Ukubuza Ukuhlakanipha Kwesisisekelo Sokuqala Ukwelashwa Kokuqala
Uma nje ngisezinsizakalweni eziphuthumayo zezokwelapha (EMS), ukwelashwa kokuzikhethela iziguli ezingenazimo eziphefumulela ukuzibeka endaweni yokutakula. Umqondo ukuvimbela ukuthola i-emesis (okuqukethwe kwesisu) emaphashini, okuyisimo esaziwa njenge- aspiration . Esimweni sezokwelapha, isikhundla sokutakula sisho isikhundla se- lateral esiphezulu , noma ngezinye izikhathi sibhekwa njengesikhundla se- latal decubitus .
Kuzo zonke izigameko, abahlinzeki bokusiza bokuqala bayelulekwa ukuba bafake isiguli ngakwesobunxele sakhe futhi bawubize ngaso sonke isikhathi isikhundla esiphezulu se-latal position.
Ukusebenza Kanjani (Okushiwo)
Umqondo wesikhundla sokutakula ukuvumela okuqukethwe kwesisu ukuba kukhishwe uma ngabe kukhona okubuyiselwayo. Ingxenyeni ye-esophagus (ipayipi yokudla) ilungile eduze ne-top trachea (i-windpipe). Uma noma yini iqhuma kusuka kulesi sikhumba, ingayithola kalula indlela yayo emaphashini, ngokuyisisekelo igwebe isiguli noma idale lokho okuyaziwa ngokuthi i- aspiration pneumonia (ukutheleleka kwamapayipi okuvela emzimbeni wangaphandle).
Inkinga ngesimo sokutakula isifana nokunye okunakekelwa kwemithi yokuqala yokuqala: kubonakala kulungile emfundweni kodwa akekho owaziyo uma isebenza ngempela. Akukho imali eningi ekusizeni kuqala ngaphandle kokuba ukwelashwa kudinga isidakamizwa noma isiqeshana semishini ekhethekile. Ukubeka omunye umuntu ukuba avimbele ekufuneni akusizi mahhala.
Ngenxa yokuthi akukho lutho olutholayo, bambalwa kakhulu abantu abacwaninga ngezinto ezifana nokubuyisela.
Ukusekela Ubufakazi (Akukho Okuningi)
Sakwazi ukuthola isifundo esisodwa esibheke ukusebenza kwezikhundla ezahlukene zomzimba ekuthandeni. Ukutadisha kuphutha ngokuthi akukona ngempela ukuqhathanisa izikhundla zomzimba njengohlobo lwezokwelapha.
Esikhundleni salokho, lolu cwaningo laliqhathanisa imiphumela yeziguli eziye zadlula futhi zahlanza ngaphambi kokuba noma ubani efike lapho. Abalobi babheka ukuthi isiguli sitholakale kanjani bese siqhathanisa ukuthi yilowo nalowo wenza kanjani kahle ngokuhamba kwesikhathi.
Kulolu cwaningo, isimo sokutakula sasingcono kunokuba ngabe umuntu ongenalwazi wayelele phansi emhlane wakhe, owaziwa ngokuthi supine . Kodwa-ke, indlela engcono kakhulu yokuvikela umgwaqo womoya-okungenani ngokusho kwalolu cwaningo - yilapho isiguli sithandwa , silele esiswini sakhe. Kuvela ukuthi uma ulala phansi kanye nomkhumbi (umlomo wakho) endaweni ephansi kunazo zonke, izinto eziphuma emgodini wakho ngeke zithole indlela eya emaphashini akho.
Ubani owaziyo?
Yiqiniso, akulona lokho okulula. Babesafunda isenzakalo, hhayi ukhetho lwezokwelapha olwenziwa ngabahlengikazi. Abaningi bethu banganqikaza ukugubha isiguli sethu ngokugcwele. Okokuqala, kufanele ukwazi ukuqapha ukuphefumula kwesiguli kanye nomoya womoya uma isiguli singumuntu ogulayo. Kunzima kakhulu ukwenza lokho uma ubuso bakho begulane buxoshwa emhlabathini. Isihlabathi esiphefumulayo asikho kangcono kakhulu kunokusana kwasemini, kuze kube sekugcineni.
Kukhona Okunye Okungaphezu Kokudlula Kokudlulela Kuka-Puking
Esinye isifundo engasithola ngokubeka isiguli esingaphezu kokudlula isikhathi kwenza izinto zibe nzima nakakhulu.
Kungenxa yokuthi isiguli siye sigwinya amaphilisi amaningi asisho ukuthi uye wangena yonke into engase ibe yingozi. Kukhona cishe njalo ama-capsules angaphenduliwe kanye namaphilisi asemanzini. Elinye iqembu labacwaningi lilinganisa umphumela wokuma umzimba ngokushesha ukuthi lezo zingxenye ezingaphenduliwe zephilisi zenza kanjani igazi. Kubizwa ngokuthi ukuxhuma, futhi kuvela ukuthi isikhundla sethu somzimba sinethonya elikhulu ngokuthi siyashesha kangakanani.
