SDS - ucinezelo elide syndrome: iimpawu, unyango kunye nothintelo

Phantse wonke umntu ikhuselekile ziingozi ezahlukeneyo. Oku kuba nantoni na evela ingozi ezothutho ukwenzela ukuba inyikima ngokuwa zam. Kuyo nayiphi na yezi meko ukuze ukuphuhlisa SDS. Syndrome ngezizathu ezahlukeneyo, Pathogenesis, zifuna unyango enyanzelekileyo. Khawuqwalasele ezi eminye imibuzo.

Ingcamango SDS

Ngenxa yoko, othambileyo izicwili ucinezelo ingaqala SDS. Syndrome kwabasetyhini kuba njalo njalo efanayo naleyo yabantu eyindoda. Kuye namanye amagama, ezifana ukuyinyathela syndrome, okanye ucinezelo ukwenzakala. syndrome, unobangela kungaba:

• Compress amalungu omzimba kunye izinto ezisindayo.
• iimeko zikaxakeka.

kwiimeko ezinjalo akholisa ukubakho emva iinyikima zomhlaba, ngenxa yeengozi zendlela, kuqhuma, ehlala emigodini. Ukomelela ucinezelo akusoloko kuba mkhulu, kodwa kukho indima edlalwe yi ngexesha kwimeko enjalo. Ngokuqhelekileyo, i VTS (iyasilwa syndrome) yenzeka xa isiphumo kuyoluka kwi kwizihlunu ezithambileyo, ngokokuqhelekileyo iiyure ezingaphezu kwama-2. uncedo lokuqala i nqanaba zibalulekileyo ebomini babantu buxhomekeke. Yiyo loo nto kubalulekile ukuba ukwazi ukwahlula phakathi abonakalisa ngayo le meko.

imihlobo SDS

Xa yezonyango, kukho iindlela ezininzi lucalulo gumbi syndrome. Ngenxa uhlobo ucinezelo, syndromes loo ndawo ikude:

• Ukuphuhlisa ngenxa ekuweni zomhlaba. Oku kwenzeka ngenxa yokuba kokuhlala ixesha elide phantsi slab eziphathekayo okanye izinto ezahlukeneyo enzima.
• SDS indawo eyenzeke ngenxa ucinezelo amalungu omzimba wakhe.

Kwasendaweni nayo ezahlukeneyo, kungoko zodwa PIF:

• Omzimba.
• Head.
• Isisu.
• Chest.
• Taza.

Emva kaxakeka bagcina SDS. Esi sifo kudla kunye nokunye ukulimala, eziBalulekileyo ukuze:

• Gumbi syndrome lukhatshwa nomonzakalo nezibilini.
• Ngumonakalo izakhiwo nangamathambo umzimba.
• VTS ngokonakalisa kwalapho kunye imithambo yegazi.

The degree of ebukhulwini syndrome zinokuba nomahluko. Ngokusekelwe kule nto, ayikhuphi:

• Ifomu mnene onaso, leyo iphuhlise ngelixa ukucudisa kwesebe ixesha elifutshane. Ukunyhashwa yegazi kuvame sifo.

• Ukuba uxinzelelo laphu yi iiyure ezingaphezu kwama-5-6, imilo avareji iphuhlise SDS apho ukusilela kwezintso zisenokungabi qatha.
• Ezimandundu une xa acudisiweyo iiyure 7. Elibonakaliswe iimpawu ukusilela kwezintso.
• Ukuba kwizihlunu ezithambileyo phantsi koxinzelelo ngaphezu kweeyure ezingama-8, kunokwenzeka ukuba bathethe malunga nophuhliso lwesicwangciso SDS ezinzima kakhulu. Kuyenzeka ngoxilongo ukusilela intliziyo congestive, nto leyo ngokufuthi ebulalayo.

Ngokuqhelekileyo, xa PIF (iyasilwa syndrome) kunye iingxaki ezahlukeneyo:

• iposi engabalulekanga.
• Izifo lweenkqubo omzimba ezahlukeneyo igcwele SDS. A sifo ngo abafazi ochaphazela inxalenye esezantsi lomzimba, oko kukuthi amalungu zangasese, izigulo ezinzulu yingozi kunye uphazamiseko kwindlela eqhelekileyo yokusebenza eli candelo.
• ezimbi Pyoseptic.
• lomzimba ischemia owenzakeleyo.

