Chinzvimbo compression chirwere: tsanangudzo, zvinokonzera, nechimbichimbi kutarisirwa

positional mupanda chirwere - kukuvara chokuita kwenguva refu muzvidimbu compression ane inorema uremu. Kukuvara akadaro zvakajairika somugumisiro netsaona, kudengenyeka obva anyura zvezvivako. Akatumidza chirwere Rinobatanidzwa ne chakaoma kunzwisisa zvikuru kukuvara, mishonga iyo ine zvikuru refu uye nguva yakawanda.

urwere Zvinokonzera

Kuwedzera zvashata ezvinhu, positional mupanda chirwere chinogona kuwanikwa somugumisiro munhu kwenguva refu kugara imwe zvakanaka nzvimbo apo maoko nemakumbo vari chakati muviri uremu hwavo. Somugumisiro, zvinyama necrosis anogona kuitika pamwe nokubudiswa muchetura. Izvi zvinogona kuitika kana munhu kwenguva refu azheuka kana mune kunofambira mberi chinzvimbo (maawa anopfuura 12).

Mubayiro kurapa kuchaenderana zvikurukuru pamusoro refu sei munhu ari mamiriro ezvinhu ari kumusoro, Kururama nechirwere uye basa kurapwa. Kana chirwere chakaipa kana kukwana kurapwa munhu kugamuchira, uye hapana rubatsiro yokutanga yakapiwa, asi Forecast Zvinogumbura, sezvo varwere vanowanzotevedzera kuitika kusingarapiki trophic uye chetsinga nemigumisiro.

The Mhando chikuru

positional mupanda chirwere iri Classified akawanda zvinodiwa:

• kureva compression;
• localization;
• kukuvara dzimwe nhengo;
• Kuvapo yematambudziko;
• zvakaoma.

Maererano kwokuomerwa chirwere ichi rakakamurwa munyoro, mwero uye yakanyanya:

1. Munyoro kunoratidzwa kuvadza nzvimbo yaro kudzika diki. Common zviratidzo kudhaka kusakosha, sezvo pane diki itsvo nyonganyonga, izvo nokukurumidza yakadzorerwa. Weti kwenguva yakati ane yakatsvukuruka mashava Hue. Nhamba All vari normalized pashure pemazuva 5-7 ose zvakasimba kurapwa muchipatara.
2. Paavhareji dhigirii kunoratidzwa kuvapo zvikuru dzinokuvadza. Kudhaka apo mwero akaratidza. Blood bvunzo chinoratidza kuvandudzika pakati ari residual senitrogen uye urea. Kana ndikanonoka, rubatsiro rwekutanga, panguva ino, pangava panowanikwa zvakakomba yematambudziko uye chirwere.
3. The dhigirii yechitatu kunoratidzwa chinokosha kukundwa wandei nzvimbo, uye zvikuru kudhaka zvinogona kukonzera kunyange rufu.

Chii chinoitika mumuviri panguva kwenguva refu compression pamusoro

Mune mamwe mativi muviri misha kunoitika kweropa nepfungwa zvinyama pazasi munharaunda iyi. Vanowanzotambura dzomuviri. Nemicheka vanokuvadzwa zvikuru, pane kushayikwa okisijeni, ake mitsipa gumbo kana ruoko anorasikirwa nehanya kwayo uye zvishoma nezvishoma rinotanga pakabudiswa munhu muzvizhinji kuti necrosis ane chepfu.

Kazhinji, kunyange kana paine simba kukuvara nokuputsika tsandanyama rinenge mapfupa mitswe anogona kukuvadza vascular hurongwa, zvichiita ropa kuitika. Uyewo, munhu anonzwa kurwadziwa, somugumisiro zvingaitika kunyange zvinorwadza kuvhunduka.

urwere zviratidzo

Zviratidzo zviri urwere pakati nezvenzvimbo compression iri zvakananga novimba nguva compression uye bhuku njodzi tishu. Somuenzaniso, apo kudzvinya kuti honokono kwemaawa 2-3, chenjera renal kukundikana hazvizoitiki, kunyange zvazvo pangava vasanyanye weti kugadzirwa. Panewo hapana kudhaka. Vanaamai vakadaro nokukurumidza muchapora pasina zvaitika.

