SDS - dogon matsawa ciwo: cututtuka, magani da kuma rigakafin

Kusan kowace mutum ne mai lafiya daga daban-daban hatsarori. Wannan na iya zama wani abu daga wani hatsari da su safarar da girgizar kasa da kuma rushewar da nawa. A wani daga cikin wadannan lokuta na iya ci gaba SDS. A ciwo yana da daban-daban haddasawa, pathogenesis, bukatar m magani. Ka yi la'akari da wadannan tambayoyi kara.

A ra'ayi na SDS

A sakamakon haka, taushi nama matsawa zai iya ci gaba SDS. Syndrome a mata faruwa tare da wannan mitar kamar cewa daga namiji yawan jama'a. Yana yana da wasu sunaye, kamar murkushe ciwo, ko matsawa rauni. ciwo, cikin tafarkin iya zama:

• Damfara sassa na jiki na da nauyi abubuwa.
• Gaggawa yanayi.

Irin wannan yanayi sau da yawa faruwa bayan girgizar asa, a sakamakon zirga-zirga hatsarori, fashewar, ya rushe a mahakar. A ƙarfi daga matsawa iya ba ko da yaushe zama mai girma, amma akwai wani irin rawa da tsawon lokaci da irin wannan jiha. Yawanci, da VTS (murkushe ciwo) faruwa a lokacin da sakamako ne tsawo a kan m nama, yawanci fiye da 2 hours. Taimakon farko shi ne wani muhimmin mataki a kan abin da mutum rayuwa dogara. Wannan shi ne dalilin da ya sa yana da muhimmanci a iya rarrabe tsakanin bayyananen wannan yanayin.

irin SDS

A likita yi, akwai da dama hanyoyin da rarrabuwa na daki ciwo. Ganin irin matsawa, irin ware syndromes:

• Tasowa a sakamakon rushewar cikin ƙasa. Yana auku a sakamakon tsawo zaman karkashin kankare slab ko daban-daban nauyi abubuwa.
• SDS matsayin tasowa saboda matsawa daga sassa na jikinsa ne.

Sarrafawa iya zama daban-daban, Saboda haka ware PIF:

• Wata gabar jiki.
• Shugaban.
• Ciki.
• Kirji.
• Taza.

Bayan gaggawa sau da yawa ci gaba SDS. A ciwo ne sau da yawa tare da sauran raunuka, haka rarrabe:

• Sashe ciwo yana tare da raunin kayan ciki.
• Tare da lalacewar da fitar kasusuwan jikinsu Tsarin na jiki.
• VTS su lalata jijiya endings da jini.

A mataki na tsanani daga cikin ciwo iya zama daban-daban. Bisa ga wannan al'amari, emit:

• A m irin na ciwo, wanda tasowa yayin da squeezing da reshe na wani dan gajeren lokaci. Take hakki na zuciya da jijiyoyin jini tsarin da aka yawanci ba kamu.

• Idan matsa lamba a kan masana'anta shi ne fiye da 5-6 hours, da talakawan siffar tasowa SDS a wadda na koda gazawar iya zama m.
• Mai tsanani kamu lokacin matse kan 7 hours. Bayyana ãyõyi na koda gazawar.
• Idan taushi nama a karkashin matsin fiye da 8 hours, yana yiwuwa ya yi magana game da ci gaban da wani musamman m SDS. Yana yiwuwa a gane asali congestive zuciya rashin cin nasara, wanda shi ne sau da yawa m.

Sau da yawa, a lokacin da PIF (murkushe ciwo) tare da daban-daban da rikitarwa:

• Tsokar zuciya infarction.
• Cututtuka na daban-daban Gabar tsarin shi ne fraught tare da SDS. A ciwo a mata cewa rinjayar da ƙananan sashi na jiki, watau pelvic gabobin, m tsanani da rikitarwa da kuma rushewa daga cikin al'ada aiki na wannan sashe.
• Pyoseptic pathologies.
• Da suka ji rauni reshe ischemia.

A sakamakon rauni: SDS

Sanadin da ciwo su ne kamar haka:

• M tura.

• Asarar jini, wadda ke ta tasoshin cikin lalace nama. A sakamakon haka, da jini na zama da kauri da kuma sa thrombosis.
• Lalacewar kyallen takarda auku maye. Myoglobin, creatine, potassium da phosphorus daga ji rauni kyallen takarda a cikin jini da kuma sa hemodynamic disturbances. Free myoglobin yana tuba zuwa hydrochloric acid hematin da tsokani ci gaban m na koda gazawar.
• Duk wadannan abubuwan da dole ne a shafe da sauri, don haka ya zama zai yiwu a ajiye rayuwarsu.

