Koj puas paub txog qhov xwm txheej ceev no uas tshwm sim rau lub ntsws tom qab pub ntshav? (TRALI)

Koj puas tau hloov ntshav dua? Los yog koj puas tau muaj ib tug neeg uas koj paub tau hloov ntshav dua? Feem ntau, kev pub ntshav yog ib yam dab tsi uas pab cawm tau ib tug neeg txoj sia. Tab sis tsis tshua muaj, uas yog, tsis tshua muaj, qee tus neeg tuaj yeem muaj teeb meem kev noj qab haus huv thaum muaj xwm txheej ceev vim yog qhov kev pub ntshav no. Qhov no yog ib qho ntawm cov mob uas peb yuav tham txog hnub no, hu ua TRALI. Lub npe no tej zaum yuav tshiab rau koj, tab sis nws tseem ceeb heev kom paub txog nws.

(TRALI) yog dab tsi? Cia peb nkag siab yooj yim

Hais yooj yim xwb, (TRALI) - uas yog txhais los ntawm Transfusion-Related Acute Lung Injury - yog ib qho mob ceev uas cuam tshuam rau koj lub ntsws, txawm tias thaum koj tau txais ntshav lossis tsis pub dhau 6 teev tom qab tau txais nws. Peb lub ntsws muaj cov hnab cua me me, zoo li cov pob me me zoo li txiv hmab. Peb hu cov no hauv kev kho mob (alveoli) . Zoo, qhov tshwm sim hauv qhov mob (TRALI) no yog tias ib hom kua dej puv hauv cov ntawd (alveoli).

Xav txog nws, zoo li daim txhuam cev nqus dej, yuav ua li cas thaum cov hnab cua no puv nrog kua? Nws ua rau nyuaj rau ua pa, puas yog? Lub ntsws tsis ua haujlwm zoo. Tsis yog li ntawd xwb, tab sis koj cov ntshav siab kuj tseem tuaj yeem poob qis heev. Qhov no yog qhov xwm txheej ceev heev . Yog li ntawd, yog tias muaj qee yam zoo li no tshwm sim, nws yog qhov tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Cov tsos mob ntawm (TRALI) yog dab tsi? Koj paub nws li cas?

Yog li, tus mob (TRALI) no zoo li cas? Cov tsos mob yog dab tsi? Cia peb paub txog cov no thiab.

• Tej zaum koj yuav hnov ​​​​​​tias ua tsis taus pa lossis ua pa nyuaj (dyspnea) . Tej zaum nws yuav zoo li koj ua tsis taus pa tom qab nce ntaiv, lossis zoo li koj lub hauv siab nqaim.
• Tej zaum yuav hnoos sai sai .
• Qee zaum koj daim tawv nqaij, daim di ncauj, thiab cov rau tes tig xiav (cyanosis) . Qhov no tshwm sim vim tias cov ntshav hauv koj lub cev tsis tau txais oxygen txaus. Qhov no yog ib qho cim qhia me ntsis txog qhov teeb meem no.
• Tej zaum koj yuav kub taub hau , thiab tej zaum koj yuav xav tias koj mob khaub thuas.
• Tej zaum koj yuav xav tias kiv taub hau lossis qaug zog .
• Tej zaum yuav muaj ib txhia neeg uas yuav tsaus muag . Qhov no tshwm sim vim lawv cov ntshav siab poob qis dhau.

Cov tsos mob no tuaj yeem pib thaum lub sijhawm pub ntshav lossis tsis pub dhau 6 teev tom qab ua tiav. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ceev faj heev thaum lub sijhawm no. Yog tias koj lossis ib tus neeg koj paub yog tus pub ntshav, nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tsos mob no.

Vim li cas qhov no (TRALI) thiaj tshwm sim? Yog vim li cas?

Zoo, tam sim no cia peb saib seb vim li cas qhov no (TRALI) thiaj tshwm sim. Qhov no yog kev tshawb fawb me ntsis, tab sis kuv yuav piav qhia nws yooj yim kom koj nkag siab.

Peb lub cev muaj ib lub cev tiv thaiv kab mob. Nws yog qhov uas tiv thaiv peb ntawm kab mob. Lub cev no muaj cov khoom tshwj xeeb zoo li 'tub rog' hu ua cov tshuaj tiv thaiv kab mob.Lawv txoj haujlwm tseem ceeb yog tiv thaiv peb los ntawm kev paub thiab tawm tsam cov tshuaj lom xws li cov kab mob thiab cov kab mob uas los ntawm sab nraud lub cev.