Isiphumo trauma: SDS

ezibangela ukuba syndrome zimi ngolu hlobo lulandelayo:

• yashiya Ebuhlungu.

• Ukulahleka plasma, elihamba nge iimpahla kungena inyama yonakele. Ngenxa yoko, igazi uba lalingqingqwa kwaye ibangela thrombosis.
• Sokonakalisa izicwili kwenzeka ukunxila. Myoglobin, creatine, potassium, iphosphate kwinyama alimele egazini kwaye ibangele ukuphazamiseka hemodynamic. myoglobin Free is kuguquka zehydrochloric acid hematin kwaye kuphakamisa nophuhliso ukusilela ahlekise kwezintso.
• Zonke ezi zinto kufuneka lupheliswe ngokukhawuleza kangangoko kunokwenzeka, ukuze oko kunokwenzeka ukusindisa ubomi.

Amaxesha zekhosi bezonyango SDS

Ngexesha le ngozi syndrome inamathuba ezininzi:

• Okokuqala - it ngokwaso ukucudisa ngqo kwizihlunu ezithambileyo kunye nophuhliso umothuko esibuhlungu.
• Kweli xesha lesibini kukho yahlukene wengingqi kwindawo owenzakeleyo kwaye ekuqaleni ukunxila. Ngaba ukuya kwiintsuku ezintathu.
• Ixesha lesithathu luphawulwa uphuhliso iingxaki ezithi zenzeke izitshanguba kweenkqubo ezahlukeneyo omzimba.
• Ithuba wesine - ukululama. Ukususela kwixesha lokubuyiselwa layo umsebenzi sezintso.
• Okulandelayo, amaxhoba wafumanisa zinto zithetha reactivity ngumzimba, umsebenzi bactericidal igazi.

Symptomatology le syndrome of ucinezelo ye esikule

Ukuba ngoko nangoko alunakupheliswa kakhulu kuxinzelelo ancedisana ethambileyo, ngoko siqhuba ngokuthe ngcembe SDS. iimpawu onaso ebonisa oku kulandelayo:

• Kwesikhumba kwesebe constricted kuba luthuthu.
• Kuyabonakala nokudumba, leyo ekuhambeni kwexesha buyanda.
• Awubonakali pulsation nemithambo.
• imeko Iyonke ngayo mandundu.
• Kukho iintlungu syndrome.
• Xa abantu, uxinezeleko yengqondo-iimvakalelo.

test Igazi ibonisa ukwanda lwefibrinogen lancipha umsebenzi fibrinolytic kwinkqubo coagulation igazi nalo olukhawulezileyo.

Afumaneka kwi kwiproteni umchamo, kuvela iiseli ezibomvu zegazi nesilinda.

Ezi mpawu abe SDS. Esi sifo luphawulwa karhulumente gqitha eqhelekileyo bangahlaseleka ukuba ukuphelisa ucinezelo izicwili. Kodwa emva komzuzwana khona;

• Cyanosis kunye pallor le integument.
• Umbala zinaso kwesikhumba.
• Phakathi ngosuku olulandelayo kudumba ukunyuka.

• ukuze babonakale amaqampu, nokungena, kunye necrosis kweqondo zenzeka kwiimeko ezinzima.
• Ukuphuhlisa insufficiency sentliziyo.
• test Igazi ubonisa ukuqina kwayo kunye shift neutrophilic.
• Loluthando thrombosis.

Kweli nqanaba kubalulekile ngexesha olunzulu unyango nokubandakanywa kunye diuresis ngenkani ubuthi.

Symptomatology kwexesha wesithathu

Isigaba sesithathu yophuhliso syndrome (VTS) luphawulwa uphuhliso iingxaki, wemka iintsuku ezi-2 ukuya kwezili-15.

