Imejɛnsi sityueshɔn de bikɔs di blɔd/fluid lɛvɛl smɔl na di bɔdi? Lɛ wi lan bɔt dis hypovolemic shock!

Yu dɔn ɛva nɔ no natin wantɛm wantɛm, yu ed de tɔn, ɛn i nɔ izi fɔ yu fɔ blo? Ɔ yu dɔn ɛva si pɔsin we gɛt siriɔs injuri ɛn we de blɔd bɔku bɔku wan? Wan pan di denja wae kin apun pan dis kayn tin na hypovolemic shock, wae wi go tɔk bɔt tide. Dis na sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan, so i rili impɔtant fɔ no bɔt am.

Wetin na haypovolemik shɔk? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, hypovolemic shock na we di blɔd ɔ wata we de na yu bɔdi go dɔŋ wantɛm wantɛm so dat yu at nɔ ebul fɔ pɔmp blɔd ɔlsay na yu bɔdi fayn fayn wan. Tink bɔt am lɛk se motoka we gɛt fiul dɔn. Blɔd tan lɛk fiul fɔ wi bɔdi.

Dis kכndyushכn kin apin we pas 20%, כ wan pat pan fayv pan di tכtal blכd vכlyum na wi bכdi de lכs. Dis kin apin nɔto jɔs frɔm di blɔd we de kɔmɔt pasmak bikɔs ɔf wan big injuri. Sɔntɛnde, bad bad dayarɛa, we yu de vɔmit ɔltɛm, ɔ we yu de swet pasmak kin mek bak dis sik, ɛn dis kin mek bɔku wata kɔmɔt na di bɔdi.

Dis na mɛdikal imejensi, so if yu notis di sayn dɛm, i impɔtant fɔ kɔl 1190 ɔ 1990 wantɛm wantɛm ɛn go to dɔktɔ.

Wetin de apin to blɔd prɛshɔn dis tɛm?

We di hypovolemic shock apin, di bottom nכmba fכ yu blכd prεshכn, we dεn kכl diastolic prεshכn, kin inkrεs sכmtεm fכs. Bɔt as blɔd ɔ wata de kɔntinyu fɔ kɔmɔt na yu bɔdi, di nɔmba we de ɔp, we dɛn kɔl di sistolik prɛshɔn, go bigin fɔ go dɔŋ smɔl smɔl.

Udat dɛn kin gɛt dis sik mɔ?

Dis sik kin apin to ɛnibɔdi, mɔ pan pɔsin we dɔn gɛt big aksidɛnt ɛn we de lɔs bɔku blɔd. Dɔn bak, lɛk aw wi bin dɔn tɔk, pɔsin we de vɔmit bɔku, we gɛt dayarɛa, ɔ we de swet bɔku kin gɛt wata bak.

Aw dis sik kin kɔmɔn?

Ɔl togɛda, ɛni kayn shɔk kin apin to less dan 1 pan ɛvri 1,000 pipul dɛm. כltu, haypovolemik shכk na di sεkכn kayn shכk we kכmכn pas כl. Insay sɔm divɛlop kɔntri dɛn, i kin bɔku pan yɔŋ pikin dɛn bikɔs ɔf dayarɛa.

Wetin kin apin to di bɔdi di tɛm we pɔsin gɛt haypovolɛmik shɔk?

Hypovolemic Shock kin apin we di ɔgan dɛn we impɔtant pas ɔl na wi bɔdi (fɔ ɛgzampul, di bren, at, kidni) nɔ de gɛt di blɔd ɛn ɔksijɛn we nid. Dis na lɛk tik we de day we nɔ gɛt wata. Wi ɔgan dɛn nɔ kin ebul fɔ wok if wi nɔ gɛt blɔd bak.

Dis tɛm ya, wi bɔdi de wok wit sɛns. We di blɔd nɔ bɔku na di bɔdi, i kin put blɔd to di tu ɔgan dɛn we impɔtant pas ɔl fɔ mek pɔsin liv, we na di bren ɛn di at . Na dat mek di blɔd we de go na di an ɛn fut dɛn kin go dɔŋ, ɛn di an ɛn fut dɛn kin kol.

