Lo lus "plab los ntshav" feem ntau to taub tias kev cais ntawm cov ntshav ntawm cov hlab ntsha nyob hauv cov kab mob plab yog vim li cas lawv qhov kev puas tsuaj. Qhov tshwm sim yog hais txog qhov teeb meem ntawm cov kab mob ntawm cov khoom nruab nrog cev. Cia peb xav txog nws hauv kev qhia ntau ntxiv, piav qhia txog qhov ua rau, qhov tshwm sim, txoj kev kho thiab cov ntsiab lus ntawm kev muab kev kho mob thawj zaug.
Ntshav Ntshav - Ua rau
Qhov ntim ntawm poob ntshav nrog no daim ntawv ntawm ua txhaum muaj peev xwm ncav cuag 2-3 liters. Vim muaj qhov tseeb no, tus mob yuav tsum tau kho thaum muaj xwm ceev thiab pw hauv tsev kho mob. Yog xav paub, koj tuaj yeem txheeb xyuas tus kab mob rau ntau yam. Txhua zaus thaum kuaj ib tug neeg mob nrog ultrasound, cov kws kho mob pom cov ntshav hauv plab, qhov ua rau muaj raws li nram no:
- Kab mob thiab qhov chaw mob ntawm txoj hlab plawv. Ntshav yuav tso tawm rau hauv plab kab mob plab nrog mob raum, hlav, hernias, hemorrhoids, thiab txawm tias muaj cov kab mob helminths.
- Lub siab ntawm portal kub siab. Tus mob no tau pom muaj cirrhosis, kab mob siab.
- Kev puas tsuaj rau cov hlab ntsha. Pom nrog cov kabmob varicose ntawm txoj hlab pas.
- Kab mob ntawm cov ntshav - hemophilia, anemia aplastic, leukemia, thrombocytopenia.
Gastric los ntshav - cov paib
Vim tias qhov kev mob xav tau kev kho mob tam sim ntawd, txhua tus neeg yuav tsum paub txog cov kev tshwm sim hauv kev txhim kho txoj kev ua txhaum no. Ntau tus ntshav poob yog fraught nrog kev tuag. Vim muaj qhov tseeb, nws yog ib qhov tsim nyog yuav tau sai sai txheeb xyuas cov ntshav plab, cov tsos mob ntawm cov nram qab no:
- qhov zoo li ib tug zoo nkaus li tsis muaj zog;
- kiv taub hau;
- xiav ntawm daim tawv nqaij thiab cov ntiv tes;
- txias hws;
- ntuav;
- hloov quav;
- ceev nrooj.
Ib qho qhia meej txog qhov ua txhaum, xws li ntshav plab, yog muaj ntshav hauv quav thiab ntuav. Hauv cov vomit masses, nws tuaj yeem tshwm sim rau hauv daim ntawv tsis hloov (yog tias nws tawm ntawm cov hlab ntsha ntawm txoj hlab pas) thiab hloov kho, - mob plab ulcer. Nrog rau ib tus kab mob, kws kho mob siv lub sij hawm "kas fes thaj ntuav". Qhov ntxoov ntxoo ntawm huab hwm coj yog kis tau los ntawm cov ntshav ntawm hydrochloric acid, uas yog tam sim no nyob rau hauv pais plab kua txiv, ib qho liab xim liab qhia hais tias lub cev los ntshav.
Yog tias qhov ntim ntawm cov ntshav ploj tsis tshaj 100 ml, ces nws yuav nyob hauv cov quav hauv cov quav. Nws tshwm sim thaum qhov qis dua ntawm cov hnyuv, lub plab ulcer, yog cuam tshuam. Cov kev hloov hauv cov xim qhia tau hais tias los ntshav tau muab sau tseg 4-10 teev dhau los. Lub rooj zaum tau txais daim ntawv ntawm tar, nws yuav luag dub. Thaum me me tag nrho ntawm cov ntshav poob, cov xim hloov hauv cov quav quav yuav tsis raug cim tseg. Muab cov lus qhia no, nws yooj yim los ua cov kev xav txog qhov ntawm cov ntshav tsis tau.
Kev kho mob thaum muaj xwm ceev rau kev mob plab
Thaum lub sijhawm tsawg kawg ntawm qhov kev ua txhaum ntawd nws yuav tsum hu rau lub tsheb thauj neeg mob. Tus neeg mob yuav tsum tsis txhob kho tag nrho, xa mus rau ib lub tsev kho mob ntawm cov ncab. Kev tswj tus kheej nrog rau qhov ua txhaum yuav tsis tiav, tab sis muaj peev xwm cheem txoj kev mob plab, kev pab thaum muaj xwm ceev, qhov algorithm uas yog raws li nram no:
- Tso koj lub nraub qaum, nrog tsa ceg, kom muaj kev thaj yeeb nyab xeeb.
- Tsis txhob pub rau haus thiab noj.
- Thov txias, qhuav dej khov rau lub plab. Nyob rau tib lub sij hawm, nws yog ib qho tsim nyog yuav tau cia nws rau 15-30 feeb ua ib ntus ib ntus rau 2-3 feeb.
- Thaum noj tshuaj, koj tuaj yeem nqa 2 ntsiav tshuaj Dicinone, ua ntej lawv muaj av rau hauv cov hmoov.
