Hemorrhagic buga a cutukan gynecology

Tare da asarar jiki ta jini fiye da daya lita wani mutum tasowa Jihar hemorrhagic buga. Idan da zub da jini ba a tsaya a lokacin, da kuma ci gaba da kara, da asarar wasu talatin bisa dari na jini girma irin wannan yanayin ne rai barazana.

Jini da asarar iya zama duka bayyane da kuma ganuwa. A bude raunin da ido da likitoci na iya ƙayyade yawan jini rasa, kuma mai tsanani daga cikin halin da ake ciki. Bayan wani gwaji asarar ta wani mutum tasowa hemorrhagic buga. Wannan musamman jihar da kwayoyin mayar da martani ga wani barazana halin da ake ciki. Alal misali, hemorrhagic buga a cutukan gynecology - daya daga cikin mafiya hatsari, kamar yadda akwai occult jini, da kuma mace na iya mutuwa idan gazawar samar dace magunguna. Mafi sau da yawa, wannan results a ovarian apoplexy, rauni al'aurar, rasa zubar da ciki, igiyar ciki submucosal fibroids, perforation na mahaifa jiki, matauni ciki, sakamakon zubar da ciki.

Babban barazana a irin wannan yanayi - wannan disproportion damar da jijiyoyin bugun gini gado, da kuma jini da cewa circulates akwai, ko kuma wajen da saura. Wannan take kaiwa zuwa rushewa macrocirculation - wurare dabam dabam na jini ta cikin jijiyoyi, jijiyoyinmu da kuma zuciya. A na gaba mataki - wani take hakkin da microcirculation - na arterioles, venules da capillaries.

Idan ka rasa game da rabin lita na jini, jiki zai iya rama domin wannan karuwa a venous sautin. A wannan yanayin, da jijiya sautin ba sha, ba ya canza mita na ƙanƙancewa na zuciya, babu kasawa a cikin wadata da kyallen takarda.

A gagarumin hypovolemia take kaiwa zuwa tsananin gajiya. Domin ya kula da harshen damo da kwayoyin da shi ya hada da iko compensatory sunadaran. Qara sautin na juyayi tsarin, qara saki na ba ji ba gani. A karkashin mataki na zuciya rate rãyar, rage m tukar tumbi auku vasospasm circumferentially. Duk da haka, irin wannan canje-canje a cikin jiki kawai dan lokaci kula da harshen damo. Daga bisani, a lokacin da tabarbarewar irin sunadaran kasa da kuma zo anoxia gabobin da kyallen takarda.

Hemorrhagic buga iya zama na uku, saukarwa, wanda rarrabuwa dogara ne a kan girma na jini rasa da disturbances a jikinsu saboda wannan asara. A mataki na farko - cika, ya shafa kodadde wuyan hannaye m, faintly pulsating, akwai tachycardia. A girma daga rasa jini - har zuwa daya lita. Idan da zub da jini da aka tsaya, da cututtuka iya har yanzu nace don wani lokaci. Idan jini ya ci gaba, cututtuka aggravated ta - a yanayin da ake kira reversible decompensated. Wancan ne, jiki da kanta ba zai iya jimre da irin wannan take hakki, amma likita taimako bayar a lokacin da za a ajiye mace. A cikin mataki na biyu shafi zuciya, huhu, da kwakwalwa, hanta da kuma kodan, mai tsanani hypoxia tasowa. A karshe mataki - rashin komowar hemorrhagic buga. Jini da asarar ne game da rabi daga cikin girma, wanda circulates a cikin jiki. A wannan yanayin, ba zai iya taimaka ma farfado.

Bincikar lafiya hemorrhagic buga a kan tushen da Manuniya kamar zafin jiki da kuma launi (musamman hankali ne ya biya zuwa extremities), jini, bugu index, hematocrit, hourly diuresis.

Gaggawa taimako a hemorrhagic buga, fassara a cikin lokaci - da key ga nasara ga kau da wannan yanayin. A fagen gynecology farko taron ya kamata a directed don samun damar zuwa shafin inda jini ya auku. Wannan na bukatar gaggawa m baki. Lokaci guda tare da likita-likitan mata da kuma wani anesthetist aiki. Lokacin da hemostasis dole ne sauri janye haƙuri daga hemorrhagic buga yanayin.