Hemorrhagic mantha mu obstetrics ndi matenda achikazi

Imfa ya magazi thupi lita kuposa wina munthu ali ndi boma la hemorrhagic mantha. Ngati magazi si anaima nthawi, ndipo akupitiriza zina, imfa ya ena sate pa zana a buku magazi makhalidwe amenewa ndi oopsa kwambiri.

kutaya magazi zimakhala zooneka ndi zosaoneka. Mu kuvulala lotseguka kwa madokotala diso akhoza kudziwa kuchuluka kwa magazi anataya kwakukulu ndi vutolo. Pambuyo pa imfa yokulirapo chake munthu akayamba hemorrhagic mantha. Izi boma linalake chamoyo poyankha zinthu pachiswe. Mwachitsanzo, hemorrhagic mantha mu obstetrics ndi matenda achikazi - mmodzi wa owopsa ngati pali magazi zamatsenga, ndi mkazi akhoza kufa ngati kulephera kupereka chithandizo yake. Nthawi zambiri zimenezi zimachititsa enaake owononga yamchiberekero, zoopsa kumaliseche, anasowa mimba, uterine submucosal fibroids, perforation la chiberekero thupi, mimba molar, zotsatira za mimba.

Kuopseza chachikulu zoterezi - ichi mphamvu disproportion bedi mtima, ndipo magazi kuti amazungulira kumeneko, kapena m'malo zotsalira ake. Zimenezi zimabweretsa kusokonezeka macrocirculation - magazi mwa mitsempha, mitsempha ndi mtima. Siteji yotsatira - kuphwanya microcirculation a - za arterioles, venules ndi capillaries.

Ngati mutaye pafupi theka la lita imodzi ya magazi, thupi angalipirire kuwonjezeka kumeneku mu kamvekedwe venous. Mu nkhani iyi, wolumikizira kamvekedwe sajomba sasintha pafupipafupi chidule cha mtima, palibe kulephera mu kotunga zimakhala.

A hypovolemia kwambiri kumayambitsa nkhawa kwambiri. Pofuna kukhala ntchito yaikulu ya chamoyo amaphatikizapo asilikali amphamvu compensatory. Kumawonjezera kamvekedwe ya ubongo, kumaonjezera kumasulidwa mahomoni. Mu zochita za kugunda kwa mtima wawo umafulumizitsa, yafupika madzimadzi excretion amapezeka vasospasm circumferentially. Komabe, kusintha ngati m'thupi mongoyembekezera chabe kukhalabe ntchito zake zofunika kwambiri. Kenako, pamene kuwonongeka kwa asilikali chikakusowani ndipo wafika anoxia ziwalo ndipo zimakhala.

Hemorrhagic mantha angakhale masiteji atatu, zomwe gulu zachokera buku la magazi anatayika chisokonezo matupi chifukwa kuonongeka. Pa gawo loyamba - kulipidwa, wathuyo wotumbululuka woimbayo dzenje, faintly kugunda, pali tachycardia. Voliyumu ya magazi anataya - mpaka lita imodzi. Ngati magazi ndi anaima, zizindikiro zina amapitirizabe kwa nthawi yaitali. Ngati mwazi upitirira, zizindikiro kukula chifukwa - chikhalidwe wotchedwa kusintha decompensated. Ndiko kuti, thupi lenilenilo sangathe kulimbana ndi kuyan'anila zimenezi, koma thandizo kuchipatala operekedwa mu nthawi kupulumutsa mkazi. Mu gawo lachiwiri bwanji mtima, mapapo, ubongo, chiwindi ndi impso, hypoxia aakulu kwambiri. Gawo lotsiriza - zoti sizingasinthe hemorrhagic mantha. kutaya magazi ndi pafupifupi theka la buku, amene amazungulira mu thupi. Pankhaniyi sikungathandize ngakhale kuwatsitsimula.

Matenda hemorrhagic mantha pamaziko zizindikiro monga kutentha ndi mtundu (mwapadera linaperekedwa kwa malekezero), magazi, index mantha, hematocrit, paola diuresis.

thandizo Emergency mu hemorrhagic mantha, anawamasulira mu nthawi - chinsinsi bwino pofuna kuchotsa chikhalidwe ichi. M'munda wa chochitika matenda achikazi choyamba ayenera kupita kwa kulumikiza kwa malo magazi kumachitika. Izi zimafuna mwamsanga alowererepo pa opaleshoni. Imodzi ndi dokotala-gynecologist ndi wopereka mankhwala opha ululu ntchito. Pamene hemostasis msanga mupewe wodwalayo chikhalidwe hemorrhagic mantha.