Video: Kev kho mob dab tsi rau menyuam mos uas muaj teeb meem ua pa nyuaj?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Kho rau RDS suav nrog kev kho tshuaj tua kab mob surfactant, ua tsis taus pa txhawb nqa los ntawm lub tshuab ua pa lossis lub qhov ntswg txuas ntxiv lub tshuab pa zoo (NCPAP) lub tshuab, lossis lwm yam txhawb nqa kev kho mob . Feem ntau cov menyuam yug tshiab leej twg pom cov tsos mob ntawm RDS tau tsiv mus rau qhov chaw kho mob me me (NICU).
Kuj paub, dab tsi ua rau mob ua pa nyuaj rau cov menyuam mos?
Neonatal RDS tshwm sim hauv menyuam mos nws lub ntsws tseem tsis tau loj hlob. Tus kab mob no mas ua los ntawm qhov tsis muaj cov khoom nplua hauv lub ntsws hu ua surfactant. Cov tshuaj no pab lub ntsws kom puv cov pa thiab ua kom lub hnab cua tsis txhob ya raws. Surfactant yog tam sim no thaum lub ntsws ua tiav.
Kuj Paub, kuaj mob ua pa nyuaj li cas? RDS feem ntau yog kuaj pom los ntawm kev sib xyaw ua ke ntawm kev ntsuas, suav nrog cov hauv qab no:
- Kev pom, xim, thiab ua pa (qhia tias tus menyuam xav tau oxygen).
- Chest X-rays ntawm lub ntsws.
- Cov roj ntshav (kuaj oxygen, carbon dioxide thiab acid hauv cov ntshav ntshav).
- Echocardiography.
Ib yam li ntawd, nws tau nug, koj tuaj yeem tiv thaiv kev ua pa nyuaj ntawm cov menyuam mos li cas?
Tiv thaiv kev yug menyuam ntxov ua rau txo txoj kev pheej hmoo ntawm menyuam mos RDS. Rau txo kev pheej hmoo ntawm kev yug menyuam ntxov, tau txais kev saib xyuas ua ntej yug menyuam thaum cev xeeb tub thiab zam haus luam yeeb, yeeb tshuaj txhaum cai, thiab cawv.
Puas yog ua pa nyuaj siab syndrome ploj mus?
Yog tus me nyuam muaj tus kab mob me me thiab tsis xav tau a ua tsis taus pa tshuab, nws/nws yuav tsis muaj pa oxygen hauv 5-7 hnub. Yog tias tus menyuam muaj mob hnyav dua tseem muaj kev txhim kho tom qab 3-5 hnub tab sis kev txhim kho yuav qeeb dua thiab tus menyuam yuav xav tau cov pa ntxiv thiab/lossis lub tshuab ua pa rau hnub mus rau ntau lub lim tiam.
Pom zoo:
Dab tsi yog qhov sib txawv tseem ceeb ntawm teeb meem tsom mus rau kev daws teeb meem thiab kev xav tsom mus rau kev daws?
Thaum kev ntxhov siab pom tau tias yog tswj tau, teeb meem tsom mus rau cov tswv yim daws teeb meem cuam tshuam nrog cov tsos mob ntawm kev puas siab puas ntsws, thaum nyob hauv qhov xwm txheej tsis txaus ntseeg, kev xav-tsom mus rau kev daws teeb meem cuam tshuam nrog cov tsos mob tsawg dua
Kev kho mob ntawm kev xaiv rau tus menyuam uas muaj kev cuam tshuam dab tsi?
Kev nqus pa yog kev kho mob ntawm kev xaiv hauv ntau lub tsev haujlwm. Qhov kev pheej hmoo ntawm cov teeb meem loj nrog cov txheej txheem no yog me me. Nws txoj kev vam meej yog txo qis, xws li nrog rau lwm cov tshuaj txo qis, hauv cov neeg mob uas muaj cov kab mob hauv plab me me thiab hauv cov neeg uas muaj prolapsing intussusceptions
Puas yog kev daws teeb meem kev kho mob tib yam li kev daws teeb meem luv luv kho?
Kev kho mob tsom mus rau kev kho mob, tseem hu ua kev daws teeb meem hais qhia luv (SFBT), yog hom kev kho mob uas muab qhov tseem ceeb tshaj ntawm kev tham txog kev daws teeb meem ntau dua (Berg, nd) Lo lus "luv luv" hauv kev kho mob luv luv yog qhov tseem ceeb
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
Dab tsi yog qhov teeb meem kev kho mob hauv kev saib xyuas neeg mob?
Cov teeb meem hauv tsev kho mob xaiv rau kev nug feem ntau yog cov uas tau ntsib hauv kev saib xyuas neeg mob thiab cov uas cuam tshuam nrog cov kev kho mob ntawm tus neeg mob xws li kev txhawb nqa, kev nplij siab, kev tiv thaiv kev raug mob, txhawb kev rov qab los, kev tshuaj ntsuam xyuas kev noj qab haus huv, kev ntsuam xyuas thiab / lossis kev ntsuam xyuas, kev kawm txog kev noj qab haus huv, thiab kev sib koom tes. ntawm kev kho mob