Kev kub hnyiab los ntawm hluav taws xob tuaj yeem tshwm sim thaum tus neeg cuam tshuam nrog cov khoom siv hluav taws xob, xws li cov cuab yeej hluav taws xob hauv av, thiab hluav taws xob ntws los ntawm tus neeg lub cev. Qhov kub hnyiab kuj txawv, los ntawm qib 1 txog qib 3 kub nyhiab, nyob ntawm seb tus neeg raug tsim txom raug kev sib cuag nrog hluav taws xob raug mob ntev npaum li cas, lub zog thiab hom kev ntws, thiab kev taw qhia ntawm hluav taws xob tam sim no hauv lub cev. Yog tias qhov kub hnyiab qib 1 lossis qib 3 tshwm sim, lub qhov txhab yuav tob thiab tuaj yeem ua rau tawv nqaij. Kev kub hnyiab vim hluav taws xob kuj tseem muaj peev xwm ua rau muaj teeb meem vim nws cuam tshuam rau lub cev hauv nruab nrog cev. Nrog kev npaj me ntsis, koj tuaj yeem ua raws li qhov tsim nyog yog tias koj lossis ib tus neeg nyob ze koj tau hlawv.
Kauj ruam
Txoj Kev 1 ntawm 2: Kho Mob Kub Ntxhov Los Ntawm Hluav Taws Xob
Kauj Ruam 1. Tsis txhob kov tus neeg raug tsim txom yog tias nws tseem txuas nrog lub hwj chim
Ua ntej tshaj, tshem cov cuab yeej siv, lossis tua tag nrho cov khoom siv hluav taws xob tseem ceeb hauv tsev, kom tua hluav taws rau tus neeg raug tsim txom.
Yog tias nws tsis tuaj yeem tua nws tam sim ntawd, sawv ntsug ntawm qhov chaw qhuav, xws li roj hmab lev lossis cov ntawv lossis phau ntawv. Tom qab ntawd, siv cov khoom ntoo qhuav, xws li rab pas nrig, kom tus neeg raug tsim txom nyob deb ntawm lub hwj chim. Tsis txhob siv dab tsi ntub lossis xim hlau
Kauj Ruam 2. Tshwj tsis yog tsim nyog, tsis txhob txav lossis txav tus neeg raug tsim txom
Yog tias tus neeg raug tsim txom tsis txuas nrog lub hwj chim ntxiv, tsis txhob txav lossis txav tus neeg raug tsim txom tshwj tsis yog qhov tsim nyog kiag li.
Kauj Ruam 3. Txheeb xyuas yog tias tus neeg raug tsim txom teb
Tus neeg raug tsim txom yuav tsis nco qab lossis tsis teb rau kov lossis thaum tham nrog. Yog tias tus neeg raug tsim txom tsis ua pa, tam sim ua pa tawm thiab CPR (Cardiopulmonary Resuscitation).
Kauj Ruam 4. Tau txais kev pab kho mob tam sim
Kev kub hnyiab los ntawm hluav taws xob tuaj yeem cuam tshuam rau kev ua haujlwm hluav taws xob ntawm lub plawv. Hu rau tub ceev xwm lossis kws kho mob tam sim ntawd, tshwj xeeb yog tus neeg raug mob tsis teb lossis kub hnyiab yog los ntawm cov xov hluav taws xob loj lossis hluav taws xob.
- Yog tias tus neeg raug tsim txom lub plawv nres, ua CPR tam sim.
- Txawm hais tias tus neeg raug tsim txom tsis nco qab, koj tseem yuav tsum tau txais kev pab kho mob tam sim yog tias nws muaj mob hnyav, lub plawv dhia nrawm, lub plawv tsis xwm yeem lossis lub plawv nres, muaj qaug dab peg lossis ua daus no, muaj teeb meem taug kev lossis tswj kev tshuav, muaj teeb meem pom lossis hnov lus, tso zis liab los yog liab liab, tsis meej pem, mob leeg lossis mob hnyav, lossis ua pa nyuaj.
- Tsis tas li yuav tsum paub tias tus neeg raug tsim txom yuav muaj lub raum puas, puas paj hlwb, lossis puas pob txha.
