Ffenna tuwulidde ku mawulire nti waliwo omuntu eyaweebwa ekitanda mu ddwaaliro lino mu kitongole ekijjanjaba abalwadde ab'amangu (ETU) mu mbeera ya "Critical". Oba tulabye amawulire agagumya nti embeera y'omuntu omulala kati "Fair". Naye ddala ebigambo bino bitegeeza ki? Wali weebuuzizzaako amakulu g’obusawo agali emabega w’ebigambo bino? Ekyo kye twogerako leero.
Lwaki abasawo bakozesa ebigambo bino?
Ekintu kye tulina okusooka okutegeera kiri nti eddwaaliro bwe linnyonnyola embeera y’omulwadde eri bannamawulire oba eri ab’ebweru okutwaliza awamu, ebigambo bino bikozesebwa mu bugenderevu. Kwe kugamba, ziwa endowooza ya bulijjo yokka ku mbeera y’omulwadde.
Ensonga enkulu lwaki okozesa ebigambo ng’ebyo ebya bulijjo kwe kukuuma eby’ekyama by’omulwadde . Tekisoboka kwogera bikwata ku bujjanjabi bw’omulwadde bwonna. Eno y’ensonga lwaki ebigambo ebimu ebya mutindo nga bino bikozesebwa okuwa endowooza enkakali ku mbeera.
Omuntu w’omu maka oba mukwano gwo bw’aba mulwadde oba n’afuna akabenje n’aweebwa ekitanda mu ddwaaliro, omusawo oba nnansi ayinza okukunnyonnyola embeera mu bigambo bino. Kyokka, obuziba bw’okunnyonnyola kwe bakuwa buyinza okwawukana okusinziira ku ngeri gy’oli ku lusegere n’omulwadde n’embeera ey’amangu.
Ebigambo ebikulu 5 ebigabanya embeera z’obujjanjabi
Okutwalira awamu, waliwo ebigambo ebitonotono eby’omutindo ebiyingizibwa ebibiina nga American Hospital Association (AHA). Mu Sri Lanka, tutera okugabanya embeera z’abalwadde mu ngeri y’emu. Kati katutunuulire amakulu ga buli kimu ku bigambo bino.
| Kakwakkulizo | Amakulu amangu |
|---|---|
| Tekinnaba kutegeerekeka (tekinnaba kutegeerekeka) . | Omulwadde tannaba kukeberebwa bulungi musawo n’aweebwa ekizuuliddwa. |
| Kirungi | Obubonero obukulu bubeera butebenkevu. Omulwadde aba amanyi. Okuwona amangu kusuubirwa. |
| Lungi katono | Obubonero obukulu bubeera butebenkevu. Omulwadde ategeera, naye ayinza okuba n’obuzibu oba obulumi. Enteekateeka y’okuteebereza nnungi. |
| Kikulu | Obubonero obukulu buyinza obutaba bunywevu. Embeera y’omulwadde mbi nnyo. Kizibu okwogera n’obukakafu ekigenda okuddirira. |
| Okwetegereza | Obubonero obukulu tebunywevu, ebweru w’ekigero ekya bulijjo. Omulwadde ayinza okuzirika. Waliwo akabi eri obulamu, era ebiseera eby’omu maaso tebiyinza kulagulwa. |
Njawulo ki eriwo wakati wa ‘Kirungi’ ne ‘Obwenkanya’?
‘Kirungi’ kitegeeza nti obubonero bw’omulwadde obukulu, gamba ng’okukuba kw’omutima, puleesa, n’ebbugumu ly’omubiri, bibeera binywevu ku mutindo ogwa bulijjo . Omulwadde abeera bulindaala era tali mu buzibu bwonna obw’amaanyi. Omusawo asuubira okuwona obulungi ennyo.
Mu mbeera ya ‘Fair’ (ematiza), obubonero obukulu buba bunywevu. Kyokka omulwadde ayinza okuba ng’alina obuzibu oba obulumi. Abeera amanyi. Mu kiseera kino, omusawo asuubira ebirungi ebivaamu . Mu ngeri ennyangu, ‘Kirungi’ kitegeeza embeera esingako katono.
Ebigambo ebibiri eby’akabi ‘Serious’ ne ‘Critical’.
Mu mbeera ya ‘Serious’, obubonero bw’omulwadde obukulu buyinza obutabeera bunywevu. Ekyo kitegeeza nti bayinza okusukka ekkomo erya bulijjo. Embeera y’omulwadde mbi nnyo. Eno mbeera nga n'omusawo tasobola kuteebereza ddala kiki ekiddako .
