Noj qab haus huvCov kab mob thiab mob

Plawv edema: Cov tsos mob thiab kev kho mob

Feem ntau cov feem ntau, lub o yuav pom nyob rau hauv lub qis ceg. Qhov no yog vim lub fact tias nws yog yooj yim los mus tshwm sim stagnation nyob rau hauv kev ua txhaum ntawm cov hlab plawv system.

Nyob ntawm seb lawv heev ntawm edema ntawm plauv nres keeb kwm tej zaum yuav txwv mus rau lub ko taw, txo ceg, los yog mus mus txog rau lub hauv caug.

Yuav ua li cas los mus txiav txim hauv lub xub ntiag ntawm edema?

Txhua leej txhua tus muaj peev xwm paub txog mob edema. Cov duab no pathological phenomenon yuav qhia ib qho kev nce nyob rau hauv volume ntawm tus neeg mob lub sab ceg thiab ko taw. Raws li ib tug tshwm sim, los mus txiav txim lawv muaj tej zaum yuav txawm tias ib tug sau. Plawv edema nyob rau hauv lub qis extremities qhia yooj yim heev. Nws yog tsim nyog xwb tso siab rau lub edematous cheeb tsam nrog koj tus ntiv tes, thiab ces tshem tawm cov nws. Yog hais tias lub mluav yog khaws cia rau 5-10 vib nas this tom qab tus ntiv tes yog muab tshem tawm, cov lus nug yog tiag tiag txog lub o. Lub tob no, kuj yuav su tus loj dua cov kev ua txhaum cai ntawm cov hlab plawv system.

Nyob rau hauv tas li ntawd mus o faib ntau xws li ib tug tshaj plaws li "pasty". Hauv qab nws yog to taub raws li zoo unexpressed o ntawm ob txhais ceg thiab ko taw. Nws yuav tsum tau tom qab nias ib tug ntiv tes rau lub cheeb tsam cov yuav luag tsis nyob twj ywm. Pastoznost tsis zoo li edema yuav tsum tau me me los yog tsis muaj ntxiv txoj kev kho.

Plawv edema: ua

Nws yog tam sim no tej hais tias qhov no tshwm sim tshwm sim vim hais tias ntawm lub stagnation nyob rau hauv lub qis extremities. Lawv tshwm sim nyob rau hauv cov kev tshwm sim hais tias tus sab xis ntawm lub plawv yog tsis muaj peev xwm yuav raug txo mus rau lub qub quab yuam. Qhov no ua rau ib qho kev nce nyob rau hauv siab nyob rau hauv lub mauj kev, nyob rau hauv kev nyob rau hauv lub qis extremities hlab ntsha. Nws yog tshwj xeeb yog xav overflows venous txaj. Tom qab tsub kom lub hydrostatic siab nyob rau hauv lub capillary, thiab kua rushes los ntawm cov vascular phab ntsa rau hauv lub surrounding cov ntaub so ntswg. Uas yog raws nraim li cas tshwm sim mob edema. Cov tsos mob qhia tias muaj cov teeb nyob rau hauv cov hlab plawv system. Yog li ntawd nws yuav tsum yog raws sij hawm mus nrhiav kev pab los ntawm ib tug tshwj xeeb.

Yuav ua li cas yuav tsum ua li cas yog kuv muaj edema?

Ua ntej ntawm tag nrho ib tug neeg xav tau kev pab rau recheck seb nws yuav siv sij hawm noj tshuaj, kws kho mob muab rau nws. Nyob rau hauv cov ntaub ntawv uas, yog tias tag nrho cov tswv yim pom zoo yog respected, tab sis lub edema ntawm plauv nres keeb kwm tseem tshwm, thov nrog koj tus general los sis kev kho plawv. Txawm tias ua ntej mus ntsib tus kws kho mob yog heev tsis tiv thaiv kom txhob yauv electrocardiography thiab mob ultrasound.

