I-NKA ne-NKDA Kungaba Yizifinyezo Zakho Ezibalulekile
Izifo zengqondo zithinta kakhulu ochwepheshe bezezempilo, kungakhathaliseki ukuthi kunesimo sokunakekelwa esibhedlela noma ukuvakasha kukadokotela. Amaphutha amakhulu, ngezinye izikhathi amanga, angenzeka uma ukungezwani komzimba kungabonakali kusengaphambili inqubo yokuhlinzeka noma ngisho nokulula, ukuphathwa kwe-office ukutheleleka.
Ngokwesifundo esivela ePennsylvania Patient Safety Advisory (PPSA), amaphesenti angu-12.1 (noma cishe eyodwa kwesishiyagalombili) kuzo zonke iziphambeko zezokwelapha kubangelwa izidakamizwa ezivimbela ukungezwani.
Kulezi, amaphesenti angu-1.6 ahlukaniswa njengesenzakalo esibi kakhulu, okusho ukuthi lowo muntu walimala.
Konke okukhulunywe ngakho, imibiko engaphezu kwezingu-3 800 yafakwa ePennsylvania ngonyaka ohilela imishanguzo eyanikezwa ngokungaziphathi iziguli ezinezinkinga zokungezwani kwabo.
Ngenxa yalokhu, izibhedlela kanye nezinye izindawo zokunakekelwa kwezempilo zithathe izinyathelo zokuthuthukisa ukutholakala kokuqala kwezidakamizwa ezaziwayo ezigulini zabo.
Indlela Yokukwazi Uma Izinkomo Zakho Ziqashelwa Ngokufanele
Namuhla, iziguli ezivunyelwe esibhedlela kumele zithole ukuthi zibandakanya noma yiluphi uhlobo oluthile oluthile oluthile olungaziwa. Lezi zifakwe kumarekhodi omuntu wezokwelapha futhi zijwayele ukuhlanganyela nodokotela olaphayo kanye nanoma yiluphi uchwepheshe ongazibandakanya.
Uma ubona udokotela okokuqala noma usuzohlinzwa, qaphela ishadi lakho noma ifayela lezokwelapha okuzofaka phakathi isifinyezo esithi "NKA" noma "NKDA."
I-NKA yisifinyezo sokuthi "ayikho imithi eyaziwayo," okusho ukuthi ayikho imithwalo eyaziwayo yanoma yiluphi uhlobo. Ngokuphambene nalokho, i-NKDA imane nje "ayikho imithi eyaziwayo yezidakamizwa."
Uma isifingqo asikho futhi akukho ukuphawula kokungezwani komzimba owaziyo ukuthi unawo, vumela udokotela ukuba anake ngokushesha. Uma, ngakolunye uhlangothi, ukuphawula kungalungile - tshela, uthola usizo lwe- lateg bese ubona "NKDA" - ungathuli; umbuzo.
Odokotela abahlinzayo bangaphendula kuphela ulwazi abanikezwayo futhi ngaphandle kokuthi amaphutha efayela lakho alungiswe, ubeka ithuba lokuphendula okweqile.
Uhlu lwezilwane ezidakamizwa ezivamile
Yize noma yisiphi isidakamizwa singadala ukusabela, kukhona ezinye ezenzeka kakhulu kunezinye. Lokhu kufaka:
- ama-antibiotics, afana ne- penicillin
- i-sulfonamides (izidakamizwa ze-sulfa) , kokubili ama-antibiotic kanye nemithi engeyona imithi
- aspirin kanye non-steroidal anti-inflammatories (ama-NSAID), njenge-Aleve (naproxen) noma i-Motrin (ibuprofen)
- imishanguzo yokulwa nokuthumba, njengeLamictal (lamotrigine)
- imithi yamakhemikhali
- izifo zokwelashwa ezibizwa nge-monoclonal antibody, njenge-Rituxan (rituximab)
Ukusabela kungahlukahluka komunye nomuntu, kanti abanye bahlakulela ukuqhuma okweqile ngenkathi enye iqala ukuqhuma futhi ithuthukise ukuvuvukala kobuso. Kulabo abaye baphenduka kwangaphambili, ukubukeka kabusha kukhulisa kuphela amathuba okuphendula okubi nakakhulu, okwenyuka ngokuchayeka okuphindaphindiwe.
Umuntu kungenzeka futhi abe nempendulo yokugula uma imithi igxiliwe esikhumbeni noma injected, ngokuphambene nokunikezwa ngomlomo.
Abanye namanje bangase bahlakulele isimo esibizwa ngokuthi i- anaphylaxis , isifo esingasongela impilo esithinta umzimba wonke. Izimpawu zingabonakala ngemizuzwana bese zifaka izinto ezinjenge-hives, ukuvuvukala ebusweni, uketshezi kwamapayipi, ukwehla okuyingozi kwegazi, nokushaqeka.
Ngaphezu kwalokho, uma umuntu ehlangabezana ne-anaphylaxis, uyohlala esengozini uma evezwe emthini ofanayo noma ephindaphindiwe.
Gwema Ukubhekana Nezifo Ezithathelwanayo Ezokulashwa
Ngaphezu kokulungisa amaphutha efonini yakho yezokwelapha , ungalokothi ucabange ukuthi "ukungezwani komzimba" kusho kuphela ukuphathwa kwezidakamizwa. Vumela udokotela wakho ukuthi wazi ukuthi unobungozi bokuziphikisa noma yiluphi uhlobo, ngisho nokuhlaselwa kwezinambuzane noma ukuqhuma okwenziwe okuthile okuthintekile ( xhumana ne-allergenic dermatitis ) noma uvezwe ku (contact contact dermatitis).
Uma ngabe unesiqephu se-anaphylactic esedlule, cabanga ukuthola isongo se-ID yokuxwayisa kwezokwelapha noma idivayisi efanayo ukuze uxwayise odokotela noma imithi uma kwenzeka isimo esiphuthumayo.
Uma udokotela noma esibhedlela esazi kangcono ngomlando wakho wokungezwani komzimba, uzophepha uma uthola izinqubo zokwelashwa.
> Umthombo
- > I-Pennsylvania Patient Safety Advisory (PPSA). "Iziphambeko Zomuthi Ezihlobene Namaqanda Aphephile." I- Patient Saf Advis. 2008; 5 (3): 75-80.