Kupuma pang'ono mu galu, komwe kumachitika ndikulimbitsa thupi pang'ono kapena kupumula, kumawonetsa zovuta zamatenda. Ngati kupuma kwanu kukufulumira mutatha nthawi yayitali kapena mukuchita masewera olimbitsa thupi, musadandaule.
Zizindikiro zochepa za mpweya
Monga lamulo, kupuma kumasokera mu magawo atatu nthawi imodzi (mafupipafupi, kuya ndi mayimbidwe) - ndi momwe thupi limanenera za kuchepa kwa mpweya.
Zizindikiro za kupuma kwamavuto:
- kuyesayesa kowoneka bwino pakupumira kapena kutulutsa mpweya;
- kuoneka kwa mamvekedwe owonjezera (kulira, kuliza mluzu);
- kupuma ndi pakamwa poyera;
- chisangalalo chotsatira kutsendereza;
- kaimidwe kosazolowereka (chinyama chodandaula chimatambasula khosi lake ndikufalitsa zikono zake zakutsogolo, koma sichikhoza kugona pansi);
- blanching kapena cyanosis wa m'kamwa ndi milomo.
Zofunika! Muyenera kudziwa kuti kupuma kwakunja kumayenderana kwambiri ndi zochitika za kuzungulira kwa magazi: ndichifukwa chake kulephera kupuma nthawi zonse kumabweretsa ntchito yowonjezera ya minofu ya mtima.
Zomwe zimayambitsa kupuma pang'ono galu
Amagawidwa m'magulu atatu akulu, momwe mumakhala kale mwatsatanetsatane:
- kupuma;
- mtima;
- kudwala kwamkati mwamanjenje.
Kupuma
Izi ndi kuvulala, matenda (kuphatikizapo opatsirana), komanso zovuta za ziwalo zamkati.
Mpweya woterewu umathandizidwa ndi:
- kuwonongeka kwamakina, monga kuphwanya pachifuwa;
- chibayo;
- pleurisy;
- zotupa (zabwino / zoyipa);
- madzimadzi anasonkhana mu sternum.
Dyspnea ya chilengedwe cha kupuma sikutanthauza nthawi zonse kuti njira yamatenda ikuyenda mthupi. Nthawi zina chinthu chachilendo chomwe chatsekedwa mumlengalenga chimakhala choyipa chake.
Mavuto a kupuma amapezekanso ndi kuchepa kwa magazi m'thupi, pomwe ziwalo zonse za thupi la galu sizimalandira mpweya wokwanira. Magulu ochepa a hemoglobin amalepheretsa galu wanu kupuma ngakhale atapuma.
Zamtima
Gulu ili limaphatikizapo zonse zomwe zimakhudzana ndi kufooka kwa mtima kapena kusayenda bwino. Mpweya woterewu umachitika poyenda (nyama imakonda kukhala pansi / kugona pansi, ilibe mpweya wokwanira) ndipo ikathamanga (nthawi zambiri, kuthamanga sikutheka).
Kupuma pang'ono kwa zinthu za mtima kumayambitsidwa ndi matenda osiyanasiyana, kuphatikiza:
- mtima kulephera (pachimake kapena matenda);
- matenda a mtima;
- matenda a mtima.
Zofunika! Nthawi zambiri, edema ya m'mapapo mwanga imayambitsa matenda am'magazi am'mapapo, pomwe mawonekedwe a kufooka kwa minofu yamtima ndiomwe amachititsa (m'bwalo loipa).
Matenda a CNS
Mitundu ina (yotchedwa brachycephals) imavutika ndi kupuma movutikira chifukwa cha mphuno ya mphuno... Matenda a Brachycephalic akuti agalu ali ndi mphuno zowoneka bwino monga ma pugs, Pekingese, ndi bulldogs. Udindo wa zimakhala zofewa m'kamwa zimakhala zopumira pakupuma kwawo koyenera.
Zowonjezera zowopsa monga kulimbitsa thupi, kupsinjika, kutentha kapena kutupa zitha kuchitika pachiwopsezo chachilengedwe nthawi iliyonse, zomwe zimabweretsa kuwonongeka kwa thanzi ngakhale kufa kwa galu.
Kuphatikiza apo, kupuma movutikira chifukwa cha vuto lamkati wamanjenje nthawi zambiri kumachitika ngati vuto pambuyo:
- hematomas;
- magetsi;
- kupwetekedwa mutu;
- zotupa zaubongo.
Njira yapakati yamanjenje ndiyomwe imayambitsa vuto la postpartum dyspnea, lomwe limaloledwa ndipo limadzichokera lokha. Ngati mpweya wochepa umatsagana ndi kutaya magazi, kutentha thupi, kutayika kwa mgwirizano ndi kusanza, thandizo lofunikira lifunika.
Udindo wakulephera kupuma umaperekedwanso ku dongosolo lamanjenje ngati nyama ili:
- kupsinjika kwakukulu;
- kunenepa kwambiri;
- kupweteka kwambiri;
- kutentha thupi.
