Terminal lub xeev yog cov mob nyuab heev, thaum lub sij hawm uas lub cev sib npaug ntawm lub verge ntawm lub neej thiab kev tuag. Lub peculiarity ntawm cov xeev yog tias ib tug tsis tau tawm ntawm lawv tus kheej, tsis muaj kev pab kho mob. Muaj ntau ntau hom mob qaum teb ntawm tib neeg asphyxia, coma, poob siab (kev tsaus muag, tawg). Ib qho ntawm cov mob no yuav tsum tau kho mob sai sai.
Lub davhlau ya nyob twg ntawm ib tug neeg yog lub cev qhuav dej
Collapse yog ib qho mob ntawm cov vascular insufficiency, vim li ntawd cov pob tawb ntawm cov hlab ntsha txo tsawg thiab qhov loj ntawm cov ntshav ntawm cov ntshav qis dua. Vim li no, nws muaj ib qho kev qaug rau ntshav mus rau lub plawv, txo tus nqi ntshav siab, uas ua rau hypoxia ntawm cov ntaub so ntswg, thiab feem ntau - xws li lub hlwb.
Muaj ob peb hom ntawm xws li lub xeev xwm txheej, xws li cev qhuav dej:
- Orthostatic (tshwm sim los ntawm qhov ntse ntawm cov ntshav tawm ntawm lub taub hau, feem ntau tshwm sim thaum lub chaw ntawm lub cev hloov ntawm kab rov tav los ntawm txoj ntsug).
- Tshaj kis-lom (tshwm sim hauv cov xeev septic).
- Cardiogenic (tshwm sim rau mob ntsws).
- Pancreatogenic (tej zaum nyob rau hauv cov ntaub ntawv ntawm exacerbation ntawm pancreatitis).
- Intoxicating (txuam nrog kev qaug ntawm lub cev).
Cov tsos mob ntawm qhov kev mob hnyav no zoo ib yam li cov syncope: abrupt general general tsis muaj zog, kiv taub hau, tawv pallor, dyspnea, siab poob, nplaum, txias hws tsim. Tib lub sij hawm, feem ntau tsis muaj huab cua ntawm kev xav. Yuav kom pab tau tus neeg mob, nws yuav tsum tau pw hauv ib txoj kab nqes, kom lub taub hau nyob hauv qab lub cev. Feem ntau yog kws kho mob adrenaline los yog cov tshuaj norepinephrine thiab cov tshuaj plawv.
Terminal huab cua - tsaus muag
Tsaus muag yog thaum yus tsis nco qab vim kev hypoxia ntawm lub hlwb kom luv luv. Feem ntau nws tshwm sim nrog kev ntshai, kev mob, kev quav tshuaj, thiab lwm yam.
Lub tsev kho mob lub xeev yuav tsis muaj qhov tsis hnov, pallor ntawm daim tawv nqaij, txias hws, poob siab hauv lub plhaub thiab qhov siab, thiab kev kawm ntawm cov menyuam kawm ntawv. Yuav kom pab tau koj yuav tsum nti tau ib tug neeg, muab pa tshuaj ammonia, ua kom cov cua khiav.
Lub xeev xwm txheej yog lub poob siab
Kev poob siab yog ib tus txheej txheem uas tshwm sim los ntawm kev sib txawv ntawm huab thiab yam ntxwv ntawm hypotension, overexcitation thiab inhibition ntawm lub hauv paus paj hlwb, hloov hypoxia, hypoperfusion ntawm lub txaj microcirculatory. Kev poob siab yog mob, anaphylactic, hlawv, septic, hemorrhagic, cardiogenic, pancreatogenic, hemotransfusion thiab hypovolemic.
Muaj tsuas yog 3 theem ntawm lub xeev xwm txheej:
- Cov theem 1 yog erectile: tus neeg mob yog tus pog, qhov mos txwv tau ntau heev, lub siab nce, dyspnea tshwm.
- Theem thib ob - lub vas sab: pib nrog inhibition ntawm lub paj hlwb - lub siab poob, lub ntim ntawm circulating ntshav txo, lub reflexes ua oppressed.
- Theem 3 - lub cev (lossis tuag tes tuag taw): lub cev muaj kev tu ncua - qhov kev poob siab yog qis dua li qub, lub plab yuav tsis raug, qhov tawv nqaij ua rau cov tawv nqaij dawb, ua kom tuag tau.
Nyob rau hauv cov ntaub ntawv no, plaub theem ntawm poob siab yog txawv, thawj ntawm uas yog qhov yooj yim, thiab plaub yog lub cev tshaj, ze rau lub xeev ntawm kev txom nyem. Yog tias muaj kev poob siab, kev pabcuam yuav tsum tau ceev, thaum lub sijhawm ua rau kev poob siab raug tshem tawm ntau li ntau tau, vasoconstrictor, atygistamine thiab hormonal preparations yog siv, thiab lwm yam. Hauv cov mob hnyav, feem ntau cov tshuaj loog ua ke. Cov kev mob tshuav nqi cua thiab kev tuag raug mob sib ze heev, yog li koj tuaj yeem tsis tuaj yeem ncua nrog kev kho mob.