Ua tsis taus pa tom qab pub ntshav lawm? Cia peb tham txog Transfusion-Associated Circulatory Overload (TACO)!

Koj puas tau pub ntshav dua? Los yog tej zaum ib tug neeg uas koj paub tau pub lawm. Feem ntau, kev pub ntshav yog ib qho kev cawm txoj sia. Tab sis tsis tshua muaj, muaj qee qhov teeb meem me me uas tuaj yeem tshwm sim los ntawm kev pub ntshav. Ib qho teeb meem loj, tab sis tsis tshua muaj, uas peb yuav tham txog hnub no yog Transfusion-Associated Circulatory Overload, lossis luv luv TACO .

TACO yog dab tsi?

Hais yooj yim xwb, thaum koj tau txais kev hloov ntshav, koj lub cev mam li tau txais ntau cov kua dej, uas yog, ntau cov kua dej uas los nrog cov ntshav. Qee zaum peb lub cev tsis tuaj yeem tswj cov kua dej ntxiv uas los rau hauv ib zaug. Thaum ntawd qhov mob no hu ua TACO tshwm sim. Qhov tshwm sim hauv qhov no yog tias cov kua dej ntxiv sib sau ua ke hauv lub ntsws thiab lwm qhov ntawm lub cev. Yog hais kom meej, thaum lub siab hauv peb cov hlab ntsha ntau dhau rau lawv tswj tau, qee cov kua dej tawm ntawm cov hlab ntsha ntawd mus rau hauv lub ntsws. Cov kws kho mob hu qhov no "Pulmonary Edema" . Qhov no ua rau nws nyuaj rau ua pa, lub cev o, thiab cov ntshav siab tuaj yeem nce ntxiv tam sim ntawd. Xav txog, yuav ua li cas yog tias koj xa dej sai heev uas nws tsis tuaj yeem tswj tau los ntawm cov yeeb nkab dej? Ib yam dab tsi zoo sib xws tshwm sim ntawm no.

Cov tsos mob ntawm TACO yog dab tsi?

Tam sim no cia peb saib seb cov tsos mob twg yuav tshwm sim thaum koj muaj TACO . Cov tsos mob no tuaj yeem tshwm sim thaum lub sijhawm pub ntshav lossis hauv 12 teev tom qab pub ntshav. Yog tias koj ntsib ib yam dab tsi zoo li no , koj yuav tsum qhia rau kws kho mob lossis cov neeg ua haujlwm saib xyuas neeg mob hauv tsev kho mob tam sim ntawd, puas yog?

• Ua pa nyuaj (Dyspnea): Qhov no yog cov tsos mob tseem ceeb. Nws tuaj yeem zoo li nws nyuaj ua pa. Nws tuaj yeem tas li, lossis nws tsuas yog tuaj yeem hnyav dua thaum koj pw. Nws tuaj yeem zoo li koj lub hauv siab raug zawm.
• Hnoos: Tej zaum yuav muaj hnoos qhuav tas li.
• Mob hauv siab: Lub hauv siab yuav zoo li nws raug nias los yog nias.
• Tawv nqaij xiav, daim di ncauj, lossis rau tes ('Cyanosis'): Qhov no tshwm sim thaum lub cev tsis tau txais oxygen txaus. Tawv nqaij nyob ib ncig ntawm daim di ncauj, tus nplaig, thiab rau tes yuav tig xiav.
• O ntawm ob txhais ceg, pob luj taws, lossis caj dab: Thaum cov kua ntxiv ntawd sib sau ua ke rau ntau qhov ntawm lub cev, ob txhais ceg, pob luj taws, thiab qee zaum txawm tias caj dab tuaj yeem o.
• Lub plawv dhia ceev (Tachycardia): Lub plawv dhia yuav nce ntxiv sai sai. Zoo li koj nyuam qhuav los ntawm kev khiav.
• Kiv taub hau los yog tsaus muag: Tej zaum koj yuav xav tias kiv taub hau los yog qaug zog.
• Mob taub hau hnyav: Mob taub hau tam sim ntawd, hnyav heev.

