Tej zaum koj yuav tau pom tias koj tus menyuam me txhais tes thiab taw tau hloov xiav me ntsis. Los yog daim di ncauj zoo li xiav. Nws yog ib qho ib txwm muaj rau niam lossis txiv kom ntshai thiab txhawj xeeb me ntsis thaum lawv pom qhov no. "Kuv tus menyuam puas mob?" Tej zaum koj yuav xav. Tab sis qhov no tsis yog ib yam dab tsi uas yuav tsum ntshai tas li. Hnub no, cia peb tham txog qhov xim tawv nqaij xiav no, uas yog ib qho mob uas peb hu ua cyanosis .
Cyanosis yog dab tsi tiag?
Tsuas yog hais tias, cyanosis yog thaum cov pa oxygen hauv peb cov ntshav txo qis, ua rau thaj chaw zoo li daim tawv nqaij, daim di ncauj, thiab cov rau tes kom tau xim xiav lossis ntshav.
Xav txog tias peb muaj ob hom ntshav. Ib qho yog ntshav "liab", uas puv nrog oxygen . Cov ntshav no mus los ntawm peb lub plawv mus rau txhua qhov ntawm peb lub cev thiab muab lub zog rau peb cov kabmob uas lawv xav tau los ua neej, uas yog, oxygen. Tom qab cov kabmob siv cov oxygen ntawd, cov ntshav ntawd hloov mus ua ntshav "xiav", uas muaj oxygen tsawg dua . Tom qab ntawd cov ntshav xiav no rov qab mus rau lub plawv, mus rau lub ntsws, khaws cov oxygen dua, thiab hloov liab. Lub voj voog no txuas ntxiv mus.
Yog li ntawd, yog tias muaj qee qhov laj thawj uas lub voj voog no raug cuam tshuam thiab muaj ntshav xiav ntau dua, cov ntshav tsis muaj oxygen txaus nyob hauv lub cev, xim xiav ntawd yuav pom los ntawm cov tawv nqaij nyias nyias. Qhov tseem ceeb yog tias cyanosis tsis yog kab mob, tab sis yog ib qho tsos mob ntawm lwm yam kab mob hauv qab.
Ua cas ho ua rau daim tawv nqaij ntawm ib tug me nyuam tig xiav?
Cov ua rau cov menyuam yaus daim tawv nqaij xiav yog teeb meem ntawm lub ntsws lossis lub plawv. Txawm li cas los xij, kuj tseem muaj lwm yam ua rau muaj teeb meem no thiab. Cia peb saib cov no ib qho zuj zus.
1. Teeb meem ntsig txog lub ntsws
Lub ntsws yog qhov chaw uas peb ntxiv cov pa oxygen rau hauv cov ntshav los ntawm kev ua pa uas peb nqus. Yog li ntawd, yog tias muaj teeb meem nrog lub ntsws, cov txheej txheem no yuav raug cuam tshuam.
- Kev thaiv txoj hlab pa: Ib yam li mob croup, cov hlab pa yuav o thiab txhaws, ua rau cov pa oxygen uas mus txog lub ntsws tsawg dua. Qee zaum, tus menyuam yaus tuaj yeem nqos ib yam dab tsi zoo li khoom ua si thiab txhaws.
- Kab mob ntsws: Cov kab mob xws li mob ntsws thiab mob bronchiolitis ua rau lub ntsws ua haujlwm tsis zoo thiab txo cov pa oxygen hauv cov ntshav.
- Mob hawb pob: Tus mob no kuj tuaj yeem tshwm sim thaum mob hawb pob hnyav zuj zus.
- Ua pa roj lom: Ua pa roj lom xws li carbon monoxide lossis pa luam yeeb hnyav kuj txwv tsis pub lub cev tau txais oxygen ntau.
