Mene ne hypovolemic tura?

Shock da aka kira wani m jihar, a cikin abin da sharply rage Gabar perfusion, cewa shi ne duk, musamman da muhimmanci gabobin ne a Jihar oxygen rashi.

Daga cikin dalilan da irin wannan jiha kullum dauke: da traumatic rauni, konewa, jini asara, kamuwa da cuta da kaifi weakening na zuciya tsoka aiki, buga da allergen a cikin jiki, wanda aka a baya sensitized.

daban na buga

Dangane da dalilan, wanda a cikin sa tasowa wannan yanayin, za ka iya zaɓar da dama iri:

1. hypovolemic buga.

2. traumatic ko zafi.

3. qone;

4. anaphylactic.

5. dauke da kwayar cutar da mai guba.

6. cardiogenic.

7. turnstile.

hypovolemic buga

Wannan irin m jihar tasowa mafi sau da yawa. A saboda wannan dalili, yana da daraja neman a bayanin daki-daki. Hypovolemic buga ne ya sa ta wani m karancin zagawa da jini girma. A sakamakon rage venous koma cikin zuciya da kuma na faruwa sakandare karu a cardiac fitarwa.

A kai tsaye Sanadin irin wannan da gaggawa jihar ne hemorrhage (duka waje da ciki). asarar ruwa a cututtuka. Rage ƙarar na jini iya haifar da daga jari na ruwa a cikin kogon ciki a lokacin peritonitis, traumatic taushi nama lalacewa.

Hypovolemic buga a cututtuka tasowa saboda degitratatsionnym ciwo, sau da yawa a cikin hanji cututtuka, wato, ci abinci mai guba, salmonellosis, kwalara da sauransu. Duk da haka, wannan ba ya ko da yaushe faru. Idan lura da hanji kamuwa fara a dace hanya, irin wannan m jihar ba za ta ci gaba.

Don fi gane abin da yake hypovolemic tura, shi wajibi ne a yi la'akari da pathogenesis na ta ci gaba. Its raya za a iya raba uku bulan:

1. The rashin zagawa da jini girma.

2. kunnawa da m-adrenal tsarin.

3. kai tsaye bugu.

A mataki na farko da jikin mutum ji m girma kasawa a cikin jini da aka nuna ragewa venous kwarara zuwa cikin zuciya, rage tsakiyar matsa lamba. A sakamakon wadannan matakai an rage cardiac fitarwa. A lokacin farko hour a cikin capillaries o ƙarin interstitial ruwa, kuma ta haka ne rage girma na intercellular kansu.

A cikin mataki na biyu, da baroreceptor reflex ruri, wanda zai dinga da m-adrenal tsarin. A sakamakon haka, shi qara mugunya catecholamines: noradrenaline ya karu tenfold, adrenaline - a cikin daruruwan.

A lokaci guda akwai wani raguwa a m sautin veins, zuciya da kuma arterioles, wanda entails da karuwa a cikin ikon rage infarction da zuciya palpitations. Kuma a sa'an nan akwai karkashin shugabancin tsakiya wurare dabam dabam. A cikin uku lokaci, wanda zai fara a cikin rashi na magani, sakamakon tsawo hypovolemia tasowa m karu a perfusion.

Hypovolemic tura aka bayyana asibiti m kananan bugun jini. low systolic jini; rage a tsakiyar venous matsa lamba; Sanyi, gumi, kodadde cyanotic ko marmara dabaran; inda hakan na jini ya kwarara da ƙusa gado. oliguria.

Idan kana da wani bayyanar cututtuka na hypovolemic buga kamata nan da nan a tuntuɓi likita da makaman ga taimako. Kada ka yi zaton cewa irin wannan jiha za su iya da kansa docked. Domin ya cece wani mutum, shi ne mafi kyau ga kiran da motar asibiti crews, wanda shi ne har yanzu a mataki na sufuri za su fara samar da taimakon farko. A wannan jiha, ko wata 'yar alamar bata lokaci ba zai kudin mutum da rai.