Ukuhlola Utshwala-Iziguli Ezixilisayo
Ukuhlola isimo sezokwelapha noma isikhalazo kunzima ngaphansi kwezimo ezinhle kakhulu. Esikhathini semvelo, lapho kuningi okukhululwa khona, kuvame ukuzwakala umsindo kanye nezinkinga nababhekene nazo ukuze benze ukuhlolwa kwezikhalazo zezokwelapha okunzima kakhulu. Ukwenza izinto zibe zimbi nakakhulu, udoti uvame ukubamba iqhaza ekusindisweni.
Ngokuvamile, lapho abahlengikazi bebhekene nesiguli esidakiwe, abaphenduli esimweni esiphuthumayo ngokuqondile esihlobene nokuphuza utshwala, njengobuthi obuyingozi utshwala .
Esikhundleni salokho, abahlengikazi basabela ezigulini zezifo ezijwayelekile kanye nokulimala - eziyinkimbinkimbi ngotshwala noma izidakamizwa. Isiguli esigxile kakhulu sidinga ukuhlolwa okukhuthele.
Utshwala lungase bumise izimo ezithile zezokwelapha nokuphuza utshwala kubonakala kufana nezimo eziningi ezisongela ukuphila. Ukuphuza utshwala obungapheli kubangela umonakalo emzimbeni oshiya abahlukumezi bezophuza ngokweqile kunezinye izimo zezokwelapha. Kungakhathaliseki ukuthi isiguli sisuke siphuze isenzakalo esisodwa noma umhlukumezi ophuza utshwala, kuzodingeka kwenziwe izinguquko ezithile zokuhlolwa nokwelapha.
Imvume kanye noDova noma ukuDakwa kwezidakamizwa
Ukuzitika ngokweqile kuyathinta indlela imvume esebenza ngayo usizo lokuqala kanye nezimo zezokwelapha eziphuthumayo. Kuzo zonke izimo (ezidakiwe noma cha), iziguli zesimo esiphuthumayo sezokwelapha kufanele zinikeze imvume yokuba umsindisi asize. Kuyadingeka ukuba isiguli siqonde isidingo sokwelashwa ngaphambi kokuvuma kunoma yiluphi usizo, kanye nokuqonda imiphumela yokwenqaba ukwelashwa.
iziguli kumele zikwazi nemiphumela emibi yokwelapha etholakalayo.
Lokho ulwazi oluningi. Kunzima kakhudlwana isiguli esingeke siphuze noma ezinye izinto. Ngenxa yobunzima bokucabanga okudingekayo, ngokuvamile kubhekwa iziguli ezidakiwe (uma uphuzo oludakayo, kusebenza ngokwengeziwe) ukuthi uma beqaphele futhi benengqondo, bayokwamukela usizo esimweni sabo.
Sibiza le fomu yemvume ekhonjelwe imvume .
Utshwala kanye ne-ABC
I-ABC's aid lokuqala ayishintshi ngoba nje isiguli siyadakwa. Eqinisweni, i-ABC iyabaluleke kakhulu kunesiguli esiphelele. Utshwala luyisimiso esiyisisindo sokucindezeleka kwesisindo futhi singacindezela i-gag reflex, okwenza kube nesidingo esiphuthumayo. Utshwala luphinde lubangele ama-vertigo kwabanye abantu, okuholela ekusizeni isisu nokuhlanza. Ukuvuthwa kanye nokucindezeleka kwe-gag noma ukukhwehlela ukukhwehlela kuyoholela ekufisweni kwe-emesis (ukuhlanza) emgwaqweni womoya.
Ukudakwa ngokweqile kotshwala kungadala umzamo ophefumulayo wokuphefumula, okwenza isiguli siphefumule kancane kancane. Ngaphandle kokuphuza utshwala, kunezinye izinto eziningana ezenza ngisho nokucindezeleka okuphefumulayo okujulile. Ama-opiates, afana ne-heroin, ngokuvamile adala ukuboshwa okuphefumulayo okuphelele (ukuphefumula kokuphefumula). Ama-benzodiazepines, afana ne-valium, nawo adala ukucindezeleka kokuphefumula futhi abe namandla kakhulu uma kuhlangene nophuzo.
Utshwala lubangela ukuthungulwa kwemithambo yegazi, okunciphisa ukucindezelwa kwegazi nokuvimbela ikhono lomzimba lokukhokhela ukuphuma kwegazi nokushaqeka . Ukunwetshwa kwamanzi (i-vasodilation) kwenza igazi ligijimele esikhumbeni futhi likhukhumeze ubuso bomzimba, lapho sele selehlile khona - okungenzeka kuholele ekutheni i- hypothermia .
