Nas lis yaj

Qhov ntswg ntawm qhov ntswg tshwm sim thaum lub qhov ntswg qhib siab thaum ua pa. Nws feem ntau yog lub cim ntawm kev ua pa nyuaj.

Ntshav kub taub ntswg tau pom feem ntau yog menyuam mos thiab menyuam yaus.

Ib qho xwm txheej twg uas ua rau ua pa nyuaj tuaj yeem ua rau lub qhov ntswg ua pa. Ntau yam ua rau ntawm cov ntswg los ntswg tsis loj heev, tab sis qee qhov tuaj yeem cuam tshuam tau ua lub neej.

Hauv cov menyuam mos, cov ntswg hauv qhov ntswg tuaj yeem yog cov cim ntawm kev ua pa nyuaj. Nov yog qhov mob ntsws loj heev uas tiv thaiv tau oxygen kom txaus rau cov ntsws thiab mus rau cov ntshav.

Ntshav tawm ntswg yuav yog los ntawm ib qho ntawm cov hauv qab no:

• Hawb pob loj tuaj
• Thaiv cov hlab pa (tej yam ua)
• Kev o thiab cov hnoos qeev ua rau qhov me tshaj plaws hauv cov cua hauv lub ntsws (xoos xoos)
• Teeb meem ua pa thiab hnoos tsis hnov ​​tsw (croup)
• O o lossis mob rau hauv thaj chaw uas npog txoj hlab pas (epiglottitis)
• Mob ntsws teeb meem, xws li kis tau tus mob los yog lub sij hawm ntev kev puas tsuaj
• Kev ua pa rau lub cev ntawm cov menyuam mos (mob tachypnea ntawm cov menyuam mos)

Nrhiav kev pab thaum maj nrawm yog tias koj lossis koj tus menyuam muaj pa nyuaj.

Hu koj tus kws kho mob yog hais tias:

• Tseem tshuav ib qho tsis tu ncua, qhov tsis pom qhov ntswg qhov ntswg, tshwj xeeb yog hauv cov menyuam yaus.
• Bluish xim nthuav dav hauv daim di ncauj, rau tes ntsia hlau, lossis tawv nqaij. Nov yog qhia tias ua pa nyuaj. Nws kuj txhais tau tias qhov mob ceev tshwm sim.
• Koj xav tias koj tus menyuam muaj teebmeem ua pa.

Tus kws khomob yuav kuaj ib ce thiab nug txog cov tsos mob thiab keeb kwm kev khomob. Cov lus nug yuav muaj xws li:

• Cov tsos mob pib thaum twg?
• Puas yog lawv tau zoo dua lossis tsis zoo?
• Puas yog tus ua tsis taus pa nrov, los yog puas muaj pa nrov?
• Lwm qhov tsos mob twg muaj, xws li tawm hws lossis zoo li nkees?
• Puas ua rau cov leeg nqaij ntawm lub plab, lub xub pwg nyom, lossis cov tawb tav rub hauv sab hauv thaum lub zog ua pa?

Tus kws kho mob yuav ua tib zoo mloog cov pa ua pa tawm. Qhov no yog hu ua auscultation.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Arterial tsom xam cov ntshav roj
• Ua kom tiav cov ntshav suav (CBC)
• ECG los kuaj xyuas lub plawv
• Cov mem tes oximetry ntsuas kom ntshav cov ntshav theem
• Xoo hluav taws xob ntawm lub hauv siab

Yuav muab cov pa oxygen yog tias muaj teeb meem ua pa.

Flaring ntawm lub alae nasi (ntswg ntswg); Ob lub qhov ntswg - flaring

• Nas lis yaj
• Cov ntxhiab tsw

Txawj Ntse KK. Koos Loos GE. Acute inflammatory sab hauv txoj hlab pa phem (croup, epiglottitis, laryngitis, thiab kab mob tracheitis). 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 412.

Sarnaik AP, Clark JA, Heidemann SM. Kev ua pa nyuaj siab thiab tsis ua haujlwm. 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: tshooj 89.