Kev mob plawv pab thawj zaug

Ib qho kev mob plawv yog mob ti tes ti taw. Hu rau 911 lossis tus npawb xov tooj thaum muaj xwm ceev yog tias koj xav tias koj lossis lwm tus neeg muaj lub plawv nres.

Qhov nruab nrab tus neeg tos 3 teev ua ntej nrhiav kev pab rau cov tsos mob ntawm lub plawv nres. Coob tus neeg lub plawv tuag ua ntej lawv mus txog hauv tsev kho mob. Sai npaum li cas tus neeg tau mus rau hauv chav haujlwm xwm txheej ceev, qhov zoo dua qhov muaj txoj hauv kev nyob ntev. Kev kho mob sai sai txo qee qhov kev mob plawv.

Kab lus no tham txog yuav ua li cas yog tias koj xav tias qee tus neeg yuav muaj lub plawv mob plawv.

Ib lub plawv nres tshwm sim thaum cov ntshav ntws uas nqa oxygen mus rau lub plawv txhaws. Lub siab ua kom lub plab tsis txaus rau oxygen thiab pib tuag.

Cov tsos mob ntawm lub plawv nres tuaj yeem sib txawv ntawm ib tus neeg mus rau lwm tus. Tej zaum lawv yuav mob me lossis hnyav. Poj niam, cov laus, thiab cov neeg muaj ntshav qab zib feem ntau yuav muaj cov tsos mob uas tsis txawv lossis tsis txawv.

Cov tsos mob rau cov neeg laus tuaj yeem suav nrog:

• Hloov pauv ntawm lub hlwb, tshwj xeeb tshaj yog rau cov neeg laus.
• Kev mob hauv siab uas hnov ​​zoo li lub siab, nyem, lossis tag nrho. Qhov mob feem ntau nyob hauv nruab nrab ntawm lub hauv siab. Nws tseem yuav xav nyob hauv lub puab tsaig, xwb pwg, caj npab, nraub qaum, thiab plab. Nws tuaj yeem nyob ntev dua ob peb feeb, lossis tuaj thiab mus.
• Ua fws hws.
• Lub Cim Txhab Zog.
• Xeev siab (muaj ntau yam hauv cov poj niam).
• Ntuav.
• Loog, mob, lossis tig rau sab caj npab (feem ntau sab tes, tab sis sab tes sab xis yuav cuam tshuam rau ib leeg, lossis txuas nrog sab laug).
• Ua tsis taus pa.
• Tsis muaj zog lossis nkees, tshwj xeeb tshaj yog rau cov laus thiab cov poj niam.

Yog koj xav tias ib tug neeg tab tom mob plawv:

• Kom tus neeg zaum zaum, so, thiab sim ua kom zoo nyob.
• Ua kom cov khaub ncaws nruj.
• Nug yog tus neeg ntawd noj tshuaj mob hauv siab, xws li nitroglycerin, rau kev paub txog lub plawv, thiab pab lawv noj.
• Yog tias qhov mob tsis ploj sai li sai tau nrog kev so lossis nyob hauv 3 feeb ntawm kev siv tshuaj nitroglycerin, hu rau kev kho mob xwm txheej ceev.
• Yog tias tus neeg ntawd tsis nco qab lawm thiab tsis teb, hu 911 lossis tus npawb xov tooj xwm ceev hauv cheeb tsam, tom qab ntawd pib CPR.
• Yog tias tus menyuam mos lossis menyuam tsis nco qab thiab tsis teb, ua 1 feeb ntawm CPR, tom qab ntawd hu rau 911 lossis tus npawb xovtooj xwm ceev hauv ib cheeb tsam.

