So tebea bi wɔ hɔ a egye ntɛmpɛ esiane mogya/nsu dodow a ɛba nipadua no mu nti? Momma yensua hypovolemic shock yi ho ade!

So woayɛ basaa mpofirim, wo tirim yɛ wo yaw, na ɛyɛ den ma wo sɛ wobɛhome pɛn? Anaasɛ woahu obi a wapira kɛse na mogya retu no pɛn? Tebea horow a asiane wom sen biara a ebetumi aba wɔ tebea horow a ɛtete saa mu biako ne hypovolemic shock, a yɛrebɛka ho asɛm nnɛ. Eyi yɛ tebea a ehia ayaresa ntɛm ara, enti ɛho hia yiye sɛ wohu.

Dɛn ne hypovolemic shock? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, hypovolemic shock yɛ bere a mogya anaa nsu dodow a ɛwɔ wo nipadua mu no so tew mpofirim araa ma wo koma ntumi mfa mogya nkɔ wo nipadua nyinaa mu yiye. Fa no sɛ kar a pɛtro resa. Mogya te sɛ pɛtro ma yɛn nipadua.

Saa tebea yi taa ba bere a mogya dodow a ɛwɔ yɛn nipadua mu nyinaa mu bɛboro 20%, anaa nkyem anum mu biako yera no. Ɛnyɛ mogya a ɛtɔ dodo esiane opira kɛse bi nti nko na eyi betumi aba. Ɛtɔ mmere bi a, akisikuru a emu yɛ den, ɔfe a ɛkɔ so, anaa fifiri a ɛtra so nso betumi ama tebea yi aba, na ama nsu pii ayera afi nipadua no mu.

Eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ, enti sɛ wuhu sɛnkyerɛnne ahorow a, ɛho hia sɛ wofrɛ 1190 anaa 1990 ntɛm ara na wokɔ ayaresabea.

Dɛn na ɛrekɔ so wɔ mogya mmoroso so saa bere yi?

Sɛ hypovolemic shock ba a, wo mogya mmoroso dodow a ɛwɔ fam a wɔfrɛ no diastolic pressure no betumi akɔ soro kakra mfiase no. Nanso bere a mogya anaa nsu kɔ so fi wo nipadua mu no, dodow a ɛwɔ soro a wɔfrɛ no systolic pressure no befi ase atew nkakrankakra.

Hena na ɛda adi sɛ obenya eyi?

Saa tebea yi betumi ato obiara, titiriw obi a wahyia akwanhyia kɛse na mogya pii resɛe no. Afei nso, sɛnea yɛadi kan aka no, obi a ɔfe pii, ne dwensɔtwaa, anaa ne ho fifiri pii nso betumi ama nsu atɔ no.

Saa tebea yi abu so dɛn?

Sɛ yɛka ne nyinaa bom a, ahodwiriw biara ba nnipa a ennu 1,000 biara mu 1 so. Nanso, hypovolemic shock ne ahodwiriw a ɛto so abien a abu so sen biara. Wɔ aman bi a afei na wɔrenya nkɔso mu no, ɛtaa ba mmofra nkumaa so esiane akisikuru nti.

Dɛn na ɛto nipadua no bere a hypovolemic shock no?

Hypovolemic Shock ba bere a akwaa a ɛho hia sen biara wɔ yɛn nipadua mu (sɛ nhwɛso no, amemene, koma, asaabo) nnya mogya ne oxygen dodow a ɛho hia no. Eyi te sɛ dua a ɛrewu a nsu nni mu. Yɛn akwaa nso ntumi nyɛ adwuma a mogya nka ho.

Saa bere yi de, yɛn nipadua no yɛ adwuma nyansam paa. Esiane sɛ mogya kakraa bi na ɛwɔ nipadua no mu nti, ɛde mogya a wɔde bɛma akwaa abien a ɛho hia sen biara ma nkwa, amemene ne koma no di kan . Ɛno nti na mogya dodow a ɛkɔ akwaa no so tew, na akwaa no yɛ nwini no.

Sɛ wɔkyekyem pɛpɛɛpɛ a, obi a ne mu duru bɛyɛ kilogram 70 no mogya bɛyɛ lita 5 wɔ ne nipadua mu. Ɛno yɛ wɔn nipadua mu duru bɛyɛ 7%. Wɔ hypovolemic shock mu no, dodow yi fã kɛse bi yera.