A lokaci na asibiti hanya na SDS

A lokacin da hadarin ciwo yana da dama lokaci:

• Farko - shi ne da kanta kai tsaye squeezing taushi nama tare da ci gaban da traumatic buga.
• A karo na biyu lokaci akwai gida saɓani a cikin rauni yanki da kuma farkon maye. Iya haura zuwa kwanaki uku.
• The uku lokaci ne halin da ci gaban da rikitarwa da suka faru a raunuka daban-daban na sashin jiki tsarin.
• A karo na hudu lokaci - warwarewa. An fara daga lokacin ta maido da koda aiki.
• Next, wadanda gano abubuwan da magana daga immunological reactivity, da bactericidal aiki na jini.

Symptomatology na ciwo na matsawa na nama

Idan ba nan da nan shafe matsin lamba da yawa a kan m kyallen takarda, sa'an nan a hankali progresses SDS. bayyanar cututtuka na ciwo farfado da wadannan:

• A fata a kan ƙunci matsattse reshe zama kodadde.
• Yana bayyana edema, wanda a kan lokaci na karuwa ne.
• Ba detectable jijiyoyin bugun gini pulsation.
• Total shafi yanayin worsens.
• Akwai zafi ciwo.
• A cikin mutane, Psycho-wani tunanin danniya.

Jini gwajin ya nuna wani karuwa fibrinogen rage fibrinolytic aiki na jini coagulation tsarin da aka ma kara.

Samu a cikin fitsari gina jiki, ja jini Kwayoyin bayyana da cylinders.

Waɗannan su ne bayyananen iya zama SDS. A ciwo ne halin gwada al'ada jihar shafa idan kawar da matsawa daga kyallen takarda. Amma bayan wani lokaci akwai:

• Cyanosis kuma pallor na integument.
• Bambance-bambance da canza launi da fata.
• A cikin gaba rana busa ƙaruwa.

• Kumfa iya bayyana, infiltration, kuma necrosis na extremities faruwa a mai tsanani lokuta.
• Developing zuciya da jijiyoyin jini insufficiency.
• Jini gwajin ya nuna ta thickening da neutrophilic motsi.
• Propensity zuwa thrombosis.

A wannan mataki yana da muhimmanci dace m jiko far da tilasta diuresis da detoxification.

Symptomatology na uku lokaci

The uku mataki na ci gaba da ciwo (VTS) ne halin da ci gaban da rikitarwa, sai ya tafi daga 2 zuwa 15 days.

ÃyõyinSa a lokacin za su iya bayyana kamar haka:

• Da shan kashi na daban-daban Gabar tsarin.
• A ci gaba da koda gazawar.
• Kumburi zama ya fi girma.
• A fata, bayyanar kumfa za a iya lura da hujjõji ko hemorrhagic ciki.
• Bright fara bayyana anemia.
• Rage fitsari fitarwa.
• Idan wani jini gwajin, shi qara natsuwa da urea, creatinine da potassium.
• Bayyana gargajiya hoto na uremia da hypoproteinemia.
• Akwai wani karuwa a jiki zafin jiki na azabtar.
• Janar yanayin worsens.
• Akwai rikice da kuma lethargy.
• Yana iya amai.
• Batawa sclera nuna hanta da hannu a pathological tsari.

Ko m far ba zai iya ko da yaushe ceton wani mutum, idan suka kamu da SDS. Ciwo, idan ya kai gare shi da wannan lokaci, a 35% na lokuta sakamakon a mutuwar shafa.

A irin haka ne, da shi za a iya kawai taimaka extracorporeal detoxification.

Kara ci gaba da na SDS

A karo na hudu lokacin - a warwarewa. Yana fara bayan kodan sake samu da jobs. A wannan mataki, na gida canje-canje ĩkon tasarrufi a cikin general.

Alamun iya sun hada da:

• Idan akwai bude rauni, sa'an nan ya lura dauke da kwayar cutar rikitarwa.
• Zai yiwu ga cigaban sepsis.
• Idan babu rikitarwa, da kumburi fara subside.
• Ta yaya sauri warke hadin gwiwa motsi zai dogara ne a kan mai tsanani daga lalacewa.
• Tun da tsoka nama aka kashe, sun fara yin maye gurbin connective nama, wanda ba ya da ikon rage, don haka da reshe atrophy tasowa.
• Anemia ma ta ci gaba.
• Na sha wahala ba ci.
• Akwai m canje-canje a homeostasis, kuma idan ka yi amfani da wani m jiko-transfussion far, su za a iya shafe ta bayan wata daya daga m magani.