Kauj Ruam 5. Thaum tos kom pab neeg kho mob tuaj txog, kho tus neeg raug hlawv tam sim ntawd
- Npog qhov hlawv nrog cov ntaub qhwv tsis huv, qhuav. Rau qhov mob hnyav, tsis txhob tshem cov khaub ncaws uas ua rau tawv nqaij. Txawm li cas los xij, koj tuaj yeem sim txiav daim ntaub nyob ze thaj chaw hlawv, tshwj xeeb tshaj yog tias cov khaub ncaws nyob ib puag ncig thaj chaw hlawv thiab tuaj yeem muaj teeb meem yog tias thaj chaw swell.
- Tsis txhob siv daim pam lossis phuam so los npog qhov kub hnyiab, vim cov xoob xoob tuaj yeem lo rau ntawm qhov txhab.
- Tsis txhob sim txias qhov txhab nrog dej lossis dej khov.
- Tsis txhob sim siv cov roj rau qhov txhab.
Kauj Ruam 6. Saib xyuas cov tsos mob ntawm kev poob siab hauv tus neeg raug tsim txom
Nws daim tawv nqaij yuav hnov txias thiab ntub, nws lub ntsej muag daj, thiab nws cov mem tes nrawm. Saib xyuas cov tsos mob no thiab qhia rau pab neeg kho mob thaum lawv tuaj.
Kauj Ruam 7. Ua kom tus neeg mob sov
Tsis txhob kis tus neeg raug cua txias vim nws tuaj yeem ua rau cov tsos mob poob siab. Yog tias siv daim pam, khaws nws kom deb ntawm qhov chaw raug mob thaum tos pab neeg kho mob.
Kauj Ruam 8. Ua raws txhua tus kws kho mob cov lus txib
Nyob ntawm qhov hnyav ntawm cov tsos mob ntawm kev poob siab thiab kub hnyiab, tus kws kho mob ER thiab pab kws saib xyuas mob yuav ua ntau yam kev sim thiab kho.
- Lawv tuaj yeem xaj ntshav thiab tso zis txhawm rau txhawm rau txhawm rau pom cov tsos mob ntawm cov leeg, lub plawv, thiab lwm yam kabmob.
- Ib lub tshuab ECG (lossis EKG) tuaj yeem sau cov hluav taws xob ua haujlwm hauv koj lub siab kom paub tseeb tias qhov kev poob siab tsis ua rau lub plawv dhia tsis xwm yeem (arrhythmia).
- Txog kev kub nyhiab hnyav, pab neeg kho mob tuaj yeem ua duab scintigraphy, uas tuaj yeem pab nrhiav cov ntaub so ntswg tuag uas yuav xav tau tshem tawm.
Kauj Ruam 9. Ua raws li qhov kev kho mob
Koj tus kws kho mob yuav sau ntawv tshuaj los daws qhov mob vim tias kub hnyiab tuaj yeem mob thaum kho. Koj tuaj yeem tau txais daim ntawv xaj tshuaj pleev tshuaj tua kab los yog roj uas yuav tsum tau siv raws li qhia thaum hloov daim ntaub qhwv.
Kauj Ruam 10. Saib xyuas cov tsos mob ntawm tus kab mob
Tus kws kho mob kuj tseem tuaj yeem sau tshuaj tua kab mob los tiv thaiv kev kis mob hauv qhov kub hnyiab. Txawm li cas los xij, koj kuj yuav tsum tau saib xyuas cov tsos mob ntawm tus kab mob thiab tham nrog kws kho mob tam sim yog tias koj xav tias lub qhov txhab tau kis tus kab mob. Yog tias yog, tus kws kho mob yuav sau tshuaj tua kab mob ntau dua. Cov hauv qab no yog qee cov tsos mob tshwm sim:
- Tsis hnov tsw ntawm qhov kub hnyiab lossis tawv nqaij ib puag ncig
- Kev hloov xim mus rau xim daj, tshwj xeeb yog tias muaj o
- Hloov pauv cov tuab tuab (tam sim ntawd hlawv mus tob heev rau ntawm daim tawv nqaij)
- Ntsuab ntsuab tawm los
- Ua npaws
Kauj Ruam 11. Hloov daim ntaub qhwv nquag
Thaum twg koj cov ntaub qhwv ntub los yog qias neeg, hloov nws. Ntxuav qhov hlawv (nrog gloved lossis ntxuav tes) nrog dej thiab xab npum me me, ntxiv cov tshuaj tua kab mob (yog tias tus kws kho mob qhia), thiab qhwv dua nrog daim ntaub tshiab, tsis muaj menyuam tsis huv.
