Ib qhov mob hnyav tshaj plaws ntawm cov kab mob hauv lub hlwb yog suav tias yog anoxic pathology, uas yog tshwj xeeb tshaj yog cov yam ntxwv ntawm cov menyuam mos yug tshiab. Anoxic hlwb puas yog hypoxic nyob rau hauv cov xwm, vim hais tias muaj ib tug tsis ua hauj lwm nyob rau hauv qhov ua pa, ntshav ncig, ua pa thiab cov ntaub so ntswg metabolism.
Kev piav qhia tus kab mob
Teeb meem ntawm kev kho tus menyuam yaus nrog cov kab mob hauv lub paj hlwb yog qhov tseem ceeb hauv peb lub sijhawm. Qhov no cuam tshuam ncaj qha rau kev poob qis hauv kev yug me nyuam, thiab ntxiv rau, nrog rau kev nce ntxiv ntawm ntau yam tsis zoo uas ua rau muaj kev puas tsuaj rau tus menyuam lub paj hlwb. Ntawm lwm yam, qhov no feem ntau yog vim qhov tseeb tias nyob rau hauv lub ntiaj teb niaj hnub no, cov xwm txheej ntawm kev yug menyuam tsis zoo, thiab tib lub sijhawm, cov menyuam yaus uas tsis paub qab hau tau ua ntau zaus.
Feem ntau cov laj thawj tseem ceeb ntawm kev puas hlwb anoxic yog cov txheej txheem hypoxic thiab ischemic vim cov khoom tsis txauspaj hlwb nrog oxygen. Hauv ICD-10 qhov system, qhov kev kuaj mob zoo li no tau muab zais hauv ntau ntu ib zaug. Qhov ze tshaj plaws pathophysiology yog code P21.9 (nws txhais tau hais tias neonatal anoxia) thiab G93.1 (qhov no peb tab tom tham txog kev puas hlwb anoxic, tsis muab cais rau lwm qhov).
daim duab anatomical hauv tus kab mob no
Hmoov tsis zoo, cov tshuaj tseem tsis tau txheeb xyuas qhov tseeb ntawm qhov tshwm sim ntawm anoxic hlwb puas. Muaj tseeb, daim duab anatomical ntawm no pathology yog yooj yim heev. Qhov tseeb yog tias cov paj hlwb tsis tau txais cov pa oxygen txaus rau nws, tawm tsam keeb kwm ntawm qhov no, cov txheej txheem hypoxic ischemic tshwm sim, uas, txawm tias lub sijhawm luv luv, ua rau muaj kev puas tsuaj rau lub hlwb.
Hauv lwm lo lus, txhua tus neuron, zoo li nws, tsis tau txais cov pa oxygen uas nws xav tau thaum muab ntshav. Neurons nyob rau hauv cov me nyuam tseem tsis tau tsim raws li nyob rau hauv cov neeg laus, thiab yog li ntawd lawv kev sib raug zoo nrog lub hlwb tsuas yog nyob rau theem ntawm kev tsim. Nrog rau me me ntawm cov khoom siv ntawm tes, nws tsuas yog tsis ua haujlwm kom raug, thiab tib lub sijhawm hloov pauv morphologically thiab sab hauv.
Raws li, anoxia yog hu ua morphological degenerative txheej txheem uas muaj kev cuam tshuam tsis zoo rau cov ntaub so ntswg noj qab haus huv. Cov tsos mob ntawm anoxic hlwb puas rau cov menyuam yaus yog qhov nyuaj heev rau kev zam, uas feem ntau xaus rau hauv kev tuag. Tom ntej no, cia saib seb yog vim li casua rau muaj qhov tshwm sim ntawm tus kab mob no hauv cov menyuam yaus thiab cov menyuam yug tshiab.
Ua rau lub hlwb pathology
Ib lub hauv paus ua rau qhov tshwm sim ntawm anoxic hlwb puas tseem tsis tau txheeb xyuas. Tab sis nws yog tsim nyog sau cia tias muaj ntau yam provoking yam uas yuav ua ntej xws li ib tug txaus ntshai tshwm sim. Cov xwm txheej no tuaj yeem cuam tshuam rau cov ntshav ib txwm muaj, thiab ntxiv rau, kev muab cov pa oxygen xav tau rau tus menyuam lub hlwb:
- Nov yog hais txog lub plawv nres lossis ua tsis taus pa.
- Qhov cuam tshuam ntawm kev haus luam yeeb nrog tshuaj, piv txwv li, qee zaum txawm tias ib puag ncig qias neeg muaj kev cuam tshuam. Nws yog tsim nyog sau cia tias cov me nyuam lub cev yog rhiab heev rau kev huv ntawm ib puag ncig.
- Muaj kab mob sib kis nrog rau cov kab mob neuroinfections.
- Tau txais lub hnub (los yog cua sov) stroke thiab hluav taws xob poob siab.
- Kev phais plawv lossis lub hlwb.
- Qhov pib ntawm coma lossis qhov chaw kho mob tuag.