2. Teeb meem plawv (kab mob plawv yug los)
Tej zaum ib txhia menyuam yaus yuav muaj teeb meem plawv txij thaum yug los. Qhov no hu ua kab mob plawv xiav (cyanotic heart disease). Qhov no yog qhov tsis zoo ntawm lub plawv uas ua rau cov ntshav xiav, uas tsis muaj pa oxygen ntau, raug thawb ncaj qha mus rau hauv lub cev es tsis yog mus rau lub ntsws kom tau pa oxygen, lossis sib xyaw nrog cov ntshav liab uas muaj pa oxygen thiab thawb mus rau hauv lub cev.
Nov yog qee qhov piv txwv ntawm cov xwm txheej zoo li no:
- Tetralogy ntawm Fallot
- Ebstein qhov tsis zoo
- Kev nqaim lossis tsis muaj cov hlab ntsha plawv
- Truncus arteriosus
Tej zaum cov no yuav zoo li nyuaj rau koj vim lawv yog cov lus kho mob. Tab sis qhov koj yuav tsum nkag siab yog tias qhov teeb meem hauv lub plawv thaum yug los tuaj yeem ua rau cov ntshav oxygen poob qis thiab daim tawv nqaij tig xiav.
3. Lwm yam ua rau muaj ntau yam
Ntxiv rau cov teeb meem loj no, qee zaum tej yam uas peb ua txhua hnub kuj ua rau daim tawv nqaij xiav.
| Vim li cas | Kev piav qhia |
|---|---|
| Cov cim yug los | Qee cov cim qhia txog hnub yug xiav/grey yuav raug yuam kev rau cyanosis. |
| Cov khoom noj xiav | Noj cov ice cream xiav los yog lollipops yuav ua rau koj tus nplaig thiab daim di ncauj tig xiav. Qhov no yuav ploj mus tom qab ib pliag. |
| Qee cov tshuaj | Qee cov tshuaj, xws li amiodarone, tuaj yeem ua rau daim tawv nqaij muaj xim grey-xiav. |
| Cov xim hauv cov khaub ncaws | Cov xim pleev rau ntawm ib lub tsho xiav tshiab qee zaum tuaj yeem yaj rau hauv cov hws thiab ua rau daim tawv nqaij muaj xim av. |
Puas yog txhua yam xiav txaus ntshai? Cia peb kawm txog 'Acrocyanosis'
Qhov no yog qhov tseem ceeb tshaj plaws uas feem ntau cov niam txiv yuav tsum paub txog.Yog tias koj tus menyuam txhais tes, taw, thiab ib ncig ntawm daim di ncauj tsuas yog xiav xwb, tej zaum nws tsis yog ib qho mob loj heev. Qhov no hu ua acrocyanosis .
Qhov no feem ntau tshwm sim rau cov menyuam mos thaum ob peb teev thawj zaug ntawm lub neej. Qhov no yog vim tias thaum lub sijhawm ntawd, lub cev ntawm tus menyuam yuav muab cov ntshav mus rau cov kabmob tseem ceeb tshaj plaws, lub hlwb thiab lub ntsws, thiab cov ntshav mus rau tes thiab taw yuav txo qis me ntsis.
Tsis tas li ntawd xwb, cov menyuam yaus, thiab qee zaum cov neeg laus, yuav muaj tes thiab taw xiav thaum raug cua txias heev. Qhov no yuav ploj mus tom qab ib pliag thiab thaum lub cev sov so.
Tiam sis nco ntsoov! Yog tias koj tus menyuam lub ntsej muag, tus nplaig, lossis qhov nruab nrab ntawm lub cev, xws li lub ntsej muag, tus nplaig, lossis lub cev, yog xim xiav/ntshav tas li, nws yuav yog ib qho mob hnyav. Nws tsis yog Acrocyanosis.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj coj koj tus menyuam mus ntsib kws kho mob, nws yuav xub kuaj xyuas tus menyuam kom zoo zoo thiab nug koj cov lus nug. Nws yuav nyuaj rau txheeb xyuas qhov mob cyanosis hauv cov menyuam uas muaj daim tawv nqaij dub. Thaum lub sijhawm zoo li no, tus kws kho mob yuav ua tib zoo kuaj xyuas daim di ncauj, tus nplaig, cov pos hniav, thiab hauv qab cov rau tes ntawm tus menyuam.
