Omusaayi gwo guyinza okukosebwa n’ogenda mu ‘shock’? Ka twogere ku 'distributive shock'!

Oh, oluusi tusobola okuyingira mu buzibu obw’amaanyi mu bwangu, nedda? Waliwo ebiseera lwe tuwulira nga tufiirwa obulamu bwaffe era nga kizibu okussa. Mu biseera nga bino, ekintu eky’amaanyi kiyinza okuba nga kigenda mu maaso munda mu mibiri gyaffe. Leero tugenda kwogera ku mbeera emu ng’eyo ey’amangu, eyinza okutta obulamu. Eyo mbeera eyitibwa 'Distributive Shock' .

‘Ensisi ey’okugabanya’ eno kye ki? Mu ngeri ennyangu...

Mu ngeri ennyangu, distributive shock mbeera ya mangu ey’obujjanjabi. Ekibaawo wano, emisuwa gy’omusaayi mu mubiri gwo (omusaayi gye gukulukutira) gufuuka binene nnyo mu bwangu, ng’ekyuma kya kapiira ekigololwa. Oluusi kino era kiyitibwa vasodilatory shock . Kale, emisuwa bwe gifuuka eminene bwe giti, puleesa ekka nnyo mu bwangu. Kilowoozeeko nga singa payipu y’amazzi ekula, amazzi gajja kukulukuta mpola.

Kiki ekibaawo nga kino kibaddewo? Ebitundu byo ebikulu, gamba ng’omutima gwo, obwongo, n’ensigo, tebifuna musaayi gumala . Si ekyo kyokka, naye oluusi omusaayi ogumu gutandika okukulukuta okuva mu misuwa gino emitonotono (capillaries). Kino kiyinza okuvaako obungi bw’omusaayi mu mubiri gwo okukendeera. Embeera eno ya bulabe nnyo, kubanga ebitundu byaffe byetaaga omusaayi buli kiseera okusobola okukola.

Kikulu nnyo: Bw’ofuna ‘shock’ nga eno, kikulu okunoonya obujjanjabi amangu ddala nga bwe kisoboka. Bwe kitaba ekyo, kiyinza okutta omuntu.

Bika ki ebikulu ebya ‘distributive shocks’?

Waliwo ebika bisatu ebikulu ebya ‘distributive shock’, nga buli kimu kibaawo olw’ensonga ey’enjawulo.

1. Septic Shock: Kino kye kika ekisinga okubeerawo. Kiva ku bulwadde bwa bakitiriya. Teebereza, olina ekiwundu, kifuuka kibi ddala, obuwuka ne busaasaana mu mubiri gwo gwonna, ne bufuuka embeera eyitibwa ``Sepsis'', era tosobola kugifuga. Oluusi, n’ekintu ng’ekifuba kiyinza okuleeta embeera eno.

2. Anaphylactic Shock: Kino kiva ku alergy ey’amaanyi. Okugeza abantu abamu balina alergy ey’amaanyi eri ekintu ng’entangawuuzi, nedda? Oba kibaawo nga balumwa ebiwuka ebimu. Omuntu alina asima naye asobola okufuna embeera eno, ne bw’aba ng’alina obuzibu obw’amaanyi ennyo mu kussa.

3. Neurogenic Shock: Kino kiva ku kwonooneka kw’omugongo gwo. Okugeza, singa okuba omutwe ng’obuuka mu mazzi n’ofuna obuvune ku mugongo, oba bw’ofuna akabenje ak’amaanyi akwonoona omugongo, ‘neurogenic shock’ eno eyinza okubaawo olw’engeri gye yakwata ku busimu.

Njawulo ki eriwo wakati wa ‘Distributive Shock’ ne ‘Hypovolemic Shock’?

Zombi bika bya ‘shock’. Kino kitegeeza nti mu mbeera zombi, ebitundu byaffe ebikulu tebifuna musaayi na mukka gwa oxygen bimala. Kyokka, ekivaako kya njawulo.

• Distributive shock , nga bwe kyayogeddwako emabegako, eva ku misuwa eminene ennyo. Kino kitera okuva ku yinfekisoni eyitibwa sepsis oba alergy ey’amaanyi.
• Hypovolemic shock bwe bungi bw’omusaayi oba amazzi amalala mu mubiri nga mutono nnyo. Okugeza kino kiyinza okubaawo singa ofiirwa omusaayi mungi olw’obuvune obw’amaanyi, oba singa ofiirwa amazzi amangi olw’ekiddukano oba okusesema okw’amaanyi.

