Amanzi emzimbeni

isimo sokugembula kubangelwa ukwehla inani uketshezi emzimbeni, - ukuphelelwa amanzi emzimbeni. Ngokuba ukuphila kuyingozi ukushonelwa 20-30% we isamba emzimbeni. Ukuphelelwa amanzi emzimbeni ngokuvamile kuholela ekufeni ezinsukwini 7-10 ngaphansi kwezimo lokushisa ephakeme kanye nomswakama ukufa siyenzeka emva kwezinsuku 3-5.

Lesi simo sokugembula kunezimbangela eziningi. The main etiologic zici zihlanganisa isifo sohudo kanye nokuhlanza. Lezi zimo izizathu ukudla okunobuthi, ikholera, ubuthi, toxicosis engxenyeni yokuqala ka sokukhulelwa, stenosis pyloric. Ukuphelelwa amanzi emzimbeni futhi kwenzeka ngenxa polyuria, okungaholela hyperparathyroidism, isifo Addison sika. Komzimba, sepsis, imfiva, ukusha, hydrothorax, ascites - izimo zokucabanga okubangelwa isifo okuyinto kakhulu inciphise uketshezi emzimbeni.

Ukuphelelwa amanzi emzimbeni akuyona othambekele kokunqotshwa amaqembu athile yobudala. Nokho, kunzima kakhulu yisimo kwenzeka ezinganeni. Lokhu kungenxa isiqondiso abangaphelele yamanzi-usawoti umzimba. Ekukhanyeni kuphazamiseka dyspeptic elihlobene ne elinobuthi, ungezwani ukudla kungenzeka aphelelwe amanzi emzimbeni, okuyisici nobuntu inchubekelembili okusheshayo. umzimba Adult unikezwa isimo sokugembula ithwala kalula, it libhekene ukugeleza bushelelezi, futhi isinxephezelo ngaphezulu lula ngokulinganisela ngokusebenzisa yokwelapha ezifanele.

Izimpawu zokuntula amanzi emzimbeni ethize futhi eyingqayizivele isimo sokugembula inikezwe. Ziyakwazi isikhumba flabby futhi omile, isisindo ukulahlekelwa kuka 5%, ukubukeka imibimbi ebusweni isikhumba integument, elola izici zakhe. izimpawu Ngaphansi ezivamile zihlanganisa oliguria, anuria, azotemia, ukwanda hematocrit, ukwehla komfutho wegazi.

Ngo umkhuba emtholampilo ezimbili zama zokuntula amanzi emzimbeni: hyperosmotic futhi Hypo-osmotic. Izimpawu umbuso wokuqala abanxanela, kome kabi umlomo, nomphimbo, izwi hoshozela, kukhuphuke izinga lokushisa komzimba. ukuthambekela eziphawulwe ukuqunjelwa, encishisiwe isikhumba turgor, okwandisa lokuhlushwa amaprotheni wegazi leukocyte. Ngenxa yalesi isimo libhekene ukubukeka ezihlukahlukene izimo ezingokwengqondo: ukuyaluza, ukushesha ukucasuka, ukukhathazeka, ukozela, ukusangana.

Izimpawu zokuntula amanzi emzimbeni, zokuthuthukisa hypnotonic uhlobo kuchazwe predominance ukukhathala, ukunganakwa, ukuncipha okukhulu wegazi. Ngenxa yalesi simo sokugembula nakho libhekene kome nolwelwesi lwamafinyila kanye isikhumba. Ukuphelelwa amanzi emzimbeni libhekene ikhanda, ukudla, isicanucanu. Ezimweni ezingavamile, kukhona amajaqamba, ubuhlungu bemisipha, iziyaluyalu ukwazi.

Ukuphelelwa amanzi emzimbeni ingavinjelwa ekwelapheni izifo okuyinto ahambisana ukulahlekelwa eningi yamanzi. Lapho usebenza emkhathini iyomisa futhi ishisa kakhulu amanzi anosawoti kumele kusetshenziswe. Ukuze izinsana ezishona kukhona ibhodlela, kufanele ukuhlela ecacile ukuphuza umbuso.

ukwelashwa Ukuphelelwa amanzi emzimbeni ukusetshenziswa ekhethekile aqueous usawoti izixazululo. Lapho giposmoticheskom uhlobo Ukususwa ikhombisa ukusetshenziswa izisombululo hypertonic glucose, i-sodium chloride. Eqhubeka ushintsho okufanele izixazululo isotonic.

Hyperosmotic amanzi emzimbeni uhlobo iboshiwe usebenzisa 5% isixazululo glucose.

Ukuphelelwa amanzi emzimbeni - isimo sokugembula eholela izinguquko ezinzima sokugembula yezitho zangaphakathi, isikhumba kanye nolwelwesi lwamafinyila. Nokho, ukuphatha kahle liyakwazi ngokugcwele ukulahlekelwa uketshezi ukugwema ukufa.