Yuav Tswj Cov Teeb Meem Ntawm Tes Muaj Teeb Meem Li Cas

Zoo Siab

• Kev mob nkeeg ntawm tes daj yog dab tsi?
• Dab tsi ua rau muaj teeb meem xov tooj ntawm hlwb?
• Yuav kho kev mob hlwb zoo li cas?
• Kev kho mob hauv tsev
• Kho mob
• Kuv yuav paub tau li cas thaum mus ntsib kws kho mob?
• Puas tiv thaiv tau cov kab mob cell ntawm tes?
• Hauv qab kab

Kev mob nkeeg ntawm tes daj yog dab tsi?

Sickle cell disease (SCD) yog cov qe ntshav dawb (RBC) muaj noob los ntawm kev muaj mob. Nws yog qhov tshwm sim ntawm kev hloov caj ces uas ua rau misshapen RBCs.

SCD tau txais nws lub npe los ntawm qhov ua tsis tau zoo ntawm RBCs, uas zoo li lub cuab tam ua liaj ua teb hu ua sickle. Feem ntau, RBCs yog zoo li tus disc.

RBCs thauj cov pa mus rau koj lub cev thiab cov nqaij. SCD ua rau nws nyuaj rau RBCs kom nqa cov pa oxygen txaus. Mob hlwb kuj tseem tuaj yeem ntes tau ntawm koj cov hlab ntshav, cuam tshuam qhov ntshav ntws mus rau koj lub cev. Qhov no tuaj yeem ua rau cov mob uas paub zoo li mob hlwb mob hlwb.

Kev mob los ntawm kev mob nkeeg ntawm lub hlwb pib mob siab rau:

• hauv siab
• caj npab
• ob txhais ceg
• ntiv tes
• ntiv taw

Qhov teeb meem cell mob sickle tuaj yeem pib dheev thiab dhau mus rau hnub. Kev hnov ​​mob los ntawm kev kub ntxhov hnyav yuav nyob nrog rau ntau asthiv mus rau ntau hli.

Yog tias tsis muaj kev kho kom zoo, qhov teeb meem cell mob sickle tuaj yeem ua rau muaj kev phom sij loj, nrog rau kev puas tsuaj ntawm cov khoom hauv nruab nrog thiab qhov muag ploj.

Dab tsi ua rau muaj teeb meem xov tooj ntawm hlwb?

Cov kws tshaj lij tsis to taub qhov laj thawj qab teeb meem ntawm tes muaj txiaj ntsig. Tab sis lawv paub tias nws cuam tshuam rau kev sib cuam tshuam nyuaj ntawm RBCs, endothelium (cov kab mob ua rau cov leeg ntshav), cov ntshav dawb, thiab cov qe ntshav. Cov teeb meem no feem ntau tshwm sim nthawv.

Qhov mob tshwm sim thaum lub hlwb mob ua rau mob ntshav, ntshav khiav ntawm cov ntshav. Qhov no qee zaum hu ua kev mob nkeeg.

Kev mob kis tau los ntawm kev mob uas cuam tshuam nrog cov pa oxygen tsawg, cov ntshav acidity, lossis cov ntshav qis.

Cov teeb meem tshwm sim ntau hauv xov tooj ntawm tes nrog:

• hloov ceev ceev hauv qhov kub, uas tuaj yeem ua rau cov hlab ntshav nqaim
• ua kom tawm dag zog los yog tawm dag zog ntau, vim tias muaj oxygen
• lub cev qhuav dej, vim yog cov ntshav tsawg
• kis tau tus mob
• kev ntxhov siab
• siab qhov siab, vim tias tsis muaj pa oxygen ntau nyob hauv huab cua
• cawv
• haus luam yeeb
• cev xeeb tub
• lwm yam mob, xws li mob ntshav qab zib

Nws tsis yog ib txwm muaj peev xwm paub tau meej tias dab tsi ua rau muaj teeb meem xov tooj cua kev mob nkeeg. Ntau lub sijhawm, muaj ntau qhov laj thawj.

Yuav kho kev mob hlwb zoo li cas?

Tsis yog txhua yam kev mob puas siab ntsws ntawm lub ntsws yuav tsum tau kev mus ntsib kws kho mob. Tab sis yog tias kev kho mob hauv tsev tsis zoo li ua haujlwm, nws yog ib qho tseem ceeb uas yuav tau ntsib nrog kws kho mob kom zam dhau lwm yam kev nyuaj.

Kev kho mob hauv tsev

Qee qhov teeb meem ntawm lub ntsws uas tswj cov kab mob tau tsim, nrog rau:

• tshuaj acetaminophen (Tylenol)
• tshuaj aspirin
• ibuprofen (Advil, Motrin)
• cov tshuaj sodium naproxen (Aleve)

Lwm txoj hauv kev los tswj kev mob me hauv tsev xws li:

• cua sov ncoo
• haus dej kom ntau
• sov so dej
• so
• zaws

Kho mob

Yog tias koj muaj mob hnyav los sis kev kho mob hauv tsev tsis zoo, mus ntsib kws kho mob sai li sai tau. Lawv yuav pib los ntawm kuaj pom tias pom muaj ua paug qis lossis lub cev qhuav dej uas yuav ua rau muaj kev kub ntxhov.

