Fahimtar yadda Yaduwar Sanyaya ta shafi Harkokin Kiwon Lafiya
A lokacin da aka gano magungunan maganin cututtuka da yawa-musamman magunguna-likitocin kiwon lafiya sukan ba da shawarar la'akari da cewa mai haƙuri yana shan wahala daga "rashin zaman lafiya na hemodynamic" ko a'a. Yawancin lokaci ne, amma yana iya samun ma'anoni daban-daban ga masu aikin kiwon lafiya daban-daban, dangane da matakin ilimi da, a wasu lokuta, inda aka horar da su.
Fahimtar abin da yake nufi da kuma yadda yake da mahimmanci don fahimtar manufar marubucin da ke amfani da ita a cikin jagorar likita ko ganewar asali.
A gefen, kalmar yana bayani ne na kai. Hemo - yana nufin jini yayin da - tsauri yana nufin motsi na jini a jikin jiki. Maganin jini yana da nauyin nauyin ƙaddamarwa . Sanarwar rashin zaman lafiyar shi ma bayani ne na kansa. Yana nufin cewa sai dai idan masu samar da lafiya sunyi wani abu, tsari ba shi da tushe kuma a cikin hadari na kasawa.
Wasu maganganu na halin rashin lafiya na hemodynamic sun haɗa da rushewar kwakwalwa , girgiza (musamman damuwa ), hypoperfusion , da nakasa na zuciya . Bugu da ƙari, wasu sharuɗɗa suna bayyana labarun hemodynamic rashin zaman lafiya yayin da suke aiki kamar maganganu, kamar hypovolemia da hypotension .
Magunguna marasa lafiya marasa lafiya basu da isasshen matsa lamba a cikin tsarin sigina don kiyaye jinin dogara ga dukan sassa daban-daban na jiki inda ya kamata ya kasance a lokaci guda.
Yana da muhimmanci a fahimci cewa ba samar da isasshen matsin lamba ba daidai ba ne kamar yadda yake iya auna karfin jini.
Alamun Hemodynamic Ciki
Wannan ba ya faruwa kadai. Magunguna ba wai kawai sun zama marasa imani ba saboda babu dalili. Wannan wani ciwo ne wanda ke tare da (ko masu shelar) wani matsala, irin su ciwon zuciya ko haɗari.
A fuskar wasu yanayi, a nan akwai alamomin alamomi na marasa lafiya marasa lafiya (wanda kawai ya ɗauka kamar waɗannan su damu):
- Pale da sanyi fata
- Diaphoresis ( zagi )
- Wulo
- Da sauri ko jinkirin bugun jini (azumi zai iya kasancewa ko dai wani abu ne ko kuma wani abu na rashin zaman lafiya; jinkirin yana kusan ma'ana)
- Low saukar karfin jini (alamar marigayi)
- Rawancin numfashi (bai isa jini ba zuwa ga huhu)
- Tashin ciwo (wanda zai iya dangantaka da rashin isasshen jini a cikin zuciya)
- Rarraba (tabbas zai zo bayan gubar jini ya saukad da)
- Lalacewar sani ( syncope , wanda ba shi da kyau)
Magunguna suna da cikakkiyar ma'anar hemodynamic rashin zaman lafiya fiye da sauran masu samar da lafiya. Yin fahimtar nuances na halayen jikin ta zuwa tsarin rashin kwaskwarima yana da mahimmanci yayin ƙoƙarin gano marasa lafiya marasa lafiya. Magunguna, a matsayin rukuni, suna da kyakkyawar fahimtar waɗannan nuances.
Harshen jini (ƙananan jini) yana da alamar halayyar hemodynamic, amma ba shine abu na farko da mutum zai gani ba a cikin mai haƙuri marar haƙuri. Yawancin lokaci, an yi amfani da cutar hawan jini a matsayin mai ɗorewa ga rashin lafiyar marasa lafiya na hemodynamic, amma jiki zai sami halayen haɓaka jini kafin a nuna alamar ta musamman.
Yakin ko Cutar Ciwo
Yayin da tsarin ƙaddamarwa ya kasa, akwai alamu da yawa na ƙoƙarin jiki don gyara matsalar da ta nuna matsala. Kusan dukkan waɗannan sun fito ne daga tsarin jin tausayi, aikin gaggawa na jiki da kuma mayar da martani ga damuwa. Wannan tsarin mai juyayi ne wanda ake kira, a cikin wasu abubuwa, epinephrine (wanda aka fi sani da adrenaline) kuma ana kiransa "yaki ko rashin lafiya." Wannan ita ce tsarin ilimin lissafin jiki wanda jikin mutum yake kira lokacin da yake ji kamar ana barazana. Manufar ita ce jiki yana shirya don yin yaki ko ya gudu daga magajin gari.