Kulesi sifundo, ukuphuma kwe-latub decusitus kushiywe phezulu. U-Supine wayeyinqobe ngempela, kodwa ngisho nalaba bhali bamukela ukuthi okuqukethwe kwesisu ngaphakathi kwamaphaphu akho kunqotshwa ngenhloso yokunciphisa ukumuncwa kuqala.
Ukubeka isiguli esiswini sakhe kwakubi kakhulu ekunciphiseni ukudlula ngokweqile. Esikhundleni esivamile, iziguli zathola amaphilisi ngokushesha kakhulu.
Kuthiwani uma isiguli sinesifo senhliziyo?
Njengokungathi amanzi ayengenangqamuzana ngokwanele, kunomsebenzi owodwa ongase ukwazi ukuwuhlola. Iziguli ezinesifo senhliziyo eyaziwa ngokuthi ukukhubazeka kwenhliziyo (CHF) azibekezeleli kahle isimo sokutakula. Laba bantu banezinkinga zokugcina igazi liqhuma ngenhliziyo futhi lapho belala ezinhlangothini zabo, inhliziyo ithola iningi elingaphezu kokuvamile.
Iqembu lesithathu labaphenyi laqhathanisa amavolontiya angu-14 anempilo eneziguli ezingu-14 ze-CHF (ezazingamavolontiya). Iziguli ezine-CHF azizange zishintshe ngokweqile uma zihamba zihlala ezihlalweni noma zinyuka. Nokho, ezinhlangothini zabo, babe nokuphefumula nokungahambi kahle.
Lokho okushoyo ngawe
Ungase udideke manje manje uma uqala lesi sihloko, kodwa yilokho iphuzu. Iningi lezokwelapha ezifundiswa ekusizeni lokuqala zisekelwe ekufundiseni kunokuba kube nobufakazi. Uma kunengqondo, yile ndlela eyenziwe ngayo. Ngezinye izikhathi, imibono ayiphutha. Ngesinye isikhathi, ubufakazi bungaphambani kahle futhi buyashintsha indlela usizo lokuqala olwenziwa ngayo, kuphela ukuguqula emuva futhi ubufakazi obunye bushicilelwe. I-CPR iyisibonelo esiphelele sendlela indlela yokuqala yokusiza ngayo ebbs futhi igeleza ngokuhlanganiswa kwezombangazwe, imfashini kanye nobufakazi obukhulayo obunikazi.
Ngokungafani ne-CPR, ukujwayela ukubeka iziguli ezingenalutho endaweni yokubuyisela akuzange kushintshwe emashumini eminyaka. Ngicabanga ukuthi kungenxa yokuthi ukufisa akuyona into evamile ezigulini eziningi. Eqinisweni, isifiso siyinkinga ngabaguli asebekhulile abane-dementia abanenkinga yokugwinya.
Isimo sokutakula sifundiswa ngendlela ecacile. Ezinye izincwadi zokusiza - kanye nemibhalo eyithuthukisiwe kakhulu - umlondolozi ubeke isiguli eceleni kwakhe ngomlenze owodwa futhi ikhanda lihlezi engalweni. Izwe langempela aliyona eqondile. Ukuqonda okudingayo ukufeza kubaluleke kakhulu kunokwenza kwakho. Gcina izinto eziphuma emaphashini akho eziguli. Uma lokho kusho ukuthi uyawaqeda cishe yonke indlela ezindlini zabo, ngakho-ke yiba njalo. Qinisekisa ukuthi ubheka ukuphefumula kwabo futhi uma beyeka, bawaqede bese uqala i-CPR.
Imithombo:
Adnet F, Borron SW, Finot MA, Minadeo J, Baud FJ. "Ukuxilongwa kwesimo somzimba ngesikhathi sokutholakala nomfutho we-pneumonia osolakala ukuthi unesifiso esikhwameni esinobuhlungu." Crit Care Med . 1999 Apr; 27 (4): 745-8. I-PubMed PMID: 10321664.
Palermo P, Cattadori G, Bussotti M, Apostolo A, Contini M, Agostoni P. "Isikhundla se-decubitus esithatha kamuva siveza ukungakhululeki futhi sidlulela ukusebenza kwamaphaphu ekuhlulekeni kwenhliziyo engapheli." Isifuba . 2005 Sep; 128 (3): 1511-6. I-PubMed PMID: 16162751.
UVance MV, uSelden BS, u-Clark RF. "Isikhundla esiphelele sesiguli sokuthutha nokuphathwa kokuqala kwezindlela ezinobuthi." U-Ann Emerg Med . 1992 Mar; 21 (3): 243-6. I-PubMed PMID: 1536482.