Raunin wasanni
1K 1 20.04.2019 (bita ta ƙarshe: 20.04.2019)
Lalacewar jijiyoyin mutum keta alfarmar mutuncin jijiyoyi da na jijiyoyin jini a ƙarƙashin tasirin wakilin rauni. Lura tare da raunin da rufe raunuka. Zai iya kasancewa tare da take hakkin samar da jini zuwa ɓangaren ƙananan, da kuma zubar jini na waje ko na ciki.
Alamomin asibiti iri daban-daban
Haɗarin lalacewar jijiyoyin jini ya bambanta dangane da tsanani da nau'insa.
Kwayar cututtukan rauni na buɗe ido
Babban bayyanuwar su shine zubar jini daga waje. Idan ruɓaɓɓen jirgi ya ruɓe da raunin jini ko kayan da ke kusa, mai yiwuwa ba za a rasa jini ba.
Halin sifa na irin wannan raunin shine yaduwar jini zuwa laushin nama, sannan samuwar raunuka. Tare da manyan raunin da ya faru, sigogin hemodynamic sun taɓarɓare, kuma yanayin gigice na iya bunkasa.
Rikitarwa mafi mahimmanci suna tashi daga rauni zuwa manyan tasoshin da ci gaban zubar jini.
Tsananin lalacewar jijiyoyin jiki a cikin raunin budewa:
- keta mutuncin harsashi na waje, yayin da matakan ciki ba su lalace ba;
- ta hanyar raunin bangon jirgin ruwa;
- fashewar jirgin ruwa ko jijiya.
Kwayar cututtuka na raunin da ya faru
Raunukan jijiyoyin da ke rufe suna tare da lalata jirgin ruwan intima. Game da raunin rauni da abubuwa marasa lahani suka haifar, fashewa suna faruwa a cikin layin jirgin ruwan. Babu zubar jini a waje. Hadarin ya ta'allaka ne da yiwuwar samuwar jijiyar jini ta jijiyoyin jini, wanda zai iya haifar da ischemia.
O Christoph Burgstedt - stock.adobe.com
Yanayin tsananin matsakaici yana nuna kasancewar ɓarkewar zagawar intima da ɓangare na tsakiya na tsakiya. Irin wannan raunin da ya faru yana faruwa a cikin haɗari, lokacin da aka ƙirƙiri jakar aneurysmal a yankin yankin istermus sakamakon mummunan kaɗawa.
Tsanani rauni yana tattare da yawan zubar jini yana matse kyallen takarda kusa.
Raunin da aka rufe yana da alamun bayyanar asibiti masu zuwa:
- bayyanar cututtuka masu zafi, waɗanda ba a rage su ta hanyar aikin analgesics da bayan rage kashi;
- rashin bugun jini a jijiyoyin da ke ƙasan wurin rauni;
- pallor ko cyanosis na fata;
- rauni wanda ke rufe babban yanki.
Jijiyoyin jini
Tare da lalacewar tasoshin jijiyoyin jiki, alamun cututtukan asibiti masu zuwa sun bayyana:
- rafin jinin mulufi;
- zubar jini mai yawa;
- saurin hematoma tare da bugun jini;
- babu bugun jini a ƙasa da rauni;
- kodadde, kuma bayan launin shuɗi na fata;
- asarar ƙwarewa;
- jin zafi wanda baya canza ƙarfinsa yayin bugawa ko gyara wata gaɓa;
- taurin rai, iyakantaccen motsi, juya zuwa kwangila.
Ven
Rashin haɗarin jirgin ruwa yana kasancewa da kasancewar har ila yau da kwararar jini na cikakken launi mai duhu, ɓarkewar gaɓar hannu, da kumburin jijiyoyin gefe. Heananan hematomas an kafa su ba tare da bugun jini ba. Babu alamun ischemia, fatar saba inuwa da alamun masu yawan zafin jiki, ƙungiyoyin hannu ba su da iyaka.