‘Critical’ gwe musango ogusinga okuba ogw’amaanyi. Wano , obubonero obukulu tebunywevu ddala, nga busukka nnyo ekkomo erya bulijjo . Omulwadde ayinza okuzirika. Kizibu omusawo okuba n’essuubi eddungi eri ebiseera eby’omu maaso, oba kiba tekikakafu nnyo n’atayinza kwogera kintu kyonna ku bigenda okubaawo.
‘Obulabirizi obukulu’ kye ki?
Ekigambo ‘critical’ kikozesebwa okutegeeza embeera y’omulwadde n’ekika ky’obujjanjabi bwe yeetaaga. Abantu abalina endwadde oba obuvune obuyinza okutta obulamu beetaaga ‘critical care’ , nga eno y’obujjanjabi obw’amaanyi obusinga okubeerawo. Obujjanjabi buno butera kuweebwa mu ddwaaliro.Mu kitongole ky’abalwadde abayi (ICU).
Mu ICU, obuyambi bw’obulamu buweebwa. Ebimu ku byokulabirako bye bino:
- Ekyuma ekikuyamba okussa. Kino tukiyita ekyuma ekissa empewo .
- Enkola z’okuzuukusa omutima singa omutima gulekera awo okukuba. Ng’ekyokulabirako, CPR ne defibrillation .
- Okuliisa mu tube okusobola okuwa omubiri ebiriisa n’amazzi ebyetaagisa.
Naye jjukira nti olw’okuba omulwadde ali ku ‘life support’ tekitegeeza nti obulamu bwe buli mu kabi. Oluusi, zikozesebwa ng’obuyambi obw’ekiseera okutuusa ng’omulwadde asobodde okukola emirimu egyo ku lulwe.
Kale ‘Stable’ mbeera?
Wano abantu bangi we basibira. Mu butuufu, ebibiina nga AHA bigamba nti kirungi obutakozesa kigambo "stable" kyokka okunnyonnyola embeera y'omulwadde.
Ate era, tebakkiriza kukozesa bigambo bibiri nga "critical but stable" wamu. Lowooza ku nsonga eno, ‘Critical’ eri omuntu ng’obubonero bwe obukulu tebunywevu. Omuntu ng’oyo ayinza atya okuba ‘Stable’? Ekyo kikontana, si bwe kiri?
Kyokka mu malwaliro mangi okwetoloola ensi yonna, nga bwe kiri mu nsi yaffe, ekigambo ‘stable’ kye kikozesebwa. Wano, ‘okutebenkera’ kitera okutegeeza nti obubonero bw’omulwadde obukulu tebukyuse nnyo mu kiseera ekyo, wabula busigala ku ddaala lye limu .
Naye olw’okuba tewali nnyonyola ya busawo ekkaanyiziddwaako ku kino, omusawo omu ky’atwala nti ‘Ekinywevu’ omulala ayinza okukitwala ng’ekitali kinywevu.
Kale, singa omusawo agamba nti ‘stable’ ng’omuntu gw’omanyi ali mu ddwaaliro, kirungi n’oddamu okumubuuza okutangaaza ddala kye bategeeza. "Musawo, 'stable' kyali kitegeeza nti embeera yaabwe etereera oba tegenda yeeyongera?" Totya kubuuza.
Obubaka Obutwala Awaka
- Ebigambo nga ‘Critical’ ne ‘Fair’, bwe bikozesebwa mu mawulire oba okutwaliza awamu okunnyonnyola embeera y’omulwadde, bikozesebwa mu bugenderevu mu ngeri ey’enjawulo okukuuma eby’ekyama by’omulwadde.
- Ebigambo ‘Good’, ‘Fair’, ‘Serious’, ne ‘Critical’ biwa endowooza enkakali ku butebenkevu bw’omulwadde ku bubonero obukulu, okutegeera, n’obusobozi bw’okudda engulu.
- Ekigambo ‘stable’ tekirina nnyonyola ya busawo ntongole, kale kiyinza okubuzaabuza katono.
- Singa omuntu akuli ku lusegere ali mu ddwaliro, ate nga totegedde kigambo kyonna omusawo ky'ayogera, .Tolonzalonza kusaba kunnyonnyola. Ddembe lyo. Omusawo wo ajja kukunnyonnyola mu ngeri gy’osobola okutegeera.
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