Vim li cas thiaj ua lub taco (TACO) no? Yog vim li cas?

Zoo, tam sim no cia peb saib seb vim li cas qhov mob no hu ua TACO thiaj tshwm sim. Raws li kuv tau hais ua ntej, qhov laj thawj tseem ceeb yog tias muaj cov kua dej ntau heev nkag mus rau hauv peb lub cev. Peb lub plawv thiab cov hlab ntsha tsis tuaj yeem tswj tau qhov kev nce siab sai sai no.

Xav txog seb, yog koj nchuav dej ntau heev rau hauv ib lub thoob me me ib zaug, nws yuav puv. Ib yam li ntawd, thaum lub siab hauv peb cov hlab ntsha nce ntxiv, cov kua dej pib tawm ntawm phab ntsa ntawm cov hlab ntsha ntawd. Cov kua dej no feem ntau sib sau ua ke hauv lub ntsws. Peb hu nws tias '(Pulmonary Edema)' . Nws zoo li lub ntsws puv nrog dej. Yog li nws tsis yog qhov txawv txawv rau nws nyuaj rau ua pa, puas yog?

Yog li, thaum pub ntshav, ntau yam tuaj yeem cuam tshuam rau qhov no, xws li qhov ntau npaum li cas ntawm cov ntshav uas tau muab, qhov ceev ntawm kev pub, thiab tus neeg tau txais cov ntshav kev noj qab haus huv.

Leej twg muaj feem yuav mob TACO ntau dua?

Tsis yog txhua tus neeg yuav muaj tus kab mob TACO thaum lawv pub ntshav. Tab sis qee tus neeg yuav muaj feem ntau dua, lossis muaj kev pheej hmoo siab dua. Cia peb saib seb nws yog leej twg.

• Cov neeg hnub nyoog tshaj 60 xyoo: Thaum peb laus zuj zus, peb lub cev ua haujlwm tsis zoo, yog li nws tuaj yeem nyuaj rau daws cov kev hloov pauv sai li no.
• Cov neeg uas muaj kab mob plawv ua ntej lawm: Piv txwv li, cov neeg uas muaj mob plawv tsis ua haujlwm lossis mob plawv nres yav dhau los muaj feem yuav mob ntau dua vim lawv lub plawv nyuaj rau tuav cov khoom ntxiv.
• Cov neeg uas muaj kab mob raum: Lub raum yog lub luag haujlwm tshem cov kua dej ntau dhau ntawm lub cev. Yog li ntawd, yog tias lub raum tsis ua haujlwm zoo, muaj feem ntau dua uas cov kua dej yuav sib sau ua ke hauv lub cev.
• Cov neeg uas muaj kab mob ntsws xws li COPD (Chronic Obstructive Pulmonary Disease): Vim tias cov neeg no feem ntau muaj teeb meem ntsws, qhov mob tuaj yeem hnyav zuj zus yog tias muaj dej ntau ntxiv hauv cov ntsws.
• Cov neeg uas 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' - piv txwv li, frusemide): Kev siv cov tshuaj no kuj tseem tuaj yeem cuam tshuam rau qhov sib npaug ntawm cov kua dej hauv lub cev.
• Thaum hloov cov qe ntshav liab: Txawm hais tias qhov no tuaj yeem tshwm sim nrog txhua yam khoom ntshav, nws tau pom tias qhov kev pheej hmoo no siab dua me ntsis thaum pub cov qe ntshav liab.
• Cov neeg uas tau txais ntau cov ntshav pub dawb yav dhau los: Qhov kev pheej hmoo no kuj tseem yuav nce ntxiv nrog ntau cov ntshav pub dawb.

Yog koj muaj ib qho ntawm cov yam no uas ua rau koj muaj kev pheej hmoo, koj yuav tsum qhia rau koj tus kws kho mob ua ntej koj pub ntshav kom nws thiaj li ua tau raws li qhov yuav tsum tau ua.