Kauj Ruam 12. Rau qhov kub nyhiab heev, nrog kws kho mob tham txog kev xaiv phais thiab muaj peev xwm ua tau
Rau qhov mob hnyav thib 3, koj tus kws kho mob yuav pom zoo ntau txoj kev phais, nyob ntawm qhov loj thiab qhov chaw ntawm qhov txhab. Qee qhov haujlwm no yog piv txwv:
- Tshem tawm cov ntaub so ntswg tuag los yog raug mob hnyav kom tsis txhob kis mob thiab mob thiab ua kom lub sijhawm kho sai
- Cov tawv nqaij grafts, uas hloov cov tawv nqaij puas nrog cov tawv nqaij noj qab haus huv los ntawm lwm qhov chaw kom nrawm kho thiab tiv thaiv kev kis mob
- Escharotomy (tshem tawm caws pliav), txiav ua cov nqaij tuag kom txog thaum nws mus txog txheej rog hauv qab. Escharotomy tuaj yeem txhim kho cov ntshav ncig thiab daws qhov mob los ntawm qhov ua rau o
- Ib qho fasciotomy, lossis tso tawm qhov siab tshwm sim los ntawm cov leeg uas o los ntawm qhov hlawv. Lub fasciotomy tuaj yeem pab txo qis kev puas tsuaj rau cov leeg nqaij, cov leeg nqaij, lossis lub cev.
Kauj Ruam 13. Yog tias tsim nyog, sab laj txog kev xaiv kho lub cev
Cov leeg thiab kev puas tsuaj los ntawm kev mob hnyav tuaj yeem txo cov leeg ua haujlwm. Koj tuaj yeem rov muaj zog hauv thaj chaw cuam tshuam los ntawm kev sab laj nrog kws kho mob lub cev. Koj lub peev xwm txav mus los yuav nce ntxiv, ntxiv rau qhov mob uas koj hnov nrog qee qhov kev txav txav kuj tseem yuav txo qis.
Txoj Kev 2 ntawm 2: Kho Mob Kub Ntxhov Los Ntawm Hluav Taws Xob
Kauj Ruam 1. Tshem cov khaub ncaws lossis cov hniav nyiaj hniav kub hauv qhov txhab
Txawm tias qhov kub nyhiab me me tuaj yeem ua rau tsis xis nyob. Tam sim ntawd tshem tawm cov khaub ncaws lossis cov hniav nyiaj hniav kub ze ntawm thaj chaw raug mob kom tiv thaiv kev mob ntxiv.
Yog tias cov khaub ncaws raug kaw rau ntawm lub qhov txhab, tom qab ntawd koj tsis cuam tshuam nrog kev kub nyhiab me me. Nrhiav kev kho mob tam sim. Tsis txhob sim tshem cov khaub ncaws uas raug daig rau qhov kub hnyiab. Txiav ib ncig ntawm qhov glued kom tso qee qhov xoob
Kauj Ruam 2. Ntxuav lub qhov txhab nrog dej txias kom txog thaum qhov mob nres
Dej txias yuav txo qhov kub ntawm daim tawv nqaij thiab tuaj yeem tiv thaiv qhov kub hnyiab kom tsis zoo. Tuav lub qhov txhab nyob hauv dej txias, lossis tsau nws li 10 feeb. Tsis txhob poob siab yog tias cov dej txias tsis tso tseg qhov mob tam sim, vim tias txheej txheem tuaj yeem siv sijhawm ib nrab teev.
- Tsis txhob siv dej khov lossis dej khov vim tias qhov kub qis dhau tuaj yeem ua rau cov leeg nqaij puas ntxiv.
- Koj tuaj yeem tso koj txhais caj npab, txhais tes, txhais taw, thiab ncej puab rau hauv ib lub thoob dej txias. Txawm li cas los xij, rau qhov kub hnyiab nyob ntawm lub ntsej muag lossis lub cev, siv qhov txias txias.
Kauj Ruam 3. Ntxuav koj txhais tes
Koj yuav tsum tau ntxuav qhov hlawv kom txo qhov kev pheej hmoo kis mob. Txawm li cas los xij, koj kuj yuav tsum tau ntxuav koj txhais tes kom huv ua ntej kov qhov hlawv vim tias qhov qhib qhov txhab tuaj yeem kis tau yooj yim.
