Izimo ze-Terminal yizimo ezinzima kakhulu, lapho umzimba ulinganisela khona ekufeni nasekufeni. Ukuziqhenya kwalezi zizwe ukuthi umuntu akakwazi ukuphuma kuzo ngokuzimela, ngaphandle kosizo lwezokwelapha. Kunezinhlobo eziningana zezifunda ezibulalayo ze-asphyxia yabantu, i-coma, ukusabela kokushaqeka (ukuphelelwa amandla, ukuwa). Noma iyiphi yalezi zimo idinga ukunakekelwa okuphuthumayo.
Isimo sokugcina somuntu ukuwa
Ukubola kuyindlela elula yokungaqiniseki kwamathambo, ngenxa yalokho ithoni yezitsha iyancishiswa kakhulu futhi ukuncipha kwegazi kuyancipha. Ngenxa yalokhu, kune-influx yegazi elibizayo enhliziyweni, ukwehla okubi ekucindezelweni kwegazi, okwenza i-hypoxia yezincubu, futhi ngokuyinhloko - okubaluleke kakhulu njengengqondo.
Kunezinhlobo eziningana zesimo esibulalayo esinjengokuwa:
- I-Orthostatic (ivela ngenxa yokuphuma kwegazi ekhanda, okuvame ukukwenzeka uma isikhundla somzimba sishintsha kusuka ekungeneni kuya kwesokudla).
- Ukwelashwa okunesifo esithathelwanayo (kwenzeka emazweni ase-septic).
- I-cardiogenic (iyenzeka ngesifo senhliziyo esiyingozi).
- I-Pancreatogenic (kungenzeka uma kwenzeka ukukhushulwa kwe-pancreatitis).
- Ukudakwa (okuhlobene nokudakwa komzimba).
Izimpawu zalesi simo esibucayi zifana ne-synncope: ubuthakathaka obuseduze ngokujwayelekile, isizungu, isikhumba somzimba, i-dyspnea, ukudonsa ukucindezela, ukunamathela, ukujuluka okubandayo kuqhubeka. Ngesikhathi esifanayo, ngokuvamile asikho i-clouding of consciousness. Ukuze usize isiguli, kufanele sibekwe ngaphansi komthambeko, ukuze ikhanda lingaphansi komzimba. Ngokuvamile umyalelo we-adrenaline noma i-norepinephrine nezidakamizwa zenhliziyo.
Isimo segesi - ukuphelelwa amandla
Ukuphazamiseka kubonakala ngokulahlekelwa okungazelelwe kwe-consciousness ngenxa ye-hypoxia yobuchopho okwesikhashana. Ngokuvamile livela ngokwesaba, ubuhlungu, ukungena, njll.
Umtholampilo wombuso wokugcina unomqondo wokulahlekelwa ukwazi, ukugqama kwesikhumba, ukujula okubandayo, ukunciphisa ukushisa nokucindezela, nokuxilongwa kwabafundi. Ukuze kukusize udinga ukubeka umuntu, phefumula i-ammonia, ukuqinisekisa ukugeleza komoya.
Isimo esibulalayo sisabisa
Ukwethuka kuyinkqubo eyenzeka ngenxa yezimo ezimbi kakhulu futhi ibhekwa yi-hypotension, ukwedlulisa ngokweqile nokuvimbela isimiso se-central central, i-hypoxia yomzimba, i-hypoperfusion yebhedi le-microcirculatory. Ukwethuka kuyingozi, i-anaphylactic, ishisa, i-septic, i-hemorrhagic, i-cardiogenic, i-pancreatogenic, i-hemotransfusion ne-hypovolemic.
Kunezigaba ezintathu kuphela zesimo sokugcina:
- Isigaba sokuqala si-erectile: isiguli sijabule, izinhlamvu ziba njalo, ukucindezela kuphakama, i-dyspnea ivela.
- Isigaba sesibili - i-torpid: iqala ngokuvinjelwa kwesimiso sezinzwa - ingcindezi yehla, ivolumu yokujikeleza kwegazi iyancipha, izimo zengqondo ziyacindezelwa.
- Isigaba sesithathu - esibulalayo (noma okhubazekile): isidumbu sibhekene nokuphazamiseka - ingcindezi ingaphansi kokujwayelekile, ukushaywa kwegazi akuketshezi, isikhumba siba sebuhlungu, kungenzeka ukuthi imiphumela ebulalayo kungenzeka.
Kulokhu, izinyathelo ezine zokushaqeka ziyaziwa, okuqala kwazo zilula, kanti okwesine yizona eziqhamuka kakhulu, eduze nesimo sosizi. Uma kwenzeka ukushaqeka, usizo oluphuthumayo luyadingeka, okuyilapho isisindo sokushaqeka sichithwa ngangokunokwenzeka, i-vasoconstrictor, i-atygistamine nama-hormonal amalungiselelo asetshenziswayo, njll. Ezimweni ezinzima kunazo zonke, i-anesthesia ejwayelekile isenziwa. Lezi zimo zokugcina kanye nokufa komtholampilo kuseduze kakhulu, ngakho-ke awukwazi ukulibaziseka ngokuhlinzekwa kokwelashwa.