Daim Tawv Xiav Xiav Thiab Mucus Hlawv Hauv Cov Tsiaj

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Cyanosis nyob dev

Cyanosis yog ib qho kev kho mob uas yog pom los ntawm cov tawv nqaij xiav thiab cov nqaij mos, ua rau muaj qhov tshwm sim los ntawm cov khoom tsis muaj pa txaus hemoglobin - cov qauv uas coj cov pa mus rau lub cev nqaij - lossis vim hemoglobin txawv txav.

Hmoov tsis zoo, cov dev uas muaj kev txom nyem cyanosis los ntawm kev mob ntsws / mob ntsws tshwj xeeb thiab mob plawv heev muaj qhov tsis pom kev mob ntev.

Cov tsos mob thiab Hom

• Plawv yws
• Cov kab nrib pleb tau hnov thaum mloog cov ntsws
• Suab nrov muffled
• Suab nrov thaum nqus tau
• Honing hnoos
• Ua pa nyuaj
• Cyanotic, txias, daj, mob, o tes taw o tuaj tsis muaj zog
• Neeg tsis muaj zog
• Posterior (hind limb) paresis lossis tuag tes tuag taw

Ua rau

Muaj nyob rau hauv thaj chaw ua pa

• Larynx (lub suab lub suab): tuaj yeem yog vim tuag tes tuag taw (nrhiav los yog yug los ua qe); vau; spasm; o tuaj; kev poob plig; mob cancer; tus kab mob inflammatory
• Trachea: tuaj yeem yog vim vau; neoplasia; lub cev txawv teb chaws; kev poob plig; underdevelopment
• Kev ua pa qis dua: tuaj yeem yog vim mob ntsws (kis, kab mob, fungal, ua xua, mycobacteria, mob siab rau); mob o ntawm lub bronchioles; kev ua xua, hawb pob; mob ntsws laus ntawm cov ntsws ntev; mob cancer; lub cev txawv teb chaws; cov cab; doog ntshav ntawm lub ntsws; o vim kev nqus tau, kev nqaj, hluav taws xob; ze ntawv yuav poob dej
• Qhov chaw zoo nkauj: tej zaum yuav yog vim huab cua hauv lub hauv siab; kis tau (kab mob, fungal); pus hauv siab hauv siab; cov ntshav hauv lub siab hauv plab; mob cancer; kev poob plig
• Hauv siab phab ntsa, lossis diaphragm: tej zaum yuav cuam tshuam rau qhov tsis xws lub raum xws li hlwv ncig ntawm lub plawv lossis hla ntawm daim diaphragm (thaum ib qho khoom hauv lub cev thawb lub phab ntsa, lossis daim ntim uas feem ntau muaj nws); kev poob plig (diaphragmatic hernia, pob txha lov); cov kab mob neuromuscular

Keeb xeeb hauv kev kho plawv

• Congenital tsis xws luag
• Cov kab mob kis tau: tej zaum yuav cuam tshuam nrog mitral valve (sab laug sab ntawm lub plawv valve ntawm atrium thiab ventricle) kab mob; kab mob ntawm cov leeg plawv
• Kev sau ua dej nyob ib puag ncig lub plawv: vim yog mob qog noj ntshav lossis lwm yam ua tsis paub
• Clogging ntawm cov hlab ntsha mus nrog txhaws
• Mob ntsws pulmonary: tsis paub keeb kwm (idiopathic); sab xis-rau-laug mob shunts (ntshav tau hloov mus rau lwm txoj hau kev)
• Cov hlab ntshav ntawm leeg

Keeb xeeb hauv Neuromusculoskeletal System

• Lub hlwb-qia ua tsis tiav: vim mob hlwb o; kev poob plig; los ntshav; mob cancer; siv tshuaj yaj yeeb lub siab ntsws ntawm lub chaw pabcuam ua pa
• Kev ua haujlwm ntawm pob txha caj qaum: tej zaum vim yog o; kev poob plig; vertebral pob txha tawg; disk ntawv ntaw
• Neuromuscular kawg ua haujlwm: yuav tshwm sim los ntawm kev haus dej haus ntau dhau ntawm cov tshuaj tuag tes tuag taw; zuam tuag tes tuag taw; botulism; coonhound tuag tes tuag taw

