Kodi munthu amene akunenedwa kuti wafa angaukitsidwenso? Tiyeni tikambirane za chodabwitsa ichi chotchedwa Lazarus Effect!

Kodi mudamvapo za vuto lomwe munthu amaoneka ngati ali moyo kachiwiri madokotala atalengeza kuti wafa? Zikumveka ngati zosayembekezereka pang'ono, sichoncho? Komabe, izi ndi zachilendo koma zimanenedwa m'dziko la zamankhwala. Zimatchedwa Lazarus Effect. Tiyeni tikambirane za izi mwatsatanetsatane lero, chifukwa zingakhale zofunikira kudziwa.

Ndiye, kodi zotsatira za Lazarus ndi chiyani kwenikweni?

Mwachidule, Lazarus Effect ndi pamene, dokotala atalengeza kuti munthu wamwalira, magazi ake amayambanso mwadzidzidzi ndipo amayamba kusonyeza zizindikiro za moyo. Madokotala amatcha izi 'autoresuscitation' . Izi zikutanthauza kuti, CPR ikasiya kugwira ntchito, mtima umayambanso kugunda ndipo magazi amabwerera m'mbuyo popanda thandizo lakunja. Komabe, izi sizili zofanana ndi nkhani zomwe zimanena kuti munthu wakufa amabwerera ku moyo. Pali nkhani m'Baibulo yonena za munthu wotchedwa Lazaro akuukitsidwa kwa akufa. Koma izi ndi zosiyana ndi nkhani zachipatala. Chomwe chimachitika apa ndi chakuti madokotala atazindikira kuti ziwalo zofunika kwambiri za munthu zasiya kugwira ntchito ndipo adazitchula kuti zafa, nthawi zina pamakhala kuchedwa pang'ono pakuyambiranso kwa kugunda kwa mtima ndi magazi. Kuchedwa kumeneku ndiko komwe kumapangitsa munthuyo kuoneka ngati wafa kenako n’kubwerera ku moyo. Izi zimatchedwa 'Lazarus phenomenon', 'Lazarus syndrome', ndi zina zotero. M'mawu azachipatala, imatchedwanso 'autoresuscitation atatha kulephera kwa cardiopulmonary resuscitation'. Koma tiyeni tikumbukire kuti ndi (Autoresuscitation).

Kodi ndi zinthu zotani zomwe ziyenera kuchitika kuti izi zitheke?

Madokotala amazindikira vutoli (autoresuscitation) pamene zochitika zambiri zimachitika motere:

• Choyamba, munthu amakumana ndi vuto ladzidzidzi, monga kulephera kwa mtima .
• Kenako dokotala kapena munthu wina wophunzitsidwa bwino amayamba kutsitsimutsa mtima ndi mapapo (CPR).
• Nthawi ina, munthu amene akuchita CPR amazindikira kuti chithandizochi sichikupereka zotsatira zomwe amayembekezera ndipo munthuyo wafa.
• Kenako, katswiri wa zachipatala wovomerezeka kutsimikizira imfayo amalengeza mwalamulo kuti munthuyo wamwalira kuchipatala .
• Kuyambira nthawi imeneyo, palibe chithandizo chamankhwala, kapena kuti, palibe chithandizo china chilichonse, chomwe chimachitika.
• Pakatha mphindi zochepa, kapena maola angapo, munthu adzawona zizindikiro za moyo (monga kuyenda kwa thupi, kupuma). Zizindikirozi ziyenera kukhala zoposa masekondi angapo.
• Pamapeto pake, dokotala akutsimikizira kuti magazi a munthuyo ayambiranso kuyenda bwino, ndipo chithandizo chamankhwala chikuyambiranso.

N'zovuta kunena nthawi yeniyeni yomwe zimatenga kuti magazi ayambe kuyenda bwino munthu akamwalira. Malinga ndi milandu yomwe yanenedwa, zizindikiro za moyo nthawi zambiri zimawonekera mkati mwa mphindi 10 CPR itasiya kugwira ntchito. Komabe, nthawi zina zimatenga nthawi yayitali. N'zotheka kuti palibe amene angazindikire kuti magazi akuyambanso kuyenda bwino kwa kanthawi.

Kodi zotsatira za Lazarus ndi zofala bwanji?

Zolemba zachipatala zikusonyeza kuti izi ndi zochitika zachilendo kwambiri . Kuyambira 1982 mpaka 2018, milandu 65 yotereyi yalembedwa m'mabuku azachipatala padziko lonse lapansi. Mwa awa, anthu 18 okha ndi omwe achira mokwanira. Komabe, ofufuza amakhulupirira kuti izi zitha kukhala zofala kwambiri kuposa zomwe zanenedwa. Komabe, sizikudziwikabe kuti ndizofala bwanji, kapena ndani amene angakumane ndi izi. Poganizira milandu yomwe yanenedwa mpaka pano, anthu ambiri omwe adakumana ndi izi (pafupifupi 68%) ali ndi zaka zoposa 60. Izi (autoresuscitation) zachitika m'zipatala komanso kunja. Komabe, nthawi zonse zimachitika munthu akapatsidwa CPR.

N’chifukwa chiyani Lazaro uyu akuchitika? Chifukwa chake n’chiyani?

