Internal hemorrhage: tsanangudzo, zvinokonzera, zviratidzo, kuongororwa, kuoma, kurapwa
Internal hemorrhage (internal hemorrhage kana 'internal bleeding') mumishonga zvinoreva rudzi rwekubuda ropa uko ropa, richibuda kubva mutsinga yeropa kana kubva pamoyo, richibuda uye rinogona kuungana mukati memuviri.
Ichi ndicho chimiro chikuru chinosiyanisa kubuda kwekunze kubva kune 'mukati' kubuda ropa: muchiitiko chekupedzisira, ropa, rinobuda kubva mutsinga yeropa, rinorauka kunze kwemuviri.
Mienzaniso yekubuda ropa mukati ndeiyi:
- gastrointestinal haemorrhages: kukanganisa chikamu chegumbo regumbo, kureva gurokuro, dumbu, duodenum, ura hudiki, colon-rectum uye anus;
- hemoperitoneum: kubuda ropa mukati me peritoneum;
- haemopericardium: kubuda ropa pakati pemapepa maviri epericardial;
- hemothorax: yakakura pleural kubuda ropa.
Zvikonzero zvekubuda ropa mukati
Kubuda ropa kwemukati kunogona kukonzerwa nekukuvara kwetsinga kana tsinga.
Kukuvadzwa kwemudziyo kunogona kukonzerwa nezvirwere zvakawanda uye mamiriro.
Internal hemorrhage inowanzoitika, semuenzaniso, semugumisiro wechiitiko chinoshungurudza, sekukurumidza kuderera kunoitika mutsaona yemotokari.
Zvikonzero zvinokonzeresa kubuda ropa mukati mune zvakawanda:
- kuputika kwemudziyo nekushungurudzika;
- kubuda ropa kusina kujairika kubva mumudziyo;
- kuora kwezvivakwa zvemukati zvemudziyo nekuda kwekukuvara kwemadziro.
Zviitiko izvi zvinogona kukonzereswa uye/kana kufambiswa nezvikonzero zvakasiyana zvinosanganisira:
- kushungurudzika kwemhando dzakasiyana-siyana, senge tsaona dzemumigwagwa, maronda epfuti, maronda ekubayiwa, kukuvadzwa kusinganzwisisike pamusoro pezvinhu zvakapinza, kudimburwa, kuputsika kwebhonzo rimwe kana anopfuura, nezvimwe;
- zvirwere zvetsinga yeropa, eg vasculitis, atherosclerosis, dissection kana aneurysm nekuputika;
- Cardiovascular pathologies: spike mu arterial hypertension inogona, semuenzaniso, kukuvadza tsinga yeropa yatove isina simba neimwe pathology;
- marudzi akasiyana-siyana ehutachiwana, mabhakitiriya uye utachiona hwehutachiona, hwakadai sehuya hunokonzerwa nehutachiona hweEbola kana hutachiona hweMarburg;
- coagulopathies, kureva zvirwere zvekuvhara ropa;
- marudzi akasiyana-siyana egomarara, semuenzaniso, colorectal, lung, prostate, chiropa, pancreas, gomarara reuropi kana itsvo;
- kuvapo kwemaronda, semuenzaniso perforated gastric ulcer;
- operation: kukuvara kwetsinga yeropa nekuda kwekukanganisa kwachiremba.
Internal hemorrhage inogonawo kusimudzirwa ne:
- kushaya zvokudya zvinovaka muviri by default;
- scurvy;
- autoimmune thrombocytopenia;
- ectopic nhumbu;
- hypothermia yakaipa;
- ovarian cysts;
- kushaya vitamini K;
- haemophilia;
- zvinodhaka.
Zviratidzo uye zviratidzo zvekubuda ropa mukati
Panyaya yehemorrhage yemukati, zviratidzo uye zviratidzo zvinogona kunge zvakasiyana-siyana zvichienderana nerudzi, nzvimbo uye kuoma kwekurasikirwa kweropa.