Kuj xyuas kom cov hnab looj tes, ntaub qhwv, ntaub ntaub, lossis ib yam khoom uas koj siv thiab kov lub qhov txhab kom huv
Kauj Ruam 4. Tsis txhob ua kom tawv nqaij tawg
Cov npuas ua npuas tsis zoo li cov npuas txhuam, uas tsis mob heev thaum tawg. Tsis txhob tawg cov tawv nqaij ua npuas nrog cuam tshuam vim qhov no tuaj yeem ua rau muaj peev xwm kis tau zoo.
Kauj Ruam 5. Ntxuav thaj chaw hlawv
Siv xab npum thiab dej txias los ntxuav qhov chaw hlawv. Siv xab npum maj mam kom tsis txhob ua npuas lossis ua rau tawv nqaij.
Cov tawv nqaij hlawv tuaj yeem tawm me ntsis thaum koj ntxuav lub qhov txhab
Kauj Ruam 6. Qhuav lub qhov txhab los ntawm kov daim ntaub ntawm qhov txhab
Siv daim ntaub huv si los so qhov txhab. Tsis txhob txhuam qhov txhab nrog daim ntaub. Yog tias muaj, koj yuav tsum siv daim ntaub qhwv tsis huv.
Rau qhov mob hnyav 1 degree kub hnyiab, koj tsuas yog yuav tsum ua qhov no
Kauj Ruam 7. Siv tshuaj tua kab mob
Koj tuaj yeem siv qab zib zoo li Bacitracin lossis Polysporin los ntxuav qhov hlawv. Tsis txhob siv tshuaj tsuag lossis butter rau ntawm qhov kub hnyiab, vim qhov no tuaj yeem ua kom sov hauv qhov txhab.
Kauj Ruam 8. Thov muab ntaub qhwv
Loos thov daim ntaub qhwv huv rau ntawm daim tawv nqaij hlawv. Hloov daim ntaub qhwv txhua zaus nws ntub los yog qias neeg kom tsis txhob kis kab mob. Tsis txhob khi qhov txhab kom nruj heev vim qhov no tuaj yeem ua rau tawv nqaij ntxiv.
- Yog tias tshav ntuj lossis cov hlwv tsis tawg lossis qhib, koj yuav tsis xav tau ntaub qhwv. Txawm li cas los xij, koj tseem yuav tsum tau siv daim ntaub qhwv yog tias thaj tsam qhov txhab tau qias neeg yooj yim lossis tuaj yeem ua rau khaus khaus ntawm cov khaub ncaws.
- Tsis txhob muab cov ntaub qhwv los qhwv rau ntawm txhais tes, caj npab, lossis ncej puab. Qhov no tuaj yeem ua rau o.
Kauj Ruam 9. Noj tshuaj tom khw muag tshuaj
Acetaminophen lossis ibuprofen tuaj yeem txo qhov mob me me. Haus raws li cov lus qhia rau kev siv.
Kauj Ruam 10. Xav txog kev hu mus rau kws kho mob
Txawm hais tias koj qhov kub hnyiab me me, koj tseem tuaj yeem tsim cov tsos mob uas xav tau koj tus kws kho mob tham. Hu rau koj tus kws kho mob tam sim yog tias koj:
- Hnov qaug zog
- Nyuaj pob qij txha lossis hnov mob nqaij
- Kev tsis meej pem lossis tsis nco
- Kev txhawj xeeb txog tus mob lossis kho qhov txhab
Kauj Ruam 11. Saib xyuas cov tsos mob ntawm tus kab mob
Rau qhov kub nyhiab me me (qib 1), kev pheej hmoo kis mob yog tsawg heev. Txawm li cas los xij, koj yuav tsum saib xyuas qhov mob thiab qhia tias muaj tus kab mob, tshwj xeeb yog tias muaj cov hlwv lossis tawv nqaij tawg. Hu rau koj tus kws kho mob tam sim rau tshuaj tua kab mob muaj zog yog tias koj xav tias qhov kub hnyiab tau kis mob. Cov hauv qab no yog qee cov tsos mob uas qhia tias koj hlawv tau kis mob:
- Qhov tsis hnov tsw ntawm thaj chaw hlawv lossis tawv nqaij ib puag ncig
- Purplish discoloration, tshwj xeeb tshaj yog nrog o
- Hloov pauv qhov tuab tuab (tam sim ntawd hlawv tuab tuab mus rau hauv daim tawv nqaij)
- Ntsuab ntsuab tawm los
- Ua npaws
Kauj Ruam 12. Tham nrog koj tus kws kho mob txog cov npuas loj
Yog tias koj qhov kub hnyiab muaj cov npuas loj, nws yuav tsum tau muab tshem tawm los ntawm kws kho mob tam sim ntawd. Cov tawv nqaij tsis tshua zoo li qub thiab yuav tsum tau muab tshem tawm los ntawm kws kho mob uas tuaj yeem ua txhua txoj haujlwm ua tib zoo thiab tsis muaj menyuam.
