Los ntawm koj tus kheej kev paub, koj yuav paub tias kev ua pa tuaj yeem sib txawv heev nyob ntawm qhov xwm txheej lossis qhov xwm txheej. Nws tuaj yeem tau nrawm dua lossis qeeb dua, thiab ntiav lossis tob dua. Thaum qhov no yog ib qho kev hloov pauv ntawm ntuj tsim thiab feem ntau noj qab nyob zoo, nws tuaj yeem cuam tshuam txog teeb meem kev loj hlob rau koj tus tsiaj. Qhov kev sib tw rau peb yog qhia qhov txawv ntawm qhov kev hloov pauv ib txwm thiab txawv txav, thiab qhov no yuav coj peb cov kauj ruam tom ntej yuav ua li cas.
Thaum twg kuv yuav tsum txhawj xeeb tias kuv tus dev ua pa nrawm lossis hnyav?
Lo lus nug zoo tshaj plaws los nug koj tus kheej yog seb qhov kev hloov ua pa puas tsim nyog lossis tsis nyob hauv qhov xwm txheej. Sib piv qhov no rau koj tus kheej thiab seb koj puas xav tias yuav ua pa txawv ntawm qhov xwm txheej no. Yog tias cov lus teb yog qhov ua tsis taus pa tsis tsim nyog, ces qhov no yog qhov ua rau muaj kev txhawj xeeb. Tsis txhob ntshai, muaj ntau yam phem tuaj yeem cuam tshuam ua pa thiab yog li lawv tsis yog txhua yam xov xwm phem.
Nws yog ib qho tseem ceeb kom saib tag nrho cov cim:
Qhia koj tus dev ua pa nrawm lossis hnyav
- Koj tus dev ua pa sai npaum li cas? Nws yog qhov tsim nyog suav koj tus dev ua pa yog tias koj ua tau. Ib qho ua tsis taus pa yog qhov nqus tau puv thiab tom qab ntawd ua pa puv- tsis suav ob qho tib si los ntawm kev sib tsoo! Tus nqi ib txwm yuav yog 15-30 ua pa ib feeb thaum cov dev noj qab nyob zoo, so thiab so lossis pw tsaug zog. Ua pa qeeb qeeb thaum cov dev so lossis pw tsaug zog, thiab sai dua thaum sawv ntxov thiab tsaug zog.
- Puas yog koj tus dev ua tsis taus pa zoo tag nrho? Koj yuav tsum txhawj xeeb yog tias koj tus dev tsis tsim nyog panting hnyav nrog lub qhov ncauj qhib, tshwj xeeb tshaj yog nrog cov ces kaum ntawm daim di ncauj rub rov qab. Cov dev nyob rau hauv kev nyuaj siab kuj tseem yuav ncab tawm ntawm lawv lub cev thiab caj dab los sim thiab rub tawm cua ntau ntxiv. Qhov kev ua pa ua pa ntau ntxiv yog qhov ua rau muaj kev txhawj xeeb thiab xav tau kev tshawb nrhiav.
- Puas yog koj tus dev ua ib qho txawv txav ua pa nrov zoo li hawb pob lossis nqhis dej uas lawv tsis nquag ua?
- Tej zaum kuj yuav muaj lwm yam tsis paub lossis tsos mob uas koj tus dev tau tshwm sim tib lub sijhawm, uas tej zaum yuav ua rau muaj kev txhawj xeeb ntxiv.
Vim li cas kuv tus dev ua pa nrawm lossis hnyav?
Kev hloov pauv ua pa yog ib qho tshuaj tiv thaiv rau ntau yam, ob qho tib si lub cev thiab kev xav. Qee qhov no tuaj yeem cuam tshuam txog cov teeb meem sab hauv, tab sis ntau ntawm lawv yog cov kev hloov pauv uas lub cev ua rau ib qho xwm txheej tshwj xeeb.
Yog tias koj xav tham nrog tus kws kho tsiaj tam sim no tab sis tsis tuaj yeem mus rau ib qho, mus rau JustAnswer. Nws yog qhov kev pabcuam online uas koj tuaj yeemtham nrog kws kho tsiaj hauv lub sijhawm tiag tiag thiab tau txais cov lus qhia tus kheej uas koj xav tau rau koj tus tsiaj - tag nrho ntawm tus nqi pheej yig!
