Indawo ucinezelo syndrome: inkcazelo, oonobangela, ukhathalelo olungxamisekileyo

ngokokuma gumbi syndrome - ukwenzakala ezinxulumene lomzimba elide ucinezelo ye ubunzima enzima. ukulimala Ezo eliqhelekileyo ngenxa yeengozi, iinyikima zomhlaba kunye kuwa lwezakhiwo. Ibizwa ngokuba sifo lu dityanisiwe ukulimala unzima kakhulu, unyango apho noko elide ixesha elide nelityayo ixesha.

Kubanga syndrome

Ukongeza kwiimeko zongxamiseko, unako ngokokuma indawo syndrome zingafunyanwa ngenxa kokuhlala ixesha elide kwindawo engathandekiyo xa imilenze acofiweyo ngokwabo mizimba yabo. Ngenxa yoko, izicwili necrosis kungenziwa kunye nokukhululwa ityhefu. Oku kwenzeka xa umntu phezu ixesha elide akakho zingqondweni okanye kwindawo engatshintshiyo (iiyure ezingaphezu 12).

Isiphumo unyango liya kuxhomekeka kakhulu elide kangakanani lo mntu kule meko ngasentla, ukuchaneka Uxilongo kunye nonyango abelwe. Ukuba uthole unyango ephosakeleyo okanye engaphelelanga umntu ezifunyenweyo, yaye akukho uncedo lokuqala sanikwayo, uqikelelo kuyadumaza, ekubeni izigulane zidla ukuba kwenzeka trophic vuhlayiseki kunye neziphumo luvo.

Eyona eziphambili ze

ngokokuma gumbi syndrome zihlelwe kwindlela ezininzi:

• ukuthini ucinezelo;
• eyendawo;
• umonakalo kwezinye izigqeba;
• phambi yobunzima;
• ubungnqongqo.

Ngokutsho ubungqongqo esi sifo yahlulwe inobulali, aphakathi kunye Inzima

1. Onobulali luphawulwa umonakalo kummandla kunye nobunzulu ayo. Iimpawu Common kunxilwe zingabalulekanga, njengoko kukho ezincinane kidney disorder, nto leyo kwakhona ngokukhawuleza. Umchamo ngexesha elithile abe nombala obomvu-mdaka. Onke manani nganye ezinga malungu abantu emva kweentsuku 5-7 yonyango olunzulu esibhedlele.
2. Le wononophelo luphawulwa bubukho umonakalo omkhulu ngakumbi. Ukunxila ngelixa ngokulinganisela wavakalisa. test Igazi ibonisa ukuphuculwa -nitrogen intsalela kunye urea. Ukuba ilibele, zoncedo lokuqala, ngeli xesha, kubekho kukuvela iingxaki ezinzulu nosuleleko.
3. I degree wesithathu iphawulwa iindawo ezininzi ezibalulekileyo boyisiwe, kunye ukunxila kakhulu kunokubangela nokufa.

Kwenzeka ntoni emzimbeni ngexesha ucinezelo elide

Kwiindawo ezithile umzimba ukubana kwenzeka yegazi ukuphazamiseka zeethishu ngezantsi kule ndawo. Amaxesha amaninzi ubunzima ngalinye. Amalaphu ulimele kakhulu, kukho ukunqongophala ioksijini, enokuqina umlenze okanye ingalo ithe ubuntununtunu zayo ngcembe luqala kukhululwe nobuninzi necrosis ngayo izinto eziyityhefu.

Ngokuqhelekileyo, xa kukho umonakalo nokwenzakala uhlahlelo olomeleleyo esiqwini imisipha, kwamathambo kungonakalisa olujikeleza, ebangela ukopha ukuba zenzeke. Kwakhona, umntu uziva intlungu, ngenxa kungenzeka noma umothuko esibuhlungu.

zesifo syndrome

Iimpawu onaso ye kwisikhundla sokuba ucinezelo uxhomekeke ngqo kwi kwixesha ucinezelo kunye nomthamo inyama achaphazelekayo. Ngokomzekelo, ngoxa ukucudisa zengalo iiyure 2-3, ukusilela etsolo kwezintso akuyi kwenzeka, nangona kusenokuba kukho ukuncipha kwemveliso umchamo. Kwakhona akukho ukunxila. izigulane enjalo kwakhona ngaphandle nayiphi imiphumo.

Kweli nqanaba, kukho pallor, ubuthathaka omkhulu, kunye tachycardia. Kuyingozi kakhulu kule meko iya kuba ndikhuphe umntu owenzakeleyo ukusuka bhasi, ukususela kuqheleke kwegazi, kukho uphuhliso olumandla potassium ezinokubangela zokuma. Kwithuba lokuqala luphawulwa neempawu ezifana:

• enokuqina umlenze okanye ingalo leyo engasebenziyo;
• kwesikhumba luthuthu kubanda;
• amaqamza kukhona;
• Pulse kuyinto engekhoyo.

