Tsis nco qab txog - thawj pab

Kev tsis nco qab yog thaum ib tug neeg tsis muaj peev xwm teb tau tib neeg thiab kev ua si. Cov kws kho mob feem ntau hu qhov no tsis xeev los yog nyob rau hauv lub xeev comatose.

Lwm qhov kev hloov pauv ntawm qhov kev paub txog tuaj yeem tshwm sim yam tsis tas nco ntsoov. Cov no hu ua hloov kho kev xav lossis hloov pauv hloov kev xav. Lawv suav nrog kev ntxhov siab ib ce, kev xiam lossis kev txo hwj chim.

Kev tsis nco qab los yog lwm yam kev hloov pauv sai sai hauv lub siab lub ntsws yuav tsum raug kho ua ib qho mob xwm txheej kub ntxhov ceev.

Kev tsis nco qab yauv tshwm sim los ntawm yuav luag txhua qhov mob lossis raug mob. Nws kuj tseem tuaj yeem tshwm sim los ntawm kev quav yeeb tshuaj (quav yeeb tshuaj) thiab dej cawv. Kev daig caj pas rau ib yam khoom yuav ua rau tsis nco qab thiab.

Luv luv tsis nco qab (lossis tsaus muag) feem ntau yog los ntawm lub cev qhuav dej, tsis muaj piam thaj hauv ntshav, lossis ntshav qis ib ntus. Nws kuj tseem tuaj yeem tshwm sim los ntawm cov teeb meem mob plawv lossis hlwb tsis zoo. Tus kws kho mob yuav txiav txim siab yog tias tus neeg cuam tshuam xav tau kev ntsuam xyuas.

Lwm yam ua rau tsaus muag suav nrog zuaj thaum tso quav (vasovagal syncope), hnoos heev, lossis ua pa ceev heev (hyperventilating).

Tus neeg yuav ua tsis tiav (tsis teb rau kev ua si, kov, suab, lossis lwm yam kev cuam tshuam).

Cov tsos mob hauv qab no tuaj yeem tshwm sim tom qab ib tus neeg tsis nco qab lawm:

• Amnesia rau (tsis nco qab) cov xwm txheej ua ntej, thaum lub sijhawm, thiab tom qab lub sijhawm ntawm qhov tsis nco qab lawm
• Tsis meej pem
• Kev nkees nkees
• Mob taub hau
• Tsis hais lus lossis txav chaw ntawm lub cev (mob stroke)
• Lub Cim Txhab Zog
• Kev plob tsis so tswj los yog zais zis (tswj tus kheej)
• Lub plawv dhia ceev ceev (mob ntsws)
• Lub plawv dhia qeeb
  
• Stupor (qhov tsis meej pem thiab tsis muaj zog)

Yog hais tias tus neeg tsis nco qab los txhawm chim, cov tsos mob yuav muaj xws li:

• Hais tsis tau lus
• Ua pa nyuaj
• Ua pa nrov lossis ua pa nrov thaum nqus tau cov pa
• Tsis muaj zog, hnoos tsis tau hnoos
• Bluish daim tawv xim

Ua neeg pw tsaug zog tsis zoo li yog txoj kev tsis nco qab. Tus neeg pw tsaug zog yuav teb rau cov suab nrov lossis ua nrov nrov. Tus neeg tsis nco xaiv yuav tsis.

Yog tias ib tug neeg tsaug zog tab sis tsis paub ceev dua li niaj zaus, nug ob peb lo lus nug, xws li:

• Koj lub npe hu li cas?
• Hnub twg yog hnub twg?
• Koj muaj pes tsawg xyoo?

Cov lus teb tsis raug lossis tsis muaj peev xwm teb tau qhov lus nug qhia txog kev hloov ntawm cov xwm txheej hauv lub hlwb.

Yog tias tus neeg tsis nco qab lossis muaj kev hloov pauv hauv lub hlwb, ua raws cov theem pabcuam no:

1. Hu rau lossis qhia ib tug neeg hu 911.
2. Tshawb xyuas tus neeg txoj hlab pa, ua pa, thiab cov mem tes nquag. Yog tias tsim nyog, pib CPR.
3. Yog tias tus neeg ntawd ua pa thiab pw ntawm lawv nraub qaum, thiab koj tsis xav tias muaj pob txha caj qaum, ua tib zoo muab tus neeg txav los ze koj mus rau lawv sab. Khoov sab saum toj kawg nkaus kom ob leeg hauv caug thiab hauv caug nyob ntawm cov ces kaum sab xis. Maj mam rub lawv lub taub hau rov qab kom txoj hlab pa txhob qheb. Yog tias ua tsis taus pa lossis mem tes txhua lub sijhawm, dov tus neeg mus rau lawv nraub qaum thiab pib CPR.
4. Yog tias koj xav tias muaj pob txha caj qaum, tawm ntawm tus neeg uas koj pom lawv (kom ntev li thaum ua pa tseem ua neej). Yog tias tus neeg ntuav, yob lub cev tag nrho hauv ib zaug mus rau lawv sab. Txhawb lawv caj dab thiab sab nraub qaum kom lub taub hau thiab lub cev nyob hauv tib qho chaw thaum koj yob.
5. Ua kom tus neeg sov txog thaum pab kho mob tuaj.
6. Yog tias koj pom ib tus neeg tsaus muag, sim tiv thaiv kom tsis txhob poob. Tso tus neeg ncaj ncaj rau hauv av thiab tsa lawv ko taw li 12 ntiv tes (30 centimeters).
7. Yog tsaus muag yuav muaj vim tias cov piam thaj hauv ntshav tsawg, muab cov khoom qab zib rau cov neeg noj lossis haus thaum lawv ras txog.

