Coob leej neeg nyiam haus cawv nyob rau qee lub sijhawm. Txawm li cas los xij, kev haus cawv ntau dhau nyob rau lub sijhawm luv tuaj yeem ua rau lom cawv. Qhov mob tuaj yeem cuam tshuam rau lub cev lub peev xwm ua haujlwm tau zoo thiab, qhov tseeb, tuaj yeem ua rau tuag taus. Los ntawm kev lees paub cov cim thiab kho cawv lom, thiab haus cawv kom raug, koj tuaj yeem zam kev phom sij txaus ntshai lossis txawm tias tuag.
Kauj ruam
Ntu 1 ntawm 3: Paub txog Cov Cim Qhia Txog Kev Haus Dej Cawv
Kauj Ruam 1. Paub txog kev pheej hmoo ntawm kev haus cawv uas koj tuaj yeem ntsib
Kev haus dej cawv tuaj yeem tshwm sim los ntawm kev haus cawv ntau dhau, kev haus dej cawv ntau npaum li (tsawg kawg) 4 tsom iav/muab rau cov poj niam thiab 5 tsom iav/ua haujlwm rau txiv neej hauv ob teev. Txawm li cas los xij, tseem muaj ntau qhov xwm txheej uas tuaj yeem ua rau muaj kev pheej hmoo ntawm kev quav cawv, xws li:
- Lub cev me me, qhov hnyav, thiab kev noj qab haus huv tag nrho
- Cov zaub mov noj ua ntej haus dej cawv
- Siv tshuaj
- Feem pua ntawm cawv nyob hauv cov dej haus
- Zaus thiab ntau npaum li cas haus cawv
- Qib haus cawv. Qhov kev ua siab ntev no tuaj yeem txo qis thaum huab cua kub siab. Qhov kev ua siab ntev no tseem qis dua thaum koj lub cev qhuav dej lossis lub cev qaug zog.
Kauj Ruam 2. Saib xyuas qib haus cawv
Ntau li ntau tau, xyuam xim rau qib kev haus cawv uas koj thiab koj cov phooj ywg ua. Txoj kev no, nws yuav yooj yim dua rau koj kom paub cov cim thiab tsos mob ntawm kev haus cawv lom. Koj tseem tuaj yeem tiv tauj cov neeg ua haujlwm kho mob yooj yim dua thiab qhov tseeb, txo qhov kev pheej hmoo ntawm kev haus cawv. Sib npaug ntawm cov ntsiab lus cawv nrog ib qho kev pab/khob haus dej tuaj yeem piav qhia (kwv yees) raws li hauv qab no:
- 355 ml ntawm npias li niaj zaus muaj li 5% cawv
- 237-266 ml malt-based cawv cawv muaj li 7% cawv
- 148 ml cawv muaj txog 12% cawv
- 44 ml ntawm 80 pov thawj cawv muaj li 40% cawv. Qee qhov piv txwv ntawm cov cawv no suav nrog gin, rum, tequila, whiskey, thiab vodka.
Kauj Ruam 3. Saib xyuas cov tsos mob ntawm lub cev uas tau hnov
Cawv lom feem ntau yog ua los ntawm cov tsos mob ntawm lub cev uas xav tau kev saib xyuas. Muaj qee qhov tsos mob ntawm lub cev kom saib xyuas, tab sis nco ntsoov tias kev haus cawv lom tsis yog ib txwm (thiab tsis tas yuav) yog tus yam ntxwv ntawm txhua tus ntawm lawv. Cov tsos mob ntawm kev haus cawv muaj xws li:
- Pov tawm
- ntuav
- Ua pa nrog lub suab qeeb (qhia tau tias yog yim qhov nqus pa thiab ua pa tawm hauv ib feeb)
- Kev ua pa tsis txawv txav (tshwj xeeb los ntawm, piv txwv li, ntau dua 10 nqus thiab nqus pa ib feeb)
- Cov tawv nqaij xim uas zoo li daj ntseg lossis xiav
- Hypothermia (txo lub cev kub)
- Tsaus muag
Kauj Ruam 4. Saib xyuas cov cim kev paub uas tuaj yeem tshwm sim
Ntxiv rau cov tsos mob ntawm lub cev, kev haus cawv muaj peev xwm kuj tuaj yeem ua rau pom los ntawm kev paub. Muaj qee yam uas koj (thiab koj cov phooj ywg) yuav tsum tau ua tib zoo saib, xws li:
- Xav tsis meej pem
- Stupor (qib qis ntawm kev tsis nco qab)
- Coma lossis tsis nco qab
- Tsis muaj peev xwm sawv
- Poob ntawm kev taw qhia lossis tshuav nyiaj li cas
Kauj Ruam 5. Tau txais kev pab tam sim ntawd
