Yintoni imeko yesiphelo?

engaginyisi mathe, apho yonke imisebenzi ebalulekileyo umzimba ngayo ezikolweni sicinywa, ngokuba karhulumente terminal ngaphambi kokufa begazi. karhulumente yesiphelo - yinkqubo ingathityazwa, nto leyo zibandakanya ukuphazamiseka olunzulu nethe negesi wotshintshiselwano, kwakunye drop engaphezulu kwi uxinzelelo lwegazi.

Ngexesha ukusebenza komzimba womntu abe kwimo yempilo, isifo okanye imeko kwisiphelo apho uneempawu zawo. karhulumente yesiphelo kusoloko ngenxa nasiphi na isifo okanye ukwenzakala, loo nto wayeka yimikhosi umzimba kwaye kungekho uncedo obulalayo.

Eyona ndlela iphambili pathophysiological na ukuswela ioksijini emzimbeni (hypoxia), nto leyo ekhokelela ukuba nobuninzi utshintsho zembuyekezo-encomekayo kunye zophendlo lwezifo.

Kukho izigaba ezine ithi terminal:

1. Predagoniya.
2. umise yesiphelo - urhulumente yenguqu.
3. Izinyo.
4. ukufa Clinical.

Predagoniya linyathelo ozikhethelayo esenokuba ndingekho, umzekelo, ngexesha zokuma. Le meko lubonakala ngokuba wegazi iSystolic-60 mm HG okanye ngaphantsi, tachycardia, bradycardia, oko kukuthi indawo, kukungazinzi sokuphefumla (lokuqala rhoqo yaye zinzulu, ngoko curl kunye kunqabile), kwakunye isiphithiphithi, silale kunye yombono. Kumanqanaba okuqala kusenokuba karhulumente elifutshane predagonii iinzame kushukumisa reflex ukucacisa ukulwa umzimba obomi bakhe. Ukongeza, kukho ukunqongophala umchamo zinomgutyulo ngumzimba (oligoanuria) kunye nombala imifinya ezibonakalayo yangaphakathi kunye ulusu, leyo kuba luthuthu ngumthunzi cyanotic. Ubude predagonii inyathelo ixhomekeke eziphilayo amandla kwaye zisukela imizuzu emininzi ngosuku.

Guqulela ukusuka predagonii ukuba ubuhlungu eyenzekayo nge terminal inyathelo ikhefu. Eli nqanaba libizwa luphawulwa ukuyekwa ngesiquphe ukuphefumla, sikhatshwe linyuke kakhulu izinga lentliziyo, kwaye ngokupheleleyo ukungabikho, abafundi inimba kunye nengcinezelo intliziyo ngesiquphe. Ngethuba lokuqhuba kwale nyathelo - kwisekhondi eziliqela ukuya imizuzu emihlanu.

Makungaze naphantsi kwazo naziphi uxinzelelo lwegazi ubuhlungu, ukubetha ekhoyo kuphela phezu kwemithambo carotid, kukho bradycardia kunye bradypnea, akukho nto abalazi. Ngokuqhelekileyo, bokuphela ngexesha elifutshane, ixesha livela imizuzu emininzi iiyure ezintandathu.

Inqanaba lokugqibela komqathango terminal - yinto yokufa lwezonyango, nto leyo esisigxina ukususela kumhla zokuyeka ngokupheleleyo womsebenzi intliziyo kunye nomhla ngokupheleleyo ukuphefumla. Ukuba ngaphakathi imizuzu emihlanu ukuya esixhenxe, akukho recovery nokuzinziswa imisebenzi ebalulekileyo, ngoko kukho nokutshatyalaliswa kwiiseli ze neuron, yaye emva kokuba ifike ukufa zebhayoloji, loo magumbi ithuba achache.

imeko yesiphelo kufuna uncedo ngoko nangoko ukusuka ngaphandle. Kukho lonke uluhlu lwamanyathelo, ezisetyenziswa ukuba ukuvuselelwa (unit labagula kakhulu) izigulane, kunye nokususa kwi imeko yokufa onyango. Impumelelo yezi zenzo ubukhulu becala kuxhomekeke kwixesha factor.

Intetho eyenziwa emva bazamile umzimba ukwabizwa ngokuba terminal ( «terminalis» -. Umda, ibhekisela ekupheleni, Lat), okt, umda phakathi kobomi nokufa. imeko yesiphelo yale hlobo umntu indalo entsonkothileyo pathophysiological ukuba umyalezo walo zidlala enkulu udityaniso indima reoxygenation okutsha kwisiqalo lotshintsho olukhulu zomzimba hypoxic kunye namaziko. Umda terminal imeko luphawulwa kozinzo yonke imisebenzi ebalulekileyo ngokunxulumene disorganization epheleleyo kwenkqubo agcine homeostasis ngethuba ukufa kunye nokubuyiselwa olucothayo kakhulu, ngokuthe ngcembe, akwanelanga elungelelanisiweyo kwenkqubo emva achache.