Decompensated shock: wadanne ne mafita cikin gaggawa?
Me zai faru lokacin da jiki bai sami ikon ci gaba da matsa lamba a jikinsa ba kuma ana zargin gigin lalacewa? Abubuwa masu mahimmanci ba su da ƙanshin wuta kuma yana iya ɗaukar haƙuri zuwa mutuwa.
Tare da rawar jiki mai rama, jiki yana da ikon kula da karfin jini. Koyaya, yayin da girgiza take ƙaruwa, jikin ɗan Adam ya sami ikon ci gaba. A wannan lokacin, an daina sarrafa turaren gabobi masu mahimmanci. Bayyanar cututtukan gigicewa sun hada da:
- Pressureaddamar da karfin jini (systolic count of 90 mm Hg ko ƙaramin cikin manya).
- Tachycardia da tachypnea.
- Karancin fitar fitsari.
- Rashin aiki mai wahala da maras aiki.
- Ba shi da rauni, gaba ko kuma rashi yankin yanki.
- Ashy ko pyanotic pallor.
- Rage zafin jiki.
- Rage hankali.
- Pupilsaliban da aka haɗa su.
Tare da girgiza banɗaki, yana da mahimmanci don buƙatar matakan ci gaba na rayuwa don haƙuri ga mai haƙuri. Ya kamata a bayar da fifikon kulawa da kulawar hanyar jirgin sama da kulawa da musabbabin musabbabin girgiza.
Ragewar saukar karfin jini yawanci alamu ne na rauni a ƙarshen zamani kuma magani ya kamata ya fara kyau kafin a gano wannan. Idan har yanzu yanayin ba a kula da shi ba, zai ci gaba cikin rawar jiki da ba za a iya canzawa ba, wanda daga karshe yakan haifar da mutuwar mai haƙuri.
Decompensated girgiza magani
Mabuɗin don ma'amala da rawar jiki yadda ya dace shine amsa mai sauri. Idan har za a iya magance ta kafin a kai ga matakin lalatacce, to hakan yana da kyau. A cikin yawancin halaye masu barazanar rayuwa, ci gaban girgiza yana buƙatar tsammani.
Yawancin masu ba da agajin likita za su koma zuwa "lokacin gwal" ko "lokacin zinari", taga wanda ya kamata a bayar da kulawa da wuri-wuri, kuma idan ya yi nasara, mara lafiya ba zai ɗan sami wani lahani na dindindin ba. Wannan yana buƙatar kimantawa mai haƙuri da sauri don jigilar marasa lafiya zuwa wurin tashin hankali.
Oxygen don gigicewa girgiza
Za'a iya samar da ƙarin oxygen idan an rage matakan oxygen a cikin jini; Faungiyar Lalacewar Zuciya ta Amurka, duk da haka, tana ba da shawara game da yin amfani da shi ta yau da kullun.
Decompensated girgiza magani
Maganin farko na girgiza mai lalacewa gabaɗaya yana da haɗarin vasodilator kamar nitroglycerin, maganin madauki kamar furosemide, da kuma iska mai ƙarfi mara ƙarfi (NIPPV).
Ana buƙatar haɗuwa da magunguna daban-daban ga mutanen da ke fuskantar irin wannan rashin zuciya. Magungunan da aka fi bayar da shawarar a irin waɗannan lokuta sun haɗa da masu hana ACE, vasodilators, beta-blockers, asfirin, masu amfani da allurar tashoshi, da magungunan rage ƙwaƙwalwar ƙwayar cuta, ciki har da statins. Ya danganta da irin lalacewar zuciya da fuskokin mai haƙuri da kuma dalilin dalilin bugun zuciya, kowane irin waɗannan nau'ikan magungunan ko kuma haɗin gungun za'a iya zaɓar dasu.
Marasa lafiya waɗanda ke da matsalolin yin famfo na zuciya za su iya haɗuwa da magunguna daban-daban fiye da waɗanda ke shiga matsaloli tare da ƙarfin zuciyar cika ta daidai lokacin diastole.
Surgery a cikin decompensated gigice
Idan an buƙata, likitocin sun ba da shawarar a yi tiyata don magance matsalar rashin ƙarfi da ke haifar da rashin zuciya. Akwai magani da yawa don yanayin, dangane da matakin buƙata kuma sun haɗa da jijiyoyin jijiyoyin zuciya jiyya, tiyatar zuciya ko sauyawa, ko sauyawar zuciya.
A yayin waɗannan ayyukan tiyata, ana iya shigar da naúrorin kamar su bugun zuciya, masu bugun zuciya, ko masu ɓoye abubuwa a jikin mai haƙuri. Kula da matsalolin zuciya na canzawa cikin hanzari, kuma ana shigo da sabbin hanyoyin kwantar da hankali don lalacewar cututtukan zuciya don ceton rayuka da yawa daga wannan mummunan harin.