Hemorrhages yog hemorrhages ntawm qhov sib txawv ntawm qhov sib txawv ntawm lub cev. Qhov ua rau ntawm tus kab mob no tuaj yeem yog ob qho tib si sab nraud thiab sab hauv pathologies. Feem ntau, hemorrhages yog qhia nyob rau hauv tsub zuj zuj ntawm cov ntshav nyob rau hauv cov ntaub so ntswg, tab sis muaj cov ntshav khiav mus rau sab nraud ib puag ncig.
Vim li cas hemorrhages?
Qhov ua rau los ntshav feem ntau yog qhov siab permeability ntawm phab ntsa hlab ntsha lossis nws ua txhaum cai. Kev ua txhaum ntawm kev ncaj ncees ntawm lub nkoj tshwm sim vim kev raug mob txhua yam. Cov laj thawj vim li cas ntshav nkag los ntawm phab ntsa ntawm cov hlab ntsha yog:
- congenital genetic pathologies (hemophilia);
- kis tau cov kab mob ntawm cov hlab plawv (thrombocytopathy, ntshav txhaws, DIC thiab hemorrhagic vasculitis);
- kab mob ntawm cov kab mob dermatological, xws li psoriasis thiab mob dermatoses.
Yuav luag txhua hom hemorrhages yog ze rau kev puas siab puas ntsws, kev nyuaj siab thiab tshuaj hormonal.
hom hemorrhage los ntawm ua rau
Raws li ua rau hemorrhage, lawv muab faib ua peb hom:
- los ntshav vim kho tshuabnkoj puas;
- los ntshav uas tshwm sim los ntawm kev txo qis ntawm cov phab ntsa ntawm lub nkoj;
Los ntshav los ntawm kev puas tsuaj rau cov phab ntsa ntawm cov hlab ntsha vim raug rau qee yam tshuaj lossis kab mob.
Tshuaj hemorrhage los ntawm qhov chaw
Hemorrhages tuaj yeem muab faib ua:
sab hauv (dhau mus rau hauv lub cev thiab cov ntaub so ntswg);
lwm;
parenchymal (los ntshav los ntawm cov ntaub so ntswg uas tsim cov kabmob);
Arterial (kwv ntshav txaus los ntawm cov hlab ntsha puas);
venous (ntau dua los ntshav los ntawm cov hlab ntsha puas);
capillary (los ntshav los ntawm cov hlab ntsha me).
Cov tsos mob tseem ceeb ntawm los ntshav sab hauv
Kev tshwm sim ntawm hemorrhage nyob ntawm seb hom los ntshav thiab nws qhov chaw. Thaum los ntshav sab nraud yog qhov yooj yim los kuaj pom, cov ntshav sab hauv feem ntau tsis tuaj yeem kuaj pom. Nws tuaj yeem txheeb xyuas tau los ntawm ntau cov tsos mob tshwj xeeb, xws li:
- kev tsis txaus siab;
- kiv taub hau thiab fainting;
- tawv nqaij daj ntseg;
- apathy, tsaug zog;
- tachycardia;
- txoov ntshav siab.
Cov no yog cov tsos mob tshwm sim ntawm los ntshav sab hauv. Muaj ntau cov cim qhia tshwj xeeb uas yog yam ntxwv ntawm qee hom hemorrhages.
Hemorrhages ntawm qhov chaw txhaj tshuaj. Qhov no yog dab tsi?
Ntau zaus tom qab txhaj tshuaj thaum kho, muajteeb meem. Hemorrhages tshwm sim los ntawm kev txhaj tshuaj intramuscular yog los ntshav hauv zos uas tshwm sim vim cov ntaub so ntswg puas. Raws li txoj cai, dhau sijhawm, qhov tshwm sim ntawm cov ntshav tau ploj mus ntawm nws tus kheej, tab sis qee zaum, tus kws kho mob tau sau cov tshuaj dej-soluble. Los ntshav los ntawm kev txhaj tshuaj rau hauv cov hlab ntsha tshwm sim vim yog los ntawm kev tho ntawm lub nkoj thiab tsis qhia meej raws li kev txhaj tshuaj rau hauv cov leeg.
Vim li cas cov tawv nqaij hemorrhages tshwm sim?
