Kev tsim txom ntawm cov tshuaj hauv khw muag khoom thiab zaub mov noj qab haus huv. Qee cov neeg laus feem ntau noj cov tshuaj tonic, zaub mov noj, tshuaj tiv thaiv kev laus, vitamins, thiab lwm yam yam tsis tau tso cai. Cov tshuaj tiv thaiv tsis zoo yog ib qho yooj yim tshwm sim vim qhov tsis zoo zaus thiab koob tshuaj.
Cov yam ntxwv ntawm cov tshuaj tsis zoo rau cov neeg laus
Qhov tshwm sim ntawm cov tshuaj tsis haum tshuaj hauv cov neeg laus uas muaj kev pheej hmoo siab feem ntau yog siab dua li cov neeg laus, thiab qhov tshwm sim ntawm cov tshuaj tsis zoo hauv cov poj niam laus yog siab dua li cov txiv neej. Lub hnub nyoog laus dua, qhov tshwm sim ntawm cov tshuaj tsis zoo tshwm sim ntau dua. Cov tshuaj siv ntau dua, qhov ntau dua qhov tshwm sim ntawm cov tshuaj tiv thaiv tsis zoo.
5% - 30% ntawm cov neeg laus uas tau mus pw hauv tsev kho mob hnyav yog tshwm sim los ntawm cov tshuaj tsis haum tshuaj, thaum cov neeg laus (18 ~ 65 xyoos) tsuas yog 3%. Yog tias cov neeg laus siv qee cov tshuaj tiv thaiv hypertensive, lawv yuav poob vim orthostatic hypotension, ua rau pob txha lossis txawm tias subdural hematoma, ua raws li kev poob ntsws thiab pulmonary embolism; Thaum siv cov tshuaj tsis zoo hauv cov neeg laus, ua tiav atrioventricular block tuaj yeem ua rau Arrhenius syndrome. Qee cov neeg laus' qhov kev phiv tshuaj tsis zoo yuav ua rau lawv tus mob poob qis thiab txawm tias kho tsis tau.
Cov kev kho mob tshwm sim ntawm cov tshuaj tsis haum tshuaj rau cov neeg laus tshwj xeeb tuaj yeem zoo ib yam li cov neeg laus, tab sis ntau dua yog cov mob senile xws li insanity, poob, syncope, urinary incontinence thiab cem quav. Nws feem ntau pom nyob rau hauv cov neeg laus uas laus thiab tsis muaj zog. Nws zoo ib yam li cov tsos mob ntawm cov kab mob geriatric thiab yooj yim rau kev kuaj mob tsis raug thiab tsis nco qab.
Kev tuag ntawm cov neeg laus suav txog tsuas yog 10% ntawm tag nrho cov pejxeem, tab sis nws suav txog 51% ntawm cov neeg tuag los ntawm cov tshuaj tiv thaiv tsis zoo, uas qhia tau hais tias kev tuag ntawm cov neeg laus tom qab cov tshuaj tiv thaiv tsis zoo yog siab thiab lawv yog cov neeg laus. cov neeg raug tsim txom tseem ceeb ntawm cov tshuaj tiv thaiv tsis zoo.
Cov tshuaj tsis zoo tshwm sim hauv cov neeg laus
Postural hypotension tom qab noj tshuaj antihypertensive, antidepressants, diuretics, vasodilators thiab lwm yam tshuaj, qee cov neeg laus tam sim ntawd hloov lawv lub cev, thiab tej zaum yuav muaj cov tsos mob hypotension xws li kiv taub hau, kiv taub hau thiab txawm tias syncope.
Cov tsos mob ntawm kev puas siab puas ntsws ntau yam tshuaj tuaj yeem ua rau muaj kev puas hlwb hauv cov neeg laus. Cov tshuaj nquag xws li cov tshuaj hauv nruab nrab paj hlwb anticholinergic (diphenhydramine, o-methylphenidate, thiab lwm yam).
Ototoxicity cov tshuaj no suav nrog cov tshuaj tua kab mob aminoglycoside xws li streptomycin, salicylic acid, butazone, chloroquine, quinine, bleomycin, propranolol, medroxyprogesterone acetate, thiab muaj zog diuretics xws li itaconic acid thiab furosemide. Cov tshuaj no tuaj yeem ua rau vestibular tsis ua haujlwm, kiv taub hau, mob taub hau, xeev siab thiab ataxia hauv cov neeg laus, nrog rau kev raug mob cochlear.
