rau ua pa, lub cev o, thiab ntshav siab nce ntxiv tsis xav txog. Qhov no yog ib qho mob hnyav heev , yog li nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob tam sim ntawd yog tias muaj cov tsos mob tshwm sim.
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob ntawm TACO tuaj yeem tshwm sim txhua lub sijhawm thaum lossis tsis pub dhau 12 teev tom qab pub ntshav. Yog li ntawd, peb yuav tsum ceev faj heev txog tus neeg uas tau pub ntshav thaum lub sijhawm no. Cov tsos mob tseem ceeb tau piav qhia hauv lub rooj hauv qab no.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Ua pa nyuaj (Dyspnea) | Qhov no yog cov tsos mob tseem ceeb thiab feem ntau tshwm sim. Cov ntsws puv nrog cov kua dej, ua rau nws nyuaj rau ua pa. Qhov no tuaj yeem ua rau mob hnyav dua thaum pw. |
| Hnoos | Qee zaum yuav hnoos nrog cov hnoos qeev liab dawb, ua npuas. |
| Mob hauv siab | Tej zaum koj yuav hnov mob hauv siab lossis mob thaum lub plawv ua haujlwm hnyav dua. |
| Xim xiav ntawm daim tawv nqaij, daim di ncauj, lossis rau tes (Cyanosis) | Qhov no yuav tshwm sim tau thaum lub cev tsis tau txais oxygen txaus. Qhov no yog ib qho tsos mob loj heev. |
| O ntawm ob txhais ceg, pob luj taws, lossis caj dab | Qhov o no yog los ntawm kev khaws cov kua dej hauv lub cev. Cov leeg ntawm lub caj dab kuj tseem yuav zoo li o. |
| Lub plawv dhia ceev ceev (Tachycardia) | Lub plawv dhia nrawm dua vim tias lub plawv yuav tsum ua haujlwm hnyav dua los tso ntshav thoob plaws lub cev. |
| Kiv taub hau lossis tsis nco qab | Tus mob no tuaj yeem tshwm sim vim yog qhov txo qis ntawm cov pa oxygen mus txog lub hlwb. |
| Mob taub hau hnyav heev | Lwm cov tsos mob uas tuaj yeem tshwm sim vim muaj ntshav siab. |
Qhov tseem ceeb tshaj plaws yog, yog tias koj pom ib qho ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv. Yog tias koj nyob hauv tsev kho mob, qhia rau tus kws saib mob lossis kws kho mob tam sim ntawd. Yog tias koj nyob hauv tsev, mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws ntawm tsev kho mob tam sim ntawd.
Leej twg muaj kev pheej hmoo ntau dua?
Txawm hais tias TACO tuaj yeem cuam tshuam rau leej twg los xij, qee tus neeg muaj kev pheej hmoo siab dua. Yog tias ib qho ntawm cov mob no siv rau koj lossis ib tus neeg koj paub, nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob ua ntej pub ntshav.
| Qhov ua rau muaj kev pheej hmoo | Ib qho lus piav qhia luv luv |
|---|---|
| Muaj hnub nyoog tshaj 60 xyoo | Thaum peb laus zuj zus, lub plawv thiab lub raum ua haujlwm yuav txo qis me ntsis. |
| Muaj keeb kwm ntawm kab mob plawv | Cov neeg uas muaj mob xws li myocardial infarction lossis lub plawv tsis ua haujlwm yog cov muaj feem yuav mob ntau dua. |
| Muaj kab mob raum | Yog tias lub raum, uas yog cov kabmob tseem ceeb uas tswj cov kua dej hauv lub cev, tsis muaj zog, nws yuav nyuaj rau tshem tawm cov kua dej ntau dhau. |
| Cov kab mob ua pa xws li COPD | Rau cov neeg uas twb muaj qee yam mob ntsws tsis muaj zog lawm, xws li Kab Mob Hlwb Plawv Ntev (COPD), nws yuav nyuaj rau daws qhov teeb meem ntawm cov kua dej uas puv lub ntsws. |
| Kev siv qee yam tshuaj | Yog tias koj nyuam qhuav siv cov tshuaj uas ua rau ntshav siab (Vasopressors) lossis cov tshuaj uas tshem cov kua dej tawm ntawm lub cev (Loop Diuretics). |
| Tau pub ntshav ntau zaus ua ntej lawm | Qhov kev pheej hmoo kuj tseem yuav nce me ntsis rau cov neeg uas tau txais kev hloov ntshav ntau zaus. |
Tus kws kho mob paub thiab kho qhov no li cas?
