Tus Sau: Robert Simon
Hnub Kev Tsim: 15 Lub Rau Hlis Ntuj 2021
Hloov Hnub: 17 Lub Kaum Ib Hli Ntuj 2024
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Necrotizing Enterocolitis for USMLE
Daim Duab: Necrotizing Enterocolitis for USMLE

Zoo Siab

Necrotizing Enterocolitis (NEC) Yog Dab Tsi?

Necrotizing enterocolitis (NEC) yog ib yam kab mob uas tsim tawm thaum cov nqaij hauv lub plab hnyuv sab hauv lossis plab hnyuv los ua kev puas tsuaj thiab pib tuag. Qhov no ua rau txoj hnyuv dhau los ua mob. Tus mob feem ntau cuam tshuam tsuas yog sab hauv ntawm txoj hnyuv, tab sis tag nrho tuab ntawm txoj hnyuv yuav cuam tshuam thaum kawg.

Hauv cov teeb meem loj ntawm NEC, ib lub qhov yuav tsim nyob rau hauv phab ntsa ntawm txoj hnyuv. Yog tias qhov no tshwm sim, cov kab mob feem ntau pom hauv lub plab hnyuv tuaj yeem nkag mus rau lub plab thiab ua rau muaj kev sib kis ntau. Qhov no suav hais tias yog kev khomob kub ntxhov.

NEC tuaj yeem txhim kho hauv ib tus menyuam mos tau li ob lub lis piam tom qab yug. Txawm li cas los xij, nws yog feem ntau ntawm cov menyuam yaus ua ntej, uas muaj li 60 txog 80 feem pua ​​ntawm cov neeg mob. Nyob ib ncig ntawm 10 feem pua ​​ntawm cov menyuam yaus uas hnyav dua li 3 phaus, 5 ounces tsim NEC.

NEC yog ib tus mob hnyav tuaj yeem hloov kho sai sai. Nws yog ib qho tseem ceeb uas yuav tau txais kev kho mob tam sim ntawd yog tias koj tus menyuam muaj tsos mob ntawm NEC.


Cov tsos mob ntawm Necrotizing Enterocolitis yog Dab Tsi?

Cov tsos mob ntawm NEC feem ntau muaj xws li cov hauv qab no:

  • o lossis tsam plab ntawm lub plab
  • discoloration ntawm lub plab mog
  • ntshav quav
  • zawv plab
  • tsis pub mis
  • ntuav

Koj tus menyuam kuj tseem tuaj yeem muaj tus yam ntxwv ua mob, xws li:

  • apnea, lossis cuam tshuam kev ua pa
  • npaws
  • nkees

Dab Tsi Ua Kom Muaj Necrotizing Enterocolitis?

Tsis paub qhov tseeb tias yog vim li cas NEC. Txawm li cas los xij, nws ntseeg tau tias qhov tsis muaj oxygen thaum lub sijhawm xa khoom nyuaj yuav yog ib qho ua rau muaj txiaj ntsig. Thaum muaj pa oxygen lossis ntshav khiav mus rau txoj hnyuv, nws tuaj yeem ua kom qaug zog. Lub xeev tsis muaj zog ua kom nws yooj yim rau cov kab mob los ntawm cov khoom noj nkag mus rau hauv txoj hnyuv kom ua kev puas tsuaj rau cov hnyuv plab hnyuv. Qhov no tuaj yeem ua rau txhim kho tus mob lossis NEC.

Lwm yam kev pheej hmoo suav nrog kev muaj cov qe ntshav liab ntau thiab muaj lwm yam kev mob plab zom mov. Koj tus menyuam tseem muaj feem ntau dua rau NEC yog tias lawv yug ntxov. Cov menyuam tsis tau yug menyuam feem ntau muaj lub cev tiv thaiv qis. Qhov no yuav ua rau lawv muaj teeb meem nrog kev zom, sib ntaus sib tua, thiab ntshav thiab cov pa oxygen.


Yuav kuaj li cas thiaj paub tias yog Necrotizing Enterocolitis?