Plawv edema ob txhais ceg: pw kho mob

Qhov teeb meem no yog heev nyob rau hauv cov neeg mob uas muaj hnub nyoog. Nyob rau tib lub sij hawm tas mus li cia o yuav tsum tsis txhob yuav, txwv tsis pub lawv yuav ua heev heev ntawm cov teeb meem. Raws li ib tug tshwm sim, yog hais tias koj muaj lub plawv o, cov tsos mob ntawm ib tug cov xwm sib txawv yuav tsum tsis txhob tos. Nws yog tsim nyog kom sai li sai pib kho mob.

Ua ntej ntawm tag nrho cov kws kho mob yuav ntsuam xyuas qhov teeb meem no thiab txiav txim seb puas los yog tsis mob pathology underlies o tshwm sim. Yog hais tias qhov teeb meem tiag tiag yog txuam nrog mob ntawm cov hlab plawv system, tus kws kho mob yuav muab tshuaj rau cov tshuaj los ntawm cov pab pawg neeg ntawm diuretics. Ntawm lawv, feem ntau siv tshuaj "Furosemide", "Hydrochlorothiazide". Nyob rau hauv cov ntaub ntawv no, xws kev kho mob tsuas yog mob. Ua ntej ntawm tag nrho cov, cov kws kho mob yuav sim los qhov zoo lag luam ntawm cov hlab plawv system. Feem ntau cov tshuaj uas tso cai rau yuav tau kho nws cov hauj lwm, yog beta-blockers. Cov tshuaj txo ib lub nra hnyav rau cardiomyocytes, li no yooj yim qhov kev txiav txim ntawm lub plawv. Nyob rau hauv tas li ntawd, nco ntsoov prescribers, txo cov ntshav txhaws. Nws tseem yog heev ntshaw kom siv cov tshuaj uas txhim khu metabolism cardiomyocytes. Qhov zoo tshaj ntawm lawv yog cov tshuaj "Thiotriazoline". Nws yog tej zaum qhov tsuas tshuaj uas nws miv nyuas siv zug nyob rau hauv kev txhim kho mob cov ntaub so ntswg metabolism muaj pov thawj raws li ib tug tshwm sim ntawm loj kho mob kev tshawb fawb.

Yog hais tias tej o nyob rau hauv lub plawv tsis ua hauj lwm, qhov no hom ntawm kev kho mob yuav pab tau kom sai sai kov yeej qhov teeb meem.

pw kho mob

Yog hais tias ib tug ua txhaum ntawm cov hlab plawv system tau mus txog ib tug txaus siab qhia, kho mob yog nqa tawm nyob rau hauv ib tug lub tsev kho mob. Yog hais tias koj muaj tej overt mob edema, kev kho mob yuav tsum tsis txhob muaj xws li droppers. Lub fact tias cov ntxiv volume ntawm dej muab intravenously, tseem lom zem ntau cuam tshuam cov kev ua ntawm cov hlab plawv system. Raws li ib tug ntawm xws li tsis xav manipulation ntawm tus neeg mob tej zaum yuav tsim txawm pulmonary edema, thiab hauv lub xeev no yuav tsum tau kho raws li thaum ntxov raws li resuscitation.

Tso dej txia thawj coj ntawm cov tshuaj yog tau tsuas yog tom qab o ntawm lub sab nqua thaum significantly txo. Nyob rau hauv tas li ntawd, tus kws kho mob yuav tsum ntsuam xyuas seb puas muaj kua nyob rau hauv lub ntsws cov ntaub so ntswg. Nyob rau hauv feem ntau cov neeg uas muaj no tsis meej yog muab nyob rau hauv xws li ib tug txoj kev thiaj li hu ua polarizing poov tshuaj sib tov. Qhov no sib tov ntawm cov tshuaj ho pab txoj kev lub hlab plawv system.

