Rhabdomyolysis: nws yog dab tsi, cov tsos mob tseem ceeb thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav ua li cas kom paub meej tias kuaj mob
• Dab tsi ua rau mob rhabdomyolysis
• Yuav kho tus mob li cas
• Muaj teeb meem tshwm sim

Rhabdomyolysis yog ib qho mob hnyav los ntawm kev rhuav tshem cov leeg nqaij, uas ua rau muaj kev tso tawm ntawm cov khoom hauv cov leeg mob mus rau hauv cov hlab ntshav, xws li calcium, sodium thiab potassium, myoglobin, creatinophosphokinase thiab enzyme pyruvic transaminase (TGP). Cov ntshav ntau hauv cov ntshav hauv lub cev tuaj yeem ua rau tsis muaj zog, poob cov zis, cov leeg ua haujlwm thiab lub raum tsis ua haujlwm, yog tias tsis txheeb xyuas thiab kho.

Raws li cov tshuaj tso tawm yog cov tshuaj lom hauv ntau, nws yog ib qho tseem ceeb uas yuav tsum tau kho sai li sai tau, thiab nws raug nquahu kom mus hauv tsev kho mob lossis chav kho mob sai li sai tau rhabdomyolysis xav tias yog. Rhabdomyolysis tuaj yeem tshwm sim vim kev xyaum ua lub dag lub zog thiab lub cev ntev lossis los ntawm qhov tshwm sim ncaj qha lossis tsis ncaj qha rau cov leeg nqaij hauv lub cev, thiab nws tseem yog qhov tseem ceeb los txheeb xyuas qhov laj thawj yog li kev kho mob kis tau ntau dua.

Cov tsos mob tseem ceeb

Cov tsos mob ntawm rhabdomyolysis tuaj yeem sib txawv raws li cov roj ntsha khiav tawm hauv sab hauv ntawm cov leeg nqaij, cov tsos mob tshwm sim feem ntau:

• Mob leeg mob;
• Tsis muaj zog;
• Nyuaj txav txav koj ob txhais ceg lossis caj npab;
• Mob leeg txhav;
• Mob tej pob txha;
• Zis hauv qhov ntau thiab me me tsaus, zoo ib yam li cov xim ntawm coca-cola.

Ntxiv rau cov tsos mob no, cov cim qhia feem ntau yuav tshwm sim, xws li ua npaws, xeev ntuav, mob plab, zoo li nkees nkees, ntuav, tsis meej pem thiab ntxhov siab. Txij li thaum cov tsos mob txawv raws tus ua, thiab raws li lub cev ntawm txhua tus neeg, nws yuav nyuaj heev los txheeb xyuas ib rooj plaub ntawm rhabdomyolysis.

Yog li, txhawm rau rhabdomyolysis los txheeb xyuas thiab qhov xwm txheej tiv thaiv, nws yog ib qho tseem ceeb uas yuav tsum tau mus rau hauv tsev kho mob tshwj xeeb kev kuaj mob txhawm rau txheeb xyuas tus kab mob, kom nws thiaj li pib kho qhov tsim nyog tshaj plaws.

Yuav ua li cas kom paub meej tias kuaj mob

Kev kuaj mob ntawm rhabdomyolysis feem ntau yog tsim los ntawm tus kws kho mob tom qab ntsuas tus neeg qhov tsos mob thiab keeb kwm kho mob. Ntxiv rau, tus kws kho mob pom zoo kom kuaj ntshav thiab tso zis kuaj ntsuas cov roj ntsha mus rau hauv cov ntshav, nrog rau cov tshuaj myoglobin, creatine phosphokinase thiab TGP. Los ntawm urinalysis, tus kws kho mob kuj tuaj yeem txheeb xyuas qhov nyiaj myoglobin, uas yog qhov tseem ceeb kom paub txog thaj tsam ntawm rhabdomyolysis thiab yog tias muaj cov cim qhia tias lub raum tsis ua haujlwm.

Myoglobin yog ib qho kev kuaj mob tseem ceeb uas tus kws kho mob tau thov, vim tias kev rhuav tshem cov leeg nqaij ntau dua, cov myoglobin ntau tso rau hauv cov ntshav thiab zis, ua rau nws tsaus heev. Tsis tas li ntawd, qhov ntau dua ntawm cov myoglobin tso tawm, ntau dua kev pheej hmoo ntawm kev cuam tshuam ntawm lub raum hlaus, uas yuav ua rau mob leeg tub thiab, yog li ntawd, mob raum tsis ua haujlwm. Kawm ntxiv txog myoglobin.

