Qhov sib txawv tseem ceeb ntawm cardiogenic thiab hypovolemic shock yog tias cardiogenic poob siab tshwm sim vim kev ua haujlwm tsis zoo hauv myocardial, ua rau lub plawv tsis tuaj yeem tso ntshav txaus rau lwm qhov hauv lub cev, thaum hypovolemic shock tshwm sim vim ntshav lossis lub cev hnyav. dej poob, ua rau lub plawv tsis tuaj yeem tso ntshav txaus rau lwm qhov hauv lub cev.
Lub siab yog lub cev zoo tshaj plaws hauv lub cev. Nws ib txwm tso cov ntshav uas muaj oxygen thiab cov khoom noj muaj txiaj ntsig thoob plaws hauv lub cev txhawm rau txhawm rau txhawb txoj sia. Nws ntaus 100,000 zaug hauv ib hnub, tso rau 6 quarts ntshav txhua feeb (kwv yees li 2000 nkas loos ib hnub). Lub plawv yog qhov tseem ceeb ntawm cov hlab plawv, uas nqa cov ntshav ntawm lub plawv mus rau lwm qhov ntawm lub cev thiab rov qab mus rau lub plawv dua. Vim muaj ntau yam laj thawj, lub plawv qee zaum ua tsis tau cov ntshav txaus rau lwm qhov hauv lub cev, ua rau muaj mob xws li cardiogenic thiab hypovolemic shock.
Cardiogenic Shock yog dab tsi?
Cardiogenic poob siab yog ib yam mob uas tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm myocardial, ua rau lub plawv tsis zoo. Qhov no ua rau lub cev hypoperfusion kawg thiab hypoxia. Tus mob no tshwm sim feem ntau vim yog mob plawv mob hnyav. Feem ntau, thaum lub plawv nres, lub ntsiab twj tso kua mis chamber (sab laug ventricle) yuav puas vim tsis muaj oxygen rau lub plawv. Lub plawv cov leeg tsis muaj zog vim cov ntshav tsis txaus oxygen mus rau hauv lub plawv, tshwj xeeb tshaj yog rau sab laug ventricle. Yog li ntawd, cardiogenic shock tshwm sim. Hauv cov xwm txheej tsis tshua muaj, kev puas tsuaj rau txoj cai ventricle ntawm lub plawv (uas xa cov ntshav mus rau lub ntsws kom tau oxygen) tuaj yeem ua rau mob plawv.
Daim duab 01: Cardiogenic Shock
Cov tsos mob ntawm kev poob siab cardiogenic muaj xws li ua pa nrawm, ua tsis taus pa hnyav, lub plawv dhia ceev, lub plawv tsis muaj zog, tsis muaj ntshav siab, tawm hws, tawv nqaij daj, tes txias thiab taw, thiab tso zis tsawg dua li qub. Cov poj niam laus uas muaj keeb kwm ntawm lub plawv nres thiab raug mob ntshav qab zib muaj kev pheej hmoo ntawm tus mob no. Cardiogenic poob siab tuaj yeem kuaj pom los ntawm kev ntsuas ntshav siab, electrocardiogram, hauv siab x-ray, kuaj ntshav, echocardiogram, thiab cardiac catheterization. Cov kev kho mob yuav suav nrog cov tshuaj xws li vasopressors, inotropic agents, aspirin, thiab tshuaj antiplatelet.
Lwm cov txheej txheem uas txhim kho cov ntshav ntws muaj xws li angioplasty thiab stenting, zais pa twj tso kua mis, extracorporeal membrane oxygenation. Yog tias cov tshuaj thiab lwm cov txheej txheem yuav tsis ua haujlwm, cov kws kho mob tuaj yeem mus rau kev phais xws li kev phais mob hlab ntsha tawg, kev phais kho mob rau lub plawv, ventricular assist device (VAD), lossis hloov lub plawv.
Hypovolemic Shock yog dab tsi?
