Yini Ongayilindela Uma Uhlinzeka Ngokuhlinzwa Okuphuthumayo

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Ukuqala kokuhlola kuqala

Ukuhlinzwa okuphuthumayo kuyona okumelwe kwenziwe ngokushesha futhi ngaphandle kokuthi umuntu angafa angalimele unomphela.

Lapho befika ekamelweni eliphuthumayo, abasebenzi abaphuthumayo bazoqala ukuhlola isimo somuntu. Lokhu kuzofaka phakathi ukuthatha izimpawu ezibalulekile , ukubukeza izimpawu, ukwenza ukuhlolwa ngokomzimba, nokuthatha umlando wezifo ezedlule nezamanje zomuntu, ukusetshenziswa kwemithi, nokusetshenziswa kwemithi.

Uma isiguli sigula kakhulu, ukwelashwa kungaqala ngokushesha kanye nokuhlolwa kokungenisa. Uma kudingeka, lo muntu angase aqiniseke ngemithi, ukumpontshelwa igazi, uketshezi olunamanzi, nezinye izinhlobo zokungenelela okuphuthumayo.

Ezimweni eziningi, abasebenzi abahlengikazi bazoqala ukufinyeleleka ngokweqile (ukufaka i-IV line ibe yimfucuza) ukuze kube lula ukulethwa kwemithi.

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Ukuhlolwa kokuxilongwa ngaphambi kokuhlinzwa

Uma ukuhlolwa komzimba sekuphelile futhi isiguli sesimisiwe, izivivinyo zokuxilonga zingahle zibekwe kuhlanganise nama-X ray, umsebenzi webhu, ukuhlolwa kwe- tomography (CT) , ukucabanga kwe-magnontic resonance (MRI) , ama- electrocardiogram (ECGs) ukuhlola impilo ye-heart, electroencephalograms (EEGs) ukuhlola ukulimala kobuchopho.

Uma izivivinyo ziqinisekisa isidingo sokuhlinzwa, udokotela ohlinzayo uzobe esetshenziselwa ngokushesha. Ezibhedlela ezinkulu, ukuhlukumezeka noma udokotela ohlinzayo ngokuvamile utholakala amahora angu-24 ngosuku futhi ngokuvamile uzokwenza ukuhlolwa kwabo ekamelweni eliphuthumayo.

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Ukudluliselwa okuphuthumayo kwenye indawo

Kuye ngokuthi uhlobo lwesibhedlela umuntu uthathwa yini, ukudluliselwa kwesinye isikhungo kungadingeka. Izibhedlela ezincane noma zasemaphandleni kaningi akanayo amachwepheshe noma amakhono okwenza ubuchwepheshe abathile.

Esimweni esinjalo, igumbi lokuphuthumayo lizoqondisa ukudluliswa uma isiguli sigxilile, ngokuvamile ngaphakathi kwehora noma ngaphansi. Ukuthutha kungabandakanya i-ambulensi noma i-helicopter nabasebenzi abaqeqeshwe ukusiza ukuhambisa ukuphepha okuphephile.

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Ukulungiselela Ukuhlinzwa

Ngokuvamile i-anesthesia ngokuvamile inikezwa ngenkathi kuhlinzwa okuphuthumayo ukuze ihlaziye ngokuphelele umuntu futhi ikhubaze okwesikhashana imisipha yakhe. Ukuze wenze lokhu, imithi ihanjiswa yi-IV ukuphumula isiguli ngenkathi udokotela ebeka ithini lokugcina engxenyeni ye-windpipe. I-tube ixhunywe ku- ventilator ethatha ukuphefumula kwesiguli ngesikhathi sokuhlinzwa.

Eminye imithi inikezwa ukuvimbela noma yikuphi ukunyakaza nokuqinisekisa ukuthi umuntu ulele kulo lonke uhlelo. I-anesthesiolgist izohlala isesandleni ukuze iqhubeke iqapha izimpawu ezibalulekile.