A lokacin da na karshe lokacin da dakushe jikkata bayyana dalilai na halitta juriya, bactericidal aiki na jini. Leukocyte index kara lokaci ne aka canja.

A dogon lokacin da wadanda sha wani tunanin da hankulansu rashin zaman lafiya. M ciki, psychosis da ciwon iska.

Yadda za a gane SDS?

Ciwo, cikin ganewar asali da wanda dole ne a da za'ayi kawai m gwani, na bukatar kulawa ta musamman da kuma magani. Ƙayyade gaban cutar za a iya dogara ne a kan wadannan Manuniya:

• Yana daukan la'akari da na asibiti hoto da kuma cikin yanayi na rauni.
• Kada ka zauna tare da hankalin fitsari analysis, jini.
• Gudanar bincikowa da kayan aiki, wanda ba ka damar kwatanta muhimmancin dakin gwaje-gwaje da kuma bayyanar cututtuka koda tsarin.

Mutane jurewa bincike cardiac wani lokacin ji wannan ganewar asali, amma ba kowa da kowa fahimci abin da ciwo. SDS zuciya ECG iya nuna gaban cuta, wanda rinjayar da kirji. Da yake karkashin kufai a karkara zai iya muhimmanci shafi aiki na zuciya tsoka.

Laboratory ganewar asali ne da za'ayi zuwa:

• Gane da matakin na myoglobin da jini jini, yawanci a cikin irin wannan jihar, shi ne muhimmanci karu.
• Tabbatas da taro na myoglobin a cikin fitsari. Idan adadi ya kai har zuwa 1000 ng / ml, yana yiwuwa su yi magana da bunkasa m na koda gazawar a cikin VTS.
• A ciwo iya bayyana kanta a matsayin karuwa a transaminases a cikin jini.
• Karuwan creatinine da urea.

By nazarin fitsari likitoci sanin mataki na koda lalacewa. A cikin binciken bayyanãwa.

• Karuwa da leukocytes idan akwai wahala da VTS.
• Qara taro na salts.
• Karuwan urea ciki.
• Akwai cylinders.

Daidai ganewar asali damar likitoci zuwa rubũta da tasiri far maza maza don taimaka aka azabtar warke duk ayyuka na jiki.

Yadda za a samar da taimakon farko?

Daga gaggawa taimako da shi ya dogara da jihar na azabtar, kuma watakila ransa, lokacin da yake bunkasa da VTS. A ciwo, taimakon farko da ya kamata a bayar da maza maza, ba zai kai ga tsanani da rikitarwa idan taimaka aka azabtar da wadannan algorithm:

1. Ka ba da m miyagun ƙwayoyi.
2. Sa'an nan a fara don saki da ya shafa yankin na jiki.

Kamar yadda wadannan kudi su dace, "Analgin", "Promedol", "Morphine". All kwayoyi suna gudanar kawai intramuscularly.

Mutane da yawa tambaya me ya sa a lokacin da SDS-tambaya a tourniquet ciwo? Wannan ne yake aikata a gaban tsanani jijiya zub da jini, ko m reshe lalacewar da aka azabtar ya mutu daga jini hasãra.

• Duba da lalace yankin.
• Cire wayoyi.
• All raunuka ya kamata a bi antiseptic kuma rufe da wata bakararre zane.
• Don kokarin kwantar da reshe.
• Fallasa ba ya wuce kima sha, m shayi, da ruwa, kofi, ko da guda-Saline.
• Dimi azabtar.
• Idan akwai obstructions, da mutum bukatar da sauri don samar da oxygen.
• Don hana zuciya rashin cin nasara, shigar da wanda aka azabtar "Prednisolone".

• Aika da aka azabtar to mafi kusa asibiti.

Far daki ciwo

Yana za a iya sãɓãwar launukansa digiri na tsanani daga SDS. Ciwo, lura da abin da ya kamata a dukkan fannoni, ba sa tsanani da rikitarwa, idan akai la'akari da pathogenesis na raunuka. Complex aiki - wannan yana nufin:

• Domin gudanar da ayyukan don magance homeostasis munanan.
• Don sa a warkewa sakamako a kan pathological cibiyar lalacewa.
• Maido da microflora da raunuka.