Kunena zoona, madokotala sakudziwabe chomwe chimayambitsa izi. Koma, nayi imodzi mwa mfundo zazikulu zomwe zaperekedwa kuti zifotokoze. Taganizirani izi, mukachita CPR, mumakakamiza mpweya kulowa m'mapapo mwachangu kwambiri. Izi nthawi zina zingayambitse mapapu kudzaza kwambiri. Izi zimatchedwa 'hyperinflation.' Mwachidule, mapapu amadzaza kwambiri, ndipo palibe nthawi yokwanira kuti mpweya utuluke mokwanira. Izi zimapangitsa kuti kuthamanga kwa magazi mkati mwa chifuwa kukwere mwadzidzidzi.

Pamene kupanikizika pachifuwa kukuwonjezeka motere, magazi amapita kumtima ndipo magazi omwe amatuluka mumtima amakhala ochepa. Kenako, CPR ikasiya kugwira ntchito, kupanikizika kowonjezereka kumachepa mwadzidzidzi. Kenako, magazi omwe ali mumsampha amatha kuyamba kubwerera kumtima . Umu ndi momwe kuyenda kwa magazi kumayambitsidwiranso. Komabe, nthawi zambiri, izi zimakhala zakanthawi kochepa chabe.

Chofunika kwambiri n’chakuti ngakhale magazi atabwerera mwakachetechete mwanjira imeneyi, anthu ambiri sakhala ndi moyo wautali. Ndicho chifukwa chake madokotala amayesetsa kupewa kuyamba mochedwa kwa magazi kapena kulengeza imfa msanga. Chifukwa, ngati zimenezo zitachitika, osamalira odwala ndi banja lawo mwadzidzidzi amakhala ndi chiyembekezo chachikulu, ndipo n’zosatheka kuganiza za chisoni ndi kudabwa pamene chitayika msanga.

Kodi pali njira zopewera izi zomwe zingachitike chifukwa cha Lazaro?

M'malo moletsa izi kwathunthu, chinthu chofunikira apa ndikupewa kuganiza msanga komanso molakwika kuti winawake wamwalira. Pachifukwa ichi, ofufuza apereka malangizo ena omwe madokotala ayenera kutsatira asanalengeze za imfa. Ndi awa:

• Pitirizani kuchita CPR kwa mphindi zosachepera 20 .
• Mukamachita CPR, samalani kuti mupewe kukwera kwa mpweya m'mapapo, komwe kumachitika pamene mapapu amadzaza kwambiri. Mwachitsanzo, malangizo ena a CPR amati muyenera kupuma mpweya wokwana 12 pa mphindi imodzi.
• Chithandizo cha electroconvulsive, kutanthauza kuti, pambuyo pa defibrillation (yomwe nthawi zina imatha kuletsa mtima kugunda kwathunthu kwakanthawi - izi zimatchedwa asystole kapena "flat-lining"), musasiye CPR mwadzidzidzi.
• Kuyang'anitsitsa wodwalayo mosalekeza kwa mphindi zosachepera 10 atasiya kulandira chithandizo cha CPR asananene kuti wamwalira.

Kodi tiyeneranso kuganizira za zisankho zomwe tiyenera kupanga kumapeto kwa moyo wathu?

Mukaganizira za zochitika ngati izi zomwe zingakupangitseni kukhala ndi moyo kapena imfa, mungamve ngati mulibe thandizo komanso mantha. Zimenezo n’zachibadwa. Koma mutha kupanga zisankho pasadakhale zokhudza chithandizo chamankhwala chomwe mukufuna komanso chomwe simukufuna kumapeto kwa moyo wanu ndikutenga nawo mbali pazosankhazo. Mwachitsanzo, mutha kusankha ngati mukufuna CPR kapena chithandizo china cha moyo. Mwanjira imeneyi, mutha kudziwitsa dokotala wanu, banja lanu, ndi okondedwa anu zomwe mukufuna pasadakhale. Muthanso kutchula dzina la munthu amene angakupangireni zisankho zachipatala ngati simungathe kutero (mphamvu ya chisamaliro chaumoyo).

Izi si zosankha zophweka, koma kukonzekera pasadakhale momwe mungathere kungakupatseni inu ndi banja lanu mtendere wamumtima mtsogolo.

Pomaliza, zinthu zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Lazarus Effect iyi ndi chinthu chosowa kwambiri, koma ndi chinthu chomwe chimachitika tsiku lililonse m'dziko lachipatala, komwe aliyense, kuphatikizapo madokotala, amayesa kupulumutsa moyo wa wina. Chifukwa chake, ndikuganiza kuti zomwe takambirana lero za chodabwitsachi zidzakhala chikumbutso chabwino kuti mukhale odziwa bwino za chithandizo cha moyo ndi chisamaliro cha kumapeto kwa moyo. Onetsetsani kuti mwalankhula ndi dokotala wanu ndikupeza zomwe mungasankhe, komanso momwe mungalembere zomwe mukufuna. Zidzakhala zofunika kwambiri kwa inu ndi banja lanu.

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'Zochitika za Lazaro, Zotsatira za Lazaro, Kubwezeretsa mphamvu, CPR, imfa, kutsitsimutsa, mankhwala, kutsitsimutsa mtima, chisamaliro chadzidzidzi