Kev siv lub cev, kub, cev xeeb tub thiab ntshai txhua yam
Ib txwm ua rau ua pa nrawm lossis hnyav suav nrog kev siv lub cev (khiav ncig, ua si) qhov ua pa tau nrawm dua kom tau txais oxygen ntau dua. Yog tias koj tus dev ntshai lossis ntxhov siab, ces qhov ua pa yuav nce ntxiv rau tib lub laj thawj. Qhov no kuj tuaj yeem pom tom qab haum lossis qaug dab peg, xav txog kev ntxhov siab. Yog tias koj tus dev kub, lawv kuj yuav khaus ib txwm. Cov dev cev xeeb tub feem ntau yuav ua rau muaj kev ua pa ntau dua vim tias feem ntau hnyav hnyav rau hauv siab ntawm cov menyuam dev!
Paj
Ib qho txawv txav vim qhov no yog qhov mob ntawm ib qho laj thawj. Cov kab mob sab hauv xws li lub plawv, lub raum thiab lub siab teeb meem kuj tuaj yeem ua rau qhov no yog tias lawv ua rau mob lossis yog tias lawv hloov pauv mus rau chemistry ntawm cov ntshav. Hloov pauv qhov ua pa yog lub cev sim ua kom haum rau cov kev hloov pauv no. Kev hloov pauv ua pa hauv cov dev laus feem ntau pom tias qee yam hloov hauv.
Oxygen deprivation
Ua pa kuj yuav hloov yog tias lub cev tawm tsam kom tau oxygen rau hauv cov ntshav thiab mus rau hauv nruab nrog cev. Qhov no tuaj yeem tshwm sim nrog mob ntsws thiab lub plawv, lossis yog tias muaj qee yam cuam tshuam rau txoj hlab pa lossis lub ntsws thiab txo qis kev ua pa kom zoo. Ntshav poob thiab ntshav ntshav tuaj yeem ua rau ua pa hloov pauv, vim lub cev tsis muaj ntshav txaus los nqa oxygen ncig lub cev.
Kuv tus dev ua pa hnyav, kuv yuav ua li cas?
- Nug koj tus kheej seb qhov ua pa no puas yuav tsum tauYog tias koj tus dev nquag, kub lossis ntxhov siab, piv txwv li, tus nqi nrawm dua yuav tsim nyog. Yog tias tsis muaj laj thawj pom tseeb rau qhov ua pa siab dua li qub, ces qhov no yuav ua rau muaj kev txhawj xeeb.
- Suav koj tus dev ua tsis taus pathiab saib lwm yam tsos mob uas koj tus dev yuav pom (xws li hnoos, hunched, tawm zaub mov, ntuav, thiab raws plab piv txwv).
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Yog tias qhov ua pa nrawm nrawm yam tsis muaj laj thawj zoo, thiab tshwj xeeb tshaj yog tias koj tus dev pom lwm cov tsos mob, nws tseem ceeb heev rauhu rau koj lub chaw kho tsiaj hauv zos sai li sai tau. Yuav tsum muaj lub tswv yim tshaj lij los pab qhia kev txiav txim siab ntawm no.
- Yog tias koj tus dev ua tsis taus pa tiag tiag thiab pom cov tsos mob xws li pais plab lossis txhaws, qhov no yog qhov xwm txheej ceev, thiab koj yuav tsum mus ntsib koj tus kws kho tsiaj sai li sai tau. Qhov no yog hu ua kev nyuaj siab ua pa, ua pa nyuaj, lossis 'dyspnea'.
- Yog tias cov tsos mob me me, ces qhov kev teem caij niaj hnub yuav tsim nyog dua. Qhov no yog hu ua kev ua pa nce ntxiv, ua pa nrawm, lossis 'tachypnea'.
- Koj tus kws kho tsiaj yuav nug txog qhov xwm txheej tam sim no thiab keeb kwm ntawm qhov teeb meem no. Raws li qhov no lawv yuav tuaj yeem muab tswv yim rau koj. Feem ntau, cov kws kho tsiaj yuav qhia txog kev kuaj xyuas tus neeg rau kev kuaj lub cev thawj zaug, vim tias cov dev tuaj yeem nqes mus sai nrog qee yam mob uas ua rau ua pa hnyav.
- Ua raws li koj tus kws kho tsiaj cov lus qhia. Yog tias qhov no yog coj koj tus dev mus kuaj ces nws yog qhov zoo tshaj los ua raws li cov lus qhia no. Koj tus kws kho tsiaj yuav ua haujlwm nrog koj tus dev qhov nyiam tshaj plaws ntawm lub siab. Yog tias muaj kev txhawj xeeb txog nyiaj txiag, koj yuav tsum qhia meej rau koj tus kws kho tsiaj - lawv yuav nco ntsoov ua kom koj mus txog hnub nrog cov nqi uas xav tau.
Kuv tus kws kho tsiaj yuav tshuaj xyuas qhov ua pa hnyav thiab ua pa nyuaj npaum li cas hauv cov dev?