Warkewa matakan kamata a da za'ayi kusan ci gaba, da suka fara daga ranar farko agaji da kuma zuwa cikakken maida daga cikin wanda aka azabtar.

Idan gwaji rauni, da magani kunshi dama, saukarwa:

• A farko fara nan da nan a scene.
• Na biyu - shi ne don taimaka a wani likita makaman, wanda zai iya zama quite nisa daga halartar da bala'i, don haka sau da yawa amfani "tashi asibitoci", "asibitoci a ƙafafun". Yana da muhimmanci sosai ga suna da dace kayan aiki don taimaka a hali na lalacewar na musculoskeletal tsarin da kayan ciki.

• A cikin uku mataki ne na musamman kulawa. Wannan yawanci yakan faru a cikin wani m ko rauni cibiyar. Akwai dukan zama dole kayan aiki domin samar da taimako a cikin hali na tsanani lalacewar da musculoskeletal tsarin, ko kayan ciki. Akwai farfado da sabis don cire wani mutum daga wani Jihar buga, sepsis ko na koda gazawar.

miyagun ƙwayoyi far

A baya ka fara wannan mataki na far, da mafi kusantar da haƙuri tsira. Medical kula a wannan mataki ne kamar haka:

• Shafi suke jiko sodium chloride cakuda da 5% sodium bicarbonate a wani rabo daga 4: 1.
• Idan akwai mai tsanani nau'i na ciwo, wadanda ke fama da wani anti-tura matakan gabatar 3-4 lita na jini da kuma jini canza.
• Don hana ci gaban rikitarwa, ciyar diuresis tare da gabatarwar "Furosemide" ko "mannitol".
• Rage kwayoyin maye cimma yaron da jini da kuma yin amfani da farkon gamma-hydroxybutyric acid. Shi yana da wani mai hanawa sakamako a kan CNS, kuma yana da hawan jinni sakamako.

Idan duk mazan jiya hanyoyin kwantar da hankali kada a ba da ake so sakamakon, shi na bukatar m magani, wanda dogara ne a kan yin amfani da wadannan hanyoyin da detoxification:

• Sorption hanyoyin.
• Dialysis da tacewa (dialysis, ultrafiltration).
• Fereticheskie (plasmapheresis).

Kuma na iya bukatar yanki, wanda shi yiwuwa a koma ga wani al'ada rayuwa.

Shin yana yiwuwa a hana SDS?

Idan ka kauce wa rauni bai faru ba, to, a mafi yawan lokuta ci gaba SDS. A ciwo, wanda ake bukata m tabbatarwa, ba zai kai ga m sakamakon, idan, nan da nan fara dauki mataki. Domin wannan da kuke bukata da kwayoyin penicillin. A amfani da maganin rigakafi iya ba cece su daga festering, amma hana gas gangrene haka shi ne quite yiwu.

Kafin extracting da suka ji rauni daga cikin kufai a karkara muhimmanci don fara ruwa far wa normalize Bcc. Sau da yawa amfani ga wadannan dalilai "mannitol", 4% magnesium bicarbonate bayani.

Idan muka gudanar da wani dukkan wadannan ayyuka kai tsaye a kan tabo, yana yiwuwa su hana ci gaban tsanani da rikitarwa SDS, kamar gas gangrene kuma koda gazawar.

Mun yi nazari a daki-daki SDS (murkushe ciwo), ciki gabobin nauyin jikinsa, ko nauyi abubuwa. Wannan yanayin sau da yawa yakan faru a lokacin gaggawa. Ya kamata a lura da cewa timeliness na taimakon iya ajiye rayuwarsu. Amma a cikin adabi da kuma a shafukan mujallu a yau za ka iya samun sosai daban-daban fassarar. Yana yana da guda sunan - SDS ciwo - mace cuta daga cikin karni. Wannan ra'ayi ne quite a daban-daban yankin da kuma ya kamata ka ba dame shi da irin wannan tsanani cuta. Wannan shi ne wani topic for wani labarin gaba ɗaya, amma a takaice ya kamata a lura da cewa wannan yana nufin da ciwo. shi sau da yawa rinjayar mata wanda suke jin an nauyaya da gwamnatin. Son kai, rashin kai-da zargi, rashin fahimta da maza, da amincewa a kansa ma'asumai da irin wannan "bayyanar cututtuka" halayyar da ciwo a mata SDS.