Dab tsi ua rau mob rhabdomyolysis

Rhabdomyolysis feem ntau tshwm sim vim kev xyaum ua lub cev qoj ib ce thiab lub cev ntev, uas ua rau cov leeg muaj zog ntau dhau. Lwm yam ua rau rhabdomyolysis yog:

• Cov xwm txheej hnyav, xws li kev ntog siab los yog tsheb sib nraus;
• Lub caij nyoog siv qee cov tshuaj, tshwj xeeb tshaj yog antipsychotics lossis statins;
• Kev siv yeeb tshuajfeem ntau yog yeeb, cocin lossis amphetamines;
• Lub caij nyoog immobilization vim tsaus muag lossis mob;
• Kab mob, uas tuaj yeem ua rau cov kev txuam nrog cov co toxins hauv lub cev, uas yog lub hauv paus tseem ceeb ntawm rhabdomyolysis hauv cov menyuam yaus;
• Mob kab mob, xws li myopathy thiab polio;
• Hloov hauv qhov kub ntawm lub cev.

Tsis tas li ntawd, rhabdomyolysis tuaj yeem tshwm sim los ntawm kev muaj txiaj ntsig ntawm kev haus dej haus cawv ntau, hluav taws xob, teeb meem metabolic thiab mob stroke.

Yuav kho tus mob li cas

Thaum rhabdomyolysis tsis muaj teeb meem, feem ntau nws daws tau li ntawm ob peb hnub mus rau lub lis piam. Txawm li cas los xij, nyob rau qee kis nws yuav tsim nyog siv rau kev kho mob nrog tus neeg tau mus pw hauv tsev kho mob kom cov ntshav ntshiab muab ncaj qha rau hauv cov leeg ntshav kom tsis txhob muaj teeb meem loj ntawm cov kab mob, xws li lub cev qhuav dej lossis lub raum tsis ua haujlwm, ua rau mob siab rau khib hauv cov ntshav.

Ntxiv rau, nws yog ib qho tseem ceeb kom paub qhov ua rau ntawm rhabdomyolysis pib kho txoj kev kho mob, yog tias tsim nyog. Yog li, yog tias nws tshwm sim los ntawm kev siv tshuaj kho mob, piv txwv li, koj yuav tsum tsum tsis noj nws thiab hloov mus rau lwm cov tshuaj raws li cov lus qhia kho mob.

Lub sijhawm kho yog txawv raws li qhov ua rau thiab hloov kho ntawm tus neeg mob, thiab lub sijhawm pw hauv tsev kho mob nws yuav tsum tau txhawm rau txhawm rau ntsuas cov zis ntau npaum li cas nyob rau ib hnub thiab ua lwm yam kev kuaj mob raum kom paub meej tias lub raum kev ua haujlwm tsis raug cuam tshuam. Tus neeg mob feem ntau tau tawm thaum qhov kev ntsuam xyuas yog qhov qub thiab tsis muaj kev phom sij txog kev mob raum.

Feem ntau, uas ob lub raum pib tsim zis tsawg, tus kws kho mob yuav sau tshuaj rau lub raum kom pab lub raum ua haujlwm, tshem tawm cov ntshav tawm hauv cov ntshav uas yuav ua rau kev kho mob nyuaj.

Muaj teeb meem tshwm sim

Qhov txaus ntshai tshaj plaws thiab cov kev mob tshwm sim ntawm rhabdomyolysis yog qhov pom ntawm lub raum puas, uas tuaj yeem ua rau lub raum tsis ua haujlwm. Txawm li cas los xij, qhov tseem tshuav ntawm cov seem hauv cov ntshav kuj tseem ua rau cov qib poov tshuaj thiab phosphorus hauv lub cev nce ntxiv, tuaj yeem cuam tshuam kev ua haujlwm ntawm lub siab.

Hauv cov xwm txheej tsis tshua muaj tshwm sim, lwm qhov kev paub mob hu ua compartment syndrome kuj tuaj yeem tshwm sim, uas cov ntshav ncig tau hloov mus rau hauv ib cheeb tsam ntawm lub cev, xws li ceg, caj npab lossis qee cov leeg ntawm lub plab, ua rau cov nqaij mos tuag. Nkag siab tias muaj dab tsi nyob hauv qhov ncauj.