Kev phais mob hauv lub plawv - tawm paug

Koj tus menyuam tau raug phais los kho lub plawv. Yog tias koj tus menyuam tau qhib lub plawv qhib, kev phais mob tau raug txiav los ntawm lub pob tw lossis sab hauv siab. Tus menyuam kuj yuav raug tso rau lub siab-ntsws hla lub tshuab thaum phais mob.

Tom qab qhov kev phais mob, koj tus menyuam nyob hauv tsev saib xyuas mob siab (ICU) thiab tom qab ntawd nyob hauv lwm qhov chaw hauv tsev kho mob.

Koj tus menyuam yuav xav tau li ntawm 3 lossis 4 lub lim tiam ntxiv hauv tsev kom rov zoo. Rau kev phais loj, yuav rov qab siv sijhawm li 6 txog 8 lub lim tiam. Nrog koj tus menyuam tus kws saib xyuas kev noj qab haus huv tham txog thaum koj tus menyuam rov qab mus kawm ntawv, chaw zov menyuam, lossis koom ua kis las.

Qhov mob tom qab phais tas tsis zoo li qub. Tej zaum yuav muaj qhov mob ntxiv tom qab phais lub plawv zoo dua li tom qab phais plawv-qhib. Qhov no yog vim tias cov hlab ntsha hauv plab yuav tau khaus lossis txiav. Qhov mob yuav zoo li tsawg dua tom qab hnub thib ob thiab qee zaum tuaj yeem tswj nrog acetaminophen (Tylenol).

Coob leej me nyuam coj txawv tom qab kev phais plawv. Tej zaum lawv yuav ua plaub muag, txob taus, ntub dej txaj, lossis quaj. Lawv tuaj yeem ua cov no txawm tias lawv tsis tau ua ua ntej lawv phais. Txhawb koj tus menyuam lub sijhawm no. Maj mam pib teeb tsa cov kev txwv uas tau ua ntej ua ntej kev phais mob.

Rau cov menyuam mos, cia kom tus menyuam tsis txhob quaj ntev rau thawj 3 txog 4 asthiv. Koj yuav ua rau koj tus menyuam nqig los ntawm kev nyob tus tus kheej. Thaum nqa koj tus menyuam, txhawb nqa tus menyuam lub taub hau thiab hauv qab rau thawj 4 mus rau 6 lub lim tiam.

Cov menyuam me thiab cov menyuam yaus me feem ntau yuav tso tseg txhua qhov haujlwm yog tias lawv ua rau sab sab.

Tus kws zov me nyuam yuav qhia rau koj thaum nws tsis ua li cas rau koj tus menyuam rov qab mus kawm ntawv los yog chaw zov menyuam.

• Feem ntau, thawj ob peb lub lis piam tom qab kev phais yuav tsum yog lub sijhawm los so.
• Tom qab thawj zaug rov qab mus ntsib, tus kws zov me nyuam yuav qhia koj seb koj tus menyuam tuaj yeem ua dab tsi.

Thawj 4 lub lis piam tom qab kev phais mob, koj tus me nyuam yuav tsum tsis txhob ua ib qho kev ua uas yuav ua rau lub hauv siab ntog los sis sib tsoo rau hauv siab. Koj tus menyuam yuav tsum zam kev caij luv thij los sis caij khau kev caij khau, kev caij lub nkoj, kev ua luam dej, thiab txhua yam kis las kom txog thaum tus kws zov me nyuam hais tias nws tsis ua li cas.

Cov menyuam yaus uas muaj kev phais mob los ntawm lub pob txha caj qaum yuav tsum tau ua tib zoo saib seb lawv siv lawv txhais caj npab thiab lub cev loj li cas rau thawj 6 rau 8 lub lis piam.

• Tsis txhob rub lossis rub tus menyuam los ntawm caj npab lossis ntawm lawv thaj chaw. Rub tus me nyuam mus.
• Tiv thaiv koj tus menyuam los ntawm ua ib qho kev ua uas cuam tshuam nrog rub lossis thawb nrog caj npab.
• Sim ua kom koj tus menyuam rub tawm sab npab saum taub hau.
• Koj tus menyuam yuav tsum tsis txhob nqa ib qho hnyav dua 5 phaus (2 kg).

Saib xyuas koj tus menyuam txoj kev noj zaub mov kom zoo kom ntseeg tau tias lawv tau txais calories ntau txaus los kho thiab loj hlob.

Tom qab phais plawv, feem ntau cov menyuam mos thiab menyuam mos (hnub nyoog qis dua 12 txog 15 hlis) tuaj yeem noj mis mos ntau lossis mis niam ntau dua raws li lawv xav. Muaj qee kis, tus kws khomob yuav xav kom koj tus menyuam zam tsis txhob haus mis mos lossis mis niam ntau dhau. Txwv sijhawm pub mis nyob ib ncig ntawm 30 feeb. Koj tus kws zov menyuam yuav qhia koj tias yuav ntxiv cov calories ntau li cas rau cov mis mos yog tias tsim nyog.

Cov menyuam me thiab cov menyuam hnub nyoog loj dua yuav tsum tau txais kev noj zaub mov kom tsis tu ncua. Tus kws kho mob yuav qhia koj seb yuav txhim kho tus me nyuam txoj kev noj zaub mov zoo li cas tom qab phais mob.

