Ukothuka Hypovolemic: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu zokothuka
• Izizathu ezinokubangela
• Unyango lwenziwa njani
• Uncedo lokuqala kukothuka okunganyanzelekanga

Umothuko we-Hypovolemic yimeko enzima eyenzekayo xa inani elikhulu lamanzi kunye negazi lilahlekile, elibangela ukuba intliziyo ingabinakho ukupompa igazi elifunekayo emzimbeni wonke, ngenxa yoko, ioksijini, ekhokelela kwiingxaki ezinkulu kumalungu aliqela omzimba kunye nokubeka ubomi emngciphekweni.

Olu hlobo lokothuka luhlala luhamba rhoqo emva kokubetha kakhulu, njengeengozi zendlela okanye ukuwa kubude, kodwa kunokwenzeka ngexesha lotyando, umzekelo. Ukunyanga oku kothusayo kunye nokuthintela iziphumo zayo ezibi, kufuneka uye ngokukhawuleza esibhedlele ukuze uqalise utofelo-gazi okanye ukulawulwa kwe-serum ngqo emthanjeni, ukongeza kunyango olunobangela wokulahleka kwegazi.

Iimpawu zokothuka

Iimpawu kunye neempawu zothuselo lwe-hypovolemic ziziphumo zelahleko engamanzi egqithisileyo, enokubonakala ngokuqhubekayo, eyona iphambili yile:

• Intloko ebuhlungu rhoqo, enokuba mandundu;
• Ukudinwa kakhulu kunye nesiyezi;
• Isicaphucaphu nokugabha;
• Ulusu olumbala kakhulu nolubandayo;
• Ukudideka;
• Iminwe eluhlaza okwesibhakabhaka kunye nemilebe;
• Ndiziva ndidiniwe.

Kwiimeko ezininzi, ukutshitshiswa kwe-hypovolemic kunokuba lula ukuyichonga, ngakumbi ukuba ukopha kuyabonakala, nangona kunjalo, kwimeko zokopha ngaphakathi, le miqondiso kunokuba nzima ukuyifumana. Ngayiphi na imeko, kubalulekile ukuba umothuko obonakalayo ubonakaliswe ngokukhawuleza, njengoko kunokwenzeka ukuba unyango luqalwa kwakamsinya emva koko ukuze kuthintelwe iingxaki.

Izizathu ezinokubangela

Umothuko oqhelekileyo uhlala uvela xa kukho ukopha okubangela ukulahleka kwegazi okugqithisileyo, okunokwenzeka ngenxa yamanxeba anzulu okanye ukusika, iingozi zendlela, ukuwa ukusuka kubude obukhulu, ukopha ngaphakathi, izilonda ezisebenzayo kunye nokuya esikhathini okunzima kakhulu.

Ukongeza, ezinye iimeko ezibangela ukuphulukana nolwelo lomzimba nazo zinokuba negalelo ekunciphiseni ubungakanani begazi emzimbeni, njengokuhambisa urhudo ixesha elide, ukutsha kakhulu okanye ukugabha kakhulu, umzekelo.

Kungenxa yokuba ukwehla kolwelo kunye negazi, kukho utshintsho kulwabiwo lweoksijini kumalungu nakwizicubu, okukhokelela ekufeni kweseli kwaye, ngenxa yoko, ukusilela kwelungu, ukuba alichongwanga kwaye liphathwe. Ukongeza, ngenxa yokwehla konikezelo lweoksijini, kukho imveliso enkulu yelactate, enokuba yityhefu kumzimba kukuxinana okukhulu.

Unyango lwenziwa njani

Unyango lotyando lwe-hypovolemic kufuneka lukhokelwe ngugqirha kwaye luqhele ukwenziwa ngokutofelwa igazi kunye nolawulo lwe-serum ngqo emthanjeni, ukuze kube nakho ukubuyisela inani lamanzi alahlekileyo kunye nokuthintela imeko ukuba mandundu.

Ukongeza, kubalulekile ukuba unobangela womothuko uchongwe, njengoko kunokwenzeka ukuba unyango lujolise ngakumbi kwisizathu kwaye ukulahleka kwegazi kunye nolwelo ngokubanzi kunokuthintelwa.

Ukufa okubangelwe kukungothuki kwe-hypovolemic kwenzeka kuphela ukuba isixa segazi kunye nolwelo olulahlekileyo luhambelana ngaphezulu kwe-1/5 yevoluyumu yenani legazi emntwini, oko kukuthi, malunga ne-1 litre yegazi.

Uncedo lokuqala kukothuka okunganyanzelekanga

Ukutshatyalaliswa kwe-Hypovolemic yimeko engxamisekileyo ekufuneka inyangwe ngokukhawuleza. Ke, ukuba kukho urhano, kungenxa yoku:

1. Biza uncedo lwezonyango ngokukhawuleza, ukubiza 192;
2. Beka umntu phantsi kwaye uphakamise iinyawo zakhe malunga ne-30 cm, okanye ngokwaneleyo ukuba zingaphezulu kwenqanaba lentliziyo;
3. Gcina umntu eshushuusebenzisa iingubo okanye iimpahla.

Ukuba kukho inxeba elophayo, kubalulekile ukuzama ukunqanda ukopha ngokusebenzisa ilaphu elicocekileyo kwaye ubeke uxinzelelo kwisiza, ukunciphisa ukulahleka kwegazi kunye nokuvumela ixesha elininzi lokuba iqela lezonyango lifike.