He aha ia, he aha nā hōʻailona a pehea e mālama ai iā Cardiogenic Shock

Anter

• Nā hōʻailona nui a me nā ʻōuli
• Pehea e hōʻoia ai i ke kuhi
• ʻO nā kumu kūpono o ka haʻalulu cardiogenic
• Pehea e hana ai i ka lāʻau
• 1. Hoʻohana o nā lāʻau
• 2. Pāpelu
• 3. ʻoki kino
• Nā pilikia nui

Kū ka haʻalulu Cardiogenic ke nalowale ka hiki i ka puʻuwai ke pauma i ke koko i kahi nui kūpono i nā meaola, e hoʻoliʻiliʻi ana i ke kahe o ke koko, ka nele o ka oxygen i nā aʻa a me ka hōʻiliʻili o ka wai i nā akemāmā.

ʻO kēia ʻano haʻalulu kekahi o nā pilikia nui loa o ka infoccial myocardial koʻikoʻi a, inā ʻaʻole mālama ʻia me ka wikiwiki, hiki i ka make ke aneane 50% o nā hihia. No laila, inā kuhi ʻia ka pīhoihoi o ka maʻi kolohe, he mea nui ia e hele koke i ka haukapila e hōʻoia i ka hōʻailona a hoʻomaka i ka lāʻau kūpono.

Nā hōʻailona nui a me nā ʻōuli

ʻO nā ʻōuli e hōʻike paha i ka haʻalulu kuniogenic hiki:

• Hanu wikiwiki;
• Hoʻonui hoʻonui ʻia i ka helu o ka puʻuwai;
• Maule koke;
• Pulse nāwaliwali;
• Hulu me ka maopopo ʻole ke kumu;
• ʻO ka pale pale a me nā ʻaoʻao anu;
• Hoemi i ka nui o ka mimi.

I nā hihia kahi hoʻonui ʻia o ka wai i loko o nā akemāmā a i ʻole ka edema pulmonary, hiki ke ʻike ʻia ka hanu a me nā kani kūpono ʻole ke hanu, e like me ka hū ʻana, no ka laʻana.

ʻOiai ʻoi aku ka nui o ka haʻalulu cardiogenic ma hope o ka puʻuwai puʻuwai, pili pū kēia mau ʻōuli me nā ʻōuli o ka puʻuwai puʻuwai, e like me ka manaʻo o ke kaomi i ka umauma, ke kani ʻana i ka lima, ka manaʻo o kahi pōpō i ka puʻu a i ʻole ka nausea E ʻike i kahi papa inoa piha o nā hōʻailona e kuhikuhi ai i ka hōʻeha puʻuwai.

Pehea e hōʻoia ai i ke kuhi

ʻO ke kuhi o ka haʻalulu kolohe pono e hana koke ʻia i ka haukapila a, no laila, inā he kānalua he mea nui ia e hele wikiwiki i ka lumi pilikia o ka haukapila. Hiki paha i ke kauka ke hoʻohana i kekahi mau hoʻokolohua, e like me ke ana ʻana o ke koko, electrocardiogram a i ʻole X-ray umauma, e hōʻoia ai i ka haʻalulu o ka maʻi maʻi a hoʻomaka i ka lapaʻau kūpono loa.

ʻO nā kumu kūpono o ka haʻalulu cardiogenic

ʻOiai ʻo ka infarction ke kumu pinepine o ka haʻalulu cardiogenic, hiki i nā pilikia ʻē aʻe ke kumu i kēia pilikia. Nā kumu kumu ʻē aʻe e pili pū me:

• Maʻi maʻi naʻau;
• Hoka ventricular pono;
• Myocarditis huehue;
• Maʻi ahulau coronary;
• Nā arrhythmias Cardiac;
• Kuhikuhi i ka trauma i ka puʻuwai;
• Poisoning o ka puʻuwai e nā lāʻau a me nā lāʻau make;

Eia hou, i ke keu kiʻekiʻe o ka sepsis, kahi maʻi ākea o ka meaola, hiki pū kekahi me ka haʻalulu cardiogenic, kokoke i ka hopena o ka make. E nānā pehea e ʻike ai i kahi hihia o sepsis, e hoʻomaka ai i ka mālama ʻana a pale aku i ka haʻalulu nui o ka maʻi.