Rashin gwagwarmayar ko ciwo na ƙaura shine mafi yawa game da wurare dabam dabam. Yayinda tsarin kula da tausayi yake dasu, ya sa jini ya zama mai hankali a cikin manyan kungiyoyi masu tsoka a cikin makamai da kafafu, don haka yakin ko gudu zai fara. Kwayar jini da kuma aiki a cikin tsarin gastrointestinal din na rage dan lokaci (zaka iya kirki wannan cakudu idan ka rayu ta wannan gamuwa tare da zaki na zaki). Hanyoyin jini yana gudana zuwa idanu, hanci, da ƙwaƙwalwar ƙwaƙwalwar ajiya, duk mafi kyawun ji da ganin ku tare da, masoyi. Jirgin hanyoyi a cikin huhu suna canzawa don yaduwa da iska kuma yaduwar zuciya ya tabbatar da cewa jini yana gudana sauri zuwa huhu don zama sabo da oxygenated. A ƙarshe dai, idan dai tiger na hakori yana samun 'yan wasa a ciki, jini yana gudana daga farfajiya don rage zub da jini da gurasar da za ta yi amfani da shi don taimakawa abubuwan sanyi a matsayin yanayin da ake ciki.
Yawancin wannan damuwa mai juyayi ga damuwa, wanda yake daidai ne ko damuwa ta zo ne daga ragewar jinin (cike da jini) a cikin kwakwalwa ko kuma saboda kwakwalwa yana zaton zai ci shi da zombie, yana da taimako yayin yanayin likita kamar yadda yake a cikin wani zombie apocalypse.
Cikin fata yana nuna kariya da sanyi saboda jinin ba ya gudana a farfajiya da rigar saboda suma (diaphoresis) - yana ba da gaskiyar cewa akwai matsala da ke faruwa. Ka lura cewa babu wani abu a nan da ake buƙatar ƙin jini. Lalle ne, a cikin yakin basira ko jirgin sama, karfin jini ya tashi, wanda ya sa yakin ko rashin ciwon haɗari ya zama babban amsa ga yanayin kiwon lafiya wanda zai haifar da hasarar jini.
Lokacin amfani da Hemodynamic Abability
A cikin kula da yanayin likita na zuciya, lafiyar hemodynamic shine mai nuna alama a lokacin lokacin da ya dace. Dole ne a kula da wani mai haɗari da bradycardia ko tachycardia da yawa a gaban halin rashin lafiyar hemodynamic idan ya bayyana ya zama barga.
Yawancin jagororin sunyi amfani da wannan a matsayin gwajin litmus, wanda ya sa ya zama abu mafi mahimmanci don gane shi a sarari. Akwai hanyoyin da za a tantance lafiyar hemodynamic tare da saka idanu mai ban sha'awa, amma ba wata ciwo mai wuya ba ne don ganewa da kima mai kyau.
Shock vs. Hemodynamic Ciki
Halin rashin lafiyar Hemodynamic yana da sauƙi don rikicewa da damuwa, amma damuwa shine lokacin da ke da ma'ana da dama kuma daya daga cikin su yana da wani abu da ya yi da ko mai haƙuri ya iya motsa jini a jikinsa. Sauran biyun sunyi tare da kasancewar haɗari ko wutar lantarki.
Shock ne yanayin likita tare da bayyana iri da matakan, ba kamar lalacewar rashin jini ba. Akwai nau'i hudu na damuwa: cututtukan zuciya, na rarraba (sun hada da neurogenic, anaphylactic, da septic), hypovolemic (ya hada da halayen jini), da kuma numfashi (wanda wasu masu kiwon lafiya ba su yarda da shi ba). Yayinda mummunar mummunar cutar ta kasance, za a iya ramawa (karfin jini yana cikin al'ada na al'ada) ko ragewa (karfin jini yana da ƙasa). Ana iya cewa ance mummunar tashin hankali shi ne rashin lafiya mai tsanani.
Har zuwa gano ainihin mawuyacin yanayin likita, fahimtar irin tsai da kuma iya gane su zasuyi yawa fiye da fahimtar rashin daidaito hemodynamic.
Kalma Game da Hypoperfusion
Furofikan yana daya daga cikin waɗannan tsoffin kalmomin da ke riƙe da aikin likita bayan da ya karɓa a kan sauran kayan lexicon na yau. Yana nufin cike da jini kuma ana amfani da shi musamman don zubar da jinin jini. Capillaries sune tashoshi masu mahimmanci inda yaduwar jini zai iya shiga kawai a cikin fayil daya. Gidajen launi na Capillary kamar sponges kuma za su cika da jini kawai idan akwai matsin lamba don matsawa jinin a cikin kananan jiragen ruwa.
Hypo- (kadan) perfusion (cika) yana nufin bai isa ba jini cika kayan ganyayyaki a cikin jiki. Wannan shi ne sakamakon rashin lafiyar hemodynamic amma yana da alamu tare da damuwa. A gaskiya ma, sharuɗɗɗan ƙwaƙwalwa da hypoperfusion sun haɗa baki daya.
> Sources:
> Bonanno FG. Harkokin na asibiti na haɗari. Journal of Emergencies, Trauma da Shock . 2011; 4 (2): 233-243. Doi: 10.4103 / 0974-2700.82211.
> Sevransky, J. (2009). Binciken asibiti na marasa lafiya maras lafiya. Bayani a yanzu a cikin Mahimmanci , 15 (3), 234-238. Doi: 10.1097 / mcc.0b013e32832b70e5