Yintoni ukothuka kwe-neurogenic, zithini iimpawu kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili kunye neempawu
• Izizathu ezinokubangela ukothuka kwe-neurogenic
• Unyango lwenziwa njani

Ukothuka kwe-Neurogenic kwenzeka xa kukho ukungaphumeleli konxibelelwano phakathi kwengqondo nomzimba, kubangela ukuba imithambo yegazi ilahle ithoni yayo kwaye yande, isenza ukujikeleza kwegazi emzimbeni kube nzima ngakumbi kwaye kwehlise uxinzelelo lwegazi. Xa oku kusenzeka, amalungu ayayeka ukufumana ioksijini eyimfuneko kwaye, ngenxa yoko, awanakho ukusebenza, enza imeko esongela ubomi.

Olu hlobo lokothuka luqheleke rhoqo kwiingozi zendlela kunye nokuwa, umzekelo, xa kukho ukulimala kwethambo lomqolo, nangona kunjalo, inokuvela ngenxa yeengxaki kwingqondo, umzekelo.

Ke, ukuba kukho urhano lokothuka kwe-neurogenic kubaluleke kakhulu ukuba uye kwangoko kwigumbi likaxakeka okanye ubize uncedo lwezonyango, ubize i-192, ukuze kuqalwe unyango olufanelekileyo, kuba le yimeko ebeka impilo yomntu emngciphekweni. , ezinokubangela umonakalo ongenakuguqulwa okanye zibangele ukufa. Unyango luhlala lusenziwa kwi-ICU kunye nolawulo lwamachiza ngqo emthanjeni.

Iimpawu eziphambili kunye neempawu

Iimpawu zokuqala ezibini ezothusayo ze-neurogenic kukwehla okukhawulezayo koxinzelelo lwegazi kunye nokucothisa kwentliziyo. Nangona kunjalo, ezinye iimpawu kunye neempawu ziqhelekile, ezinje:

• Ukuncipha kubushushu bomzimba, ngaphantsi kwama-35.5ºC;
• Ukuphefumla ngokukhawuleza nangaphantsi;
• Ubanda, ulusu oluhlaza;
• Ukuba nesiyezi kunye nokuziva utyhafile;
• Ukubila okugqithisileyo;
• Ukungabikho kwempendulo kwisishukumisi;
• Utshintsho lobume bengqondo;
• Ukunciphisa okanye ukungabikho kwemveliso yomchamo;
• Ukungabikho zingqondweni;
• Iintlungu zesifuba.

Ubukrakra beempawu zihlala zanda ngokwenzakala okukhokelele kukothuka, kwaye kwimeko yeengonyama emqolo, kokukhona umqolo uphezulu, ziba qatha iimpawu.

Kukho ezinye iintlobo zokothuka ezinokuthi zibangele olu hlobo lweempawu, ezinje ngokutshatyalaliswa kwe-septic okanye ukothuka kwe-cardiogenic. Nangona kunjalo, kuyo nayiphi na imeko, kuhlala kubalulekile ukuba uye esibhedlele ngokukhawuleza ukuqala unyango.

Izizathu ezinokubangela ukothuka kwe-neurogenic

Unobangela ophambili wothuselo lwe-neurogenic kukwenzeka kokonzakala komqolo, ngenxa yokubethwa ngamandla emqolo okanye kwiingozi zendlela, umzekelo.

Nangona kunjalo, ukusetyenziswa kwendlela engalunganga yokwenza i-anesthesia yesibhedlele esibhedlele okanye ukusetyenziswa kwamachiza athile okanye amayeza achaphazela inkqubo yeemvakalelo nako kunokubangela ukothuka kwe-neurogenic.

Unyango lwenziwa njani

Unyango lokothuka kwe-neurogenic kufuneka luqalwe ngokukhawuleza ukunqanda iingxaki ezisongela ubomi. Ke, unyango lunokuqaliswa kwangoko kwigumbi likaxakeka, kodwa ke kufuneka liqhubeke kwi-ICU ukugcina uvavanyo rhoqo lweempawu ezibalulekileyo. Ezinye iindlela zonyango zibandakanya:

• Ukungasebenzi: isetyenziswa kwiimeko apho ukwenzakala kwenzeka emqolo, ngenjongo yokuthintela ukuba mandundu ngokuhamba;
• Ukusetyenziswa kweseramu ngqo emthanjeni: kuvumela ukwandisa inani lamanzi emzimbeni kunye nokulawula uxinzelelo lwegazi;
• Ulawulo lweatropineiyeza elonyusa izinga lokubetha kwentliziyo, ukuba ichaphazelekile intliziyo;
• Ukusetyenziswa kwe-epinephrine okanye i-ephedrine: kunye ne-serum, banceda ukulawula uxinzelelo lwegazi;
• Ukusetyenziswa kwecorticosteroids, ezinje nge-methylprednisolone: ​​ukunceda ukunciphisa iingxaki zokonzakala kwemithambo-luvo.

Ukongeza, ukuba kukho ingozi eyenzekileyo, kufuneka kwenziwe utyando ukulungisa ukulimala.

Ke, unyango lunokuhlala kwiveki e-1 ukuya kwiinyanga ezininzi, kuxhomekeke kuhlobo lokulimala kunye nobukhali bemeko. Emva kokuzinzisa iimpawu ezibalulekileyo kunye nokuchacha kukothuka, kuhlala kunyanzelekile ukuba wenze iiseshoni zonyango ukuze uphinde ufumane amandla omzimba okanye ulungelelanise nokusebenza kwemisebenzi yemihla ngemihla.