Video: Yuav ua li cas heparin kho pulmonary embolism?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Tam sim ntawd kho anticoagulation yog pib rau cov neeg mob uas xav tias tob venous thrombosis (DVT) los yog pulmonary embolism ( PE ). Heparin ua haujlwm los ntawm kev qhib antithrombin III kom qeeb lossis tiv thaiv kev nce qib ntawm DVT thiab txhawm rau txo qhov loj me thiab zaus PE . Heparin ua tsis yaj cov ntshav uas twb muaj lawm.
Tsis tas li, sai npaum li cas heparin ua haujlwm rau kev mob ntsws hauv lub ntsws?
Thawj cov tshuaj tiv thaiv kab mob feem ntau suav nrog 5 txog 10 hnub ntawm kev kho LMW heparin tshuaj , unfractionated heparin tshuaj los yog fondaparinux. Tom qab ntawd, lub sij hawm ntev anticoagulation yog txuas ntxiv rau 3 mus rau 12 lub hlis (saib Kev kawm ntawm tus neeg mob: Deep vein thrombosis ( DVT ) (Beyond the Basics), ntu ntawm 'Lub Sij Hawm ntawm Kev Kho Mob').
Ib yam nkaus, dab tsi yog txoj kev kho mob zoo tshaj plaws rau kev mob ntsws hauv lub ntsws? Cov kev xaiv suav nrog enoxaparin, dalteparin, fondaparinux, thiab tsis siv neeg heparin (UFH). Subcutaneous qis molecular hnyav heparins (LMWH) (enoxaparin thiab dalteparin) thiab fondaparinux muaj txiaj ntsig zoo rau niam txiv anticoagulants rau kev kho mob ntawm PE nrog dalteparin qhia rau ncua kev kho mob.
Yog li, heparin puas tuaj yeem ua rau pulmonary embolism?
Venous thrombosis ua tau tshwm sim raws li DVT, pulmonary embolism , thiab tsis tshua muaj cerebral venous thrombosis. Heparin induced thrombocytopenia tuaj yeem ua rau txuas ntxiv ntawm qhov kuaj pom ntshav khov. HIT ua tau kuj muaj raws li daim tawv nqaij necrosis ntawm qhov chaw ntawm heparin tshuaj txhaj tshuaj thiab tsis tshua muaj tshwm sim, cov kab mob anaphylactoid tshwm sim.
Puas yog heparin yaj cov ntshav txhaws?
Heparin txhaj tshuaj yog anticoagulant. Cov tshuaj no qee zaum hu ua a ntshav thinner, txawm hais tias nws ua tsis tau ua qhov thin ntshav . Heparin yuav tsis yaj cov ntshav txhaws uas twb tsim lawm, tab sis nws yuav tiv thaiv tau txhaws los ntawm qhov loj dua thiab ua rau muaj teeb meem loj dua.
Pom zoo:
Vim li cas pob txha yuav tsum tau kho tam sim los ntawm kws kho mob?
Cov pob txha yuav tsum tau kho tam sim los ntawm kws kho mob vim tias cov pob txha yuav tsum tau teeb tsa tam sim, ua ntej lawv pib kho, lossis lawv yuav kho tau nkhaus
Koj puas tuaj yeem tuag los ntawm pulmonary embolism?
Yog lawm, koj tuaj yeem tuag ntawm txoj hlab ntshav sib sib zog nqus. Cov teeb meem tuag hauv DVT feem ntau tshwm sim thaum cov ntshav khov lossis ib qho ntawm nws txoj kev mus rau lub ntsws (pulmonary embolism). Yog tias muaj mob ntsws ntsws (PE) tshwm sim, qhov kev kwv yees tuaj yeem loj dua. Kwv yees li 25% ntawm cov neeg uas muaj PE yuav tuag tam sim ntawd, thiab qhov ntawd tsuas yog cov tsos mob nkaus xwb
Dab tsi ntawm cov hauv qab no yog qhov tshwm sim ntawm pulmonary embolism?
Pulmonary embolus feem ntau tshwm sim los ntawm cov ntshav txhaws uas tshwm sim hauv cov hlab ntsha sab nraud ntawm lub ntsws. Cov ntshav ntau tshaj plaws yog ib qho nyob rau hauv cov leeg sib sib zog nqus ntawm tus ncej puab lossis hauv lub plab (thaj chaw hauv siab). Hom kab mob no hu ua Deep vein thrombosis (DVT)
Thaum tus kws kho mob tau tso cai tso cai ntau npaum li cas yuav tsum muaj kev sib ntsib tim ntsej tim muag tshwm sim ntawm tus kws kho mob thiab cov kws kho mob qib siab uas tau sau npe rau tus nais maum?
Txawm li cas los xij, yog tias APRN lossis PA tau nyob hauv daim ntawv pom zoo tso cai nrog kws saib xyuas kws kho mob tsawg kawg tsib ntawm xya xyoo dhau los, cov rooj sib tham tim ntsej tim muag yuav tsum tshwm sim tsawg kawg ib hlis txog rau thawj hnub ntawm hnub uas tau pom zoo kos npe
Thaum tus neeg mob muaj pulmonary embolism loj heev, muaj teeb meem dab tsi?
Ib qho teeb meem hnyav tshaj plaws ntawm PE yog mob ntsws - tuag ntawm cov nqaij hauv ntsws. Nws tshwm sim thaum cov ntshav oxygenated raug thaiv los ntawm kev mus txog lub ntsws cov ntaub so ntswg thiab ua kom nws nourished. Feem ntau, nws yog ib qho loj heev uas ua rau tus mob no. Cov pob zeb me me tuaj yeem tawg thiab nqus tau los ntawm lub cev