Iimpawu ngelo xesha ukuze babonakale ngolu hlobo lulandelayo:

• Ekubulaleni iinkqubo ezahlukeneyo omzimba.
• Uphuhliso ukusilela kwezintso.
• Ayanda iba ezinkulu.
• Kakhulu eluswini, ukuvela amaqamza inokubonakalisa enesiqulatho ecacileyo okanye ukopha.
• Bright iqala ukubonisa anemia.
• Ukwehla output umchamo.
• Ukuba uvavanyo igazi, kwenyusa uyazikhomba urea, creatinine kunye potassium.
• Wabonisa classical umfanekiso uremia kunye hypoproteinemia.
• Kukho ukunyuka kweqondo lobushushu emzimbeni nexhoba.
• imeko jikelele siba sibi.
• Kukho ukudideka kunye silale.
• Kusenokwenzeka ukuba ukugabha.
• sclera bala ibonisa isibindi ukubandakanyeka kwinkqubo yezifo.

Nokuba unyango olunzulu akakwazi dine umntu, ukuba unesifo SDS. Syndrome, ukuba ayafika eli xesha, ngowe-35% yamatyala iziphumo kokufa amaxhoba.

Kwiimeko ezinjalo, yi nga ku pfuna ezigulela extracorporeal kuphela.

kuphuhliso oluqhubekayo lwe-SDS

Isithuba sesine - a ukululama. Iqala emva izintso baphinde imisebenzi yabo. Kweli nqanaba, utshintsho zasekuhlaleni busa phezu jikelele.

Iimpawu kungabandakanya:

• Ukuba kukho ukwenzakala evulekileyo, ngoko waphawula iingxaki esosulelayo.
• Mhlawumbi kuphuhliso nokudumba.
• Ukuba akukho zingxaki, ukudumba luqala ukuncipha.
• Indlela ngokukhawuleza ukufunyanwa ukushukumiseka ziza kuxhomekeka ebukhulwini umonakalo.
• Ekubeni ijwabu kwemisipha zixheliwe, baza baqalisa ukubuyisela kwizicwili, nto leyo akanawo amandla ukunciphisa, ngoko ke yoma lomzimba kuphuhliswa.
• Igazi nako kuqhubela phambili.
• I Akavumelanga ukutya.
• Kukho utshintsho uphikelela homeostasis, yaye ukuba ufake olunzulu unyango iimela-gazi, ukuba lupheliswe emva kwenyanga enye unyango olunzulu.

Ngeli xesha lokugqibela ukuhla ngxwelerha ibonisa iinkalo ukumelana zendalo, umsebenzi bactericidal igazi. index Leukocyte ixesha elide kuguquka.

A amaxhoba ixesha elide ngenxa kukungazinzi ngokweemvakalelo nangokwasengqondweni. Rhoqo ukudakumba, ukugula ngengqondo kunye nodlame.

Indlela ukuqaphela SDS?

Syndrome, lokufunyaniswa ekufuneka yenziwe oyingcali ofanelekileyo kuphela, kufuna ingqalelo ekhethekileyo kunye nonyango. Ukumisela ubukho sifo zisekelwe zikhombisi zilandelayo:

• Sithabathela ingqalelo ukuba umfanekiso iimeko yokwenzakala lwezonyango.
• Musa ukuhlala ngaphandle ingqalelo analysis umchamo, igazi.
• Kubanjwe isixhobo uxilongo, nto leyo evumela ukuba ukuthelekisa iimpawu zabafaki elebhu kunye nesakhiwo kwezintso.

Abantu badla zokuma diagnostic maxa wambi yiva oku sifo, kodwa asinguye wonk 'uyakuqonda oko syndrome. SDS Intliziyo ECG sinokubonisa ubukho sifo, ethi ichaphazele esifubeni. Ukuba phantsi inkunkuma enokuchaphazela kakhulu ukusebenza imisipha yenhliziyo.

isifo Laboratory yenziwa ku:

• Chonga inqanaba myoglobin kunye plasma yegazi, ngokuqhelekileyo ukwimeko enjalo, uyandiswa kakhulu.
• Ukumisela uyondelelwano lwee- myoglobin kwi yokuchama. Ukuba lo mzobo ifikelela ukuya ku-1000 ng / ml, kunokwenzeka ukuba ukuthetha zokuphuhlisa ukusilela renal kwi VTS.
• Le syndrome kunokuzibonakalisa njengoko ukwanda transaminases egazini.
• creatinine Ukwanda urea.

