Yuav ua li cas yog hypovolemic poob siab?

Shock yog hu ua ib tug tseem ceeb lub xeev, nyob rau hauv uas sharply txo hloov khoom nruab nrog perfusion, uas yog tag nrho, tshwj xeeb tshaj yog lub siab ntsws tseem ceeb muaj nyob rau hauv ib lub xeev ntawm cov pa deficiency.

Ntawm cov yog vim li cas rau xws li ib tug lub xeev feem ntau yog: ib tug puas lesion, kub nyhiab, ntshav poob, kab mob ntawm lub ntse weakening ntawm lub siab nqaij muaj nuj nqi, ntaus cov allergen rau hauv lub cev, uas tau raug yav tas los sensitized.

hom ntawm poob siab

Nyob ntawm seb yog vim li cas, uas tau nyob rau hauv kev tsim muaj tus mob no, koj yuav xaiv tau ntau hom:

1. hypovolemic poob siab;

2. puas los yog mob;

3. Hlawv;

4. anaphylactic;

5. kab thiab tshuaj lom;

6. cardiogenic;

7. turnstile.

hypovolemic poob siab

Qhov no hom ntawm ib qho tseem ceeb lub xeev muaj feem ntau. Vim li no, nws puas tsim nyog saib qhov kev piav qhia nyob rau hauv kom meej. Hypovolemic poob siab yog tshwm sim los ntawm ib tug mob txaus ntawm circulating ntshav ntim. Raws li ib tug tshwm sim ntawm txo venous rov qab mus rau hauv lub plawv thiab tshwm sim theem nrab txo nyob rau hauv mob tso zis.

Qhov ncaj ua ntawm no hom ntawm ceev xeev yog hemorrhage (ob sab nraud thiab sab hauv); tsis kua nyob rau hauv kis kab mob. Txo qhov ntim ntawm cov ntshav kuj ua tau los ntawm txuam nrog ntawm kua nyob rau hauv lub plab kab noj hniav thaum lub sij hawm peritonitis, puas nqaij mos kev puas tsuaj.

Hypovolemic poob siab nyob rau hauv kis kab mob kev vim degitratatsionnym syndrome, feem ntau nyob rau hauv cov hnyuv kab mob, namely, khoom noj khoom haus lom, salmonellosis, kab mob cholera thiab thiaj li nyob. Txawm li cas los, qhov no tsis yeej ib txwm tshwm sim. Yog hais tias lub kev kho mob ntawm plab hnyuv kab mob pib nyob rau hauv ib tug raws sijhawm, xws li ib tug tseem ceeb heev lub xeev yuav tsis tsim.

Yuav kom to taub zoo dua li cas yog hypovolemic poob siab, nws yog tsim nyog los xav txog lub pathogenesis ntawm nws txoj kev loj hlob. Nws txoj kev loj hlob muaj peev xwm yuav muab faib ua peb theem:

1. Qhov uas tsis muaj ntshav ntim;

2. ua kom ntawm lub sympathetic-adrenal system;

3. ncaj qha shock.

Nyob rau hauv thawj kauj ruam tib neeg lub cev pom tau tias cov kua ntim tsis txaus nyob rau hauv cov hlab ntsha uas yog muaj zuj zus lawm venous txaus rau hauv lub plawv, txo central siab. Raws li ib tug tshwm sim ntawm cov dab yog txo mob tso zis. Thaum lub sij hawm thawj teev nyob rau hauv cov hlab ntsha nyhav interstitial kua, thiab yog li thiaj li muaj cov ntim ntawm intercellular sector.

Nyob rau hauv lub thib ob theem, lub baroreceptor reflex stimulation, uas spurs lub sympathetic-adrenal system. Raws li ib tug tshwm sim, nws yuav tsub kom lub secretion ntawm catecholamines: noradrenaline nce tenfold, adrenaline - nyob rau hauv cov pua pua.

Nyob rau tib lub sij hawm muaj ib tug yuav txo tau nyob rau hauv sympathetic laus leeg, lub plawv thiab arterioles, uas entails ib qho kev nce nyob rau hauv lub peev xwm los txo infarction thiab lub plawv palpitations. Thiab ces muaj yog centralisation ncig. Nyob rau hauv lub thib peb theem, uas yuav pib nyob rau hauv lub qhaj ntawv ntawm kev kho mob, uas ua nyob rau hauv lub caij nyoog hypovolemia npaj pheej txo nyob rau hauv perfusion.

Hypovolemic poob siab yog manifested clinically heev me me mem tes; tsawg systolic ntshav siab; txo nyob rau hauv central venous siab; Txias, noo, daj ntseg cyanotic txawm marble log; tseg ntawm cov ntshav txaus rau tus ntsia thawv txaj; oliguria.

Yog hais tias koj muaj tej yam ntawm hypovolemic poob siab yuav tsum tam sim ntawd hu rau cov kev kho mob chaw kev pab. Tsis txhob xav hais tias xws li ib tug lub xeev yuav nws tus kheej docked. Nyob rau hauv thiaj li yuav cawm tau ib tug neeg, nws yog qhov zoo tshaj plaws hu mus rau lub tsheb thauj neeg mob crews, uas yog tseem nyob rau theem ntawm kev thauj mus los yuav pib rau muab thawj pab. Nyob rau hauv lub xeev no, txawm lub slightest kev ncua yuav raug nqi ib tug neeg lawv lub neej.