2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Tshuaj-lub zog phenylephrine ophthalmic yog siv los txhawm rau cov hlab ntsha hauv qhov muag thiab nthuav dav (ua kom loj dua) cov menyuam kawm ntawv rau cov mob xws li glaucoma, ua ntej phais, thiab ua ntej qhov muag kev xeem. Phenylephrine ophthalmic kuj tseem siv tau rau lub hom phiaj tsis tau teev nyob rau hauv phau ntawv qhia tshuaj no.
hom tshuaj tiv thaiv dab tsi tshwm sim thaum cov tshuaj muaj zog lossis txhim kho cov nyhuv ntawm lwm yam tshuaj?
Synergism tshwm sim thaum ob cov tshuaj ua haujlwm ua ke los tsim cov txiaj ntsig kho mob. Synergism feem ntau suav hais tias yog ib qho kev cuam tshuam ntawm kev kho mob uas sim tsim cov teebmeem uas tsis tshwm sim thaum siv tshuaj ib leeg. Kev muaj peev xwm tshwm sim thaum cov teebmeem ntawm ib qho tshuaj txhim kho cov teebmeem ntawm lwm tus.
Thaum qhov kev ntsuam xyuas yam twg yuav hnov korotkoff lub suab?
Korotkoff suab yog tsim thaum a ntshav siab cuff hloov cov ntshav ntws los ntawm cov hlab ntsha. Cov suab no tau hnov los ntawm ib lub stethoscope los yog ib lub doppler uas muab tso rau distal rau ntshav siab cuff. Muaj tsib theem sib txawv ntawm Korotkoff suab: Theem 1: Ib tug ntse tapping.
Vim li cas tus kws kho mob neurosurgeon yuav xaj mannitol rau tus neeg mob thaum lub sijhawm craniotomy rau kev txiav cov qog?
Mannitol yog dav siv los txo ICP thiab txhim kho lub hlwb so hauvcov neeg mob uas tau txais kev phais mob hlwb. Thaum cov ntshav-hlwbbarrier tsis zoo, mannitol tuaj yeem ua rau lub hlwb so los ntawm kev tshem tawm cov dej los ntawm lub hlwb los yog los ntawm kev txo cov ntshav cerebral.
Vim li cas tus kws kho mob neurosurgeon xaj mannitol?
Mannitol tau pom zoo ua thawj kab lub cev qhuav dej kom txo tau lub hlwb edema thiab ua kom lub hlwb so thaum lub sijhawm phais neurosurgery.
Pom zoo:
Cov tshuaj pleev qhov muag puas zoo rau qhov muag tsis pom kev?
Lub qhov muag qhuav ntev: Qhov muag qhuav tuaj yeem cuam tshuam koj ob lub qhov muag hauv ntau txoj hauv kev, suav nrog ua rau pom qhov muag tsis pom kev sib txawv. Thaum kua muag cuav (lubricating qhov muag tee) tuaj yeem pab tau, ntau qhov mob ntawm qhov muag qhuav yuav xav tau cov tshuaj noj lossis cov ntsaws ntsaws ntsaws ntsaws kom koj lub qhov muag xis nyob, noj qab haus huv thiab pom zoo.
Cov menyuam kawm ntawv puas yuav tsum nyob hauv tsev kawm ntawv?
Yuav pib, kev ua ub no ntxiv yog cov haujlwm tsis them nyiaj tsis hais txog cov chav kawm hauv tsev kawm ntawv zoo tib yam, hauv lossis tawm hauv tsev kawm. Qee qhov kev xaiv tsa tsis yog cov haujlwm tshwj xeeb, thiab tsis yog haujlwm. … Ntawm qhov tod tes, cov koom haum hauv tsev kawm ntawv thiab kev ua haujlwm pub dawb yog cov kev kawm ntxiv.
Tus menyuam kawm ntawv nyob qhov twg ntawm daim ntawv xaj?
feem ntau koj tsis tuaj yeem pom koj tus lej PD sau rau ntawm koj lub tsom iav. Cov lej nyob rau sab hauv ntawm lub tuam tsev txhais caj npab ntawm qee lub thav duab qhia qhov ntsuas rau tus ncej nws tus kheej. Koj tus lej PD yuav tsum tau sau ntawm koj daim iav tsom iav hauv ntu PD.
Cov tshuaj pleev qhov muag puas tuaj yeem ua rau cov menyuam kawm ntawv nthuav dav?
Dilating eye drops ua kom cov menyuam qhov muag loj dua. Cov menyuam kawm ntawv yog lub voj voog dub nyob hauv nruab nrab ntawm qhov xim ntawm qhov muag (iris) [Saib daim duab 1]. Muaj ob lub ntsiab ntawm cov tee dej. Ib hom ua rau cov leeg nqaij tshwj xeeb ntawm iris cog lus, uas ua rau cov menyuam kawm ntawv loj dua (dilation).
Cov tsev kawm ntawv puas tuaj yeem kuaj cov menyuam kawm ntawv?
Feem ntau, yog. Xyoo 2002, Lub Tsev Hais Plaub Qib Siab hauv Teb Chaws Asmeskas tau lees paub qhov kev tso cai ntawm cov tub ntxhais kawm ntawv sim tshuaj yeeb tshuaj rau cov tub ntxhais kawm koom nrog kev sib tw ua yeeb yam, uas suav nrog tsis yog kis las, tab sis glee club, cheerleading thiab lwm lub tsev kawm ntawv txhawb nqa.
