Tus Sau: Eugene Taylor
Hnub Kev Tsim: 7 Lub Yim Hli Ntuj 2021
Hloov Hnub: 20 Lub Kawm Ob Hlis Ntuj 2024
Anonim
EP 04: Yog Koj Cev Xeeb muaj me nyuam 4-6 hli Koj Yuav Ua Li Cas
Daim Duab: EP 04: Yog Koj Cev Xeeb muaj me nyuam 4-6 hli Koj Yuav Ua Li Cas

Zoo Siab

Txhua tus niam pheej xav kom nws tus menyuam noj qab nyob zoo. Qhov no yog vim li cas lawv thiaj li tau txais kev saib xyuas ua ntej yug los ntawm lawv cov kws kho mob thiab coj lwm txoj kev ceev faj kom paub meej tias lub cev xeeb tub zoo. Cov kev tiv thaiv no suav nrog kev tswj kev noj zaub mov zoo, kev tawm dag zog kom tsis tu ncua, thiab zam kev haus dej cawv, siv tshuaj txhaum cai, thiab luam yeeb.

Tab sis txawm hais tias koj siv cov kev ntsuas saum toj no, kev kis qee yam tshuaj yuav ua rau koj tus menyuam txoj kev noj qab haus huv muaj kev pheej hmoo. Nov yog vim li cas nws tseem ceeb rau tham nrog koj tus kws kho mob ua ntej noj tshuaj tshiab yog tias koj cev xeeb tub lossis xav txog cev xeeb tub. Ntau cov tshuaj noj thiab cov tshuaj yuav tom khw muaj kev nyab xeeb rau noj thaum cev xeeb tub. Lwm cov tshuaj, txawm li cas los xij, yuav ua rau koj tus menyuam yug los tsis zoo lossis muaj mob rau koj tus menyuam. Qhov ntawd suav nrog grey me nyuam muaj mob.

Tej zaum koj yuav tsis paub txog tus mob no, tab sis nws tuaj yeem ua kev phom sij heev rau cov menyuam mos thiab cov menyuam mos. Nws yog ib qho tseem ceeb kom nkag siab qhov ua rau tus me nyuam grey mob, nrog rau txoj hau kev los tiv thaiv koj tus menyuam.

Tus me nyuam mob grey yog dab tsi?

Tus me nyuam mob grey yog yam tsis tshua muaj tshwm sim txaus ntshai, uas muaj peev xwm tsim kev puas tsuaj rau menyuam mos thiab menyuam yaus txog hnub nyoog 2. Tus mob no muaj feem yuav tshwm sim los ntawm cov tshuaj chloramphenicol. Cov tshuaj no yog siv los kho ntau yam mob sib kis, xws li mob rau daim phiaj. Qee tus kws kho mob pom zoo rau kev kho mob no thaum qhov mob tsis teb rau lwm cov tshuaj tua kab mob, xws li penicillin.


Cov tshuaj tua kab mob no yog qhov phom sij rau menyuam yaus vim tias nws muaj tshuaj lom ntau. Hmoov tsis zoo, menyuam mos thiab menyuam yaus tsis muaj lub siab ua haujlwm los ua kom lub cev ntau ntxiv ntawm cov tshuaj no. Vim tias lawv lub cev me me tsis tuaj yeem tsoo cov tshuaj, tshuaj lom cov tshuaj tua kab mob tuaj yeem ua rau hauv lawv cov hlab ntshav. Tus me nyuam mob txho yuav tshwm sim yog tias cov tshuaj tua kab mob muab ncaj qha rau cov menyuam. Lawv kuj tseem yuav muaj kev pheej hmoo rau tus mob no yog tias cov tshuaj tiv thaiv tau muab rau lawv niam thaum cev xeeb tub lossis qee lub sijhawm thaum cev xeeb tub.

Tus me nyuam grey yuav tsis tshwm sim tshwm sim los ntawm chloramphenicol. Hauv cov laus thiab cov menyuam hlob zog, cov tshuaj yuav ua rau muaj kev mob tshwm sim loj heev nrog rau, nrog rau:

  • ntuav
  • ua npaws
  • mob taub hau
  • lub cev ua pob

Nws kuj tseem tuaj yeem ua rau muaj kev phiv ntau dua, suav nrog:

  • txawv txawv tsis muaj zog
  • tsis meej pem
  • qhov muag plooj
  • qhov ncauj tawm
  • ntshav txawv txawv
  • anemia (txo cov ntshav liab)
  • kis tau tus mob

Nws yog ib qho tseem ceeb uas yuav tau qhia koj tus kws kho mob yog tias koj lossis koj tus menyuam muaj kev phiv los ntawm cov tshuaj no.


