Tus me nyuam xiav Tus Kab Mob: Ua rau mob, tsos mob, Kho thiab Tiv Thaiv

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Rov qab rau xyoo 2018, cov lus ceeb toom ntawm Gaza cov teeb meem dej tsis tau tshwm sim, tseem qhia txog 85 feem pua ​​cov dej tsis huv ua rau muaj kev cuam tshuam txog 97 feem pua. Nrog rau cov xov xwm ntawd, muaj tshwm sim ntawm tus menyuam mos xiav xiav tus mob, tau muaj mob tshwm sim rau cov menyuam mos ^[1] Cov. Raws li kev tshawb fawb xyoo 2005, muaj ib lossis ob kis mob xiav tus mob syndrome, tab sis nrog lub sijhawm, cov lej tau nce siab tshaj. Thiab raws li tam sim no, tus menyuam mos xiav xiav tau qhia tawm hauv lwm lub tebchaws dhau lawm, tshwj xeeb tshaj yog cov uas tsis muaj dej nyab.

Yog li, Dab Tsi Mob Me Nyuam Mos xiav?

Kuj tseem hu ua methemoglobinemia ntawm cov menyuam mos, xiav tus menyuam mos liab syndrome uas ua rau daim tawv nqaij ntawm tus menyuam hloov xiav. Qee tus menyuam yug los nrog qhov mob no, qee leej muaj tus mob. Tus mob ua rau daim tawv nqaij ua pob liab doog lossis xiav xiav (cyanosis).

Hemoglobin, ntshav protein yog lub luag haujlwm rau kev thauj oxygen hauv koj lub cev. Thaum cov ntshav tsis tuaj yeem nqa lub oxygen, nws ua rau cov pa tsis ua haujlwm-cuam tshuam rau ntawm daim tawv nqaij ntawm cov menyuam yaus tig xiav. Lub viav caj dab xiav pom ntau dua rau ntawm qhov chaw nrog cov tawv nqaij nyias nyias xws li daim di ncauj, ntsia thawv ntsia hlau thiab cov npoo qhov muag ^{[ob] [3]} Cov.

Tus mob no tsis tshua tau qhia tawm hauv cov tebchaws tsim kho thiab kev lag luam thiab feem ntau pom nyob rau hauv ntug zos thiab kev tsim kho tshwj xeeb tshaj yog nyob rau cov teb chaws uas tsis muaj dej tsis zoo ^[4] Cov.

kev tawm dag zog kom txo caj npab rog sai

Ua rau mob nqaij tawv nqaij xiav

Lub hauv paus laj thawj tom qab ntawm kev mob yog ntshav ntshav tsis zoo ^[5] Cov.

Ib qho ntawm cov mob tseem ceeb ua rau tus menyuam mos ntsuab xiav yog nitrate paug rau hauv dej. Ntawd yog, thaum menyuam mos haus cov dej muaj nitrate ntau, lub cev hloov cov nitrates rau hauv nitrites uas tom qab ntawd khi nrog hemoglobin hauv tus menyuam lub cev thiab hloov mus rau methemoglobin. Methemoglobin tsis muaj lub peev xwm nqa thiab xa oxygen ^[6] Cov.

Cov menyuam mos hnub nyoog qis dua peb xyoos yog ib qho muaj feem yuav kis tus mob los ntawm kev haus cov dej tsis huv. Ntawm cov ntawv me, qhov xwm txheej tseem tuaj yeem cuam tshuam rau cov neeg laus, tsuas yog qee tus neeg tsis tshua muaj. Cov neeg laus nrog kev mob caj ces, mob rau sab hauv los sis mob plab thiab lub raum tsis ua haujlwm yuav tsum lim ntshav yog qhov muaj feem yuav ua mob tau ^{[7] [8]} Cov.

Yog li, qee qhov mob lwm yam kuj tseem tuaj yeem ua rau tus menyuam mos liab xiav xws li tetralogy ntawm fallot (TOF), lub plawv tsis zoo ntawm lub raum thiab methemoglobinemia. ^[8] Cov.

