Kev Kuaj Mob Tuag Yog Dab Tsi?

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

Kev kho mob terminology yuav tsis meej pem thiab googling tej lo lus los yog cov nqe lus teb yuav ua rau muaj ntau hom ntsiab lus txhais, tej zaum contradicting sib thiab ntxiv rau cov tsis meej pem. Nyob rau hauv tsab xov xwm no, peb nyob nraum sib koom peb txhais ntawm lub sij hawm "clinical tuag," li cas nws hais txog lwm txhais cov ntsiab lus uas tuag, thiab organ donation.

Txhais Cov Ntsiab Lus Uas Tuag

kev tuag

Clinical tuag yog ib lub sij hawm uas piav cov cessation (siv ceev xwmphem) ntawm ib tug neeg mob lub plawv pumping ntshav los ntawm lub cev thiab, inevitably, yog paired uas tsis muaj pa. Kev tuag yog ib qho kev kub ntxhov, tsis muaj kev cuam tshuam tam sim ntawd, qhov rais kom rov qab tus mob yuav kaw, thiab raws li txoj cai tuag yuav tau txais.

Lub Hlwb Tuag

Lub hlwb tuag yog lub cessation ntawm lub paj hlwb kev ua thiab lub cev muaj peev xwm nqa tawm cov kev ua hauj lwm kom zoo tsim nyog mus sustain lub neej. Lub hlwb tuag yog irreversible.

Raws li txoj cai tuag

Raws li txoj cai tuag yuav irreversible cardiac thiab respiratory cessation los yog irreversible lub hlwb tuag thiab yuav tsum tau mus kuaj, txiav txim, thiab kos npe tawm ntawm ib tug kws kho mob tsim nyog. 

Ib tug piv txwv, peb Scenarios

Cov no tsis yog cov kev ua tau rau no scenario tab sis ib qho piv txwv los illustrate qhov txawv ntawm cov hom tuag teev saum toj no:

Tus nais maum taug kev mus rau hauv ib chav tsev neeg thiab pom tias tus neeg mob unresponsive thiab tsis ua pa. Tus nais maum ces cov tshev mis rau ib pulse thiab discovers tias tus neeg mob tsis muaj ib tug. Txij ntawm no mus, tus neeg mob yuav tau clinically tuag vim lawv lub plawv tsis pumping ntshav. Yuav ua li cas ntxiv nyob ntawm ntau yam...

Scenario ib

Tus nais maum yuav hu rau ib code thiab CPR yuav pib. Yog hais tias pab neeg no zoo thiab nqa rov qab tus neeg mob lub plawv tuav, uas tus neeg mob yuav muab tso rau ventilated kev them nyiaj yug thiab yuav tsis tau clinically tuag thiab tseem ceeb heev yuav tau nrog kev cuam tshuam xws li mechanical ventilation, specific tshuaj, thiab lwm heartbeat pacing, rau lub npe ob peb.

Scenario ob

Tus nais maum hu ib code thiab CPR yog tshwm sim. Yog CPR tsis ua hauj lwm thiab cov kev pab kho mob muaj sab lim tag nrho cov kev siv zog, cov kev xeem tsim nyog yog ua, lub hlwb tuag yog txiav txim tau, ib tug kws kho mob yuav muab ib lub sij hawm uas tuag thiab kos npe rau ntawm ib daim ntawv pov thawj tuag (raws li txoj cai tuag).

Scenario peb

Tej zaum, cov neeg mob tau kos npe rau ib daim ntawv kho mob declaring lawv qhov kev txiav txim siab tsis tau resuscitated nyob rau hauv cov muaj tshwm sim (feem ntau hu ua ib DNR). Yog hais tias qhov no yog cov ntaub ntawv, tus nais maum yuav hwm qhov kev txiav txim siab ntawm tus neeg mob thiab yuav tsis muab kev pab kho mob. Tsis muaj ntshav ntws los ntawm lub cev, lub hlwb tuag thiab deterioration ntawm tag nrho lwm cov nqaij mos yuav sai sai. Cov kev tshuaj ntsuam tsim nyog yog ua li cas, tuag taus, ib tug kws kho mob yuav muab ib lub sij hawm uas tuag thiab kos npe rau ntawm ib daim ntawv pov thawj tuag (raws li txoj cai tuag).

Raws li txoj cai tuag yog tsis ib txwm clinical tuag

Muaj kev kho tshiab rau cov tshuaj thiab tshuab, xws li mechanical ventilation, cov tshuaj, thiab lwm heartbeat pacing, tsev kho mob yuav tau khaws cov neeg ua pa thiab lawv lub plawv beating txawm tias tsis muaj lub hlwb kev ua. Li ntawd, ib tug neeg yuav tau lub hlwb tuag tab sis tseem muaj ib lub plawv tuav thiab tau pumping oxygenated ntshav los ntawm lub cev vim yog cov kev pab kho mob noj txuag lawv lub neej. Thaum ib tug tsim nyog kev kho mob tswj cov kev tshuaj ntsuam thiab txiav txim seb lub hlwb tuag, tus neeg mob yuav pronounced Legally tuag txawm tias lawv yuav tsis Clinically tuag.  

Qhov no yog ib tug ntawm ob tug tsis tshua muaj teeb meem (1% ntawm registered hloov) qhov twg lub sijhawm txuag lub neej ntawm lwm tus neeg thorough donation yog tau.

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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.