Ukopha - yintoni na le nto? Oonobangela kunye nonyango Ukopha ebuchotsheni

Ukopha - is hemorrhages ngegalelo ubukhali kwiindawo ezahlukeneyo zomzimba. Unobangela wale sifo kukhonza ukungaqheleki ngaphandle kunye nezo ziphuma ngaphakathi. Amaxesha amaninzi hemorrhages zibonakaliswa ukuqokelelela igazi ngaphakathi izihlunu, kodwa ke kukho iimeko wegazi imveliso yemeko ezisingqongileyo.

Kutheni hemorrhages apho?

Unobangela nokopha likholisa permeability eliphezulu udonga inqanawa, okanye ukuhlukunyezwa. Yokophula ingqibelelo isikepe ngenxa yokulimala koomatshini. Isizathu apho igazi engena iindonga imithambo yegazi zezi:

-vrozhdennye izifo genetic (zegazi);

-priobretennaya inkqubo krovenoskoy ngezifo (trombotsitopaty, kakuhle igazi ekunqandeni, DIC kunye ukopha vasculitis);

uhlobo dermatological -zabolevaniya, ezifana ukhwekhwe kunye dermatoses ezingapheliyo.

Phantse zonke iintlobo hemorrhages abe nolwalamano olusondeleyo imeko ngokwasengqondweni, ukudandatheka kunye neziyobisi hormone.

Iintlobo kwiimbangi legazi

Kuxhomekeka ezibangela legazi ziye zohlulwa ngokwendidi ezintathu:

-krovotechenie ezivele ngenxa yokulimala ngoomatshini sitya;

-krovotechenie ezivele kwi ngento ukunciphisa Ebubanzini bodonga ngesitya;

· Ukopha kubangelwa isitya igazi udonga ingqibelelo ukungathobeli ngenxa utyhileko iikhemikhali ezithile okanye izifo.

Iintlobo hemorrhages yi indawo

Yokopha lungohlulwa lube:

· Lwangaphakathi (ukopha ancedisana amalungu);

· Wangaphandle;

· Parenchymal (opha inwebu Uyila amalungu);

· Arterial (outflow olumandla igazi kwemithambo yonakele);

· Lwemithambo (ukopha ukuzola emithanjeni yonakele);

· Capillary (ukopha empahleni ezincinane).

Eyona eziphambili Iimpawu ezophayo yangaphakathi

Zokubonisa yokopha ixhomekeka kuhlobo ukopha kunye kwasendaweni yayo. Ngelo xesha, njengoko ukopha lwangaphandle ukufumanisa impela nje, ukopha ngaphakathi badla. Chonga kunokuba ube eziliqela iimpawu ezithile, ezifana:

• umkhuhlane jikelele;
• isiyezi kunye niphele;
• pallor nemvelo kwesikhumba;
• silale, ukozela;
• tachycardia;
• ukwehlisa uxinzelelo lwegazi.

Ezi mpawu eziqhelekileyo ukopha lwangaphakathi. Kukho eziliqela iimpawu ezithile iimpawu kweentlobo ezithile hemorrhages.

Yokopha kuyo inaliti. Yintoni na?

Amaxesha amaninzi, emva kokuba inaliti kwi unyango iingxaki zenzeka. Kubangela intramuscular Inaliti legazi - ezophayo yendawo ezenzeka ngenxa yomonakalo inyama. Ngokuqhelekileyo, ngokuhamba kwexesha amabala igazi okwenza uqobo, kodwa kwezinye iimeko, ugqirha umisela ulwamkelo iziyobisi yamanzi-emanzini. Ukopha ngenxa isitofu efakwa kwenzeka ngenxa lihlaba ngokusebenzisa inqanawa yaye ngokucacileyo wavakalisa njengoko zitofu zibe esihlunwini.

Kutheni kukho dermal yokopha?

Kwiimeko ezininzi, hemorrhages eluswini kuvela ngenxa yokopha okanye ezizeni igazi isitya eludongeni kwi ijwabu esikhumbeni. Bona zikhangeleka amabala ligazi ibala lolusu. Kulo lonke ixesha sifo legazi eluswini badla ukutshintsha umbala obomvu oqaqambileyo ukuya zana-mthubi. unyango olulodwa kule meko unganikezelwanga. Ekuhambeni kwexesha, aba amabala ukusombulula ngokwabo. Phakathi kwesikhumba hemorrhages ziquka hematoma.

Hemorrhages ye phecana zesisu

Kwimeko lwemizimba ukopha boyise emathunjini basoloko ekuthiwa submucosal legazi. Olu hlobo ukopha kakhulu yingozi, kuba ixesha ithande ukuba flow ngaphandle naziphi na iimpawu ezibonakalayo. Umntu senze olu hlobo ukopha kwindawo yokuqala ukuvela oluthile, isicaphucaphu elimsulwa, ukuba nesiyezi. Kulo mzekelo, isigulane kufuneka ibe phantsi ngenyameko ngugqirha kwaye iwise unyango echongiweyo.

Kutheni yokopha eyingozi?

Yokopha - into kunokuba obungena. namandla aso kuxhomekeka kwindawo kwenxalenye ezonakeleyo amandla ukopha. Kwaye nangona iingozi ezincinane ezinjalo ngokuqhelekileyo ukusombulula ngokwabo, kukho iimeko apho legazi indawo amathumba ezifuna ungenelelo yotyando. Ngamanye amaxesha ukopha unako ukutshabalalisa izihlunu, leyo nayo nemiphumela emibi kakhulu. Kulo mzekelo, kuyingozi kakhulu ukopha ebuchotsheni, imiphunga kunye nentliziyo.