Zvinokwanisika zviratidzo uye zviratidzo zvekubuda ropa mukati zvinogona kuva
- kurwadziwa panzvimbo yevascular lesion
- paleness;
- arterial hypotension (kuderera kweropa);
- kutanga compensatory tachycardia (kuwedzera kwemwoyo, iyo mumatanho ekutanga inoedza kubhadhara kurasikirwa kwekumanikidza);
- inofambira mberi bradycardia (kuderera kwemwoyo wemwoyo);
- kutanga tachypnea (kuwedzera kufema mwero);
- inofambira mberi bradypnoea (kuderera kwekufema kwekufema);
- dyspnea (nzara yemhepo);
- kuderera kwe diuresis;
- kutsumwaira;
- kurasikirwa nekuziva (kupera simba);
- kurasikirwa kwevasungwa;
- kushaya simba;
- kuzvidya mwoyo;
- amnesia;
- nyota yakasimba;
- chiratidzo chisina kunaka;
- hypothermia (kuderera kwekushisa kwemuviri);
- kunzwa kutonhora;
- dikita rinotonhora;
- kutonhora;
- general malaise;
- pfungwa yekuvhiringidzika;
- kupererwa neropa;
- chizoro;
- nervous system abnormalities (motor uye/kana sensory deficits);
- anuria;
- hypovolemic hemorrhagic shock;
- kudya;
- rufu.
Kuoma kwehemorrhage
Kuoma kwehemorrhage kunoenderana nezvakawanda zvemunhu (zera remurwere, mamiriro ezvinhu, kuvapo kwepathologies, nezvimwewo), nzvimbo yekubuda ropa, kukurumidza kupindira kwachiremba uye, pamusoro pezvose, ropa rakawanda sei rinorasika.
Zviratidzo zvakapfava (kushushikana kwepfungwa zvishoma nekuwedzera kudiki kwekufema) kunoitika nekurasikirwa kweropa kushoma, kusvika ku750 ml muvakuru.
Yeuka kuti uwandu hweropa mukutenderera mumunhu mukuru ane utano huri pakati pe4.5 ne5.5 malita.
Kana kurasikirwa kweropa kuri pakati pe1 ne1.5 litres mumunhu mukuru, zviratidzo zvinova zvakanyanya kuoneka: kushaya simba, nyota, kuzvidya mwoyo, kusaona zvakanaka uye kuwedzera kwekufema kunoitika, zvisinei - kana kubuda ropa kukamira - hupenyu hwemurwere HAUSI munjodzi. .
Kana huwandu hweropa hwakarasika hunosvika 2 litita kune vanhu vakuru, dzungu, kuvhiringidzika uye kurasikirwa kwekuziva kunogona kuitika.
Kunyange muchiitiko ichi, kana chiito chikatorwa munguva, murwere anowanzorarama.
Nekurasikirwa kweanopfuura 2 litres muvakuru, coma uye kufa kubva kuexsanguination kunogona kuitika.
Nekurasikirwa kunodarika marita zvishoma, murwere anogona kuramba achirarama kana kubuda ropa kukamira nekukurumidza uye ropa rikaiswa.
Aya maitiro anoderedzwa kana murwere ari mwana.
mabatiro
Kana paine kushaya ropa kwakanyanya mukati, kurapwa kunofanirwa kuitwa nekukurumidza kudzivirira kufa kwemurwere.
Kurapa kwekutanga ndiko kudzvanyirira kumusoro kwepanoputika tsinga yeropa, iyo haifanirwe kubviswa kuitira kuti isarasikirwa nekubatsirwa kwekuvhara.
Mushonga wekuvhiya: chiremba anovhiya vascular achafanirwa kupindira pamwero wechirwere kuti agadzirise.
Hypovolaemia uye hypothermia inofanira kurwiswa nekudzoserwa kukuru kweropa uye zvinwiwa.
Verenga Uyewo:
Chii Chinokonzera Kurwadza Kwemudumbu Wako Uye Marapirwo Azvo
Intestinal Infection: Dientamoeba Fragilis Infection Inobatwa Sei?
Acute Dumbu: Zvinoreva, Nhoroondo, Kuongororwa uye Kurapwa
Kufuridzira Kusungwa: Inofanirwa Sei Kuwedzeredzwa? Chidimbu
Cerebral Aneurysm: Chii Chaicho Uye Maitiro Ekuchirapa
Cerebral Hemorrhage, Ndezvipi Zvinofungidzirwa Zviratidzo? Rumwe Ruzivo rweVagariwo zvavo