Peb ua haujlwm ntau npaum li cas nrog peb txhais tes thoob plaws hnub? Txij li kev sau ntawv, mus rau kev ua teb, siv peb lub xov tooj, mus rau kev tsa cov hnyav, peb lub dab teg yog siv rau txhua yam. Yog li, yog tias peb yuav tsum ua haujlwm hnyav heev, txawm tias me ntsis mob lossis tsis xis nyob hauv peb lub dab teg, tej zaum koj paub tias nws tuaj yeem cuam tshuam li cas rau peb hnub tag nrho. Feem ntau, qhov mob no ploj mus hauv ob peb hnub, tab sis qee zaum nws tuaj yeem yog ib qho tsos mob ntawm qee yam loj heev. Yog li hnub no, cia peb tham txog qhov mob dab teg no.
Lub dab teg no yog dab tsi tiag?
Hais yooj yim xwb, lub dab teg tsis yog ib qho pob qij txha xwb. Nws zoo li lub tshuab me me, nyuaj heev. Muaj ntau yam tshwm sim hauv qhov chaw me me no uas pab nrog txhua qhov kev khoov thiab ntswj ntawm peb txhais tes.
- Pob Txha: Lub dab teg yog ua los ntawm ntau daim pob txha me me.
- Cov leeg: Cov leeg no txav tes thiab ntiv tes.
- Cov hlab ntsha: Cov hlab ntsha no nqa cov lus los ntawm lub hlwb mus rau tes thiab nqa cov kev xav (kub, txias, mob) los ntawm tes mus rau lub hlwb.
- Cov leeg thiab cov leeg nqaij: Cov no txuas cov pob txha rau ib leeg thiab ua kom cov pob qij txha muaj zog.
- Cov hlab ntsha: Cov no muab ntshav rau txhua cov nqaij.
Yog tias ib qho ntawm cov khoom no puas lawm lossis raug mob, peb pib hnov mob hauv lub dab teg.
Koj hnov qhov mob qhov twg?
Thaum kws kho mob nug txog koj qhov mob, lawv yuav sim nrhiav seb qhov mob nyob qhov twg hauv koj lub dab teg. Qhov no yuav pab tau zoo heev rau kev kuaj mob.
- Mob dab teg Ulnar: Yog tias koj lub dab teg mob rau sab ntawm koj txhais tes qhov twg koj tus ntiv tes me nyob, nws yuav yog hom no.
- Mob dab teg radial: Yog tias koj lub dab teg mob rau sab uas koj tus ntiv tes xoo nyob, nws poob rau hauv pawg no.
Txawm li cas los xij, txawm qhov mob nyob qhov twg los xij, qhov tseem ceeb tshaj plaws yog nrhiav qhov ua rau thiab kho nws.
Dab tsi yog cov ua rau mob dab teg?
Tsis muaj ib qho ua rau mob dab teg, tab sis muaj ntau yam. Peb yuav faib cov no ua ob pawg tseem ceeb. Ib qho yog qhov mob los ntawm kev raug mob, thiab qhov thib ob yog qhov mob los ntawm cov teeb meem kev noj qab haus huv.
| Hom laj thawj | Kev piav qhia thiab piv txwv |
|---|---|
| Xwm txheej thiab kev raug mob | Cov no yog tej yam uas tshwm sim sai sai.
|
| Cov Kev Mob Nkeeg | Cov mob no tuaj yeem maj mam nce ntxiv mus raws sijhawm.
|
Yuav ua li cas thiaj kho tau qhov mob no?
Kev kho mob uas koj xav tau yuav nyob ntawm seb ua rau koj mob li cas. Qee zaum, tej yam yooj yim uas koj ua tau hauv tsev yuav pab txo koj qhov mob.
Tej yam koj ua tau hauv tsev
- So: So kom txaus ntawm tej yam uas ua rau mob (piv txwv li, siv computer, ua si nawv) ob peb hnub. Qhov no yuav ua rau cov nqaij uas puas lawm muaj sijhawm kho.