• Tsis txhob cia tus neeg nyob ib leeg tshwj tsis yog hu rau kev pab, yog tsim nyog.
• TSIS TXHOB kom tus neeg tsis lees paub qhov tsos mob thiab hais kom koj tsis hu rau kev pab thaum muaj xwm ceev.
• TSIS TXHOB tos kom pom tias cov tsos mob ploj mus.
• TSIS TXHOB muab khoom rau tus neeg ntawm qhov ncauj tshwj tsis yog muaj tshuaj kho plawv (xws li cov tshuaj nitroglycerin).

Hu 911 lossis tus npawb xov tooj xwm ceev hauv ib cheeb tsam yog tus neeg:

• Tsis teb rov rau koj
• Tsis ua pa
• Mob ceev ceev hauv lub hauv siab lossis lwm cov tsos mob ntawm lub plawv nres

Cov neeg laus yuav tsum tau ua cov kauj ruam los tswj cov kev pheej hmoo mob plawv thaum muaj peev xwm ua tau.

• Yog tias koj haus luam yeeb, tsum. Haus luam yeeb ntau dua li ob npaug kev pheej hmoo ntawm kev tsim mob plawv.
• Ua kom cov ntshav siab, cov cholesterol, thiab ntshav qab zib kom tswj tau zoo thiab ua raws li koj tus kws kho mob cov lus txib.
• Poob phaus yog rog lossis rog dhau.
• Ua tawm dag zog kom tsis tu ncua kev noj qab haus huv lub plawv. (Tham nrog koj tus kws kho mob ua ntej pib qhov kev tawm dag zog tshiab.)
• Noj cov zaub mov kom lub plawv tsis muaj mob. Txo cov khoom uas muaj cov rog, cov nqaij liab thiab cov suab thaj. Ua kom koj cov nqaij qaib, ntses, cov txiv tshiab thiab zaub ntxiv, thiab cov nplej ntau ntau. Koj tus kws kho mob tuaj yeem pab koj txiav cov khoom noj kom haum rau qhov koj xav tau.
• Txwv txiav cov cawv uas koj haus cawv ntau. Ib qho haus dej haus ib hnub yog txuam nrog kev txo cov ntshav siab, tab sis ob lossis ntau dua dej haus ib hnub tuaj yeem ua rau lub plawv puas thiab ua rau lwm yam mob.

Thawj pab - lub plawv nres; Thawj pab - cardiopulmonary ntes; Kev pabcuam thawj zaug - lub plawv raug ntes

• Cov tsos mob plawv nres
• Cov tsos mob ntawm lub plawv nres

Bonaca MP, Sabatine MS. Mus rau tus neeg mob uas mob hauv siab.Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 56.

Jneid H, Anderson JL, Wright RS, li al. 2012 ACCF / AHA tsom hloov kho cov lus qhia rau kev tswj hwm cov neeg mob uas tsis khov kho tsis txaus siab / tsis-ST-nce myocardial infarction (kho tshiab 2007 cov lus qhia thiab hloov lub 2011 tsom hloov tshiab): ib daim ntawv tshaj tawm ntawm Asmeskas College ntawm Cardiology Foundation / American Heart Koom Haum Ua Haujlwm Pab Pawg ntawm cov lus qhia xyaum. J Am Coll CardiolCov. 2012; 60 (7): 645-681. PMID: 22809746 pubmed.ncbi.nlm.nih.gov/22809746/.

Levin GN, Bates ER, Blankenship JC, li al. 2015 ACC / AHA / SCAI tau saib xyuas kev hloov kho tshiab txhawm rau tiv thaiv cov neeg mob nrog ST-qib myocardial infarction: Kev hloov kho xyoo 2011 ACCF / AHA / SCAI Cov Lus Qhia rau kev ua haujlwm txhawm rau tiv thaiv kabmob thiab txoj cai 2013 ACCF / AHA rau kev tswj hwm ntawm ST- kom siab myocardial infarction. J Am Coll CardiolCov. 2016; 67 (10): 1235-1250. PMID: 26498666 pubmed.ncbi.nlm.nih.gov/26498666/.

Thomas JJ, Brady WJ. Mob plawv mob. 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 Tshuaj. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 68.