ʻO ka hemorrhage i loko: wehewehe, nā kumu, nā hōʻailona, ka hōʻoia, ke kaumaha, ka mālama ʻana
ʻO ka hemorrhage i loko (ka hemorrhage i loko a i ʻole 'internal bleeding') i ka lāʻau lapaʻau e pili ana i kahi ʻano hemorrhage kahi e kahe ai ke koko mai kahi kīʻaha koko a i ʻole mai ka puʻuwai, a hiki ke hōʻiliʻili i loko o ke kino.
ʻO kēia ke ʻano nui e hoʻokaʻawale ai i ka hemorrhage waho mai ka hemorrhage 'loko': i ka hihia hope, kahe ke koko mai kahi kīʻaha koko, kahe i waho o ke kino.
ʻO nā hiʻohiʻona maʻamau o ka hemorrhage kūloko:
- nā hemorrhages o ka ʻōpū: pili i kekahi ʻāpana o ka ʻāpana ʻōpū, ʻo ia hoʻi, esophagus, ʻōpū, duodenum, ʻōpū liʻiliʻi, colon-rectum a me anus;
- haemoperitoneum: ka hemorrhage i loko o ka peritoneum;
- haemopericardium: ka hemorrhage ma waena o nā lau pericardial ʻelua;
- haemothorax: ka nui o ka pleural hemorrhage.
Nā kumu o ka hemorrhage i loko
Hiki ke hoʻoulu ʻia ka hemorrhage i loko ma muli o ka hōʻeha ʻana i ke aʻa a i ʻole ke aʻa.
ʻO ka ʻeha o ka moku ma muli o ka nui o nā maʻi a me nā kūlana.
Hiki pinepine mai ka hemorrhage i loko, no ka la'ana, ma muli o ka hopena o ka ulia pōpilikia, e like me ka decelerations hikiwawe i loa'a i loko o kahi ulia ka'a.
ʻO nā kumu e alakaʻi ai i ka hemorrhage kūloko he nui:
- nahaha o ka moku i ka eha;
- ke kahe ʻana o ke koko mai ka moku;
- ʻinoʻino o nā hale pili o ka moku ma muli o ka pōʻino o ka pā.
Hiki i kēia mau hanana ke kumu a/a i hoʻoikaika ʻia e nā kumu like ʻole, me:
- nā ʻeha o nā ʻano like ʻole, e like me nā ulia kaʻa, nā ʻeha pū, nā ʻeha ʻeha, ʻeha ʻeha i nā mea ʻoi, ʻoki ʻia, haʻi ʻia o ka iwi hoʻokahi a ʻoi aku paha;
- nā maʻi aʻa koko, e laʻa me vasculitis, atherosclerosis, dissection a i ʻole aneurysm me ka haki ʻana;
- nā maʻi maʻi cardiovascular: hiki i ka piʻi ʻana o ka hypertension arterial, no ka laʻana, ke hōʻeha i kahi kīʻaha koko i nāwaliwali ʻia e kekahi pathology;
- nā ʻano like ʻole o nā maʻi viral, bacteria a parasitic, e like me nā mea i hana ʻia e ka maʻi Ebola a i ʻole ka maʻi maʻi Marburg;
- coagulopathies, ʻo ia hoʻi nā maʻi hoʻopaʻa koko;
- nā ʻano maʻi maʻi ʻaʻai like ʻole, e laʻa me ka colorectal, ka māmā, ka prostate, ka ate, ka pancreas, ka lolo a i ʻole ka maʻi maʻi ʻaʻai;
- ka loaʻa ʻana o ka maʻi ʻeha, e laʻa me ka maʻi ʻōpū o ka ʻōpū;
- ʻokiʻoki: ʻeha o ka moku koko ma muli o ka hewa o ke kauka.
Hiki ke hoʻoikaika ʻia ka hemorrhage kūloko e:
- malnutrition ma ka pa'amau;
- scurvy;
- ka thrombocytopenia autoimmune;
- hāpai keiki ectopic;
- ʻinoʻino ka hypothermia;
- ʻōkena ovarian;
- nele i ka huaora K;
- hemophilia;
- nā lāʻau lapaʻau.
Nā hōʻailona a me nā hōʻailona o ke koko o loko
I ka hihia o ka hemorrhage i loko, hiki ke ʻano like ʻole nā hōʻailona a me nā hōʻailona ma muli o ke ʻano, wahi a me ka paʻakikī o ke kahe koko.
