Feem ntau o tuaj yeem pom ntawm lub ntsej muag. Qhov no yog vim qhov tseeb tias nws nyob ntawm no tias congestion tshwm sim yooj yim tshaj plaws hauv kev ua txhaum ntawm cov hlab plawv.
Raws li nws qhov hnyav, edema ntawm lub plawv tuaj yeem tsuas kis mus rau ko taw, sab ceg, lossis ncav cuag thaj tsam ntawm lub hauv caug sib koom.
Yuav ua li cas thiaj txiav txim siab qhov muaj edema?
Txhua tus muaj peev xwm paub txog lub plawv edema. Ib daim duab ntawm qhov tshwm sim pathological yuav qhia tus neeg mob ob txhais ceg thiab ko taw loj hauv ntim. Yog li ntawd, txawm tias ib tus neeg tsis yog tus kws tshaj lij tuaj yeem txiav txim siab lawv qhov chaw nyob. Cardiac edema nyob rau hauv qis extremities yog kuaj pom yooj yim heev. Koj tsuas yog yuav tsum nias rau ntawm thaj chaw edematous nrog koj tus ntiv tes, thiab tom qab ntawd tshem nws. Yog tias cov hniav nyob twj ywm rau 5-10 vib nas this tom qab tus ntiv tes raug tshem tawm, peb tab tom tham txog edema. Qhov tob zoo li no, qhov loj dua qhov cuam tshuam ntawm cov hlab plawv.
Ntxiv rau qhov edema, kuj muaj xws li "pasty". Nyob rau hauv nws, nws yog kev cai kom to taub yuav luag unexpressed o ntawm ob txhais ceg thiabnres. Nyob rau tib lub sijhawm, muaj qhov ua tau zoo tsis muaj qhov seem tshuav tom qab nias tus ntiv tes rau ntawm qhov chaw cuam tshuam. Pastosity, tsis zoo li edema, xyaum tsis xav tau kev kho ntxiv.
Mob plawv edema: ua rau tshwm sim
Tam sim no ntseeg tau tias qhov tshwm sim no tau pom vim muaj kev sib tsoo hauv cov qis qis. Lawv tshwm sim yog tias sab xis ntawm lub plawv tsis tuaj yeem cog lus nrog lub zog ib txwm muaj. Qhov no ua rau muaj kev nce siab hauv cov kab ke hauv lub cev, thiab tshwj xeeb hauv cov hlab ntsha ntawm sab qis. Nyob rau tib lub sijhawm, venous txaj yog tshwj xeeb tshaj yog muaj zog overflowed. Tom qab ntawd, hydrostatic siab nyob rau hauv lub capillaries nce, thiab cov kua rushes los ntawm vascular phab ntsa mus rau hauv cov ntaub so ntswg. Qhov no yog li cas cardiac edema tshwm. Cov tsos mob qhia tias muaj kev cuam tshuam ntawm kev ua haujlwm ntawm cov hlab plawv. Yog li yuav tsum tau nrhiav kev pab los ntawm tus kws tshaj lij hauv lub sijhawm.
Yuav ua li cas yog o tshwm sim?
Ua ntej tshaj plaws, tus neeg yuav tsum tau kuaj ob zaug seb nws puas noj cov tshuaj uas nws tus kws kho mob tau sau tseg. Yog tias tag nrho cov lus pom zoo tau ua raws, tab sis edema ntawm lub plawv tuaj yeem tshwm sim, ces koj yuav tsum sab laj nrog tus kws kho mob lossis kws kho plawv. Txawm hais tias ua ntej mus ntsib kws kho mob, nws tsis mob rau kev kuaj mob electrocardiography thiab kuaj ultrasound ntawm lub plawv.
Nkauj ceg tawv edema: kho mob sab nraud
Qhov teeb meem no tshwm sim rau cov neeg laus. Qhov twgo yuav tsum tsis txhob nyob ntev, txwv tsis pub lawv tuaj yeem ua rau muaj teeb meem loj heev. Yog li ntawd, yog tias mob plawv edema tshwm sim, cov tsos mob ntawm qhov sib txawv yuav tsum tsis txhob xav txog. Kev kho mob yuav tsum pib tam sim ntawd.
Ua ntej tshaj plaws, tus kws kho mob yuav tshuaj xyuas qhov xwm txheej thiab tsim seb puas muaj kab mob plawv yog lub hauv paus ntawm qhov o uas tau tshwm sim. Yog tias qhov teeb meem tiag tiag cuam tshuam nrog kev ua txhaum ntawm cov hlab plawv, tom qab ntawd tus kws kho mob yuav sau tshuaj los ntawm pab pawg diuretics. Ntawm lawv, cov tshuaj feem ntau siv yog Furosemide, Hydrochlorothiazide. Txawm li cas los xij, qhov kev kho mob no tsuas yog cov tsos mob. Ua ntej tshaj plaws, tus kws kho mob yuav sim ua kom rov ua haujlwm kom raug ntawm cov hlab plawv. Cov tshuaj feem ntau uas tso cai rau nws ua haujlwm yog beta-blockers. Cov tshuaj no txo cov load ntawm cardiomyocytes, yog li pab txhawb kev ua haujlwm ntawm lub plawv. Tsis tas li ntawd, cov tshuaj uas txo cov ntshav txhaws yog tsim nyog. Nws kuj tseem tsim nyog siv cov tshuaj uas txhim kho cov metabolism ntawm cardiomyocytes. Qhov zoo tshaj plaws ntawm lawv yog cov tshuaj "Thiotriazolin". Tej zaum tsuas yog cov tshuaj uas nws cov txiaj ntsig tau zoo hauv kev txhim kho cov metabolism hauv cov ntaub so ntswg plawv tau raug pov thawj los ntawm kev tshawb fawb kho mob hnyav.
