Oluhambisana ukushaqeka e wokubelethisa nezifo zabesifazane

Nokulahlekelwa igazi omzimba angaphezu kwelilodwa ilitha bese umuntu eba isimo oluhambisana ukushaqeka. Uma ukopha akuyona wayeka ngesikhathi, futhi uyaqhubeka okwengeziwe, ukulahlekelwa umsebenzi ongaba amaphesenti angu amathathu umthamo wegazi isimo okunjalo esisongela ukuphila kwakho.

Igazi ukulahlekelwa kungaba kokubili ebonakalayo nengabonakali. Ngo ukulimala evuleleke odokotela iso kungacacisa ukuthi inani igazi walahlekelwa nokugasela ngamandla isimo. Ngemva ukulahlekelwa lobuKhristu wakhe umuntu eba oluhambisana ukushaqeka. Lesi simo oluthile impendulo umzimba nesimo esisongela. Ngokwesibonelo, oluhambisana ukushaqeka e wokubelethisa nezifo zabesifazane - omunye eziyingozi kakhulu, njengoba kukhona igazi yokulumba futhi owesifazane angase afe uma ukwehluleka ukunakekela okuhle kwezokwelapha ngesikhathi esifanele. Ngokuvamile, lokhu kuphumela apoplexy wesibeletho, ukuhlukumezeka umthondo, uphuthelwe isisu, lesizalo submucosal fibroids, perforation yomzimba kwesibeletho, ukukhulelwa izinyo lomhlathi, ngemiphumela isisu.

Usongo esikhulu ezimweni ezinjalo - lokhu umthamo disproportion embhedeni semithambo, futhi igazi ukuthi ukhiphela khona, noma kunalokho zinsalela yayo. Lokhu kuholela ukuphazamiseka macrocirculation - kwegazi ngokusebenzisa lemithambo emithanjeni yenhliziyo. Esigabeni esilandelayo - kokunikezwa kwe-microcirculation - of arteriole, ama-venule futhi capillary.

Uma ulahlekelwa cishe isigamu ilitha igazi, umzimba liyakwazi ukuthandwa okwandayo kwale ithoni emithambo yegazi. Kulokhu, ithoni lwemithambo akusho ahlupheke, akusho ukushintsha ukuvama ukusikwa inhliziyo, akukho ukwehluleka supply of kwezicubu.

A hypovolemia abalulekile kuholela ukucindezeleka okunzima. Ukuze alondoloze imisebenzi ebalulekile umzimba sifaka izindlela ezinamandla compensatory. Kukhulisa ithoni isimiso sezinzwa, kwandisa ukukhishwa kwama-hormone. Ngaphansi isenzo yenhliziyo yabo izinga ophilisayo, encishisiwe excretion uketshezi kwenzeka vasospasm circumferentially. Kodwa-ke izinguquko ezinjalo emzimbeni ukugcina okwesikhashana kuphela imisebenzi yalo ebalulekile. Ngemva kwalokho, lapho Ukuwohloka izindlela ihluleka futhi iza anoxia kwezitho nezicubu.

Oluhambisana ukushaqeka kungaba izigaba ezintathu, okuyinto ngezigaba kusekelwe ivolumu wegazi elahlekile neziyaluyalu emizimbeni ngenxa yalokhu kushonelwa okushaqisayo. Ngesikhathi esigabeni sokuqala - ihlawulelwa, ethintekile okhanyayo izihlakala nephupho, ngokuphelelwa umoya ejabhile, kukhona tachycardia. Umthamo wegazi elahlekile - kuze kube ilitha. Uma ukopha wayeka, izimpawu kusengenzeka qhubeka isikhathi esithile. Uma ukopha uyaqhubeka, izimpawu ukucasulwa - isifo okuthiwa i esethola decompensated. Okungukuthi, umzimba ngokwawo akakwazi ukubhekana komgomo ezinjalo, kodwa usizo lwezokwelapha enikeziwe ngesikhathi ukulondoloza wesifazane. In esigabeni sesibili kwathinta inhliziyo, amaphaphu, ubuchopho, isibindi kanye nezinso, hypoxia ezinzima eba. Isigaba sokugcina - i engelapheki oluhambisana ukushaqeka. Igazi ukulahlekelwa imayelana kwesigamu ivolumu, okuyinto ukhiphela umzimba. Kulokhu, akukwazi ukusiza ngisho yokusiza umuntu ukuba aphefumule.

Uma sisheshe satholakala oluhambisana ukushaqeka ngesisekelo izinkomba ezifana lokushisa nombala (ukunakekelwa okukhethekile ikhokhelwa emikhawulweni), umfutho wegazi, ukushaqeka Inkomba, hematocrit, diuresis ngehora.

usizo oluphuthumayo e oluhambisana ukushaqeka, elihunyushwe ngokuthi ngesikhathi - isihluthulelo sempumelelo yokususa lesi simo. Emkhakheni wezingalo umcimbi zabesifazane lokuqala kufanele iqondiswe ukufinyelela site lapho ukopha kwenzeka. Lokhu kudinga kokungenela esiphuthumayo kuhlinzwa. Kanyekanye udokotela ohlinzayo-wezifo zabesifazane kanye zokusebenza obulala izinzwa. Lapho hemostasis kumele ngokushesha ukuhoxisa isiguli kusukela isimo oluhambisana ukushaqeka.