Nkhani zotchedwa Terminal zimakhala zovuta kwambiri, pamene thupi limayendera pambali pa moyo ndi imfa. Chidziwikire cha izi ndikuti munthu sangathe kutuluka mwa iwo okha, popanda thandizo lachipatala. Pali mitundu yambiri ya malo otsekemera a anthu monga asphyxia, coma, zomwe zimachititsa mantha (kutaya, kugwa). Zonse mwazimenezi zimafuna kuchipatala mwamsanga.
Mkhalidwe wotsirizira wa munthu ukugwa
Kuwonongeka ndi mawonekedwe osalimba a mitsempha, chifukwa cha momwe liwu la ziwiyazo lachepetsedwa kwambiri ndipo kuchepa kwa magazi kumachepetsedwa. Chifukwa chaichi, pamakhala magazi ochulukirapo pamtima, kuchepa kwa magazi, komwe kumayambitsa hypoxia wa matenda, makamaka makamaka ngati ubongo.
Pali mitundu yambiri ya malo oterewa, monga kugwa:
- Orthostatic (imapezeka chifukwa cha kutuluka kwa magazi kuchokera kumutu, komwe kawirikawiri kumachitika pamene thupi la thupi limasintha kuchoka kumalo osasunthika kuti liwoneke).
- Matenda owopsa.
- Matenda a mtima (amachitika ndi matenda oopsa a mtima).
- Pancreatogenic (zomwe zingatheke pakakhala kuchuluka kwa chifuwa chachikulu).
- Kumwa mowa (kuphatikiza ndi kuledzera kwa thupi).
Zizindikiro za matenda oterewa ndi ofanana ndi a syncope: kufooka kwadzidzidzi, chizungulire, khungu la dothi, dyspnea, kuponyedwa, kuthamanga, kutuluka, kutuluka kwazizira. Panthawi yomweyi, nthawi zambiri pamakhala zozizwitsa. Pofuna kuthandiza wodwalayo, ayenera kuikidwa pansi pamtunda, kuti mutu ukhale pansi pa thupi. Kawirikawiri amalongosola adrenaline kapena norepinephrine ndi mankhwala a mtima.
Matenda a chimbudzi - kutaya
Kufooka kumadziwika ndi kutaya mwadzidzidzi chidziwitso chifukwa cha hypoxia ya ubongo kwa kanthawi kochepa. Kaŵirikaŵiri zimachitika ndi mantha, kupweteka, zinthu zina, ndi zina zotero.
Kachipatala chakumapeto kwa boma chimakhala chidziwitso, kupwetekedwa kwa khungu, kutukuta kozizira, kuchepa kwa kuthamanga ndi kupanikizidwa, ndi kupititsa patsogolo ophunzira. Pofuna kukuthandizani kuti muike munthu, perekani mpweya wa ammonia, kuonetsetsa kutuluka kwa mpweya.
Dziko la terminal limasokoneza
Kusokoneza ndi ndondomeko yomwe imapezeka chifukwa cha zinthu zoopsa ndipo imadziwika ndi hypotension, kuwonjezereka kwambiri ndi kulepheretsa dongosolo la pakatikati la mitsempha, organ hypoxia, hypoperfusion ya bedi microcirculatory. Kusokonezeka ndikumvetsa chisoni, anaphylactic, kutentha, septic, hemorrhagic, cardiogenic, pancreatogenic, hemotransfusion ndi hypovolemic.
Pali magawo atatu okha a malo otsiriza:
- Gawo loyamba ndi erectile: wodwalayo amasangalala, zipolopolo zimakhala zosavuta, kupanikizika kumawoneka, dyspnea ikuwonekera.
- Gawo lachiwiri - lopweteketsa: limayambira ndi kulepheretsa dongosolo la mitsempha - kuthamanga kumatsika, kuchulukitsa kwa magazi kumachepa, maganizo amayamba kuponderezedwa.
- Gawo lachitatu - lotentha (kapena wodwala manjenje): thupi limawonongeka - kuthamanga sikunali kozolowereka, kutentha sikunatengedwe, khungu limakhala lopweteka, ndipo zotsatira zake zingatheke.
Pachifukwa ichi, magawo anayi akudodometsa ndi olemekezeka, oyamba ndiwo ophweka, ndipo wachinayi ndi ovuta kwambiri, pafupi ndi mkhalidwe wa ululu. Ngati chododometsa, thandizo lofunika ndilofunika, pomwe chifukwa cha mantha chikuchotsedwa ngati momwe zingathere, vasoconstrictor, atygistamine ndi kukonzekera mahomoni amagwiritsidwa ntchito, ndi zina zotero. Pa milandu yoopsa kwambiri, anesthesia yambiri imayendetsedwa. Mavuto oterewa ndi imfa zapadera zimayandikana kwambiri, kotero simungachedwe ndi kupereka chithandizo chamankhwala.