Yog edema tshwm sim vim lub plawv tsis ua hauj lwm, hom kev kho no yuav pab kom daws tau qhov teeb meem sai sai.
Kev kho mob hauv tsev kho mob
Yog tias qhov ua txhaum ntawm cov hlab plawv tau mus txog qhov hnyav txaus, ces kev ntsuas kev kho mob tau ua nyob rau hauv qhov chaw nyob ruaj khov. Yog tias mob plawv edema tshwm sim, kev kho mob yuav tsum tsis txhob suav nrog cov tshuaj tua kab mob. Qhov tseeb yog tias qhov ntim ntxiv ntawm cov kua dej nkag mus rau hauv cov hlab ntsha tuaj yeem cuam tshuam ntxiv rau kev ua haujlwm ntawm cov hlab plawv. Raws li qhov tshwm sim ntawm cov pob khaus no, tus neeg mob tuaj yeem ua rau mob ntsws pulmonary edema, thiab tus mob no yuav tsum tau kho nyob rau hauv kev saib xyuas hnyav.
Cov tshuaj tso rau hauv cov hlab ntsha tuaj yeem ua tau tsuas yog tom qab qhov o ntawm sab qis qis qis heev. Tsis tas li ntawd, tus kws kho mob yuav tsum soj ntsuam seb puas muaj cov kua dej hauv lub ntsws. Feem ntau, cov neeg uas muaj tus kab mob no tau txhaj rau hauv txoj kev no nrog lub npe hu ua potassium-polarizing sib tov. Qhov sib xyaw ntawm cov tshuaj no txhim kho kev ua haujlwm ntawm cov hlab plawv.
Raws li rau diuretics, ntawm lwm tus, cov tshuaj "Furosemide" tau txais kev faib loj tshaj plaws nyob rau hauv qhov chaw nyob ruaj khov. Nyob rau hauv lub tsev kho mob, nws feem ntau yog muab intravenously los ntawm bolus. Hauv qhov no, txawm tias ua ntej txhaj tshuaj, tus kws kho mob ntsuas tus neeg mob cov ntshav siab. Yog tias nws qis dhau, tom qab ntawd kev qhia txog cov tshuaj diuretics yuav tsum tau ncua. Nyob rau hauv rooj plaub thaum tus neeg mob noj tshuaj antihypertensive, ces nws tsuas yog kho cov tswv yim rau lawv siv. Yog tias tus neeg mob tsis kho nrog cov tshuaj nosiv, ces tus neeg yuav tsum tau siv cov tshuaj uas ua rau kom cov ntshav siab. Ntawm lawv, cov tshuaj "Prednisolone" feem ntau siv.
Yuav ua li cas tiv thaiv o?
Ua ntej tshaj plaws, nws yuav tsum tau sab laj nrog kws kho mob raws sijhawm yog tias thawj cov cim qhia ntawm kev ua txhaum ntawm cov hlab plawv. Tsis tas li ntawd, nws tseem ceeb heev uas yuav tsum ua raws li cov lus pom zoo uas tau muab rau lawv.
Nws tseem yuav tsum tau muab sau tseg tias ntau dhau ntawm cov sodium nkag mus ua rau cov kua dej hauv lub cev. Qhov no ua rau cov tsos ntawm congestion nyob rau hauv qis extremities. Txhawm rau tiv thaiv kev sib sau ntau ntawm sodium hauv lub cev, kev noj zaub mov ntau dhau yuav tsum raug zam. Cov kws kho mob thiab cov kws paub txog zaub mov qhia kom txo nws cov nyiaj hauv kev noj haus rau 3 grams tauj ib hnub.
YDab tsi yog diuretic zoo tshaj?
Ntau tus neeg mob ntawm cov tshuaj diuretic nyiam cov tshuaj "Furosemide". Qhov xwm txheej ntawm lub xeev no yog vim qhov tseeb tias nws sai sai tshem tawm lub plawv edema. Cov tsos mob ntawm cov hlab plawv tsis txaus feem ntau ploj hauv thawj ob hnub. Hmoov tsis zoo, xws li cov tshuaj tsis tuaj yeem ua panacea rau txhua lub plawv edema. Qhov tseeb yog tias qhov kev siv tas li ntawm cov tshuaj "Furosemide" pab txhawb kom ceev cov kua qaub thiab magnesium los ntawm lub cev. Yog li ntawd, nrog rau kev siv ntev, cov tshuaj no tuaj yeem ua rau cov kab mob plawv.vascular system.