Kev haus cawv lom yog xwm txheej ceev thiab tuaj yeem ua rau muaj teeb meem loj lossis txaus ntshai, suav nrog kev tuag. Yog tias koj xav tias ib tus neeg haus cawv ntau dhau, nyob deb ntawm cov dej haus thiab nrhiav kev kho mob tam sim. Yog tias koj tsis nrhiav kev pab tam sim, muaj ntau qhov txaus ntshai lossis mob hnyav uas yuav tshwm sim, xws li:
- Ua npaws thaum ntuav
- Ua pa uas ua rau qeeb lossis nres
- Lub plawv dhia tsis zoo lossis lub plawv txawv txawv txawv
- Nres lub plawv dhia
- Hypothermia lossis lub cev kub poob
- Hypoglycemia lossis txo cov ntshav qab zib ntau ntau (tuaj yeem ua rau qaug dab peg)
- Lub cev qhuav dej hnyav los ntawm ntuav tuaj yeem ua rau qaug dab peg, ua rau lub paj hlwb puas, thiab tuag
- Mob pancreatitis
- Tuag
Ntu 2 ntawm 3: Tau Txais Kev Haus Dej Cawv
Kauj Ruam 1. Nrhiav kev kho mob xwm txheej ceev
Hu xov tooj rau kev kho mob xwm txheej ceev lossis coj tus neeg raug mob mus rau lub tsev kho mob uas nyob ze tshaj yog tias koj xav tias nws muaj cawv lom, txawm tias nws tsis qhia pom lossis pom tias muaj tshuaj lom. Qhov no yog ua kom ntseeg tau tias tus neeg raug tsim txom tsis pom lossis ntsib lwm yam mob hnyav dua (thiab, qhov phem tshaj plaws, tuag). Ib qho ntxiv, nws kuj tseem tuaj yeem tau txais kev kho mob xav tau los daws kev quav cawv.
- Tsis txhob tsav tsheb yog tias koj tau haus cov dej cawv. Hu rau cov kev pabcuam thaum muaj xwm txheej 112, kev pabcuam tshuaj lom (022-4250767) lossis tsheb tavxij mus rau tom tsev kho mob.
- Muab cov ntaub ntawv twg uas tuaj yeem pab tus kws kho mob lossis kws kho mob tham nrog koj lossis tus neeg raug tsim txom los ntawm tshuaj lom. Cov ntaub ntawv suav nrog, piv txwv li, hom lossis ntau npaum li cas ntawm cov dej cawv uas tau haus, thiab thaum twg lawv tau haus.
- Yog tias koj ntshai mus nrhiav kev pab kho mob rau ib tus neeg vim tias koj tsis tau haus cawv, sim tso cov kev ntshai ntawd tseg thiab hu rau cov kev kho mob kom pab. Thaum koj yuav ntshai ua rau muaj teeb meem nrog tub ceev xwm lossis koj niam koj txiv rau kev haus cawv tsis tau muaj hnub nyoog, tsis nrhiav kev pab rau tus neeg raug lom tuaj yeem ua rau muaj kev phom sij ntau ntxiv, suav nrog kev tuag.
Kauj Ruam 2. Saib xyuas tus neeg raug tsim txom kom txog thaum tog neeg lossis kws kho mob tuaj txog
Thaum tos kom cov kev pabcuam khomob xwm txheej ceev tuaj txog (lossis thaum koj tab tom taug kev mus rau tsev kho mob), saib xyuas tus neeg raug tsim txom uas koj xav tias muaj cawv lom. Los ntawm kev soj ntsuam ib qho cim ntawm kev lom lossis lub cev ua haujlwm uas nws nthuav tawm, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev raug mob hnyav lossis tuag, thiab tso cai rau koj muab cov ntaub ntawv tseem ceeb rau cov kev pabcuam kho mob.
Kauj Ruam 3. Nyob nrog tus neeg raug tsim txom tsis nco qab
Yog tias koj nrog tus neeg raug tsim txom tsis nco qab haus cawv, nyob nrog nws. Qhov no yog kom paub tseeb tias nws tsis ntuav txog thaum nws hnoos lossis tsis ua pa.
- Tsis txhob yuam lossis txhawb kom nws ntuav vim qhov no yuav ua rau nws hnoos.
- Yog tias nws tsis nco qab lossis qaug zog, muab nws tso rau ntawm nws sab (txoj haujlwm rov zoo) txhawm rau txo kev pheej hmoo ntawm kev hnoos yog tias nws ntuav txhua lub sijhawm.
Kauj Ruam 4. Pab tus neeg raug tsim txom yog nws ntuav
Yog tus neeg uas koj xav tias lom tau ntuav, pab thiab tuav nws kom nws zaum tau ncaj. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm hnoos thaum ntuav, lossis txawm tias tuag.
