Amalungiselelo antishock: uluhlu kunye nenkcazelo iindlela antishock iseti

Amayeza Anti-Njengokungeniswa esetyenziswa yi oogqirha ukuba bancede izigulane kwiimeko ezibalulekileyo ebomini babo. Ngokuxhomekeka kwezi meko, oogqirha Ungasebenzisa ezahlukahlukeneyo iziyobisi. Xa labagula kakhulu niyitshise ngomlilo iiyunithi, ukusuka kubasebenzi-ambulensi kunye likaxakeka ngokuyimfuneko iiseti protivoshokovym langoku. Njengoko i imeko engalindelekanga Inokwenzeka, ngelishwa, hayi nje kuphela kweli kukho oogqirha, kwishishini ngalinye kufuneka ukuba ube kwekhithi ngoku, nto leyo eya antishock iziyobisi. uluhlu lwabo ezimfutshane ziza kuxutyushwa kwinqaku yethu.

Imfuno iikiti ngokothuka anaphylactic

Ngokutsho Ministry of iingcebiso lezeMpilo, ngezixhobo zoncedo lokuqala, eye anti-shoka unyango amalungiselelo, kufuneka nje ube kuzo zonke wamazinyo kunye notyando gqirha, kodwa naliphi na ishishini. Yiba ngezixhobo zoncedo lokuqala akuyiphazamisi endlwini, ngoko kuyimfuneko ukuba okungenani ncinane ubuncinane ulwazi yokusebenzisa njani yaye nini imixholo yawo.

Ngelishwa, izibalo Medical zibonisa ukuba inani lamatyala ingenzeka ngesiquphe bothukile anaphylactic luyanda minyaka yonke. Ukuba bawaphikise nematha kube umntu ukusabela Andidibani ukutya, amayeza, qhagamshelana ne imveliso izithambiso, okanye umthamo isinambuzane. Ukuqikelela kwangaphambili amathuba sokungamelani loo umzimba phantse nzima, kwaye ingxaki enkulu bothukile anaphylactic na ngesantya esiphezulu yophuhliso lwayo.

Esi sisizathu lobukho naliphi na ichiza emithi, nokuqonda ukusebenzisa ngayo, kunokuxhomekeka ebomini bomntu.

amachiza Anti-kukothuka: uluhlu

I-Ofisi yoMphathiswa wezeMpilo iye yavuma uluhlu iziyobisi kufuneka kuzo zonke emithi ekuncediseni ukwenzeka ethukile anaphylactic. Ezi ziquka:

• "Igeza" (0.1%) ngo ampoules.
• "Diphenhydramine" ku ampoules.
• A nesisombululo sodium chloride.
• "Eufillin" ku ampoules.
• "Prednisolone" (ampoules).
• Antihistamines.

Emva koko, siya siqwalasele izenzo umgaqo ngalinye ichiza.

Yintoni efunekayo ukuze ahlabe 'Iadrenaline "?

Eli yeza kuqwalaselwa siyobisi eziphambili anti-shock elimisiweyo. Ukuba ubani ethathela ingqalelo isicelo yayo yokothuka anaphylactic, kufuneka kuqondwe ukuba xa kuthe kwakho uxabane kakhulu emzimbeni lwabantu zicinezelwa hypersensitivity omzimba. Ngenxa yoko, amajoni omzimba aqale kutshabalalisa arhente kuphela amazwe (i allergen), kodwa kwakhona iiseli alo. Ke xa ezi seli ziyaqala kufa, umzimba womntu yeyela nematha. Zonke iinkqubo bakhona baqala ukusebenza ngendlela, ukusebenza ngamandla engxamisekileyo ukwenzela ukunika amalungu ezibalulekileyo oksijini.

Yolula "Epinephrine" (0.1%) okomzuzwana constricts imithambo yegazi, apho ukujikeleza iphuhlisa okukwazi histamine yehla kakhulu. Ngaphezu koko, ukuqaliswa "Epinephrine" uthintele drop ngokukhawuleza uxinzelelo lwegazi eziyelelene athuke ithi. Kwakhona ziluma "Iadrenaline" kuphucula umsebenzi intliziyo nokuthintela ukusilela yayo kunokwenzeka.

