Ropa Rabasa Ratsanangurwa
Kana uri kuvhiyiwa - kunyange chirongwa chiduku - chiremba anogona kuraira kuongorora kweropa. Nekududzira kuongorora ropa kunonyanya kusara kune chiremba, zvingave zvichibatsira kunzwisisa izvo chiyero chiri kutarisa, uye chinonzi chiitiko che "chimiro".
Kune mazana emararamiro akasiyana eropa anokwanisa kuitwa mubazi, asi yakawanda inowanzoitwa nguva dzose mushure mekunge ovhiyiwa; iyi miedzo inowanikwa uye haifaniri kuva chikonzero chemashoko.
Mupiki anoda kuve nechokwadi kuti murwere ari muhutano hwakanakisisa hwekugadzirisa uye kuongorora chero mamiriro ezvinhu anogona kukonzera zvinetso zvinodzivirirwa.
Kuongororwa ropa kunowanzoitwa mushure meitiro yekutsvaga kubuda ropa, uye kuva nechokwadi chokuti nhengo dziri kushanda zvakanaka mushure mekuvhiyiwa.
Nenguva dzakawanda izvi zviedzo zvinowanzoitwa nguva dzose, kazhinji usiku humwe mushure mekuvhiyiwa. Izvi hazvirevi kuti kune tarisiro yokuti chimwe chinhu chakashata, kazhinji kacho kuongorora uku kunosimbisa kuti zvinhu zvose zviri kufamba zvakanaka mushure mekuvhiyiwa. Varwere muI ICU vanogona kutarisira kuva nekuwedzera kuongororwa ropa. Kana murwere ari paventileri unogona kutarisira kuti ropa rinokonzerwa neropa riwedzere zuva rimwe nerimwe kana kunyanya kakawanda.
Miedzo Yechiropa Yakawanda:
Chem 7: Iyo inozivikanwawo sechitsipa chemazi, kana pane chikwata che chemistry, chiyero ichi chinotarisa mazinga emakemikari anokosha muropa uyewo anoongorora basa repvo. Mukuwedzera, chirwere cheglucose muropa chinowanikwa kuburikidza nekuedzwa uku uye chinogona kuratidza kana munhu achida kuwedzerwa kuongororwa chirwere cheshuga.
Iko miedzo minomwe inosanganisira mu Chem 7 inosanganisira:
- Ropa Urea Nitrogen (BUN)
- Serum Glucose
- Creatinine
- Carbon Dioxide (CO2)
- Serum Chloride
- Serum Sodium
- Serum Potassium
CBC:
Ropa rakazara, kana CBC, rinotarisa masero akasiyana anopa ropa rose. ICBC inogona kuzivisa chiremba kana muviri uri kuita nhamba yakakodzera yega yega yese yesero, uye inogonawo kuratidza zviratidzo zvemazuva ano kana kutapukirwa kwemazuva ano, kubuda ropa, kana kuvhara nyaya.
Mushure mekuvhiyiwa, chiremba angarayira izvi kuedza kuti aone kana kuwedzerwa kweropa kwakakodzera, kana kana murwere akaoma mvura uye zvinoda zvimwe mvura.
CBC inosanganisira:
- White Blood Count (WBC)
- Red Blood Count (RBC)
- Platelet Count (Plt)
- Hemoglobin
- Hematocrit
I "H & H" yakafanana neCBC asi inongotarisa hemoglobin uye hematocrit levels.
PT, PTT & INR
Aya maedzo, anozivikanwa pamwe chete seganda rekugadzira, tarisa kuti nokukurumidza ropa rinovhara sei. Kupera kwemaawa kunokonzera zvinetso mukuvhiya, panguva iyo kubuda ropa kunotarisirwa. Kana chigumisiro chacho chinoratidza nguva yakareba kwenguva yakareba kupfuura iyo inofanirwa, zvinogona kudikanwa kunonoka kuvhiyiwa kudzivirira kubuda ropa kunenge panguva yekuitwa.
Liver Enzymes
Chiropa basa zvidzidzo, zvakare anozivikanwa seLFTs, zvinoitwa kuti aone kana chiropa chiri kushanda kazhinji. Nokuti chiropa chinobatsira mukubvisa anesthesia kubva muropa uye kuratidzira kuvhara ropa, zvinokosha kuti uzive kana iri kushanda zvakanaka nguva isati yasvika. Nhamba dzakakwirira dzinogona kuratidza kuti chiropa chinoshaya basa kana kukuvara kwechiropa.
