Hypovolemic mantha: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zakusokonekera
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira
• Chithandizo choyamba chodzidzimutsa

Kudandaula kwamatsenga ndi vuto lalikulu lomwe limachitika madzi akumwa ndi magazi atayika, zomwe zimapangitsa mtima kulephera kupopa magazi ofunikira mthupi lonse, motero, mpweya, womwe umabweretsa mavuto akulu m'ziwalo zingapo za thupi ndikuyika moyo pachiwopsezo.

Zodabwitsazi nthawi zambiri zimachitika pafupipafupi pambuyo pamavuto akuluakulu, monga ngozi zapamsewu kapena kugwa kuchokera kutalika, koma zimathanso kuchitika nthawi ya opaleshoni, mwachitsanzo. Pofuna kuthana ndi izi ndikupewa zovuta zake, ndikofunikira kupita kuchipatala mwachangu kukayamba magazi kapena kuperekera seramu m'mitsempha, kuwonjezera pakuthandizira zomwe zikuyambitsa magazi.

Zizindikiro zakusokonekera

Zizindikiro zodzidzimutsa ndizotsatira zakutayika kwamadzimadzi, komwe kumatha kuwonekera pang'onopang'ono, chachikulu ndichakuti:

• Mutu wokhazikika, womwe umatha kukulira;
• Kutopa kwambiri ndi chizungulire;
• Nseru ndi kusanza;
• Khungu lotumbululuka kwambiri komanso lozizira;
• Chisokonezo;
• Zala za Bluish ndi milomo;
• Kumva kukomoka.

Nthaŵi zambiri, mantha a hypovolemic amatha kukhala osavuta kuzindikira, makamaka ngati magazi akuwonekera, komabe, mukamatuluka magazi mkati, zizindikilozi zimakhala zovuta kuzizindikira. Mulimonsemo, ndikofunikira kuti mantha a hypovolemic azindikiridwe mwachangu, chifukwa ndizotheka kuti chithandizocho chimayambika posachedwa pambuyo pake kuti zovuta zizitha kupewedwa.

Zomwe zingayambitse

Kudandaula kwamatsenga nthawi zambiri kumachitika pakakhala kukha mwazi komwe kumayambitsa kutaya magazi mopitilira muyeso, komwe kumatha kuchitika chifukwa cha zilonda zakuya kwambiri kapena mabala, ngozi zapamsewu, kugwa kuchokera kutalika kwambiri, kutuluka magazi mkati, zilonda zam'mimba komanso kusamba kwambiri.

Kuphatikiza apo, zina zomwe zimayambitsa kutayika kwa madzi amthupi zimathandizanso kuchepa kwa magazi mthupi, monga kutsegula m'mimba kwa nthawi yayitali, kuwotcha kwambiri kapena kusanza kwambiri, mwachitsanzo.

Izi ndichifukwa choti kuchepa kwamadzimadzi ndi magazi, kusintha kwa kagawidwe ka okosijeni kumaziwalo ndi ziwalo, komwe kumapangitsa kuti maselo afe ndipo, chifukwa chake, kulephera kwa ziwalo, ngati sizikudziwika kapena kuthandizidwa. Kuphatikiza apo, chifukwa cha kuchepa kwa mpweya wa oxygen, pali lactate yochulukirapo, yomwe imatha kukhala poizoni m'thupi mwamphamvu kwambiri.

Momwe mankhwalawa amachitikira

Chithandizo chododometsa chimayenera kutsogozedwa ndi adotolo ndipo nthawi zambiri amachitidwa kudzera kuthiridwa magazi komanso kutumizidwa kwa seramu m'mitsempha, kuti athe kusintha kuchuluka kwa madzi omwe atayika ndikuletsa kuti zinthu zisakulireko.

Kuphatikiza apo, ndikofunikira kuti chomwe chimayambitsa mantha chizidziwike, chifukwa nkutheka kuti chithandizochi chimalimbikitsidwa kwambiri ndi chomwe chimayambitsa ndipo kutayika kwa magazi ndi madzi ambiri zitha kupewedwa.

Imfa yoyambitsidwa ndi mantha osokoneza bongo imachitika kokha ngati kuchuluka kwa magazi ndi madzimadzi omwe atayika amafanana ndi 1/5 ya kuchuluka kwathunthu kwa magazi mwa munthu, zomwe zikutanthauza kuti, pafupifupi 1 litre magazi.

Chithandizo choyamba chodzidzimutsa

Kudandaula kwadzidzidzi ndi vuto ladzidzidzi lomwe liyenera kuthandizidwa mwachangu. Chifukwa chake, ngati pali kukayikirana, ndichifukwa cha:

1. Itanani azachipatala mwachangu, kuitana 192;
2. Gonekani munthuyo pansi ndikukweza mapazi ake pafupifupi masentimita 30, kapena okwanira kuti akhale pamwamba pamlingo wamtima;
3. Apatseni munthuyo kutenthapogwiritsa ntchito zofunda kapena zovala.

Ngati pali bala lomwe likutuluka magazi, ndikofunikira kuyesa kuletsa kutuluka kwa magazi pogwiritsa ntchito nsalu yoyera ndikuyika kupanikizika pamalowo, kuti muchepetse kutaya magazi ndikulola nthawi yayitali kuti gulu lachipatala lifike.