Wali weebuuzizzaako kiki ekituuka ku mibiri gyaffe oluvannyuma lw’akabenje akanene oba nga tufiiriddwa omusaayi mungi? Oba mbeera ki ey'amaanyi eyinza okubaawo ng'omubiri gufiiriddwa amazzi olw'ekiddukano n'okusiiyibwa okutambula obutasalako ? Hypovolemic Shock , gye twogerako leero, mbeera ya bulabe nnyo era n’okutta omuntu eyinza okubaawo mu kiseera ng’ekyo. Kikulu nnyo kino okukitegeera obulungi n’okukola mu budde.
Hypovolemic Shock kye ki?
Mu ngeri ennyangu, eno mbeera ya mangu ebaawo ng’omusaayi omungi oba amazzi amalala (e.g., amazzi agava mu kusesema oba ekiddukano) gavudde mu mubiri gwaffe mu bwangu. Kino kireetera omuwendo gwonna ogw’omusaayi ogutambula mu mubiri gwaffe oba obungi bw’omusaayi okukendeera mu bwangu. Eno y’ensonga lwaki oluusi kiyitibwa ‘low-volume shock’.
Lowooza ku kino, omusaayi gwetaagisa nnyo okufuga ebbugumu ly’omubiri gwaffe , okuzimba omusaayi nga tuvaamu omusaayi, n’okutwala omukka gwa oxygen n’ebiriisa mu buli katoffaali. Kale omuwendo gw’omusaayi bwe gukendeera ennyo, ebitundu byaffe ebikulu ng’omutima gwaffe, obwongo, n’ensigo tebifuna mukka gwa oxygen n’ebiriisa bye byetaaga. N’ekyavaamu, ebitundu ebyo tebisobola kukola bulungi.
Embeera eno etera okuva ku buvune obw’amaanyi, gamba ng’omusuwa ogukutuse, ekivaako okuvaamu omusaayi omungi. Embeera eyo entongole tugiyita hemorrhagic shock . Era kiyinza okuva ku kwokya ennyo, okusesema okutambula obutasalako, n’ekiddukano.
Bubonero ki obulaga embeera eno?
Obubonero bwa kino busobola okwawukana okusinziira ku muntu. Kisinziira ku bintu bingi, omuli emyaka gyo, embeera yonna ey’obujjanjabi gye yalina emabegako, ekivuddeko omusaayi oba amazzi okufiirwa, amangu bwe gaagwawo, n’obungi bwe bwabula.
Ka tulabe obumu ku bubonero obukulu.
| Obubonero | Okunnyonnyola |
|---|---|
| Okuvaamu omusaayi omungi | Kino kirabika bulungi mu buvune. Wabula tekirabika mu kuvaamu omusaayi munda, gamba ng’olubuto olw’ebweru w’olubuto (okufunyisa omwana olubuto ebweru w’olubuto) oba okwonooneka kw’ebitundu by’omubiri. |
| Omutima Okukuba Amangu | Omutima gukuba mangu kubanga omutima gulina okukola ennyo okusobola okukuba omusaayi omubiri gwe gwetaaga. |
| Okussa kufuuka kwa mangu era kumpi. | Olw’obutaba na mukka gwa oxygen mu mubiri, okussa kutandika okufuuka okw’amangu era okutali kwa maanyi. |
| Obunafu bw’omubiri, obukoowu | Omubiri guwulira nga tegulina bulamu kubanga obutoffaali tebufuna maanyi na mukka gwa oxygen bye byetaaga. |
| Okutabulwa, okubulwa amagezi | Embeera eno ebaawo ng’omuwendo gw’omusaayi ogukulukuta mu bwongo gukendedde. N’okwogera kuyinza okufuuka okuwuguka. |
| Okukendeera oba okulekera awo okufulumya omusulo | Olw’omusaayi obutatambula bulungi mu nsigo, omusulo gukendeera. Kano kabonero ka bulabe nnyo. |
| Puleesa Entono | Puleesa ekka olw’omusaayi okukendeera mu mubiri. |
| Olususu Olunyogovu, Olunyirira | Omubiri gukendeeza ku kutambula kw’omusaayi mu bitundu ng’enkomerero n’okulung’amya omusaayi mu bitundu ebikulu ng’omutima n’obwongo ekivaako olususu okunnyogoga n’okutuuyana. |
Kiki ekivaako kino?
Ebivaako kino tusobola okwawulwamu ebika bibiri ebikulu: ebyo ebiva ku kuvaamu omusaayi n’ebyo ebiva ku kufulumya amazzi nga tegavuddemu musaayi.
Ebivaako okuvaamu omusaayi
- Okumenya amagumba amanene, gamba ng’ekisambi
- Okukutuka enzito ku mutwe n’ensingo
- Okwonooneka kw’ebitundu by’omubiri mu lubuto, gamba ng’ennywanto, ekibumba n’ensigo, olw’akabenje k’emmotoka oba okugwa
- Ekinnya oba okukutuka mu mutima oba omusuwa omunene (nga aortic aneurysm) .
- Okuvaamu omusaayi okuva mu mabwa mu nkola y’okugaaya emmere
- Olubuto olutali mu nnabaana
- Okukutuka kw’enkwaso ng’oli lubuto
- Okukutuka kw’ekizimba ky’enkwaso
- Okuvaamu omusaayi omungi ng’ozaala oba mu ssaawa 24 oluvannyuma lw’okuzaala
Ebivaako obutavaamu musaayi
- Okubulwa amazzi mu mubiri ennyo
- Ekiddukano n’okusesema ebitaggwaawo
- Okufiirwa amazzi okuva mu mubiri olw’okwokya ennyo
- Okukuŋŋaanyizibwa kw’amazzi mu kitundu ekimu eky’omubiri olw’endwadde ng’obulwadde bw’olubuto
Emitendera Ena egy’okusannyalala kw’omusaayi (Hypovolemic Shock).
