Waa maxay lama filaan ah hypovolemic?

Shoogga waxaa lagu magacaabaa Marxalad adag, kaas oo soo maratay hoos u perfusion xubin, oo dhan, gaar ahaan xubnaha muhiim ah ku jiraan xaalad ah deficiency oxygen.

Ka mid ah sababaha gobolka noocan oo kale ah guud ahaan loo arkaa, nabar ku dhibaysa, gubasho, dhiig la'aan, caabuq of daciifisa fiiqan ee shaqada muruqa wadnaha, dhuftay xasaasiyada galay jidhka, kaas oo hore loo wacyi.

nooc oo lama filaan ah

Iyada oo ku xidhan sababaha, taas oo keentay in horumarinta xaaladda this, waxaad dooran kartaa dhawr nooc:

1. lama filaan ah hypovolemic;

2. argagaxa ama xanuun;

3. Gubashada,

4. anaphylactic;

5. faafa oo sun ah;

6. cardiogenic;

7. turnstile.

lama filaan ah hypovolemic

Noocan ah gobolka muhiimka ah inta badan yeesho. Sababtan darteed, waxaa haboon eegaya sharaxaad faahfaahsan. lama filaan ah Hypovolemic waxaa keena yaraanta daran oo ku wareegaya mugga dhiigga. Sidaas darteed of hoos wadnaha laabto arooriyaha iyo dhacdaa hoos sare ee wax soo saarka wadnaha.

Sababaha tooska ah ee noocan ah ee gobolka deg-deg ah waa hemorrhage (labada dibadda iyo gudaha); luminta dareeraha ee cudurada faafa. Yaraynta mugga dhiigga sidoo kale ku keeni karta raasamaal ee dareeraha in saabka caloosha inta lagu guda jiro peritonitis, argagaxa dhaawac jirka jilicsan.

lama filaan ah Hypovolemic in cudurada faafa uu yeesho sabab u degitratatsionnym syndrome, inta badan lays qaadsiyo, kuwaas oo, cuntada lagu sumoobo, salmonellosis, daacuunka iyo wixii la mid ah. Si kastaba ha ahaatee, tani had iyo jeer ma dhici. Haddii daaweynta cudurka xiidmaha bilaabay hab wakhti, sida Marxalad adag oo aan horumarin doontaa.

Si aad si fiican u fahmaan waxa si lama filaan ah hypovolemic, waxaa lagama maarmaan ah in la tixgeliyo pathogenesis ee ay horumarka. Its horumarinta waxa loo qaybin karaa saddex weji:

1. la'aan waxay ku wareegaya mugga dhiigga;

2. dardargelinta nidaamka u dabacsanaadaan-adrenal;

3. si toos ah nixin.

In talaabada ugu horeysa ee jidhka bini'aadamka ayaa dareensan mugga yaraanta dheecaanka dhiigga in lagu muujiyay hoos u socodka arooriyaha wadnaha, hoos u cadaadiska dhexe. Natiijada oo ah hawlgaladii waxaa hoos u wax soo saarka wadnaha. Inta lagu guda jiro saacaddii ugu horeysay ee qalintaanka waxay u egtahay dheecaan interstitial, iyo sidaas yaraynaysaa mugga waaxda intercellular.

In marxaladda labaad, baroreceptor Carbinta ku reflex, oo Spurs nidaamka u dabacsanaadaan-adrenal. Sidaas darteed, waxay kordhisaa dheecaan ee catecholamines: noradrenaliin uducaynaya inuu kor u kacay, adrenaline - gaaraya boqolaal.

Isla mar ahaantaana waxaa jira hoos u dhac ku xididdada midab u dabacsanaadaan, wadnaha iyo arterioles, oo waxaa weeyaan in la kordhiyo awoodda si loo yareeyo Wadnaxanuun iyo wadnaha wadno. Markaa baa waxaa wareegga dhexe. Wejiga saddexaad, taas oo ka bilaabanayso ay ka maqan yihiin daaweynta, taasoo keentay in hypovolemia sii dheerayn uu yeeshay hoos u dhac joogto ah oo ku perfusion.

lama filaan ah Hypovolemic lagu muujiyey yar caafimaad joogta ah garaaca wadnaha, hooseeyo cadaadiska dhiigga systolic; yaraado cadaadiska arooriyaha dhexe; , CYNOTIC cirro xataa wheel qabow, qoyan marmar, gaabis ah u socodka dhiigga sariirta dhidibkii, oliguria.

Haddii aad qabto wax calaamado ah ee lama filaan ah hypovolemic waa in isla markiiba la xiriir rugta caafimaadka caawimaad. Ha u malaynina gobolka noocan oo kale ah si madaxbanaan u soo xirtey karo. In si loo badbaadiyo qof, waxaa fiican inaad wacdo shaqaalaha ambalaaska, taas oo weli waa marxalad ka mid ah gaadiidka bilaabi doonaan in ay bixiyaan gargaarka degdegga ah. In gobolka this, xitaa dib u dhac yar laga yaabaa inay qofka ay nolosha.