Dɛn ne akwan anan a ɛma obi ho dwiriw no?

Nsɛm atitiriw anan na ɛwɔ tebea yi mu, a egyina sɛnea emu yɛ den so.

• Ɔfã 1: Eyi ne bere a wohwere wo mogya dodow bɛyɛ 15% (bɛyɛ mililita 750 (750 mL) – ɛno kɛse bɛyɛ sɛ nsu toa kɛse). Ebia wo mogya mmoroso ne wo koma bɔ bɛyɛ nea ɛfata wɔ saa bere yi mu.
• Ɔfã 2: Eyi ne bere a mogya dodow so tew 15% kosi 30% (750 mL kosi 1,500 mL – bɛyɛ nsu nkotoku akɛse abien). Koma no bɔ fi ase kɔ soro, na ɔhome nso kɔ soro.
• Ɔfã 3: Nipadua no mogya dodow 30% kosi 40% (1,500 mL kosi 2,000 mL – bɛyɛ nsu nkotoku akɛse abiɛsa!) yera. Mogya mmoroso so tew kɛse, koma bɔ ne ɔhome kɔ soro. Nsu a ɛba nso so tew kɛse.
• Ɔfã 4: Eyi ne ɔfã a emu yɛ den sen biara. Nipadua no mogya dodow bɛboro 40% (>2,000 mL) ayera. Mogya mmoroso sua koraa, koma bɔ kɛse, na ɛkame ayɛ sɛ nsu a ɛba no nni hɔ.

Nsɛnkyerɛnne bɛn na ɛsɛ sɛ yɛma yɛn ani da hɔ?

Dodow a mogya anaa nsu pii yera fi nipadua no mu no, dodow no ara na yare no ho sɛnkyerɛnne no mu yɛ den. Hypovolemic shock ho sɛnkyerɛnne ahorow bi a ɛtaa ba ni:

• Ɔhome a ɛkɔ soro: Te nka sɛ worehome ntɛmntɛm sen sɛnea ɛte daa.
• Sɛ wote nka sɛ w’adwene atu afra anaasɛ wo ho atɔ wo: Ɛyɛ den sɛ wode w’adwene besi w’adwene so, na ebia wobɛte nka sɛ wo ho atɔ wo.
• Fifiri a ɛboro so: Mpofirim ara, nipadua no yɛ nwini na efi ase fifiri.
• Nhumu a ɛyera (totɔ piti): Ebia wobɛhwere w’adwene mpofirim a worennyɛ apɔw-mu-teɛteɛ biara.
• Wora a ɛyɛ nwini: Sɛ wɔde wɔn nsa ka a, akwaa no te nka sɛ ɛyɛ nwini.
• Sɛ obi te nka sɛ wayɛ mmerɛw: Nipadua no yɛ mmerɛw araa ma entumi nyɛ hwee.
• Nipadua mu hyew ne mogya mmoroso a ɛso tew.
• Koma a ɛbɔ a ɛkɔ soro (a koma bɔ a ɛkɔ soro).

Sɛ wohu sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a mogya tu kɛse a, ebetumi ayɛ hypovolemic shock.

Dɛn ne ade titiriw nti a ɛte saa?

Nea ɛde ba titiriw ne mogya anaa nsu pii a ɛyera fi nipadua no mu. Saa mogya a ɛtɔ yi betumi aba wɔ yɛn mu (wɔ ɔkwan bi so a yentumi nhu) anaasɛ efi kuru a wotumi hu mu. Bio,

• Ɔhyew a ɛyɛ hyew
• Pancreatitis a ɛyɛ yare
• Nneɛma a ɛde ba te sɛ fifiri a ɛboro so, ɔfe, anaa akisikuru nso betumi ayɛ nneɛma a ɛde ba.

Akwan bɛn na ebetumi aba sɛ mogya betumi atu?