Mu ngeri ennyangu, mu ‘distributive’ emisuwa gifuuka eminene, mu ‘hypovolemic’ omusaayi/amazzi mu mubiri gakendeera. Okukifuna?

‘Ensisi ey’okusaasaanya’ eno ya bulijjo etya?

Waliwo ebika by’okusannyalala bina bye tumanyi (`Hypovolemic`, `Cardiogenic Shock`, `Obstructive Shock` ne `Distributive Shock`). Ku zino ennya , ekisinga okumanyika ye `Distributive Shock` . Naddala ekika ekiyitibwa `Septic Shock`. Ne mu nsi nga America, abantu nga obukadde bumu bafuna `Septic Shock` buli mwaka. Kiyinza okutuuka ku muntu yenna.

Kiki ekituuka ku mubiri nga gulina ‘distributive shock’?

Nga bwe nnagambye emabegako, emisuwa bwe gifuuka eminene ennyo, puleesa ekendeera. Olwo omuwendo gw’omusaayi ogugenda mu bitundu by’omubiri ne gufuuka ogutamala. Ebitundu byaffe eby’omubiri biringa ebyuma. Zeetaaga okufuna amafuta amatuufu (i.e. omusaayi ne oxygen) okukola. Bwe batafuna musaayi, omukka gwa oxygen, n’ebiriisa ebimala, ebitundu by’omubiri bitandika mpolampola okulekera awo okukola. Kino tukiyita ‘okulemererwa kw’ebitundu by’omubiri’ . Singa ebitundu by’omubiri biremererwa bwe bityo, kifuuka kya bulabe nnyo eri obulamu.

Bubonero ki obulaga kino?

Obubonero bwa distributive shock busobola okwawukana katono okusinziira ku kivaako. Kyokka waliwo obubonero obumu obutera okulabika:

• Okusiiyibwa kw’olususu
• Omutima okukuba amangu n’okussa
• Puleesa ekka (kano ke kabonero akakulu) .
• Emikono n’ebigere bisooka kubuguma, oluvannyuma ne binnyogoga n’okutuuyana.
• Omusujja
• Okuwunya (okuwulira ennyogovu n’okukankana) .
• Okulumwa olubuto
• Okutabulwa, okuwulira ng’ozirika
• Okukolola
• Okussa obubi
• Ekikeeto
• Okusesema
• Obulumi ng’ofulumya omusulo

Singa obubonero buno obumu oba obusingawo bulabika mu bwangu, kirungi obutabutwala nga butono, nedda?

Biki ebivaako ‘Distributive Shock’?

Ng’oggyeeko ebika ebisatu bye twayogeddeko emabegako, waliwo ensonga endala eziwerako eziviirako embeera eno.

• Obulwadde bwa sepsis obuva ku bulwadde bwa bakitiriya (kino kye kisinga okuvaako) .
• Anaphylaxis, nga kino kiva ku alergy ey’amaanyi (e.g., emmere ng’entangawuuzi, okulumwa ebiwuka, eddagala erimu, okusajjuka kwa asima) .
• Okwokya
• Obulwadde bw’olubuto
• Obulwadde bwa Toxic Shock Syndrome (obuyinza okubaawo naddala mu bakyala olw’okukozesa tampon) .
• Obuvune ku mugongo
• Obuzibu bw’endwadde z’omubiri (endocrine disorders).
• Obutakola bulungi mu kibumba (kino tekitera kubaawo katono) .
• Capillary leak syndrome ( okukulukuta kw’amazzi okuva mu misuwa, kino nakyo tekitera kubaawo katono)
• Okumira ennyo eddagala erigaziya emisuwa (Drug overdose) (kino nakyo tekitera kubaawo)

Kino abasawo bakitegeera batya?

Bw’ofuna obubonero buno, omusawo ky’asooka okukola kwe kukukebera obulungi n’akubuuza ebyafaayo by’obujjanjabi bwo. Kyokka omuntu ali mu kutya ayinza obutasobola kukuwa mawulire gonna. Mu mbeera ng’eyo, omuntu ali naawe asobola okubuulira omusawo ku alergy zo, oba wali obaddeko obulwadde bw’okusannyalala, n’eddagala ly’omira. Amawulire gano gayinza okuyamba ennyo mu kuzuula embeera eno.