Jirgin kai da wuya
Raunin da ke tattare da haɗarin mutuwa saboda:
- kusancin wuri na hanyoyin iska da jijiyoyin jijiyoyi;
- haɗarin rage cin abincin ƙwaƙwalwa saboda bugun jini, thrombosis, ischemia;
- kasancewar asarar jini mai tsanani.
Rushewar jirgin ruwa mai jijiya yana tare da tsananin zubar jini ko buguwa hematoma da ke gefen wuya. Banƙarar da sauri ta rufe yankin supraclavicular, yana sanya matsin lamba akan esophagus. Wani lokaci akan sami nasara a cikin kogon dutse. Wannan yanayin na iya kasancewa tare da lalacewar jijiya.
Bsafafu
Bayyanar jirgin ruwa da ya fashe ya banbanta da zurfin da girman raunin. Tunda akwai manyan kututtukan jijiyoyi da jijiyoyi a cikin gabobin jiki, zub da jini na jijiyoyin jini na iya faruwa. Wannan yanayin gaggawa ne na gaggawa.
Zubar da jini daga jijiyoyin ba shi da ƙarfi, amma har yanzu yana buƙatar kulawar likita. Sakamakon da yafi dacewa shine lalacewa ga capillaries. Tare da daskarewar jini na al'ada, ya kamata a sanya bandejin aseptic ga wanda aka azabtar.
Wanene ya warkar
Maganin raunin jijiyoyin jini, gwargwadon yanayin karɓar su, yana cikin ƙwarewar masanin rauni, likitan soja ko likitan jiji.
Taimako na farko yadda za a yi aiki
Babban damuwa lokacin da raunin jini ya auku shine dakatar da asarar jini. Adadin taimakon farko ya dogara da tsananin su da nau'in su:
- Hematoma. Aikace-aikacen damfara mai sanyi ga wurin rauni.
- Rushewar ƙananan jijiyoyi ko kayan kwalliya. Neman bandeji mai matsi.
- Tsarin jini. Latsa wurin rauni tare da yatsa da kuma yin amfani da yawon buɗe ido a kan tufafin, a ƙarƙashin abin da ya kamata a ɗaura rubutu tare da ainihin lokacin. Matsakaicin lokacin aikace-aikacen yawon buɗe ido bai wuce awa ɗaya ba ga manya da mintuna 20 na yara.
Dole ne a sanya ƙafafun da suka ji rauni kafin isar motar asibiti. Yakamata wanda aka azabtar ya kasance a kwance. Don raunin wuyan, dole ne a sanya bandeji da ke birgima a cikin raunin.
Diagnostics
Sanin cutar, girmanta da wurin ta dogara ne akan bayanai daga binciken bincike:
- Doppler duban dan tayi. Ba ka damar tantance yanayin ganuwar da lumen magudanan jini.
- Tsarin angiography. An yi amfani dashi don gano saurin jini mara kyau.
- Gwajin jini a dakin gwaje-gwaje. Ana iya amfani dashi don bincika zubar jini da sauran rikitarwa.
B Yakobchuk Olena - stock.adobe.com
Idan mai haƙuri yana da tarihin cututtukan zuciya da jijiyoyin jini, ya zama dole a kula da lafiyar mai haƙuri ta hanyar mai kwantar da hankali ko likitan zuciya. Kasancewar bayyanuwar jijiyoyin jiki suna bukatar kulawa ta gaggawa.
Jiyya
Bayan shigarwa zuwa sashen cututtukan cututtuka ko tiyata, ana amfani da waɗannan hanyoyin warkewa ga wanda aka cutar:
- dakatar da zub da jini;
- gaggawa tiyata;
- sake tiyata, yana taimakawa don dawo da gudan jini da dawo da aiki zuwa manyan tasoshin;
- fasciotomy;
- cirewa daga yankin da abin ya shafa da autoplasty.