"Diphenhydramine" - kuthetha, hayi nje kuphela ngenxa ukuphuthelwa

inkoliso yabantu ezinxulumene amayeza, ngempazamo abakholelwa "Diphenhydramine" ulele nje iipilisi. Eli yeza bunayo nempembelelo soporific, kodwa ngaphandle koko, "Diphenhydramine" - nkqu neziyobisi action antishock. Emva intshayelelo ngayo dilates imithambo yegazi, ngaleyo ndlela lisuse bronchospasm. Ngaphezu koko, yinto antihistamine. It iibhloko imveliso histamine kwaye ofihla ngokugqithiseleyo inxaxheba kwinkqubo luvo.

Yintoni efunekayo isisombululo sodium chloride emithi antishock

Le isisombululo isoloko isetyenziswa yezonyango kwi kwamanzi kuba emva efakwa ireferensi kokuba uyakwazi ukunyenyisa ukusebenza kweenkqubo ezahlukeneyo zomzimba. "Chloride Sodium" lisetyenziswa njenge iziyobisi detoxifying. Kwakhona, xa ukopha enzima esi sisombululo unako ukubavusa uxinzelelo lwegazi. Xa nokudumba ebuchotsheni kusetyenziswa i umchamo osmotic.

"Eufillin" - uncedo ngokukhawuleza ukuze spasm inyumoniya

Le ichiza ngokwaneleyo bronchodilator enamandla. Xa nematha, uyasinceda ukuba wenze iinkqubo zenkxaso ubomi lomzimba olongezelelweyo. "Eufillin" uyakwazi ukwandisa le bronchi kwaye kukuxelela emithanjeni bucala, leyo lula kakhulu kwaye omeleza wokuphefumla kunye nematha.

"Prednisolone" - analogu ikufutshane hormone eziveliswa umzimba

"Prednisolone" kakhulu ichiza ebaluleke kakhulu ekuncedeni izigulane zikwimeko bothukile. wesenzo liyakwazi ukucinezela umsebenzi omzimba aba bandiqumbisayo ukusilela intliziyo.

Le hormone eyenziweyo le analogu protivoshokovogo hormone ekufutshane akhutshwayo liqumrhu ngawakho kwiimeko zabo ezibalulekileyo. Emva ingenisiwe, kulothuse umzimba izinciphiso ngexesha elifutshane kakhulu. Kufuneka kuqatshelwe ukuba ichiza anti-Njengokungeniswa isetyenziswa kuphela uthuke anaphylactic. Oogqirha bayisebenzise kwaye aqhumisele, cardiogenic, ukunxila, uyothuka zonxinzelelo nolawulo olusebenzayo.

Kwezinye iimeko kuyimfuneko ukusebenzisa amachiza anti-obungayilindelanga?

Le usethubeni lokuba umzimba womntu kunokubangela anaphylaxis, hayi nje kuphela ngenxa yokuba i uxabane nawo. antishock iseti amachiza asetyenziselwa uncedo lokuqala kunye nezinye iimeko, apho ingakumbi ezifanele, xa ukuzisa ngokukhawuleza neyaphukileyo ukuya esibhedlele kwaye ukuba yokuhamba zayo zexesha elide.

Ukumqumbisa imeko emandundu umzimba womntu, ngaphandle umothuko anaphylactic, isenokuba meko zilandelayo:

• izikhalazo buhlungu;
• ingozi embi;
• yashiya ityhefu;
• esinayo silume umntu okanye izinambuzane enobuhlungu, iinyoka kunye nezilwanyana;
• nangephina;
• uyatshona.

