Kodi chikhalidwe osachiritsika?

Tili boma, imene ntchito thupi zonse zofunika za dongosolo ndi chimatha, wotchedwa osachiritsika boma asanamwalire kwachilengedwenso. Osachiritsika boma - ndi ndondomeko kusintha, omwe amakhala ndi chisokonezo kwambiri kagayidwe ndi mpweya kuwombola, komanso dontho owonjezera magazi.

Pa kugwira ntchito kwa thupi la munthu akhoza kukhala ndi ukupeza, matenda kapena kakhalidwe osachiritsika amene ali ndi makhalidwe yake. boma osachiritsika nthawi zonse chifukwa cha matenda kapena kuvulala, iyo siingakhoze anaima ndi mphamvu thupi ndi pakalibe thandizo amapha.

Waukulu pathophysiological limagwirira ndi kuperewera kwa mpweya mu thupi (hypoxia), imbaenda ku kuchuluka kwa kusintha compensatory-dziphunzitsiranso ndi pathological.

Pali magawo anayi a limati osachiritsika:

1. Predagoniya.
2. Osachiritsika Imani - boma Transitional.
3. Kupweteka.
4. Chipatala imfa.

Predagoniya ndi sitepe optional kumene kungakhale kwina, mwachitsanzo, panthawi ya kumangidwa mtima. chikhalidwe ichi amakhala ndi systolic magazi 60 mamilimita Hg kapena zochepa, tachycardia, bradycardia, lomwe zatha, kupuma Kusakhazikika (woyamba pafupipafupi ndiponso yakuya, ndiye osaya ndi osowa), komanso kusokonezeka, ulesi ndi khunyu. Mu magawo oyambirira kungakhale predagonii boma yochepa kukondoweza reflex Pofunafuna kulongosola nkhondo thupi moyo wake. Komanso, pali chosowa mkodzo excretion ndi thupi (oligoanuria) ndi discoloration kuonekera nembanemba mucous ndi khungu, yomwe kukhala wotumbululuka ndi mthunzi cyanotic. Nthawi predagonii sitepe zimadalira mphamvu lake ndi angathe zosiyanasiyana, kuyambira mphindi zingapo kwa tsiku.

Kusintha kwa predagonii kuti m'chipsinjo zimachitika kudzera sitepe osachiritsika mozama. Mbali imeneyi amakhala ndi kutha mwadzidzidzi kupuma, limodzi ndi liwiro la kugunda kwa mtima, ndipo ngakhale kusapezeka, ana dilated ndipo mwadzidzidzi kuponderezana mtima. Kutalika stepi ino - kuchokera masekondi angapo mphindi zisanu.

Palibe m'chipsinjo magazi, zimachitika alipo yekha pa mtsempha wamagazi carotid, pali bradycardia ndi bradypnea, palibe kutsitsimuka. Childs, zaululu wa nthawi yochepa, nthawi ya nlochokera kwa mphindi zingapo maola asanu.

Mapeto a chikhalidwe osachiritsika - ndi imfa matenda, chimene chili pa tsiku la kutha lathunthu zochitika mtima ndi kutha wathunthu kupuma. Ngati mkati mphindi awiri, palibe achire komanso olimba ntchito Motero pali kuwonongedwa kwa maselo a kotekisi oziziritsa, kenako pakubwera imfa zamoyo zomwe amakonda kuthekera kuchira.

chikhalidwe osachiritsika amafuna thandizo mwamsanga kuchokera kunja. Pali lonse osiyanasiyana miyeso, amene ntchito ya revitalization (akayakaya wagawo) odwala, ndi kuchotsa izo kwa boma la kukomoka. Bwino zimenezi kwakukulukulu zimadalira nthawi china.

State wa wotukuka pambuyo kuwatsitsimula thupi amatchedwanso osachiritsika ( «terminalis» -. Malire, kunena mapeto, balati), Ie, malire pakati pa moyo ndi imfa. Osachiritsika chikhalidwe cha mtundu uwu ali ndi zovuta pathophysiological zachilengedwe kuti etiology ake kusewera yaikulu udindo kuphatikiza reoxygenation ndi yobwezeretsanso pa maziko a kusintha kwambiri zimakhala hypoxic ndi ziwalo. Border chikhalidwe osachiritsika amakhala ndi Kusakhazikika ntchito zonse zofunika mogwirizana ndi disorganization wathunthu wa dongosolo kukhalabe homeostasis m'nthawi ya kufa ndi wochedwa, pang'onopang'ono, osati zokwanira mgwirizano kukonzanso dongosolo pambuyo kuchira.