Transfusion ujo na ya pụta

Transfusion ujo ìhè ná mbụ nkeji ole na ole mgbe ndinọ na ọbara mmadụ otu chere. Nke a ọnọdụ e ji ọdịdị ihu flushing, ụba obi ọnụego, mkpụmkpụ nke ume, a ọdịda ọbara mgbali, ọrịa nke obi usoro, ọnwụ nke nsụhọ na ịsụ orùrù nke mmamịrị na na nsị.

Na-akpata post-mịnye ujo

Transfusion ujo na-adị mgbe ọ na-emegide mmịnye ọbara, ma ọ bụrụ na otu, RH-akpata, ma ọ bụ ndị ọzọ ịrịba ama nke isoserological A kọwara ndị ọhụma. Ọzọkwa, ujo nwere ike mere site mịnye nke ekwekọghịkwa ọbara ikpe ebe:

• agụghị oké ghọtara ọnọdụ nke onye ọrịa ahụ;
• Blood eji maka mmịnye bụ substandard;
• incompatibility emee nnata ma na-enye onyinye na-edozi.

mịnye ujo

N'ọnọdụ ka ukwuu, ozugbo ahụ ọgwụ ọrịa na-arịa mma ruo nwa oge, ma mgbe e mesịrị akara ụkpụrụ nke oké njọ mmebi nke akụrụ na imeju, nke na-agwụ na ọnwụ. Nnukwu gbasara akụrụ dysfunction esonyere ọdịdị ọbara mmamịrị, n'ihu Mbelata na zuru ezu cessation nke urination. Ọ dịkwa ike na-edebe ọdịdị ịrịba ama nke intravascular hemolysis na nnukwu gbasara akụrụ dysfunction.

Dabere na mgbali larịị nke onye ọrịa, e nwere ihe atọ nke post ujo:

• 1st - nsogbu 90 mm HG. Nkeji edemede.;
• 2nd - aka 70 mm HG. Nkeji edemede.;
• 3rd - erughị 70 mm HG. Art.

Ogo ogo ọbara ujo na mmetụta ya na na-emetụtachaghị ọrịa ahụ n'onwe ya, ala nke ọrịa, ya ma ọ bụ ya afọ, ná Nkụnwụ na ego nke ọbara amịnye.

Emergency elekọta na mịnye ujo

Na mmepe nke ọrịa ọbara na-esonụ ya ujo mbụ enyemaka a chọrọ:

1. Introduction sympatholytic obi na Antihistamines, corticosteroids na kuru oxygen.
2. Poliglyukina mịnye, ọbara otu ihe kwesịrị ekwesị onunu ogwu nke 250-500 ml nke plasma, ma ọ bụ na otu nke ukwu. Okwu Mmalite nke a 5% ngwọta nke bicarbonate ma ọ bụ ihe ngwọta nke sodium lactate 11% ke ichekwa 200-250 ml.
3. Akụrụ kwadoro mgbochi novocaine site Vishnevskomu A. V. (iwebata 0.25-0.5% novocaine ngwọta ke ichekwa 60-100 ml).

N'ọnọdụ ka ukwuu, mgbochi ujo jikoro iduga na-mma na ọrịa na-arịa.

Ọgwụgwọ nke ọbara ujo

Ma isi ihe omume bụ antishock mgbanwe mịnye dị ka ndị kasị dị irè ọgwụgwọ gị n'ụlọnga, nwere ike igbochi gbasara akụrụ mmebi ná mmalite ogbo nsogbu. Exchange mịnye na-ahụ nanị mgbe a nyochaa nke na-enye onyinye na onye nnata. N'ihi na nke a usoro, na-eji nanị ọhụrụ ọbara a onunu ogwu nke 1500-2000 ml.

Transfusion ujo na nnukwu ogbo achọ ozugbo ọgwụgwọ. Na mmepe nke anuria na azotemia bụ ugbu a nke ọma na-eji ngwaọrụ "wuru akụrụ", nke onye ọrịa ahụ ọbara na-kpochara nke na-egbu egbu na ngwaahịa.