Kwiimeko ezinjalo, uluhlu iziyobisi kit antishock unako neyongezelelwe amayeza zilandelayo:

1. "Ketanov" (ketorolac tromethamine isisombululo) - a iintlungu esinamandla. Kuyanceda ukuba ayeke iintlungu trauma kakhulu.
2. "Dexamethasone" - ichiza, nto ke leyo hormone glucocorticoid. It onesiphumo antishock esebenzayo, kwaye kananjalo nesiphumo ngokukhawuleza anti-ukudumba.
3. "Kordiamin" - 25% nesisombululo nicotinic acid. Libhekisela kwiqela amayeza of evuselela zifo. Kwakhona oku kunempembelelo emnandi iziko vasomotor obuchopho.

Kuxhomekeka meko kunye iqondo criticality yomguli, oogqirha ungasebenzisa ezi nemixube zombini ngokudibeneyo kwaye ngokwahlukeneyo.

Amachiza asetyenziswa kwiimeko ezibalulekileyo Nonyango

Xa iimeko kwesibhedlele ukunceda izigulane zikwimeko ebalulekileyo, ngaphandle kokuba sele ekuxoxwe ngazo ngaphambili, ukusetyenziswa namanye amachiza anti-kukothuka - izisombululo nolawulo:

1. "Poliglyukin" - ichiza ukuba unalo kunempembelelo antishock enamandla. Oku kusetyenziswa amagqirha njengoko ngamayeza anti-kwabothusa amanxeba, ukutsha, ukwenzakala kakhulu kunye nelahleko igazi kakhulu. Emva kokuba \ kulawulo "Poliglyukin" isebenze ngcono yangoku coronary kwaye ibuyisela ngumthamo opheleleyo igazi elijikeleza emzimbeni. Kwakhona, ichiza normalizes uxinzelelo lwegazi kunye HP. Kubalulekile ukuphawula ukuba mkhulu ukusebenza lakhe antishock kubonakala xa zizo zombini i-elawulwa ngegazi eyakhiwe.
2. "Gemovinil" - solution lweziyobisi esetyenziswa ukunxila kakhulu, ukutsha kunye nokothuka esibuhlungu. Lidla ngokusetyenziswa ukususa ubuthi emzimbeni, njengoko adsorbent eyomeleleyo. Kunciphisa astsista kwaye akubikho nembeleko ebuchotsheni. Uphawu Uphawu kukuba emva kokuba ukuqaliswa "Gemovinila" ngokufuthi kukho ukwanda iqondo lobushushu emzimbeni.
3. "Polivinol" - solution, nto leyo yaziswa kwi \ kwimeko ukopha olunamandla, iintlungu eziqatha, ukutsha kunye nokothuka ngotyando, obubonakala ngokuba yincwadi evuliweyo nokwehla okukhulu kwinqanaba uxinzelelo lwegazi. Ichiza ngokukhawuleza kwandisa uxinzelelo, obagcinela plasma elijikeleza emzimbeni kwaye, ukuba kuyimfuneko, kubuyisela kwakhona umthamo wayo (esetyenziswa njenge olwandisa plasma). Ekubeni zonke iingenelo, eli chiza olubalulekileyo kodwa isiqabu ithi bothukile, ekhatshwa umothuko cranial kwaye ukopha ebuchotsheni.
4. "Zhelatinol" - 8% nesisombululo gelatin hydrolysed leyo usiwe \ ungakubhabhisa zonxinzelelo kunye nokutsha. It ubonisa umzimba izinto ezinobungozi kunye ityhefu, enza umsebenzi ubuthi.
5. "Droperidol" - neuroleptic, antiemetic kunye neziyobisi protovoshokovy. Libhekisela antispasmodics iqela myotropic. Alawulwa ngurhulumente yegazi kwindawo wothuka kakhulu intlungu.
6. "Deksaven" - libhekisela kwiqela amayeza of glucocorticoids. Yegazi xa kuthe ukothuka zokusebenza okanye postoperative. Kwakhona asetyenziswe ukothuka anaphylactic kunye nokudumba buhlungu kunye angeonevroticheskom. a Kuye zomlomo wakhe umsebenzi onamandla antiallergic kunye neempawu anti-ukudumba.