Koj tus kws kho tsiaj yuav xub nug cov lus nug ntxaws txog keeb kwm yav dhau los thiab cov tsos mob ntawm qhov teeb meem no. Tom qab ntawd lawv yuav ua qhov kev kuaj mob tag nrho ntawm koj tus dev txhawm rau nrhiav cov lus qhia sab nraud. Qhov pib theem no tseem ceeb heev kom nqaim cov npe ntev ntawm qhov ua rau muaj kev hloov pauv hauv kev ua pa thiab tso cai rau koj thiab koj tus kws kho tsiaj kom tsom mus rau qhov muaj feem ntau rau koj tus dev. Thawj kauj ruam no yuav ua tau raws li kev sib tham ib txwm muaj lossis nws yuav ua tau sai thiab ua tau zoo dua yog tias qhov xwm txheej yog xwm txheej ceev.
Initial Stabilization
Nyob rau hauv qhov chaw kub ntxhov, koj tus dev yuav xav tau kev ruaj khov ua ntej ua ntej ua haujlwm ntxiv. Yog tias koj tus dev ua tsis taus pa lossis oxygenate cov ntshav ib txwm, ces qhov no yuav ua rau muaj kev phom sij rau lub neej thiab cov teeb meem no yuav tsum tau kho yog qhov tseem ceeb tshaj plaws. Qhov no tuaj yeem ua tiav los ntawm kev muab cov pa oxygen lossis intubation (tso lub raj rau hauv koj tus dev txoj hlab pa kom qhib thiab ruaj ntseg thiab muab oxygen). Koj tus kws kho tsiaj kuj tseem yuav muab tshuaj rau koj tus dev, vim kev ntxhov siab yuav ntxiv rau lawv cov teeb meem.
Ntawm qhov xwm txheej tsis tshua muaj tshwm sim, tshwj xeeb tshaj yog nyob rau hauv qhov hnoos qeev, kev siv tshuaj kho mob xwm txheej ceev yuav tsum tau ua los ntawm tracheostomy, qhov twg koj tus kws kho tsiaj yuav tsum tau ua ib lub qhov hauv koj tus dev caj pas thiab tso lub raj li ntawd (ib yam li hauv cov yeeb yaj kiab tab sis tsis yog. nrog tus cwj mem ballpoint!).
Testing and Diagnosis
Kom mus txog qhov kev kuaj mob kom tiav, koj tus kws kho tsiaj tuaj yeem pom zoo rau kev tshawb nrhiav ntxiv nrog rau kev kuaj ntshav (kom kuaj xyuas kab mob sab hauv thiab kev hloov pauv hauv cov ntshav chemistry). Kev thaij duab kuj yuav raug qhia, suav nrog tej yam xws li lub hauv siab X-rays (lossis lub hauv siab CT scan) los ntsuas kev noj qab haus huv ntawm koj tus dev lub plawv thiab lub ntsws. Yog tias qhov mob xav tias yog vim li cas, koj tus kws kho tsiaj yuav saib xyuas qhov tshwm sim xws li mob plab lossis mob orthopedic (xws li mob caj dab), thiab tej zaum yuav muaj cov kev ntsuam xyuas tshwj xeeb qhia rau cov no kom txo qis qhov teeb meem.
Raws li qhov tshwm sim tiag tiag, ntau qhov teeb meem no tuaj yeem kho tau tag nrho thiab ua rau muaj txiaj ntsig zoo mus ntev. Hmoov tsis zoo, qee qhov ua rau muaj kev hloov pauv hauv kev ua pa yog qhov phem thiab tsis tuaj yeem kho tau. Ib yam li txhua yam, nrhiav kev pab sai dua, qhov zoo dua koj tus dev txoj hauv kev yuav zoo dua.
Kuv yuav muab dab tsi rau kuv tus dev rau kev ua pa? Puas muaj cov tshuaj hauv tsev kom ua pa zoo dua?
Qhov no yog ib qho piv txwv zoo ntawm qhov xwm txheej uas nws yog qhov zoo dua los nrhiav cov lus qhia hauv thawj zaug. Tej zaum yuav muaj cov kev kho mob hauv tsev uas yuav haum rau koj tus dev, tab sis yuav tsum muaj kev kuaj mob kom raug ua ntej los coj qhov no thiab kom ntseeg tau tias tsis muaj kev pheej hmoo rau koj tus dev. Tsis tas li ntawd, muaj ntau yam sib txawv uas tuaj yeem cuam tshuam kev ua pa uas koj yuav tsis nco lub hom phiaj hauv tsev. Kev kho mob hauv tsev kuj tseem muaj feem yuav ua rau muaj kev cuam tshuam rau lub plawv, lub ntsws, lub raum, thiab daim siab mob hnyav dua. Kev cuam tshuam tib neeg thiab tshuaj rau kev ua pa tsis tsim nyog rau dev feem ntau.
