Thaum tus me nyuam mos liab pw tsaug zog thiab tsis tsaug zog heev, feem ntau thiab qw nrov nrov, ntau tus niam txiv paub meej tias qhov no yog qhov qub, vim nws yog qhov tseem ceeb rau cov me nyuam mos. Tab sis qhov no tsis niaj hnub xov mus rau kev muaj tiag. Raws li cov kws kho mob, txoj kev txhawj xeeb ntawm crumbs yuav qhia tau hais tias nws tau nce intracranial siab.
Feem ntau qhov teeb meem no tau pom los ntawm cov me nyuam uas nws niam tau muaj kev mob siab ua kom cev xeeb tub loj heev, los tua cov tshuaj lom los yog yug tus kheej tau ntev thiab hnyav. Tej teeb meem no yuav ua rau muaj qhov tseeb tias thaum lub sij hawm tseem tab tom hlob hauv lub tsev menyuam, tus me nyuam tau txais tsawg dua oxygen. Thiab yog tias lub hlwb tau txais cov pa oxygen ntev txaus, lub hlwb tsis ua haujlwm zoo li qub. Vim li no, cov kua hauv lub hlwb (tus txha nqaj qaum) yuav pib tshwm sim rau hauv qhov loj thiab ua rau siab rau lub hlwb. Qhov no yog qhov twg mob taub hau, kev quavntsej, kev pw tsaug zog thiab qhov xwm txheej tuaj.
Intracranial siab: mob
Kom paub tseeb tias qhov tseeb ntawm qhov kev kuaj mob, koj yuav tsum muab cov ntaub ntawv qhia txog tus kws kho mob txog keeb kwm kev xeeb tub thiab kev yug menyuam, txiav txim siab rau tus menyuam cov leeg nqaij, ua tomography. Yog tias cov ntaub ntawv qhia paub tseeb, ces nws yuav tsum pib kho sai npaum li sai tau. Niaj hnub no, nrog ICP, cov kws kho mob feem ntau tau sau cov kab mob tshiab rau tus me nyuam mos - ib qho tshuaj diuretic, uas txo cov kua qoob loo ntawm lub paj hlwb.
Daim ntawv thov ntawm diacarb
Diacarb hais txog cov tshuaj uas tsis tau sau tseg rau lawv tus kheej. Tsuas yog ib tug kws kho mob neeb kws kho mob tuaj yeem muab cai rau cov me nyuam diacarb, raws li kev tshawb nrhiav. Qhov no diuretic, nrog rau dej, flushes tus me nyuam lub cev thiab poov tshuaj, uas yog tsim nyog rau tag nrho cov hauj lwm ntawm lub plawv. Tias yog vim li cas thiaj li diacarb thiab pauv rau cov me nyuam yug tshiab tau raug tso tawm ib txhij. Yog tias ib tus menyuam tau noj cov tshuaj diacarb, qhov kev siv tshuaj thiab kev kho mob yuav raug xaiv ib tus zuj zus, vim qhov hnyav muaj qhov hnyav ntawm tus menyuam, qhov dej ntawm cov kab mob cerebrospinal thiab kev noj qab haus huv. Tib yam siv rau kev siv tshuaj ntawm asparkam. Feem ntau, cov menyuam yaus hnub nyoog qis dua ib xyoos tau txais 1/4 ntsiav tshuaj hauv ib hnub, thiab cov mos txwv yuav tsum tau txhaj peb zaug ib hnub. Tab sis ib zaug dua peb feem ntau, ua ntej muab diacarb rau cov me nyuam, tus kws kho mob qhov kev sab laj yog ib qho yuav tsum tau!
Tej Teebmeem
Tej teebmeem ntawm diacarb muaj xws li hypokalemia, convulsions, raws plab, myasthenia gravis, pruritus, xeev siab thiab ntuav. Yog tias tus me nyuam noj cov tshuaj no ntau tshaj li tsib hnub, tus mob metabolic acidosis yuav tsim tau.
Zoo li qhov tsis sib haum xeeb tsis yog kev tsis sib haum xeeb. Tsis tas li ntawd, cov nyhuv tshuaj ntawm kev noj tshuaj no tuaj yeem mob hyperemia ntawm daim tawv nqaij ntawm lub ntsej muag, leeg tsis muaj zog, nqhis dej thiab txo qis dua hauv siab.
Muaj tsis muaj ntaub ntawv hais txog kev noj cov tshuaj diacarb. Yog tias cov kev ua txhaum cai tshwm sim nyob rau hauv lub hauv paus ntawm lub hauv nruab nrab lub paj hlwb, txoj kev noj haus yuav tsum muab txiav thiab cov pH ntawm cov kua qaub qaum thiab cov ntshav yuav tsum tau ceev cia hauv qab.
Ntawm qhov contraindications ntawm diacarb hypersensitivity rau nws lub Cheebtsam, ib tug tseem ceeb txo nyob rau hauv cov ntshav theem ntawm poov tshuaj, adrenal insufficiency, glaucoma, ntshav qab zib mellitus.
Rau kuv niam rau ib daim ntawv me me
Yog tias tus kws kho mob ntseeg tau tias qhov qhia txog kev noj cov tshuaj diacarb no, koj yuav tsum tsis txhob txais kev kho mob. Hauv ob peb lub hlis thaum koj noj cov tshuaj, koj tus me nyuam yuav tshem tau mob taub hau thiab tsis muaj mob. Thaum muaj hnub nyoog 12 xyoo, koj yuav tsis hnov qab tias tus menyuam raug kev txom nyem. Kev tsis lees paub qhov teeb meem yuav yog ib qho ua rau kev loj hlob lag luam, yoj yav tom ntej. Tsis tas li ntawd, ICP cuam tshuam tus cwj pwm, ua rau tus me nyuam moody, ua tsis ncaj thiab tsis txaus.