Kev phais plawv hauv plawv

Kev phais plawv hauv cov menyuam tau raug kho los kho lub plawv tsis ua raws tus menyuam yug los (lub siab lub plawv tsis zoo) thiab cov kab mob hauv lub plawv uas menyuam tau tom qab yug uas xav tau kev phais mob. Qhov phais yog xav tau rau tus menyuam txoj kev noj qab haus huv.

Muaj ntau lub plawv muaj qhov tsis zoo. Qee tus yog menyuam yaus, thiab lwm tus muaj mob hnyav dua. Kev tsis zoo tuaj yeem tshwm sim sab hauv lub plawv lossis hauv cov hlab ntshav loj sab nraud lub plawv. Qee qhov teeb meem lub plawv yuav tsum tau phais mob tom qab tus me nyuam yug. Rau lwm tus, koj tus menyuam tuaj yeem tuaj yeem tau txais kev nyab xeeb txog lub hlis lossis xyoo dhau los ua kev phais.

Ib txoj kev phais mob yuav txaus kom kho tau lub plawv, tab sis qee zaum yuav tsum muaj cov txheej txheem ntau yam. Peb qhov qhia sib txawv rau kev kho qhov tsis taus ntawm lub plawv hauv cov menyuam yaus tau raug piav qhia hauv qab no.

Kev kho lub plawv qhib yog thaum tus kws phais siv lub tshuab ua lub plawv-mob ntsws.

• Kev phais yog tsim los ntawm lub pob txha caj qaum (pob tw pob) thaum tus me nyuam nyob hauv tshuaj loog (tus me nyuam tsaug zog thiab tsis hnov ​​mob).
• Cov hlab siv txhawm rau rov siv cov ntshav los ntawm cov twj tso kua mis tshwj xeeb hu ua lub siab-ntsws bypass tshuab. Lub tshuab no ntxiv cov pa oxygen rau cov ntshav thiab ua kom cov ntshav sov thiab txav mus los ntawm lwm tus lub cev thaum tus kws kho mob kho lub plawv.
• Siv lub tshuab pub rau lub plawv nres. Kev nres lub plawv ua rau nws tuaj yeem kho lub plawv mob nws tus kheej, lub plawv pob, lossis txoj hlab ntshav sab nraum lub plawv. Tom qab kho tas, lub siab rov pib dua, thiab siv lub tshuab ua haujlwm tawm. Lub plab qog thiab daim tawv nqaij muab txiav txuas.

Rau qee qhov kho lub plawv tsis zoo, qhov phais nws yog ua ntawm ob sab ntawm lub hauv siab, nruab nrab ntawm cov tav. Qhov no hu ua thoracotomy. Qee zaum nws hu ua kev phais lub plawv. Qhov kev phais no yuav ua tau siv cov twj tshwj xeeb thiab lub koob thaij duab.

Lwm txoj hauv kev los kho qhov tsis xws luag hauv lub siab yog kom ntxig cov leeg me rau hauv cov leeg ntawm txhais ceg thiab hla lawv mus rau hauv lub siab. Tsuas yog qee qhov ua rau lub siab tuaj yeem kho qhov no.

Ib lub ntsiab lus ntsig txog yog kev kho lub raum lub raum uas kho kho tau phais.

Qee qhov kev mob plawv yuav tsum tau kho sai sai tom qab yug. Rau lwm tus, nws yog qhov zoo dua los tos lub hli lossis xyoo. Qee qhov qog ntawm lub plawv yuav tsis tas yuav tsum kho.

Feem ntau, cov tsos mob uas qhia tias yuav tsum muaj kev phais mob yog:

• Cov tawv nqaij xiav lossis grey, daim di ncauj, thiab lub txaj ntsia hlau (cyanosis). Cov tsos mob no txhais tau hais tias tsis muaj cov pa oxygen txaus nyob hauv cov ntshav (hypoxia).
• Ua pa nyuaj vim tias lub ntsws "ntub," txhaws, lossis muaj kua dej (lub siab ua haujlwm).
• Teeb meem nrog lub plawv dhia lossis lub plawv dhia (arrhythmias).
• Txom nyem tsis pub mis lossis pw tsaug zog, thiab tsis muaj kev loj hlob thiab kev loj hlob ntawm tus menyuam.