Cov tsos mob ntawm tus me nyuam mob xiav

Sib nrug los ntawm pob ntseg xiav xiav ntawm daim tawv nqaij, cov hauv qab no yog cov cim thiab tsos mob ntawm tus me nyuam xiav tsos mob ^{[9] [10]} Cov.

tshuaj hauv tsev kom tshem tau cov voj voog tsaus

• Cov teeb meem kev loj hlob
• Vauv
• Ntuav
• Cev tsis taus
• Lub plawv dhia ceev lossis ua pa
• Qaug zog
• Zawv plab
• Nce salivation
• Cov teeb meem pub mis
• Qaug dab peg
• Clubbed (lossis puag ncig) ntiv tes thiab ntiv taw

Kev kuaj mob cov tsos mob ntawm tus menyuam yaus xiav

Firstly, tus kws kho mob yuav mus los ntawm keeb kwm kev kho mob ntawm tus menyuam. Tom qab ntawd, tus kws kho mob yaus yuav tau kuaj mob lub cev thiab ntau qhov kev kuaj mob los txiav txim qhov ua rau tus me nyuam mob xiav ^{[kaum ib]} Cov.

yuav ua li cas thov cov roj txiv roj rau cov plaub hau

Kev ntsuam xyuas tau ua rau tus me nyuam xiav cov tsos mob yog li nram qab no ^[13] :

• Mob catheterisation kom pom tseeb cov hlab ntsha hauv plawv
• Electrocardiogram (EKG) txhawm rau tshuaj xyuas lub zog hluav taws xob
• Kuaj ntshav
• Kev ntsuas duab xoo hluav taws xob txhawm rau tshuaj saib lub ntsws thiab qhov loj ntawm lub plawv
• Kev ntsuam xyuas cov pa oxygen txhawm rau txiav txim ntau npaum li cas oxygen hauv cov ntshav
• Echocardiogram pom txog lub cev ntawm lub plawv

Kev Kho Mob Ntawm Tus Kab Mob Hlav Cov Menyuam xiav

Nyob ntawm tus mob vim li cas tom qab mob, txoj kev kho mob zoo dua yuav raug coj los ntawm tus kws kho mob nkeeg ^[13] Cov.

Yog tias tus mob tshwm sim vim yog qhov ua tsis tau ua haujlwm rau lub siab, tus menyuam yuav tau phais. Thiab, raws li qhov mob hnyav ntawm cov mob, yuav siv tshuaj kho.

Yog hais tias tus menyuam mos tau mob los ntawm methemoglobinemia, qhov mob tuaj yeem hloov rov qab los ntawm kev noj tshuaj uas hu ua methylene xiav (uas muab cov pa oxygen rau cov ntshav).

Kev Tiv Thaiv Cov Kab Mob Hlav Blue Tus Me Nyuam [h3]

Txwv tsis pub koj cov khoom noj muaj nitrate ntau vim tias, cov zaub mov muaj txiaj ntsig nyob hauv thaj chaw, xws li zaub cob pob, zaub ntsuab, beets thiab lwm yam yuav tsum tsis txhob muab rau menyuam mos hauv qab 7 lub hlis ^[14] Cov.

yuav ua li cas kom tshem tau ntawm acidity tsev tshuaj

Tsis txhob siv dej zoo lossis siv dej ntws. Nco ntsoov tsis txhob siv cov dej tsis huv los ua khoom noj rau menyuam. Tsis txhob muab dej ntawm tus kais rau tus menyuam kom txog thaum lawv muaj 12 hlis.

Zam kev siv tshuaj txhaum cai, haus luam yeeb, dej cawv thiab qee yam tshuaj noj thaum cev xeeb tub vim hais tias cov no tuaj yeem pab txhawb kev txhim kho lub plawv tsis zoo hauv cov menyuam mos ^{[kaum tsib]} Cov.