Ngokuhlalutya amagqirha umchamo ukuqinisekisa iqondo lomonakalo kwezintso. Xa isifundo zityhila:

• Ukwandisa of leukocytes apho xa nzima VTS.
• Wandisa lwee- neetyuwa.
• umxholo urea Ukwandiswa.
• Kukho yimiqulu.

diagnosis Lungisa kuvumela oogqirha ukuba ukumisela uthomalaliso ngempumelelo ngokukhawuleza kangangoko kunokwenzeka ukuze lincede ixhoba wayibuyisa yonke imisebenzi yebhunga.

Indlela ukunika uncedo lokuqala?

Ukusuka uncedo olungxamisekileyo kuxhomekeke kwimeko kwixhoba, mhlawumbi ubomi bakhe, xa kuqulunqwa VTS. Syndrome, zoncedo lokuqala kufuneka zinikwe ngokukhawuleza kangangoko kunokwenzeka, abayi kukhokelela kubunzima kakhulu ukuba lincede ixhoba le algorithm ilandelayo:

1. Nika kwichiza iintlungu.
2. Emva koko ukuqala ukukhulula kummandla ochaphazelekayo umzimba.

Njengoko ezi mali zifanelekile, "Analgin", "Promedol", "icaffeine". Yonke imithi zilawulwa intramuscularly kuphela.

Abantu abaninzi ukubuza kutheni xa SDS-sebenzisa i tourniquet syndrome? Oku kwenziwa phambi ukopha esimbaxa kakhulu okanye umonakalo nomlenze omkhulu ixhoba wafa ngenxa yokulahlekelwa igazi.

• Hlola le ndawo yonakele.
• Susa iintambo.
• Onke amanxeba kufuneka aphathwe kubola kunye bayigubungele ngelaphu wawuqalekisa.
• Ukuzama ukuba Ukupholisa lomzimba.
• I obala ukunika ukusela ngokugqithiseleyo, iti ezifanelekileyo, amanzi, ikofu, okanye elinye-saline.
• Kulungele ixhoba.
• Ukuba kukho kwizithinteli, ntu ngokukhawuleza kangangoko kunokwenzeka kufuneka ukuba ioksijini.
• Ukuthintela ukusilela intliziyo, faka ixhoba "Prednisolone".

• Thumela ixhoba esibhedlele elikufutshane.

Therapy gumbi syndrome

Kokuba namaqondo awohlukeneyo nobukhali SDS. Syndrome, unyango ekufuneka ibe banzi, hayi kunokubangela iingxaki ezinkulu, ucinga Pathogenesis of izilonda. umsebenzi Complex - oku kuthetha:

• Ukuphumeza imisebenzi ukuze kulungiswe izinto ezingaqhelekanga homeostasis.
• Ukunika isiphumo kwezonyango kwi umonakalo kwiziko yezifo.
• Bunjani microflora amanxeba.

Amanyathelo therapeutic kufuneka wenziwe phantse rhoqo, ukususela kumhla uncedo lokuqala kunye recovery ngokupheleleyo nexhoba.

Ukuba ukwenzakala likhulu, unyango iqulathe izigaba ezininzi:

• Eyokuqala iqala ngoko nangoko kule ndawo.
• Okwesibini - kukunceda kwindawo yonyango, apho ukusetyenziswa kumxholo wawakhoakulula, kude ukusuka kwindawo ntlekele, ngoko wayedla "izibhedlele eziphaphazelayo", "izibhedlele ngamavili". Kubaluleke kakhulu ukuba izixhobo ezifanelekileyo ukuncedisa kwimeko umonakalo kwenkqubo musculoskeletal kunye nezibilini.

