Kev laus hloov ntawm cov phiajcim tseem ceeb

Cov cim tseem ceeb muaj xws li lub cev qhov kub thiab txias, lub plawv dhia (mem tes), ua pa (ua pa) tus nqi, thiab ntshav siab. Thaum koj muaj hnub nyoog, koj cov cim tseem ceeb tuaj yeem hloov, nyob ntawm seb koj lub cev noj qab haus huv npaum li cas. Qee yam teeb meem kev kho mob tuaj yeem hloov pauv ntawm ib lossis ntau lub cim tseem ceeb.

Kuaj koj cov cim tseem ceeb yuav pab koj tus kws kho mob soj ntsuam koj kev noj qab haus huv thiab txhua yam teeb meem kev kho mob uas koj muaj.

CAWV TUG TXUJ CI

Lub cev kub cev tsis hloov pauv ntau nrog laus. Tab sis thaum koj laus zuj zus, nws yuav ua rau koj lub cev tswj nws qhov kub. Txo cov rog nyob hauv qab ntawm daim tawv nqaij ua rau nws nyob sov. Koj yuav tsum tau hnav khaubncaws sab nraud povtseg ntawm khaub ncaws kom sov sov.

Kev laus nce koj lub peev xwm ua hws. Tej zaum koj yuav muaj teeb meem qhia thaum koj tab tom sov. Qhov no ua rau koj muaj kev pheej hmoo siab los ntawm cov cua sov ntau dhau heev (mob stroke stroke). Koj tseem tuaj yeem muaj kev pheej hmoo txaus ntshai rau qhov qis dua hauv lub cev kub.

Kub taub hau yog ib qho tseem ceeb ntawm kev muaj mob rau cov neeg laus. Feem ntau nws yog tus tsos mob rau ob peb hnub ntawm qhov mob. Mus ntsib koj tus kws kho mob yog tias koj muaj kub taub hau uas tsis piav qhia los ntawm ib tus mob.

Qhov npaws kuj yog ib qho cim ntawm kev kis mob. Thaum cov neeg laus dua muaj kab mob, lawv lub cev tsis tuaj yeem tsim qhov kub ntau dua. Vim li no, nws yog ib qho tseem ceeb kom kuaj xyuas lwm yam paib tseem ceeb, nrog rau muaj cov tsos mob thiab cov tsos mob ntawm tus mob.

LUB PLAWV ROOJ THIAB BREATHING RATE

Raws li koj loj dua qub, koj cov mem tes li ntawm tib yam li yav dhau los. Tab sis thaum koj qoj ib ce, nws yuav siv sijhawm ntev rau koj cov mem tes nce thiab ntev dua kom nws qeeb tom qab. Koj lub plawv siab tshaj plaws nrog kev tawm dag zog kuj tseem qis dua nws thaum koj tseem hluas.

Kev ua pa rau tus kheej feem ntau tsis hloov nrog lub hnub nyoog. Tab sis kev mob ntsws ua haujlwm poob qis me ntsis txhua xyoo thaum koj muaj hnub nyoog. Cov neeg laus noj qab haus huv feem ntau tuaj yeem ua pa tsis muaj dag zog.

NTSHAV SIAB ZOO

Cov neeg laus yuav ua tau kiv taub hau thaum sawv sai. Qhov no yog vim muaj ntshav siab los ntshav sai sai. Qhov no yam poob hauv cov ntshav siab thaum sawv ntsug yog hu ua orthostatic hypotension.

Kev phom sij uas yuav muaj ntshav siab (tawg) nce thaum koj laus zuj zus.Lwm yam teeb meem ntsig txog lub plawv muaj rau hauv cov neeg laus suav nrog:

• Tsawg heev pulse lossis vas nthiv heev
• Lub plawv atherosclerosis teeb meem xws li atrial fibrillation

YEEJ YEEM TSHAJ LOS NTAWM COV KHW LOS RAU VITAL SIGNS

Cov tshuaj uas siv los kho cov teeb meem kev noj qab haus huv hauv cov neeg laus tuaj yeem cuam tshuam cov cim tseem ceeb. Piv txwv, cov tshuaj digoxin, uas yog siv rau lub plawv tsis ua hauj lwm, thiab cov tshuaj ntshav siab hu ua beta-blockers yuav ua rau cov mem tes qeeb.

Diuretics (dej tshuaj noj) tuaj yeem ua rau ntshav qis, feem ntau thaum hloov chaw lub cev sai dhau.

LWM TUS HLOOV

Raws li koj loj dua qub, koj yuav muaj lwm yam pauv hloov, suav nrog:

• Hauv nruab nrog cev, cov ntaub so ntswg, thiab cov hlwb
• Hauv plawv thiab cov hlab ntsha
• Hauv lub ntsws

• Kev tawm dag zog Aerobic
• Kev noj koj cov carotid mem tes
• Radial mem tes
• Ua kom sov thiab cua txias dua
• Teebmeem ntawm lub hnub nyoog ntawm cov ntshav siab

Chen JC. Txoj kev ze rau tus neeg mob geriatric. 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 183.

Schiger DL. Txoj kev ua rau tus neeg mob uas muaj qhov txawv txav tseem ceeb Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 7.

Walston JD. Cov chaw soj ntsuam cov feem ntau ntawm kev laus. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 22.