Feem ntau, hemorrhages ntawm daim tawv nqaij tshwm sim vim hemorrhage los yog to ntawm cov ntshav los ntawm phab ntsa ntawm lub hlab ntsha mus rau hauv daim tawv nqaij. Lawv zoo li cov ntshav stains ntawm daim tawv nqaij. Thaum lub sij hawm tag nrho lub sij hawm ntawm tus kab mob, hemorrhages nyob rau saum npoo ntawm daim tawv nqaij yuav hloov lawv cov xim los ntawm kaj liab mus rau ntsuab daj. Tsis muaj kev kho tshwj xeeb hauv qhov no. Nyob rau tib lub sijhawm, cov pob no yuav yaj ntawm lawv tus kheej. Hematomas tuaj yeem raug ntaus nqi ntawm cov tawv nqaij hemorrhages.
Hemorrhages ntawm gastrointestinal tract
Thaum muaj kev puas tsuaj rau cov kab mob hauv plab hnyuv, los ntshav feem ntau tshwm sim, hu ua submucosal hemorrhages. Hom hemorrhage no yog ib qho kev phom sij tshwj xeeb, vim nws zoo li mus rau qee lub sijhawm yam tsis pom cov tsos mob. Nyob rau hauv ib tug neeg uas tau ntsib nrog hom ntshav no, ua ntej ntawm tag nrho cov, tag nrho cov malaise, tsis tsim nyog xeev siab, thiab kiv taub hau tshwm. Hauv qhov no, tus neeg mob yuav tsum nyob rau hauv kev saib xyuas ntawm kws kho mob thiab tau txais kev kho mob tshwj xeeb.
Vim li cas hemorrhagestxaus ntshai?
Hemorrhages yog ib qho tshwm sim tsis txaus ntseeg. Nws qhov hnyav ncaj qha nyob ntawm thaj tsam ntawm thaj chaw puas thiab kev siv los ntshav. Thiab txawm hais tias qhov kev raug mob me me, raws li txoj cai, daws lawv tus kheej, muaj cov xwm txheej thaum qhov chaw hemorrhage suppurates, uas yuav tsum tau muaj kev phais. Qee zaum hemorrhages tuaj yeem rhuav tshem cov ntaub so ntswg, uas tuaj yeem ua rau muaj qhov tshwm sim loj. Nyob rau hauv tas li ntawd, hemorrhages nyob rau hauv lub hlwb, ntsws thiab lub plawv yog heev txaus ntshai.
Kuv yuav mus cuag kws kho mob twg?
Txawm qhov xwm txheej ntawm hemorrhages, qhov ua rau lawv tshwm sim yuav tsum raug txheeb xyuas sai li sai tau. Koj tus kws kho mob yuav pab koj daws qhov teeb meem no, nrog rau cov kws kho mob ntawm qhov nqaim, xws li kws kho mob hematologist, kws kho mob endocrinologist, kws kho mob dermatologist lossis kws kho mob kis mob.
Kev kuaj mob li cas? Kev kuaj mob kom raug
Tus kws kho mob tuaj yeem kuaj xyuas koj txawm tias tom qab kuaj. Tab sis txhawm rau kuaj pom tseeb dua, koj yuav tsum tau kuaj ntshav dav dav thiab tshuaj xyuas nws kom muaj ntshav txhaws (coagulogram). Qee qhov xwm txheej, tus kws kho mob tuaj yeem sau tshuaj kuaj ntshav bacteriological, thiab raws li cov kev tshawb fawb no, txiav txim siab txog qhov teeb meem ntawm kev kho mob.
pab xub ntshav
Raws li peb tau pom lawm, hemorrhages yog cov kua dej los ntawm cov hlab ntsha vim kev puas tsuaj rau lawv. Yog li ntawd, thawj yam uas yuav ua tau rau ib tug me me hemorrhage yog siv ib yam dab tsi txias rau qhov chaw raug mob, uas yuav pab txo tau qhov kev siv ntawm los ntshav. Kev pab ntxiv yuav tsumnqa tawm nyob ntawm seb hom los ntshav.
