Ezinye ukothuka kunye neziphumo zawo

Ezinye yothuse kubonakala kwimizuzu embalwa yokuqala xa kubhalwa kwiqela igazi lomntu ezingahambelaniyo. Le meko luphawulwa ukugungxula yobuso, ukwanda izinga intliziyo, ukuphelelwa umoya, iyawa uxinzelelo lwegazi, ukuphazamiseka kwenkqubo sentliziyo, ukulahlekelwa sezingqondweni kunye nokukhutshwa ngokuzenzekelayo umchamo kunye ngendle.

Ubangelwa post-gazi kukothuka

Ezinye kukothuka kwenzeka xa engahambelaniyo ukutofelwa igazi, ukuba iqela, RH into, okanye ezinye iimpawu isoserological zaye zachongwa ngokungachanekanga. Kwakhona, lo ukothuka ezinokubangelwa ukutofelwa igazi engahambelaniyo kwiimeko apho:

• ayikaqondwa kwimeko yomguli;
• Igazi esetyenziselwa yokulitofela yi onganeno;
• ukungavumelani kwenzeka yomamkeli kunye nalowo iiprothini.

igazi athuke

Kwiimeko ezininzi, ngoko nangoko emva kokuba unyango imeko yesigulane yaphucuka okwethutyana, kodwa kamva ephawulwe indlela umonakalo omkhulu nezintso nomhlehlo wesibindi, nto leyo edla kuphelela ekufeni. kwekhono renal sikhatshwe yimbonakalo umchamo igazi, ukwehliswa kunye kumiwe ngokupheleleyo ukuchama. Kungenzeka kwakhona ukuba bagcine ukubonakala iimpawu hemolysis intravascular kunye nokuphazamiseka oyingozi sezintso.

Ngokuxhomekeke kwinqanaba ingcinezelo yomguli, kukho amanyathelo amathathu bothukile post:

• 1st - uxinzelelo kwi-90 mm HG. Inqaku.;
• 2 - up to 70 mm HG. Inqaku.;
• 3rd - ngaphantsi kwe-70 mm HG. Art.

The degree of ubuzaza igazi ukothuka kunye neziphumo zayo zixhomekeke ngqo kwi sifo, yesigulane imeko, ubudala, zomzimba kunye nesixa igazi.

Emergency Care lutofelo kukothuka

Ngophuhliso igazi yomguli zilandelayo athuka uncedo lokuqala kufuneka:

1. Intshayelelo sympatholytic corticosteroids sentliziyo kunye antihistamines, neoksijini ukurhogele.
2. Poliglyukina ukutofelwa, iqela yegazi we idosi ezifanelekileyo 250-500 ml plasma, okanye ubungakanani. Ukuqaliswa isisombululo-5% of yesoda okanye isisombululo sodium zincancise -11% kwi-mali ka-200-250 ml.
3. Kidney sided ukuvimba novocaine ngu Vishnevskomu A. V. (ukuqaliswa umxube novocaine 0.25-0.5% kwi-mali ka 60-100 ml).

Kwiimeko ezininzi, amanyathelo okulwa kukothuka kukhokelela ekuphuculweni imeko yesigulane.

Unyango wegazi igazi kukothuka

Kodwa owona mdlalo wosuku uza ukutofelwa kutshintshiselwano antishock njengoko arhente kakhulu kwezonyango, unako ukuthintela umonakalo sezintso kwi iingxaki kusekwangoko. Exchange igazi senziwa kuphela emva kokuba uviwo ngokucokisekileyo abanikelayo kunye umamkeli. Ngenxa yale nkqubo, sebenzisa kuphela igazi entsha xa kukho umthamo 1500-2000 ml.

Ezinye kukothuka kwinqanaba etsolo kufuna unyango ngoko nangoko. Ngophuhliso anuria kunye azotemia ngoku esetyenziswa ngempumelelo isixhobo "kidney ngumntu", apho igazi yomguli ukuba icocwe le mveliso zinetyhefu.