Mogya a ɛtɔ titiriw a ebetumi ama obi anya hypovolemic shock ne:

• Apirakuru a akwanhyia a emu yɛ den de ba: Nneɛma te sɛ akwanhyia wɔ kwan so, obi a ɔhwe ase fi soro, ne nea ɛkeka ho.
• Bere a wɔreyɛ oprehyɛn (oprehyɛn bi): Oprehyɛn ahorow bi betumi ama mogya atɔ no kakra.
• Nyinsɛn a ɛwɔ awotwaa no akyi: Eyi yɛ tebea a ɛyɛ hu yiye, efisɛ ebetumi ama mogya atu nipadua no mu.
• Aneurysm rupture: Eyi kyerɛ sɛ mogya ntini bi yɛ mmerɛw, ɛhohoro te sɛ balloon, na ɛpae mpofirim.
• Nnuan a wɔyam no mu haw ahorow: Sɛ nhwɛso no, mogya a ɛba esiane yafunu mu akisikuru nti.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wɔde wo ba ayaresabea a, ade a edi kan a oduruyɛfo anaa ɔyarehwɛfo no bɛyɛ ne sɛ ɔbɛhwehwɛ wo mu. Afei, ebia wɔbɛyɛ nhwehwɛmu kakraa bi de asi tebea no so dua.

• Mogya mu nhwehwɛmu: Hwɛ sɛnea wo mogya dodow so tew ne sɛ ebia akwaa te sɛ w’asaabo aka wo anaa.
• Electrocardiogram (ECG): Hwɛ sɛnea koma no yɛ adwuma.
• Echocardiogram: Koma no mu nhwehwɛmu.
• Koma nifa (Swan-Ganz) catheterization: Sɔhwɛ titiriw bi a wɔde susuw nhyɛso a ɛwɔ koma no mu.
• CT scan (Computed tomography - CT) anaa radiological nhwehwɛmu afoforo: Sɛnea ɛbɛyɛ a wobehu baabi a mogya no retu wɔ nipadua no mu.
• Endoscopy: Wɔde afiri a wɔde mfoninitwa afiri di dwuma de hwehwɛ aduan mu ntini no mu.

Ɔkwan bɛn so na wɔbɛsa? Nneɛma a ɛsɛ sɛ woyɛ ntɛm ara!

Sɛ wɔde ambulance anaa akwan foforo so de wo ba ayaresabea wie a, ade a edi kan a nnuruyɛfo yɛ ne sɛ wɔde wo bɛhyɛ IV nhama mu na wɔama wo nsu (te sɛ nkyene) . Afei sɛ ɛho hia a, wɔma wo mogya . Wɔma wo nnuru nso a ɛbɛma wo mogya mmoroso asan ayɛ nea ɛfata.

Nea ɛho hia sen biara ne sɛ wobɛsa ɔhaw a ɛde ahodwiriw no bae no. Sɛ nhwɛso no, mogya no a wubegyae, anaasɛ sɛ woapira wɔ akwanhyia mu a, wɔbɛyɛ wo oprehyɛn. Ɛno akyi no, wɔde wo bɛto Intensive Care Unit (ICU) ma wɔahwɛ wo.

Nnuru ahorow bɛn na wɔde ma?

Nnuru atitiriw a wɔde ma wɔ hypovolemic shock ho no bi ne:

• Epinephrine (Epinephrine - Adrenalin®) a wɔde hyɛ nipadua mu.
• Norepinephrine (Nor a wɔde hyɛ nipadua mu - Levophed®) .
• Dopamine a wɔde yɛ aduru
• Dobutamine (Dobutamine - Inotrex®) a ɛyɛ aduru a ɛma obi nya ahoɔden.

Saa nnuru yi boa ma koma bɔ ne mogya mmoroso san ba.

So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?

Ɛtɔ mmere bi a, nnuru yi betumi de ɔhaw nketenkete aba.

• Mogya mmoroso ne koma a ɛbɔ a ɛkɔ soro
• Ɔhome a ɛyɛ den
• Tiyɛ (tiyɛ) .
• Koma a ɛbɔ a ɛnteɛ

Dɛn na yebetumi ayɛ de atew asiane yi so?

Ɛyɛ den sɛ wobɛka akwanhyia a emu yɛ den ho nkɔm na woasiw ano. Nanso, nneɛma bi wɔ hɔ a yebetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ obi benya hypovolemic shock a efi nneɛma afoforo mu ba no so:

• Sɛ worenom nnuru a ɛma wo ho yɛ wo hyew , fa sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Afei nso, nom nsu pii na ama wo ho atɔ wo.
• Sɛ wowɔ atiridiinini anaasɛ worefe a, nom nsu pii anaa nsu te sɛ Jeevani na ama nsu a ayera afi wo nipadua mu no ayɛ ma.
• Sɛ wo ho fifiri pii a, nom nsu pii de si nsu a worehwere no ananmu.

