Dab tsi yuav kho tsis tau ua ntej kev phais mob

Zoo Siab

• 1. Platelet antiaggregants
• 2. Cov tshuaj tiv thaiv
• 3. Cov tshuaj tsis-steroidal tshuaj tiv thaiv
• 4. Kev kho mob hlwb
• 5. Kev kho mob ntshav qab zib
• 6. Tshuaj kho mob siab
• 7. Cov kev daws rau rheumatic kab mob
• 8. Cov Kws Kho Mob
• 9. Kev tswj hwm
• Kev kho uas tuaj yeem kho tau

Rau qhov kev phais yuav tsum muaj tsawg qhov kev pheej hmoo thiab kom rov zoo sai dua, nws yog ib qho tseem ceeb kom ua raws li tus kws kho mob cov lus qhia hais txog kev txuas ntxiv ntawm qee yam kev kho mob, vim tias muaj qee kis, nws yuav tsum tau ncua kev siv qee yam tshuaj, tshwj xeeb yog cov uas ua kom yooj yim txoj kev pheej hmoo ntawm los ntshav los yog nqa qee yam ntawm cov tshuaj tiv thaiv hormonal decompensation, zoo li yog qhov tseeb ntawm acetylsalicylic acid, clopidogrel, anticoagulants, tsis-tshuaj steroidal anti-inflammatory tshuaj los yog qee cov tshuaj noj rau ntshav qab zib, piv txwv.

Ntau cov tshuaj yuav tsum tau mus tshuaj ib qho zuj zus, xws li tshuaj tiv thaiv thiab tshuaj tua kab mob, uas raug tshem tawm hauv cov neeg uas muaj kev pheej hmoo ntawm kev fab tshuaj. Lwm yam tshuaj, xws li cov tshuaj antihypertensive, tshuaj tua kab mob thiab corticosteroids ntev, yuav tsum tau tswj hwm thiab noj txawm tias hnub ntawm kev phais mob, vim tias lawv cuam tshuam tuaj yeem ua rau mob ntshav siab lossis cov tshuaj hormones decompensation thaum phais mob.

Yog li, nws yog ib qho tseem ceeb uas, ua ntej kev phais mob, ib daim ntawv teev cov tshuaj uas tus neeg siv coj los ua, kom xa mus rau tus kws kho mob, suav nrog homeopathic lossis lwm tus uas tsis zoo li tseem ceeb, yog li txhua qhov kev pheej hmoo ntawm lub sijhawm tam sim no zam. ntawm kev phais mob.

Ib qho ntxiv, lwm qhov yuav tsum tau ceev faj, xws li txiav luam yeeb, zam kev haus dej haus cawv thiab tswj kev noj zaub mov kom zoo, tshwj xeeb tshaj yog cov hnub ua ntej phais mob thiab thoob plaws sijhawm tom qab kawg. Saib cov ncauj lus kom ntxaws txog kev saib xyuas uas yuav tsum tau ua ua ntej thiab tom qab phais mob.

1. Platelet antiaggregants

Cov tshuaj tiv thaiv kab mob, xws li acetylsalicylic acid, clopidogrel, ticagrelor, cilostazol thiab ticlopidine, nrov npe hu ua "ntshav" cov tshuaj, yuav tsum tsis txhob siv ua ntej kev phais mob, thiab yuav tsum tau txiav tawm 7 txog 10 hnub ua ntej, lossis raws li kws kho mob hais kom ua. Platelet antiaggregants uas muaj qhov thim rov qab, tuaj yeem raug ncua raws li lawv ib nrab-lub neej, uas txhais tau hais tias ncua kev noj tshuaj li 72 teev ua ntej kev phais mob.

2. Cov tshuaj tiv thaiv

Cov neeg uas siv cov tshuaj tiv thaiv hnoos qeev, xws li Marevan lossis Coumadin, tsuas tuaj yeem raug phais tom qab lawv raug ncua, yuav tsum muaj kev sib xyaw qib, ntsuas los ntawm INR kuaj, kom tsis pub dhau ib qho.

