Kev txhaj tshuaj tiv thaiv tsiaj yog ib qho kev ntsuas zoo rau kev tiv thaiv thiab tswj cov kab mob sib kis, thiab kev tiv thaiv thiab kev tswj tau zoo heev.Txawm li cas los xij, vim yog tus neeg lub cev lossis lwm yam xwm txheej, qhov tshwm sim tsis zoo lossis kev ntxhov siab yuav tshwm sim tom qab txhaj tshuaj tiv thaiv, uas cuam tshuam rau kev noj qab haus huv ntawm cov tsiaj.
Qhov tshwm sim ntawm ntau yam tshuaj tiv thaiv tau coj cov txiaj ntsig zoo rau kev tiv thaiv thiab tswj cov kab mob sib kis.Kev siv tshuaj tiv thaiv tsiaj tau tiv thaiv qhov tshwm sim ntawm qee yam kab mob tsiaj.Cov kab mob ko taw thiab qhov ncauj yog ib qho mob, febrile thiab kis tau tus kab mob ntau heev uas feem ntau tshwm sim hauv cov tsiaj cloven-hoofed.Nws tshwm sim ntau zaus hauv cov tsiaj xws li npua, nyuj, thiab yaj.Vim tias kab mob ko taw thiab qhov ncauj kis tau los ntawm ntau txoj hauv kev thiab sai, thiab tuaj yeem kis mus rau tib neeg.Nws tau muaj ntau qhov kev sib kis, yog li cov kws kho tsiaj hauv ntau qhov chaw muaj kev txhawj xeeb txog nws txoj kev tiv thaiv thiab kev tswj hwm.Cov tshuaj tiv thaiv kab mob nyuj thiab yaj ko taw yog ib hom tshuaj tiv thaiv zoo los tiv thaiv qhov tshwm sim ntawm tus kab mob ko taw thiab qhov ncauj.Nws belongs rau cov tshuaj tiv thaiv inactivated thiab daim ntawv thov cov nyhuv tseem ceeb heev.
1. Kev tshuaj xyuas kev ntxhov siab ntawm cov tsiaj nyeg thiab yaj cov tshuaj tiv thaiv kab mob ko taw thiab qhov ncauj
Rau kev txhaj tshuaj tiv thaiv kab mob nyuj thiab yaj, qhov tshwm sim ntawm kev ntxhov siab tom qab siv feem ntau yog tsis muaj zog, tsis qab los noj mov, kev tshaib kev nqhis, tsis muaj zog ntawm cov ceg, pw hauv av, lub cev kub hloov pauv, auscultation thiab palpation Nws yog. pom tias peristalsis ntawm lub plab zom mov qeeb qeeb.Tom qab txhaj tshuaj tiv thaiv, koj yuav tsum tau ua tib zoo saib xyuas kev ua haujlwm ntawm nyuj thiab yaj.Yog hais tias qhov kev ntxhov siab hais saum toj no tshwm sim, yuav tsum tau kho raws sijhawm.Qhov no, ua ke nrog kev tiv thaiv ntawm cov nyuj thiab yaj lawv tus kheej, yuav sai sai kho cov nyuj thiab yaj.Txawm li cas los xij, yog tias cov tshuaj tiv thaiv kev ntxhov siab hnyav heev, cov nyuj thiab yaj tej zaum yuav tshwm sim los ntshav, ua npuas ncauj ntawm lub qhov ncauj thiab lwm yam tsos mob nyob rau lub sijhawm luv luv tom qab txhaj tshuaj tiv thaiv, thiab cov mob hnyav tuaj yeem ua rau tuag taus.
2. Kev cawm thiab kev kho mob thaum muaj xwm txheej ceev rau kev ntxhov siab ntawm nyuj thiab yaj tshuaj tiv thaiv kab mob ko taw thiab qhov ncauj
Nws yog qhov tsis muaj kev ntxhov siab ntawm cov tshuaj tiv thaiv kab mob nyuj thiab yaj ntawm ko taw thiab qhov ncauj yuav tshwm sim, yog li cov neeg ua haujlwm cuam tshuam yuav tsum tau npaj rau kev cawm thiab kho txhua lub sijhawm.Feem ntau hais lus, qhov kev ntxhov siab ntawm cov nyuj thiab yaj cov tshuaj tiv thaiv kab mob ko taw thiab qhov ncauj feem ntau tshwm sim hauv 4 teev tom qab txhaj tshuaj, thiab nws yuav pom cov tsos mob pom tseeb raws li tau hais los saum no, yog li nws yooj yim rau kev paub qhov txawv.Yog li ntawd, txhawm rau ua kom muaj kev pabcuam thaum muaj xwm txheej ceev rau cov lus teb rau kev ntxhov siab thawj zaug, cov neeg ua haujlwm tiv thaiv kabmob sib kis yuav tsum nqa cov tshuaj cawm siav thaum muaj xwm txheej ceev nrog lawv, thiab muab cov tshuaj tiv thaiv kev ntxhov siab thiab cov khoom siv rau kev txhaj tshuaj tiv thaiv kab mob nyuj thiab yaj.
Cov neeg ua haujlwm tiv thaiv kabmob sib kis yuav tsum ua tib zoo saib xyuas cov kev hloov pauv ntawm cov tsos mob ntawm nyuj thiab yaj thaum lub sijhawm txhaj tshuaj, tshwj xeeb tshaj yog tom qab txhaj tshuaj tiv thaiv tiav, lawv yuav tsum tau saib xyuas kom zoo thiab tshawb xyuas lub hlwb kom paub seb puas muaj kev ntxhov siab thaum thawj zaug. .Yog tias muaj kev ntxhov siab tshwm sim hauv nyuj thiab yaj, kev cawm thaum muaj xwm txheej ceev yuav tsum tau ua sai li sai tau, tab sis hauv kev ua haujlwm cawm siav, nws yuav tsum tau ua raws li qhov tseeb ntawm cov nyuj thiab yaj.Ib qho yog tias rau cov nyuj thiab yaj zoo tib yam, tom qab qhov kev ntxhov siab tshwm sim, xaiv 0.1% epinephrine hydrochloride 1mL, intramuscularly, feem ntau nyob rau ib nrab ib teev, nws tuaj yeem rov qab mus rau qhov qub;rau cov nyuj tsis cev xeeb tub thiab yaj, nws kuj siv tau.Kev txhaj tshuaj Dexamethasone tuaj yeem txhawb kev rov qab sai ntawm nyuj thiab yaj;compound glycyrrhizin kuj tseem siv tau rau kev txhaj tshuaj intramuscular, kev tshawb fawb tau hais txog kev txhaj tshuaj, feem ntau yuav rov zoo li qub hauv ib nrab teev.Rau nyuj thiab yaj thaum cev xeeb tub, adrenaline feem ntau yog xaiv, uas tuaj yeem kho kev noj qab haus huv rau nyuj thiab yaj hauv li ib nrab teev.
Post lub sij hawm: Nov-10-2021
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