Tam sim no, thaum koj tau txais ntshav, qee cov tshuaj tiv thaiv kab mob hauv cov ntshav ntawm tus neeg pub tuaj yeem khi rau cov hlwb hu ua cov hlwb ntshav dawb hauv koj lub cev, tshwj xeeb tshaj yog hauv koj lub ntsws. Qhov no tshwm sim los ntawm qhov yuam kev. Tom qab ntawd koj lub cev tiv thaiv kab mob xav tias, "Auj, muaj qee yam phem tau nkag mus rau hauv koj lub cev, tus yeeb ncuab tau nkag mus!" Yog li, lub cev ntawd mam li pib ua haujlwm thiab ua rau o . Qhov o no yog qhov ua rau cov hlab ntsha me me hauv koj lub ntsws, cov alveoli uas kuv tau hais ua ntej, puas tsuaj, thiab cov kua dej ntws mus rau hauv lub ntsws. Nws zoo li peb tus kheej lub cev tiv thaiv kab mob tsis paub tias ua rau peb raug mob. Nws nyuaj me ntsis, tab sis koj nkag siab lub tswv yim, puas yog?

Leej twg muaj feem yuav mob (TRALI) ntau dua?

Txawm hais tias tus mob no (TRALI) tuaj yeem tshwm sim rau txhua tus neeg uas tau txais kev hloov ntshav, qee tus neeg yuav muaj feem ntau dua. Cia peb saib seb lawv yog leej twg:

• Cov neeg uas txuas nrog lub tshuab ua pa cuav (tshuab ua pa). Ntawd yog, cov neeg mob uas tau txais kev pab ua pa los ntawm lub tshuab hauv tsev kho mob vim lawv muaj teeb meem ua pa ntawm lawv tus kheej.
• Cov neeg uas quav dej cawv heev (kev siv dej cawv tsis zoo). Vim tias kev haus dej cawv ntau dhau ua rau ntau yam kab mob hauv lub cev tsis muaj zog.
• Cov neeg uas siv cov khoom luam yeeb ntau zaus. Qhov ntawd txhais tau tias cov khoom xws li luam yeeb thiab bidis. Peb paub tias kev haus luam yeeb ua rau lub ntsws puas tsuaj.
• Cov neeg uas twb muaj kab mob siab lossis raum lawm. Thaum cov kab mob no tsis ua haujlwm zoo, lub cev qhov sib npaug yuav raug cuam tshuam.
• Cov neeg mob uas twb mob hnyav heev lawm. Piv txwv li, cov neeg uas muaj kab mob hnyav, xws li cov tom qab phais lawm.
• Qhov kev pheej hmoo no kuj tseem yuav nce ntxiv rau cov neeg uas tau txais ntshav ntau heev ib zaug lossis cov neeg uas tau txais cov khoom ntshav tshwj xeeb (piv txwv li, plasma, platelets) .

Cov lus tseeb no tsis tau txhais hais tias koj yuav muaj tus kab mob TRALI yog tias koj koom nrog pawg no, tab sis lawv txhais tau tias qhov kev pheej hmoo siab dua me ntsis.

Cov kws kho mob kuaj mob TRALI li cas? (Kev kuaj mob)

Tus kws kho mob yuav kuaj mob TRALI li cas? Qhov no yuav nyuaj me ntsis, vim tias cov tsos mob yuav zoo ib yam li lwm yam teeb meem ntawm lub ntsws.

Ua ntej, lawv yuav sim txiav txim seb puas muaj lwm yam uas yuav ua rau koj muaj cov tsos mob, piv txwv li, kev ua xua hnyav (anaphylaxis) , o ntawm lub ntsws vim yog lub plawv tsis ua haujlwm, lossis kev kis kab mob hnyav. Ua li no, lawv yuav:

• Peb yuav nug koj txog koj keeb kwm kev kho mob thiab cov ntshav pub dawb tsis ntev los no.
• Yuav kuaj lub cev .
• Muaj ntau qhov kev kuaj ntshav ua tiav. Cov no kuaj xyuas tej yam xws li cov pa oxygen thiab tus kab mob.
• Kev kuaj duab yog ua rau ntawm lub hauv siab . Qhov no feem ntau yog siv X-ray hauv siab . Hauv rooj plaub ntawm TRALI, qhov no tuaj yeem pom tseeb tias cov kua dej puv ob lub ntsws. Qee zaum CT scan kuj tseem yuav ua tau. Kawm ntxiv.
• Koj kuj tseem yuav tau kuaj lub plawv hu ua echocardiogram kom pom tias koj lub plawv ua haujlwm zoo npaum li cas. Qhov no tuaj yeem pab tshem tawm cov teeb meem ntsws uas tshwm sim los ntawm kev ua haujlwm ntawm lub plawv.