Ukongeza, oko kudla ngoxilongo kunye kwamathambo.

ucinezelo Long uqhubeke de iiyure 6 kukhokelela inkangeleko ukuphazamiseka ubunzima avareji. Kulo mzekelo, ziphawulwe njengokubonisa eliqaqambileyo ukunxila kunye kuphazamisane umsebenzi sezintso phakathi evekini. Abantu abane kwesi sifo kuxhomekeke kwixesha uncedo lokuqala kunye ukufaneleka kunye nomgangatho unyango ukulandela-up.

Ukuba ngaphezu kwama-6 ityhefu ngeyure kakhulu kwenzeka ucinezelo of izinto eziyityhefu, nezintso zicinywe ngokupheleleyo. Ngaphandle enamandla olunzulu ukukhathalelwa kunye ihaemodialysis umntu esifa.

isevisi ayikho

Kuqinisekisa ubukho ingxaki kunokuba ngoko nangoko kule ndawo. Ukuba ixhoba waphawula nothuke buhlungu, oko kusenokuba zingqondweni. data Injongo ukuba unesifo kunye lilonke sezingeni eliphezulu.

Xa izifundo ilebhu uyakwazi ukufumana yonke ingcaciso efunekayo amahlwili egazi, ukuphazamiseka electrolyte, ukwanda iswekile yegazi, urea, yibilirubin. Uhlalutyo ezinto igazi liya kuqinisekisa ukuncitshiswa protein ingqalelo.

Kwizifundo zazo zokuqala, ukuze abekho umchamo iinguqu, kodwa ngokuthe ngcembe uqala ukufumana umbala ethile sinombala, kwakunye nokwanda iqatshelwe lexinene, kunye neprothini ivela kuyo. Ngosuku loviwo kakhulu, zigqitywa iiseli ezimhlophe zegazi, iiseli ezibomvu nesilinda.

lokuqala zoncedo

Aid First gumbi syndrome kuxhomekeke kakhulu kumniniyo, kunye nokufumaneka nemisebenzi efunekayo, nokufumaneka kwabasebenzi zonyango abaqeqeshiweyo. oogqirha Professional kunye nabasebenzi wophula izenzo zabo ukuphucula ALS umguli.

Okokuqala, ixhoba kufuneka asiwe kwindawo ekhuselekileyo. Ukutyhilwa uviwo befunda nemivumbo, namanxeba ukuphathwa kwaye kubeka phezu kwabo yokugquma ekhethekileyo aseptic. Ukuba kukho owophayo kufuneka uthathe inyathelo ukunqanda oko, ukubeka Immobilizing Ukophuka ibhasi okanye ezinye iindlela ezikhoyo. Ukuba ngeli nqanaba akunakwenzeka ukuqinisekisa ukuqaliswa iimela efakwa, isigulane kufuneka lube sekuboneleleni ukusela kakhulu.

Le bethwele kufuneka ezibekwe phezu kwesebe bachaphazelekayo phambi kokukhutshwa womntu-khona ukuze uthintelwe kokukhutshwa potassium esebenzayo. iintlungu kwaye isigulane ke ngoko lesitofu kufuneka asiwe esibhedlele unyango olungaphezulu.

yintoni ugqirha ukuzilungisa ukuze

Ukuba ukrokrela phambi ixesha elide gumbi syndrome, kufuneka ngoko nangoko babonane traumatologist. Ukongezelela, kusenokufuneka iimviwo yi nephrologist, cardiologist, wesikhumba kunye luvo. Ekubeni ngezifo kukhokelela iingxaki ezahlukeneyo, isigulana kuyimfuneko ukuqhuba isifo ebanzi.

yokunikeza

Unyango kufuneka entsonkothileyo, kwaye uphawu yayo ixhomekeke ngexesha sifo. NJALO emkhenkceni plasma iimela, kwakunye arhente ubuthi. Kweli xesha ukusilela etsolo kwezintso yenziwa ihaemodialysis ngemihla. Kwakhona ziboniswa kuxhomekeke ngokutya izinto ezikhethekileyo ngenkululeko lokusela nolawulo and exceptions ukuba kwizidlo eqhelekileyo iziqhamo. Qiniseka ukuba sigcine amanyathelo othintelo kukuvela iingxaki yokubolisa kunye nokudumba.

Izigulane na iingxaki izibilini zangaphakathi emininzi kunye neenkqubo, uphuhliso lomzimba vuhlayiseki ischemia, ubovu-yokubolisa iingxaki, thromboembolism kunokwenzeka. Kodwa ingqalelo kwingxaki enkulu ukusilela ahlekise kwezintso. Ukuba kudla ngokukhokelela ekubeni ukufa isigulane.