Kodi Nthawi Yodzazanso Ma Capillary ndi Chiyani? Tiyeni timvetse mosavuta!

Kodi mudawonapo dokotala kapena namwino, pambuyo pa ngozi kapena wodwala wodwala kwambiri akabwera kuchipatala, akugwira chala kapena chala cha munthuyo kwa kanthawi kenako nkuchimasula? Amadikira kuti chalacho chisinthe mtundu kachiwiri. Mwina mudaganizapo kuti, "Kodi ichi chikuchita chiyani?" Mayeso osavuta amenewo amatchedwa Capillary Replenishment Time (CRT) . Zingawoneke ngati mayeso osavuta, koma ndi mayeso ofunikira kwambiri omwe amapatsa madokotala chidziwitso chamtengo wapatali chomwe chingapulumutse moyo wa munthu.

Mwachidule, kodi nthawi yodzaza magazi (CRT) ndi chiyani?

Tisanamvetse izi, tiyeni timvetse pang'ono. Tili ndi mitsempha yamagazi yomwe imanyamula magazi m'thupi lathu lonse. Mitsempha yaying'ono kwambiri mwa iyi, monga ulusi wa ukonde wa kangaude, imatchedwa ma capillaries . Iyi ndi yomwe imanyamula mpweya ndi michere ku selo iliyonse m'thupi lathu, kupita ku gawo lililonse laling'ono. Ili ngati misewu yaying'ono yam'mbali yomwe imachoka pamsewu waukulu kupita ku nyumba iliyonse.

Tsopano tangoganizani kuti mwakanikiza chala chanu kwa kanthawi. Kenako malo amenewo amasanduka otuwa, sichoncho? Kodi mukudziwa chifukwa chake? Mukakanikiza, magazi ena amatuluka kwakanthawi kuchokera m'mitsempha yaying'ono ija. Mukangochotsa dzanja lanu, mitsemphayo imadzazanso ndi magazi ndikubwerera ku mtundu wawo wakale wa pinki pakapita masekondi ochepa.

Ndicho chimene Capillary Refill Time (CRT) imachita. Ndi nthawi yomwe imatenga kuti khungu lomwe latsitsidwa ndi kumenyedwa lidzazenso ndi magazi ndikubwerera ku mtundu wake wabwinobwino. Poyesa nthawi imeneyi, dokotala amatha kuwona mwachangu ngati magazi akuyenda bwino kupita kumadera akutali a thupi, monga manja ndi mapazi, kapena ngati kutuluka kwa magazi m'mitsempha kuli bwino.

N’chifukwa chiyani mayesowa ndi ofunikira kwambiri? Tiyeni tiphunzire za vuto loopsa lotchedwa 'Shock'!

Pali chifukwa chachikulu chomwe kuyezetsa CRT kuli kofunikira kwambiri pa nthawi yadzidzidzi. Izi zikutanthauza kuti, zimathandiza kuzindikira kugwedezeka, komwe kungakhale koopsa.

Kodi kudabwa kumeneku n'chiyani ?

Mwachidule, izi ndi vuto lomwe ziwalo m'thupi lathu (monga ubongo, mtima, ndi impso) sizilandira magazi okwanira okhala ndi mpweya. Monga momwe magetsi akamazima m'nyumba, magetsi, mafani, ndi mafiriji onse amasiya kugwira ntchito, pamene magazi m'ziwalo zathu achepa mwadzidzidzi, sizingagwire ntchito bwino. Izi ndi zoopsa kwambiri ndipo zitha kukhala zoopsa ngati sizikuthandizidwa mwachangu.

Pakhoza kukhala zifukwa zambiri zomwe zimapangitsa munthu kugwedezeka. Pakagwa ngozi, sipangakhale nthawi yoti achite mayeso a labu kapena ma scan. Pamenepo ndi pomwe mayeso achangu ngati CRT amabwera kudzathandiza madokotala.

Kodi mayeso a CRT amachitidwa bwanji?

Iyi ndi njira yosavuta komanso yopanda ululu. Nthawi zambiri, dokotala kapena namwino amatsatira njira izi:

1. Kukweza mkono kapena mwendo: Choyamba, ikani mkono kapena miyendo ya wodwalayo pamwamba pang'ono pa mtima.

2.Kukanikiza chala: Kenako, kanikizani mwamphamvu pamwamba pa chala kapena chala chachikhadabo kwa masekondi pafupifupi 5-10. Kenako malowo adzasanduka otuwa.

3. Kuyeza nthawi: Kenako, chala chomwe chinakanikizidwa chimatulutsidwa mwadzidzidzi, ndipo nthawi yomwe imatenga kuti malo otuwa adzazenso ndi magazi ndikubwerera ku mtundu womwewo monga khungu lozungulira imayesedwa m'masekondi. Wotchi nthawi zambiri imagwiritsidwa ntchito pa izi.

Kodi nthawi zonse mumayang'ana izi ndi chala chanu?