Na avrej, pɔsin we we lɛk 70 kilogram kin gɛt lɛk 5 lita blɔd na in bɔdi. Dat na lɛk 7% pan dɛn bɔdi wet. insay haypovolemik shכk, wan siknifikant pat pan dis amoun de lכs.

Wetin na di 4 stej dɛm fɔ shok?

Fɔs men tin dɛn de we kin apin to dis kayn tin, i kin dipen pan aw i kin tranga.

• Stej 1: Dis na we yu lɔs lɛk 15% pan yu blɔd volyum (lɛk 750 mililita (750 mL) – dat na lɛk di sayz fɔ wan big bɔtul wata). Yu blɔd prɛshɔn ɛn yu at rit kin bi nɔmal na dis tɛm.
• Stej 2: Dis na we di bכdi de ridyus bay 15% to 30% (750 mL to 1,500 mL – lεk tu big bכtul wata). Di at rit kin bigin fɔ go ɔp, ɛn di rit we pɔsin de blo kin go ɔp.
• Stej 3: bitwin 30% ɛn 40% pan di bɔdi in blɔd volyum (1,500 mL to 2,000 mL – lɛk tri big bɔtul wata!) de lɔs. di bכdi prεshכn de dכn bכku, di at rεt εn di brith rεt de inkrεs. di urine autput de dכn bak bכku bכku wan.
• Stej 4: Dis na di stej we kin tranga pas ɔl. mכr dan 40% pan di bכdi in bכdi vכlyum (>2,000 mL) dεn dכn lכs. Blɔd prɛshɔn kin rili smɔl, di at kin rit, ɛn i kin lɛf smɔl fɔ lɛ di wata we de kɔmɔt na di urine nɔ de.

Us sayn dɛn wi fɔ no bɔt?

Di mɔ blɔd ɔ wata we de kɔmɔt na di bɔdi, na di mɔ di sik dɛn kin rili bad. Na sɔm kɔmɔn simptom dɛm fɔ hypovolemic shock:

• Di brith rit we de go ɔp: Fɔ fil lɛk se yu de blo fast pas aw i fɔ blo.
• Fɔ fil se yu kɔnfyus ɔ yu nɔ de rɛst: I nɔ kin izi fɔ pe atɛnshɔn, ɛn yu kin fil se yu nɔ de rɛst.
• We yu de swet pasmak: Wantɛm wantɛm, di bɔdi kin kol ɛn bigin fɔ swet.
• Yu nɔr de tink (fainting): Yu kin lɔs kɔnshɛns wantɛm wantɛm ɛn yu nɔr de du ɛnitin fɔ du wit yu bɔdi.
• Kol skin: Di limb dɛn kin fil kol we yu tɔch am.
• Fɔ fil se i wik: Di bɔdi kin wik so dat i nɔ kin ebul fɔ du ɛnitin.
• Di tɛmpracha na di bɔdi ɛn di blɔd prɛshɔn kin go dɔŋ.
• Inkrεs hat rεt (inkrεs puls rεt).

If yu si wan ɔ mɔ pan dɛn sayn ya wit siriɔs blɔd, i kin bi hypovolemic shock.

Wetin na di men rizin dɛn we mek dɛn de du dis?

Di men tin we kin mek i apin na we bɔku bɔku blɔd ɔ wata we de kɔmɔt na di bɔdi kin lɔs. Dis blɔd kin apin insay (insay we wi nɔ kin si) ɔ frɔm wund we wi kin si. Pantap dat,

• Bɔn dɛn
• Pankriaytis we gɛt sik
• Di tin dɛn we kin mek pɔsin swet pasmak, vɔmit, ɔ dayarɛa kin bi bak di tin dɛn we kin mek pɔsin gɛt dis sik.

Wetin na di we dɛn we pɔsin kin gɛt we i kin blɔd?

Di men tin dɛm we kin mek pɔsin blɔd we kin mek pɔsin gɛt hypovolemic shock na:

• Injuri we pɔsin kin gɛt we i gɛt siriɔs aksidɛnt: Tin dɛn lɛk aksidɛnt na rod, fɔdɔm frɔm ayt, ɛn ɔda tin dɛn.
• We dɛn de du ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn (ɔpareshɔn): Sɔm ɔpreshɔn dɛn kin mek pɔsin blɔd smɔl mɔ.
• εktopik bεlε: Dis na tin we rili denja, bikɔs i kin mek blɔd kɔmɔt insay di bɔdi.
• Aneurysm rupture: Dis min se di blɔd vesel kin wik, i kin swel lɛk balɔ, ɛn i kin bɔs wantɛm wantɛm.
• Prɔblɛm dɛn we de na di dijestiv trakt: Fɔ ɛgzampul, blɔd we de kɔmɔt bikɔs ɔf ɔlsa na in bɛlɛ.

