Hemorrhagic kugwinha mu Obstetrics and Gynecology

Nokurasikirwa neropa muviri vanopfuura mumwe fő munhu ave mamiriro Hemorrhagic nehana. Kana ropa harina yakamira nguva, uye anoenderera mberi, kurasikirwa imwe makumi matatu muzana ropa vhoriyamu ezvinhu akadaro kukuuraya.

kurasikirwa ropa kunogona zvose zvinoonekwa nezvisingaonekwi. In akazaruka kukuvara ziso chiremba anogona huwandu ropa akarasika uye kwokuomerwa zvinhu. Pashure nouchapupu kurasikirwa naye munhu hwapedyo Hemorrhagic kuvhunduka. Ichi kunyanya mamiriro nhengo norudaviro unotyisa ezvinhu. Somuenzaniso, Hemorrhagic kuvhunduka mu Obstetrics and Gynecology - kumwe nengozi, sezvo pane zvemidzimu ropa, uye mukadzi anogona kufa kana kukundikana kupa nenguva kurapwa. Kakawanda, izvi zvinoguma ovarian apoplexy, kunotevera sikarudzi, kurashikirwa pamuviri, uterine submucosal fibroids, perforation pamusoro dumbu muviri, matadza pamuviri, zvakaipira pamuviri.

Huru kutyisidzira mumamiriro ezvinhu akadaro - ichi disproportion vanokwanisa pakati vascular mubhedha, uye ropa kuti circulates ikoko, kana pane vakasara kwayo. Izvi zvinotungamirira Kuvhiringidza macrocirculation - kweropa kuburikidza arteries, mutsinga uye mwoyo. Rinotevera Danho - kutyora microcirculation - kubva arterioles, venules uye capillaries.

Kana iwe neupenyu inenge hafu ity ropa, muviri anogona aripire uku kuwedzera venous matauriro. Panyaya iyi, iyo arterial matauriro asingadi kutambura, hazvichinji kakawanda marwadzo kwomwoyo, hapana kukundikana nerubatsiro munyama.

A chinokosha hypovolemia kunotungamirira kuzvidya mwoyo. Kuti tirambe anokosha ari muviri zvinosanganisira simba compensatory zvigadziriswe. Anowedzera mataurire tsinga, anowedzera kusunungurwa mahormone. Pasi zvinoitwa mwoyo yavo zvazvingava unoraramisa, akaderedza Urume excretion kunoitika vasospasm circumferentially. Zvisinei, kuchinja kwakadaro mumuviri kwenguva chete kuramba ayo anokosha. Zvadaro, kana Kuipa zvigadziriswe iyoyo yapera uye anouya anoxia nhengo uye munyama.

Hemorrhagic kuvhunduka rinogona muzvikamu zvitatu, izvo kupatsanura kunobva bhuku ropa arasika uye nenyonganiso mumuviri yakafanira kukurasikirwa ichi. Pakutanga Danho - ndanyarara hangu, njodzi akacheneruka pamaoko mhango, pulsating faintly, pane tachycardia. Bhuku rakarasika ropa - kusvika imwe fő. Kana ropa anomiswa, zviratidzo vanogona vachiri zvikaramba kwenguva yakati. Kana ropa mberi, zviratidzo kuwedzerwa - mamiriro inonzi reversible decompensated. Kureva, muviri pachawo haagoni kurarama kutyorwa yakadaro, asi nokubatsira vezvokurapa inopiwa nguva kuponesa mukadzi. In Danho rechipiri zvakakanganisa mwoyo, mapapu, uropi, chiropa uye itsvo, zvikuru hypoxia hwapedyo. The wokupedzisira Danho - imwe kusingarapiki Hemorrhagic kuvhunduka. kurasikirwa Ropa hafu bhuku iro circulates mumuviri. Muchiitiko chino, haagoni kubatsira kunyange nokumutswa.

Chirwere Hemorrhagic kugwinha pachishandiswa zviratidzo zvakadai tembiricha uye ruvara (pfungwa rwakabhadharwa kuna wamativi), BP, kuvhunduka indekisi, hematocrit, Hourly diuresis.

Emergency kubatsirwa Hemorrhagic nehana, rakashandurwa munguva - abudirire kuti kubviswa ichi. Mumunda Gynecology chiitiko wokutanga inofanira kuendeswa kuwana nzvimbo ropa kunoitika. Izvi zvinoda kukurumidzirwa kuvhiya kupindira. Panguva imwe chete chiremba-gayinakorojisiti nemukoti anokotsirisa rishande. Kana hemostasis anofanira kukurumidza ngavabude murwere kubva Hemorrhagic kuvhunduka ezvinhu.