Tus kws kho mob tuaj yeem soj ntsuam NEC los ntawm kev kuaj mob lub cev thiab khiav ntau yam kev sim. Thaum lub sijhawm kuaj mob, kws kho mob yuav maj mam chwv koj tus menyuam lub plab kom kuaj xyuas kev o, mob, thiab tawv. Lawv mam li xoo hluav taws xob mob plab. Qhov xoo hluav taws xob yuav muab cov ncauj lus kom ntxaws txog txoj hnyuv, tso cai rau tus kws kho mob saib cov tsos mob thiab puas yooj yim dua. Koj tus menyuam cov quav yuav tuaj yeem kuaj xyuas seb puas muaj ntshav. Qhov no yog hu ua kev soj ntsuam qhov quav guaiac.

Koj tus menyuam tus kws khomob yuav xaj kuaj qee yam kev ntsuas ntshav los ntsuas koj tus menyuam qib platelet thiab ntshav dawb. Platelets ua rau nws tuaj yeem ua rau cov ntshav txhaws. Cov qe ntshav dawb pab tua kab mob. Cov ntshav plua plav qis lossis cov qe ntshav dawb tuaj yeem yog qhov pom ntawm NEC.

Koj tus kws kho mob tus menyuam yuav xav muab ib rab koob tso rau hauv tus menyuam lub plab kom kuaj xyuas seb puas muaj kua hauv cov hnyuv. Lub xub ntiag ntawm cov hnyuv feem ntau txhais tau tias muaj qhov nyob hauv cov hnyuv.


Kho Necrotizing Enterocolitis Li Cas?

Muaj ntau txoj kev sib txawv los kho NEC. Koj tus menyuam daim phiaj xwm kho mob tshwj xeeb nyob ntawm ntau yam, nrog rau:

  • qhov mob hnyav heev ntawm tus kab mob
  • lub hnub nyoog ntawm koj tus menyuam
  • kev noj qab haus huv ntawm koj tus menyuam tag nrho

Feem ntau, txawm li cas los xij, koj tus kws kho mob yuav qhia koj kom tsis txhob pub mis. Koj tus menyuam yuav tau txais dej thiab kev noj haus kom haum rau nws, los yog tso ntshav IV. Koj tus menyuam yuav siv tshuaj tua kab mob los pab tiv thaiv kev kis tus mob. Yog koj tus menyuam muaj kev nyuaj ua pa vim lub plab o tuaj, lawv yuav tau txais pa ntxiv los yog pab ua pa.

Kev phais mob tej zaum yuav tsum tau muaj nyob rau hauv loj heev ntawm NEC. Cov txheej txheem cuam tshuam nrog kev tshem tawm ntawm cov feem ntawm cov hnyuv.

Thoob lub sijhawm kho, koj tus menyuam yuav raug saib zoo. Koj tus menyuam tus kws kho mob yuav tau xoo hluav taws xob thiab kuaj ntshav tsis tu ncua kom ntseeg tau tias tus kab mob tsis loj zuj zus tuaj.

Qhov Kev Xam Pom rau Cov Menyuam Necrotizing Enterocolitis Yog Dab Tsi?

Necrotizing enterocolitis tuaj yeem yog ib qho mob txaus ntshai, tab sis feem ntau ntawm cov menyuam mos kom rov zoo thaum lawv tau txais kev kho mob. Muaj qee zaus, cov hnyuv kuj tuaj yeem ua rau tawg thiab nqaim, uas ua rau txhaws cov hnyuv. Nws tseem muaj peev xwm ua tau rau malabsorption tshwm sim. Qhov no yog qhov mob uas ua rau txoj hnyuv tsis tuaj yeem nqus cov khoom noj kom zoo. Nws muaj feem ntau dua rau hauv cov menyuam yaus uas raug txiav tawm ntawm txoj hnyuv.

Koj tus menyuam li kev xav tau yog nyob ntawm lawv kev noj qab haus huv tag nrho thiab qhov mob ntawm tus kabmob, nrog rau lwm yam. Tham nrog koj tus kws kho mob rau cov lus qhia ntxaws ntxiv txog koj tus menyuam kis tshwj xeeb.

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