Nrog rau kev hwm mus diuretic tshuaj, cov tshuaj yog tau tus loj tshaj faib ntawm lwm tus neeg nyob rau hauv chaw tej yam kev mob "Furosemide". Thaum lub tsev kho mob nws yog feem ntau muab intravenously. Nyob rau hauv cov ntaub ntawv no, ua ntej txhaj tshuaj ntawm ib tug kws kho mob ntsuam xyuas tus neeg mob cov ntshav siab. Yog hais tias nws yog heev tsawg, ces cov kev taw qhia ntawm diuretics yuav tsum tau muab ncua. Nyob rau hauv lub rooj plaub uas tus neeg mob yog noj antihypertensive tshuaj, nws yuav tsuas kho cov tswvyim siv. Yog hais tias tus neeg mob xws tshuaj tsis siv, tus neeg muaj mus siv tshuaj uas ua rau kom cov ntshav siab. Ntawm lawv, feem ntau siv tshuaj "Prednisolone".

Yuav ua li cas tiv thaiv kom txhob loj hlob ntawm edema?

Thawj kauj ruam yog mus tham ib tug kws kho mob nyob rau hauv ib tug raws sijhawm nyob rau hauv cov kev tshwm sim ntawm thawj cov cim qhia ntawm mob ntawm cov hlab plawv system. Nyob rau hauv tas li ntawd, nws yog ib qho tseem ceeb rau siab ua raws li cov tswv yim pom zoo uas tau raug muab rau lawv.

Nws yuav tsum tau muab sau tseg tias ib tug ntau npaum li cas ntawm cov kua nkag txhawb sodium tuav tseg. Qhov no ua rau stagnation nyob rau hauv lub qis extremities. Nyob rau hauv kev txiav txim kom tsis txhob tsub zuj zuj ntawm loj nyiaj ntawm sodium nyob rau hauv lub cev, kom tsis txhob ib tug ntau ntsev noj. Cov kws kho mob thiab nutritionists xav kom txwv txoj kom muaj nuj nqis nyob rau hauv kev noj haus kom 3 g ib hnub twg.

Yuav ua li cas zoo dua ib tug diuretic?

Muaj ntau cov neeg mob cov diuretic tshuaj xav tshuaj "Furosemide". Vim li no cov teeb meem no rau hauv lub fact tias nws sai sai tshem tawm mob edema. Cov tsos mob ntawm cov hlab plawv tus kab mob feem ntau ploj hauv thawj ob hnub lawm. Tu siab, qhov no tshuaj yuav tsis muaj ib tug panacea rau tag nrho cov mob edema. Qhov tseeb hais tias tus nruam siv cov tshuaj "Furosemide" muaj txhawb rau ceev feem ntawm poov tshuaj thiab magnesium los ntawm lub cev. Raws li ib tug tshwm sim, ntev-lub sij hawm siv cov tshuaj tej zaum yuav aggravate qhov kawg ntawm cov kab mob ntawm cov hlab plawv system.

Nyob rau hauv cov kev tshwm sim hais tias ib tug yeeb tshuaj "Furosemide" teem tseg rau ib tug ntev lub sij hawm, nws yog heev ntshaw kom muab nws cov txheej txheem nrog rau cov tshuaj "Asparkam". Nws yuav pab kom cov lub cev ua rau cov khoom siv ntawm cov zaub mov.

Nrov heev diuretic yog ib tug yeeb tshuaj "hydrochlorothiazide". Qhov no tshuaj muaj ib tug ntau tsawg pronounced nyhuv tshaj cov tshuaj "Furosemide". Raws li, nws tsis ua xws li ib tug loj heev tsis mineral tshuaj los ntawm lub cev. Raws li ib tug tshwm sim, cov tshuaj yuav tsum tau noj yuav luag rau ib qhov hauv paus. Lub plawv o nyob rau hauv tus ntawm nws tawm ib zaug. Ib tug tej yam nyhuv yuav tsum muaj cai tom qab txog 3-4 hnub.