Qhov kev ntsuam xyuas tseem ceeb tshaj plaws uas yuav tsum tau ua tom qab ntawd yog ntsuas qhov oxygen saturation .
- Qhov no suav nrog kev txuas ib lub cuab yeej me me zoo li clip (Pulse Oximeter) rau tus menyuam tus ntiv tes lossis tus ntiv taw rau ob peb feeb.
- Qhov no tsis mob.
- Lub cuab yeej no tuaj yeem txiav txim siab tau meej tias cov pa oxygen hauv tus menyuam cov ntshav puas yog qhov ib txwm muaj lossis qis.
Yog tias cov pa oxygen hauv cov ntshav qis lawm, tej zaum yuav tsum tau kuaj ntxiv kom paub qhov ua rau.
- Ib daim duab X-ray hauv siab
- Echocardiogram (kev kuaj echo los xyuas qhov ua haujlwm ntawm lub plawv)
- Kev ntsuam xyuas kev ua haujlwm ntawm lub ntsws
- Kev kuaj mob tshwj xeeb xws li kev siv catheter rau lub plawv
Yuav kho li cas?
Txoj kev kho mob nyob ntawm seb qhov mob twg ua rau daim tawv nqaij xiav.
- Rau acrocyanosis: Qhov no yog ib qho mob uas ib txwm muaj thiab tsis tas yuav kho dab tsi li. Nws yuav ploj mus nws tus kheej thaum tus me nyuam sov me ntsis.
- Rau lwm yam ua rau: Yog tias qhov ua rau mob plawv lossis mob ntsws, kev kho mob yog qhov tseem ceeb tshaj plaws. Tej zaum yuav muaj ib txhia menyuam yaus yuav tau txais oxygen, txuas nrog lub tshuab ua pa, muab tshuaj, lossis txawm tias phais. Thaum kho qhov mob hauv qab no, daim tawv nqaij xiav yuav ploj mus thiab rov qab zoo li qub.
Thaum kawg, qhov tseem ceeb tshaj plaws yog tias yog koj tus menyuam lub ntsej muag, tus nplaig, lossis lub hauv siab/plab yog xim xiav/ntshav tas li, yog tias lawv zoo li ua pa nyuaj, lossis yog tias lawv tsis xis nyob heev, nws yuav yog ib qho mob hnyav. Hauv qhov xwm txheej zoo li no, tsis txhob ncua ib pliag thiab coj koj tus menyuam mus rau chav kho mob ceev (ETU) ze tshaj plaws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob xiav (cyanosis) tsis yog ib yam kab mob. Nws yog ib qho tsos mob ntawm cov pa oxygen tsawg hauv cov ntshav.
- Acrocyanosis, uas tshwm sim thaum tsuas yog tes thiab taw ntawm cov menyuam mos thiab cov menyuam yaus tig xiav thaum raug cua txias, feem ntau tsis yog ib qho mob txaus ntshai.
- Yog tias tus menyuam lub ntsej muag, tus nplaig, lossis lub hauv siab/plab hloov xiav thiab ua pa nyuaj yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Kev kho mob nyob ntawm seb qhov mob twg ua rau muaj qhov mob cyanosis. Thaum kho qhov mob lawm, xim tawv nqaij yuav rov qab zoo li qub.
- Yog tias koj muaj kev tsis ntseeg lossis kev txhawj xeeb txog koj tus menyuam daim tawv nqaij xim, nco ntsoov sab laj nrog koj tus kws kho mob hauv tsev neeg (kws kho mob) kom tau txais lus qhia.
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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