Abin tsoro na Hemorrhagic

Saboda zub da jini na asali (cututtuka, tiyata, lalacewar ciki), ƙarar jini (BCC) ya ragu. Dangane da rashin hasara na ruwa, yanayin ciwon oxygen yana ƙaruwa, kuma idan fiye da miliyon 500 na asarar jini ya auku, damuwa mai haɗari yana faruwa. Wannan lamari ne mai hatsari, mummunan lalacewa sakamakon sakamako mai lalacewa saboda mutuwar jinin jini a cikin kwakwalwar kwakwalwa da kuma huhu.

Ƙayyade na haɗari na jini

Bugu da ƙari, gagarumin tsanani, a cikin yanayin hasara na jini, ruwan da yake gudana daga ruwa mai zurfi yana da muhimmanci. A wani jinkiri, asarar har ma da jini mai yawa (har zuwa lita 1.5) ba kamar yadda yake da haɗari kamar yadda zubar da jini mai sauri.

Bisa ga wannan, matakan da suka faru na halayen halayen haɗari sun bambanta:

1. Mataki na farko an biya. Rage a BCC ba fiye da 25% ba. A matsayinka na mulkin, wanda aka azabtar yana da hankali, karfin jini ya rage, amma a matsakaici, bugun jini yana da rauni, tachycardia - har zuwa 110 beats a minti daya. Fatar jiki na gani ne mai sauƙi kuma dan kadan sanyi.
2. Mataki na biyu ya karu. Rawan jini ya kai 40% na BCC. Akwai acrocyanosis, hankali yana damuwa, matsin da aka rage ƙwarai, bugun jini shine nau'i, tachycardia - har zuwa dari 140 a minti daya. Bugu da ƙari, za a iya lura da tudu, dyspnea, sanyi na tsauraran ra'ayi.
3. Mataki na uku ba shi da komai. Ƙunƙwarar haɗari mai haɗari mai ƙananan digiri yana da alamun bayyanar cututtuka na yanayin haɗari mai haɗari: hasara na asali, launi na launi na fata (farfadowa tare da alamun jini). Rawan jini ya wuce 50% na duka BCC. Tachycardia ya sami 160 ƙwaƙwalwa a minti daya, matsa lamba na systolic kasa da 60 mm Hg. Bugun abu yana da wuya a ƙayyade.

Mataki na ƙarshe ya shafi yin amfani da hanyoyin gaggawa na gaggawa.

Taimakon gaggawa don bala'in haɗari

Bayan kira na tawagar likita, yana da kyau ya dauki irin waɗannan ayyuka:

1. Tsayawa zub da jini, idan ana iya gani, ta hanyar duk abin da ake nufi (ƙonawa, bandaging, pinching rauni).
2. Kashe duk wani abu da ke tsangwama tare da numfashi na al'ada. Yana da mahimmanci don tsaftace maƙalar mai wuya, cire daga gutsattsun hanyoyi na hakora, vomit, kungiyoyin waje (sau da yawa bayan hatsarin mota), hana harshe daga fadi cikin nasopharynx.
3. Idan za ta yiwu, ba magungunan maganin cututtukan da ba su da narcotic (Dandali, Lexir, Tramal), wanda ba zai shafi jini da motsa jiki ba.

Ba abu mai kyau ba ne don motsa mutumin da ya ji rauni, musamman idan jini yana cikin ciki.

Jiyya na mummunar haɗari a lokacin asibiti

Bayan nazarin lafiyar mai haƙuri, aunawar karfin jini, ƙwaƙwalwar zuciya, numfashi, kwanciyar hankali, sanin jini. Ƙarin ayyukan:

1. Inhalation da oxygen by catheters (intranasal) ko mask.
2. Bayar da damar samun gado mai kwakwalwa. Saboda wannan, tsakiya na tsakiya shine catheterized. Tare da asarar fiye da 40% na bcc, ana amfani da babban nau'in mata na mata.
3. Jigilar farfajiya tare da gabatarwar crystalloid ko colloidal mafita, idan zub da jini yana da tsanani da kuma yawan - erythrocyte talakawa.
4. Shigarwa na Foley catheter don sarrafa zauren lokaci da diurnal urination (don tantance tasiri na infusions).
5. Gwajin jini.
6. Manufar fashewa (magani mai kantad da hankali) da kuma kwayoyin cutar analgesic.

Lokacin da asarar jini ya fi kashi 40 cikin dari na yawan ruwa mai zurfi, dole ne a yi farfaɗar jita-jita a cikin magunguna biyu a lokaci daya, a cikin layi tare da inhalation na 100% oxygen ta hanyar masoya mai cutarwa. Har ila yau, ana buƙatar injections na kwayoyi masu dauke da kwayoyin dopamin ko epinephrine.