1. [1]Toaln, S. (2018, Kaum Hlis 29). Gaza cov dej haus spurs xiav tus menyuam mob syndrome, mob hnyav heev. Aljazeera
2. [ob]Majumdar, D. (2003). Tus me nyuam mos xiav cov tsos mob.Resonance, 8 (10), 20-30.
3. [3]Knobeloch, L., Salna, B., Hogan, A., Postle, J., & Anderson, H. (2000). Cov menyuam mos xiav thiab nitrate-kis dej zoo.Peb lub chaw saib kev noj qab haus huv, 108 (7), 675-678.
4. [4]McMullen, S. E., Casanova, J. A., Gross, L. K., & Schenck, F. J. (2005). Ion chromatographic kev txiav txim siab ntawm nitrate thiab nitrite hauv zaub thiab txiv hmab txiv ntoo me nyuam khoom noj.Journal ntawm AOAC International, 88 (6), 1793-1796.
5. [5]Ginimuge, P. R., & Jyothi, S. D. (2010). Methylene xiav: rov kho dua.Qhov xeeb ntawm anaesthesiology, chaw muag tshuaj, 26 (4), 517.
6. [6]Mulholland, P., Simpson, A., & Coutts, J. (2019). P017 Xiav xiav lub ntsej muag xiav – ib daim ntawv tshaj qhia kev cuam tshuam ntawm leej niam txoj kev xaiv serotonin reuptake inhibitor siv rau kev tuag tam sim ntawm kev tuag.
7. [7]Johnson, S. F. (2019). Methemoglobinemia: Cov menyuam mos uas ntxim yuav muaj teeb meem. Cov teeb meem kev saib xyuas menyuam yaus thiab cov hluas, 49 (3), 57-67.
8. [8]Ratnayake, S. Y., Ratnayake, A. K., Schild, D., Maczka, E., Jartych, E., Luetzenkirchen, J., ... & Weerasooriya, R. (2017). Tshuaj txo qis ntawm nitrate los ntawm zerovalent hlau nanoparticles adsorbed hluav taws xob-grafted copolymer matrix.Nukleonika, 62 (4), 269-275.
9. [9]Medarov, B. I., Pahwa, S., Reed, S., Blinkhorn, R., Rane, N., & Judson, M. A. (2017). Methemoglobinemia los ntawm kev lim ntshav sib luag hauv cov mob uas muaj mob loj.Qhov tshuaj kho mob, 45 (2), e232-e235.
10. [10]Luo, Y. (2017). Yuav Ua Li Cas Cov Tsiaj Txhu Ntau Lawm nyob rau Sab Hnub Tuaj Nebraska Yuav Muaj Kev cuam tshuam Nitrate Concentrations hauv Platte River.
11. [kaum ib]Iyer, V. G. (2017). Tsim thiab Kev Tsim Kho Kev Cuam Tshuam Kev Cog Dej Txhim Kho rau Kev Tswj Xyuas Cov Dej Nres Tswj Kev Nyuaj Siab. Kev khwv nyiaj txiag, 5 (5), 486-491.
12. [12]Ellis, C. L., Rutledge, J. C., & Underwood, M. A. (2010). Mob hnyuv microbiota thiab xiav tus me nyuam mob syndrome: kev kho txoj kev kho mob rau lub sij hawm neonates nrog cyanotic congenital mob plawv.Muaj cov microbes, 1 (6), 359-366.
13. [13]Dilli, D., Aydin, B., Zenciroğlu, A., Özyazici, E., Beken, S., & Okumuş, N. (2013). Kev kho mob tau tshwm sim ntawm cov menyuam mos liab uas mob cyanotic mob plawv los kho nrog synbiotics.Pediatrics, 132 (4), e932-e938.
14. [14]Tooley, W. H., & Stanger, P. (1972). Tus me nyuam mos xiav - ncig los yog qhov cua lossis ob qho tib si ?.
15. [kaum tsib]Özdestan, Ö., & Üren, A. (2012). Nitrate thiab Nitrite Txheej Txheem ntawm Menyuam mos cov zaub mov.Academic Journal Journal / Akademik GIDA, 10 (4).

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