Ekusizeni kokuqala, ukushaqeka kwegama kunezincazelo ezintathu ezihlukene:
- I-Noun : isimo sezokwelapha esinegazi elincane kakhulu eligeleza ebuchosheni nezinye izitho ezibalulekile.
- Inkulumo : isimo sengqondo esingokomzwelo, ngokuvamile kulandela isenzakalo esibuhlungu njengengozi yemoto noma ukulahlekelwa othandekayo.
- I-Verb : ukuletha icala lokugesi.
Ukucindezeleka kwegazi okunganele
Ukwethuka kunezimbangela eziningi futhi ngezigaba kamuva kuzoholela ekunciphiseni ukucindezeleka kwegazi.
Lapho umzimba ukwazi ukugcina ingcindezi yegazi njengoba nje ukushaqeka kukhula, kwaziwa ngokuthi ukushaqeka okukhokhelwa . Uma ingcindezi yegazi iqala ukuwa, kuba ukushaqeka okungaqinisekisiwe . Ukuphazamiseka okungaqinisekisiwe yisimo esibi esingase sibulale, ikakhulukazi uma singelashwa .
Ukugcina ingcindezi yegazi kuyisimiso se-cardiovascular system, enezinhlangothi ezintathu ezihlukene:
- I-flu (igazi)
- Izitsha zokuqukatha (amavridi kanye nemivimbo)
- Ipump (inhliziyo)
Kunezinhlobo ezine zokuphazamiseka kwezokwelapha, okuvela ekuhlulekeni kwesinye sezingxenye ezintathu zesimiso senhliziyo:
- Ukwethuka kwe-hypovolemic kuvela ngenxa yokungabi nalutho kwamanzi egazini. Izitsha zingase zihlale zingasebenzi futhi iphompo isebenza, kodwa amanzi aphansi. Kungaba ngokuphuma kwegazi ngokuqondile (ukushaqeka okukhulu) noma kokunye ukulahlekelwa kohlobo oluthile. Ukukhipha amandla emzimbeni kuyimbangela evamile yokushaqeka kwe-hypovolemic.
- Ukushaqeka okwehlulekayo kuvela kulesi sitsha esanda kakhulu kakhulu ngenani lomkhuhlane ohlelweni. Lokhu kuvame ukuvela ezitsheni ezihlanjululwa ngenxa yokuhluleka kokukhulumisana nobuchopho (ukuphazamiseka kwe-neurogenic), noma ukukhululwa kwe-histamines ( ukuphazamiseka kwe-anaphylactic ).
- Ukuphazamiseka kwe-cardiogenic kungokwesepompo. Lapho inhliziyo ihluleka, njengokuhlukunyezwa kwenhliziyo , ukushaqeka kwamagciwane kungumphumela.
- Ukwethuka okuvimbelayo yisibonelo esikhethekile. Lokhu kwenzeka lapho ukugeleza kwegazi kuvinjelwe amandla angaphandle. Esinye sezibonelo ezivame kakhulu zokuphazamiseka okuphazamisayo kuvela ku- pneumothorax yokuphazamiseka (okubizwa nangokuthi iphaphu elahlekile). Umoya uqoqa esifubeni ngaphandle kwamaphaphu bese ubeka ingcindezi enhliziyweni nakweminye imikhumbi. Njengoba ingcindezi ikhula, inhliziyo ayikwazi ukupompa ngokwanele nokugeleza kwegazi kuvinjelwe ngokusebenzisa izitsha ezifakiwe.
Ezinye izinhlobo zokwethuka zihlanganisa ezimbili noma ngaphezulu zezigaba ngenhla. Ukwesatshiswa kwe-Septic yisifo esingenayo nje kuphela ekukhuculeni amanzi (hypovolemic) kodwa futhi ekukhunjweni kwesitsha (ukusakaza).
I-Hypoperfusion yigama elingavamile lezokwelapha abanye abahlinzeki bezempilo abasebenzisa ukuhlukanisa isimo sezokwelapha sokwethuka esimweni somzwelo. I-Hypoperfusion ibhekisela ekunciphiseni kwegazi kwezokudabuka kwezokwelapha.
State Emotional
Lokhu kungenzeka ukusetshenziswa okujwayelekile kakhulu kwegama.
- Ngemva kwengozi yemoto eyingozi, umshayeli uthule futhi uphazamisekile. Uchazwa njengokwesabisa.
Ukushayela kagesi
Ezinhlotsheni ezithile zokuboshwa komzimba, ukushuswa kwesisulu kungasenza inhliziyo iqale futhi ishaye ngokujwayelekile. I-defibrillator yangaphandle eyenziwe ngokuzenzakalela (AED) ishaqeka izisulu zokuboshwa komzimba ezinhliziyo zazo ziyi -fibrillation ye-ventricular .