Ukushaqeka Hypovolemic: kuyini, izimpawu kanye nokwelashwa

-Delile

• Izimpawu zokushaqeka kwe-hypovolemic
• Izimbangela ezingaba khona
• Yelashwa kanjani
• Usizo lokuqala lokushaqeka ngokweqile

Ukushaqeka kwe-hypovolemic yisimo esibi esenzeka lapho kuphuma uketshezi oluningi negazi, okwenza inhliziyo ingakwazi ukupompa igazi elidingekayo emzimbeni wonke futhi, ngenxa yalokho, i-oxygen, okuholela ezinkingeni ezinkulu ezithweni zomzimba eziningana nokufaka impilo engcupheni.

Lolu hlobo lokushaqeka luvame ukwenzeka kakhulu ngemuva kokushaywa okunzima kakhulu, njengezingozi zomgwaqo noma ukuwa kusuka endaweni ephakeme, kepha kungenzeka futhi ngesikhathi sokuhlinzwa, ngokwesibonelo. Ukwelapha lokhu kushaqeka nokugwema imiphumela yaso emibi, kuyadingeka ukuthi uye ngokushesha esibhedlela ukuqala ukumpontshelwa igazi noma ukuphathwa kwe-serum ngqo emthanjeni, ngaphezu kokwelapha imbangela ebangela ukulahleka kwegazi.

Izimpawu zokushaqeka kwe-hypovolemic

Izimpawu nezimpawu zokushaqeka kwe-hypovolemic kungumphumela wokulahleka oketshezi okweqile, okungabonakala ngokuqhubekayo, okuyinhloko:

• Ukuphathwa ikhanda njalo, okungase kube kubi kakhulu;
• Ukukhathala ngokweqile nesiyezi;
• Isicanucanu nokuhlanza;
• Isikhumba esiphaphathekile futhi esibandayo kakhulu;
• Ukudideka;
• Iminwe nezindebe eziluhlaza okwesibhakabhaka;
• Ukuzizwa uphela amandla.

Ezimweni eziningi, ukushaqeka kwe-hypovolemic kungaba lula ukukubona, ikakhulukazi uma ukuphuma kwegazi kubonakala, noma kunjalo, ezimweni zokopha kwangaphakathi, lezi zimpawu zingaba nzima ukuzibona. Kunoma ikuphi, kubalulekile ukuthi ukushaqeka okuvela emzimbeni kubonakale ngokushesha, ngoba kungenzeka ukuthi ukwelashwa kuqalwe kungekudala ngemuva kwalokho ukuze kuvinjelwe izinkinga.

Izimbangela ezingaba khona

Ukushaqeka kwe-hypovolemic kuvame ukuvela lapho kunokopha okubangela ukulahleka kwegazi okweqile, okungenzeka ngenxa yamanxeba ajulile noma ukusikeka, izingozi zethrafikhi, ukuwa kusuka ekuphakameni okukhulu, ukopha kwangaphakathi, izilonda ezisebenzayo kanye nokuya esikhathini okunzima kakhulu.

Ngaphezu kwalokho, ezinye izimo ezidala ukulahleka ketshezi lomzimba nazo zingaba nomthelela ekwehleni kwenani legazi emzimbeni, njengesifo sohudo esinesikhathi eside, ukusha okukhulu noma ukugabha ngokweqile, ngokwesibonelo.

Lokhu kungenxa yokuthi ukwehla koketshezi negazi, kunoshintsho ekusatshalalisweni komoya-mpilo ezithweni nasezicutshini, okuholela ekufeni kwamangqamuzana, futhi ngenxa yalokho, ukwehluleka kwesitho, uma kungaziwa nokuthi kuselashwa. Ngaphezu kwalokho, ngenxa yokwehla kokuphakelwa komoya-mpilo, kunomkhiqizo omkhulu we-lactate, ongaba nobuthi emzimbeni ngokugxila okukhulu.

Yelashwa kanjani

Ukwelashwa kokushaqeka ngokweqile kufanele kuqondiswe ngudokotela futhi kuvame ukwenziwa ngokumpontshelwa igazi kanye nokuphathwa kwe-serum ngqo emthanjeni, ukuze sikwazi ukubuyisela inani leziphuzo ezilahlekile nokuvikela isimo ukuthi singabi sibi kakhulu.

Ngaphezu kwalokho, kubalulekile ukuthi kutholakale imbangela yokwethuka, njengoba kungenzeka ukuthi ukwelashwa kubhekiswe kakhulu kulokho futhi ukulahleka kwegazi noketshezi oluningi kungavinjelwa.

Ukufa okubangelwa ukushaqeka okwenzeka emzimbeni kwenzeka kuphela uma inani legazi noketshezi olulahlekile kufana nengaphezulu kwe-1/5 yevolumu ephelele yegazi kumuntu, okusho ukuthi, cishe ilitha elilodwa legazi.

Usizo lokuqala lokushaqeka ngokweqile

Ukushaqeka kwe-Hypovolemic yisimo esiphuthumayo okufanele silashwe ngokushesha okukhulu. Ngakho-ke, uma kukhona ukusola, kungenxa yalokhu:

1. Shayela usizo lwezokwelapha ngokushesha, kubiza u-192;
2. Beka umuntu phansi uphakamise izinyawo cishe ama-30 cm, noma anele ukuthi angaphezulu kwezinga lenhliziyo;
3. Gcina umuntu efudumeleusebenzisa izingubo zokulala noma izinto zokugqoka.

Uma kunesilonda esopha, kubalulekile ukuzama ukunqanda ukopha ngokusebenzisa indwangu ehlanzekile nokufaka ingcindezi esizeni, ukunciphisa ukulahleka kwegazi nokuvumela isikhathi esithe xaxa ukuthi ithimba lezokwelapha lifike.