Cov kws kho mob yuav paub li cas yog tias muaj TACO?

Yog koj muaj cov tsos mob uas tau hais los saum toj no, thawj qhov uas tus kws kho mob yuav ua yog kuaj koj kom zoo zoo. Lawv yuav kuaj koj cov ntshav siab, koj ua pa li cas, mloog koj lub plawv dhia, thiab kuaj seb puas o. Tom qab ntawd lawv yuav nug koj txog koj xav li cas thiab koj tau muaj cov teeb meem no ntev npaum li cas lawm.

Tsis tas li ntawd xwb, koj tuaj yeem ua cov kev ntsuam xyuas zoo li no kom paub tseeb ntxiv:

• Duab X-ray hauv siab: Qhov no tuaj yeem qhia meej meej yog tias muaj kua dej sib sau ua ke hauv lub ntsws (pulmonary edema).
• Kev Ntsuas CT:Qee zaum qhov no pab kom tau daim duab meej dua li X-ray.
• Echocardiogram: Qhov no tuaj yeem saib tej yam xws li kev ua haujlwm ntawm lub plawv thiab qhov loj ntawm cov chav plawv. Qhov no yog ib qho tseem ceeb los txiav txim siab seb cov kua dej puas sib sau ua ke vim muaj teeb meem plawv.
• Kev kuaj ntshav: Qee qhov kev kuaj ntshav tuaj yeem qhia rau koj paub tias muaj kev ntxhov siab ntau npaum li cas rau koj lub plawv thiab koj lub raum ua haujlwm li cas.

Cov kev kho mob rau TACO yog dab tsi?

Zoo, tam sim no cia peb saib seb cov kws kho mob muab kev kho mob dab tsi rau TACO .

Kev kho mob pib nrog kev tsum tsis txhob ntxiv ntshav tam sim ntawd yog tias pom muaj tus mob no thaum lub sijhawm ntxiv ntshav. Tom qab ntawd koj yuav tsum zaum saum txaj, me ntsis ncaj. Qhov no yuav ua rau nws yooj yim dua rau kev ua pa.

Kev kho mob tseem ceeb yog muab cov tshuaj hu ua diuretics. Cov tshuaj no ua haujlwm los ntawm kev tshem tawm cov kua dej ntau dhau ntawm lub cev los ntawm cov zis. Hais yooj yim xwb, lawv txo cov dej khaws cia hauv lub cev.

Yog tias ua pa nyuaj, tej zaum yuav xav tau kev kho mob oxygen. Qee zaum mob hnyav, yog tias tus neeg mob ua tsis tau pa ntawm lawv tus kheej, tej zaum yuav xav tau kev pab ua pa los ntawm tshuab .

Nrog rau kev kho mob no, cov kws kho mob yuav txuas ntxiv saib xyuas tej yam xws li koj lub plawv dhia, ntshav siab, thiab cov pa oxygen.

Yog koj tau txais TACO, yuav ua li cas? Koj puas yuav tsum ntshai?

Qee zaum TACO tuaj yeem tsis mob heev thiab ploj sai. Qhov no txhais tau tias thaum twg tso tseg kev pub ntshav thiab muab tshuaj tsim nyog rau, qhov mob yuav rov qab zoo li qub sai sai. Qee zaum, qhov no tshwm sim ob peb teev tom qab kev pub ntshav.

Txawm li cas los xij, qee zaum, nws tuaj yeem hnyav txaus kom ua rau tuag taus. Yog vim li cas nws thiaj li tseem ceeb rau qhia kws kho mob sai li sai tau thaum koj muaj cov tsos mob. Yog tias qhov mob hnyav heev, koj yuav tsum nyob hauv tsev kho mob ob peb hnub ntxiv, lossis koj yuav raug xa mus rau chav saib xyuas mob hnyav (ICU).