• Xa Isigaba sesithathu nokunakekelwa ezizodwa. Oku ngokuqhelekileyo kwenzeka kwiziko utyando okanye umothuko. Kukho zonke izixhobo eziyimfuneko ukunika uncedo xa kukho umonakalo omkhulu kwisistim musculoskeletal, okanye amalungu angaphakathi. Kukho ebomini loo nkonzo ukuba imsuse umntu wothuka, nokudumba okanye ukusilela kwezintso.

unyango ngamachiza

I ngaphambili uqale eli nqanaba unyango, kokukhona kusenokwenzeka umguli asinde. unyango ngeli thuba ngolu hlobo lulandelayo:

• Abachaphazelekayo lwakwenza ukumnika sodium chloride umxube ne-5% sodium yesoda kwindawo umlinganiselo we-4: 1.
• Ukuba kukho kakhulu lwe onaso, ngamaxhoba kukho amanyathelo anti-Njengokungeniswa yazise iilitha 3-4 igazi kunye obambeleyo negazi.
• Ukuthintela uphuhliso iingxaki, chitha diuresis kunye nokuqaliswa "Furosemide" okanye "Mannitol".
• Ukunciphisa izinto eziphilayo ukunxila kuphunyezwa kufakwe igazi ukusetyenziswa ekuqaleni gamma-hydroxybutyric acid. It onesiphumo inhibitory kwi CNS kwaye nesiphumo unesifo.

Ukuba onke amayeza angqingqwa musa ukunika isiphumo efunekayo, kufuna unyango ngotyando, osekelwe ukusetyenziswa kwezi ndlela of ubuthi:

• iindlela Sorption.
• Dialysis kanye nama (dialysis, ultrafiltration).
• Fereticheskie (plasmapheresis).

Kwaye ingafuna umlenze, leyo akunakwenzeka ukuba babuyele ubomi obuqhelekileyo.

Ngaba kunokwenzeka ukuba ukuthintela SDS?

Ukuba uphephe ingozi enkulu ayizange yenzeke, ngoko kwiimeko ezininzi ukuphuhlisa SDS. Syndrome, nto leyo efunekayo lulondolozo lokuthintela, akayi nemiphumela emibi kakhulu, ukuba, ungaqalisa ukuthatha inyathelo. Ukuze wenze oku kufuneka penicillin isibulala-zintsholongwane. Ukusetyenziswa imithi ukuze ukubakhulula ubukrakra, kodwa ukuthintela njengesilonda igesi ngoko kusenokwenzeka.

Phambi ukuthatha owenzakeleyo ukusuka inkunkuma Kubalulekile ukuqala unyango fluid bunjani BCC. zisetyenziswa ezi njongo "Mannitol", 4% solution wemagniziyam yesoda.

Ukuba nokwenza zonke ezi zenzo ngqo kwi ndawo, kunokwenzeka ukuba iyaluthintela uphuhliso iingxaki SDS ezinzulu, ezifana njengesilonda igesi kunye ukusilela kwezintso.

Siye sahlolisisa ngokweenkcukacha SDS (iyasilwa syndrome), ngaphakathi amalungu ubunzima bomzimba wakhe, okanye izinto ezisindayo. Le meko idla kwenzeka ngexesha likaxakeka. Kufuneka kuqatshelwe ukuba ukufaneleka oloncedo ukusindisa ubomi. Kodwa kule ncwadi kunye namaphepha-ndaba namhlanje uyakwazi ukufumana intsingiselo eyahlukileyo kakhulu. Kuye igama elifanayo - SDS syndrome - isifo nemazi senkulungwane. Lo mqondo kakhulu kwindawo ezahlukeneyo kwaye kufuneka masingabhidanisi kulo isifo elinzulu. Esi sihloko omnye inqaku ngokupheleleyo, kodwa elifutshane kufanele kuphawulwe ukuba oku kubhekisela syndrome. kudla kuchaphazela abafazi sisindwa ngurhulumente. Ukuzingca, ukungabikho ukuzeyisa ugxekwa, umkhethe nxamnye namadoda, nentembelo akwenzeki yakhe yaye 'iimpawu' efanayo uphawu sifo ngo abafazi SDS.