Tom qab ua tag nrho cov no, cov kws kho mob xaus lus tias nws yog (TRALI).

Cov kev kho mob rau (TRALI) yog dab tsi?

Tu siab kawg li, tsis muaj ib yam tshuaj twg kho tau tus mob no (TRALI), uas txhais tau tias tseem tsis tau muaj tshuaj kho tau tag nrho. Tiam sis, tsis txhob ntshai. Cov kws kho mob tuaj yeem ua rau koj nyob ruaj khov thiab saib xyuas koj zoo kom txog thaum tus mob zoo dua. Qhov no hu ua kev saib xyuas txhawb nqa . Lawv yuav muab kev kho mob rau koj xws li:

• Kev kho mob oxygen: Kev muab oxygen los ntawm lub npog ntsej muag lossis lub qhov ntswg cannula los pab ua pa thiab muab lub cev nrog cov oxygen tsim nyog.
• Cov tshuaj vasopressors: Cov no yog cov tshuaj uas muab rau kom cov ntshav qis rov qab mus rau qhov qub. Cov no muab rau hauv cov hlab ntsha.
• Cov tshuaj diuretics lossis cov kua IV: Nyob ntawm koj tus mob, cov tshuaj diuretics (cov tshuaj uas ua rau koj poob kua los ntawm cov zis) yuav muab rau kom txo cov kua ntau dhau hauv koj lub ntsws thiab lub cev. Lossis, yog tias tsim nyog, cov kua IV yuav muab rau kom tswj tau cov ntshav siab. Qhov no yog txiav txim los ntawm tus kws kho mob.
• Kev siv tshuab ua pa: Yog tias ua pa nyuaj heev thiab koj ua tsis tau pa zoo ntawm koj tus kheej, tej zaum yuav tsum tau muab kev siv tshuab ua pa los cawm koj txoj sia. Hauv qhov no, ib lub raj raug ntxig rau hauv lub raj cua thiab lub tshuab tswj cov txheej txheem ua pa.

Nrog kev kho mob no, ntau tus neeg mob cov mob maj mam zoo dua.

Yog koj tsim (TRALI) yuav muaj dab tsi tshwm sim?

Yog koj tau txais TRALI, yuav ua li cas? Qhov no kuj tseem ceeb heev uas yuav tsum paub.

Feem ntau, TRALI yuav zoo dua li ntawm ob mus rau plaub hnub . Rau qee tus neeg, nws yuav siv sijhawm ntev me ntsis, nyob ntawm seb qhov mob hnyav npaum li cas thiab koj txoj kev noj qab haus huv tag nrho. Thaum lub sijhawm ntawd, cov kws kho mob thiab cov kws tu mob yuav cia koj nyob hauv tsev kho mob, feem ntau nyob hauv chav saib xyuas mob hnyav (ICU), thiab yuav saib xyuas koj tus mob tas li (ua pa, cov pa oxygen, ntshav siab) thiab muab kev saib xyuas txhawb nqa rau koj. Qhov no txhais tau tias lawv yuav ua qhov zoo tshaj plaws los tswj koj cov tsos mob thiab tiv thaiv lwm yam teeb meem kom tsis txhob tshwm sim.

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

Qhov no yog ib yam uas koj yuav tsum nco ntsoov. Tom qab koj pub ntshav:

• Ua pa nyuaj sai sai
• Mob hauv siab los yog nruj
• Hnoos hnyav heev
• Ua npaws
• Kiv taub hau, pom kev tsis meej
• Cov tawv nqaij thiab daim di ncauj xim xiav

Yog tias koj muaj cov tsos mob no lossis lwm yam tsos mob txawv txawv, mus rau Chav Kho Mob Xwm Ceev (ETU) ze tshaj plaws tam sim ntawd, lossis yog tias koj nyob hauv tsev kho mob, qhia rau pab pawg kho mob tam sim ntawd. Tsis txhob nkim sijhawm. Qhov no tseem ceeb heev, vim tias kev ntsuam xyuas thiab kev kho mob thaum ntxov tuaj yeem cawm tau txoj sia.

