Cov neeg mob ntshav siab noj tshuaj li cas tom qab tau txais txiaj ntsig zoo?
Jan 04, 2023
Tom qab nkag mus rau lub Kaum Ob Hlis, raws li qhov xwm txheej dav dav ntawm Tuam Tshoj txoj kev hloov kho txoj cai tiv thaiv kab mob sib kis, ntau tus neeg mob ntshav siab tau dhau los ua Covid 19, cov neeg mob zoo. Los ntawm cov ntaub ntawv tso tawm kom deb li deb, nws tuaj yeem pom tias Omicron strain tsis tshua nkag mus rau lub ntsws. poob siab.
Nyem rau cistanche tubulosa hmoov rau mob raum
Txawm li cas los xij, Omicron kis tau ntau dua li mob khaub thuas. Cov kev tshawb fawb tau pom tias yog tus neeg mob ntshav siab tswj tsis tau zoo, nws yuav ua rau muaj kev pheej hmoo ntawm kev tsim kab mob hnyav lossis tuag los ntawm Covid 19 [1].
Yuav ua li cas rau ntshav siab tom qab kuaj pom Covid 19?
Tom qab cov neeg mob ntshav siab feem ntau kis tus kab mob Covid 19, lawv cov ntshav siab tau pom tias siab dua ua ntej. Cov laj thawj tshwm sim yog raws li nram no:
1. Kev ntxhov siab tom qab kis kab mob: suav nrog cov tsos mob xws li mob taub hau, qhov ntswg congestion, mob caj pas, thiab mob lub cev, uas tuaj yeem ua rau cov ntshav siab nce; vim yog qhov kev ntxhov siab ntawm lub cev, cov ntshav siab feem ntau nce siab nyob rau theem mob ntawm cov kab mob sib kis, xws li cov kab mob kab mob. Ib yam yog qhov tseeb ntawm kev kis tus kabmob, suav nrog Covid 19 tus kabmob.
2. Ua npaws, lub plawv dhia ceev, ua rau cov ntshav siab nce.
3. Tom qab kis tus kab mob Covid 19, so feem ntau cuam tshuam los ntawm lub cev tsis xis nyob, ua rau ntshav siab.
4. Tus neeg mob muaj kev ntxhov siab, ntxhov siab, thiab lwm yam kev xav tom qab kis tus kab mob, uas ua rau ntshav siab.
5. Qee cov tshuaj uas nquag siv kuj tseem yuav ua rau cov ntshav siab nce ntxiv, xws li kev siv tshuaj tua kab mob ibuprofen, diclofenac, lossis metamizole; qee cov tshuaj suav patent uas muaj ephedra, licorice, thiab lwm yam khoom xyaw kuj tuaj yeem ua rau ntshav siab.
6. Thaum ntshav siab hloov pauv, tsis txhob ntshai, ua tib zoo saib xyuas.
7. Yog tias cov ntshav siab nce siab, siab tshaj 180/100 mmHg, lossis cov txiaj ntsig ntawm kev kho tshuaj tsis zoo, lossis mob taub hau, tsis pom kev, mob hauv siab, loog thiab tsis muaj zog ntawm cov ceg, thiab lwm yam, thov mus rau tsev kho mob sai li sai tau. raws li qhov ua tau.
Tom qab qee tus neeg mob ntshav siab tau kis tus kab mob Covid 19, lawv cov ntshav siab qis dua li niaj zaus. Tom qab qee tus neeg mob ntshav siab tau kis tus kab mob no, lawv qab los noj mov poob qis, lawv caj pas mob hnyav, thiab lawv tsis tuaj yeem noj lossis haus dej; Nws yog nquag mus rau hypovolemia thiab lub cev qhuav dej, ua rau poob ntawm cov ntshav siab, nrog rau cov tsos mob ntawm lub plawv dhia.
Yuav ua li cas rau lub plawv dhia tom qab kuaj pom Covid 19?