- Kev Siv Dej Khob: Muab dej khov rau ntawm daim tawv nqaij li 10-15 feeb ob peb zaug hauv ib hnub. Tsis txhob muab dej khov rau ntawm daim tawv nqaij ncaj qha. Qhwv nws nrog phuam nyias nyias thiab muab tso rau.
- Tshuaj Tua Kab Mob: Koj tuaj yeem noj tshuaj tua kab mob (NSAIDs) raws li koj tus kws kho mob qhia kom txo qhov mob thiab o. Txawm li cas los xij, tsis txhob noj tshuaj koj tus kheej.
Kev kho mob
Yog tias kev kho mob hauv tsev tsis pab tau, koj tus kws kho mob yuav sau ntawv kom kho hom kev kho mob no.
- Kev Kho Mob Lub Cev: Tus kws kho mob lub cev yuav qhia koj cov kev tawm dag zog tshwj xeeb los txhawb koj lub dab teg thiab ua kom muaj kev ywj pheej.
- Kev Tiv Thaiv Kom Tsis Txhob Txav Mus Los: Tej zaum koj yuav raug hais kom hnav lub cast, splint, lossis brace kom koj lub dab teg tsis txhob txav mus los.
- Tshuaj: Tus kws kho mob yuav txhaj tshuaj xws li tshuaj steroids (corticosteroids) kom txo qhov o.
- Kev Phais Mob: Qee zaum, yuav tsum tau phais mob kom tshem tawm ib lub qog, tso cov hlab ntsha uas raug nias, teeb tsa cov pob txha tawg, lossis kho cov leeg uas puas lawm. Qhov no tuaj yeem yog kev phais qhib yooj yim lossis kev phais mob arthroscopic ua los ntawm ntau qhov kev txiav me me.
Qhov tseem ceeb tshaj plaws yog nrog koj tus kws kho mob tham thiab txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj.
Yuav ua li cas thiaj tiv thaiv tau qhov mob ntawm dab teg?
"Kev tiv thaiv zoo dua li kev kho mob," lawv hais. Yog li ntawd, yog tias koj saib xyuas cov me me no, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev mob dab teg.
Rau cov neeg siv computer:
- Txo koj lub keyboard me ntsis kom koj lub dab teg tsis txhob khoov rau sab saud thaum koj ntaus ntawv.
- Es tsis txhob ntaus ntawv tas li, so me ntsis tsawg kawg ib teev ib zaug thiab so koj txhais tes.
- Siv lub dab teg so rau lub keyboard thiab nas.
- Yog ua tau, hloov tes uas siv nas.
Cov lus qhia txog kev nyab xeeb dav dav:
- Nco ntsoov hnav koj txoj siv sia thaum caij tsheb.
- Hnav cov khoom siv tiv thaiv kom zoo (piv txwv li cov khoom tiv thaiv dab teg) thaum ua si kis las lossis ua haujlwm hnyav.
- Khaws koj lub tsev thiab chaw ua haujlwm kom huv si los ntawm kev tshem tawm cov khoom uas yuav ua rau koj plam thiab ntog.
- Yog koj muaj kev tsis taus, siv ib yam khoom pab taug kev (paj/walker).
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Feem ntau, qhov mob dab teg yuav ploj mus li ob peb hnub. Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, tsis txhob nkim sijhawm thiab mus ntsib kws kho mob.
- Yog tias koj tsis tuaj yeem txav koj txhais tes, dab teg, lossis cov ntiv tes.
- Yog tias koj hnov mob loog thiab mob tsis tuaj yeem ua tau hauv koj lub dab teg lossis tes.
- Yog tias koj lub dab teg, tes, lossis cov ntiv tes o lossis hloov xim.
- Yog tias qhov mob tsis ploj mus tom qab ob lub lis piam ntawm kev pib kho mob hauv tsev lossis yog tias qhov mob txuas ntxiv nce ntxiv.