Kev tso zis tso zis hauv cov neeg laus raug kev txom nyem los ntawm ntau * kev puas siab puas ntsws. Antidepressant * thiab tshuaj anticholinergic tuaj yeem ua rau tso zis, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob uas muaj BPH thiab zais zis caj dab fibrosis. Yog li ntawd, thaum noj ob cov tshuaj no, koob tshuaj yuav tsum tau tswj nruj me ntsis. Tsis tas li ntawd, * muaj zog diuretics xws li furosemide thiab uric acid kuj ua rau tso zis tso rau hauv cov neeg laus uas muaj benign prostatic hyperplasia.
Lub siab thiab lub raum tsis ua haujlwm ntawm cov hnub nyoog nruab nrab thiab cov neeg laus uas siv cov tshuaj tua kab mob, cov tshuaj uas tsis yog tshuaj steroidal anti-inflammatory, tshuaj tiv thaiv qog, qee cov tshuaj suav tshuaj thiab kev npaj rau lub sijhawm ntev kuj yog ib qho yooj yim ua rau lub siab thiab lub raum tsis ua haujlwm.
Cov tswv yim kws tshuaj
Noj tshuaj tsawg dua thiab kho txhua yam kab mob ceev faj. Thaum cov neeg laus raug kev txom nyem los ntawm ntau yam kab mob, lawv yuav tsum paub qhov txawv ntawm thawj thiab theem nrab, kho cov kab mob tseem ceeb thiab cov kab mob hnyav ua ntej, siv cov tshuaj tsawg dua raws li txoj cai ceev faj, thiab sim xav txog tias" ib qho tshuaj tuaj yeem kho tau ntau yam kab mob", kom ua tiav ob zaug qhov txiaj ntsig nrog ib nrab ntawm kev siv zog. Vim yog cov tshuaj sib xyaw ua ke, yuav muaj kev cuam tshuam hauv lub cev. Kev sib cuam tshuam yeeb tshuaj tuaj yeem txo qhov ua tau zoo thiab yooj yim ua rau muaj kev phiv.
Cov koob tshuaj yuav tsum yog los ntawm me me mus rau loj. Cov neeg laus muaj kev nkag siab rau qee yam tshuaj, tshwj xeeb tshaj yog qee cov tshuaj uas yuav tsum tau noj rau lub sijhawm ntev, thiab cov tshuaj yuav tsum tau tswj nruj me ntsis. Nws yog qhov zoo tshaj plaws los pib noj ib nrab ntawm cov pa tshuaj thiab maj mam nce cov koob kom txog thaum cov nyhuv curative tshwm.
Tsis txhob dheev nres cov tshuaj tiv thaiv hypertensive, tshuaj hypoglycemic thiab qee cov tshuaj hormones. Tsis txhob tso tseg cov tshuaj tam sim ntawd yam tsis tau kev tso cai los ntawm tus kws kho mob, txwv tsis pub nws yuav ua rau muaj ntshav siab lossis ntshav qabzib, qee zaum ua rau xeev siab, ntuav, ua npaws thiab lwm yam tsos mob, thiab ua rau tus mob rov qab los yog hnyav dua.
Cov tshuaj hauv qhov ncauj uas tuaj yeem noj hauv qhov ncauj yam tsis tau txhaj tshuaj yog qhov muaj kev nyab xeeb thiab muaj kev cuam tshuam me me. Feem ntau ntawm cov kev tsis zoo tshwm sim los ntawm kev txhaj tshuaj muaj cov tsos mob hnyav, uas ua rau muaj kev nyuaj rau kev cawm. Kev saib xyuas tshwj xeeb yuav tsum tau coj mus rau kev tswj hwm txoj hlab ntshav.
Noj tshuaj raws sijhawm. Cov lus qhia kom meej meej thaum noj tshuaj, xws li ua ntej, tom qab lossis ua ntej yuav mus pw. Vim tias qhov ua tau zoo ntawm qee cov tshuaj muaj feem cuam tshuam nrog kev siv sijhawm, tsis quav ntsej qhov no yuav tsis tsuas yog cuam tshuam ncaj qha rau kev ua tau zoo, tab sis kuj muaj cov tshuaj lom neeg muaj zog thiab cov kev mob tshwm sim.
