Hypovolemic girgiza

Hypovolemic shock yanayi ne na gaggawa wanda tsananin jini ko wani ɓataccen ruwa na sanya zuciya ta kasa ɗiwon jini zuwa jiki. Irin wannan gigicewar na iya sa gabobi da yawa su daina aiki.

Rashin kusan kashi ɗaya cikin biyar ko fiye na yawan jinin al'ada a cikin jikinka yana haifar da gigicewar hypovolemic.

Rashin jini na iya zama saboda:

• Zuban jini daga cuts
• Zubar jini daga wasu raunuka
• Zub da jini na ciki, kamar a ɓangaren hanji

Adadin jinin da ke zagayawa a jikinka na iya raguwa yayin da ka rasa ruwan jiki da yawa daga wasu dalilai. Wannan na iya zama saboda:

• Sonewa
• Gudawa
• Yawan zufa
• Amai

Kwayar cutar na iya haɗawa da:

• Tashin hankali ko tashin hankali
• Cool, fata mai laushi
• Rikicewa
• Rage ko babu fitowar fitsari
• Weaknessasasshen rauni
• Launi mai launi na launi (launi)
• Saurin numfashi
• Gumi, fata mai laushi
• Rashin sani (rashin amsawa)

Thearin jini da ya fi sauri da sauri, alamun cutar girgiza sun fi tsanani.

Gwajin jiki zai nuna alamun damuwa, gami da:

• Pressureananan hawan jini
• Temperatureananan zafin jiki na jiki
• Bugun hanzari, sau da yawa rauni da ƙarfi

Gwajin da za a iya yi sun hada da:

• Chemistry na jini, gami da gwajin aikin koda da wadancan gwaje-gwajen da ke neman shaidar lalacewar jijiyoyin zuciya
• Kammala ƙididdigar jini (CBC)
• CT scan, duban dan tayi, ko x-ray na wuraren da ake zargi
• Echocardiogram - gwajin kalaman sauti na tsarin zuciya da aiki
• Kayan lantarki
• Endoscopy - bututun da aka sanya a baki zuwa ciki (endoscopy na sama) ko kuma colonoscopy (bututun da aka sanya ta dubura zuwa babban hanji)
• Dama zuciya (Swan-Ganz) catheterization
• Yin fitsari (bututun da aka sanya cikin mafitsara don auna fitowar fitsari)

A wasu lokuta, ana iya yin wasu gwaje-gwaje suma.

Nemi taimakon likita yanzunnan. A halin yanzu, bi waɗannan matakan:

• Kiyaye mutum ya zama mai jindadi da dumi (don gujewa yanayin zafi).
• Sa mutum ya kwanta kwance tare da ɗaga ƙafa kusan inci 12 (santimita 30) don ƙara wurare dabam dabam. Koyaya, idan mutum yana da kai, wuya, baya, ko rauni a ƙafa, kar a canza matsayin mutum sai dai idan suna cikin haɗarin gaggawa.
• Kada a ba da ruwa a baki.
• Idan mutum yana fama da rashin lafiyan, yi maganin rashin lafiyan, idan kun san yadda.
• Idan dole ne a ɗauke mutum, yi ƙoƙari a daidaita shi, tare da ɗaga kai da ƙafa. Arfafa kai da wuya kafin motsa mutum da ake zargi da rauni na kashin baya.

Manufar maganin asibiti shine maye gurbin jini da ruwa. Za a saka layin (IV) a cikin hannun mutum don ba da jini ko kayan jini.

Za'a iya buƙatar magunguna kamar su dopamine, dobutamine, epinephrine, da norepinephrine don ƙara hawan jini da kuma yawan jini da aka fitar daga zuciya (fitowar zuciya).

Kwayar cututtuka da sakamako na iya bambanta, ya danganta da:

• Adadin yawan jini / ruwa da aka rasa
• Yawan jini / asarar ruwa
• Rashin lafiya ko rauni da ke haifar da asara
• Arfafa yanayin yanayin rashin lafiya, irin su ciwon sukari da zuciya, huhu, da cutar koda, ko alaƙa da rauni

Gabaɗaya, mutanen da ke da darajan digiri na firgita sukan fi kyau fiye da waɗanda ke da tsananin damuwa. Tsananin tashin hankali na rashin ƙarfi na iya haifar da mutuwa, koda kuwa da kulawar likita kai tsaye. Tsoffin tsofaffi suna iya samun mummunan sakamako daga damuwa.

Matsaloli na iya haɗawa da:

• Lalacewar koda (na iya buƙatar amfani na ɗan lokaci ko na dindindin na injin wankin koda)
• Lalacewar kwakwalwa
• Hannun hannu ko kafafu, wani lokacin yakan haifar da yanke jiki
• Ciwon zuciya
• Sauran lalacewar gabobi
• Mutuwa

Hypovolemic shock shine gaggawa na gaggawa. Kira lambar gaggawa na cikin gida (kamar su 911) ko kai mutum dakin gaggawa.

Tsayar da damuwa ya fi sauƙi fiye da ƙoƙarin magance shi da zarar ya faru. Gaggauta magance sababi zai rage kasadar kamuwa da mummunar damuwa. Taimako na farko zai iya taimaka wajan shawo kan girgiza.

Shock - hypovolemic

Angus DC. Kusanci ga mai haƙuri tare da gigicewa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 98.

Dries DJ. Hypovolemia da mummunan tashin hankali: gudanarwa mara kyau. A cikin: Parrillo JE, Dellinger RP, eds. Magungunan Kulawa mai mahimmanci: Ka'idojin bincikowa da Gudanarwa a cikin Matasa. 5th ed. Philadelphia, PA: Elsevier; 2019: babi na 26.

Yarinya MJ, Peake SL. Bayani game da gigicewa. A cikin: Bersten AD, Handy JM, eds. Oh's Intensive Care Manual. 8th ed. Philadelphia, PA: Elsevier; 2019: babi na 15.

Puskarich MA, Jones AE. Shock. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 6.