Chimwe chiyero, chinonzi GGT, chinogona kuwedzerwa pachikwata chechiropa. Uyu muedzo unogona kuratidza kuti kune kukanganisa kwechiropa kana ducts dzakapoteredza asi haritauri kuti ndechipi chakaipa chiripo.
Chimiro chechiropa chinoshanda chidzidzo chinosanganisira:
- Aspartate Phosphatase (AST), inonziwo SGOT
- Alanine Aminotransferase (ALT), inozivikanwawo seSGPT
- Alkaline Phosphatase (ALP)
- Total Bilirubin
- Direct Bilirubin
- Inoratidzira Bilirubin
- Albumin
Arterial Blood Gas
An arterial blood gas , inowanzonzi ABG, inotarisa kuti nzira yekufema inoshanda sei uye kuti okisijeni iri muropa sei. Ichi chiyero chinoda ropa kubva mumasiti, iyo yakazara oxygenated nemapapu uye inowanzotorwa kubva mumhepo inonzi radial iri muchiuno. Zvimwe zviitiko zvinogona kuratidza kuti ropa rakaderera mumhepo yakakosha, kuti murwere ari kufema zvakanyanya kana kuti zvishoma (pane ventiri panguva yekuvhiya), kana kuti vanoda oksijeni yakawedzerwa.
I-ABG inowanzoitwa kamwe chete pazuva apo murwere ari muvhariyeri kwenguva yakareba. Migumisiro inoshandiswa kugadzirisa kana kuchinjwa kweventilator zvirongwa zvakakosha. Kana murwere ari muI ICU, inokosha yeV IV inonzi urterial line inogona kuiswa pakuita kuti ropa reropa rive nyore, kunyanya kana richiitwa kakawanda.
Chimwe Chinyorwa chekare chinosanganisira:
- pH: Ida asidi / nheyo yepamusoro yeropa reropa
- PC02: Ko carbon dioxide yakawanda sei muropa
- PO2: Mhepo yakadini iri kuiswa muropa
- HCO3: Mazinga eBicarbonate angaratidza zvinetso zvepfungwa
- O2: Ko oxygen yakawanda yakawanika kuti maviri emumuviri ashandise
ABG Tsanangudzo inonetsa zvikuru uye inowanzoitwa nevarapi kana vateresi.
ABO Kubata: ABO Tsipi ndiyo izwi rezvokurapa rekutsanangurira ropa remurwere. Izvi zvinoitwa vasati vavhiyiwa, saka ropa rinogona kupiwa muimba yekushanda kana zvichidiwa. Kazhinji kuvhiyiwa hakudi kuwedzerwa ropa, asi dzimwe nzira, dzakadai se-pampu yemwoyo zvinoshandiswa pakuvhiyiwa, nguva dzose dzinoda kutungamirirwa kweropa. Iwe unogona kubvunzwa kuti usayine fomu yemvumo yekutungamirirwa kweropa usati wapera chirwere, kunyange kana kuwedzerwa hakusi chiitiko chekuita, kana zvichidikanwa.
Ropa Rutsigiro uye Kunzwa
Ropa tsika ndiyo nzira iyo samuenzaniso shoma yeropa rako inoswededzwa uye inotorwa kumabhasi iyo inowanikwa pachirongwa chinowedzera chisina kuchena icho "chinopa" mabhakitiriya. Muenzaniso unoramba uchidziya uye shure kwemazuva mashomanana, unotarirwa kuona kana mabhakitiriya ari kukura.
Kana mabhakitiriya ari kukura, zviri pachena kuti mabhakitiriya aya ari kukura muropa rako. Kana mabhakitiriya achikura, anobva aiswa kune mamwe maitiro erabiotiki, kuona kuti ma antibiotic ndeapi anobatsira pakurapa utachiona hwako. Iyi inzira yesayenzi yekusarudza mishonga yakanakisisa yehutachiona hwako pasina kukupa ma antibiotic akawanda uye uchivimba kuti imwe inoshanda zvakanaka.
Shoko Rinobva
Kunyange zvazvo zvichibatsira kuva neruzivo rwemazana emigumisiro yebazi uye zvinorevei, mupi wehutano wehutano ndiye pakupedzisira ane dambudziko rekududzira migumisiro nekugadzirisa nzira yekutaura navo. Kushandura mazano emabhadharo unyanzvi hunoremekedzwa kwemakore, saka usafunga kuti unoshaiwa kunzwisisa chero humwe hutsika hwehu lab yako. Zvinonyanya kukosha kuti iwe unoteerera zvakanyanyisa apo mubatsiri ari kutsanangura chirongwa chavo uye kuti vangada sei kupfuurira nekutarisira kwenyu.
> Kwakabva:
> Sensitivity Analysis. Medline Plus.