Cov kev txaus ntshai ntawm heev edema

Nyob rau hauv nws tus kheej, qhov no tshwm sim yog tsis txaus ntshai yog tias tsis khaws cia rau ib ntev lub sij hawm ntawm lub sij hawm. Yog hais tias mob edema haum qhia thiab khaws cia rau 1-2 lub lis piam, ces nws yuav ua rau teeb meem loj. Qhov tseeb yog tias nyob rau hauv cov kev tshwm sim ntawm ib tug loj heev o nyob rau hauv lub qis extremities twb pauv los ntawm cov hlab ntsha. Qhov no siv tshwj xeeb rau me me-caliber cov hlab ntsha thiab cov leeg. Raws li ib tug tshwm sim, cov ntshav khiav yog ntxhov peripheral ntaub so ntswg. Qhov no ua rau ib tug deterioration ntawm lawv lub hwj chim thiab, thiaj li, ib tug gradual withering deb. Yog li ntawd yuav tshwm sim txawm tawm. Yog hais tias koj ua ib yam dabtsi rau ib ntev lub sij hawm ntawm lub sij hawm, cov txheej txheem ntawm cov ntaub so ntswg degeneration peev xwm ua tau ntau tshaj heev. Nyob rau hauv cov ntaub ntawv no, cov tshuaj no feem ntau yog phais ib leeg.

Yuav ua li cas li no o?

Ua ntej, peb yuav tsum nco ntsoov qhov kev nce rau hauv lub ntim ntawm lub qis extremities. Ua ntej ntawm tag nrho cov peb tham txog ob txhais ceg thiab ko taw. Thiab nyob rau hauv tej rooj plaub, muaj yog heev heev lub plawv o taw. Kev kho mob, yog hais tias nws yog nqa tawm, ho thiaj li qhov ntim ntawm lub shins, tab sis tsis yeej ib txwm rov qab nws rov qab mus rau qub. Thaum nias rau lub edematous cheeb tsam tseem mluav rau nws, uas tsis dhau li ntawm 10 vib nas this.

Tsis zoo li lwm yam edema

Nws yuav tsum tau muab sau tseg hais tias qhov no tshwm sim yog cai xwb tsis nyob rau hauv lub pathology ntawm cov hlab plawv system. O Tej zaum kuj tshwm sim nyob rau txawv kiag li yog vim li cas. Raws li rau qhov qis dua nqua, lawv muaj peev xwm tshwm sim no thiab vim hais tias ntawm tus txha pathology. Piv txwv li, nyob rau hauv kev mob caj dab rheumatoid yuav tshwm sim sufficiently pronounced edema. Qhov sib txawv no tej zaum yuav lub fact tias edema ntawm plauv nres keeb kwm yog tsis nrog mob ncus rau hauv lub qis nqua ntawm me me pob qij txha. Nyob rau hauv rheumatoid mob caj dab, nws yog ntau muaj kev txhawj xeeb txog nyob rau hauv thaum sawv ntxov. Tsis tas li ntawd nyob rau hauv lub pathology ntawm cov pob qij txha rau ntawm qhov chaw ntawm lub edematous cheeb tsam nce daim tawv nqaij kub.

Nyob rau hauv kev tsis haum tshuaj kuj tshwm sim edema. Nyob rau nws ob txhais taw, nws zoo nkaus li raws li ib tug tshwm sim ntawm kev sib cuag nrog rau tej nroj tsuag los yog tom ntawm ib tug kab. Raws li ib tug tshwm sim, tseem ceeb heev yog cov kev kho mob yav dhau los. Nyob rau tib lub sij hawm nws plays ib qho tseem ceeb luag hauj lwm symmetry ntawm edema. Nyob rau hauv kev tsis haum tshuaj nws yuav pom nyob rau lub povtseg, uas twb raug mus rau ib tug kev sib cuag nrog ib tug nroj tsuag los yog kab tom. Plawv edema feem ntau symmetrical. Nyob rau hauv tas li ntawd, tsis haum ces sai sai tsum koom haum saib xyuas ntawm antihistamines. Plawv edema nyob rau hauv xws kev kho mob yuav tsis ploj.

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