Utshwala lubangela izinguquko eziningana ezingeni lomuntu. Inkulumo ehlanjululwayo, i-gait engazinzile, nokudideka yizona ezivame kakhulu. Noma ubani obonwayo umuntu odakiwe uyazi ukuthi ukudakwa kungenza umuntu enze kanjani futhi azwakale. Lezo zindlela zifana nezibonakaliso zokulimala nokugula okuhlukahlukene. Ukulimala , ukulimala kwekhanda elivaliwe , futhi i- hypoglycemia yizimo ezivamile ezihlobene nobuchopho eziholela ekuphazamiseni inkulumo nokuphazamiseka, okungase kudideke nokusetshenziswa kotshwala.
Ngaphandle kwemiphumela emibi yokuphuza utshwala emsebenzini wezinzwa zobuchopho, kunezinguquko zomzimba ezibangelwa ukuphuza ngokweqile kuze kube nzima ukuphuza impilo yonke.
Okukhathazeka ngokukhethekile yi-brain atrophy ("ukwehla" kobuchopho). I-Brain atrophy ishiya indawo engaphezulu ngaphakathi kwe-cranium ukuze igazi liqoqe ngesikhathi sokulimala kobuchopho. Utshwala luyanciphisa izindonga zemithambo yegazi futhi kubangelwa ukuba bahlukane nokuphuza. Ukuhlanganiswa kwalezi zici kubangela ukwanda kwegazi lokungena emzimbeni, futhi ukusetshenziswa kotshwala kubangela ukuthi kungenzeka ukuwa.
Izisulu Zikaze Zisindiswe '
Kungase kube nokuthambekela kokuxosha izikhalazo ezixubile ngenxa yezikhombisi ukuthi utshwala bukhona. Izisulu ezidakiwe zivame ukuphuza utshwala futhi zingase zibe nezimfanelo ezingathandeki, njenge-incontinence, ezenza zingathandeki ukuphatha.
Ngayo yonke lemiphumela yotshwala emzimbeni nasengqondweni, izinkinga zezokwelapha zangempela zingakhanjelwa. Ukwazi imiphumela, asikho isizathu sokuhlola okuncane. Ngaso sonke isikhathi ucabanga ukuthi izimpawu nezimpawu zivela esimweni esinzima kunazo zonke zezokwelapha futhi zikwazi ukubangela izimbangela, futhi, zibheke ezimweni ezinzima kakhulu. Ngokuvamile, ukudakwa ngokweqile kuyinkinga encane yesisulu.
Abaqeqeshiwe kanye nokubeka abahlengikazi ngokufanayo kufanele bathathe ukuphuza ngokweqile uma behlola izisulu zokugula noma ukulimala. Ukuba khona kotshwala kungenza ezinye izimo zibe zimbi nakakhulu. Isisulu esiphuzile sokuphefumula singase sibe nesisindo esinzima kakhulu ekungeneni kwe-oxygen.
Ukusebenzisa kabi utshwala okweqile kuholela ezinkingeni ezinkulu zezokwelapha, izitho ezimazayo njengezinhlobonhlobo ezifana nesibindi, isisu, ubuchopho nenhliziyo. Ukungasho, abahlukumezi abaphuza utshwala bavame ukusebenzisa ezinye izinto ezilimazayo - njengegwayi - nemiphumela yabo siqu. Phatha izidingo zabahlukunyezwa kungakhathaliseki ukuthi ziphuza kanjani.
> Imithombo:
> Cardenas, VA, C Studholme, DJ Meyerhoff, E Song, noMV Weiner. "Umlando ophuthumayo ophuzayo ophuza kakhulu nomndeni weNkinga Ukuphuza i-Modulate Regional Brain Tissue Volumes." I-Psychiatry Res 138 (2005): 115-30.
> Isikhungo Sokubambisana Sikazwelonke Sokunakekelwa Okunzima. Ukulimala kwekhanda: ukuhlolwa, ukuhlola, ukuphenya nokuphathwa kokuqala kokulimala kwekhanda ezinganeni, izingane kanye nabantu abadala. I-London (UK): Isikhungo Sikazwelonke Sokuhlonipha Imitholampilo (NICE) 2003
> Cherpitel CJ, Ye Y, Bond J, Rehm J, Cremonte M, Neves O, Moskalewicz J, Swiatkiewicz G, noGiesbrecht N. "Umphumela wokusetshenziswa kotshwala kumasevisi ezimo eziphuthumayo usebenza phakathi kweziguli ezimele: igumbi eliphuthumayo ukutadisha. " J Stud Utshwala . 67 (6) 2006: 890-7.
> UGenetta, uTomas, uBen H. Lee, no-Augusto Sola. "Amanani aphansi e-ethanol ne-hypoxia asebenzisana ndawonye asebenze ngokuvumelana nokukhuthaza ukufa kwe-cortic neurons." I-Neuroscience Research 2006