Tom ntej no, lawv yuav nug koj ib co lus nug kom nkag siab zoo txog koj qib kev mob. Nyob ntawm seb koj qhov mob npaum li cas, lawv yuav tshaj tawm ib co tshuaj los pab txo qhov mob.

Cov kev xaiv rau mob me rau qhov mob sib xws yog:

• nonsteroidal anti-inflammatory tshuaj (NSAIDs), xws li ibuprofen
• codeine, ib leeg lossis hauv kev sib xyaw nrog acetaminophen (Tylenol)
• oxi ^ av (Oxaydo, Roxicodone, OxyContin)

Cov kev xaiv rau kev mob hnyav muaj xws li:

• morphine (Duramorph)
• hydromorphone (Dilaudid, Exalgo)
• meperidine (Demerol)

Nyob ntawm seb koj cov tsos mob, koj tus kws kho mob kuj tseem tuaj yeem muab dej hauv cov quav rau koj. Nyob rau hauv cov mob loj heev, koj yuav xav tau tso ntshav ntxiv.

Kuv yuav paub tau li cas thaum mus ntsib kws kho mob?

Yuav tsum tau kho tus mob hlwb tu sai sai kom tsis txhob muaj teeb meem ntawm lub sijhawm ntev. Nws yog ib qho tseem ceeb kom koj paub tias yuav hu leej twg thiab yuav mus kho mob rau qhov twg vim kev mob nkeeg ntawm tes muaj mob tuaj sai.

Ua ntej koj muaj kev mob siab, nrog koj tus kws kho mob tham kom paub tseeb tias cov ntaub ntawv hauv koj cov ntawv kho mob hluav taws xob (EMR) tau hloov kho. Luam ib daim theej koj txoj kev npaj tswj kev mob thiab ib daim ntawv teev tag nrho koj cov tshuaj noj nrog koj mus tom tsev kho mob.

Koj yuav tsum nrhiav kev kho mob tam sim ntawd yog tias koj muaj SCD thiab ib qho ntawm cov tsos mob hauv qab no:

• piav tsis tau, mob hnyav rau koj sab nraub qaum, hauv caug, ceg, caj npab, hauv siab, lossis plab
• kub taub hau tshaj 101 ° F (38 ° C)
• piav tsis tau mob hnyav
• kiv taub hau
• caj dab txhav txhav
• ua pa nyuaj
• mob taub hau heev
• daj ntseg cov tawv nqaij lossis daim di ncauj
• mob erection ntev tshaj li plaub teev
• kev ua kom tsis muaj zog ntawm ib qho lossis ob sab ntawm lub cev
• kev pom kev hloov hlo
• rov quav niab lossis hais lus tsis meej
• cia li o sai sai rau hauv lub plab, tes, lossis taw
• daj zas rau daim tawv lossis ntsiab muag ntawm lub qhov muag
• qaug dab peg

Thaum koj mus rau chav haujlwm thaum muaj xwm ceev, nco ntsoov ua cov hauv qab no:

• Qhia rau cov neeg ua haujlwm tamsis koj muaj SCD.
• Muab koj li keeb kwm kho mob thiab cov npe rau txhua yam tshuaj koj siv.
• Hais kom tus kws tu neeg mob lossis kws kho mob saib koj li EMR.
• Muab cov ntaub ntawv tiv toj rau koj tus kws khomob ib txwm rau cov neeg ua haujlwm.

Puas tiv thaiv tau cov kab mob cell ntawm tes?

Koj ib txwm tsis tiv thaiv kev mob kev nkeeg ntawm tes, tab sis qee yam kev pauv hloov hauv lub neej tuaj yeem pab txo koj txoj kev pheej hmoo.

Nov yog qee txoj hauv kev los pab txo qis koj qhov kev pheej hmoo ntawm kev muaj mob hlwb hau:

• Noj tag nrho cov tshuaj uas koj tus kws kho mob pom zoo.
• Sim haus txog 10 khob dej rau ib hnub, ntxiv ntau hauv huab cua kub lossis thaum qoj ib ce.
• Ua raws li kev siv lub zog lossis kev tawm dag zog me me, zam txhua yam kev sib zog lossis huab.
• Hnav kom sov sov hauv huab cua txias, thiab nqa ib txheej ntxiv hauv rooj plaub.
• Txwv sijhawm siv nyob ntawm qhov chaw siab.
• Zam kev nce toj los yog ya hauv cov chav tsev tsis muaj kev ntshai (cov davhlau uas tsis yog lag luam ua lag luam) sab saud 10,000 feet.
• Ntxuav koj ob txhais tes kom tsis txhob kis kab mob.
• Tau txais txhua yam tshuaj tiv thaiv kab mob uas pom zoo, suav nrog kev txhaj tshuaj tiv thaiv khaub thuas.
• Noj folic acid ntxiv, uas koj cov pob txha pob txha xav tau los ua RBCs tshiab.
• Ua tib zoo saib xyuas thiab tswj kev ntxhov siab.
• Zam kev haus luam yeeb.

Hauv qab kab

Mob hlwb mob taub hau tuaj yeem mob hnyav heev. Thaum mob me tuaj yeem kho nyob hauv tsev, mob hnyav dua yog qhov qhia koj yuav tsum ntsib kws kho mob. Yog tias tsis kho, kev mob hnyav rau mob hlwb hnyav yuav ua rau cov plab hnyuv siab raum, xws li lub raum, mob siab, ntsws thiab ntshav, ntawm cov ntshav thiab oxygen.