- Yog tias koj lub dab teg o thiab zoo li puas lawm tom qab muaj xwm txheej, mus rau ETU (Chav Kho Mob Thaum Muaj Xwm Ceev) hauv tsev kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob dab teg yog ib qho mob uas tshwm sim ntau heev. Qhov no tsis yog qhov xav tsis thoob vim peb siv peb txhais tes txhua hnub.
- Feem ntau, kev so kom txaus thiab siv dej khov tuaj yeem pab txo qhov mob.
- Tsis txhob tsis quav ntsej qhov mob, tshwj xeeb yog tias nws tsis ploj mus li ob peb hnub lossis yog tias nws hnyav zuj zus.
- Yog koj mob hnyav heev, o, tsis txav tes tau, lossis loog tes, nrhiav kev pab kho mob tam sim ntawd.
- Yog koj lub dab teg mob heev ua rau koj ua tsis tau koj tej dej num txhua hnub, nrog koj tus kws kho mob tham txog qhov ntawd. Nws yuav muab cov lus qhia rau koj kom koj rov zoo sai.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Nimodipine (Nimodipine / Nymalize) tshuaj ntsiav/kua yog ib yam tshuaj tshwj xeeb uas muab rau tus kab mob twg?
Qhov no tsis yog tshuaj kho mob siab ib txwm muaj! Qhov no yog ib hom tshuaj tshwj xeeb (Calcium Channel Blocker) muaj zog heev uas siv hauv tsev kho mob los tiv thaiv 100% kev tuag tes tuag taw thiab kev tuag (Neurologic deficit prevention) thaum cov hlab ntsha hauv lub hlwb tawg thiab los ntshav (Subarachnoid Hemorrhage - SAH). Vim yog qhov tawg, lwm cov hlab ntsha hauv lub hlwb sib cog lus / spasm, tiv thaiv cov ntshav los ntawm kev ntws mus rau tus neeg mob lub hlwb!
💬 Thaum cov hlab ntsha hauv lub hlwb tawg, cov tshuaj no (Nimodipine) yuav tiv thaiv tau qhov tuag tes tuag taw li cas?
Cov tshuaj ntsuas ntshav siab ib txwm (CCB) ua rau cov hlab ntsha hauv lub cev so. Tab sis qhov tshwj xeeb ntawm cov tshuaj no yog tias nws ua haujlwm ncaj qha rau cov hlab ntsha hauv lub hlwb (Kev Xaiv Siab ntawm Lub Hlwb)! Thaum cov hlab ntsha hauv lub hlwb tawg, lwm cov hlab ntsha ntshai thiab ntsws. Thaum cov tshuaj no mus txog lub hlwb, nws thaiv cov calcium uas nkag mus rau hauv cov hlab ntsha ntawd, thiab tag nrho cov hlab ntsha ntawd so (Kev nthuav dav ntawm cov hlab ntsha). Tom qab ntawd cov hlwb hlwb txuas ntxiv rov zoo thiab tsis ua rau tuag tes tuag taw.
💬 Vim li cas cov tshuaj no (Nimodipine) thiaj muaj 'Black Box Warning' uas hais tias 'Tsis txhob txhaj tshuaj IV'?
Qhov ntawd yog qhov txaus ntshai tshaj plaws thiab tuag taus ntawm qhov no! Cov tshuaj no yog cov kua tsuas yog noj los ntawm qhov ncauj xwb. Yog tias nws raug txhaj rau hauv cov leeg ntshav (IV) nrog lub koob txhaj tshuaj tsis raug lossis yuam kev, tus neeg mob cov ntshav siab yuav poob qis tam sim ntawd mus rau xoom (Profound Hypotension), lub plawv yuav nres tag nrho (Cardiac Arrest / Death) thiab tus neeg mob yuav tuag tam sim ntawd! (Qhov no yog ib qho kev tu siab uas tau tshwm sim ntau zaus hauv ntiaj teb).
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