Edema: nws yog dab tsi, hom dab tsi, ua rau thiab thaum twg mus cuag kws kho mob

Zoo Siab

• Lub ntsiab ntawm edema
• 1. Ib hom khaub hlab
• 2. Mob nqaij qhuav
• 3. Myxedema
• Cov tsos mob tseem ceeb
• Cov teeb meem muaj peev xwm
• 1. Nce siab capillary
• 2. Txo cov ntshav protein
• 3. Nce capillary permeability
• 4. Thaiv cov lymphatic xa rov qab
• Yuav kho tus mob li cas
• Kev saib xyuas uas tiv thaiv edema

Edema, uas nrov npe hu ua o, tshwm sim thaum muaj kua txuam hauv qab daim tawv nqaij, uas feem ntau tshwm sim vim yog kis los yog muaj ntsev ntau dhau, tab sis nws kuj tuaj yeem tshwm sim thaum kis mob, intoxication thiab hypoxia, uas yog thaum oxygen tsis muaj qee qhov ntawm lub cev, ntxiv rau lub raum, lub siab lossis kab mob lymphatic system.

Hauv qhov xwm txheej no, nws yog ib qho muaj rau edema tshwm rau ntawm txhais tes, caj npab, ceg, ko taw thiab ntsej muag, ua rau daim tawv nqaij nrog lub siab me ntsis thaum txhua qhov siab los thov rau thaj chaw cuam tshuam nrog tus ntiv tes. Raws li qhov ua rau, qhov tshwm sim ntawm edema tuaj yeem tshwm sim sai, lossis maj mam dhau ib hnub.

Kev kho mob ntawm edema yuav tsum yog ua kom tiav ib leeg thiab tsom rau kev tshem tawm qhov ua rau, tab sis feem ntau tus kws kho mob feem ntau qhia tau so, nce siab ntawm qhov cuam tshuam ntawm ceg tawv siab tshaj qhov theem ntawm lub siab thiab txo cov ntsev noj txhua hnub, ntxiv rau kev kho mob tshuaj kho tus mob, uas pab hauv kev tso tawm cov kua ntau dhau hauv lub cev los ntawm kev tso zis.

Lub ntsiab ntawm edema

Edema tau faib ua peb hom thiab txhawm rau txhawm rau paub meej qhov ua rau txhawm rau paub meej thiab paub meej tias cov kua dej muaj pes tsawg leeg nkag mus hauv qab daim tawv.

Lub ntsiab ntawm edema yog:

1. Ib hom khaub hlab

Xws li hom kab mob dej ua ke ntawm cov dej thiab cov protein thiab feem ntau cuam tshuam txog cov xwm txheej tsis tshua, xws li cov kab tom, ntog lossis ua xua rau paj ntoos, tsw qab, pleev thiab hmoov av, piv txwv.

Txawm li cas los xij, thaum nws yog qhov dav dav, uas yog, thaum nws muaj nyob hauv ntau qhov chaw ntawm lub cev, nws tuaj yeem yog qhov xwm txheej hnyav dua, uas xav tau kev saib xyuas mob ntawm lub chaw noj qab haus huv lossis tsev kho mob. Tus mob no tseem tuaj yeem paub tus mob hu ua anasarca, uas yog cov muaj mob ntau dua hauv kev noj qab haus huv xws li daim siab mob plawv, lub plawv tsis ua haujlwm lossis nephrotic syndrome. Nkag siab zoo dua tias anasarca yog dab tsi thiab yuav ua li cas kho tau.

2. Mob nqaij qhuav

Feem ntau lymphedema yog cov dej, cov protein thiab lipids, thiab nws tshwm sim thaum cov kua uas yog ib feem ntawm cov lymphatic ncig khiav tawm mus rau daim tawv nqaij thiab cov plab hnyuv siab raum. Qhov no feem ntau muaj mob khees-xaws, mob ntxhw thiab txhaws qog. Saib seb lymphedema tuaj yeem kho tau.

3. Myxedema

Lub ntsiab sib txawv ntawm myxedema yog qhov muaj siab ntawm lipids hauv nws cov muaj pes tsawg leeg, uas ua rau qhov o nrawm dua li lwm hom edema, kuj nrog dej thiab cov protein. Myxedema feem ntau cuam tshuam lub ntsej muag, tawm hauv qhov muag o, tab sis nws tseem tuaj yeem hais txog kev dav dav.

Hom kab mob edema no tshwm sim feem ntau thaum muaj hypothyroidism lossis thaum kev kho tshuaj hormone lawm.

Cov tsos mob tseem ceeb

Cov tsos mob tseem ceeb ntawm edema yog o ntawm thaj chaw muaj kev cuam tshuam, tab sis yog tias qhov o loj heev, nws tuaj yeem pom lwm cov tsos mob, xws li ntau dua ci thiab ncab tawv nqaij. Yog tias qhov dab da dej nyob hauv ob txhais taw lossis txhais ceg, thaum taug kev, tus neeg yuav hnov ​​mob me ntsis thiab ua rau khaus.

Yog tias qhov tsos nqaij daim tawv tsis ploj tom qab ob peb teev, lossis yog tias koj muaj mob me lossis mob pes tsawg, thiab daim tawv nqaij rhiab, nws raug nquahu kom nrhiav chav kho mob kub ceev kom kuaj xyuas tus mob thiab kuaj xyuas, siv cov kev kuaj mob xws li suav cov ntshav, echocardiogram, Xoo hluav taws xob thiab tso zis 24 teev, yog tias nws tsis muaj dab tsi loj tshaj thiab qhov uas yuav tsum tau kho tshwj xeeb.

