Siyini isimo esibulalayo?

isimo esibucayi, lapho bonke ukusebenza kwezitho zomzimba esibalulekile kusistimu ucime, ngokuthi isimo esibulalayo ngaphambi kokufa begazi. isimo Terminal - kuyinqubo esethola, esibonakala by thuthuva ezinkulu umzimba kanye negesi lokushintshisana, kanye iconsi extra wegazi.

Phakathi ukusebenza komzimba womuntu kungaba isimo sempilo, isifo noma isimo esibulalayo okuyinto has izici zayo siqu. isimo Terminal uhlale phetho iyiphi nesifo esithile noma nokulimala, asikwazi wayeka ngamabutho umzimba futhi ngenxa yokuntuleka kwezinhlelo ezibanzi usizo ebulalayo.

The main indlela pathophysiological kuyinto ukuntula umoya-mpilo emzimbeni (hypoxia), okuholela sebuningini izinguquko compensatory-oluhambelana futhi sokugembula.

Kunezigaba ezine ithi esibulalayo:

1. Predagoniya.
2. misa isikhashana Terminal - isimo zesikhashana.
3. Ezinhlungwini.
4. ukufa Clinical.

Predagoniya kuyisinyathelo ozikhethela okungase ngingekho, isibonelo, phakathi ukuboshwa inhliziyo. Lesi simo elinesimo systolic blood pressure 60 mm HG noma ngaphansi, tachycardia, bradycardia, okuyinto indawo, ukungazinzi ngokwezomnotho zokuphefumula (kuqala njalo futhi ijulile ke engajulile kanye ezingavamile), kanye ukudideka, ukucobeka kanye nokugoqana komzimba. Okwakuhlalwa kuzo lapho kusaqalwa kungase predagonii isimo yesikhathi esifushane ukushukuma reflex Nebalinga mpi somzimba ukuze asindise ukuphila kwakhe. Ngaphezu kwalokho, kukhona ukuntuleka umchamo excretion umzimba (oligoanuria) futhi ashintshe umbala ebonakalayo nolwelwesi lwamafinyila kanye isikhumba, okuyinto iyaphaphatheka ngumthunzi cyanotic. Ubude besikhathi predagonii isinyathelo kuncike umthamo umzimba kungaba isukela amaminithi ambalwa ngosuku.

Inguquko kusuka predagonii ukuba umunyu kwenzeka ngokusebenzisa isinyathelo esibulalayo ikhefu. Lesi sigaba libhekene ukumisa okungazelelwe ukuphefumula, ephelezelwa okwehlisa of kwenhliziyo, ngisho sokungabi nhlobo, abafundi osuke usuvulekile futhi kungazelelwe ukucindezelwa inhliziyo. Isikhathi lesi sinyathelo - kusukela imizuzwana embalwa amaminithi amahlanu.

Ngaphansi akukho nomunyu blood pressure, ishayela likhona kuphela Umthambo carotid, kukhona bradycardia futhi bradypnea, kukhona novalo. Ngokuvamile, agony esikhathi esifushane, isikhathi kuvela amaminithi ambalwa amahora ayisithupha.

Esigabeni sokugcina isimo esibulalayo - kuba a sebefile, okuyinto eqondiswa kusukela osukwini okushicilelwe ngalo ukumisa okuphelele umsebenzi inhliziyo kanye ukumisa okuphelele ukuphefumula. Uma ngaphakathi imizuzu emihlanu kuya eziyisikhombisa, akukho yokutakula futhi kuqiniswa of imisebenzi ebalulekile, khona-ke kuyinto ukubhujiswa amaseli we- cortex cerebral, futhi ngemva kwaso kufika ukufa yemvelo, okuyinto akufaki kungenzeka yokutakula.

isimo Terminal kudinga usizo ngokushesha kusukela ngaphandle. Kukhona lahlukene izinyathelo, ezisetshenziswa for the nalomsebenzi (labagula iyunithi) iziguli, balisusa nasezinguqulweni isimo sebefile. Impumelelo lezi zenzo ixhomeke isikhathi factor.

Inkulumo Echaza Isimo Sezwe ophithizelayo ngemva yokusiza umuntu ukuba aphefumule yomzimba ubizwa nangokuthi esibulalayo ( «terminalis» -. Emngceleni, ebhekisela ekupheleni, Lat), Okungukuthi, umngcele phakathi kokuphila nokufa. isimo Terminal yalolu hlobo has a imvelo eziyinkimbinkimbi pathophysiological ngokuthi omsakazo yayo ukudlala kuyinto enkulu inhlanganisela reoxygenation kabusha ku isizinda izinguquko ezinkulu kwezicubu hypoxic eziyishumi nemitshingo. isimo Border esibulalayo libhekene ukuntengantenga yazo zonke imisebenzi ebalulekile mayelana nesigameko disorganization okuphelele kohlelo silondoloze homeostasis ngesikhathi yokubulawa futhi kancane kakhulu, kancane kancane, akwanele sokubuyiselwa esihlelwe kohlelo ngemuva yokutakula.