Feem ntau siv xam cov qauv hauv cov tshuaj kho mob

Apr 24, 2024

Hauv kev kho mob hauv tsev kho mob, kev suav thiab kev ntsuam xyuas yog qhov tseem ceeb los xyuas kom cov neeg mob tau txais kev kho mob tsim nyog. Txawm hais tias nws yog txiav txim rau lub raum ua haujlwm, kho cov tshuaj ntau npaum li cas, lossis kwv yees qhov tshwm sim ntawm tus kab mob, cov txheej txheem ntawm kev suav cov qauv ua lub luag haujlwm tseem ceeb. Txhawm rau pab txhawb cov kws kho mob kom txiav txim siab kho mob kom zoo thiab raug, Yimaitong tau ua tib zoo sau ntau cov qauv siv tshuaj kho mob suav nrog, nrog rau kev saib xyuas kev pabcuam rau txhua tus neeg kho mob thiab txhim kho kev ua haujlwm ntawm koj qhov kev txiav txim siab kho mob.

Nyem rau Cistanche rau mob raum

1. eGFR glomerular filtration rate (CKD-EPI) xam mis

2021 eGFR=142 x (Scr/A)^B x (0.9938)^Age x C (Scr: Serum Creatinine)


(1) Poj niam C tus nqi: 1.012

Scr≤0.7mg/dL, A=0.7, B=-0.241; Scr>0.7mg/dL, A=0.7, B=-1.2


(2) Txiv neej C tus nqi: 1

Scr≤0.9mg/dL, A=0.9, B=-0.302; Scr>0.9mg/dL, A=0.9, B=-1.2

2. eGFR glomerular filtration rate (2006 txhim kho IMDS-MDRD) kev suav cov mis

eGFR{{0}} x Scr^ ({1}}.154) x (hnub nyoog)^ (-0.203) x (0.742, poj niam) x (1.212, dub) (Scr (Creatinine)

3. Creatinine tshem tawm (Cockcroft-Gault)

Txiv neej: eGFR=(140 - hnub nyoog) x hnyav / (serum creatinine x 72)

Cov poj niam: eGFR {{0}} (140 - hnub nyoog) x hnyav / (serum creatinine x 72) x 0.85

4. Lub cev nto cheeb tsam (BSA) (nyem rau xam sai)

BSA (㎡)=0.0061 x qhov siab (cm) + 0.0128 x hnyav (kg) - 0.1529

5. Lub cev qhov hnyav (BMI)

BMI(kg/㎡)=luj(kg)/[height^2(m)]

6. Rehydration formula (cov neeg laus)

(1) Kev kwv yees raws li qib dej poob

Kev poob dej me me yog sib npaug rau 2-3% ntawm lub cev hnyav; Kev poob dej nruab nrab yog sib npaug li 4%-6% ntawm lub cev hnyav, uas yog, 2400ml-3600ml; Kev poob dej hnyav yog sib npaug li 7% -14% ntawm lub cev hnyav, thiab cov mob hnyav tuaj yeem ncav cuag ntau dua 15%.


(2) Kev kwv yees raws li kev poob phaus

Hloov cov kua dej ntim (ml)=[qhov hnyav (kg) - tam sim no qhov hnyav (kg)] x (30 ~ 40ml / kg)


(3) Raws li hematocrit, haum rau kwv yees dej poob hauv dej hypotonic

Txiv neej: Kua hloov ntim (ml) {{0}} [(hematocrit tiag tiag-0.48)/0.48]xweight (kg)x200

Cov poj niam: Cov kua dej hloov ntim (ml) {{0}} [(hematocrit tiag-0.42)/0.42]xweight (kg)x200


(4) Muab xam raws li cov ntshav sodium concentration, haum rau hypertonic dej poob

Txiv neej: Cov kua dej hloov ntim (ml)=4 x qhov hnyav tam sim no (kg) x [ ntsuas ntshav sodium (mmol/L)-142]

Cov poj niam: Cov kua dej hloov ntim (ml)=3 x tam sim no qhov hnyav (kg) x [ ntsuas ntshav sodium (mmol/L)-142]

7. Potassium ntxiv mis

10% poov tshuaj chloride tov (mL)=(cov kua dej teev tus nqi-cov ntshav ntsuas qhov tseeb) x lub cev qhov hnyav (kg) x 0.3 / 1.34

Lus Cim: Qhov xav tau ntawm lub cev txhua hnub rau cov neeg laus yog: 10% chloride 60 ~ 70 mL

8. Lub cev hnyav (IBW)

Txiv neej: IBW=50 + 0.9 x (height - 150)

Poj niam: IBW=45 5 + 0.9 x (Height - 150)

9. GRACE ischemic kev soj ntsuam kev pheej hmoo

GRACE ischemic kev soj ntsuam kev pheej hmoo yuav siv rau hauv ntau yam, suav nrog tus neeg mob lub hnub nyoog, lub plawv dhia, systolic ntshav siab, qib ntshav creatinine, qib Killip, muaj prehospital cardiac arrest, ST ntu kev nyuaj siab, nce plawv enzymes, thiab lwm yam. txoj kev yog qhov nyuaj thiab feem ntau yuav tsum tau siv cov ntawv pov thawj tshwj xeeb lossis cov cuab yeej online.

10. txhais tau tias arterial siab

Lub siab lub plawv dhia=diastolic ntshav siab + 1/3 (systolic ntshav siab - diastolic ntshav siab)

Cistanche kho mob raum li cas?

