Ru hemorrhagic i roto i obstetrics me gynecology

Ki te mate o te toto o te tinana neke atu i te kotahi rita whakawhanake te tangata kāwanatanga o hemorrhagic ru. Ki te te kore mutu te toto i roto i te wa, ka tonu atu, te mate o etahi e toru tekau ōrau o te rōrahi toto taua huru he ora-te whakawehi.

Ka taea e te toto mate e rua e kitea ana, me te kitea. I roto i te tuwhera whara ki te tākuta kanohi e taea te whakatau i te nui o te toto ngaro me te pakeke o te āhuatanga. I muri i te mate nui o ia te tangata whakawhanake hemorrhagic ru. Tenei āhua ngā o te whakautu kaiao ki te āhuatanga riri. Hei tauira, hemorrhagic ru i roto i obstetrics me gynecology - tetahi o te kino tino, rite reira he toto wananga, a kia mate i te wahine, ki te ki te kore whakarato i te atawhai hauora wā. Nuinga o ngā wā, ngā tenei i roto i te pā whakarere ovarian, kikokiko whētuki, ngaro materoto, fibroids uterine submucosal, perforation o te tinana kōpū, hapū titiwha, te mau hopearaa o te materoto.

Ko te riri matua i roto i te taua āhuatanga - tenei kaha disproportion o te moenga iaia, me te toto e honotanga reira, ranei, kaua ona toenga. arata'i tenei ki tauwhatinga macrocirculation - tohanga o te toto i roto i nga pera, uaua, me te ngakau. Ko te atamira i muri - he takahi o te microcirculation - o arterioles, venules me tōiti.

Ki te ngaro koe e pā ana ki te hawhe te rita o toto, ka taea e te tinana utu mo tenei hua i roto i te reo venous. I roto i tenei take, i te reo matua e kore e mamae, e kore e huri i te auau o te hukihuki o te ngakau, i reira he kahore kore i roto i te supply o te kopa.

arata'i te hypovolemia nui ki te ahotea nui. I roto i te tikanga ki te mau tonu ngā mahi faufaa o te kaiao ngā reira tikanga e vai kaha. Ka whakanui i te āhua o te pūnaha io, faarahi te tuku o hormones. I raro i te mahi o te auau o ratou ngakau whakaora, puta heke excretion inu vasospasm circumferentially. Heoi, taua huringa i roto i te tinana mau tonu poto anake ona mahi faufaa. I muri, ka kore te ino o taua tikanga, me te tae mai anoxia okana me te kopa.

Ka taea e hemorrhagic e hikitia kia o toru ngā wāhanga, e hāngai ana nei whakarōpū i runga i te rōrahi o te toto ngaro nga whakaoho i roto i tinana e tika ana ki tenei mate. I te wā tuatahi - utua, te koma pāngia ringa tuwhera, māheahea pumanawa, i reira he tachycardia. Ko te rōrahi o te toto ngaro - ki runga ki te kotahi rita. Ki te mutu te toto te, tonu ai nga tohu tohe mo etahi wa. Ki te haere tonu toto, hë tohu e - he huru i huaina reversible decompensated. E ko, te tinana ano kore e taea akakoromaki i taua maumaui, engari te āwhina hauora whakaratohia i roto i te wa ki te whakaora i te wahine. I roto i te pānga te rua te atamira te ngakau, pūkahukahu, roro, ate me whatukuhu, whakawhanake hypoxia nui. Ko te atamira whakamutunga - i te ru hemorrhagic tina heke. Toto mate ko e pā ana ki te hawhe o te rōrahi, e honotanga roto i te tinana. I roto i tenei take, e kore e taea te āwhina ara whakaora.

Pāngia hemorrhagic ru i runga i te pūtake o tohu pērā i te pāmahana me te tae (utua ha tokanga makehe ko ki nga topito), te pēhanga toto, ru taupū, hematocrit, diuresis haora.

āwhina Emergency i hemorrhagic ru, i hurihia i roto i te wa - te matua ki te angitu mo te tango o tenei huru. I roto i te mara o gynecology hui tuatahi kia whakahaua ki te uru ki te pae i reira puta toto. Me whiwhi tēnei wawaotanga hāparapara akiaki. Tukutahi ki te taote-rata mātai me te mahi kairehu. A, no te hemostasis me hohoro haere atu i te manawanui i te huru hemorrhagic ru.