Cov tsev kho mob thiab chaw kho mob uas ua lub plawv phais rau cov menyuam yaus muaj cov kws phais neeg, kws tu neeg mob, thiab cov kws kho mob tshwj xeeb uas tau txais kev qhia tshwj xeeb los ua cov kev phais mob no. Lawv tseem muaj cov neeg ua haujlwm uas yuav saib xyuas koj tus menyuam tom qab phais mob.

Kev phom sij rau kev phais mob yog:

• Los ntshav thaum phais lossis ob peb hnub tom qab phais tas
• Cov tshuaj tsis zoo rau cov tshuaj
• Teeb meem ua pa
• Kab mob

Ib qho kev pheej hmoo ntxiv ntawm kev phais plawv yog:

• Cov ntshav txhaws (thrombi)
• Huab cua npuas (cua emboli)
• Mob ntsws o
• Teeb meem plawv dhia (arrhythmias)
• Plawv nres
• Mob stroke

Yog tias koj tus menyuam tab tom tham, qhia lawv txog qhov phais mob. Yog koj muaj menyuam hnub nyoog kawm preschool, qhia lawv hnub ua ntej yuav muaj dab tsi tshwm sim. Hais tias, piv txwv li, "Peb tab tom mus tom tsev kho mob rau ob peb hnub. Tus kws kho mob yuav ua haujlwm hauv koj lub siab kom nws ua haujlwm zoo dua."

Yog tias koj tus menyuam loj dua, pib tham txog cov txheej txheem 1 lub lis piam ua ntej kev phais mob. Koj yuav tsum tau koom nrog tus kws paub txog tus me nyuam lub neej (tus neeg pab cov menyuam thiab lawv tsev neeg lub sijhawm xws li phais loj) thiab coj tus menyuam mus rau tsev kho mob thiab chaw phais mob.

Koj tus menyuam yuav xav tau ntau yam kev xeem:

• Kev kuaj ntshav (ua kom tiav cov ntshav, electrolytes, ntshav khov, thiab "cross cross")
• Xoo hluav taws xob ntawm lub hauv siab
• Electrocardiogram (ECG)
• Echocardiogram (ECHO, lossis ultrasound ntawm lub plawv)
• Txoj Kev Ntshaw Mob
• Keeb kwm thiab lub cev

Qhia koj tus menyuam tus kws kho mob saib seb koj tus menyuam noj tshuaj dab tsi. Nqa yeeb tshuaj, tshuaj ntsuab, thiab vitamins koj yuav yam tsis muaj daim ntawv yuav tshuaj.

Thaum lub hnub ua ntej kev phais mob:

• Yog tias koj tus menyuam tab tom noj cov ntshav nyias (cov tshuaj uas ua rau nws txhaus ntshav), xws li warfarin (Coumadin) lossis heparin, tham nrog koj tus menyuam tus kws khomob txog seb thaum twg thiaj yuav tsis muab cov tshuaj no rau tus menyuam.
• Nug saib cov tshuaj twg tus menyuam yaus yuav tsum tau noj thaum hnub phais.

Hnub ntawm kev phais:

• Feem ntau koj tus menyuam yuav tsis kom haus cawv lossis noj dab tsi tom qab ib tag hmo hmo ua ntej qhov kev phais mob.
• Muab cov tshuaj uas koj tau qhia rau koj rau koj tus menyuam noj.
• Luag yuav qhia rau koj paub thaum mus txog hauv tsev kho mob.

Cov menyuam yaus feem ntau uas tau qhib lub siab lub ntsws yuav tsum tau nyob hauv chav saib xyuas mob hnyav (ICU) li 2 rau 4 hnub tom qab phais mob. Lawv feem ntau nyob hauv tsev kho mob li 5 rau 7 hnub ntxiv tom qab lawv tawm ntawm ICU. Cov chaw nyob hauv cov tsev khomob hnyav thiab lub tsev khomob feem ntau luv dua rau cov neeg uas tau raug kaw lub plawv.