Ntau tus neeg mob ntshav siab yuav muaj lub plawv dhia nrawm dua tom qab kuaj pom Covid 19. Dr. Xu Yuanning, tus thawj kws kho mob ntawm Lub Tsev Haujlwm Saib Xyuas Kev Mob plawv ntawm West China Tsev Kho Mob ntawm Sichuan University, suav nrog 8 qhov laj thawj. Cov hauv qab no yuav tshwm sim ib leeg lossis ua ke, cuam tshuam rau lub plawv dhia; lub sij hawm luv luv los yog mus sij hawm ntev, Los yog ua rau koj lub plawv dhia nrawm dua rau qee lub sijhawm.
1 ua npaws
Txhua lub sij hawm lub cev kub nce los ntawm ib tug degree, lub plawv dhia nce li 10 neeg ntaus ib feeb. Yog tias nrog cua txias, thiab lwm yam, lub plawv dhia yuav nce ntxiv.
2 Hom tshuaj noj
Qee cov khoom xyaw hauv cov tshuaj kho mob uas koj noj tuaj yeem ua rau koj lub plawv dhia. Piv txwv li, caffeine thiab aminophylline hauv cov tshuaj hnoos hnoos, tshuaj tiv thaiv mob hawb pob, thiab qee yam tshuaj uas nqus tau pa.
3 Hypovolemia
Tom qab kis kab mob, tsis muaj zaub mov, raws plab, ntuav, plab zom mov tshwm sim los ntawm kev kis kab mob lossis tshuaj, thiab lwm yam, tuaj yeem ua rau muaj qee yam ntawm hypovolemia, thiab lub plawv dhia yuav nce ntxiv. Yog tias koj nqhis dej, tso zis tsawg, thiab lwm yam, koj yuav tsum tau ceev faj txog kev puas tsuaj los ntawm lub cev qhuav dej thiab nrhiav kev kho mob raws sijhawm.
4 Kev mob ntawm txhua yam tuaj yeem ua rau lub plawv dhia ceev
Tom qab kis tus kab mob Covid 19, ntau tus neeg tau ntsib ntau yam mob xws li "craniotomy rau sab saum toj, ceg saws hauv qab, duav txiav tom qab, laparotomy rau pem hauv ntej, thiab caj pas txiav nrog rab riam". Cov mob no txaus los txhawb lub plawv dhia kom nce.
5 Lub cev kev ntxhov siab teb rau kev kis kab mob
Tom qab kis tus kab mob no, tib neeg lub cev tiv thaiv kab mob tau qhib, thiab kev tiv thaiv kab mob nws tus kheej tuaj yeem nrog kev nce hauv lub plawv dhia.
6 Mob hypoxia
Qhov no yog qhov ua rau muaj mob hnyav ntxiv, feem ntau nrog ua pa luv, hnoos hnyav, hloov pauv hauv lub ntsws, thiab lwm yam, feem ntau hu ua mob hnyav. Raws li lub teb chaws tus qauv ntawm kev kuaj mob thiab kev kho mob, yog tias tus neeg mob ua pa ntau tshaj 30 ua pa ib feeb, thiab cov pa oxygen saturation tseem qis dua 93 feem pua, nws yuav tsum tau ceev faj kom tsis txhob kis tus kab mob hnyav.
7 Exacerbation ntawm cov kab mob hauv qab induces lub plawv dhia ceev
Piv txwv li, cov neeg mob uas muaj tus kab mob nyob rau hauv obstructive pulmonary kab mob (feem ntau hu ua emphysema) thiab cov neeg mob uas muaj kab mob hauv lub plawv (tshwj xeeb tshaj yog mob plawv tsis ua hauj lwm), yog tias cov neeg mob no tau nce lub plawv dhia, yuav tsum tau them nyiaj mloog. Qhov pom tseeb dua lub plawv dhia nce, qhov xwm txheej txaus ntshai yuav yog. Koj yuav tsum mus rau tom tsev kho mob kom kuaj thiab ntsuas kom sai li sai tau.