Cov teeb meem muaj peev xwm

Cov kabmob tseem ceeb ua lub luag haujlwm ua rau edema, tuaj yeem tshwm sim vim yog 4 yam kev pauv hloov hauv lub cev, xws li:

1. Nce siab capillary

Qhov nce hauv capillary siab feem ntau yog los ntawm kev tawv nqaij ntawm cov leeg, uas tuaj yeem tshwm sim los ntawm kev sib txuam ntawm cov rog, thrombi lossis los ntawm kev nrawm sab nraud, vim yog cov khaub ncaws nruj heev, piv txwv. Thaum qhov no tshwm sim, lub siab uas cov kua ua hauv cov hlab ntshav ntau dua li qhov ib txwm muaj, yog li cov kua yuav ntws tawm ntawm cov hlab ntsha thiab tsub zuj zuj hauv cov ntaub so ntswg ntawm lub cev.

Feem ntau cov laj thawj cuam tshuam nrog rau cov teeb meem no yog lub plawv, raum lossis cov hlab ntsha tsis ua haujlwm, thiab qee qhov xwm txheej, cov zaub mov muaj ntsev ntau / ntsev ntau ntxiv. Thaum cov laj thawj no tsis tau kho kom zoo, tuaj yeem ua rau pom kev mob ntsws ntsws, uas cov kua nruab nrog cev hauv lub ntsws. Nkag siab zoo dua seb lub ntsws ntsws dab tsi yog thiab kho nws li cas.

2. Txo cov ntshav protein

Thaum cov theem ntawm cov ntshav plasma protein hauv lub cev raug txo, qhov rov qab ua dej ntawm cov kua hauv daim tawv nqaij tob dua tsis tshwm sim, thiab qhov no xaus rau txoj kev ua kom cov kua ntau ntau hauv qab daim tawv nqaij, yog li tsim kom muaj kab mob. Raws li qhov tsim nyog, cov kua no, uas tam sim no nyob rau hauv cov ntaub so ntswg ntau ntxiv, nres rau hauv qhov ncig, uas ua kom cov zis los ntawm ob lub raum ua kom tsawg dua, ua rau muaj dej ntau hauv lub cev, yog li ntxiv cov edema.

Feem ntau hom kab mob edema no tshwm sim hauv cov neeg uas muaj tus mob nephrotic syndrome, kab mob siab, muaj zaub mov noj tsis txaus, lossis tus neeg tau kub hnyav.

3. Nce capillary permeability

Hauv qhov no muaj permeability ntawm cov hlab ntshav ntau dua, feem ntau tshwm sim los ntawm qee qhov mob tshwm sim, thiab, yog li ntawd, cov kua hauv lub cev thiaj li khiav tawm ntawm cov hlab ntsha thiab txhawm rau hauv cov ntaub so ntswg ntawm lub cev.

Qee qhov xwm txheej uas tuaj yeem ua rau lub cev muaj zog capillary thiab edema yog ua xua, hlawv roj, vitamin C tsis muaj peev xwm, kis kab mob, co toxins lossis siv vasodilators.

4. Thaiv cov lymphatic xa rov qab

Qhov edema tshwm sim los ntawm qhov txhaws ntawm lub lymphatic xa rov qab, tseem hu ua lymphedema tshwm sim thaum muaj kev cuam tshuam ntawm cov hlab ntsha lymphatic. Qhov no tshwm sim rau hypothyroidism, mob qog ua qog ntshav, lossis tom qab lymphadenectomy.

Tus yam ntxwv tseem ceeb ntawm tus kabmob no, yog tias qhov o zoo li yuav yoog rau qhov kov thiab tawv nqaij tuaj yeem zoo li txiv kab ntxwv tev. Kawm paub yuav ua li cas kho tau lymphedema.

Yuav kho tus mob li cas

Cov kev kho mob rau kev tshem tawm cov tawv nqaij yuav tsum yog raws li cov xwm txheej uas tau ua rau. Hauv cov mob me, so yog qhia, txo ntsev noj tsawg dua hauv kev noj haus thiab tseem zaws rau hauv thaj chaw muaj kev cuam tshuam, kom pab ua kom cov kua dej ntau dhau, kom txog thaum edema ploj.

Feem ntau ntawm cov mob hnyav, qhov chaw muaj kev noj qab haus huv xws li daim siab, raum thiab lwm yam hauv lub cev, nws yog qhov yuav tsum tau kho tus kabmob tshwj xeeb uas ua rau mob edema, ntxiv rau kev siv tshuaj kho mob xws li furosemide, bumetanide lossis spironolactone. Saib dab tsi lwm cov kev siv tau tuaj yeem siv los ua deflate.

Kev saib xyuas uas tiv thaiv edema

Cov kev noj qab haus huv tau hloov pauv nyob rau hauv cov txheej txheem txhua hnub uas tau tswj hwm hauv lub sijhawm tuaj yeem pab tiv thaiv thiab txo qis qhov sib zog thiab qhov pom ntawm cov duab tshiab, xws li:

• Txo cov khoom noj muaj ntsev thiab ntsev hauv kev noj haus;
• Tswj qhov nyhav zoo tshaj plaws rau qhov siab, hnub nyoog thiab poj niam txiv neej;
• Tawm kev tawm dag zog lub cev tsis tu ncua;
• Txhawb koj ob txhais ceg thaum pw qis lossis zaum saum koj qhov siab.

Cov kev coj no tuaj yeem ua los ntawm txhua tus neeg uas tsis muaj tus kabmob ntev, txawm li cas los xij, rau cov neeg uas muaj teebmeem kev noj qab haus huv, cov kev coj ua no yuav tsum tau qhia los ntawm tus kws kho mob lub luag haujlwm rau kev kho mob ua ntej lawv tau pib.