- Yog tias nws xav tau pw, muab nws tso rau ntawm nws sab (txoj haujlwm rov zoo) yog li nws tsis hnoos.
- Sim ua kom nws tsaug zog kom txo qhov kev pheej hmoo ntawm kev nco qab.
- Yog tias nws tseem tuaj yeem haus tau, muab dej rau nws kom txo qhov kev pheej hmoo ntawm lub cev qhuav dej.
Kauj Ruam 5. Ua kom nws lub cev sov sov
Qhwv lub cev nrog daim pam, tsho loj, lossis lwm yam khoom kom lub cev sov. Qhov no tuaj yeem tiv thaiv nws kom tsis txhob poob siab thiab ua rau nws xis nyob dua.
Kauj Ruam 6. Tsis txhob ua ib qho tshwj xeeb "pab" kauj ruam lossis txheej txheem
Muaj ntau yam uas koj yuav xav tias tuaj yeem pab tus neeg raug lom rov zoo. Txawm li cas los xij, cov no yog qhov txaus ntshai heev. Cov hauv qab no yuav tsis txo cov tsos mob ntawm kev lom thiab qhov tseeb, tuaj yeem ua rau qhov xwm txheej tsis zoo:
- Haus kas fes
- Dej txias
- Taug kev
- Haus dej cawv ntau dua
Kauj Ruam 7. Tau txais kev kho mob rau tshuaj lom hauv tsev kho mob
Tom qab nws tau maj mus rau tom tsev kho mob, nws yuav raug tshuaj xyuas thiab kho rau haus cawv. Tus kws kho mob lub luag haujlwm yuav tshuaj xyuas cov tsos mob uas tshwm sim thiab txuas ntxiv saib xyuas tus neeg mob. Kev kho mob rau cawv lom suav nrog ntau yam, suav nrog:
- Kev tso lub raj ua pa lossis raj hauv lub qhov ncauj thiab lub raj cua (hu ua intubation) kom qhib cov pa lossis cov pa, pab ua pa, thiab tshem tawm qhov txhaws.
- Kev tso cov raj tso rau hauv cov hlab ntshav kom tswj lub cev kua dej, ntshav qab zib, thiab qib cov vitamins.
- Kev tso tus catheter rau hauv lub zais zis.
- Kev nqus plab, uas cuam tshuam nrog tso lub raj lossis raj rau hauv lub qhov ntswg thiab lub qhov ncauj thiab qhia cov kua nkag rau hauv lub cev.
- Kev lees txais kev kho oxygen.
- Hemodialysis, cov txheej txheem kho mob los lim cov khib nyiab thiab cov co toxins los ntawm lub cev.
Ntu 3 ntawm 3: Siv Dej Cawv Cawv
Kauj Ruam 1. Kawm paub txog kev haus cawv
Yog tias koj nyiam haus cawv, maj mam ua rau koj haus cawv ntau ntxiv thiab qhov tseeb, koj tuaj yeem dhau los ua neeg quav cawv. Txawm li cas los xij, los ntawm kev haus dej haus cawv kom zoo thiab hauv qhov tsawg, koj tuaj yeem txaus siab haus cawv tsis muaj kev quav yeeb quav tshuaj.
- Kev zam cawv yog hais txog lub cev lub peev xwm yoog raws li kev haus qee yam dej cawv (piv txwv li khob/poom npias lossis khob cawv).
- Kev haus cawv yog hais txog kev noj haus cawv thiab haus cawv. Ib qho ntxiv, qhov kev vam khom no kuj tseem muaj qhov xav tau haus cov dej cawv kom lub cev ua haujlwm tau zoo.
Kauj Ruam 2. Kwv yees tus cawv koj tuaj yeem zam tau
Txiav txim seb koj qib siab rau cawv yog zoo li cas. Txoj kev no, koj tuaj yeem tsum tsis txhob haus cawv ntau dhau thiab tiv thaiv kev quav cawv kom tsis txhob tshwm sim.
Xam koj qib kev ua siab ntev raws tus naj npawb ntawm cov dej cawv uas koj ib txwm haus. Piv txwv li, yog tias koj tsis tau haus cawv lossis tsuas yog haus ob peb lub dej haus hauv ib lub lis piam, koj qib kev ua siab ntev yuav qis heev. Txawm li cas los xij, yog tias koj haus ntau dua, koj qib kev ua siab ntev kuj yuav nce ntxiv
Kauj Ruam 3. Ua raws txoj cai haus dej kom tsim nyog
Kev haus dej haus cawv los ntawm kev ua raws txoj cai ntawm kev tsim nyog/noj ib txwm muaj. Ua li no, koj tuaj yeem txo koj txoj kev pheej hmoo ntawm kev quav cawv lossis lom.
