Kuyini, yiziphi izimpawu nokuthi ungaphatha kanjani i-Cardiogenic Shock

-Delile

• Izimpawu nezimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingenzeka zokushaqeka kwe-cardiogenic
• Yelashwa kanjani
• 1. Ukusetshenziswa kwemithi
• 2. Ukwehlukaniswa nemithambo yegazi
• 3. Ukuhlinzwa
• Izinkinga eziyinhloko

Ukushaqeka kwe-Cardiogenic kwenzeka lapho inhliziyo ilahlekelwa amandla ayo okumpompa igazi ngenani elanele ezithweni, okudala ukwehla okuphawulekayo kwengcindezi yegazi, ukungabi khona komoya-mpilo ezicutshini nokuqongelela uketshezi emaphashini.

Lolu hlobo lokushaqeka lungenye yezinkinga ezinkulu ze-infarction ye-myocardial acute futhi, uma ingalashwa ngokuphuthumayo, ingaholela ekufeni cishe kwamacala angama-50%. Ngakho-ke, uma kusolwa ukushaqeka kwenhliziyo, kubaluleke kakhulu ukuya esibhedlela ngokushesha ukuze kuqinisekiswe ukuxilongwa futhi kuqalwe ukwelashwa okufanele.

Izimpawu nezimpawu eziyinhloko

Izimpawu ezingakhombisa ukushaqeka okungenzeka yi-cardiogenic yilezi:

• Ukuphefumula ngokushesha;
• Ukukhuphuka ngokweqile kokushaya kwenhliziyo;
• Ukuquleka okungazelelwe;
• I-pulse ebuthakathaka;
• Umjuluko ngaphandle kwesizathu esibonakalayo;
• Isikhumba esiphaphathekile nemikhawulo ebandayo;
• Ukwehla kwenani lomchamo.

Ezimweni lapho kunokuqongelela uketshezi emaphashini noma ku-edema yamaphaphu, ukuphefumula okuncane nemisindo engajwayelekile kungavela lapho uphefumula, njengokuphefumula, ngokwesibonelo.

Njengoba ukushaqeka kwe-cardiogenic kuvame kakhulu ngemuva kokuhlaselwa yisifo senhliziyo, lezi zimpawu zihambisana nezimpawu zesifo senhliziyo, njengokuzwa kwengcindezi esifubeni, ukuncinza engalweni, ukuzwa kwebhola emphinjeni noma isicanucanu. Bona uhlu oluphelele lwezimpawu ezingakhombisa ukumelwa yinhliziyo.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kokushaqeka kwe-cardiogenic kudinga ukwenziwa ngokushesha okukhulu esibhedlela futhi, ngakho-ke, uma kukhona ukusola kubaluleke kakhulu ukuya egumbini labezimo eziphuthumayo esibhedlela. Udokotela angasebenzisa ezinye izivivinyo, njengokulinganisa umfutho wegazi, i-electrocardiogram noma i-X-ray yesifuba, ukuqinisekisa ukushaqeka kwenhliziyo nokuqala ukwelashwa okufanele kakhulu.

Izimbangela ezingenzeka zokushaqeka kwe-cardiogenic

Yize i-infarction iyimbangela ejwayelekile yokushaqeka kwe-cardiogenic, ezinye izinkinga zingadala le nkinga. Ezinye izimbangela kungenzeka zifaka:

• Isifo se-valve senhliziyo;
• Ukwehluleka okulungile kwe-ventricular;
• I-myocarditis enamandla;
• Isifo semithambo yegazi;
• Ama-arrhythmias enhliziyo;
• Ukuhlukumezeka okuqondile enhliziyweni;
• Ubuthi benhliziyo ngezidakamizwa nangobuthi;

Ngaphezu kwalokho, esigabeni esithuthuke kakhulu se-sepsis, okuyisifo esijwayelekile somzimba, ukwethuka kwe-cardiogenic nakho kungenzeka, cishe njalo okuholela ekufeni. Bheka ukuthi ungalikhomba kanjani icala le-sepsis, ukuqala ukwelashwa nokugwema ukushaqeka kwenhliziyo.

Yelashwa kanjani

Ukwelashwa kokushaqeka kwe-Cardiogenic kuvame ukuqala egumbini lezimo eziphuthumayo esibhedlela, kepha-ke kuyadingeka ukuhlala egumbini labagula kakhulu, lapho kungenziwa khona izinhlobo ezahlukahlukene zokwelashwa ukuzama ukunciphisa izimpawu, ukuthuthukisa ukusebenza kwenhliziyo nokwenza lula ukujikeleza kwegazi. igazi:

1. Ukusetshenziswa kwemithi

Ngaphezu kwe-serum esetshenziswa ngqo emthanjeni ukugcina i-hydration nokondleka, udokotela angasebenzisa futhi:

• Izindlela zokwengeza amandla enhliziyo, njengeNoradrenaline noma iDopamine;
• I-Aspirin, ukunciphisa ubungozi bokwakheka kwamahlwili nokwenza lula ukujikeleza kwegazi;
• Izidakamizwa, njengeFurosemide noma iSpironolactone, ukwehlisa inani loketshezi olusephashini.

La makhambi abuye anikezwe ngqo emthanjeni, okungenani phakathi nesonto lokuqala lokwelashwa, bese engathathwa ngomlomo, lapho isimo sithuthuka.

2. Ukwehlukaniswa nemithambo yegazi

Lolu hlobo lwezokwelapha lwenziwa ukubuyisela ukujikeleza enhliziyweni, uma kwenzeka isifo senhliziyo, isibonelo. Ukwenza lokhu, udokotela uvame ukufaka ipayipi lokuhambisa ipayipi, okuyinto ende, ende ezacile, ngomthambo, imvamisa entanyeni noma endaweni ebusayo, enhliziyweni ukuze kususwe iqhwa elingaba khona futhi livumele igazi liphinde lidlule kahle futhi.

Qonda kabanzi mayelana nokuthi i-catheterization yenziwa kanjani nokuthi yenzelwe ini.

3. Ukuhlinzwa

Ukuhlinzwa kuvame ukusetshenziswa kuphela ezimweni ezinzima kakhulu noma lapho izimpawu zingathuthuki ngokusetshenziswa kwemithi noma i-catheterization. Kulezi zimo, ukuhlinzwa kungasebenzela ukulungisa ukulimala kwenhliziyo noma ukwenza ukwedlula kwenhliziyo, lapho udokotela ebeka khona omunye umthambo enhliziyweni ukuze igazi lidlulele esifundeni esingenayo i-oxygen ngenxa yokuba khona kwehlule.

Lapho ukusebenza kwenhliziyo kuthinteka kakhulu futhi kungekho nqubo esebenzayo, isigaba sokugcina sokwelashwa ukufakelwa inhliziyo, noma kunjalo, kuyadingeka ukuthola umuntu onikelayo ohambisanayo, okungaba nzima impela. Funda kabanzi ngokufakelwa kwenhliziyo.

Izinkinga eziyinhloko

Izinkinga zokushaqeka kwe-cardiogenic ukwehluleka kwezitho eziningi ezinhle ezifana nezinso, ubuchopho nesibindi, okubhekele ukufa kwabantu abaningi ezigulini ezivunyelwe ukunakekelwa kakhulu. Lezi zinkinga zingagwenywa noma nini lapho ukuxilongwa nokwelashwa kwenziwa kusenesikhathi.