Cov neeg uas siv cov tshuaj anticoagulants tshiab, xws li rivaroxaban, apixaban thiab dabigatran, tej zaum tsis tas yuav tsum ncua cov tshuaj rau kev phais me, xws li dermatological, kho hniav, endoscopy thiab phais cataract. Txawm li cas los xij, yog tias lawv tau ua ntau yam kev phais mob, cov tshuaj no yuav raug ncua rau lub sijhawm uas yuav sib txawv li ntawm 36 teev mus rau 4 hnub, raws li qhov kev phais loj thiab tus neeg muaj mob.

Tom qab tshem tawm cov tshuaj anticoagulants, tus kws kho mob tuaj yeem qhia txog kev siv tshuaj heparin, yog li ntawd nyob rau lub sijhawm tus neeg ntawd tsis noj tshuaj, nws tseem tsis muaj kev pheej hmoo ntawm cov teeb meem, xws li mob ntsws thiab mob stroke, piv txwv. Nkag siab dab tsi ntawm kev qhia heparin thiab yuav siv li cas.

3. Cov tshuaj tsis-steroidal tshuaj tiv thaiv

Cov tshuaj tsis-tshuaj steroidal yuav tsum tsis txhob siv ua ntej kev phais mob, vim tias lawv kuj cuam tshuam cov ntshav lub cev kom khov thiab tsuas yog siv tau ntev txog 3 hnub ua ntej txheej txheem.

4. Kev kho mob hlwb

Tshuaj tiv thaiv tsis tas yuav tsum nres ua ntej kev phais mob me thiab hauv cov poj niam uas muaj qhov pheej hmoo muaj qee yam mob qog nqaij hlav mob. Txawm li cas los xij, cov poj niam muaj kev pheej hmoo ntau ntxiv, xws li cov neeg uas muaj keeb kwm yav dhau los lossis tsev neeg muaj keeb kwm mob pob txaws, piv txwv, yuav tsum tsis txhob siv cov tshuaj li 6 lub lis piam ua ntej thiab, lub sijhawm no, lwm hom kev tiv thaiv yuav tsum tau siv.

Kev kho cov tshuaj hormones nrog tamoxifen lossis raloxifene, yuav tsum thim tawm hauv txhua tus poj niam, 4 lub lis piam ua ntej kev phais mob, vim tias lawv cov tshuaj tiv thaiv qib siab dua, yog li ua rau muaj kev pheej hmoo ntawm thrombosis.

5. Kev kho mob ntshav qab zib

Ntsiav tshuaj rau cov ntshav qab zib ntawm ntau yam, xws li glimepiride, gliclazide, liraglutide thiab acarbose, piv txwv, yuav tsum tau tsum tsis pub dhau ib hnub ua ntej kev phais mob. Ntawm qhov tod tes, yuav tsum tau tsum tsum tsis txhob tsum 48 teev ua ntej kev phais mob, vim tias nws ua rau muaj kev pheej hmoo ua mob acidosis hauv cov ntshav thaum phais mob. Hauv lub sijhawm tom qab tshem tawm cov tshuaj, nws yog ib qho tseem ceeb uas saib xyuas cov ntshav qabzib thiab, thaum muaj ntshav nce siab ntxiv, insulin yuav tsum tau siv.

Hauv cov xwm txheej uas tus neeg siv insulin, nws yuav tsum txuas mus ntxiv, tshwj tsis yog cov insulins mus ntev, xws li glargine thiab NPH, uas tus kws kho mob yuav txo qhov tsawg nyob hauv ib nrab lossis 1/3, kom qhov kev pheej hmoo yuav txo qis hypoglycemia thaum phais mob Cov.

6. Tshuaj kho mob siab

Cov tshuaj roj hauv lub plhaws yuav tsum tau txiav tawm 1 hnub ua ntej kev phais mob, thiab tsuas yog siv cov tshuaj muaj statin, xws li simvastatin, pravastatin lossis atorvastatin, piv txwv, tuaj yeem tswj hwm, vim tias lawv tsis ua rau muaj kev pheej hmoo thaum tus txheej txheem.

7. Cov kev daws rau rheumatic kab mob

Cov tshuaj xws li allopurinol lossis colchicine, qhia rau cov kab mob xws li gout, piv txwv, yuav tsum raug ncua thaum sawv ntxov ntawm kev phais mob.

