Chii chinonzi chirwere ezvinhu?

Critical mamiriro, umo zvose muviri anokosha wegadziriro vari akadzimwa, inonzi chinouraya mamiriro asati rufu vokubereka. Inouraya Hurumende - chinhu reversible chichiitwa, iyo inozivikanwa nokuva kukuru kuvhiringidzika muviri uye gasi Exchange, uyewo mamwe donhwe BP.

Munguva kushanda kunoita muviri anogona kuva mumamiriro utano, chirwere kana mamiriro ezvinhu mune chirwere iyo ine maitiro ayo. Inouraya mamiriro anogara migumisiro ipi chirwere kana kukuvara, hazvigoni kumiswa nemauto muviri uye tisina rubatsiro zvinouraya.

The chikuru pathophysiological mashandiro ari kushayikwa okisijeni mumuviri (hypoxia), iyo inosvitsa munhu muzvizhinji kuti compensatory-adaptive uye Kumwe kuchinja kunotanga.

Pane zvikamu zvina chiteshi inoti:

1. Predagoniya.
2. Inouraya Kumbomira - a Transitional mamiriro.
3. Kurwadziwa.
4. Clinical rufu.

Predagoniya chinhu tingasarudza danho izvo zvinogona ndisipo Somuenzaniso, panguva cardiac kusungwa. Izvi mamiriro ezvinhu dzinoratidzwa systolic BP 60 mm HG zvichidzika, tachycardia, bradycardia, riri yakatsiva, kufema kusagadzikana (pakutanga kakawanda uye rakadzika, zvino kudzika uye zvisingawanzoitiki), uyewo kuvhiringidzika, lethargy nokugwinha. In tanga zvingava predagonii ehurumende kwenguva pfupi dzishande dzepanguva kuedza kutsanangura kurwa muviri upenyu hwake. Uyezve, pane kushayikwa weti excretion nomuviri (oligoanuria) uye atindivare chinooneka mucous membranes uye ganda, izvo yava nani pamwe cyanotic mumvuri. Duration predagonii nhano kunobva Muviri vanokwanisa uye ingabva wandei maminitsi kusvikira zuva.

Kuchinja kubva predagonii kuti marwadzo zvinoitika kuburikidza danho inouraya kumbomira. Danho iri kunoratidzwa nokukundwa kumira kufema, kubatana tava kuderera mwoyo zvazvingava, uye kunyange kusavapo zvakakwana, dilated vadzidzi uye kungoerekana cardiac nokudzvinyirirwa. Ya danho iri - kubva masekondi kakawanda maminitsi mashanu.

Under hapana ropa pakutambudzika kumanikidzwa, kupomba aripo chete pamusoro carotid tsinga, pane bradycardia uye bradypnea, hapana chavanoziva. Kazhinji, marwadzo pfupi nguva, ya zvinobva akawanda maminitsi maawa matanhatu.

Kwokupedzisira pavaipfuura chirwere mamiriro - ndiko chiremba rufu, izvo ndee kubva musi kwakakwana kumira cardiac basa uye kumira kufema zvachose. Kana mukati mashanu nomwe maminitsi, hapana kupora uye Kudzikamiswa dzinokosha mashandiro, zvino pane kuparadzwa mumasero cerebral cortex, uye pashure pacho wouya zvipenyu rufu, izvo inosiya mukana nokupora.

Inouraya ezvinhu kunoda rubatsiro pakarepo kubva kunze. Pane rose-siyana nezviyero, dzinoshandiswa nokuda revitalization (yevanenge) varwere, uye achibvisa kubva mamiriro kunotoda kurapwa rufu. Kubudirira uku zvikuru pakuti nguva chinhu.

State of rine bishi pashure nokumutswa kwomuviri Anonziwo chinouraya ( «terminalis» -. Muganhu, aireva kuguma, Lat), Ie, muganhu pakati upenyu uye rufu. Inouraya mamiriro ichi mhando ine kunzwisisa pathophysiological zvisikwa kuti etiology kwayo basa guru mubatanidzwa reoxygenation uye marara pamusoro pakanyorwa vachinje hypoxic nyama uye nhengo dzomuviri. Border inouraya ezvinhu kunoratidzwa kusagadzikana ose anokosha maererano wakakwana disorganization wegadziriro arambe homeostasis panguva kufa uye anononoka kwazvo, zvishoma nezvishoma, kwete zvakakwana chikwata kudzorerwa ezvinhu pashure nokupora.