Cov tsos mob ntawm tus tsos mob grey tus menyuam

Yog hais tias chloramphenicol muaj tshuaj lom ntau ntxiv hauv koj cov menyuam cov ntshav thiab koj tus menyuam muaj tsos mob grey tus tsos mob, cov tsos mob tshwm sim li ntawm ob rau cuaj hnub pib kev kho mob. Cov tsos mob tuaj yeem sib txawv, tab sis koj tuaj yeem pom:

  • ntuav
  • cov tawv nqaij greyish
  • ceg tawv lub cev
  • ntshav siab
  • daim di ncauj xiav thiab tawv nqaij
  • hypothermia (tsis kub lub cev)
  • mob plab o
  • ntsuab quav
  • lub plawv dhia tsis xwm yeem
  • ua pa nyuaj

Yog tias koj tus menyuam muaj tsos mob grey me nyuam mob tshwm sim tom qab chloramphenicol, nrhiav kev kho sai. Yog tias tsis kho, qhov tsos mob menyuam yaus grey yuav ua rau tuag taus li ntawm ob peb teev.

Yuav kho cov menyuam yaus grey mob li cas

Qhov xwm zoo yog tias me nyuam mos grey syndrome tuaj yeem kho tau yog tias koj mus nrhiav kev kho mob thaum pom thawj yam mob. Thawj txoj kev kho mob yog kom tsis txhob muab tshuaj rau koj tus menyuam. Yog tias koj noj tshuaj rau qhov muaj kab mob, koj yuav tsum nres kev pub mis niam.


Koj tus menyuam tus kws kho mob tuaj yeem kuaj pom tus tsos mob grey tus menyuam mos tom qab kuaj tas lub cev thiab tsom xam cov tsos mob ntawm tus mob, xws li daim tawv nqaij txho thiab daim di ncauj xiav. Koj tus kws kho mob tseem yuav nug seb koj lossis koj tus menyuam puas chloramphenicol.

Nkag siab tias koj tus menyuam yuav raug pw hauv tsev kho mob tom qab kuaj pom tias tus menyuam muaj tsos mob grey. Qhov no yog qhov tsim nyog, cov kws kho mob tuaj yeem soj ntsuam koj tus menyuam tus mob.

Tom qab tsis siv chloramphenicol, koj tus kws kho mob ntawm koj tus menyuam tus kws kho mob yuav pom zoo ntau yam kev kho mob.

Txauv hloov ntshav

Qhov kev pab cawm neeg no cuam tshuam txog kev tshem koj qee tus menyuam cov ntshav thiab hloov cov ntshav nrog cov ntshav pub dawb lossis ntshav muaj ntshav. Cov txheej txheem ua tiav siv cov raj xa dej.

Hemodialysis

Qhov txheej txheem no siv lub tshuab lim ntshav kom ntxuav cov co toxins los ntawm koj cov menyuam cov ntshav. Nws tseem ua kom sib npaug ntawm cov poov tshuaj thiab sodium thiab yuav pab tswj koj tus menyuam cov ntshav siab.

Ntxiv rau kev kho mob saum toj saud, koj tus menyuam yuav tau txais kev pabcuam oxygen los txhim kho kev ua pa thiab oxygen xa mus rau lub cev. Koj tus menyuam tus kws kho mob kuj tseem yuav pom zoo ntshav hemoperfusion. Qhov kev kho no zoo ib yam li kev lim ntshav thiab pab tshem tawm cov co toxins hauv cov ntshav. Koj tus menyuam cov ntshav yuav raug kuaj thaum kho.

Cov nqa mus

Tus me nyuam mob txho yuav tiv thaiv tau. Txoj hauv kev zoo tshaj plaws kom zam dhau qhov kev tsis zoo no yog qhov tsis txhob muab cov tshuaj no rau cov menyuam mos thiab cov menyuam hnub nyoog qis dua 2 xyoos.

Nws tseem ceeb heev rau kev cia siab thiab pub niam mis zam kev siv tshuaj pab no. Chloramphenicol tuaj yeem dhau los ntawm cov kua mis. Hauv cov koob tshuaj qis, cov tshuaj tua kab mob no yuav tsis muaj qhov phom sij rau cov menyuam yaus. Tab sis nws zoo dua rau kev nyab xeeb dua li thov txim. Yog tias koj tus kws kho mob pom zoo cov tshuaj no rau koj lossis koj tus menyuam, thov kom siv tshuaj tiv thaiv zoo dua.

Yog tias koj tus menyuam muaj tus mob uas tsis teb rau lwm yam tshuaj tua kab mob, kev siv chloramphenicol tsis tas yuav tsim nyog los ua. Yog li, cov tshuaj no tsuas yog muab rau cov menyuam mos thiab menyuam yaus nyob hauv kev saib xyuas ntawm kws kho mob, thiab nws tsis yog qhov kev kho mob thawj zaug. Tus me nyuam grey feem ntau yuav zam tau thaum chloramphenicol muab tshuaj rau hauv cov koob tshuaj qis thiab thaum saib ntshav nce siab. Yog tias koj cev xeeb tub los yog pub niam mis thiab noj tshuaj chloramphenicol, tus kws kho mob yuav saib xyuas koj cov ntshav.

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