Yog tias cov tshuaj "Furosemide" tau sau tseg rau lub sijhawm ntev, nws yog qhov tsim nyog los muab nws cov khoom noj nrog cov tshuaj "Asparkam". Nws yuav pab lub cev ntxiv nws cov ntxhia khaws cia.
Tshaj xav tau diuretic yog cov tshuaj "Hydrochlorothiazide". Cov tshuaj no muaj cov txiaj ntsig tsawg dua li cov tshuaj "Furosemide". Yog li, nws tsis ua rau muaj qhov tsis zoo ntawm cov ntxhia hauv lub cev. Yog li ntawd, cov tshuaj no tuaj yeem noj yuav luag txhua lub sijhawm. Cardiac edema nyob rau hauv nws cov cawv tsis ploj tam sim ntawd. Tej yam tshwm sim tuaj yeem pom nyob rau hauv li 3-4 hnub.
Kev phom sij ntev o
Nyob rau hauv nws tus kheej, qhov tshwm sim no tsis txaus ntshai yog tias nws tsis nyob mus ntev. Yog hais tias lub plawv edema yog txaus pronounced thiab txuas ntxiv rau 1-2 lub lis piam, qhov no tuaj yeem ua rau muaj teeb meem loj. Qhov tseeb yog hais tias nyob rau hauv cov kev tshwm sim ntawm ib tug loj o ntawm lub qis extremities, cov hlab ntsha yog nyem. Qhov no tshwj xeeb tshaj yog muaj tseeb rau cov hlab ntsha me me thiab cov hlab ntsha. Yog li ntawd, cov ntshav muab rau cov ntaub so ntswg peripheral cuam tshuam. Qhov no ua rau muaj kev puas tsuaj rau lawv cov khoom noj khoom haus thiab, raws li qhov tshwm sim, maj mam tuag. Yog li txawm tias trophic ulcers tuaj yeem tshwm sim. Yog tias tsis muaj dab tsi ua rau lub sijhawm ntev, cov txheej txheem ntawm cov ntaub so ntswg degenerationtej zaum yuav hais tau ntau dua. Hauv qhov no, kev daws teeb meem feem ntau hloov mus rau tsuas yog kev phais xwb.
qhov o no zoo li cas?
Ua ntej ntawm tag nrho, nws yuav tsum tau sau tseg tias qhov nce hauv qhov ntim ntawm qhov qis qis. Ua ntej tshaj plaws, peb tab tom tham txog ob txhais ceg thiab taw. Ntxiv mus, nyob rau hauv tej rooj plaub, heev pronounced cardiac edema ntawm ob txhais ceg yog pom. Kev kho mob, yog tias ua tiav, txo qhov ntim ntawm ob txhais ceg, tab sis tsis tas yuav rov qab mus rau qhov qub. Thaum nias rau ntawm thaj chaw edematous, cov hniav tseem nyob ntawm nws, uas tsis ploj mus li ntawm 10 vib nas this.
Differs ntawm lwm yam edema
Nws tsim nyog sau cia tias qhov tshwm sim no tau pom tsis yog hauv cov kab mob ntawm cov hlab plawv. Edema kuj tuaj yeem tshwm sim rau qhov sib txawv kiag li. Raws li rau qis extremities, lawv tuaj yeem tshwm sim ntawm no vim yog cov kab mob ntawm cov pob qij txha. Piv txwv li, nrog rheumatoid mob caj dab, o tuaj yeem tshwm sim. Qhov sib txawv ntawm no tej zaum yuav yog tias edema ntawm lub plawv plawv tsis yog nrog los ntawm qhov mob ntawm cov pob qij txha me me ntawm sab qis. Nrog rheumatoid mob caj dab, nws txhawj xeeb dua thaum sawv ntxov. Tsis tas li ntawd, nrog rau cov kab mob ntawm cov pob qij txha ntawm thaj chaw edematous, qhov kub ntawm daim tawv nqaij yog nce.
Cov tshuaj tsis haum kuj ua rau o. Ntawm ob txhais ceg, nws tshwm sim los ntawm kev sib cuag nrog cov nroj tsuag lossis tom ntawm kab. Yog li ntawd, kev sau ntawm anamnesis tseem ceeb heev. Hauv qhov no, symmetry ntawm qhov tshwm sim ntawm edema plays lub luag haujlwm tseem ceeb. Nrog rau kev tsis haum tshuaj, nws yuav raug pom ntawm tus ceg ceg,uas tau raug tiv nrog cov nroj tsuag los yog kab tom. Cardiac edema feem ntau yog symmetrical. Tsis tas li ntawd, kev ua xua tshwm sim sai sai los ntawm kev qhia txog cov tshuaj antihistamines. Cardiac edema yuav tsis ploj nrog qhov kev kho no.
