
prarambhik lakshya-nirdeshit upcharpaddhati

prarambhik lakshya-nirdeshit upcharpaddhati (jee. dii. tii.) emmanuel pii. yanni suru kelee hotee. 2001 madhye 'daad nyu ingland journal auph medicine' madhye 'reverse' heey eka tantra aahe jeey gambhir upchar aushadhanmadhye vaparale jaate, jyamadhye rugnata aanee mrutyucha uchch dhoka asalelya rugnanmadhye perioperative hemodynamicsche sakhol nirikshan aanee aakramak vyavasthapan samavisht aahe. hriday shastrakriyemadhye, shastrakriyenantar suru kelyavar lakshya-nirdeshit upchar prabhavi siddha jhaale aahet. jee. dii. tii. aanee point-auph-cair chachanichya sanyogane janmajat hriday shastrakriya karoon ghetalelya rugnansathi mrutyudarat lakshaniy ghat disun aalee aahe. yavyatirikt, electronic vaidyakeey nondichya sanyogane vaparlyas rugnata aanee mrutyudarat ghat jee. dii. tii. tantranshi sambandhit aahe.
prarambhik lakshya-nirdeshit upcharpaddhati haah gambhir sepsis aanee septic shockchya upcharansathi vaparlya jaanarya upcharpaddhaticha adhik vishisht prakar aahe. yaa drushtikonat shastrakriyepurvi vadhalelya oxygenchya maganisah auxigen vitaran santulit karnyasathi hriday purvbhar, bharanantar aanee aakunchanakshamta yanche samayojan samavisht aahe.
2014/2015 madhye prakashit jhalelya teen chachanyanmadhye asey disun aale aahe qee prarambhik lakshya nirdeshit upcharpaddhati sodoon dilee pahije.
purava.
udaharanarth, nehamichya aadhunik dekhbhalichya tulanet, parinam sudharat asalyache disat nahee parantu parinami jaast kharch hoto.
ghatak.
hypotention aanee/kinwa lactate 4 emm. emm. oo. ell./ell. peksha jaast asalyas, prarambhik vyavasthapanamadhye 30 miilii./kilo chrystallide dravanache kiman drav aavhan samavisht asate. mrutyudar labhatil farak aanee kharchatil farak lakshat gheta colloid dravananpeksha sfatikeey dravananchi shifaras kelee jaate. mothya pramanat sfatikeey dravanachi aavashyakta asalyas albumincha vichar keela jaau shakato.
drav punarujjivanachya sakaratmak pratisadachya sanketanmadhye khaleel goshtincha samavesh asoo shakatoh
drav punarujjivan (septic shock) aanee/kinwa lactate> 4 emm. emm. oo. ell./ell. (36 mii. gra./dii. ell.) asoonahi hypotention kayam rahilyas, punarujjivanachya pahilya 6 tasanmadhil uddishtanmadhye khaleel goshtincha samavesh hotoh