8 Myocarditis
Zoo li lwm yam kab mob kis, kab mob Omicron kuj muaj qee qhov tshwm sim ntawm inducing myocarditis. Ntxiv nrog rau kev nce plawv dhia, yuav muaj kev hloov pauv hauv electrocardiogram, thiab cov cim myocardial yuav nce ntxiv.
Dab tsi yog kev tiv thaiv thiab kev pom zoo tshuaj rau cov neeg mob ntshav siab tom qab lawv kuaj pom Covid 19?
Yog tias tus neeg mob hypertensive muaj tus kab mob meej, cov hauv qab no yuav tsum tau ua:
1. Ua raws li kev ntsuas ntshav siab ntawm tus kheej hauv tsev kom ntseeg tau tias koj cov ntshav siab tau raws li tus qauv
Feem ntau, tsev tus kheej ntsuas ntshav siab ntawm cov neeg mob hypertensive yuav tsum yog<130/80mmHg; home blood pressure of people aged 65-79 should be <140/90mmHg; and elderly people over 80 years old should have a target blood pressure of <150/90mmHg. The blood pressure target of hypertensive patients with diabetes is more stringent and should be controlled at <130/80mmHg[1].
Yog li ntawd, nws yog ib qho tseem ceeb tshwj xeeb los saib xyuas cov ntshav siab thaum noj tshuaj. Koj tuaj yeem siv lub tshuab hluav taws xob sphygmomanometer los ntsuas koj cov ntshav siab hauv tsev, thiab koj yuav tsum paub koj cov ntaub ntawv ntshav siab zoo.
2. Tseem noj cov tshuaj tam sim no tsis tu ncua, noj cov tshuaj raws sijhawm thiab raws li tus nqi, tsis txhob hloov cov tshuaj los ntawm koj tus kheej, thiab tsis txhob tso tseg cov tshuaj raws li qhov xav tau.
Cov tshuaj hypertensive tuaj yeem npaj ua ntej kom tsis txhob cuam tshuam ntawm kev kho mob vim yog tshuaj tsis txaus. Yog tias tus kab mob hauv qab no ruaj khov, nws raug pom zoo kom tiv thaiv kev mus ntsib hauv tsev kho mob tsis tseem ceeb.
3. Cov tshuaj antipyretic yuav tsum tau siv nrog ceev faj hauv cov neeg mob ntshav siab. Thaum siv cov tshuaj no, kev saib xyuas yuav tsum tau them rau qhov ntau npaum li cas, thiab kev siv mus ntev yuav tsum tsis txhob siv. Kev hloov ntshav siab yuav tsum tau saib xyuas thaum noj tshuaj
Feem ntau siv cov tshuaj tua kab mob xws li ibuprofen, acetaminophen, thiab lwm yam. Cov tshuaj no yog cov tshuaj uas tsis yog-steroidal antipyretic thiab analgesic, thiab noj ntau npaum li cas yuav ua rau lub siab puas tsuaj; Yog tias tsis muaj dej, lub cev ua rau cov ntshav tsis txaus, uas tuaj yeem ua rau muaj kev poob siab.
4. Cov neeg mob ntshav siab yuav tsum siv 5 yam tshuaj no nrog ceev faj - ephedrine, pseudoephedrine, ibuprofen, procaterol, formoterol
Cov tshuaj nrog 5 cov khoom xyaw no (ob lub xeem yog cov tshuaj bronchial, thiab thawj peb feem ntau yog siv hauv cov tshuaj txias thiab tshuaj tua kab mob) yuav ua rau cov ntshav siab nce, thiab nws yog qhov zoo tshaj plaws los siv nws raws li kev qhia ntawm tus kws kho mob! Kev kub siab me me, uas yog, ntshav siab ntau dua lossis sib npaug li 140/90mmHg thiab Tsawg dua lossis sib npaug li 159/99mmHg, siv sijhawm luv luv ntawm cov tshuaj tiv thaiv kab mob thiab cov tshuaj txias uas muaj cov khoom xyaw saum toj no feem ntau yuav tsis ua rau cov ntshav siab hloov pauv. , tab sis koj tseem yuav tsum tau xyuam xim rau cov kev hloov ntshav siab thaum noj tshuaj Yog tias koj muaj ntshav siab nruab nrab lossis hnyav, uas yog, thaum koj cov ntshav siab siab dua lossis sib npaug li 160/100mmHg lossis Ntau dua lossis sib npaug li 180/110mmHg, koj yuav tsum. sim tsis txhob noj cov tshuaj txias uas muaj cov khoom xyaw saum toj no.
