Video: Dab tsi ua rau cov leeg jugular hloov pauv?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov ntshav ntws los ntawm lub taub hau mus rau lub plawv ntsuas los ntawm lub hauv paus cov leeg ntshav siab lossis CVP. Jugular leeg leeg distention lossis JVD yog thaum lub zog nce siab ntawm vena cava zoo dua ua cov jugular leeg txhawm rau txhawm rau, ua rau pom ntau tshaj ntawm sab xis ntawm tus neeg lub caj dab.
Tsis tas li kom paub yog, puas yog cov hlab ntshav jugular sib txawv?
Ib qho siab JVP yog cov cim qhia ntawm cov leeg ntshav kub siab (piv txwv li sab xis lub plawv tsis ua hauj lwm). JVP nce tuaj yeem pom tau zoo li jugular venous nruj , qhov twg JVP yog pom ntawm qib ntawm lub caj dab uas siab dua li qub.
Tsis tas li ntawd, vim li cas kuv cov hlab ntshav tawm tuaj? Cov txheej txheem no, hu ua kev lim dej, ua rau cov nqaij o thiab tawv nqaij uas pom thaum ua si. Raws li qhov tshwm sim ntawm qhov o, tawv nqaij leeg raug thawb mus rau ntawm daim tawv nqaij, ua kom tiaj rau qee qhov, thiab zoo li ua rau pom. Xws li leeg pom ntau dua hauv cov neeg uas muaj rog subcutaneous tsawg.
Xav txog qhov no, dab tsi yog qhov tshwm sim feem ntau ntawm jugular venous distention JVD?
Feem ntau ua rau jugular txoj hlab ntshav sib txawv Congestive lub plawv tsis ua hauj lwm (kev puas tsuaj ntawm lub plawv lub peev xwm los tso ntshav) nruj mob pericarditis (kis kab mob lossis o ntawm cov kab uas nyob ib puag ncig lub plawv uas ua rau lub hauv siab hloov pauv) Hypervolemia (nce ntshav ntxiv)
Puas yog JVD yog tus cim qhia tias lub cev qhuav dej?
Cov neeg mob uas xav tsis thoob lub cev qhuav dej feem ntau muaj keeb kwm ntuav, raws plab, lossis txo qis kev noj haus nrog rau cov tshuaj ua kom poob qis (piv txwv li, cov tshuaj diuretics). Kev tshuaj xyuas lub cev ntawm tus neeg mob no tuaj yeem ua rau pom ib lossis tag nrho cov hauv qab no: Tachycardia. Tsis muaj jugular venous distention ( JVD ).
Pom zoo:
Yam twg ntawm cov hauv qab no yog qhov hloov pauv hloov pauv tau rau kev mob pob txha?
Yam yuav hloov pauv tau yam muaj xws li: Dej cawv. Kev haus luam yeeb. Low Body Mass Index. Kev noj zaub mov tsis zoo. Vitamin D tsis txaus. Kev noj zaub mov tsis zoo. Estrogen tsis muaj peev xwm. Kev tawm dag zog tsis txaus
Qhov kev hloov pauv twg yuav ua rau hloov mus rau sab laug hauv cov pa oxygen hemoglobin khi nkhaus?
Cov pa -hemoglobin kev sib cais sib cais tuaj yeem txav chaw xws li qhov kev sib raug zoo rau cov pa oxygen tau hloov pauv. Cov yam ntxwv uas hloov qhov nkhaus muaj xws li kev hloov pauv hauv cov pa roj carbon dioxide concentration, ntshav kub, ntshav pH, thiab cov concentration ntawm 2,3-diphosphoglycerate (2,3-DPG)
Dab tsi ua rau cov leeg leeg leeg?
Thrombophlebitis tuaj yeem tshwm sim hauv cov leeg ntshav ze ntawm koj cov tawv nqaij lossis tob dua, nyob nruab nrab ntawm koj cov leeg txheej. Tus mob no feem ntau tshwm sim hauv koj ob txhais ceg, tab sis nws muaj peev xwm tsim thrombophlebitis hauv lwm qhov ntawm koj lub cev. Cov ntshav txhaws tuaj yeem ua rau o ntawm cov leeg ntawm koj lub caj dab lossis caj npab, tab sis qhov no tsis tshua muaj
Dab tsi yog txoj haujlwm zoo tshaj uas koj yuav tsum tso tus neeg mob thaum koj ntsuas rau jugular leeg leeg?
Txhawm rau tshuaj xyuas qhov ua kom nruj jugular venous, tus neeg mob yuav tsum tau muab tso rau ntawm lub kaum sab xis 45 degree, lossis tsawg dua. Kev pom ntawm cov hlab ntsha jugular yog qhov zoo tshaj plaws ua tiav ntawm lub kaum sab xis, yog li zaum ntawm ib sab ntawm tus neeg mob thiab tsa lub taub hau ntawm lub txaj rau hauv ib qho chaw Fowler
Kev hloov pauv hloov pauv yog dab tsi?
Kev hloov pauv hloov pauv hloov pauv ntawm cov khoom nruab nrog nruab nrab ntawm ob tsev neeg, uas tsis tuaj yeem pub khoom nruab nrog cev rau lawv tsev neeg vim yog pawg ntshav tsis sib haum. Qhov no yog nyob rau hauv kev nkag siab 'khub pauv'