Aw dɔktɔ kin no dis?

We dɛn kam wit yu na ɔspitul, di fɔs tin we di dɔktɔ ɔ nɔs go du na fɔ chɛk yu. Dɔn, dɛn kin du sɔm tɛst fɔ no if pɔsin gɛt di sik.

• Blɔd tɛst: Chɛk fɔ si aw yu blɔd nɔ bɔku ɛn if di ɔgan dɛn lɛk yu kidni dɛn dɔn afɛkt.
• Ilɛktrokardiogram (ECG): Luk aw di at de wok.
• Echocardiogram: Na skan fɔ di at.
• Rayt at (Swan-Ganz) kateshɔn: na spɛshal tɛst we de mɛzhɔ di prɛshɔn dɛn we de na di at.
• CT skan (Computed tomography - CT) ɔ ɔda raydiolojikal tɛst: Fɔ fɛn usay di blɔd de lik insay di bɔdi.
• εndoskopi: fכ egzamin di dijestiv trakt bay we dεn de yuz tכb wit kεmεra.

Aw fɔ trit am? Tin dɛn fɔ du wantɛm wantɛm!

Afta dɛn dɔn kɛr yu go na ɔspitul wit ambulans ɔ ɔda we, di fɔs tin we dɔktɔ dɛn kin du na fɔ put yu na IV layn ɛn gi yu wata (lɛk salin) . Dɔn dɛn kin gi yu blɔd if nid de. Dɛn kin gi yu mɛrɛsin bak fɔ mek yu blɔd prɛshɔn kam bak to nɔmal.

Di tin we impɔtant pas ɔl na fɔ trit di prɔblɛm we mek di pɔsin shɔk. Fɔ ɛgzampul, fɔ stɔp di blɔd, ɔ fɔ du ɔpreshɔn if yu dɔn wund pan aksidɛnt. Afta dat, dɛn go kip yu na di Intensiv Keya Yunit (ICU) fɔ mek dɛn wach yu.

Us kayn mɛrɛsin dɛn kin gi?

Sɔm pan di men mɛrɛsin dɛm wae dɛn kin gi fɔ hypovolemic shock na:

• Epinefrin (Epinephrine - Adrenalin®) we de mek di bɔdi gɛt di sik.
• Norepinephrine (Norepinephrine - Levophed®) we de mek pɔsin gɛt di sik.
• Dopamin we dɛn kɔl Dopamin
• Dobutamin (Dobutamin - Inotreks®) .

Dɛn mɛrɛsin ya kin ɛp fɔ mek di at rit ɛn blɔd prɛshɔn kam bak.

Ɛni bad tin de we di tritmɛnt kin du?

Sɔntɛnde, dɛn mɛrɛsin ya kin mek yu gɛt smɔl smɔl sayd ɛfɛkt dɛn.

• Blɔd prɛshɔn ɛn at rit we de go ɔp
• I nɔ kin izi fɔ yu fɔ blo
• Ɛd we de at (ed we de at) .
• Di at bit we nɔ de bit ɔltɛm

Wetin wi go du fɔ ridyus dis prɔblɛm?

I nɔ kin izi fɔ tɔk ɛn mek bad bad aksidɛnt apin. Bɔt tin dɛn de we wi kin du fɔ ridyus di risk fɔ gɛt hypovolemic shock frɔm ɔda tin dɛn:

• If yu de tek diuretics , tek am jɔs lɛk aw yu dɔktɔ tɛl yu. Dɔn bak, drink bɔku wata fɔ mek yu nɔ gɛt wata na yu bɔdi.
• If yu gɛt dayarɛa ɔ yu de vɔmit, drink bɔku wata ɔ wata lɛk Jeevani fɔ ful-ɔp di wata we dɔn lɔs na yu bɔdi.
• If yu de swet bɔku, drink bɔku wata fɔ tek di ples fɔ di wata we yu de lɔs.

