Lub hlwb Aneurysm thiab Organ Donation

Ncej no yog sau los ntawm contributor, Derek Fuchsberger, RN. 

Lub paj hlwb aneurysm tshwm sim thaum ib daim duab hauv lub paj hlwb – feem ntau yog ze ntawm ib thaj tsam ntawm cov hlab ntsha ceg ntoo tawm rau hauv ob lub hlab ntsha me me – tej yam tsis muaj zog nyob rau hauv cov hlab ntsha. Qhov no tsis muaj zog, nyeg, sau cov ntshav thiab bulges tawm sab ntawm lub artery zoo li ib zais pa. Yog hais tias lub siab rau thaj tsam ruptures cov hlab ntsha, ntshav yuav leak mus rau lwm lub paj hlwb uas yuav ua tau kom muaj hemorrhagic stroke, coma thiab/los yog tuag. Nws tseem ceeb heev uas yuav tau nco ntsoov tias aneurysm no tsis yog tus bursting ntawm cov hlab ntsha, tab sis cov bulge ntawm cov hlab ntsha hauv cov hlab ntsha.

Muaj coob tus neeg yuav nyob lub neej nrog aneurysm thiab yeej tsis paub tias nws muaj, qhov tseeb, feem ntau aneurysms muaj nyob thaum ua scans, xws li CT thiab MRI, rau lwm yam mob. Cov aneurysms loj yuav muaj cov tsos mob ntawm tus mob taub hau, numbness, tsis muaj zog, los yog tsis pom kev zoo. Lub neej tuag taus ntawm ib aneurysm rupture muaj xws li cia li onset ntawm huab mob hauv lub taub hau, tsis pom kev zoo, slurred hais lus, tsis muaj zog ib sab ntawm lub cev, dilated rua cov miv nyuas, ntsej muag drooping, thiab tsis meej pem xwb lub npe ob peb. Qhov no yog ib qho mob loj heev thiab tam sim ntawd yuav tsum tau txhaj.

Aneurysm Risk Factors

Qhov uas yuav muaj feem ntau yuav tsim ib aneurysm yog mob ntshav siab li qhov no tej zaum yuav yog ib tug contributing factor. Cov no muaj xws li haus luam yeeb, rog, muaj ntau zog noj, haus dej cawv noj, caffeine noj, tsis muaj ce, thiab muaj neeg Asmeskas ancestry. Lwm yam uas yuav muaj xws li tsev neeg keeb kwm, abnormal hlab ntsha ua genetic disorders, lub taub hau trauma, lub hlwb tumors, cov assigned poj niam yug, cov nqaij mos disorders, thiab lwm yam uas yuav ua rau tsis muaj zog los yog thinning ntawm cov hlab ntsha.

Tus kab mob Aneurysms yuav tshwm sim nyob rau hauv tej artery thoob plaws hauv lub cev, tiam sis feem ntau yog thiab yus nyob rau hauv lub paj hlwb thiab abdomen. Kev kho kom paub aneurysms yuav muaj xws li awareness thiab xyuas, txoj kev ua neej hloov, ntshav siab tswj, los yog surgical clipping ntawm tus aneurysm nyob rau hauv rooj plaub ntawm ib ballooning loj ballooning los yog ib aneurysm tsam rupture. Ntxiv dua thiab, feem ntau lub hlwb aneurysms tsis rupture.

Cov kev kho mob ceev uas ensues thaum ib aneurysm bursts, kuj hu ua ib hemorrhagic stroke. Nws yog hom stroke uas, yog tsis kho sai thiab zoo, ua rau tus neeg mob tuag los yog lingering teebmeem. Vim qhov tseeb, nws tseem ceeb heev uas yuav tsum paub txog cov tsos mob ntawm stroke thiab ceev ceev.

Aneurysm thiab Organ Donation

Yog hais tias tus neeg mob yuav tau mus tom tsev kho mob sai tab sis, tu siab tseem tsis ciaj sia, tus neeg mob yuav ntsib tus tsis tshua muaj criteria rau organ, qhov muag thiab cov ntaub so ntswg donation. Qhov no yog them rau cov ntsiab lus nram qab no:

• Thaum ib tug neeg mob stroke tuaj txog ntawm lub tsev kho mob, lawv muaj intubated thiab rau lub neej txuag tshuaj.
• Yog hais tias lawv tsis ciaj sia, cov neeg ua hauj lwm hauv tsev kho mob yuav tau khaws cov ntshav uas tsim nyog ntawm cov ntshav thiab cov pa mus rau lub txiv kab ntxwv kom txog thaum lawv yuav pub (yog hais tias nws yog tus neeg mob los yog tsev neeg xav). Cov pa no yog tsim nyog rau lawv yuav tsum viable los yog noj qab nyob zoo thaum lawv mus cuag tus neeg tau txais kev pab.
• Kis tseg rau hauv ib lub tsev kho mob txhais tau tias cov kws kho mob tshwj xeeb uas tshwj xeeb nyob rau hauv lub txiv kab ntxwv procurement yuav tau hu thiab pib qhov kev soj ntsuam txuag thiab kho countless lwm tus.

Txiv kab ntxwv Donation

Organ donation yuav ib txoj kev ntsuam xyuas kom cov txiv kab ntxwv yog txuag tau transplant rau cov neeg uas muaj critically mob. Qhov no ua rau muaj peev xwm pub ib tug tsis tshua muaj tshwm sim. Piv txwv li, tsawg tshaj 6% ntawm cov neeg tuag yuav pub cornea, tsawg tshaj 3% ntawm cov neeg tuag yuav pub cov nqaij mos, thiab tsawg tshaj 1% ntawm cov neeg tuag yuav pub txiv kab ntxwv. Nws tseem yog ib tug tsis tshua muaj tshwm sim los tsim ib qho aneurysm nyob rau hauv qhov chaw thawj, thiab txawm tsawg tsawg rau nws rupture thiab ua ib hemorrhagic stroke. Txawm li ntawd los, raws li teev saum toj no, yog ntes tau thiab kov kom raug, qhov no ruptured aneurysms yuav lend nws tus kheej kom haum rau hauv cov me feem pua ntawm organ donation.

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Derek Fuchsberger yog ib tug registered Nurse nrog peb xyoos ntawm ICU kev. Nws keeb kwm yav dhau los muaj xws li coaching ncaws pob, nraaj tsim, tshuab thiab sib txuas lus. Tam sim no, nws ua hauj lwm raws li ib tug ICU Nurse thaum pursuing ib hauj lwm nyob rau hauv kev kho mob sau ntawv. 

Nyob rau hauv nws lub sij hawm dawb, Derek yog ib qho puav pheej-winning winemaker.