- Yog tias koj poob txoj kev nco, ua raws li cov mem tes, ua pa.
Yuav ua li cas nrog plab mog ntshav?
Kev txhawj xeeb mus rau lub tsev kho mob, cov neeg mob uas mob plab hnyuv tws xav tias yuav ua li cas txwv tsis pub hnyuv tws hauv tsev. Nws yog tsim nyog hais tias nws yog teeb meem thiab nyuaj ua. Muab qhov tseeb, yog tias koj xav tias muaj ntshav, koj yuav tsum tau:
- hu rau lub tsheb thauj neeg mob;
- muab lub txaj so;
- tsis suav cov khoom noj, dej, tshuaj noj;
- nce ntws ntawm cov pa oxygen;
- muab tso rau ntawm koj lub plab.
Gastric los ntshav - kev kho mob
Thaum kuaj pom, tom qab kuaj ntshav hauv lub plab, cov kws kho mob txiav txim siab ua kom tshem tawm qhov chaw. Kev pabcuam thawj zaug rau kev hnyuv tws ntshav yog yuav tsum tau muab rau ntawm qhov chaw, tabtom ua ntej mus pw hauv tsev khomob. Nyob rau hauv cov ntaub ntawv no, txoj kev kho yog nqa tawm ntawm kev txuag thiab phais. Thawj zaug muaj 3 cov lus qhia:
- hemostasis;
- cais tawm ntawm qhov chaw ntawm cov ntshav poob;
- Infusion kho kom rov zoo li qub ntim ntawm cov ntshav.
Tiv thaiv kev ua txhaum no, siv yeeb siv tshuaj, ntawm:
- Etamsilate;
- Aminocaproic acid;
- Thrombin;
- Vikasol .
Los txhim kho microcirculation, sau cov ntim ntawm cov ntshav poob siv:
- Reopoliglyukin;
- Hemodez;
- Albumin.
Nkag mus rau lawv, ntxiv tshuaj sodium chlorine thiab qabzib. Mob plab hnyuv siab tuaj yeem yuav tsum muaj kev tso ntshav los ntawm kev hloov ntshav, hloov ntshav ntawm cov ntshav pub dawb ntawm tib pab pawg thiab Rhaub yam. Lub ntim yog xam raws li tus neeg mob lub cev qhov hnyav, - 40 ml ib kg ntawm lub cev qhov hnyav.
Perforated ulcers ua rau plab mog ntshav thiab xav tau kev kho mob phais. Ib qho kev khiav dej num kub ntxhov muaj nyob rau hauv lub plhaub ntawm cov phab ntsa ntawm lub plab. Kev kho phais ntxov ntxov pib ua kom muaj kev vam meej thiab rov kho dua. Nyob rau hauv cov ntaub ntawv no, cov neeg mob yuav tau mus kuaj mob tsis tu ncua, kev kuaj mob kom tsis txhob rov qab tuaj.
Khoom noj khoom haus nrog gastric los ntshav
Noj kom noj, cov neeg mob rov qab tuaj tom qab 2 hnub txij li lub sijhawm uas tsis ua kom ntshav faib thiab tsuas yog ntawm tus kws kho mob tso cai. Tag nrho cov khoom noj yuav tsum yog kua los yog ib nrab kua. Pib nrog mashed soups, cereals, yogurt. Qaub-mis nyuj khoom ntawm gastric los ntshav yog tshwj xeeb tshaj yog tseem ceeb. Yog li nyob rau hauv thawj zaug thaum nws raug tso cai nkag siab txog zaub mov, tus neeg mob tau muab 2-3 khob ntawm cream nrog mis nyuj haus. Cov khoom no txhawb cov kev tsim tawm ntawm lub cev qhuav dej.
Kev noj haus nrog plab ntshav
Khoom noj khoom haus tom qab hnyuv tws yuav tsum muaj ntau cov tsiaj rog, uas tsis suav cov teeb meem ntawm kev mob. Nrog tib lub hom phiaj, ntxiv cov ntsiab lus ntawm cov khoom noj uas muaj cov vitamins C thiab P (zaub thiab txiv hmab txiv ntoo kua, decoction los ntawm hips), vitamin K, qaub cream, butter. Cov khoom siv no pabcuam nrog cov nqaij ntshiv los ntshav, ua kom cov txheej txheem hloov tshiab. Tus neeg mob yuav tsum ua raws li cov lus pom zoo thiab cov lus qhia ntawm tus kws kho mob.
Kev noj haus tom qab hnyuv los ntshav
Kev noj haus tom qab plab ntshav yuav tsum ua kom haum. Cov kws kho mob hais txog kev cais ntawm cov zaub mov ntsim, uas nyuab nyiag zom zaws, ua rau mob plab hnyuv siab, nce qhov ntsaws rau ntawm txoj hnyuv. Qhov yuav tsum tau muab rau cov nqaij soufflé, cov nqaij muaj roj tsawg, cov khoom siv qaub mis nyuj. Txhua tus neeg mob tau txais kev pom zoo ntawm tus kheej thiab teem caij tom qab kev tawm tsev. Lawv ua tiav yog qhov tseem ceeb rau kev rov qab kho lub cev.