Venous los ntshav yog ib qho yooj yim los txheeb xyuas los ntawm cov xim ntawm cov ntshav ntws - nws yuav tsaus liab burgundy. Cov ntshav zoo li no yuav ntws maj mam, tab sis tsis tu ncua. Kev pab thawj zaug rau kev raug mob - thov ib tug tourniquet hauv qab 10-15 cm los ntawm lub qhov txhab thiab ib tug nruj ntaub qhwv. Nws yog ib qho tseem ceeb uas yuav tsum tau kos lub sij hawm ntawm kev siv lub tourniquet los ntawm kev ntxig ib daim ntawv nrog rau lub sij hawm ua ntawv thov. Yog hais tias qhov txhab me me, ces tsis txhob siv lub tourniquet, koj tuaj yeem qhwv lub qhov txhab nrog ib daim ntaub qhwv, vim tias cov hlab ntsha muaj peev xwm txo qis thiab ceev nws tus kheej.
ntshav ntshav
Nws txawv ntawm venous. Cov ntshav los ntawm qhov txhab zoo li no yog xim liab thiab yuav tawg tawm. Nws yog ib qho tsim nyog yuav tsum siv lub tourniquet tam sim ntawd, vim tias tsis tas yuav tsum tau los ntshav ib tus neeg tuaj yeem tuag hauv ib feeb xwb. Ib qho tourniquet yog siv 10-15 cm saum lub qhov txhab, thiab daim ntaub qhwv yuav tsum muab tso rau ntawm qhov txhab. Lub tourniquet yog thov rau 1-2 teev. Tom qab lub sij hawm no, nws yuav tsum tau txo qis rau 3-5 feeb kom cov ntshav ncig los ntawm lub caj dab, txwv tsis pub cov ntshav nyob ruaj khov yuav sau cov co toxins thiab thaum tshem tawm cov tourniquet, tus neeg yuav muaj kev poob siab thiab tuag.
Raws li kev los ntshav capillary, lawv tsis ua rau muaj kev phom sij loj (tshwj tsis yog kev raug mob ntawm cov neeg mob ntshav txhaws). Hauv qhov no, lub qhov txhab yuav tsum tau kho thiab qhwv.
Tsis tas li, txhawm rau txhawm rau txhawm rau los ntshav, koj tuaj yeem siv cov tshuaj hemostatic niaj hnub xws li Celox thiab Hemostop. Cov granules ntawm cov hmoov pab txhawm rau txhaws cov ntshav, ua rau nws zoo li jelly. Tab sis kho xws liqhov txhab yuav nyuaj dua.
los ntshav sab hauv yog ib qho mob hnyav tshaj plaws: ntawm no koj yuav tsum mus rau tsev kho mob. Ntawm qhov chaw, koj tuaj yeem siv tau txias rau qhov mob thiab tam sim ntawd xa tus neeg raug mob mus rau tsev kho mob lossis hu rau lub tsheb thauj neeg mob. Ua ntej cov kws kho mob tuaj txog, tus neeg mob yuav tsum nyob hauv qhov chaw ntsiag to thiab txav mus los tsawg li sai tau.
Yuav ua li cas tshem tawm hemorrhages
kev kho mob ntshav qab zib tau ua tiav tom qab kev kuaj mob kom ntxaws. Thaum tsim ib qho kev kuaj mob thiab sau tshuaj kho mob, tus kws kho mob yuav tsum tau coj mus rau hauv tus account qhov tseeb tias qee hom kab mob no ua rau muaj kev cuam tshuam tsis zoo. Tias yog vim li cas txhua theem ntawm kev kho mob yuav tsum muaj nyob rau hauv kev saib xyuas ntawm tus kws kho mob. Thaum muaj teeb meem, cov txheej txheem inflammatory tuaj yeem tshwm sim, uas qee zaus tuaj yeem ua rau tuag.
Yuav kom tsis txhob ua rau qhov teeb meem hnyav dua, koj yuav tsum tau nrhiav kev pab kho mob tam sim ntawd. Thiab tsuas yog tom qab qhov kawg ntawm tus kws kho mob, kev kho mob tau sau tseg.
Nyob ntawm tus neeg mob qhov xwm txheej, daim ntawv kho mob ntawm cov ntshav ntshav thiab qhov nyiam ua rau muaj teeb meem, kev kho mob sai ntawm cov teeb meem raug tsim. Piv txwv li, nrog me me subcutaneous hemorrhages, kev kho tshuaj feem ntau tsis siv. Tab sis rau cov tawv nqaij hemorrhages loj, kev kho mob hauv zos yog siv rau hauv daim ntawv ntawm kev siv tshuaj heparin lossis troxevasin ointment rau thaj chaw cuam tshuam ob zaug ib hnub.