Yog tias koj tus dev ua pa txawv txav, cov lus qhia zoo tshaj hauv tsev yog kom koj tus dev kom txias, txias, thiab so kom txaus raws li koj muaj peev xwm ua tau. Nws yog ib qho tsim nyog yuav tau kos cov ntaub thaiv kom tsaus rau qhov chaw, txo cov suab nrov, thiab siv cov kiv cua lossis cua txias kom muab cov cua txias txav. Qhov no yuav pab tau thaum koj ntsuas qhov xwm txheej raws li tau piav qhia saum toj no thiab nrhiav kev qhia kws kho tsiaj.
Yog tias koj tus kws kho tsiaj tsis txhawj xeeb txog koj tus dev tus mob tam sim ntawd, lawv yuav muab cov lus qhia txog kev tu koj hauv tsev uas koj tuaj yeem ua raws.
FAQs
Dab tsi yog qhov qhia txog kev ua pa nyuaj rau tus dev?
Nrhiav qhov hnyav thiab ua pa nrawm uas tsis tsim nyog muab qhov xwm txheej. Cov dev kuj tuaj yeem ncab tawm lub taub hau lossis caj dab, muaj qhov dav thiab qhov muag ntshai thiab ua suab nrov txawv xws li ua pa lossis hawb pob. Ua pa nrawm dua 30 ua pa ib feeb yog nrawm heev yog tias tus dev tsis yog- lossis tsis tau ua haujlwm tam sim no.
Kuv yuav ua li cas thiaj paub yog tus dev muaj kua hauv nws lub ntsws?
Cov kua dej ntawm lub ntsws yog ib qho ua rau ua pa sai thiab tiv thaiv lub ntsws los ntawm kev ua lawv txoj haujlwm vim lawv tsis tuaj yeem nthuav dav thiab tau txais oxygen hauv. kuaj thiab X-rays hauv siab kom kuaj tau qhov tseeb.
Vim li cas kuv tus dev suab zoo li nws ua tsis taus pa?
Muaj ntau qhov ua rau muaj qhov tshwm sim no, xws li teeb meem lossis teeb meem cuam tshuam rau txoj hlab pa mus rau lub plawv, ntsws, mob siab thiab mob raum. Yog tias koj xav tias koj tus dev ua tsis taus pa, nws yog ib qho tseem ceeb kom nrhiav kev pab kho mob xwm txheej ceev.
Kuv yuav ua li cas thiaj muab tau kuv tus aub ntxiv?
Qhov no nyuaj heev rau kev ua tiav hauv tsev, vim tias feem ntau cov tsev yuav tsis nkag mus rau cov pa kho mob. Txoj kev yooj yim tshaj plaws yog kis cov pa oxygen hauv qab koj tus dev lub qhov ntswg. Txawm li cas los xij, nyob rau hauv cov xwm txheej no, koj tus dev xav tau kev kho mob xwm txheej ceev, thiab lub tsev kho mob kws kho tsiaj tuaj yeem muab cov pa oxygen hauv qab lub qhov ntswg, los ntawm lub qhov ncauj qhov ntswg los yog intubation yog tias xav tau. Nyob rau hauv cov xwm txheej me, muab cov cua txias txias los ntawm chav tsev yog txaus los xyuas kom meej tias koj tus dev ua pa cov khoom zoo.
Puas ua pa nrawm yog ib qho kev mob ntawm tus dev?
ua pa nrawm tuaj yeem ua rau mob thiab tuaj yeem nrog lwm cov tsos mob. Txawm li cas los xij, muaj lwm yam ua rau ua pa sai, thiab nws yog qhov zoo tshaj rau koj tus kws kho tsiaj txiav txim siab uas cuam tshuam rau koj tus dev.
Conclusion
Ua pa yog ib txwm hloov pauv ntawm lub cev thiab kev hloov pauv los cuam tshuam qhov xav tau ntawm qhov xwm txheej tam sim no ntawm koj tus dev. Nws tseem tuaj yeem hloov pauv sai nrog cov txheej txheem kab mob thiab mob, thiab hmoov tsis muaj ntau qhov ua rau ua pa hnyav hauv dev. Yog tias koj xav tias koj tus dev ua pa txawv txav thiab tsis tsim nyog rau qhov xwm txheej, nws yog qhov zoo tshaj los nrhiav cov kws kho tsiaj cov lus qhia sai dua tom qab - qhov no tsis yog ib yam uas yuav tsum tau sim thiab tswj hauv tsev.
