Transfusion kurohwa nehana uye nemigumisiro yayo

Transfusion kuvhundutsa pachena mumaminitsi mashoma okutanga apo raitongwa kuti boka ropa revanhu hazvipindirani. Ichi chirwere kunoratidzwa chiso Flushing, wakawedzera kwemwoyo, kupfupika mweya, kuwa BP, kusagadzikana kumwoyo, kurasikirwa kuziva involuntary okuyerera weti uye mutsvina yadzo.

Zvinokonzera post-ropa kuvhunduka

Transfusion kugwinha kunoitika apo kuchipesana ropa, kana boka, kusawirirana kweropa raamai chinhu, kana zvimwe zviratidzo isoserological vaizivikanwa nepasipo. Uyewo, kuti kuvhunduka zvinogona kukonzerwa kuisirwa kuchipesana ropa muzviitiko apo:

• havaratidzi kunzwisisa ezvinhu omurwere;
• Ropa rakashandiswa ropa riri substandard;
• kusapindirana kunoitika mugamuchiri uye anyatsoronga nemapurotini.

ropa kugwinha

Kazhinji, pakarepo mushure okurapwa murwere nemamiriro akavandudzika kwenguva duku, asi gare gare akacherekedza anopa chakakomba kukuvadzwa netsvo uye chiropa, izvo kazhinji kunoguma murufu. Chenjera renal dysfunction aine chitarisiko kwakaita weti ropa, humwe rutapudzo uye kumira weti zvakakwana. Zvinogonekawo kuti vachengete chimiro zviratidzo intravascular hemolysis uye rikwanise renal dysfunction.

Zvichienderana nevezera pamwero murwere, pane matanho matatu mumhanyi kuvhunduka:

• 1st - kumanikidzirwa 90 mm HG. Article.
• 2nd - 70 mm HG. Article.
• 3rd - asingasviki 70 mm HG. Art.

The mwero kwokuomerwa ropa nehana uye nemigumisiro yayo ndiwo zvakananga novimba chirwere, murwere ezvinhu, zera, yokutindivadza uye uwandu ropa transfused.

Emergency hanya kurapa kuvhunduka

With kukura ropa murwere ropa inotevera kuvhunduka yake rubatsiro rwekutanga rotsvakwa:

1. Nhanganyaya sympatholytic zvemwoyo uye antihistamines, corticosteroids uye inhaled okisijeni.
2. Poliglyukina ropa, boka iri rakakodzera chipimo chemushonga pamusoro 250-500 ml plasma, kana chete uwandu ropa. Nhanganyaya ane 5% mhinduro kubva bicarbonate kana mhinduro kuti yavaibvisa lactate 11% mune imwe mari 200-250 Rine mamiririta.
3. Itsvo vakatsigira blockade novocaine kubudikidza Vishnevskomu A. V. (okusuma 0.25-0.5% novocaine mhinduro mune imwe mari 60-100 ML).

Kazhinji, Anti kuvhunduka matanho kutungamirira kuvandudzika murwere ezvinhu.

Mabatirwo ropa nehana

Asi chiitiko chikuru chiri antishock mukutsinhana Kuwedzerwa sezvo inonyatsobudirira kuchirapa mumiririri, kunogona renal kukuvara mukuvamba Danho matambudziko. Exchange Kuwedzerwa anoitwa chete pashure kumbonyatsoongorora kuzviongorora anyatsoronga uye wacho. Nokuti nzira iyi, shandisa ropa yakachena chete panguva chipimo chemushonga pamusoro 1500-2000 Rine mamiririta.

Transfusion kugwinha iri rikwanise Danho kunoda kurapwa pakarepo. With kukura anuria pamwe azotemia zvino zvinobudirira akashandisa mudziyo "chakagadzirwa itsvo", naro ropa murwere ari vakachenesa chepfu zvigadzirwa.