Raws li rau cov tshuaj uas siv los kho cov kab mob xws li pob txha pob txha lossis mob caj dab, feem ntau ntawm lawv yuav tsum raug ncua ib hnub ua ntej kev phais mob, txawm li cas los xij, hauv qee kis, nws yuav tsim nyog ncua kev kho mob li ib lis piam ua ntej kev phais mob, hauv tshuaj xws li sulfasalazine thiab penicillamine.

8. Cov Kws Kho Mob

Cov tshuaj ntsuab tau txiav txim siab, los ntawm cov pej xeem nyob rau hauv dav dav, muaj kev nyab xeeb nyob rau hauv kev sib raug zoo rau allopathic tshuaj, ua heev nws siv, nrog rau rho tawm ntawm nws siv ua ntej tus kws kho mob. Txawm li cas los xij, lawv yog cov tshuaj uas tuaj yeem ua rau muaj kev mob tshwm sim, thiab ntau yam ntawm lawv tsis muaj pov thawj ntawm kev ua tau zoo, thiab tuaj yeem cuam tshuam loj rau kev phais mob, yog li lawv yuav tsum tau raug ncua ib ncua.

Cov tshuaj ntsuab zoo li Ginkgo biloba, Ginseng, Arnica, Valeriana, Kava-kava lossis St. John lub wort lossis qej tshuaj yej, piv txwv li, tuaj yeem ua rau muaj kev mob tshwm sim thaum phais mob, xws li nce kev pheej hmoo ntawm los ntshav, uas ua rau muaj teeb meem plawv lossis txawm tias yuav ntxiv rau. sedative nyhuv ntawm cov tshuaj loog, yog li ntawd, nyob ntawm cov tshuaj ntsuab hauv cov lus nug, lawv yuav tsum raug ncua ntawm 24 teev mus rau 7 hnub ua ntej txheej txheem.

9. Kev tswj hwm

Kev siv tshuaj diuretics yuav tsum tsis ua haujlwm ntxiv thaum twg qhov kev phais mob yuav muaj kev pheej hmoo lossis thaum ntshav poob, kwv yees li cov tshuaj no tuaj yeem hloov lub raum lub peev xwm los tso zis, uas yuav cuam tshuam cov lus teb rau hypovolemia.

Ntxiv rau, cov dej qab zib uas muaj caffeine thiab muaj tshuaj pab ntxiv rau, xws li kas fes, ntsuab thiab dub tshuaj yej, yuav tsum zam hauv lub lis piam ua ntej kev phais mob.

Tom qab qhov kev phais mob tiav, kev kho mob tuaj yeem rov qab ua dua, raws li kev kho mob, nyob ntawm kev rov ua haujlwm thiab txo qhov txaus ntshai ntawm cov kev mob tshwm sim. Kuj tseem paub dab tsi yog cov kev ceev faj tseem ceeb uas yuav tsum ua kom rov zoo los ntawm kev phais sai.

Kev kho uas tuaj yeem kho tau

Cov tshuaj uas yuav tsum tau ceev, txawm tias hnub phais thiab thaum yoo mov, yog:

• Antihypertensive thiab antiarrhythmic tshuaj, piv txwv li carvedilol, losartan, enalapril lossis amiodarone, piv txwv;
• Cov tshuaj steroids ntev, xws li prednisone lossis prednisolone, piv txwv;
• Cov tshuaj hawb pob, piv txwv li salbutamol, salmeterol lossis fluticasone, piv txwv;
• Kev kho mob ntawm cov mob qog, nrog levothyroxine, propylthiouracil lossis methimazole, piv txwv;
• Cov kev daws rau mob lub plab thiab thim rov qab, piv txwv li omeprazole, pantoprazole, ranitidine thiab domperidone, piv txwv;
• Kev kho mob rau kab mob, nrog cov tshuaj tua kab mob, tsis tuaj yeem nres;

Ntxiv rau, qee cov tshuaj muaj peev xwm tswj tau nrog kev ceev faj, xws li anxiolytics, antidepressants thiab anticonvulsants, vim hais tias txawm hais tias lawv tsis contraindicated ua ntej kev phais mob, lawv siv yuav tsum tham nrog tus kws phais neeg thiab tus kws tshuaj loog, vim tias lawv tuaj yeem cuam tshuam nrog qee yam tshuaj loog thiab, hauv qee kis, nce qhov kev pheej hmoo ntawm cov teeb meem.