Oluvannyuma lw’ekyo, omusawo ajja kulagira okukeberebwa okuwerako, gamba nga:

• Okukebera omusaayi: Kebera oba waliwo yinfekisoni n’engeri ebitundu by’omubiri gye bikolamu.
• ECG (Electrocardiogram - EKG): Ekebera enkola y’omutima.
• X-ray y’ekifuba: Kebera embeera y’amawuggwe.
• Ultrasound scan: Tunuulira omutima, amawuggwe n’ebitundu by’omubiri mu lubuto. Ebimu ku bino osobola okubikola ku kitanda.

Kijjanjabwa kitya?

Olw’okuba kino kya mangu, obujjanjabi butera okutandikira mu kisenge ky’abalwadde ab’amangu. Oluvannyuma lw’ekyo, oyinza okukyusibwa n’otwalibwa mu kitongole ekirabirira abalwadde abayi (ICU).

1. Ekintu ky’osooka okukola kwe kuwa amazzi aga IV. Amazzi nga saline gaweebwa mu musuwa. Kino kikolebwa okukkakkanya puleesa yo katono.

2. Ekiddako, tujja kuzuula ekivaako ‘okusannyalala’ era tuwe eddagala erisaanira.

3. Oluusi , tube feeding eyinza okukozesebwa , kubanga omubiri gwetaaga amaanyi.

Mu kifo awajjanjabirwa abalwadde abayi, abasawo ne ba nurse bajja kwongera okulondoola obubonero bwo obukulu (omutima, puleesa, okussa, ebbugumu). Bagenda kukebera n’ebizibu ebiva mu bujjanjabi buno. Bw’oba ​​olina obuzibu okussa ku bubwo, oyinza okuyungibwa ku kyuma ekissa (ventilator) .

Eddagala lya ngeri ki erikozesebwa?

Eddagala eriweebwa ku ‘Distributive Shock’ lyawukana okusinziira ku kivaako:

• Ebiziyiza emisuwa:Bino biweebwa okwongera puleesa. Okugeza, eddagala nga `epinephrine`, `vasopressin`, `norepinephrine` oba `phenylephrine`.
• Eddagala eritta obuwuka : Singa wabaawo yinfekisoni.
• Antihistamines: Singa kiva ku allergy.
• Steroids: Ku alergy oba sepsis ey’amaanyi.
• Albuterol inhaler (nga Accuneb® oba Proair®HFA): Singa ensisi eva ku asima.

Waliwo ebizibu byonna ebiva mu bujjanjabi buno?

Yee, eddagala erimu liyinza okuleeta ebizibu ebitonotono.

• Ebiziyiza emisuwa: omutima obutakuba bulungi (arrhythmia), obutawummulamu, okuzimba amawuggwe, okulumwa mu kifuba, okufunda kw’emisuwa gy’omutima egy’omutima (kino kiyinza okuvaako omutima okulwala).
• Eddagala eritta obuwuka : Okuziyira, okusiiyibwa.
• Albuterol: Okweraliikirira, okuziyira, okuziyira.
• Antihistamines: Otulo, okuziyira, okulumwa omutwe, omutima okukuba amangu.

Naye, abasawo bajja kutunuulira bino byonna era bakuwe obujjanjabi obusinga okutuukirawo. Ekisinga obukulu kwe kutaasa obulamu bwo.

Tukendeeza tutya akabi kano?

Tuyinza obutasobola kwewala buli kimu ekivaako distributive shock. Okugeza yinfekisoni n’okwokya. Wabula waliwo ebintu bye tuyinza okukola okukendeeza ku bulabe bw’okusannyalala kuno olw’ensonga ezimu ezimanyiddwa:

• Bw’oba ​​olina alergy ey’amaanyi mu mmere , gamba ng’entangawuuzi, bulijjo tambula n’empiso ya epinephrine auto-injector (nga EpiPen® Auto-Injector oba Adrenalin®). Manya bulungi engeri y’okugikozesaamu.
• If you have frequent asthma flare-ups , kuuma ekyuma kyo ekissa albuterol oba salbutamol buli kiseera. Tokireka kuggwaawo.
• Bw’oba ​​okozesa tampons, tozireka mu bbanga ddene, kuba kino kiyinza okuvaako Toxic Shock Syndrome, ekiyinza okugenda mu maaso n’efuuka Distributive Shock.
• Tobuuka mu mazzi agatali mawanvu oba mu mazzi ag’obuziba obutamanyiddwa. Kiyinza okuvaako omugongo okwonooneka.
• Bw’oba ​​omira eddagala erigaziya (okuggulawo) emisuwa gyo, tolimira nnyo. Ddira omuwendo gwokka omusawo gw’akugamba okumira.