Puas tiv thaiv tau TRALI?

Tej zaum koj yuav xav tias, "Qhov no puas tiv thaiv tsis tau?" Qhov tseeb, tam sim no tsis muaj txoj hauv kev los tiv thaiv TRALI tag nrho. Txawm li cas los xij, cov neeg muab ntshav thiab cov tsev kho mob tab tom ua lawv qhov zoo tshaj plaws los tshuaj xyuas cov ntshav pub dawb, tshwj xeeb tshaj yog cov uas muaj qee hom tshuaj tiv thaiv kab mob, kom txo qhov kev pheej hmoo ntawm kev hloov ntshav. Piv txwv li, lawv tab tom them sai sai rau kev siv cov plasma los ntawm cov poj niam uas tau cev xeeb tub ua ntej, vim tias lawv yuav muaj cov tshuaj tiv thaiv kab mob no hauv lawv cov ntshav.

Qhov tseeb, nws yog qhov txaus ntshai thaum xav tias qee yam zoo yuav tig mus ua qhov phem rau peb, puas yog? Txawm li cas los xij, kev pub ntshav yog ib qho kev kho mob uas feem ntau cawm tau ntau tus neeg thoob plaws ntiaj teb. Cov kev hloov pauv ntshav xws li (TRALI) tsis tshua muaj. Txawm li cas los xij, yog tias lawv tshwm sim, lawv tuaj yeem ua rau tuag taus. Yog li ntawd, yog tias koj xav tias muaj dab tsi txawv txawv tom qab pub ntshav, mus ntsib kws kho mob yam tsis muaj kev yig. Qhov tseem ceeb tshaj plaws yog kom tau txais kev kho mob sai li sai tau.

Peb yuav tsum nco ntsoov dab tsi ntawm zaj dab neeg no?

Zoo, yog li ntawd, hauv kev xaus, cov ntsiab lus tseem ceeb uas yuav tsum nco ntsoov txog TRALI uas peb tau tham txog yog cov no:

• (TRALI) yog ib qho mob hnyav uas tshwm sim sai sai (feem ntau tsis pub dhau 6 teev) tom qab hloov ntshav, ua rau ua pa nyuaj thiab ntshav qis vim muaj dej ntau hauv lub ntsws.
• Tej zaum yuav muaj cov tsos mob xws li ua tsis taus pa, hnoos, tawv nqaij xiav, kub taub hau, thiab kiv taub hau . Ceev faj txog cov no.
• Qhov no feem ntau tshwm sim thaum cov tshuaj tiv thaiv kab mob hauv cov ntshav ntawm tus neeg pub dawb ua rau lub cev tiv thaiv kab mob ntawm tus neeg txais kev pab ua haujlwm yuam kev thiab ua rau lub ntsws puas tsuaj.
• Ib txhia neeg (piv txwv li, cov neeg uas siv lub tshuab ua pa, cov neeg uas muaj kab mob siab/raum, thiab cov neeg uas haus dej cawv ntau) muaj feem yuav mob qhov no ntau dua.
• Qhov no yog ib qho xwm txheej ceev hauv kev kho mob. Yog tias muaj cov tsos mob tshwm sim, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.
• Txawm hais tias tsis muaj kev kho mob tshwj xeeb rau TRALI, feem ntau cov neeg rov zoo hauv ob peb hnub nrog kev saib xyuas txhawb nqa hauv tsev kho mob.
• Txawm hais tias TRALI yog ib yam mob tsis tshua muaj heev los , nws yog ib qho tseem ceeb kom paub txog nws thiab paub txog cov tsos mob.

Koj paub koj lub cev zoo tshaj plaws. Yog tias koj xav tias muaj dab tsi txawv txawv, txawv, lossis tsis xis nyob tom qab koj pub ntshav, tsis txhob saib tsis taus nws ua ib yam 'me me'. Tsis txhob xav tias nws yooj yim. Qhia rau kws kho mob tam sim ntawd. Nws tuaj yeem cawm koj txoj sia! Nyob kom noj qab nyob zoo!

` Kev pub ntshav, ntsws, ua pa nyuaj, TRALI, kev hloov ntshav, cov tshuaj tua kab mob, kev kho mob thaum muaj xwm txheej ceev