Hiki i nā hōʻailona a me nā hōʻailona o ka hemorrhage i loko
- ʻeha ma kahi o ka ʻeha vascular
- ʻeleʻele;
- arterial hypotension (hoʻemi i ke koko);
- ʻO ka tachycardia hoʻopiʻi mua (ka piʻi ʻana o ka puʻuwai puʻuwai, i ka wā mua e hoʻāʻo e uku no ka nalowale o ke kaomi);
- bradycardia holomua (ka emi ʻana o ka puʻuwai puʻuwai);
- tachypnoea mua (hoʻonui i ka hanu hanu);
- bradypnoea holomua (e emi ana ka hanu hanu);
- dyspnoea (ea pololi);
- ka hōʻemi ʻana o ka diuresis;
- hiamoe;
- nalowale o ka ike (maule);
- nalo o ka noʻonoʻo;
- nāwaliwali;
- hopohopo;
- amnesia;
- make wai ikaika;
- ʻikeʻia ka hihiʻo;
- hypothermia (e emi ana ka mahana o ke kino);
- ka manao o ke anu;
- ka hou anu;
- haʻalulu;
- malaise laulā;
- manaʻo huikau;
- anemia;
- nā mea nui;
- nā mea ʻino ʻole o ka ʻōnaehana nerve (ke kaʻa a me / a i ʻole ka sensory deficits);
- anuria;
- ka haʻalulu hemorrhagic hypovolemic;
- koma;
- make.
ʻO ke kaumaha o ka hemorrhage
ʻO ka paʻakikī o ka hemorrhage e pili ana i nā kumu pilikino he nui (ka makahiki o ka mea maʻi, ke kūlana maʻamau, ka hele ʻana o nā pathologies, a me nā mea ʻē aʻe), ke kahua o ka hemorrhage, pehea ka wikiwiki o ke kauka a ʻoi aku ka nui o ke koko i nalowale.
ʻO nā hōʻailona haʻahaʻa loa (ka hoʻoulu ʻana o ka psychic me ka piʻi iki o ka hanu hanu) hiki ke kahe koko liʻiliʻi, a hiki i 750 ml i nā pākeke.
E hoʻomanaʻo ʻo ka nui o ke koko e kahe ana i kahi kanaka makua olakino ma waena o 4.5 a me 5.5 lita.
Inā ma waena o 1 a me 1.5 lita ke kahe o ke koko i kahi kanaka makua, ʻoi aku ka nui o nā hōʻailona: nāwaliwali, make wai, hopohopo, ʻike maka a me ka piʻi ʻana o ka hanu hanu, akā naʻe - inā pau ke koko - ʻaʻole pilikia ke ola o ka mea maʻi. .
Inā kokoke ka nui o ke koko i nalowale i ka 2 lita i ka poʻe mākua, hiki mai ka dizziness, huikau a me ka nalowale o ka ʻike.
ʻOiai i kēia hihia, inā hana ʻia ka hana i ka manawa, ola mau ka mea maʻi.
Me nā pohō ʻoi aku ma mua o 2 lita i nā pākeke, hiki ke coma a me ka make mai ka exsanguination.
Me ka pohō ʻoi aku ma mua o 2 lita, hiki ke ola ka mea maʻi inā hoʻōki koke ke koko a hoʻokomo ʻia ke koko.
Hoʻemi ʻia kēia mau waiwai inā he keiki ka mea maʻi.
lapaʻau
Inā loa'a ka ma'i koko koko nui, pono e hana koke 'ia ka lā'au no ka pale 'ana i ka make o ka mea ma'i.
ʻO ka lāʻau mua ʻo ia ka hoʻoemi ʻana i luna o ka wahi rupture o kahi kīʻaha koko, ʻaʻole pono e wehe ʻia i ʻole e nalowale ka pōmaikaʻi o ke kaʻina hana clotting.
ʻO ka lāʻau lapaʻau he ʻokiʻoki: pono ke kauā vascular i ke kiʻekiʻe o ka lesion e hoʻoponopono ai.
Pono e pale ʻia ka hypovolemia a me ka hypothermia me ka hoʻokomo hou ʻana i ke koko a me nā wai.
E heluhelu pū nō hoʻi:
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