5. Tsis txhob haus dej ntau hauv lub sijhawm luv luv
Yog tias tus neeg mob ntshav siab haus dej ntau sai sai hauv lub sijhawm luv luv, nws tuaj yeem ua rau cov ntshav ntim sai sai thoob plaws lub cev, ua kom lub siab ntawm phab ntsa ntawm cov hlab ntsha, thiab nce ntshav siab. Nws yuav tsum raug sau tseg tias haus dej ntau yuav ua rau mob plawv tsis ua hauj lwm, thiab qee cov neeg mob ntshav siab kuj yog cov neeg mob plawv tsis ua hauj lwm.
6. Kev hydration
Thaum kub taub hau tshwm sim, ntau tus neeg mob ntshav siab siv tshuaj tua kab mob xws li ibuprofen thiab acetaminophen. Tom qab noj cov tshuaj no, lub cev yuav poob dej ntau. Yog tias cov dej tsis zoo ntxiv rau lub sijhawm no, cov ntshav ntim yuav txo qis, Ib qho mob ntawm hypotension. Cov neeg mob ntshav siab yuav tsum haus dej kom tsim nyog thaum saib xyuas lawv cov ntshav siab. Yog tias cov neeg mob ntshav siab tseem muaj cov kab mob hauv qab xws li lub raum tsis txaus thiab lub plawv tsis ua haujlwm, cov dej haus yuav tsum tau txo kom tsawg. Lub plawv, hlab ntsha lub nra.
7. Ua kom rov ua cov electrolytes kom raug
Thaum ua npaws, dej thiab qee cov electrolytes yuav ploj vim tawm hws thiab raws plab. Nyob rau hauv cov ntaub ntawv no, tsim nyog supplementation ntawm electrolytes yog conducive mus tswj lub stability ntawm tus neeg mob lub sab hauv ib puag ncig. Ob leeg "Mus saib xyuas dej thiab electrolyte tshuav" los yog "Kev tsim nyog ntxiv nrog rau qee yam ntawm cov electrolytes hauv dej haus" [3]. Ceev faj thaum ntxiv cov electrolytes rau cov neeg mob ntshav siab nyuaj nrog raum tsis txaus thiab lub plawv tsis ua haujlwm. Cov electrolytes ntau dhau kuj tuaj yeem ua rau dej thiab sodium tuav thiab ua rau tus kab mob hnyav dua.
8. Thaum cov xwm txheej no tshwm sim, koj yuav tsum hu rau 120 lossis xa mus rau kws kho mob kom kho
Tsis nco qab lossis tsis meej pem; Kev nce ntshav siab sai sai (Ntau dua lossis sib npaug li 180/120mmHg), nrog rau mob taub hau hnyav, xeev siab thiab ntuav, tsis pom kev, lossis teeb meem hais lus tam sim ntawd, ceg tsis muaj zog, thiab lwm yam; mob hauv siab thiab mob nraub qaum; qis qis edema, dyspnea lossis pw tsis taus; lub hauv siab nruj thiab mob hauv siab nrog los ntawm kev tawm hws ntau, ua tsis taus pa, xeev siab, thiab ntuav lossis ua tsis taus pa; ntau cov npuas dej lossis hematuria hauv cov zis, los yog tam sim ntawd thiab tseem ceeb ntawm cov zis tso zis thaum cov dej haus tsis hloov pauv loj; Cov ntshav siab tsawg dhau los yog tsis tuaj yeem kuaj pom, Vitality cov cim xws li ceev dhau lossis qeeb lub plawv dhia yog qhov txawv txav.
