Video: Yam teeb meem dab tsi tuaj yeem ua rau cov neeg mob COPD ntsib ntawm qhov ua pa zoo?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Dynamic hyperinflation, autoPEEP, thiab lawv cuam tshuam teeb meem (suav nrog kev ua pa tsis tu ncua acidosis, hypotension, thiab barotrauma) feem ntau yuav tshwm sim nrog kev tswj lub tshuab ua pa tsis raug ntawm Tus neeg mob COPD . Qhov teeb meem cardinal yog cua ntau dhau, uas ua rau muaj kev cuam tshuam ntau yam.
Tom qab ntawd, ib tus tseem tuaj yeem nug, hom kev tso cua tawm twg yog qhov haum rau cov neeg mob uas muaj mob ntsws hnyav?
KEV PAB CUAM TSHUAJ TIV THAIV YUAV TSUM MUAJ KEV LAG LUAM TSEV KAWM NTAWV PULMONARY . Siv cov pov thawj tam sim no, tsis muaj kev cuam tshuam zoo-siab qhov cua (NPPV) yog thawj kab kev kho mob rau cov no cov neeg mob , tab sis kev cuam tshuam zoo-siab qhov cua kuj tseem xav tau hauv cov neeg mob uas muaj ntau dua mob hnyav.
Ib yam nkaus, kuv puas tuaj yeem phais yog tias kuv muaj COPD? Ib qho ntawm cov teeb meem ntsib tib neeg nrog COPD tab tom ua phais uas xav tau tshuaj loog. Kev sib xyaw ntawm tshuaj loog thiab COPD ua nce kev pheej hmoo tab sis muaj txoj hauv kev los tswj thiab txo cov kev pheej hmoo no. Yog koj yuav tsum tau mus pw hauv tsev kho mob lossis tau txais kev pab ua pa yav dhau los vim yog COPD , qhia koj tus kws kho mob.
Hais txog qhov no, tus neeg mob COPD tuaj yeem nyob ntev li cas ntawm lub tshuab ua pa?
Thaum nws yog paub tias cov neeg mob nrog COPD leej twg xav tau ncua ntev qhov cua (> 72 teev) lossis rov ua dua tshiab muaj qhov tshwm sim tsis zoo, 2 Breen li al3 pom tias qhov nruab nrab qhov xav tau rau kev txhawb nqa lub tshuab ua pa yog 2 hnub (txhais tau tias 3.2 hnub) thiab tsuas yog 13% tau txais kev txhawb nqa lub tshuab ua pa rau ntau dua 1 lub lis piam-qhov kev tshawb pom tsis sib xws nrog
Koj ua pa rau tus neeg mob hawb pob li cas?
Raws li qhov pib rau cov neeg mob ua pa nrog hnyav mob hawb pob , peb pom zoo tias lub tshuab ua pa pib siv rau hauv kev tswj lub siab, teeb tsa lub siab kom ua tiav qhov ntim ntawm 6-8 ml/kg, ua pa ntawm 11–14 pa/min thiab PEEP ntawm 0–5 cmH.2O.
Pom zoo:
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