{"id":1436,"date":"2018-11-17T15:58:05","date_gmt":"2018-11-17T15:58:05","guid":{"rendered":"https:\/\/robot.yeupet.vn\/nguyen-nhan-va-cach-dieu-tri-ngo-doc-lan-huu-co-o-thu-cung\/"},"modified":"2018-11-17T15:58:05","modified_gmt":"2018-11-17T15:58:05","slug":"nguyen-nhan-va-cach-dieu-tri-ngo-doc-lan-huu-co-o-thu-cung","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/11\/17\/nguyen-nhan-va-cach-dieu-tri-ngo-doc-lan-huu-co-o-thu-cung\/","title":{"rendered":"Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb ng\u1ed9 \u0111\u1ed9c l\u00e2n h\u1eefu c\u01a1 \u1edf th\u00fa c\u01b0ng"},"content":{"rendered":"

H\u1ee3p ch\u1ea5t l\u00e2n h\u1eefu c\u01a1 c\u00f3 th\u1ec3 th\u00f4ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, h\u00f4 h\u00e1p ho\u1eb7c da \u0111\u1ec3 v\u00e0o c\u01a1 th\u1ec3 v\u00e0 g\u00e2y ng\u1ed9 \u0111\u1ed9c \u1edf ch\u00f3. N\u1ebfu nu\u1ed1t ph\u1ea3i th\u1ef1c ph\u1ea9m d\u00ednh thu\u1ed1c tr\u1eeb s\u00e2u ch\u1ee9a photpho, u\u1ed1ng nh\u1ea7m n\u01b0\u1edbc b\u1ecb \u00f4 nhi\u1ec5m; khi \u0111i\u1ec1u ch\u1ebf ho\u1eb7c ph\u00e2n ph\u1ed1i l\u00e2n h\u1eefu c\u01a1, b\u1ed9t ho\u1eb7c dung d\u1ecbch l\u00e0m \u00f4 nhi\u1ec5m nh\u1eefng n\u01a1i ph\u1ee5 c\u1eadn ho\u1eb7c b\u1ecb gi\u00f3 th\u1ed5i v\u1ec1 n\u01a1i ch\u00f3 \u1edf, th\u1ee9c \u0103n, b\u1ecb ch\u00f3 li\u1ebfm ph\u1ea3i, ho\u1eb7c h\u00edt ph\u1ea3i, \u0111\u1ec1u s\u1ebd d\u1eabn \u0111\u1ebfn ng\u1ed9 \u0111\u1ed9c.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n khi ch\u00f3 b\u1ecb ng\u1ed9 \u0111\u1ed9c l\u00e2n h\u1eefu c\u01a1<\/h2>\n

Do \u0111\u1ed9c t\u00ednh, l\u01b0\u1ee3ng x\u00e2m nh\u1eadp c\u1ee7a l\u00e2n h\u1eefu c\u01a1 qua c\u00e1c tuy\u1ebfn \u0111\u01b0\u1eddng c\u00f3 tr\u1ea1ng th\u00e1i c\u01a1 th\u1ec3 kahcs nhau, bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ng\u1ed9 \u0111\u1ed9c c\u0169ng \u0111a d\u1ea1ng. Nh\u01b0ng ph\u1ea7n l\u1edbn trong m\u1ed9t v\u00e0i gi\u1edd sau khi ch\u00f3 con h\u00edt, \u0103n ho\u1eb7c da d\u00ednh l\u00e2n h\u1eefu c\u01a1 s\u1ebd \u0111\u1ed9t nhi\u00ean ph\u00e1t b\u1ec7nh. Th\u1eddi k\u1ef3 \u0111\u1ea7u tinh th\u1ea7n s\u1ebd lo \u00e2u, co th\u1eaft c\u01a1, ph\u1ea7n c\u01a1 th\u1ecbt t\u1eeb m\u00ed m\u1eaft \u0111\u1ebfn c\u01a1 m\u1eb7t \u0111\u1ec1u r\u1ea5t nhanh m\u1edf r\u1ed9ng \u0111\u1ebfn ph\u1ea7n c\u1ed5, th\u00e2n ch\u1eadm ch\u00ed c\u00e1c c\u01a1 b\u1eafp to\u00e0n th\u00e2n, b\u1ecb run r\u1ea9y, co gi\u1eadt, t\u1ee9 chi co qu\u1eafp. Ng\u1ed9 \u0111\u1ed9c l\u00e2n h\u1eefu c\u01a1 \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n d\u01b0\u1edbi 3 d\u1ea1ng:<\/p>\n

