Zolakwika zofala kwambiri za oyankha poyambirira pa wodwala yemwe akhudzidwa ndi mantha?
Kusokonezeka ndi chikhalidwe chimene chimapezeka chifukwa cha kusakwanira kwa magazi m'mthupi. Ndi chiopsezo chowopsya chomwe chimapangitsa njira zowonjezera komanso njira zopulumutsa moyo.
Popereka thandizo kwa opirira ndi mantha, zolinga zachipatala zimachokera ku Mtengo wa ABCDE njira. Mu kuyenda ndi kupuma, kuperekedwa kwa oxygen ayenera kupitsidwanso ndi kuonetsetsa kuti mpweya wokwanira uli wokwanira komanso wosavomerezeka. M'kuzungulira, magazi ayenera kubwezeretsedwa kusungunuka kwa madzi ndi kulamulira zina magazi. Pambuyo pake, nkhawa zokhudzana ndi kulemala ndi kufotokozedwa zimatengedwa monga zotsatira zofunika.
In zochitika zadzidzidzi, oyankha akupereka Njira zoyenera zomwe zingathandize kupewa kuvulazidwa, komanso kutumiza munthu wodwala kuchipatala mofulumira. Zowonongeka kwambiri zomwe oyankha woyamba angachite kuti athandize wodwala akudabwa angakhale kuchokera kudzifufuza nokha; chifukwa chake, matenda oyenerera ndi kasamalidwe sangathe kuchitidwa monga zotsatira.
Pakhoza kukhalapo zifukwa zambiri zowopsya, zitha kukhala chifukwa cha anaphylaxis, hypovolemia, sepsis, neurogenic kapena cardiogenic. Zina mwa zolakwitsa zomwe owayankha mwadzidzidzi pochiza odwala omwe ali ndi vuto ladzidzidzi ndi monga:
Kufufuza kosakwanira kwa zizindikiro zofunikira ndi maonekedwe ena a mantha
Pali zochitika momwe akatswiri azaumoyo amakonda kuyang'ana kuthamanga kwa magazi kokha ngati chisonyezo cha mantha. Izi zikutanthauza kuti magazi akakhala abwinobwino, pamakhala munthu wokayikira.
Zizindikiro zake zakukhumudwa zimawonetsa kuchepa kwa magazi (kuthamanga kwa magazi), kuthamanga kwa mtima (tachycardia), komanso kupuma kwamphamvu (tachypnea). Nthawi zina, kuthana ndi magazi a munthu wovutikayo kungaoneke ngati kwabwinobwino komwe kungasonyeze kuti zamatsenga zimachitika.
Dokotala amayenera kufufuza kwambiri, kupatulapo kutentha ndi kupuma kwa magazi, ndi kuthamanga kwa magazi. Mwachitsanzo, woyankhayo angadziwe zizindikiro zosokoneza maganizo ndi kusintha maganizo, zomwe zimapangitsa kuti asamangidwe bwino.
Kulephera kupereka mankhwala opha tizilombo tikamakhala osokonezeka
Osati onse oyamba atha kukwanitsa kupereka mankhwala osokoneza bongo. Pambuyo pake, mankhwala opha maantibayotiki amangoyambitsidwa kuchipatala kapena ngakhale atatsimikiziridwa ndikuwopsezedwa kwa septic kudzera mu mayeso ozindikira, omwe mwachiwonekere sanalakwe.
Kugwedezeka kwa Septic ndimkhalidwe wowopsa womwe umafunika kuthandizidwa mwachangu. Monga sepsis, amaganiziridwa, ndizowonetsa kuti mankhwala opha maantibayotiki amayambitsidwa mkati mwa ola limodzi kapena mwachangu momwe mungathere. Kulephera kupereka maantibayotiki mwachangu kumaganizidwanso ndi lamulo ngati chithandizo chamankhwala chosasamala.
Kuyamba kwa vasopressors, monga epinephrine, popanda kuonetsetsa kuti madzi okwanira amatha
Panthawi yachisokonezo, kuchepa kwa kuthamanga kwa magazi mwa ozunzidwa nthawi zambiri kumalimbikitsa anthu oyankha mofulumira kuti apereke opaleshoni kuti apitirize kuthamanga kwambiri. Komabe, kuyambitsidwa kwa kuponderezedwa kwa wodwala ndi kuchepa kwa madzi akumwa sikoyenera. Malinga ndi PulmCCM, kukonzanso madzi okwanira kapena osakaniza osachepera 30ml / kg ya crystalloids (pafupifupi 1500-3000ml) ayenera kuchitidwa kwa odwala ambiri asanayambe kulamulira a vasopressors.
Mlembi:
Michael Gerard Sayson
Namwino Wovomerezeka ndi Bachelor of Science mu Nursing Degree kuchokera ku University of Saint Louis ndi Master of Science mu Nursing Degree, Major mu Nursing Administration and Management. Authored 2 thesis papers and co -uthored 3. Kuchita namwino ntchito yopitilira zaka 5 tsopano ndi chisamaliro chamankhwala chachindunji komanso chosadziwika.
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