Yog koj muaj cov tsos mob ntawm TACO, thawj qhov koj tus kws kho mob yuav ua yog kuaj koj kom zoo zoo thiab nug txog koj cov tsos mob. Lawv yuav mloog koj ua pa thiab ntsuas koj cov ntshav siab.
Tom qab ntawd, txhawm rau kom paub meej tias koj tau kuaj mob, koj yuav raug xa mus rau kev kuaj mob xws li:
- X- ray hauv siab: Qhov no tuaj yeem kuaj xyuas cov kua dej hauv lub ntsws.
- Kev kuaj ntshav : Yuav kuaj xyuas qee cov enzyme kom pom tias puas muaj kev puas tsuaj rau lub plawv.
- Echocardiogram: Qhov no tuaj yeem muab daim duab meej ntawm kev ua haujlwm ntawm lub plawv thiab kev nqus dej.
Ua ib qho kev kho mob, koj cov ntshav yuav raug tso tseg tam sim ntawd. Tom qab ntawd lawv yuav muab tshuaj loog rau koj thiab muab koj tso rau saum txaj kom pab koj ua pa. Kev kho mob tseem ceeb yog cov tshuaj diuretics, uas yog cov tshuaj uas tshem cov kua dej ntau dhau ntawm lub cev. Cov no ua rau cov zis tawm ntau ntxiv thiab pab tswj cov kua dej hauv lub cev .
Yog tias ua pa nyuaj, tej zaum yuav tsim nyog siv oxygen. Yog tias mob hnyav heev, tus neeg mob yuav tsum tau txuas nrog lub tshuab ua pa cuav (Mechanical Ventilation).
Puas muaj txoj hauv kev los tiv thaiv qhov no?
Yog, qhov no tuaj yeem tiv thaiv tau qee yam. Yog tias koj yog ib pawg neeg uas muaj feem yuav mob qog noj ntshav uas tau hais los saum toj no, tus kws kho mob yuav ua tib zoo saib xyuas koj thaum koj txiav txim siab muab ntshav rau koj.
- Txo qhov nrawm ntawm kev ntxiv ntshav: Txhawm rau tiv thaiv kom tsis txhob muaj kua dej ntau ntau nkag mus rau hauv lub cev ib zaug, qhov nrawm ntawm kev ntxiv ntshav raug txo qis heev.
- Muab Tshuaj Diuretics Ua Ntej Kev Kho Mob: Ua ntej pub ntshav, cov tshuaj yuav raug muab kom tshem tawm cov kua dej ntau dhau ntawm lub cev.
- Kev pub ntshav: Es tsis txhob muab tag nrho cov ntshav ib zaug, koj tuaj yeem muab me me, faib ua ob koob tshuaj ib hnub.
Koj lub luag haujlwm yog qhia rau koj tus kws kho mob txog koj keeb kwm mob (tshwj xeeb yog teeb meem plawv thiab raum) yam tsis zais dab tsi. Yog tias koj tau muaj kev tsis xis nyob thaum koj pub ntshav yav dhau los, nco ntsoov qhia qhov ntawd thiab.
Kev pub ntshav yog ib yam uas cawm tau txoj sia. TACO yog ib yam mob uas tsis tshua muaj. Tab sis kev paub txog nws tuaj yeem pab koj paub txog cov tsos mob thiab nrhiav kev kho mob sai sai yog tias lawv tshwm sim.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- TACO yog ib qho teeb meem loj, tab sis tsis tshua muaj, uas tuaj yeem tshwm sim los ntawm kev pub ntshav.
- Ua pa nyuaj, hnoos, o, thiab mob hauv siab yog cov cim ceeb toom tseem ceeb.
- Qhov kev pheej hmoo no muaj ntau dua rau cov neeg laus uas muaj kab mob plawv, raum, lossis ntsws.
- Yog tias koj muaj cov tsos mob no thaum koj pub ntshav lossis tsis pub dhau 12 teev tom qab koj pub ntshav, qhia rau cov neeg ua haujlwm kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
- Ua ntej koj pub ntshav, nco ntsoov qhia rau koj tus kws kho mob txog koj keeb kwm mob nkeeg thiab tej teeb meem uas koj tau ntsib thaum koj pub ntshav yav dhau los.
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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