Yog hais tias tus neeg tsis nco qab los txhawm chim:

• Pib CPR. Kev nias lub hauv siab yuav pab tshem qhov khoom.
• Yog tias koj pom qee yam thaiv cov hlab cua thiab nws xoob, sim tshem nws. Yog tias qhov khoom nyob hauv tus neeg lub caj pas, TSIS TXHOB muab txhais kom zoo. Qhov no tuaj yeem thawb qhov khoom kom deb mus rau hauv cov hlab cua.
• Kav tsij ua CPR ntxiv mus thiab tseem soj ntsuam saib seb qhov khoom ntawd puas muab tso kom txog rau thaum kev pab kho mob tuaj txog.

• TSIS TXHOB muab tus neeg tsis nco qab noj ib qho khoom noj lossis dej haus.
• Tsis txhob cia tus neeg nyob ib leeg.
• TSIS TXHOB muab tog hauv ncoo rau hauv qab ntawm tus neeg tsis nco qab lawm.
• TSIS TXHOB npuaj ntsej muag ntawm tus neeg tsis nco qab lub ntsej muag lossis nchuav dej rau ntawm lawv lub ntsej muag los sim ua kom lawv muaj zog.

Hu 911 yog tias tus neeg tsis nco qab lawm thiab:

• Tsis rov qab nco qab sai sai (hauv feeb)
• Tau poob lossis raug mob, tshwj xeeb yog tias lawv los ntshav
• Muaj ntshav qab zib
• Muaj qaug dab peg
• Tau plob tsis so tswj los yog zais zis
• Tsis ua pa
• Yog cev xeeb tub
• Yog hnub nyoog siab dua 50 xyoos

Hu 911 yog tias tus neeg rov qab nco qab, tab sis:

• Yim mob hauv siab, siab, lossis tsis xis nyob, lossis muaj lub plawv dhia lossis plawv dhia
• Hais tsis tau lus, muaj teeb meem tsis pom kev, lossis txav tsis taus lawv sab caj npab thiab ceg

Txhawm rau tiv thaiv kom tsis nco qab lossis tsaus muag:

• Zam zam cov xwm txheej uas koj cov piam thaj hauv ntshav tau qis dhau.
• Zam kev sawv ntawm ib qho chaw dhau mus ntev yam tsis tau txav mus, tshwj xeeb yog koj nquag plam tsaus muag.
• Tau txais dej txaus, tshwj xeeb hauv huab cua sov.
• Yog tias koj xav tias zoo li koj tab tom yuav tsaus muag, pw lossis zaum nrog koj lub taub hau khoov ntawm koj lub hauv caug.

Yog tias koj muaj mob, xws li mob ntshav qab zib, ib txwm coj xov qhia txoj hlua caj dab lossis xov caj dab.

Kev nco qab - ua ntej kev pab; Coma - thawj pab; Kev puas siab puas ntsws hloov; Hloov cov xwm txheej hauv kev xav; Syncope - kev pab ua ntej; Poob muag - pab thawj zaug

• Concussion hauv cov neeg laus - tawm
• Concussion hauv cov neeg laus - dab tsi yuav nug koj tus kws kho mob
• Concussion hauv menyuam yaus - kev tso tawm
• Concussion hauv menyuam yaus - dab tsi yuav nug koj tus kws kho mob
• Tiv thaiv kev mob taub hau rau menyuam yaus

• Rov qab ua txoj hauj lwm - series

Meskas Kev Tshawb Fawb Tebchaws Asmeskas. Kev Xub Pab Neeg Mob / Kev Pabcuam CPR / AED Phau Ntawv Koom TesCov. 2nd ed. Dallas, TX: Asmeskas Red Cross; 2016 xyoo.

Crocco TJ, Meurer WJ. Mob stroke. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 91.

De Lorenzo RA. Syncope. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 12.

Kleinman ME, Brennan EE, Goldberger ZD, li al. Tshooj 5: cov neeg laus lub neej yooj yim txhawb nqa thiab kev mob plawv hlab plawv kom zoo: 2015 Lub Koom Haum Asmeskas lub plawv cov lus qhia hloov tshiab rau kev kho plawv thiab kev kho plawv plawv thaum muaj xwm txheej ceev. Kev ncigCov. 2015; 132 (18 Tus Pab 2): S414-S435. PMID: 26472993 www.ncbi.nlm.nih.gov/pubmed/26472993.

Lei C, Smith C. Kev ntxhov siab nco qab thiab tsis nco qab lawm. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap13.