Methemoglobinemia

• Methemoglobin (metHb) khi rau cov dej molecules es tsis muaj cov pa oxygen
• Kev nce siab ntawm methemoglobin nyob rau hauv cov ntshav liab ua rau cov nqaij hypoxia vim tias kev siv oxygen ua kom qis ntawm cov ntshav
• Congenitally tau txais NADH-methaemoglobin reductase (NADH-MR) qhov tsis txaus: tsis muaj cov kab mob ua kom tsis muaj zog txaus, uas pab ua kom muaj tshuaj methemoglobin tsawg dua ob feem pua, tiv thaiv cyanosis
• Tej zaum yuav raug txuas rau kev noj cov tshuaj oxidant: acetaminophen, nitrates, nitrites, phenacetin, sulfonamides, benzocaine, aniline dyes, dapsone

Kev kuaj mob

Tus kws kho tsiaj yuav xub tswj koj tus dev ua pa oxygen ntau ntau. Qhov no feem ntau tau ua nyob rau hauv ICU (kev saib xyuas mob hnyav) hauv qhov tshwj xeeb cov tshuab pa oxygen. Thaum koj tus dev nyob ruaj khov, koj tus kws kho tsiaj yuav muaj peev xwm ua kom lub cev sib tw tas nrho.

Daim ntawv qhia txog tshuaj lom neeg ntshav, ua kom tiav cov ntshav, urinalysis, electrocardiograph (EKG), thoracic radiographs (thiab echocardiogram nrog Doppler, yog tias mob plawv lossis mob ntsws yog xav tias tsam tsis tau), thiab ib qho hluav taws xob electrolyte yuav tsum raug txiav txim los txiav txim qhov pib qhov pib ntawm tus kabmob uas yog ua rau mob cyanosis.

Yuav tsum kuaj xyuas lub ntsej muag laryngoscopic (lub suab lub suab) thiab / lossis bronchoscopic (lub ntsws ua pa). Yog tias xav tiv thaiv tus mob bronchopulmonary (mob ntsws), kev ntxuav lub cev, lub ntsej muag bronchoalveolar lav lossis rab koob lub ntsws xav kom ua. Txog rau qhov chaw tsis zoo nyob rau sab nrauv, thoracocentesis (tus txheej txheem uas tshem cov kua hauv lub siab mus rau hauv lub hauv siab) yuav tsum.

Methemoglobinemia yog yam mob uas tuaj yeem ntsuas; ib qho ntawm qhov pom tseeb tshaj plaws yog qhov xim ntawm cov ntshav yuav tsaus dua li lub liab qaim uas nws yuav tsum. Kev hloov cov ntshav ntawm txoj hlab ntshav tuaj yeem ua kom qhov kev kuaj ntshav roj tuaj yeem ua nyob hauv chav kuaj mob. Koj tus dev ua pa ntawm tus qauv tseem yuav ua rau koj tus kws kho tsiaj tsis yog ib qho tseem ceeb txog keeb kwm ntawm tus cyanosis.

Kev Kho Mob

Koj tus dev yuav tsum tau nyob ruaj khov los ntawm kev muab cov pa oxygen. Nyob ntawm seb qhov mob puas yog ua rau mob cyanosis, cov tshuaj yuav raug kho los kho tus mob, lossis phais thiab / lossis kev kho mob ntxiv.

Nyob thiab Tswj

Koj yuav tsum tau txwv tsis pub koj tus dev ua si thaum kho thiab tom qab ntawd. Kev noj qab ntsev ntsev tsawg kawg nkaus tuaj yeem tso rau hauv yog tias koj tus kws kho tsiaj txiav txim siab tias muaj kab mob plawv. Koj kuj yuav tsum kuaj koj cov dev cov pos hniav kom pom xim li qub, ua kom lawv muaj xim liab lossis noj xim liab kom zoo. Yog tias koj tus dev cov pos hniav yog ntshav lossis dawb, koj yuav tsum coj nws tam sim ntawd mus rau lub tsev kho tsiaj veterinary kom kho sai.