Hemorrhagic hawewe i loko o obstetrics a me ka gynecology

Me ka make ana o ke kino o ke koko oi ma mua o kekahi hano kekahi kanaka e hoʻomōhala ana i moku'āina o hemorrhagic kŰia. Inā ke kahe ana ke koko ka i pani ma ka manawa, a me ka mau no hoi, i ka make ana o kekahi kanakolu pakeneka o ke koko ka leo e like me ke ano o ke ola-na olelo hooweliweli au.

Koko poho hiki e nā hiki a me kaʻike makaʻole. Ma hamama nā palapū i ka maka kauka ke hooholo i ka nui o ke koko nalowale a me ka oolea o ke kulana. Ma hope iho o ka paa lilo no ia i kekahi kanaka e hoʻomōhala ana i hemorrhagic kŰia. Kēia mau moku'āina o ka meaola pane i kekahi mau olelo hooweliweli kulana home 'ole. No ka laʻana, hemorrhagic hawewe i loko o obstetrics a me gynecology - kekahi o ka noho pilikia loa, me he mea occult koko, a me ka i make i ka wahine ina hoʻokō 'ole' ana i ka hoʻolako 'āwīwī mālama'. Loa pinepine, keia hualoaʻa ma ovarian apoplexy, trauma wahine, hala abortion, uterine submucosal fibroids, perforation o ka uterus kino, molar hāpai keiki, i ka hopena o ka abortion.

Ke kumu nui hoʻoweliweli 'ana ma ia mau wahi, i hiki - keia disproportion nona iho o ka vascular moe, a me ke koko e circulates malaila, a, aole i kona koena. Ua hiki aku i ka hoʻohuikau macrocirculation - holo ana o ke koko ma na arteries, aa koko a me ka naau. I kekahi kahua - he 'aʻe' ana o ka microcirculation - o arterioles, venules a me capillaries.

Inā e lilo e pili ana i ka hapalua o ka hano o ke koko, i ke kino ke compensate no keia mahuahua ma venous leo. Ma keia hihia, ke arterial leo, aole ia i ae aku, 'aʻole e hoʻololi i ke alapine (frequency) o contraction o ka naau, aole hoi he ole i loko o ka lako o nā'aʻaʻa.

A nui hypovolemia hiki aku ai i ka loa stress. I mea e malama nuiʻoihana o ka meaola ia mai nā 'ikaika uku' maomeka. Maoli i ka leo o ka ua'emi'ōnaehana, maoli i ke kala o hormones. Ma lalo o ka hana o ko lākou naʻau i kela e hoola ae, hoemiia loli excretion ia lŘlŘ vasospasm circumferentially. Eia naʻe, ua loli i loko o ke kino wale hulina i kōkua ma muli o kona nui i hana '. A laila, i ka wa a ka mea hōʻemi o ia maomeka pau, a hele mai anoxia nā loko a me nā'aʻaʻa.

Hemorrhagic kŰia hiki e ana o ekolu kahua o ka hoʻonaʻauao, a Mea Maluna ua muli ma ka buke o ke koko lilo a me na haunaele, ma na poe no a hiki i keia me keia poho. Ma ke kahua mua - compensated, i ka loli ana o haikea na pulima oʻu hena, faintly pulsating, he mea tachycardia. Ka buke o ka nalowale koko - mai i kekahi hano. Inā ke kahe ana ke koko ua papani iho la i, ka symptoms e hoomau anei no kekahi manawa. Inā kahe ana ke koko mau, symptoms ano hoomainoino ma - he ano kapa reversible decompensated. ʻo ia hoʻi, ke kino iho hiki ole Makuakane me ka 'aʻe', akā, no ka 'inikua kōkua i hoakakaia ma ka manawa, e hoola i ka wahine. Ma ka lua o ke kahua loli i ka naau, maʻiʻaʻai, lolo, ake a me nā puʻupaʻa, loa hypoxia e hoʻomōhala ai. Ka hope ke kahua - he irreversible hemorrhagic kŰia. Koko poho mea e pili ana i ka hapalua o ka buke, i circulates i loko o ke kino. Ma keia hihia, hiki ole ke kōkua i resuscitation.

Diagnosed hemorrhagic nń ma ke kumu o nā hoailona e like me ka mahana, a ano (ua uku nānā 'ana i nāʻaoʻao), ke koko, kŰia inideka, hematocrit, Hawaii diuresis.

Pilikia kōkua ma ka hemorrhagic kŰia, luhi i ka manawa - ke ki i ka pomaikai no ka wehe 'ana i keia kulana. Ma ke kahua o gynecology hanana mua e ke kauoha, e nānā i ka paena ma kahe ana ke koko ia lŘlŘ. Ua pono kaʻenaʻenaʻoki lāʻau lapaʻau 'uao. Ka poʻe me ka surgeon-gynecologist a me ka anesthetist hana. I ka hemostasis pono koke emi i ka hoʻomanawanui, mai ka hemorrhagic kŰia kulana.