Emitendera ena gye gizuuliddwa okusinziira ku buzibu bw’embeera eno, nga kino kisalibwawo obungi bw’omusaayi oba amazzi agabula okuva mu mubiri.
| Siteeji | Omuwendo gw’omusaayi/amazzi agafiirwa | Obubonero |
|---|---|---|
| Omutendera 1 | Okutuuka ku bitundu 15% (nga mililita 750) . | Puleesa, okukuba kw’omutima n’okufulumya omusulo bya bulijjo. Oyinza okuwulira ng’olina akatyabaga katono. |
| Omutendera 2 | Ebitundu 15% – 30% (750-1500 ml) . | Omutima gweyongera. Okuwulira nga weeraliikirira. Olususu luyinza okunnyogoga katono. |
| Omutendera 3 | Ebitundu 30% – 40% (1500-2000 ml) . | Puleesa ekka nnyo. Omusulo guba mutono nnyo. Emikono n’ebigere binnyogoga. Asobeddwa nnyo. |
| Omutendera 4 | Ebitundu ebisukka mu 40% (ebisukka mu 2000 ml) . | Embeera ey’amaanyi ennyo. Omutima gukuba mangu nnyo. Puleesa eba wansi nnyo. Okufulumya omusulo kukoma. Oyinza n’okubulwa amagezi. |
Obulwadde buno buzuulibwa butya era ne bujjanjabwa butya?
Ekisinga obukulu mu kino kwe kutuusa omulwadde mu ddwaaliro naddala mu ETU (Emergency Treatment Unit) , amangu ddala nga bwe kisoboka. Mu kkubo ng’ogendayo, singa wabaawo omusaayi gwonna ogulabika ng’oguddemu, olina okugezaako okugukomya ng’ogunyiga n’olugoye oluyonjo.
Mu ddwaaliro, ttiimu y’abasawo ejja kusooka kugezaako kutaasa bulamu bwo.
- Bulijjo bajja kukebera ebbugumu lyo, okukuba kw’omukka, okussa, ne puleesa (vitals).
- Okukebera nga X-rays, ultrasound scans, ne CT scans kukolebwa okuzuula ekivaako.
- Okukebera omusaayi n’omusulo bikolebwa.
- Bakola ECG (Electrocardiogram) okukebera enkola y’omutima.
Ng’obujjanjabi, waliwo ebigendererwa ebikulu bisatu:
1. Okuwa buli kitundu ky’omubiri omukka gwa oxygen mungi nga bwe kisoboka.
2. Okuyimiriza oba okufuga okuvaamu omusaayi.
3. Okukyusa omusaayi n’amazzi ebibuze.
Ku kino, ojja kuweebwa saline (IV fluids) ng’oyita mu cannula eteekeddwa mu musuwa. Singa omusaayi gwo gukendedde ebitundu ebisukka mu 30%, oyinza okwetaaga okuteekebwamu omusaayi . Singa wabaawo okuvaamu omusaayi munda oba obuzibu mu by’abakyala, oyinza okwetaaga okulongoosebwa okugukomya.
Kino kiyinza okuleeta bizibu ki?
Singa embeera eno tejjanjabibwa bulungi era mu budde, ebizibu eby’amaanyi ennyo bisobola okubaawo.
- Singa kino kiva ku buvune, yinfekisoni eyinza okubaawo.
- Okwonooneka kw’ebitundu by’omubiri okw’olubeerera ku bitundu by’omubiri ng’ensigo, omutima n’obwongo.
- Mu nkomerero, n’okufa kuyinza okubaawo.
Okuwona kwo kisinziira ku ngeri gy’ofuna obujjanjabi amangu, omusaayi gwe wafiirwa, n’okumanya oba olina ebizibu ebirala eby’obulamu. Kale bw’oba oteebereza nti waliwo obubonero buno, laba omusawo mu bwangu oba omulwadde mutwale mu ddwaaliro.
Obubaka Obutwala Awaka
- Hypovolemic shock mbeera ya mangu ey’akabi ennyo evudde ku kufiirwa omusaayi oba amazzi amangi okuva mu mubiri.
- Okuvaamu omusaayi omungi, okusesema/ekiddukano okutambula obutasalako, n’okwokya ennyo biyinza okuba nga bye bisinga okuvaako kino.
- Bw’olaba obubonero ng’omutima okukuba amangu, okukaluubirirwa okussa, okutabulwa, n’olususu olunnyogovu , amangu ago omulwadde twala mu ddwaaliro mu ETU (Emergency Treatment Unit).
- Okulwawo obujjanjabi kiyinza okuviirako ebitundu by’omubiri ng’ensigo okwonooneka n’okutuuka n’okufa. N’olwekyo, ekiseera kye kikulu.
- Bw’oba ggwe oba omuntu gw’omanyi atebereza embeera eno, genda mangu omusawo amagezi. Tobuusa maaso bubonero buno.
Hypovolemic Shock Sinhala, omusaayi omutono, puleesa entono, obubenje, okuvaamu omusaayi omungi, okuggwaamu amazzi mu mubiri, okusannyalala
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