Zikakhala zovuta (kumenya nkhondo, kuwopseza moyo wa mwini wake, ngozi iliyonse), adrenaline (mantha), cortisol (nkhawa), norepinephrine (ukali) ndi mahomoni ena amatulutsidwa m'magazi, ndikupangitsa mtima kugunda mwachangu. Ndizomveka kuti kuthamanga kwa magazi kumafunikira mpweya wabwino, ndichifukwa chake agalu amayamba kupuma mwachangu pakamwa pawo.
Thandizo loyamba la kupuma movutikira
Ngati mpweya umatuluka chifukwa chakulimba mtima (kupsinjika), nyama iyenera kupita nayo kumalo ozizira, opanda phokoso ndikuyesera kuikhazika mtima pansi. Chovalacho chikanyowa, amapukutidwa ndi nsalu yofewa, osayiwala kuphulika pachifuwa.
Zofunika! Galu wopanikizika sayenera kugona pansi ndikukakamizidwa kudya / kumwa mosafuna. Kumwa madzi ozizira kumatha kuyambitsa chibayo, edema kapena kugwa kwamapapu (chifukwa chakusiyana kwa kutentha pakati pamadzi ndi ziwalo "zotentha" zamkati).
Ngati galu sangayikidwe pansi, osalimbikira: mwina mapapu ake amadzaza ndi mpweya, ndipo malo abodzawo akuopseza kuti minyewa yam'mapapo iphulika. Ngati kupuma pang'ono kumachitika pazifukwa zina, kuyenda kwa mpweya wabwino ndi kupumula kudzathandizanso (zenera lotseguka, mpweya, magawano).
Akatswiri odziwa kuweta agalu, makamaka omwe ziweto zawo zimavutika kupuma, amakhala ndi mankhwala azadzidzidzi m'bungwe lawo lazamankhwala. Chitsanzo cha algorithm:
- Perekani mankhwala aliwonse ophera mphamvu monga Suprastin pamlingo wa theka la piritsi pa kulemera kwa galu 5-8 kg. Imaphwanyidwa ndikupakidwa pansi pa lilime.
- Tsukani msana wanu, chifuwa ndi makutu anu mwamphamvu.
- Lowetsani immunostimulant (gamavit kapena zina), kudziwa mlingo malinga ndi malangizo. Njirayi imayikidwa mu 4 paws (intramuscularly).
- Ngati potaziyamu mankhwala enaake amapezeka, perekani 3-15 ml IV (kutengera kukula kwa galu). Jakisoni uyu amachitika pang'onopang'ono komanso mosamala.
- Nthawi zovuta (ngati mungathe) chititsani kutsekemera kwa mtima.
Ngati pali kuwonongeka kowonekera, dokotala adzafunika... Muimbireni kunyumba kapena mupite naye galu kuchipatala. Kuti abwezeretse kupuma, dotolo amachotsa matupi akunja, amathira chophimba kumaso cha oksijeni, ndipo odwala ovuta kwambiri amaweruzidwa kuti alowe mpweya wabwino kapena opaleshoni.
Chithandizo ndi kupewa
Popeza kupuma movutikira kumachitika chifukwa cha matenda enaake, ayenera kuthandizidwa, choyamba podziwa bwinobwino matendawa.
Ndikupuma movutikira, galu amafunikira kupumula kwamphamvu, kupatsidwa mpweya komanso chithandizo china kutengera matenda.
Ndi cardiogenic dyspnea, x-ray, ma ultrasound, mayesero a mahomoni, kuyesa magazi / mkodzo (kukulitsidwa), ndi kuyesa kupezeka kwa majeremusi kumawonetsedwa. Amatsatiranso malangizo a katswiri wa zamatenda a ziweto, kugwiritsa ntchito mankhwala opha ululu wowawa kwambiri, okodzetsa ndi mankhwala odana ndi zotupa a m'mapapo mwanga edema. Ngati madzi alowa m'chifuwa, amafunsidwa.
Matenda am'mitsempha yam'mimba, mankhwalawa ndi ofanana ndi matenda amtima, ndipo MRI imadziwika kuti ndiyo njira yabwino kwambiri yozindikiritsira. Ngati mpweya wochepa pambuyo pobereka utha kupitilira tsiku limodzi, itanani dokotala, apo ayi mayi amene wabereka akhoza kufa.
Zofunika! Musazengereze ngati kupuma pang'ono kumayambitsidwa ndi chibayo kapena mphumu, pomwe kubanika kumayamba mwachangu kwambiri, nthawi zina mumphindi zochepa. Kutupa kumachotsedwa ndi antihistamines kapena steroids (kangapo).
Kuchepa kwa magazi kumatha kuchiritsidwa ndikumakonza chakudya cha galu, komanso mavitamini apadera omwe cholinga chake ndi kuwonjezera hemoglobin.