Yeyiphi ugqirha ukuya?

Enoba uhlobo legazi khange, izinto zabo kufuneka inokuchazwa ngokukhawuleza kangangoko kunokwenzeka. Le ngxaki kuya kukunceda uqonde ugqirha wakho zokhathelelo ezingundoqo, kwakunye oogqirha abaninzi iprofayile emxinwa, ezifana segazi, i endocrinologist, wesikhumba okanye izifo ezosulelayo.

Njani na isifo? diagnosis eyiyo

Ugqirha angase wena uyayazi emva kokuhlolwa. Kodwa ke kuya kufuneka ukuba uthathe ukuxilongwa ngakumbi epheleleyo wegazi nokuhlola amahlwili yayo (coagulation). Kwezinye iimeko, ugqirha wakho angagqiba ekubeni aqhube iinkcubeko igazi, yaye sele ngokusekelwe kwezi zifundo ukusombulula le ngxaki kunye nonyango.

uncedo lokuqala ukuba ukopha

Njengoko sele sibonile, legazi - ukuvuza legazi imithambo yegazi ngenxa yokwenzakala zabo. Ngoko ke into yokuqala ungenza ntoni ukopha okuncinane - lusetyenziswa owenzakeleyo indawo into ebandayo ukunceda ukunciphisa amandla ukopha. uncedo olungaphezulu kufanele kwenziwe ngokuxhomekeke kuhlobo ukopha.

ukopha lwemithambo lula kuchongwa umbala igazi oluvuzayo - kuba eBurgundy emnyama ebomvu. flow kwegazi okunjalo kancinci kodwa ngokuqhubekayo. uncedo lokuqala ngokubi - a tourniquet ezantsi 10-15 cm ukusuka inxeba, kunye ibotshwe tight. Qiniseka ukuba ufuna ukuphawula ixesha, tourniquet, ebeka iphepha ziyaphawulwa ngokuzibhala nokubekwa kwexesha. Ukuba inxeba encinane, endaweni awayezinxibile azisongele inxeba ukunxiba njengokuba izitya lwemithambo bayakwazi awe kunye self-lutshixo lusetyenziswayo.

lwemithambo ukopha

Yohluka ukusuka Kwangale. Igazi enxebeni of umbala obomvu kunye nesingqi umthombo. Kuyimfuneko ukuba isicelo ngoko nangoko a tourniquet, njengoko non-stop ezophayo umntu kufela nje umzuzu. Tourniquet ngaphezu inxeba inokuwisa 10-15 cm, yaye inxeba kuyimfuneko ukuba ifakwe umhlabelo. Ikwenze ngaphezulu iiyure 1-2. Ngalo eli xesha, oko kuyimfuneko ukuthoba kancinane imizuzu 3-5 na, ukuze protsirkulirovala igazi Kakade, kungenjalo igazi amileyo oluhlala ubuthi ukususa yokubopha umntu ubaleka ubungozi yokothuka ufe.

Ke ukuba ukopha capillary, ukuba akukho ingozi enkulu (ngaphandle nokwenzakala abantu igazi ekunqandeni kakuhle). Kulo mzekelo, inxeba kufuneka aphathwe wabopha.

Kwakhona ukuyeka ukopha loo Angasebenzisa hemostatic zangaphambili njenge "Tseloksa" yaye "Gemostopa". granules umgubo ukunceda ukunciphisa igazi, ukudala okwimo zejeli. Kodwa ke ukunyanga amanxeba ezinjalo ziya kuba nzima.

wopha lwangaphakathi yenye yeyona nto inzima: apha kuyimfuneko ukuba uye esibhedlele. Kwisiza zinokusetyenziswa kuphela kubanda kwindawo isibetho uthumele ixhoba ukuya esibhedlele ngoko nangoko okanye umnxeba "yezigulane." De kufike ugqirha isigulane kufuneka ibe kwindawo ezolileyo kwaye ushukume kancinci kangangoko.

Indlela lahla hemorrhages

unyango ukopha lwenziwa emva kokuba axilongwe ngokucokisekileyo. Xa kufunyaniswa isifo kwaye kokuqala unyango ugqirha kufuneka athathe ingqalelo into yokuba ezinye iintlobo sifo baba iingxaki ezingemnandi. Kungenxa yoko le nto zonke nqanaba unyango kufuneka kwenzeke phantsi kweliso zonyango. Xa iingxaki ezinokuvela iinkqubo ukudumba ukuba kwezinye iimeko bade kukhokelela ekufeni.

Ukuze ukuba mandundu le ngxaki, kufuneka ngoko nangoko ufune uncedo lonyango. Kwaba kuphela emva ukurhoxiswa lokugqibela ugqirha oqeshwe yi unyango.

Kuxhomekeka imeko yesigulane, hemorrhages kunye nefomu clinical loluthando iingxaki ukucwangcisa ngokufaneleka iingxaki zonyango iziyobisi. Umzekelo, zisetyenziswa ngamayeza encinane legazi ongama. Kodwa xa isikhumba hemorrhages ubungakanani ezinkulu ukusebenzisa unyango mlonyeni ngokohlobo lwesicelo se lweeHedfowuni okanye troksevazinovoy ngamafutha kwezi ndawo zichaphazelekayo kabini ngemini.