N\u1ebfu \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9<\/h3>\n

. T\u0103ng ti\u1ebft d\u1ecbch ti\u00eau h\u00f3a, n\u01b0\u1edbc b\u1ecdt, m\u1ed3 h\u00f4i.<\/p>\n

. \u0110au b\u1ee5ng, n\u00f4n m\u1eeda, \u1ec9a ch\u1ea3y.<\/p>\n

. M\u1ea1ch ch\u1eadm, huy\u1ebft \u00e1p h\u1ea1, c\u00f3 r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n trong tim.<\/p>\n

. \u0110\u1ed3ng t\u1eed co, m\u00e0ng ti\u1ebfp h\u1ee3p \u0111\u1ecf, ch\u1ea3y n\u01b0\u1edbc m\u1eaft, gi\u1ea3m th\u1ecb l\u1ef1c, c\u00f3 l\u00fac nh\u00ecn \u0111\u00f4i.<\/p>\n

. Co thanh qu\u1ea3n \u0111\u1ed9t ng\u1ed9t, t\u0103ng ti\u1ebft \u0111\u1eddm d\u00e3i r\u1ea5t m\u1ea1nh.<\/p>\n

\u00a0Khi b\u1ecb ng\u1ed9 \u0111\u1ed9c n\u1eb7ng<\/h3>\n

. Y\u1ebfu c\u01a1, rung c\u01a1, sau c\u00f9ng li\u1ec7t c\u01a1 d\u1eabn \u0111\u1ebfn li\u1ec7t h\u00f4 h\u1ea5p.<\/p>\n

. R\u1ed1i lo\u1ea1n nh\u1ecbp tim, rung th\u1ea5t, ng\u1eebng tim.<\/p>\n

. \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ea7n kinh trung \u01b0\u01a1ng<\/p>\n

. H\u00f4n m\u00ea, \u1ee9c ch\u1ebf h\u00f4 h\u1ea5p.<\/p>\n

. Co gi\u1eadt.<\/p>\n

. \u1ee8c ch\u1ebf trung t\u00e2m v\u1eadn m\u1ea1ch g\u00e2y suy tu\u1ea7n ho\u00e0n d\u1eabn \u0111\u1ebfn t\u1eed vong.<\/p>\n

\u0110i\u1ec1u tr\u1ecb khi ch\u00f3 b\u1ecb ng\u1ed9 \u0111\u1ed9c<\/h2>\n

\u2013 Atropin ti\u00eam t\u0129nh m\u1ea1ch t\u1eeb 1-5 mg trong v\u00f2ng 5-10 ph\u00fat. Ti\u00eam li\u00ean t\u1ee5c cho \u0111\u1ebfn khi n\u00e0o c\u00f3 d\u1ea5u hi\u1ec7u ng\u1ea5m Atropin: da kh\u00f4 n\u00f3ng \u0111\u1ecf, m\u1ea1ch nhanh 120 l\u1ea7n\/1 ph\u00fat, th\u1ea7n kinh h\u01a1i v\u1eadt v\u00e3 gi\u00e3y gi\u1ee5a. N\u1ebfu ti\u00eam 5-10 mg trong 10 ph\u00fat v\u00e0i l\u1ea7n m\u00e0 kh\u00f4ng th\u1ea5y d\u1ea5u hi\u1ec7u ng\u1ea5m th\u00ec ph\u1ea3i t\u0103ng li\u1ec1u Atropin ho\u1eb7c r\u00fat ng\u1eafn th\u1eddi gian d\u00f9ng thu\u1ed1c xu\u1ed1ng c\u00f2n 5 ph\u00fat. Ph\u1ea3i duy tr\u00ec t\u00ecnh tr\u1ea1ng th\u1ea5m Atropin su\u1ed1t trong qu\u00e1 tr\u00ecnh th\u00f4ng kh\u00ed, sau khi ng\u1eebng th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o, c\u00f3 khi \u0111\u1ebfn ng\u00e0y th\u1ee9 10. Mu\u1ed1n duy tr\u00ec t\u00ecnh tr\u1ea1ng n\u00e0y ph\u1ea3i th\u0103m d\u00f2 l\u01b0\u1ee3ng Atropin c\u1ea7n thi\u1ebft. Khi c\u00f3 PAM l\u01b0\u1ee3ng Atropin gi\u1ea3m \u0111i r\u1ea5t nhi\u1ec1u c\u00f3 khi ch\u1ec9 c\u00f2n v\u00e0i ch\u1ee5c mg ho\u1eb7c v\u00e0i tr\u0103m mg.<\/p>\n