Thaum lub sijhawm lawv nyob hauv ICU, koj tus menyuam yuav muaj:

• Lub raj xa pa rau hauv txoj hlab pa (endotracheal tube) thiab lub tshuab ntsuas pa pab kom ua pa. Koj tus menyuam yuav tau pw (pw tsaug zog) thaum nyob ntawm lub tshuab nqus pa.
• Ib lossis ntau txoj hlab me hauv txoj hlab ntshav (IV kab) los muab dej thiab tshuaj.
• Txoj yas me me hauv txoj hlab ntshav (txoj hlab ntshav).
• Ib lossis ob lub raj ntawm lub hauv siab txhawm rau kom tso cua, ntshav thiab tawm ntawm lub hauv siab mus rau hauv lub cev.
• Lub raj xa mus rau hauv lub qhov ntswg mus rau hauv lub plab (txoj hlab ntsws) kom khoob lub plab thiab xa cov tshuaj thiab pub mis rau ob peb hnub.
• Ib txoj raj xa mus rau hauv lub zais zis kom ntws tawm thiab ntsuas cov zis tau ob peb hnub.
• Ntau cov kab txuas hluav taws xob thiab cov tub roj tau siv los saib xyuas tus menyuam.

Thaum lub sijhawm koj tus menyuam tawm ntawm ICU, feem ntau ntawm cov hlab thiab xov hlau yuav raug tshem tawm. Koj tus menyuam yuav raug txhawb kom pib ntau yam lawv ua txhua hnub. Qee tus menyuam yaus yuav pib noj mov lossis haus lawv tus kheej li ntawm 1 lossis 2 hnub, tabsis lwm tus yuav siv sijhawm ntev dua.

Thaum koj tus menyuam tawm hauv tsev kho mob mus lawm, cov niam txiv thiab cov neeg saib xyuas tau qhia txog yam dej num zoo rau lawv tus menyuam ua, saib xyuas li cas rau kev phais, thiab yuav muab tshuaj rau lawv tus menyuam li cas.

Koj tus me nyuam yuav tsum nyob tsawg ob asthiv hauv tsev los kom rov zoo dua. Tham nrog koj tus kws zov me nyuam txog thaum twg koj tus me nyuam thiaj rov mus tau tom tsev kawm ntawv los sis chaw zov menyuam.

Koj tus menyuam yuav tsum tau rov ntsib nrog kws kho plawv (kws kho plawv) txhua 6 txog 12 hlis. Koj tus menyuam yuav tsum tau noj tshuaj tua kab mob ua ntej mus rau tus kws kho hniav rau kev ntxuav hniav lossis lwm cov txheej txheem kho hniav, kom tiv thaiv kab mob plawv. Nug tus kws kho plawv yog qhov no tsim nyog.

Qhov tshwm sim ntawm kev phais plawv yog nyob ntawm tus menyuam qhov mob, yam tsis xwm yeem, thiab hom kev phais mob uas tau ua. Coob leej me nyuam zoo hlo rov los tag thiab ua tau lub neej zoo.

Kev phais mob plawv - pediatric; Kev phais plawv rau cov menyuam yaus; Nrhiav tau kab mob hauv lub plawv; Kev phais plawv lub plawv - menyuam yaus

• Chav dej nyab xeeb - me nyuam yaus
• Coj koj tus me nyuam mus xyuas ib tug nus muag sib xws
• Noj ntau calories thaum koj muaj mob - menyuam yaus
• Cov pa oxygen kev nyab xeeb
• Kev phais mob hauv lub plawv - tawm paug
• Kev phais mob kho mob - qhib
• Siv cov pa oxygen hauv tsev

• Menyuam mos qhib lub plawv phais

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LeRoy S, Elixson EM, O'Brien P, li al. Cov lus pom zoo rau kev npaj cov menyuam yaus thiab cov hluas rau cov kev muaj mob plawv: ib nqe lus los ntawm American Heart Association Cov Neeg Saib Xyuas Menyuam Txoj Haujlwm ntawm Pawg Neeg Saib Xyuas Kev Mob Plawv Hauv Plab Hlaus Kev Sib Koom Tes nrog Pawg Sawv Cev ntawm Cov Kab Mob Ntawm Cov Hluas. Kev ncigCov. Xyoo 2003; 108 (20): 2550-2564. PMID: 14623793 www.ncbi.nlm.nih.gov/pubmed/14623793.

Steward RD, Vinnakota A, Zeb MR. Kev phais mob pab rau cov kab mob plawv. Hauv: Stouffer GA, Runge MS, Patterson C, Rossi JS, eds. Netter's CardiologyCov. 3lawm ed. Philadelphia, PA: Elsevier; 2019: chap 53.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital mob plawv hauv neeg laus thiab neeg mob. 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 75.