Kuyini ukushaqeka kwe-neurogenic, yiziphi izimpawu nokuthi kufanele welashwe kanjani

-Delile

• Izimpawu nezimpawu eziyinhloko
• Izimbangela ezingaba khona zokwethuka kwe-neurogenic
• Yelashwa kanjani

Ukushaqeka kwe-neurogenic kwenzeka lapho kunokuhluleka ukuxhumana phakathi kobuchopho nomzimba, okwenza imithambo yegazi ilahlekelwe ithoni futhi inwebe, okwenza ukujikeleza kwegazi emzimbeni kube nzima kakhulu futhi kwehlise umfutho wegazi. Uma lokhu kwenzeka, izitho ziyeka ukuthola i-oxygen edingekayo ngakho-ke, azikwazi ukusebenza, zakha isimo esisongela impilo.

Lolu hlobo lokushaqeka luvame kakhulu ezingozini zomgwaqo nasekuweni, ngokwesibonelo, uma kunokulimala komgogodla, noma kunjalo, kungavela futhi ngenxa yezinkinga ebuchosheni, ngokwesibonelo.

Ngakho-ke, uma kukhona ukusola ukwethuka kwe-neurogenic kubaluleke kakhulu ukuya ngokushesha egumbini labezimo eziphuthumayo noma ushayele usizo lwezokwelapha, ushayele abakwa-192, ukuze kuqale ukwelashwa okufanele, ngoba lesi yisimo esibeka impilo yomuntu engcupheni. , okungadala umonakalo ongalungiseki noma kubangele nokufa. Ukwelashwa kuvame ukwenziwa e-ICU ngokuphathwa kwezidakamizwa ngqo emthanjeni.

Izimpawu nezimpawu eziyinhloko

Izimpawu zokuqala ezimbili ezibaluleke kakhulu zokushaqeka kwe-neurogenic ukwehla okusheshayo komfutho wegazi nokunciphisa ukushaya kwenhliziyo. Kodwa-ke, ezinye izimpawu nezimpawu nazo zivamile, njenge:

• Ncipha ekushiseni komzimba, ngaphansi kuka-35.5ºC;
• Ukuphefumula okusheshayo nokungajulile;
• Isikhumba esibandayo, esiluhlaza okwesibhakabhaka;
• Isiyezi nokuzizwa uphela amandla;
• Umjuluko owedlulele;
• Ukungabikho kwempendulo kuzisusa;
• Ukuguqulwa kwesimo sengqondo;
• Ukunciphisa noma ukungabi khona kokukhiqizwa komchamo;
• Ukuquleka;
• Ubuhlungu besifuba.

Ubukhulu bezimpawu buvame ukwanda ngokuya ngokulimala okuholele ekushaqekeni, kanti esimweni samabhubesi emgogodleni, umgogodla uphakeme kakhulu, ziba zimbi kakhulu izimpawu.

Kunezinye izinhlobo zokwethuka ezingadala nalolu hlobo lwezimpawu, njengokushaqeka kweseptic noma ukushaqeka kwe-cardiogenic. Kodwa-ke, kunoma yikuphi, noma nini, kubalulekile njalo ukuya esibhedlela ngokushesha okukhulu ukuqala ukwelashwa.

Izimbangela ezingaba khona zokwethuka kwe-neurogenic

Imbangela enkulu yokwethuka kwe-neurogenic ukwenzeka kokulimala komgogodla, ngenxa yokushaywa okunamandla emuva noma ezingozini zomgwaqo, isibonelo.

Kodwa-ke, ukusetshenziswa kwendlela engalungile yokwenza i-epidural anesthesia esibhedlela noma ukusebenzisa ezinye izidakamizwa noma imishanguzo ethinta uhlelo lwezinzwa nakho kungaba yizimbangela zokwethuka kwe-neurogenic.

Yelashwa kanjani

Ukwelashwa kokushaqeka kwe-neurogenic kufanele kuqalwe ngokushesha okukhulu ukugwema izinkinga ezinkulu ezisongela impilo. Ngakho-ke, ukwelashwa kungaqalwa ngokushesha egumbini labezimo eziphuthumayo, kepha-ke kudinga ukuthi kuqhutshekwe e-ICU ukugcina ukuhlolwa njalo kwezimpawu ezibalulekile. Ezinye izinhlobo zokwelashwa zifaka:

• Ukungasebenzi: isetshenziswa ezimweni lapho ukulimala kwenzeka emgogodleni, ukuze kuvinjelwe ukuthi kungabi kubi kakhulu nokunyakaza;
• Ukusetshenziswa kwe-serum ngqo emthanjeni: ivumela ukwandisa inani leziphuzo emzimbeni futhi ilawule umfutho wegazi;
• Ukuphathwa kwe-Atropineumuthi owandisa ukushaya kwenhliziyo, uma inhliziyo ithintekile;
• Ukusetshenziswa kwe-epinephrine noma i-ephedrine: kanye ne-serum, basiza ukulawula umfutho wegazi;
• Ukusetshenziswa kwama-corticosteroids, njenge-methylprednisolone: ​​kusiza ukunciphisa izingqinamba zokulimala kwemizwa.

Ngaphezu kwalokho, uma kwenzeka ingozi, ukuhlinzwa kungadingeka futhi ukulungisa ukulimala.

Ngakho-ke, ukwelashwa kungahlala kusuka evikini elingu-1 kuye ezinyangeni ezimbalwa, kuya ngohlobo lokulimala nobukhulu besimo. Ngemuva kokuzinzisa izimpawu ezibalulekile nokululama ngenxa yokwethuka, imvamisa kuyadingeka ukwenza amaseshini okwelapha ngokomzimba ukuthola amanye amandla emisipha noma ukuvumelanisa nokwenziwa kwemisebenzi yansuku zonke.