Cov tshuaj tiv thaiv rau Vancomycin yuav ua rau Txiv Neej Liab Mob

Zoo Siab

• Cov paib thiab cov tsos mob
• Kev Kho Mob
• Cov cim ntawm kev txhim kho
• Cov cim ntawm kev ua tsis huv thiab cov nyom

Tus txiv neej liab syndrome yog ib qho xwm txheej uas tuaj yeem tshwm sim sai lossis tom qab ob peb hnub ntawm kev siv tshuaj tua kab mob vancomycin vim muaj kev tsis haum tshuaj ntawm cov tshuaj no. Cov tshuaj no tuaj yeem siv los kho cov kab mob orthopedic, kab mob endocarditis thiab mob tawv nqaij tab sis yuav tsum siv nrog kev saib xyuas kom tsis txhob muaj qhov tshwm sim no.

Cov tsos mob tseem ceeb ntawm tus mob no, kuj paub tias mob liab caj dab, yog qhov mob liab rau hauv lub cev tag nrho thiab khaus uas yuav tsum tau kuaj thiab kho tus kws kho mob, thiab nws yuav tsim nyog nyob hauv tsev kho mob ICU.

Cov paib thiab cov tsos mob

Cov paib thiab cov tsos mob uas cim tus mob no yog:

• Ua rau mob siab heev hauv cov ceg, caj npab, plab, caj dab thiab ntsej muag;
• Khaus hauv thaj chaw liab ploog;
• Puag ncig lub qhov muag;
• Mob leeg pob txha;
• Tej zaum yuav nyuaj rau kev ua pa, mob hauv siab thiab ntshav siab.

Feem ntau qhov teeb meem loj tshaj plaws, tej zaum yuav tsis muaj oxygen hauv lub hlwb, ntxuav tes thiab daim di ncauj, tsaus muag, poob ntawm cov zis thiab cov quav thiab poob siab uas ua rau muaj kev phiv tshuaj.

Lub hauv paus tseem ceeb ntawm cov kabmob no yog kev thov nrawm ntawm cov tshuaj tua kabmob vancomycin ncaj qha rau hauv cov leeg ntshav, txawm li cas los xij, nws tseem tuaj yeem tshwm sim thaum cov tshuaj raug siv kom raug, nrog tsawg kawg 1 teev ntawm Txoj kev lis ntshav, thiab nws tuaj yeem tshwm rau tib hnub lossis txawm , hnub tom qab nws siv.

Yog li, yog tias tus neeg siv cov tshuaj no tab sis twb tawm hauv tsev kho mob thiab muaj cov tsos mob no lawm, lawv yuav tsum mus rau chav kho mob maj nrawm kom pib kho tam sim ntawd.

Kev Kho Mob

Txoj kev kho yuav tsum tau coj los ntawm tus kws kho mob thiab tuaj yeem ua nrog kev txiav tawm ntawm kev siv tshuaj thiab nrog kev noj tshuaj tiv thaiv kev ua xua xws li diphenhydramine lossis Ranitidine ua ib qho kev txhaj tshuaj. Feem ntau nws yuav tsum siv tshuaj kho mob rau cov ntshav siab thiab tswj lub plawv dhia xws li adrenaline.

Yog tias ua pa nyuaj, nws yuav tsum hnav lub npog ntsej muag oxygen thiab nyob ntawm qhov mob hnyav, tus neeg yuav xav tau txuas nrog lub tshuab ua pa.Txhawm rau tswj hwm ua pa, tshuaj corticosteroid xws li Hydrocortisone lossis Prednisone tuaj yeem siv.

Cov cim ntawm kev txhim kho

Cov cim ntawm kev txhim kho tshwm sim sai sai tom qab pib ntawm kev kho mob nrog cov tshuaj tsim nyog thiab tus neeg tuaj yeem raug tso tawm tom qab nws tau txheeb xyuas tias cov tsos mob tau tswj hwm thiab kuaj ntshav, ua haujlwm siab thiab mob plawv ua haujlwm zoo li qub.

Cov cim ntawm kev ua tsis huv thiab cov nyom

Cov cim ntawm kev ua kom tsis zoo zuj zus tuaj thaum kev kho mob tsis ua thiab tuaj yeem ua rau muaj kev mob loj heev uas muaj kev phom sij rau tus neeg lub neej los ntawm kev coj tus kab mob plawv thiab ua pa.