Uma kunesidingo, i-anesthhesiologist izobeka iminye imigqa ye-IV noma umugqa owodwa omkhulu (obizwa ngokuthi umugqa ophakathi ) engxenyeni yesiguli ukuletha imithi ehlukene ngesikhathi esisodwa.

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Ukuhlinzwa okuphazamisayo

Uma i-anesthesia ejwayelekile isebenza, ukuhlinzwa okuphuthumayo kuzoqala. Indawo yomzimba okufanele iqhutshwe kuyo izohlanzwa kahle futhi ihaqwe ngamagalabhisi oyinyumba ukuqinisekisa ukuthi indawo ihlala ingenalo i-germ.

Imvelo yokuhlinzeka nokugula izocacisa ukuthi kuningi odokotela abahlinzayo abadingekayo nokuthi uzosebenza isikhathi esingakanani. Uma kudingeka, ukumpontshelwa igazi kungalawulwa ukuba kuqiniswe isiguli ngesikhathi senqubo. Ngokuvamile, amanzi e-IV anikezwa ngenkathi kuhlinzwa ukukhokhela noma yikuphi ukulahlekelwa kwegazi kanye nomzimba wamanzi.

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Ukubuyiswa Ngemva Kokuhlinzwa

Lapho ukuhlinzwa sekuphelile, lo muntu uzothunyelwa ekamelweni lokunakekela i-post-anesthesia (PACU) uma ezinzile. Isiguli siyoba groggy kuze kube yilapho i-anesthesia iphela. Phakathi nalesi sigaba sokutakula, izimpawu zomuntu ezibalulekile zizohlolwa ngokucophelela kanye nemithi yokwelashwa enqunyiwe njengoba kudingeka.

Uma isiguli sesilumkile futhi i-anesthesia isiphelile, uyothunyelwa ekamelweni lesibhedlela ukuze aqale ukuphulukiswa. Labo abangaguquki noma abadinga ukuqapha okuqhubekayo bayothathwa ekliniki yokunakekelwa okujulile (i-ICU) .

Abantu abanokulimala okubucayi ama-mahy kumele bahlale e-ventilator baze baqine ngokwanele ukuphefumula ngokwabo. Abanye bangadinga ukuhlinzwa okungeziwe noma izinqubo zokwelapha.

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Ukuvuselelwa nokuKhipha

Emva kokuhlinzwa, ama-antibiotic ayobekwa ukuba avimbele ukutheleleka futhi imithi ehlukahlukene yobuhlungu izosetshenziselwa ukulawula ubuhlungu. Izikhathi zokubuyisela zingahluka futhi zingabandakanya ukwelashwa kokuvuselelwa. Labo abase-ICU bazohlala lapho baze bakwazi ukuphefumula ngaphandle kosizo.

Ukuze iziguli ezigula kakhulu ukuba zidle, ukudla okunomsoco kungathunyelwa yi-IV noma nge-tube yokudla efakwe ngaphakathi. Uma unamandla okwanele ukukwenza, isiguli sizoqala ngokusika amancane amakhemikhali ahlanzekile futhi kancane kancane sithuthuke ekudleni okujwayelekile.

Kulabo abakwazi ukukwenza, ukuphumula kuzoqala ngokucela umuntu ukuba ahlale emaphethelweni embhedeni futhi ahambe aye endlini yokugezela. Njengoba lo muntu ethuthukisa, amabanga ahambayo azokwenyuka noma ngaphandle kwezinsiza zokuhamba.

Abasebenzi abahlengikazi bazohlinzeka ngokunakekelwa kokuklanywa ngesikhathi sokuhlala esibhedlela futhi bafundise isiguli indlela yokunakekelwa kahle ngesilonda lapho esekhaya. Inqubo yokukhishwa kwesibhedlela izoqala uma udokotela eqinisekisiwe ukuthi lowo muntu ukhululiwe kakhulu. Uma kunesidingo, ukunakekelwa kwezempilo ekhaya kuzokulethwa ukusiza ngokushintshwa noma ukuhlinzeka ngokunakekelwa okuqhubekayo.