- Cov poj niam yuav tsum tsis txhob haus ntau tshaj 2-3 units ntawm cov dej cawv cawv hauv ib hnub.
- Cov txiv neej yuav tsum tsis txhob haus cawv ntau dua 3-4 units hauv ib hnub.
- Chav dej cawv yog xam raws qhov feem pua ntawm cawv nyob hauv cov dej haus thiab cov nyiaj/pes tsawg cov dej haus uas tau haus. Piv txwv li, lub raj mis cawv muaj 9-10 chav cawv.
- Tsis txhob nqa mus ntxiv thaum koj xav haus cawv ntxiv lossis ob (thiab nco ntsoov koj ua raws txoj cai). Piv txwv li, sim haus ib qho dej haus ntau dua li ib txwm. Yog tias koj tsis haus cawv, sim haus cawv nkaus xwb (lossis txawm tias ib nrab khob). Rau cawv lossis lwm yam cawv, sim haus ib thiab ib nrab lossis ob khob.
- Haus dej thaum koj haus cawv kom txo qhov "ntxias" haus vim tias lwm tus phooj ywg haus cawv (feem ntau, kev ntxias ntxias cuam tshuam rau koj). Ib qho ntxiv, dej tuaj yeem tswj lub cev ua kua thaum koj nyiam haus cawv.
Kauj Ruam 4. Tsis txhob haus cawv ua ntej
Ua tib zoo saib xyuas cov dej haus cawv uas koj haus thiab tsum tsis txhob haus lawv thaum ntxov yog tias koj tsis paub meej txog pes tsawg haus dej haus. Qhov no pab tiv thaiv koj kom tsis txhob qaug cawv lossis ua rau muaj cawv lom (lossis mob hnyav dua tuaj). Koj yuav tsum tau teem sijhawm txwv kom tsis txhob haus cawv thaum yav tsaus ntuj. Piv txwv li, koj tuaj yeem tsim txoj cai tsis haus cawv tom qab ib tag hmo thaum koj tawm mus taug kev thiab lom zem nrog phooj ywg.
Kauj Ruam 5. Muaj ib hnub tsis muaj cawv
Sim siv sijhawm (tsawg kawg) ob hnub yam tsis muaj cawv txhua hnub. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm kev quav cawv thiab pab lub cev rov ua haujlwm tom qab koj nyiam haus cawv.
Nco ntsoov tias qhov tsis muaj peev xwm zam kev haus cawv rau ib hnub tuaj yeem yog lub cim qhia tias koj twb tau haus cawv lawm. Nrhiav kev pab tshaj lij yog tias koj pom tias koj xav tau cawv
Kauj Ruam 6. Tshawb nrhiav qhov txaus ntshai thiab kev phom sij ntawm kev haus cawv
Txhua lub sijhawm koj haus cov dej cawv, koj yuav ua rau puas tsuaj lossis ua rau koj tus kheej muaj kev noj qab haus huv. Tib txoj hauv kev kom tsis pub koj tus kheej los ntawm kev pheej hmoo ntawm kev haus dej haus cawv yog tsis haus lawv txhua. Ntau zaus lossis ntau dua koj haus nws, qhov kev pheej hmoo ntawm kev puas tsuaj rau lub cev ntau dua.
- Kev haus cawv tsis tuaj yeem tiv thaiv koj los ntawm kev phom sij ntawm kev haus cawv.
- Kev haus dej cawv tuaj yeem ua rau hnyav nce, kev nyuaj siab, teeb meem ntawm daim tawv nqaij, thiab nco lub sijhawm luv.
- Hauv lub sijhawm ntev, kev haus cawv tuaj yeem ua rau nce ntshav siab, kab mob siab ntev, thiab mob qog noj ntshav.
Lub tswv yim
Yog koj muaj kev ua xyem xyav lossis txhawj xeeb txog tus neeg raug tsim txom, tam sim hu rau cov kev pabcuam thaum muaj xwm ceev
Ceeb toom
- Tsis txhob tso tus neeg raug tsim txom lossis tus neeg tsis nco qab kom nws tuaj yeem "tsaug zog" kom txog thaum cov tshuaj lom tau ploj mus ntawm lawv tus kheej.
- Tsis txhob haus dej haus cawv (haus dej haus cawv ntau dhau thiab nyob rau lub sijhawm luv). Yog tias koj pom lossis paub qee tus neeg nthuav tawm cov qauv no, sim txwv lawv ua ntej lawv nkag mus rau theem cawv cawv.
- Tsis txhob sim kho cawv lom koj tus kheej, vim cov neeg raug lom xav tau kev kho mob zoo.