Nea ɛho hia sen biara: Sɛ wuhu sɛ mogya retu wo pii, anaasɛ wotwa a wontumi nsiw ano a, frɛ 1190 anaa 1990 ntɛm ara, anaa kɔ ayaresabea a ɛbɛn wo no dwumadibea a wɔhwɛ ntɛmpɛ so. Mmoa a wubenya ntɛm no betumi aboa ma woadi tebea no so ansa na mogya pii ayera.

Sɛ wo nya hypovolemic shock a, dɛn na ɛba? Bere tenten ahe na egye na obi ho atɔ no?

Sɛ́ ebia wubenya nkwa wɔ tebea yi mu na wo ho atɔ wo no gyina nneɛma pii so. Mogya anaa nsu dodow a ɛyerae, sɛnea esii ntɛmntɛm, aduruyɛ mu tebea afoforo a wowɔ, ne nea ɛde ahodwiriw no bae nso betumi adi dwuma bi.

Sɛ wufi ase sa ahodwiriw sa ntɛm a, ne nkɛntɛnso betumi asan. Sɛ woyɛ abofra na ahodwiriw no mu nyɛ den dodo a, wowɔ hokwan pa sɛ wubenya nkwa. Nanso, ɛtɔ mmere bi a akwaa a ɛsɛe betumi ama obi anya komayare. Sɛ akwaa bɛboro biako di nkogu a, ɛda adi sɛ tebea no betumi akum obi. Sɛ wɔsa obi yare mpo a, ɛtɔ mmere bi a hypovolemic shock betumi akum obi.

Mɛyɛ dɛn ahwɛ me ho akosi sɛ me ho bɛtɔ me?

Sɛ wufi ayaresabea ba fie a, ɛsɛ sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Wo nipadua no afa ahodwiriw pii mu, enti ɛsɛ sɛ wohome na wo ho tɔ wo wɔ fie ansa na woakɔ adwuma. Fa aduru a wo duruyɛfo akyerɛw ama wo no pɛpɛɛpɛ, na hwɛ akuru biara so yiye.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Oduruyɛfo no bɛka akyerɛ wo sɛ san bra bɛhwɛ bere a woadi akyi ahwɛ sɛnea wo ho te. Mma saa nhyehyɛe ahorow yi nmpa wo ti so, efisɛ ɛno ne bere a oduruyɛfo no betumi ahu ɔhaw foforo biara a ebetumi aba ntɛm ara.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wuhu obi sɛ ɔreda hypovolemic shock ho sɛnkyerɛnne adi a, frɛ 1190 anaa 1990 ntɛm ara. Dodow a onipa no nya mmoa ntɛm no, dodow no ara na eye. Enkosi sɛ mmoa bɛba no, fa onipa no da fam a ne nan so bɛyɛ anammɔn biako sen nipadua no fã a aka no. Mma nipadua no ntutu, gye sɛ wobɛma nan no so. Sɛ mogya retu a, bɔ mmɔden sɛ wubesiw ano, na ma nipadua no mu ayɛ hyew.

Sɛ woadi kan anya hypovolemic shock, sɛ wo akuru no fi ase tu mogya bio, anaasɛ ɛte sɛ nea ɛretu a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu bio.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm yi:

• So hypovolemic shock yi bɛka me bere tenten?
• Bere tenten ahe na ebegye ansa na me ho atɔ me koraa?
• Bere tenten ahe na ɛsɛ sɛ menom aduru a wokyerɛw maa me no?

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Hypovolemic shock yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Nanso, ayaresa a wubenya ntɛm no betumi agye wo nkwa. Nnuruyɛfo betumi adan tebea no, nanso ebegye bere ansa na wo ho atɔ wo. Titiriw sɛ ahodwiriw no fi akwanhyia a emu yɛ den a, ebetumi agye bere tenten ansa na ne ho atɔ no. Enti, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ na hwɛ wo ho ne wo pira no yiye. Hwɛ yiye bere nyinaa!

` hypovolemic shock, mogya a ɛyera, nsu a ɛyera, ahodwiriw, ayaresa a egye ntɛmpɛ, mogya mmoroso, sɛnkyerɛnne ahorow