- Cov nyhuv ntawm lub sijhawm ntev arterial hypotension (uas yog, txo cov ntshav siab).
Cov tsos mob ntawm qhov txaus ntshai pathology
Anoxic hlwb puas hauv cov menyuam mos feem ntau nyuaj heev. Qhov tseeb yog tias txawm tias qhov pib ntawm lub sij hawm luv luv hypoxia tuaj yeem ua rau mob hawb pob nrog rau convulsions thiab sab hauv necrosis. Cov tsos mob thiab cov tsos mob ntawm anoxia muaj xws li:
- Tus me nyuam muaj qaug dab peg thiab qaug dab peg.
- Kev tsis txaus siabtrembling libs.
- Kev tshwm sim ntawm kev puas siab puas ntsws.
- Qhov tshwm sim ntawm qhov tsis ua haujlwm hauv lub cev ntawm qhov hnov qab thiab qhov muag.
- Qhov tshwm sim ntawm photophobia thiab hypersensitivity.
- Qhov tshwm sim ntawm tuag tes tuag taw thiab paresis ntawm ceg ceg.
- Qhov tshwm sim ntawm kev mob hawb pob thiab ua tsis taus pa.
- Zoo lub plawv dhia tsis ua haujlwm.
- Qhov tshwm sim ntawm mob taub hau.
Kev kuaj mob ntawm lub hlwb pathology
Kev kuaj mob anoxic hlwb hauv cov menyuam yaus suav nrog, ua ntej ntawm txhua qhov, sib nqus resonance thiab suav tomography. Ib qho electroencephalogram kuj tseem xav tau. Raws li cov txiaj ntsig ntawm tag nrho cov txheej txheem no, tus kws kho mob tuaj yeem tsim qhov kev kuaj mob kom raug thiab kwv yees tus kab mob ntxiv mus.
Kev kho mob, raws li txoj cai, suav nrog ob theem ua tiav. Ua ntej, nws yog qhov kev tshem tawm ntawm cov hauv paus hauv paus ntawm tus kab mob nrog rau kev kho lub cev. Nyob rau theem no, nws yog ib qho tsim nyog yuav tsum nkag siab tias dab tsi tshwm sim los ntawm anoxia kom tshem tawm nws. Thiab ncaj qha rau theem thib ob, koj yuav tsum noj cov vitamins nrog rau kev ua pa thiab noj cov tshuaj vascular thiaj li yuav rov ua haujlwm ntawm lub plawv thiab cov hlab ntsha, suav nrog.
Yuav ua li cas thiab qhov twg anoxic hlwb puas kho?
Txoj kev kho tus kab mob no
Yog li, raws li nws twb tau paub meej lawm, kev kho mob ntawm tus kab mob uas tau tshwm sim feem ntau muaj ntau theem. Nyob rau hauv cov ntaub ntawv ntawm ib tug mob hnyav, nws yog ib qhov tsim nyog yuav tsum tau ceev kom tagtshem tawm cov kev cuam tshuam ntawm yam ua rau anoxia:
- Me nyuam xav tau kev tswj kev ua pa.
- Kev tshem tawm lub cev txawv teb chaws.
- Tus neeg mob yuav tsum raug tshem tawm ntawm thaj chaw carbon dioxide.
- Stop strangulation yuav tsum tau.
- Kev cuam tshuam ntawm hluav taws xob tam sim no.
Nyob rau theem no, nws yog ib qho tsim nyog los tswj cov ntshav ncig thiab cov pa oxygen, qee zaum, siv cov cuab yeej ua pa. Nyob rau tib lub sijhawm, kev txhawb nqa yog muab nyob rau theem uas yuav tsum tsis txhob tso cai hloov pauv tsis tau hauv lub hlwb. Nyob rau hauv lub xub ntiag ntawm khaws cia tej yam ntuj tso ua pa, tus me nyuam yuav tsum tau oxygen inhalations thiab thauj mus rau lub tsev kho mob. Yog tias ua pa tsis ua haujlwm, yuav tsum tau intubation.
Kev kho dua tshiab ntawm cov haujlwm tseem ceeb
theem tom ntej no suav nrog kev kho dua tshiab ntawm cov haujlwm tseem ceeb. Yog li, kev kho cov ntshav ncig, ua pa thiab ua haujlwm ntawm lub plawv yog qhov tsim nyog. Kev kho ntxiv yog qhia rau kev kho dua tshiab ntawm tag nrho cov haujlwm uas ploj lawm yav dhau los. Rau lub hom phiaj no, neurometabolite yog sau nrog rau nootropics, vascular tshuaj, neuroprotectors thiab antioxidants.
Cov tsos mob kho yog txhawm rau tshem tawm qhov tshwm sim tseem ceeb ntawm qhov tshwm sim ntawm anoxia. Nyob rau hauv cov ntaub ntawv ntawm ib tug mob taub hau, analgesics yog siv, thiab tiv thaiv keeb kwm ntawm qaug dab peg, yuav tsum tau anticonvulsants, thiab hais txog.
