Kodi mantha a neurogenic ndi chiyani, ndi zizindikiro ziti komanso momwe mungachiritsire

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse mantha a neurogenic
• Momwe mankhwalawa amachitikira

Neurogenic mantha amachitika pakakhala kulumikizana pakati pa ubongo ndi thupi, kupangitsa mitsempha yamagazi kutaya kamvekedwe kake ndikuchepetsedwa, kupangitsa kuti kuyenda kwa magazi mthupi lonse kukhale kovuta komanso kutsitsa kuthamanga kwa magazi. Izi zikachitika, ziwalo zimasiya kulandira mpweya wofunikirayo, chifukwa chake, zimalephera kugwira ntchito, ndikupanga zoopsa pamoyo wawo.

Kugwedezeka kwamtunduwu kumachitika pafupipafupi pangozi zapamsewu ndi kugwa, mwachitsanzo, ngati pali vuto la msana, komabe, limatha kukhalanso chifukwa cha zovuta zamaubongo, mwachitsanzo.

Chifukwa chake, ngati pali kukayikiridwa ndi mantha a neurogenic ndikofunikira kwambiri kupita mwachangu kuchipinda chadzidzidzi kapena kuyimbira chithandizo chamankhwala, kuyimbira 192, kuti chithandizo choyenera chikhoza kuyambika, popeza izi ndi zomwe zimaika thanzi la munthu pachiwopsezo. , zomwe zingayambitse kuwonongeka kosatha kapena kupha kumene. Chithandizo chimachitidwa ku ICU ndikuyika mankhwala molunjika mumtsempha.

Zizindikiro zazikulu

Zizindikiro ziwiri zoyambirira zadzidzidzi za neurogenic ndikuchepa mwachangu kwa kuthamanga kwa magazi komanso kuchepa kwa kugunda kwa mtima. Komabe, zizindikilo zina ndizofala, monga:

• Kuchepetsa kutentha kwa thupi, pansi pa 35.5ºC;
• Kupuma mofulumira komanso kosazama;
• Khungu lozizira, labuluu;
• Chizungulire ndikumva kukomoka;
• Thukuta lopambanitsa;
• Kusakhala ndi yankho pazokopa;
• Kusintha kwa malingaliro;
• Kuchepetsa kapena kusowa kwa mkodzo;
• Kusadziŵa kanthu;
• Kupweteka pachifuwa.

Kuchuluka kwa zizindikilo nthawi zambiri kumawonjezeka kutengera kuvulala komwe kudadzetsa mantha, ndipo pankhani ya mikango pamsana, pomwe msana umakhala waukulu, zizindikilozo zimakhala zowopsa kwambiri.

Pali mitundu ina ya mantha yomwe ingayambitsenso zizindikilo zamtunduwu, monga septic shock kapena cardiogenic shock. Komabe, mulimonsemo, nthawi zonse kumakhala kofunika kupita kuchipatala mwachangu kukayamba chithandizo.

Zomwe zingayambitse mantha a neurogenic

Zomwe zimayambitsa mantha am'mitsempha ndizomwe zimachitika kuvulala kwamtsempha, chifukwa chakumenya mwamphamvu kumbuyo kapena ngozi zapamsewu, mwachitsanzo.

Komabe, kugwiritsa ntchito njira yolakwika yochizira matenda opatsirana m'chipatala kapena kugwiritsa ntchito mankhwala kapena mankhwala omwe amakhudza dongosolo lamanjenje amathanso kukhala amanjenjemera.

Momwe mankhwalawa amachitikira

Chithandizo cha mantha a neurogenic chiyenera kuyambika posachedwa kuti tipewe zovuta zowopsa pamoyo. Chifukwa chake, chithandizo chitha kuyambika pomwepo mchipinda chodzidzimutsa, koma kenako chikuyenera kupitilizidwa ku ICU kuti azitha kuwunika zizindikilo zofunika. Mitundu ina yamankhwala ndi monga:

• Kutha mphamvu: imagwiritsidwa ntchito ngati kuvulaza kumachitika msana, kuti itetezeke kwambiri ndimayendedwe;
• Kugwiritsa ntchito seramu mwachindunji mumtsempha: amalola kuwonjezera kuchuluka kwa madzi m'thupi ndikuwongolera kuthamanga kwa magazi;
• Utsogoleri wa Atropine: mankhwala omwe amakulitsa kugunda kwa mtima, ngati mtima wakhudzidwa;
• Kugwiritsa ntchito epinephrine kapena ephedrine: Pamodzi ndi seramu, amathandizira kuwongolera kuthamanga kwa magazi;
• Kugwiritsa ntchito corticosteroids, monga methylprednisolone: ​​kuthandizira kuchepetsa zovuta za kuvulala kwamitsempha.

Kuphatikiza apo, ngati pachitika ngozi, amafunikanso opaleshoni kuti athetse vutolo.

Chifukwa chake, chithandizocho chimatha kuyambira sabata limodzi mpaka miyezi ingapo, kutengera mtundu wovulala komanso kuopsa kwa vutolo. Pambuyo pokhazikitsa zizindikilo zofunikira ndikubwezeretsa mantha, nthawi zambiri pamafunika kuchita masewera olimbitsa thupi kuti mupezenso mphamvu zamankhwala kapena kuti muzolowere magwiridwe antchito atsiku ndi tsiku.