Cov npuas loj dua loj dua koj cov rau tes
Kauj Ruam 13. Hloov daim ntaub qhwv nquag
Thaum twg koj cov ntaub qhwv ntub los yog qias neeg, hloov nws. Ntxuav qhov hlawv (nrog ntxuav tes lossis hnab looj tes) siv dej thiab hnab looj tes mos muag, ntxiv cov tshuaj tua kab mob, thiab siv cov ntaub qhwv tshiab tsis huv uas tsis lo.
Lub tswv yim
- Tsis txhob sim kho cov cuab yeej hluav taws xob tshwj tsis yog koj tau tshuaj xyuas ob lossis peb zaug tias tsis muaj hluav taws xob ntws mus rau cov cuab yeej siv.
- Ua txhua qhov hluav taws xob hloov pauv hauv koj lub tsev kom ncav cuag cov menyuam.
- Hloov cov kab puas los yog tawg.
- Thaum hu rau pab neeg kho mob, piav qhia tias koj tab tom cuam tshuam nrog cov neeg raug hlawv los ntawm hluav taws xob. Lawv yuav muab cov ntaub ntawv ntxiv rau koj hauv xov tooj.
- Thaum cuam tshuam nrog cov khoom siv hluav taws xob, xyuas kom tseeb tias muaj lub tua hluav taws nyob ze.
- Txhawm rau tiv thaiv kev kub hnyiab los ntawm hluav taws xob, hnav khaub ncaws tsim nyog thiab ua raws li kev tiv thaiv kev nyab xeeb tsim nyog thaum twg koj cuam tshuam nrog hluav taws xob.
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Paub txog cov tsos mob ntawm qib 1, 2, thiab qib 3 kub hnyiab, kom paub seb koj yuav ua cov kauj ruam tom ntej li cas, nyob ntawm qib uas hlawv.
- 1st degree kub hnyiab yog qhov kub hnyiab tsawg tshaj plaws, cuam tshuam rau txheej txheej sab nraud ntawm daim tawv nqaij. Cov hlawv no ua rau daim tawv nqaij liab thiab feem ntau mob. Txawm li cas los xij, cov kev kub nyhiab no suav hais tias yog qhov me thiab tuaj yeem kho nyob hauv tsev.
- Qhov kub thib ob yog qhov mob hnyav dua, cuam tshuam rau thawj thiab ob txheej ntawm daim tawv nqaij. Cov kub hnyiab no ua rau tawv nqaij uas liab heev thiab ua npaws, mob heev thiab rhiab heev. Txawm hais tias qhov kub me me hauv qib 2 tuaj yeem kho tau hauv tsev, qhov kub thib 2 qib xav tau kev kho mob tam sim.
- Kev kub nyhiab qib 3 yog qhov kub hnyiab tshaj plaws thiab txaus ntshai, cuam tshuam rau txhua txheej ntawm daim tawv nqaij. Cov hlawv no tuaj yeem ua rau tawv nqaij liab, xim av, lossis dawb, tab sis feem ntau yog xim dub. Cov tawv nqaij raug mob yuav zoo li tawv nqaij ntawm cov khaub ncaws thiab feem ntau tsis tuaj yeem hnov qhov hnov tau. Hom kev hlawv no xav tau kev kho mob tam sim.
Ceeb toom
- Tsis txhob kov ib tus neeg uas raug hluav taws xob vim tias koj tuaj yeem raug hluav taws xob ib yam nkaus.
- Tsis txhob mus ze cov khoom siv hluav taws xob uas raug rau dej lossis dej noo.
- Yog tias muaj hluav taws tshwm sim, xub tua lub hwj chim, tom qab ntawd siv lub tshuab tua hluav taws.