Hypovolemic shock tshwm sim vim muaj ntshav lossis lub cev tsis muaj kua, uas ua rau lub plawv tsis tuaj yeem tso ntshav txaus rau lwm qhov hauv lub cev. Hom kev poob siab no tuaj yeem ua rau ntau lub cev tsis ua haujlwm. Hypovolemic shock yog tshwm sim vim poob li ib feem tsib lossis ntau dua ntawm cov ntshav ib txwm nyob hauv lub cev. Los ntshav tuaj yeem tshwm sim vim kev txiav, raug mob, lossis los ntshav sab hauv. Qee zaum, poob dej hauv lub cev vim yog kub hnyiab, raws plab, ua pa ntau dhau, thiab ntuav kuj tuaj yeem ua rau muaj kev poob siab.
Daim duab 02: Hypovolemic Shock
Cov tsos mob tuaj yeem suav nrog kev ntxhov siab, tawv nqaij tawv, tsis meej pem, tsis tso zis, tsis muaj zog, tawv nqaij daj, ua pa nrawm, tawm hws, thiab daim tawv nqaij ntub. Kev kuaj mob tuaj yeem ua tau los ntawm X-ray, ultrasound, CT scan, kuaj ntshav thiab zis, echocardiogram, thiab electrocardiogram. Ntxiv mus, kev kho mob rau tus mob no tej zaum yuav muaj xws li ntshav ntshav plasma, ntshav platelet, ntshav ntshav liab, thiab intravenous crystalloids.
Dab tsi zoo sib xws ntawm Cardiogenic thiab Hypovolemic Shock?
- Cardiogenic thiab hypovolemic shock yog ob hom kev poob siab uas tshwm sim vim tsis nqus ntshav txaus rau lwm qhov hauv lub cev.
- Ob qho xwm txheej tuaj yeem ua rau qhov kawg ntawm lub cev hypoperfusion.
- Cov xwm txheej no tuaj yeem ua rau lub cev tsis muaj zog.
- Lawv yuav hem txoj sia yog tsis kho.
Qhov txawv ntawm Cardiogenic thiab Hypovolemic Shock yog dab tsi?
Cardiogenic poob siab yog ib yam mob uas tshwm sim vim qhov ua tsis taus ntawm myocardial kev ua haujlwm, ua rau lub plawv tsis tuaj yeem tso cov ntshav txaus rau lwm qhov hauv lub cev, thaum hypovolemic shock yog ib yam mob uas tshwm sim los ntawm cov ntshav siab lossis lub cev kua dej. poob, ua rau lub plawv tsis tuaj yeem tso ntshav txaus rau lwm qhov ntawm lub cev. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm cardiogenic thiab hypovolemic shock. Tsis tas li ntawd, qhov txheeb ze tshwm sim ntawm cardiogenic poob siab yog 13%, thaum qhov txheeb ze ntawm qhov tshwm sim ntawm hypovolemic shock yog 27%.
Cov hauv qab no infographic nthuav tawm qhov sib txawv ntawm cardiogenic thiab hypovolemic shock nyob rau hauv daim ntawv tabular rau ib sab ntawm kev sib piv.
Summary – Cardiogenic vs Hypovolemic Shock
Cardiogenic thiab hypovolemic shock yog ob hom kev poob siab vim tsis tso ntshav txaus rau lwm qhov hauv lub cev. Ob qho xwm txheej yuav ua rau muaj kev phom sij rau lub neej kawg ntawm lub cev hypoperfusion thiab kev puas tsuaj. Cardiogenic poob siab tshwm sim vim qhov ua tsis taus ntawm myocardial kev ua haujlwm, uas ua rau lub plawv tsis tuaj yeem tso ntshav txaus rau lwm qhov ntawm lub cev. Ntawm qhov tod tes, kev poob siab hypovolemic tshwm sim vim cov ntshav loj lossis lub cev tsis muaj dej, uas ua rau lub plawv tsis tuaj yeem tso ntshav txaus rau lwm qhov ntawm lub cev. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm cardiogenic thiab hypovolemic shock.