Cistancheyog ib hom tshuaj suav tshuaj ntsuab siv rau ntau pua xyoo los kho ntau yam mob, suav nrograumkab mob. Nws yog muab los ntawm qhuav stems ntawmCistanchedeserticola, ib tsob nroj nyob rau hauv cov suab puam ntawm Tuam Tshoj thiab Mongolia. Lub ntsiab active Cheebtsam ntawm cistanche yogphenylethanoidglycosides, echinacoside cov tshuaj, thiabacteoside, uas tau pom tias muaj txiaj ntsig zoo rauraumnoj qab haus huv.

 

Kab mob raum, tseem hu ua kab mob raum, hais txog ib yam mob uas lub raum ua haujlwm tsis zoo. Qhov no tuaj yeem ua rau muaj cov khoom pov tseg thiab cov co toxins hauv lub cev, ua rau muaj ntau yam tsos mob thiab teeb meem. Cistanche tuaj yeem pab kho mob raum ase los ntawm ntau lub tshuab.

 

Ua ntej, cistanche tau pom tias muaj cov nyhuv diuretic, txhais tau tias nws tuaj yeem ua rau cov zis ntau ntxiv thiab pab tshem tawm cov khoom pov tseg ntawm lub cev. Qhov no tuaj yeem pab txo lub nra ntawm lub raum thiab tiv thaiv kev tsim cov co toxins. Los ntawm kev txhawb nqa diuresis, cistanche kuj tseem tuaj yeem pab txo qis ntshav siab, ib qho teeb meem ntawm cov kab mob raum.

 

Ntxiv mus, cistanche tau pom tias muaj cov teebmeem antioxidant. Kev ntxhov siab oxidative, tshwm sim los ntawm qhov tsis sib xws ntawm kev tsim cov dawb radicals thiab lub cev tiv thaiv antioxidant, ua lub luag haujlwm tseem ceeb hauv kev mob raum. ies pab neutralize dawb radicals thiab txo Oxidative kev nyuaj siab, yog li tiv thaiv lub raum los ntawm kev puas tsuaj. Cov phenylethanoid glycosides pom hauv cistanche tau tshwj xeeb hauv kev tshem tawm cov dawb radicals thiab inhibiting lipid peroxidation.

 

Tsis tas li ntawd, cistanche tau pom tias muaj cov nyhuv anti-inflammatory. Kev mob yog lwm yam tseem ceeb hauv kev loj hlob thiab kev loj hlob ntawm cov kab mob raum. Cistanche's anti-inflammatory zog pab txo cov zus tau tej cov pro-inflammatory cytokines thiab inhibit qhov ua kom o yuav tsum tau txoj kev, yog li alleviating o nyob rau hauv lub raum.

 

Tsis tas li ntawd, cistanche tau pom tias muaj cov teebmeem immunomodulatory. Hauv kab mob raum, lub cev tiv thaiv kab mob tuaj yeem ua rau tsis zoo, ua rau muaj kev mob ntau dhau thiab cov ntaub so ntswg puas. Cistanche pab tswj lub cev tiv thaiv kab mob los ntawm kev hloov kho kev tsim khoom thiab kev ua haujlwm ntawm lub cev tiv thaiv kab mob, xws li T hlwb thiab macrophages. Txoj cai tiv thaiv kab mob no pab txo qhov mob thiab tiv thaiv kev puas tsuaj ntxiv rau lub raum.

 

Ntxiv mus, cistanche tau pom los txhim kho lub raum kev ua haujlwm los ntawm kev txhawb nqa kev tsim kho ntawm lub raum hlab nrog cov hlwb. Lub raum tubular epithelial hlwb ua lub luag haujlwm tseem ceeb hauv kev pom thiab rov nqus cov khoom pov tseg thiab electrolytes. Hauv kab mob raum, cov hlwb no tuaj yeem raug puas tsuaj, ua rau lub raum ua haujlwm puas. Cistanche lub peev xwm los txhawb kev tsim kho ntawm cov hlwb no pab kho lub raum kom zoo thiab txhim kho lub raum tag nrho.

 

Ntxiv nrog rau cov kev cuam tshuam ncaj qha rau lub raum, cistanche tau pom tias muaj txiaj ntsig zoo rau lwm yam kabmob thiab lub cev hauv lub cev. Txoj hauv kev zoo rau kev noj qab haus huv no tseem ceeb tshwj xeeb hauv cov kab mob raum, vim tias tus mob feem ntau cuam tshuam rau ntau lub cev thiab lub cev. che tau pom tias muaj kev tiv thaiv rau lub siab, lub plawv, thiab cov hlab ntsha, uas feem ntau cuam tshuam los ntawm kab mob raum. Los ntawm kev txhawb nqa kev noj qab haus huv ntawm cov kabmob no, cistanche pab txhim kho lub raum tag nrho thiab tiv thaiv kev mob ntxiv.

 

Hauv kev xaus, cistanche yog cov tshuaj suav tshuaj ntsuab siv rau ntau pua xyoo los kho mob raum. Nws cov active Cheebtsam muaj diuretic, antioxidant, anti-inflammatory, immunomodulatory, thiab regenerative teebmeem, uas pab txhim kho lub raum ua haujlwm thiab tiv thaiv ob lub raum los ntawm kev puas tsuaj ntxiv. , cistanche muaj txiaj ntsig zoo rau lwm yam kabmob thiab lub cev, ua rau nws txoj hauv kev zoo rau kev kho mob raum.

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