Raws li cov ntaub ntawv txheeb cais, tus nqi tuag vim yog TACO tuaj yeem siab txog 21%. Qhov no txhais tau tias kwv yees li ib ntawm tsib tus neeg mob TACO yuav tuag. Tus mob no tshwm sim hauv kwv yees li 1% ntawm cov ntshav pub dawb. Txawm li cas los xij, TACO tau raug txheeb xyuas tias yog tus ua rau muaj kev tuag ntsig txog kev pub ntshav.

Yog li qhov no tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim. Tab sis tsis txhob ntshai. Yog tias paub thiab kho thaum ntxov, nws feem ntau tuaj yeem kho tau.

Thaum twg koj yuav tsum mus rau tsev kho mob sai sai?

Yog tias koj muaj cov tsos mob TACO uas peb tau tham txog ua ntej tom qab pub ntshav, tsis txhob yig hu 911 tam sim ntawd lossis mus rau chav kho mob ceev ntawm tsev kho mob ze tshaj plaws.

Yog koj twb nyob hauv tsev kho mob lawm, qhia rau cov kws kho mob thiab cov kws tu mob sai li sai tau thaum koj hnov ​​​​​​mob lossis tsis xis nyob. Tsis txhob ncua sijhawm, vim tias koj pib kho mob sai npaum li cas, qhov zoo dua.

Puas tiv thaiv tau TACO?

Yog, cov kws kho mob tuaj yeem ua cov kauj ruam los tiv thaiv kev loj hlob ntawm TACO rau qee qhov.

Yog koj muaj cov yam uas ua rau koj muaj feem yuav muaj mob no, tus kws kho mob yuav pab kom koj tso ntshav qeeb qeeb. Yog li ntawd, nws yuav maj mam xa cov ntshav mus rau lub cev. Ces lub cev yuav tsis raug muab lub nra hnyav rau ib zaug.

Qee zaum, ua ib qho kev tiv thaiv, cov tshuaj diuretics tuaj yeem muab ua ntej pub ntshav. Qhov no yuav txo qhov kev sib sau ua ke ntawm cov kua dej ntau dhau hauv lub cev.

Yog tias koj tau muaj mob zoo li no (Circulatory Overload) los ntawm kev pub ntshav yav dhau los, nco ntsoov qhia rau koj tus kws kho mob kom nws pom tias koj tuaj yeem ua dab tsi los txo koj qhov kev pheej hmoo.

Nco ntsoov tias, kev pub ntshav yog ib qho kev nyab xeeb thiab cawm txoj sia hauv feem ntau. Tab sis nws yog ib qho tseem ceeb kom paub txog cov kev mob tshwm sim no, tshwj xeeb tshaj yog tias koj muaj cov yam ntxwv uas ua rau muaj kev pheej hmoo. Yog tias koj muaj kev txhawj xeeb lossis lus nug txog kev pub ntshav, nrog koj tus kws kho mob tham.

Thaum kawg, qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li kuv vam tias koj tam sim no nkag siab zoo dua txog Transfusion-Associated Circulatory Overload, lossis TACO, uas peb tau tham txog hnub no.

Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias yog koj muaj tej yam tsos mob txawv txawv tom qab koj pub ntshav, xws li ua pa nyuaj, mob hauv siab, lossis o, tsis txhob tsis quav ntsej thiab nrhiav kev pab kho mob tam sim ntawd.

TACO yog ib qho mob hnyav heev, tab sis yog tias paub thiab kho thaum ntxov, nws tuaj yeem kho tau zoo. Yog tias koj muaj cov yam txaus ntshai uas twb muaj lawm xws li kab mob plawv lossis kab mob raum, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob ua ntej pub ntshav.

Kev pub ntshav yog ib yam uas cawm tau txoj sia. Yog li ntawd, tsis txhob ntshai nws. Txawm li cas los xij, nws zoo rau txhua tus kom paub txog cov kev pheej hmoo no. Yog tias koj muaj lus nug, nug kws kho mob.

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