\u2013 Khi \u0111\u00e3 c\u00f3 d\u1ea5u hi\u1ec7u ng\u1ea5m Atropin th\u00ec gi\u1ea3m li\u1ec1u PAM. Ng\u1eebng PAM sau 2-4 ng\u00e0y \u0111i\u1ec1u tr\u1ecb.<\/p>\n

\u2013 PAM: b\u1ea3n ch\u1ea5t l\u00e0 m\u1ed9t oxim (2-pyridin aldoxim methylcloride) c\u00f2n c\u00f3 nhi\u1ec1u lo\u1ea1i kh\u00e1c tr\u00ean th\u1ecb tr\u01b0\u1eddng nh\u01b0 prali\u0111oxim, contrathion, obi\u0111oxim\u2026 D\u00f9ng ti\u00eam t\u0129nh m\u1ea1ch 200-500 mg trong v\u00f2ng 10 ph\u00fat. Kh\u00f4ng ti\u00eam trong v\u00f2ng 5 ph\u00fat v\u00ec c\u01a1 th\u1ec3 kh\u00f4ng ch\u1ecbu n\u1ed5i, d\u1ec5 g\u00e2y tru\u1ef5 m\u1ea1ch. Th\u1ec3 n\u1eb7ng ph\u1ea3i ti\u00eam nhi\u1ec1u l\u1ea7n, sau li\u1ec1u \u0111\u1ea7u 1 gi\u1edd m\u1edbi ti\u00eam nh\u1eafc l\u1ea1i li\u1ec1u th\u1ee9 hai v\u00e0 sau \u0111\u00f3 c\u00f3 th\u1ec3 ti\u00eam 30 ph\u00fat m\u1ed9t l\u1ea7n. Th\u1ec3 nh\u1eb9 v\u00e0 trung b\u00ecnh 2 gi\u1edd 1 l\u1ea7n. V\u1edbi b\u1ec7nh nh\u00e2n n\u1eb7ng ph\u1ea3i th\u00f4ng kh\u00ed tr\u01b0\u1edbc, ti\u00eam Atropin tr\u01b0\u1edbc r\u1ed3i m\u1edbi ti\u00eam PAM.<\/p>\n

<\/p>\n

Ngu\u1ed3n Bacsithuy\u200b<\/div>\n","protected":false},"excerpt":{"rendered":"

H\u1ee3p ch\u1ea5t l\u00e2n h\u1eefu c\u01a1 c\u00f3 th\u1ec3 th\u00f4ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, h\u00f4 h\u00e1p ho\u1eb7c da \u0111\u1ec3 v\u00e0o c\u01a1 th\u1ec3 v\u00e0 g\u00e2y ng\u1ed9 \u0111\u1ed9c \u1edf ch\u00f3. N\u1ebfu nu\u1ed1t ph\u1ea3i th\u1ef1c ph\u1ea9m d\u00ednh thu\u1ed1c tr\u1eeb s\u00e2u ch\u1ee9a photpho, u\u1ed1ng nh\u1ea7m n\u01b0\u1edbc b\u1ecb \u00f4 nhi\u1ec5m; khi \u0111i\u1ec1u ch\u1ebf ho\u1eb7c ph\u00e2n ph\u1ed1i l\u00e2n h\u1eefu c\u01a1, b\u1ed9t ho\u1eb7c dung […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1436","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/1436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/comments?post=1436"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/1436\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=1436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=1436"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=1436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}