Di tin we impɔtant pas ɔl: If yu si bɔku blɔd, ɔ if yu gɛt kɔt we yu nɔ ebul fɔ stɔp, kɔl 1190 ɔ 1990 wantɛm wantɛm, ɔ go na di imejensi dipatmɛnt na di ɔspitul we de nia yu. If yu gɛt ɛp kwik kwik wan, dat kin ɛp fɔ kɔntrol di tin bifo bɔku bɔku blɔd lɔs.

Wetin kin apin if yu gɛt hypovolemic shock? Aw lɔng i kin tek fɔ mek i wɛl?

If yu liv dis sik ɛn wɛl, i kin dipen pan sɔm tin dɛn. Aw bɔku blɔd ɔ wata bin lɔs, aw i apin kwik kwik wan, ɔda mɛrɛsin dɛn we yu gɛt, ɛn wetin mek yu shɔk kin ɛp bak.

If yu bigin fɔ trit yu shɔk kwik, di tin dɛn we i kin du kin chenj. If yu yɔŋ ɛn di shɔk nɔr tu bad, yu gɛt gud chans fɔ liv. Bɔt sɔntɛnde, di ɔgan dɛn we kin pwɛl kin mek pɔsin gɛt at atak. If pas wan ɔgan nɔ wok, di sik kin kil pɔsin. Ivin wit tritmɛnt, hypovolemic shock kin kil sɔmtɛm.

Aw a go kia fɔ misɛf te a wɛl?

Afta yu kam bak na os frɔm ɔspitul, yu fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. Yu bɔdi dɔn gɛt bɔku trauma, so yu fɔ rɛst ɛn wɛl na os bifo yu go wok. Tek di mɛrɛsin we yu dɔktɔ gi yu di rayt we, ɛn tek kia gud wan fɔ ɛni wund.

Ustɛm a nid fɔ go to dɔktɔ bak?

Di dɔktɔ go aks yu fɔ kam bak fɔ fala-ap apɔntin fɔ si aw yu de du. Nɔ mis dɛn apɔntinmɛnt ya, bikɔs na da tɛm de di dɔktɔ kin no kwik kwik wan ɛni nyu prɔblɛm we kin kam.

Ustɛm yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu si pɔrsin de sho sayn dɛm fɔ hypovolemic shock, kɔl 1190 ɔr 1990 kwik kwik wan. Di kwik we di pɔsin gɛt ɛp, na di mɔ i go fayn. Te ɛp kam, le di pɔsin dɔŋ wit in leg dɛn we ay lɛk wan fut pas di ɔda pat dɛn na in bɔdi. Nɔ muv di bɔdi, pas fɔ es di leg dɛn ɔp. If blɔd de kɔmɔt, tray fɔ stɔp am, ɛn mek di bɔdi wam.

If yu bin dɔn gɛt hypovolemic shock bifo, if yu wund dɛn bigin fɔ blɔd bak, ɔ if i tan lɛk se dɛn de ɔz, go na di imejensi rum bak.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

We yu go to dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:

• Dis hypovolemic shock go mek a gɛt lɔng tɛm ifɛkt pan mi?
• Aw lɔng i go tek fɔ mek a wɛl ɔltogɛda?
• Aw lɔŋ a nid fɔ tek di mɛrɛsin we yu gi mi?

Fɔ dɔn, mɛsej we yu kin kɛr go na os

Hypovolemic shock na wan mɛdikal imejensi. Bɔt if yu gɛt tritmɛnt kwik kwik wan, dat kin sev yu layf. Dɔktɔ dɛn kin rivɛns di sik, bɔt i go tek tɛm fɔ mek yu wɛl. Ɛspɛshali if di shɔk na bikɔs ɔf siriɔs aksidɛnt, i kin tek lɔng tɛm fɔ mek i wɛl. So, fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn tek kia ɔf yusɛf ɛn di bad bad tin dɛn we yu dɔn wund. Tek tɛm ɔltɛm!

` haypovolemik shɔk, blɔd we de lɔs, we yu de lɔs wata, shɔk, imejensi tritmɛnt, blɔd prɛshɔn, di simptom dɛm