Kwinqanaba lokuqala, ukutshatyalaliswa kwegama kunemifanekiso emithathu ecacileyo:
- Inombolo : imeko yezokwelapha equkethe ukuhamba kwegazi encinci kwiingqondo kunye nezinye izitho ezibalulekileyo.
- Intetho : isimo sengqondo sengqondo, ngokuqhelekileyo emva kwesiganeko esibuhlungu njengengozi yemoto okanye ukulahlekelwa ngumthandayo.
- Isenzi : ukuhambisa intlawulo kagesi.
Uxinzelelo lwegazi lweNgcinci
Ukutshatyalaliswa kunobangela obuninzi kwaye kwizigaba ezizayo kuya kubangela ukunciphisa uxinzelelo lwegazi.
Xa umzimba unako ukugcina uxinzelelo lwegazi njengoko ukutshitshiswa kukhula, kwaziwa ngokuba yinto yokuxhatshazwa . Xa uxinzelelo lwegazi luqala ukuwa, luba ngumsindo wokungaxhaswanga . Ukuxhatshazwa okungahlawulwanga yimeko enzima engakwazi ukubulala, ingakumbi ukuba ingaphathwa .
Ukugcina uxinzelelo lwegazi ngumsebenzi wenkqubo ye-cardiovascular system, eneengxenye ezintathu ezihlukeneyo:
- Fluid (igazi)
- Iinqanawa zeempahla (iirrire kunye nemifuno)
- Ipompo (intliziyo)
Kukho iintlobo ezine zokutshatyalaliswa kwezokwelapha, ezivela ekuhlulekeni kwesinye sezigaba ezintathu zesimo senhliziyo:
- Ukutshatyalaliswa kwe-Hypovolemic kuvela ngenxa yokungabikho kwamanzi egazini. Iinqanawa zisenokuba zihambelane kwaye ipompo isebenza, kodwa i-fluid iphantsi. Kungenziwa ngokuphuma kwegazi ngokuthe ngqo (ukutshatyalaliswa kwamanzi) okanye kwezinye ilahleko zombane. Ukudakalisa umdaka kuyingxaki ebangela ukutshatyalaliswa kwe-hypovolemic.
- Ukutshatyalaliswa kokuphazamiseka kubangelwa ukwandisa isitsha kwi-system. Oku kuvame ukuvela kwiinqanawa ezixubileyo ngenxa yesiphumo sokunxibelelana kunye nengqondo (ukuphazamiseka kwe-neurogenic), okanye ukukhululwa kweembamamines ( ukutshatyalaliswa kwe-anaphylactic ).
- Ukutshatyalaliswa kwe-cardiogenic kuyo yonke ipompo. Xa intliziyo iphela, njengentliziyo, ukuphazamiseka kwemizimba yiphumo.
- Ukuxhatshazwa okuvakalayo ngumzekelo okhethekileyo. Oku kwenzeka xa ukugeleza kwegazi kuvaliwe ngumbutho ongaphandle. Enye yemimiselo eqhelekileyo yokuphazamiseka okuphazamisayo ivela kwi- pneumothorax yokuxhatshazwa (ebizwa nangokuthi umphunga owenziwe). Umoya uqokelela kwisifuba ngaphandle kwemiphunga uze ufake uxinzelelo entliziyweni nakwezinye iinqanawa. Njengoko uxinzelelo lukhula, intliziyo ayinako ukupompa ngokwaneleyo kwaye ukuhamba kwegazi kunqatshelwe ngeempahla ezityunyiwe.
Ezinye iintlobo zokutshatyalaliswa zidibanisa ezimbini okanye ngaphezulu kweentlobo ezingentla. Ukutshitshiswa kweSeptic yintsholongwane engagqithisi nje ukuphelelwa yinkcaso (i-hypovolemic) kodwa kunye nokukhutshwa kwesitya (ukusasazwa).
I-Hypoperfusion iyona gama eliqhelekileyo lonyango abathi abanye ababoneleli benonophelo bezempilo basebenzise ukwahlula imeko yonyango yokutshatyalaliswa kwimeko yesimo sengqondo. I-Hypoperfusion ibhekisela ekuhlaleni kwegazi lokutshatyalaliswa kwezokwelapha.
State Emotional
Oku mhlawumbi kusetyenziswa ngokuqhelekileyo kwekota.
- Emva kwengozi yemoto eyingozi, umqhubi uyathula kwaye uphazamisekile. Uchazwe njengothuswa.
Umrhumo wombane
Kwezinye iintlobo zokubanjwa kwentliziyo, ukuxhalabisa ixhoba kunokuvumela ukuba intliziyo iqale kwaye ibethe ngokuqhelekileyo. I-defibrillator yangaphandle eyenziwayo (AED) iyatshitshisa amaxhoba endibanjiweyo enhliziyo zabo ezinentliziyo ye-fibrillation .