Nthawi zambiri, inde. Koma pali zochitika zina zapadera zomwe sizingatheke kuziona ndi chala. Tangoganizani kuti munthu wabweretsedwa kuchipatala ndi thupi lozizira, miyendo yake komanso manja ndi mapazi ake akusanduka abuluu chifukwa cha kuzizira kwambiri. Popeza kutentha kwa thupi la munthu wotere ndi kochepa kwambiri (Hypothermia), kuyenda kwa magazi m'miyendo kungakhale kuti kwachepa mwachibadwa. Pachifukwa chotere, kuyang'ana CRT ndi chala kungapereke lingaliro lolakwika.

Zikatero, madokotala amachita mayesowa polimbitsa khungu lozungulira sternum, fupa lomwe lili pakati pa chifuwa, chifukwa gawo lapakati la thupilo lili ndi magazi abwino kuposa ziwalo.

Kodi zotsatira zake zikuti chiyani? Matenda abwinobwino komanso osazolowereka

Zotsatira za mayesowa zimabwerera m'masekondi ochepa. Zotsatira za munthu wathanzi labwinobwino zimatha kusiyana pang'ono ndi zaka.

• Makanda Obadwa: masekondi awiri kapena kuchepera.
• Akuluakulu (ana ndi achinyamata): Pafupifupi masekondi awiri kapena atatu.
• Akuluakulu: Zingatenge masekondi opitilira atatu.

Nanga bwanji ngati mtengo wanga wa CRT uli mkati mwa mulingo woyenera?

Tangoganizani kuti wina akudwala kwambiri, koma CRT yake ndi yachibadwa, kutanthauza masekondi awiri. Kodi zimenezi zikutanthauza kuti alibe matenda aliwonse? Ayi. Zikutanthauza kuti dokotala akumvetsa kuti pakadali pano palibe vuto lalikulu ndi kayendedwe ka magazi ka wodwalayo, kotero chomwe chimayambitsa matendawa chikhoza kukhala kwina. Kenako amayamba kufunafuna zifukwa zina.

Nanga bwanji ngati CRT si yachilendo? (Ngati nthawi ndi yayitali kwambiri)

Apa ndi pamene muyenera kusamala. Ngati CRT ya munthu ili pamwamba kuposa nthawi yodziwika bwino (monga masekondi 4, 5, kapena kuposerapo) , ndi chizindikiro chofiira kwa dokotala . Zimatanthauza kuti kuyenda kwa magazi kupita ku ziwalo za m'thupi kwasokonekera kwambiri, zomwe zikutanthauza kuti kugwedezeka kukuchitika kapena kwachitika.

Nthawi ngati izi, madokotala amachita mayeso ena mwachangu kuti atsimikizire chomwe chimayambitsa matendawa ndikuwunikira kuopsa kwake.

• Pulse Oximetry: Chipangizo chomwe chimayesa kuchuluka kwa mpweya m'magazi mwa kulumikiza chipangizo chonga clip pa chala.
• Yesani kuthamanga kwa magazi ndi kugunda kwa mtima nthawi zonse.
• Kufufuza mulingo wa chidziwitso cha wodwalayo.
• Kuyeza kuchuluka kwa mkodzo: Izi ndizofunikira kudziwa ngati magazi akuyenda bwino kupita ku impso.

Ndi kuphatikiza chidziwitso kuchokera mu zonsezi kuti madokotala amatha kupanga chithunzi chonse cha momwe wodwalayo alili.

Kodi imachiritsidwa bwanji?

Ngati CRT ndi yosazolowereka ndipo kugwedezeka kwatsimikizika, wodwalayo ayenera kuthandizidwa nthawi yomweyo . Chithandizochi chimadalira chomwe chachititsa kugwedezeka ndi kuopsa kwa vuto la wodwalayo. Izi ndi zina mwa njira zomwe nthawi zambiri zimaperekedwa mu chipinda chothandizira odwala mwadzidzidzi (ETU).

• Madzi a m'magazi (IV Fluids) (Saline): Madzi ndi mchere amaperekedwa kudzera m'mitsempha (kudzera mu cannula) kuti ayesere kubwezeretsa kuthamanga kwa magazi.
• Mpweya Wowonjezera: Mpweya umaperekedwa kudzera mu kannula ya m'mphuno kapena chophimba nkhope kuti mpweya ukhale wochepa m'magazi.
• Kuika Magazi: Ngati magazi ambiri ataya, monga ngozi, magazi amaperekedwa kunja.
• Chubu Chopumira (Intubation): Ngati wodwalayo akuvutika kupuma yekha, chubu chopumira chimayikidwa ndikulumikizidwa ku chopumira mpweya .
• Mankhwala: Kutengera ndi chomwe chimayambitsa, mankhwala monga maantibayotiki amaperekedwa ngati ndi matenda, ndipo ma steroid amaperekedwa ngati ndi ziwengo.

Cholinga cha mankhwala onsewa ndikubwezeretsa magazi m'ziwalo za thupi mwachangu momwe zingathere, kupewa kuwonongeka kwina, ndikupulumutsa miyoyo.