Panguva iyi, hapana pallor, simba guru, uye tachycardia. Zvikuru ngozi iyi ichava dzokubvisa murume akanga akuvara kubva ngwanda, sezvo normalization ropa kuparadzirwa, pane ndichibvunza kukura potassium anogona kukonzera cardiac kusungwa. Nokuti kutanga nguva kunoratidzwa zvakadai zviri se:

• nemitsipa gumbo kana ruoko haisi kushanda;
• ganda rakachenuruka uye chando;
• matema varipo;
• Pulse zvachose haazovipo.

Uyezve, kazhinji chirwere uye mapfupa mitswe.

Long compression kupfuurira kusvikira maawa 6 inotungamirira chimiro avhareji uremu zvirwere. Muchiitiko chino, kwakaratidzwa yakajeka kuratidza kudhaka uye vanotaura pamusoro renal mashandiro pesvondo. Fungidziro chirwere kunoenderana nenguva rwekutanga uye timeliness uye unhu kutevera-up kurapa.

Kana vanopfuura 6 nenguva zvikuru chepfu kunoitika compression kuti zvine chepfu, uye itsvo dziri adzima zvachose. Pasina simba yevanorwara zvikuru uye hemodialysis munhu afa.

SERVICING iri

Kuona kuvapo dambudziko kunogona pakarepo panzvimbo. Kana munhu akuvara vakachengeta chinorwadza kuvhunduka, zvingava afenda. Objective Data dzinoita chirwere pamwe zvakakwana yakakwirira mukana.

In yezvirwere zvidzidzo unogona kuwana zvose ruzivo runodiwa pamusoro clots ropa, electrolyte nenyonganiso, wakawedzera ropa shuga, urea, bilirubin. Nemakemikari Kuongororwa weropa kuona rutapudzo mapuroteni yevasungwa.

In kwokutanga zvidzidzo zvavo, kuchinja varege kuvapo muna weti, asi zvishoma nezvishoma anotanga kuwana zvimwe brownish ruvara, uyewo akaona kuwedzera arambe achirema, uye puroteni anooneka mairi. On nemaziso kuongororwa, takatsunga ne chena muropa masero, masero matsvuku eropa uye sepombi.

rwekutanga

First Aid mupanda chirwere hunoenderana avo vanadzo, uye Kuwanikwa zvaida zvinhu, Kuwanikwa vanonyatsokwanisa navanachiremba. Professional vanachiremba uye vashandi kununurwa nezvavakaita kuvandudza fungidziro kuti murwere.

Chokutanga, munhu anofanira kutorwa kunzvimbo yakachengeteka. Zvakaziviswa kwokubatira kuongorora mavanga uye maronda kubatwa uye kumanikidza pamusoro pavo rinokosha aseptic kupfeka. Kana ari ropa unofanira kutora chimwe kuzvirega, kumanikidza Immobilizing mitswe bhazi kana nedzimwe nzira iripo. Kana panguva ino hazvibviri nechokwadi pakatanga intravenous aizomupa, murwere chinofanira kupa achinwa rukuru.

The kweva inofanira kwakaitwa njodzi muzvidimbu pamberi kusunungurwa murume-marara kudzivirira kusunungurwa vanoshingaira potassium. rufimbi uye murwere ipapo jekiseni vanofanira kuendeswa kuchipatara kuti anorapwa.

Kuti chii chiremba kugadzirisa

Kana uchifungidzira kuvapo kwenguva refu mupanda chirwere, hwobva watarisa traumatologist. Uyezve, ungada kuongorora pedyo nephrologist, cardiologist, dermatologist uye chiremba wetsinga. Sezvo zvokurwara kunotungamirira matambudziko akasiyana-siyana, murwere zvakakodzera kuitisa izere kuongorora chirwere.

kutarisirwa dhirivahari

Treatment anofanira kunzwisisa, uye ayo unhu kunoenderana ya chirwere. GARA chando yeplasma aizomupa, uyewo detoxification nevamiririri. Munguva chakasimba renal kukundikana rinoitwa hemodialysis nezuva. Also kuratidzwa kuri pasi chaihwo kudya pamwe akavarambidza yokunwa hurumende uye kunze zvatinosiita kudya michero. Iva nechokwadi kuti vachengete matanho panowanikwa septic yematambudziko uye sepsis.

Varwere zvinogoneka yematambudziko vazhinji zvomukati uye hurongwa, kuvandudzwa kusingarapiki muzvidimbu ischemia, purulent-septic matambudziko, thromboembolism. Asi sechinhu chikuru kuomesa kwakaita chakasimba renal kukundikana. Kuti kazhinji kunotungamirira kurufu murwere.