Nug koj tus menyuam qhov chaw muab kev pabcuam yog tias koj muaj lus nug txog koj tus menyuam txoj kev noj haus.

Koj tus kws khomob yuav qhia koj txog kev saib xyuas qhov tsis zoo li cas. Saib ntawm qhov kiav txhab rau cov cim qhia txog kev kis kab mob, xws li liab, o, mob, sov so, los yog kua.

Koj tus menyuam yuav tsum tau da dej lossis da dej xwb so kom txog thaum tus kws kho mob hais lwm yam. Steri-Strips yuav tsum tsis txhob muab tsau rau hauv dej. Lawv yuav pib tev tawm tom qab thawj lub lim tiam. Nws tsis ua li cas los tshem lawv thaum lawv pib tev tawm.

Txog ntev npaum li qhov caws pliav zoo nkaus li liab, nco ntsoov tias nws tau npog nrog cov khaub ncaws lossis ntaub qhwv thaum koj tus menyuam nyob hauv lub hnub.

Nug koj tus menyuam tus kws khomob uantej yuav tau txhaj tshuaj tiv thaiv li 2 rau 3 hlis tomqab phais tas. Tomqab ntawd, koj tus menyuam yuav tsum tau txhaj tshuaj khaub thuas txhua xyoo.

Coob tus menyuam uas tau raug phais plawv yuav tsum tau noj tshuaj tua kab mob ua ntej, thiab qee zaum tom qab, tau ua haujlwm rau kaus hniav. Nco ntsoov tias koj tau lus qhia meej los ntawm koj tus menyuam lub siab txog thaum twg koj tus menyuam xav tau tshuaj tiv thaiv. Nws yog ib qho tseem ceeb heev kom koj tus menyuam cov hniav ntxuav li niaj zaus.

Koj tus menyuam yuav tau noj tshuaj thaum xa mus tsev. Cov no suav nrog diuretics (dej tshuaj) thiab lwm yam tshuaj kho plawv. Nco ntsoov muab cov tshuaj kom yog rau koj tus menyuam. Rov qab mus ntsib koj tus kws khomob 1 txog 2 asthiv tomqab tus menyuam tawm hauv tsev khomob lossis raws li qhia.

Hu rau tus kws khomob yog koj tus menyuam muaj:

• Ua npaws, xeev siab lossis ntuav
• Mob hauv siab, lossis lwm yam kev mob
• Liab, o, los si tawm ntawm lub qhov txhab
• Ua pa nyuaj lossis ua pa siav
• Puffy ob lub qhov muag lossis lub ntsej muag
• Nkees nkees txhua lub sijhawm
• Bluish lossis greyish daim tawv nqaij
• Kiv taub hau, tsaus muag, lossis mob plawv
• Noj teeb meem lossis tsis qab los noj mov

Kev phais lub plawv yug me nyuam - tawm; Patent ductus arteriosus ligation - paug; Hypoplastic laug kho lub plawv - tawm; Tetralogy ntawm kev kho Fallotog - kev tso tawm; Kev sib xyaw ntawm aorta kho - tso tawm; Kev phais plawv rau cov menyuam yaus - kev tso tawm; Atrial septal kho kho - poob; Ventricular septal defect kho - kev tso tawm; Kho Truncus arteriosus - kev tso tawm; Tag nrho anomalous pulmonary artery kho - tawm; Kev hloov pauv ntawm cov nkoj txig rau kev kho - kev tso tawm; Tricuspid atresia kho - tso tawm; VSD kho - tawm paug; ASD kho - tawm paug; PDA kabke - kev tso tawm; Nrhiav kab mob hauv lub plawv - paug; Kev phais plawv valve - menyuam yaus - kev tso tawm; Kev phais plawv - kho mob hlwb - tawm paug; Hloov plawv - pediatric - tawm

• Menyuam mos qhib lub plawv phais

Arnaoutakis DJ, Lillehei CW, Menard MT. Cov txuj ci tshwj xeeb hauv kev phais mob ntshav kho menyuam yaus. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 186.

Beerman LB, Kreutzer J, Allada V. Cardiology. Hauv: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli thiab Davis 'Atlas Kev Kuaj Mob Rau Menyuam yausCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 5.

Bernstein D. Cov ntsiab cai dav dav ntawm kev kho mob yug cov kab mob plawv. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 461.

Fraser CD, Kane LC. Congenital mob plawv. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 58.

• Aortic valve phais - qhov tsis muaj ntxeem tau
• Aortic valve phais - qhib
• Atrial septal kho mob (ASD)
• Kev sib xyaw ntawm aorta
• Congenital plawv tsis zoo - phais kho
• Patent ductus arteriosus
• Kev phais plawv hauv plawv
• Tetralogy ntawm Fallot
• Kev Hloov ntawm txoj hlab ntshav loj
• Truncus txoj hlab ntsha
• Ventricular septal teem meem

• Chav dej nyab xeeb - me nyuam yaus
• Coj koj tus me nyuam mus xyuas ib tug nus muag sib xws
• Cov pa oxygen kev nyab xeeb
• Kev phais mob kho mob - qhib
• Siv cov pa oxygen hauv tsev

• Congenital Lub Plawv Tsis Zoo
• Kev phais lub plawv