Cov ntsiab lus
Ib tug yuav tsum nco ntsoov tias "nws tseem ceeb dua los xaiv cov tshuaj uas haum rau nws tus kheej dua li khaws cov tshuaj"! Tshwj xeeb yog cov uas kuaj pom muaj kab mob hauv qab, xws li cov neeg mob uas muaj kab mob hauv qab xws li kub siab thiab kab mob plawv. Raws li "Cov Lus Qhia Txog Kev Siv Tshuaj Siv Hauv Tsev rau Kev Kho Mob Hauv Tsev ntawm Covid-19 Tus Neeg Mob Tus Kab Mob" tawm los ntawm Kev Tiv Thaiv thiab Tswj Kev Sib Koom Tes ntawm Lub Xeev Council, 108 cov tshuaj suav thiab Western tau pom zoo rau cov tsos mob xws li ua npaws. , mob caj pas, hnoos, hnoos qeev, thiab lwm yam. Tab sis peb yuav tsum nco ntsoov cov hauv qab no:
① Antipyretics, tshuaj txias, tshuaj hnoos, thiab expectorants tsis tuaj yeem tiv thaiv kab mob, tab sis tsuas yog txo cov tsos mob. Tsis txhob noj tshuaj dig muag thaum tsis muaj tsos mob.
② Xaiv ib hom tshuaj rau tib tus tsos mob, xws li Lianhua Qingwen, Qingkailing, Lanqin Oral Liquid, thiab lwm yam. Koj tuaj yeem xaiv ib hom, tsis tas yuav tsum tau noj ob lossis peb yam ua ke, cov nyhuv curative yuav tsis superimposed, thiab cov kev mob tshwm sim yuav raug superimposed.
③ Tsis txhob noj tshuaj ntau dhau thiab noj tshuaj ntau dhau. Cov tshuaj ntau dhau tuaj yeem tsis tsuas yog txo cov tsos mob thiab ua kom rov zoo dua qub, tab sis kuj ua rau muaj kev phom sij ntau ntxiv. Piv txwv li, feem ntau siv tshuaj tua kab mob acetaminophen yuav tsum tsis txhob siv ntau tshaj 4 zaug hauv 24 teev.
④ Kev sib xyaw ntawm Suav thiab Western tshuaj yuav tsum ceev faj. Qee cov tshuaj suav tshuaj patent rau mob khaub thuas, xws li Ganmaoling Granules, muaj acetaminophen. Tsis txhob siv cov tshuaj uas muaj acetaminophen ua ke kom tsis txhob siv tshuaj ntau dhau los yog txuam nrog, ua rau muaj tshuaj lom.
⑤ Lianhua Qingwen Capsules (granules), Qingfei Paidu Granules, thiab lwm yam tshuaj muaj qee yam ntawm ephedrine. Thaum siv lawv, koj yuav tsum tau ua tib zoo saib xyuas cov ntshav siab. Ephedrine tuaj yeem ua rau ntshav siab, thiab cov txiaj ntsig tau ntev, thiab nws tuaj yeem ua kom lub plawv dhia ceev, thiab lwm yam. Cov kev tsis zoo yuav ua rau cov neeg mob ntshav siab ntau dua.
⑥ Ibuprofen yuav tsum tau siv nrog ceev faj rau cov neeg mob ntshav siab, thiab hauv cov neeg mob uas noj warfarin tib lub sijhawm, nws tuaj yeem ua rau lub sijhawm prothrombin ntev thiab nce los ntshav. Tsis tas li ntawd, thaum ibuprofen siv ua ke nrog digoxin, methotrexate, thiab cov tshuaj hypoglycemic ntawm qhov ncauj, nws tuaj yeem ua rau cov ntshav siab ntawm cov tshuaj no, yog li nws tsis tsim nyog siv ua ke.
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