Terminal inoti

Terminal inoti mamiriro ezvinhu akaoma, panguva iyo muviri unoenzanisa nechepakati pehupenyu nerufu. Ihwo humwe humwe humwe hunoti ndeyekuti munhu haakwanisi kubva mavari oga, asina rubatsiro rwezvechiremba. Kune marudzi akawanda emagumo ekupedzisira evanhu asphyxia, coma, kushamiswa kwezvinoitika (kufera, kuwa). Chero chezvinhu izvi zvinoda kurapwa kwekukurumidzira.

Icho chigumo chemunhu ndeye kuwa

Kurwisana inzira yakakomba yevascular insufficiency, semugumisiro wekuti inzwi remidziyo inoderedzwa zvikuru uye kuwanda kwemazipa eropa kunoderedzwa. Nemhaka yeizvi, pane kuwedzerwa kweropa rakazara kumwoyo, kuderera kwakakonzerwa kweropa, izvo zvinokonzera hypoxia yematukisi, uye zvikuru-zvakakosha seuropi.

Kune marudzi akawanda ehutachiona huno, sezvakakoromoka:

  1. Orthostatic (inoitika semugumisiro wekubuda kukuru kweropa kubva mumusoro, iyo inowanzoitika apo chimiro chemuviri chinoshanduka kubva pakusviba kuenda kune chaiwo).
  2. Zvinotapukira-zvinokonzera (zvinowanikwa mune dzimwe nyika).
  3. Cardiogenic (inoitika nehosha yakaipa yemwoyo).
  4. Pancreatogenic (inogona kuitika kana yakanyanya kuwedzerwa kwepancreatitis).
  5. Inxicating (inobatanidza kudhakwa kwemuviri).

Zviratidzo zvemugumo uyu zvakangofanana neye syncope: kamwe-kamwe general general weakness, chizuru, ganda rinoputika, dyspnea, kudonhedzwa kwezvinokonzera, kunyanya, kupisa kunotonhora. Panguva imwecheteyo, kazhinji kazhinji hapana mazamu ekuziva. Kuti tibatsire murwere, inofanira kuiswa pasi pematope, kuitira kuti musoro uri pasi pemuviri. Kazhinji anopa adrenaline kana norepinephrine nemishonga yemwoyo.

Terminal condition - kukanganisa

Kuora kunoratidzika nekurasikirwa kamwe kamwe kwekuziva nekuda kwe hypoxia yeuropi kwenguva pfupi. Inowanzoitika nekutya, kurwadziwa, zvinhu, nezvimwe.

Iyo yekugadzirisa mamiriro emakiriniki inoita nekurasikirwa kwekuziva, kupera kweganda, kusuruvara kunotonhora, kuderera kwekupisa uye kunetseka, uye kuwedzera kwevadzidzi. Kuti ikubatsire kudikanwa kuisa munhu, fema mweya weAmmonia, uone kubuda kwemhepo.

Icho chigumo chinotyisa

Kushungurudzika inzira inowanzoitika semugumisiro wezvinhu zvakanyanyisa uye inoratidzwa ne hypotension, kuwedzeredza uye kuvharidzira kwenheyo yenheyo, organ hypoxia, hypoperfusion yemubhedha microcirculatory. Kuvhiringidzika kunotyisa, anaphylactic, kupisa, septic, hemorrhagic, cardiogenic, pancreatogenic, hemotransfusion uye hypovolemic.

Pane zvikamu zvitatu chete zvemugumo wenyika:

  1. Chikamu chekutanga ndeye erectile: murwere anofara, mabhudzi anowedzera kazhinji, kuwedzera kunomuka, dyspnea inowanikwa.
  2. Chikamu chepiri - torpid: inotanga nekudzivirira kwehutachiona hwemitsipa - kudzvinyirira kunodonha, simba rekupararira ropa rinoderera, mafungiro anodzvinyirirwa.
  3. Chikamu chechitatu - kuguma (kana kuoma mitezo): mutumbi unopera-kupera kunenge kusati kwamboitika, kupisa hakusvibiswa, ganda rinova rakaipa, chinogona kuuraya chinogoneka.

Muchiitiko ichi, zvikamu zvina zvekutyisidzika zvinoratidzika, iyo yekutanga ndiyo iri nyore, uye yechina ndiyo inonyanya kukosha, pedyo nehurombo hwemamiriro ezvinhu. Kana ukashamisika, rubatsiro runokurumidza runodiwa, panguva iyo chikonzero chekutyisidzika chinobviswa zvakanyanya sezvinobvira, vasoconstrictor, atygistamine uye mahomoni ekugadzirira anoshandiswa, nezvimwewo. Mumatambudziko akaoma, general anesthesia inoitwa. Izvi zvinogona kugadziriswa uye kufa kwechirwere chechipatara zvakaswedera pedyo, saka haugone kunonoka nekupiwa kwekurapa.