He aha ka hypovolemic kŰia?

KŰia ua kapaia ka pilikia moku'āina, ma i ikaika hoemiia hui perfusion, i mea a pau, oi loa ka nui nā loko mea i loko o ka moku'āina o ka oxygen deficiency.

Mawaena o na kumu no ia o ka moku'āina nui noʻonoʻo: he traumatic lesion,'ā, koko lilo, maʻiʻaʻai o kaʻoi mea hoʻonāwaliwali maoli nō o ka papa naʻau Muscle, ku i ka allergen i loko o ke kino, i i ua mua sensitized.

'ano o ka hawewe

Ke kaumaha ma muli o nā kumu, i kūpono i ka ulu keia ano, e hiki ke koho kekahi mau ano:

1. hypovolemic kŰia;

2. traumatic paha eha;

3. puhi;

4. anaphylactic;

5. infectious a me kaʻawahia;

6. cardiogenic;

7. turnstile.

hypovolemic kŰia

Kēiaʻano o ka pilikia moku'āina e hoʻomōhala ana i ka hapanui pinepine. No ia kumu, e pono ke kuai nānāʻana i ka hōʻike ma ka au mamuli. Hypovolemic kŰia ua kena ae la ia e ka huʻi shortage o ai hoʻolahaʻia ke koko ka leo. E like me ka hopena o ka hoemi venous hoʻi i ka naʻau a me ka ia lŘlŘ haumāna emi ma cardiac auaiaea.

Ke kauoha kumu o kēia 'ano o kaʻenaʻena moku'āina i hemorrhage (nā mawaho, a na); lilo o ka loli ma infectious maʻi. Hoemi i ka buke o ke koko i kekahi hopena, mai hoʻomāhuahua o ka loli ma ka abdominal lua i peritonitis, traumatic pahee'aʻaʻa ka pōʻino.

Hypovolemic hawewe i loko o infectious maʻi e hoʻomōhala ana i aie i degitratatsionnym maʻi pale, pinepine i loko o intestinal nā mea palahēhē,ʻo ia, ai kaʻapu kōheoheo, salmonellosis, cholera, a no laila, ma luna o. Naʻe, i kēia 'aʻole e mau hana. Inā ka iapaau ana o intestinal maʻiʻaʻai ka hoʻomaka 'ana i loko o ka' eleu kūpono,ʻaʻole ia he pilikia moku'āina, e hoʻomōhala.

maopopo i ka maikaʻi aʻe ka mea hypovolemic kŰia, ia mea pono e noonoo i ka pathogenesis o kona ulu ana. Kona ulu hiki ke maheleia i ekolu kūlana:

1. Ka nele o ka ai hoʻolahaʻia ke koko ka leo;

2. ho'ā hope o ke aloha o-adrenal kahua;

3. 'ana hoohikilele.

Ma kaʻanuʻu mua o ka kanaka kino Kahalaopuna loli ka leo shortage i loko o ke koko i ua hōʻike ka hōʻemiʻana venous kahe ana i ka naau, hoemiia kikowaena puʻe. E like me ka hopena o kēia mau keʻano o ka hanaʻana ua hoemi cardiac auaiaea. Ma ka hola mua i loko o ka capillaries mālama interstitial loli, a pela ho'ēmi i kā ka buke o intercellular kaiaulu.

Ma ka lua o ke kahua, ka baroreceptor reflex stimulation, i kui ke aloha o-adrenal kahua. E like me ka hopena, ka mea maoli i ka secretion o catecholamines: noradrenaline hoʻomāhuahua tenfold, adrenaline - ma ka haneri.

I ka Ia manawa, aia nei i ka ho'ēmiʻana i loko o kōkua aloha o leo aa koko, naau a me arterioles, a entails he mahuahua i loko o ka hiki e ho'ēmi i infarction a me ka naau palpitations. A laila, he mea centralization holo. I ke kolu o ka pae, a hoʻomaka i ka wa e kaawale aku o ka lapaʻau, kūpono i hoʻolōʻihiʻia hypovolemia e hoʻomōhala ana i paakiki emi ma ka perfusion.

Hypovolemic kŰia ua hoikeia clinically pinepine uuku pāpaʻa; haʻahaʻa systolic ke koko; emi ma Central venous puʻe; Hou anuanu, humid, haikea cyanotic a kinikini huila; ka meheu o ke koko i ke kui kahi moe; oliguria.

Inā 'oe i kekahi symptoms o hypovolemic hawewe e koke e kelepona i ka' inikua Hoʻonaʻauao no ke kōkua. Mai Mai manaʻo ana ia he moku'āina hiki kū kaʻawale docked. I mea e hoola i ke kanaka, ka mea i pono, e hea aku i ka ambulance luina, i mea nō ma ke kahua o ka halihali, e hoʻomaka i ka hoʻolako mua kōkua. Ma keia wahi, a hiki loa i ka iki kali hou aku; ke loaʻa i ke kanaka i ko lakou ola.