Pehea e hana ai i ka lāʻau

Hoʻomaka maʻamau ka hoʻomaʻamaʻa ʻana no ka haʻalulu cardiogenic ma ka lumi pilikia o ka haukapila, akā pono ia e noho i kahi keʻena mālama nui, kahi e hiki ai ke hana i nā ʻano hana like ʻole e hoʻāʻo e hōʻoluʻolu i nā hōʻailona, ​​hoʻomaikaʻi i ka hana o ka puʻuwai a kōkua i ka holo. koko:

1. Hoʻohana o nā lāʻau

Ma waho aʻe o ka serum i hoʻopili pololei ʻia i ka aa e mālama i ka hydration a me ka meaʻai, hiki i ke kauka ke hoʻohana pū.

• Hoʻonui i nā mea e hoʻonui ai i ka ikaika o ka puʻuwai, e like me Noradrenaline a i ʻole Dopamine;
• ʻAspirin, e hoʻēmi i ka makaʻu o ka hoʻokumu ʻana i nā ʻōpala a kōkua i ke kahe o ke koko;
• ʻO Diuretics, e like me Furosemide a i ʻole Spironolactone, e hoʻēmi i ka nui o ka wai i ka akemāmā.

Lawe pololei ʻia kēia mau lāʻau i loko o ke aa, ma ka liʻiliʻi ma ka pule mua o ka mālama ʻana, a laila hiki ke lawe waha ʻia, ke hoʻomaikaʻi ʻia ke ʻano.

2. Pāpelu

Hana ʻia kēia ʻano hana e hoʻōla hou i ka puʻuwai i ka puʻuwai, i kahi hanana o ka puʻuwai puʻuwai, no ka laʻana. E hana i kēia, hoʻokomo pinepine ke kauka i kahi catheter, kahi lōʻihi lōʻihi a lahilahi, ma o ke aʻa, ma ka ʻāʻī a i ʻole ka ʻūhā o ka naʻau, i ka puʻuwai e hemo ai i kahi ʻōpala kūpono a ʻae i ke koko e hele pono hou

E hoʻomaopopo hou aʻe e pili ana i ka hana ʻana o ka catheterization a me nā mea no ia.

3. ʻoki kino

Hoʻohana wale ʻia ke ʻoki kino i nā hihia ʻoi loa a i ʻole ke hoʻomaikaʻi ʻole ʻia nā ʻōuli me ka hoʻohana ʻana o ka lāʻau a catheterization paha. I kēia mau hihia, hiki i ke ʻoki ke hoʻoponopono i kahi ʻeha o ka puʻuwai a i ʻole e hana i kahi bypass cardiac, kahi e kau ai ke kauka i kahi aʻa ʻē aʻe i ka puʻuwai e hele ai ke koko i ka wahi me ka ʻole o ka oxygen ma muli o ke kū ʻana o kahi ʻōpala.

Ke loli loa ka hana o ka puʻuwai a ʻaʻohe ʻenehana e hana, ʻo ka pae hope loa o ka mālama ʻana he hana naʻau, akā naʻe, pono e ʻike i kahi mea hāʻawi manawaleʻa, a he mea paʻakikī paha ia. E aʻo hou e pili ana i ka lawe ʻana o ka naʻau.

Nā pilikia nui

ʻO nā kūpilikiʻi o ka haʻalulu cardiogenic ka holo pono ʻole o nā mea hanohano he nui e like me nā puʻupaʻa, ka lolo a me ke ake, ke kuleana no ka nui o ka make o nā mea maʻi i ʻae ʻia i ka mālama nui. Hiki ke hōʻalo i kēia mau pilikia i ka manawa e hana koke ʻia ke kuhi a me ka lāʻau.