Kiki ekibaawo singa ‘distributive shock’ ebaawo?

Singa ekivaako ensisi ye sepsis, oyinza okufuna obuzibu obw’ekiseera ekiwanvu. Ebintu ng’obukoowu, ebirooto ebibi, n’obutayagala mmere. Ka kibeere ki ekivaako, olina okugenda mu maaso n’okulaba omusawo wo okugenda okugoberera. Era olina okumira eddagala omusawo ly’akulagira ddala.

Ekiseera ekitwala okudda engulu okuva mu distributive shock kisinziira ku ngeri gye kyali eky’amaanyi. Oyinza okwetaaga okubeera mu ddwaaliro okumala ennaku ntono okutuuka ku wiiki ntono.

Omuwendo gw’abantu abawangaala embeera eno guyinza okwawukana okuva ku bitundu 20% okutuuka ku bitundu 80%, okusinziira ku kivaako. Singa tebujjanjabwa, emirundi mingi kiyinza okuviirako okufa. Okuzuula obulwadde nga bukyali n’okubujjanjaba y’engeri esinga okutaasa obulamu. Abakadde, abanywa omwenge, n’abo abalina obuzibu mu bitundu by’omubiri ebingi be bali mu bulabe obw’amaanyi.

Singa omubiri gwo gukwata bulungi amazzi aga IV era n’ebitundu byo byeyongera okukola, olina emikisa mingi okuwona.

Nkola ntya okwerabirira nga mmaze okutuuka awaka?

Bw’omala okutuuka awaka okuva mu ddwaaliro, weerabirire ng’omusawo bw’akugamba. Oyinza okwetaaga okubeera awaka okumala ennaku oba wiiki ntono osobole okuwummula obulungi nga tonnadda ku mulimu. Kuuma enteekateeka zo ez’okugoberera. Eddagala lyo limira ddala nga bwe likulagiddwa.

Bw’owulira ng’ozzeemu okufuna obuzibu ng’oli waka, kuba essimu y’omusawo mu bwangu.

Mu mbeera ey’amangu: Omuntu yenna alina obubonero bw’okusannyalala (distributive shock) alina okutwalibwa mu kisenge ky’abalwadde ab’amangu mu bwangu. Okutuusa nga ambyulensi etuuse, omuntu ali mu kutya agalamire. Zibikkeko omufaliso okuzikuuma nga zibuguma, n’okusitula amagulu gazo nga ekigere kimu okusobola okulongoosa entambula y’omusaayi.

Bibuuzo ki by’osaanidde okubuuza omusawo?

Bw’oba ​​ofunye embeera eno, kirungi okubuuza omusawo wo ku bintu nga:

• Ndi mu bulabe bw’okuddamu okufuna ‘distributive shock’?
• Mirundi emeka gye nneetaaga okujja okukola enteekateeka z’okugoberera?
• Nnaaba n’ebikosa eby’ekiseera ekiwanvu okuva mu ‘Distributive Shock’?

N’ekisembayo, by’olina okujjukira (Obubaka bw’okutwala awaka) .

Distributive Shock mbeera ya mangu ey’obujjanjabi eyeetaaga obujjanjabi obw’amangu. Okufuna obuyambi mu bwangu gwe mukisa gwo ogusinga okutaasa obulamu bwo. Kitwala ekiseera okudda engulu, n’olwekyo weegumiikiriza. Bw’oba ​​oli waka, mira eddagala lyo ddala nga omusawo bw’akulagidde, era genda mu bifo ebikugoberera buli kiseera. Nga bw’olaba, eno mbeera ya maanyi nnyo. Kale kikulu okukimanya ku kino.

` Distributive shock, septic shock, anaphylactic shock, okusannyalala kw’obusimu, puleesa entono, obujjanjabi bw’okusannyalala, sepsis Sinhala