Mwina mwawonapo munthu mu kanema kapena pa TV akulumikizidwa ndi makina ambiri kuti amuthandize kupuma. Nthawi zambiri timatcha izi kuti 'chothandizira moyo.' Koma kodi ichi ndi chiyani kwenikweni? Kodi ichi ndi chinthu choopa? Chothandizira moyo sichikutanthauza imfa. Lero, tikambirana izi mosavuta, m'njira yomwe mungamvetse.
Kodi chithandizo cha moyo ndi chiyani kwenikweni?
Mwachidule, chithandizo cha moyo ndi njira yoperekera chithandizo chakunja kwa chiwalo (monga mapapo, impso, kapena mtima) chomwe sichikugwira ntchito bwino, pogwiritsa ntchito makina kapena njira zina zamankhwala, mpaka chiwalocho chitagwiranso ntchito chokha. Izi zikufanana ndi kugwiritsa ntchito njinga ya olumala kwa kanthawi kochepa pamene munthu sangathe kuyenda. Zimapatsa thupi nthawi ndi chithandizo chomwe likufunika kuti lichiritsidwe.
Komabe, nthawi zina thupi silingathenso kugwira ntchito lokha popanda thandizo la makina amenewo. Nthawi zina ngati izi ndi pamene zisankho zovuta zokhudzana ndi chithandizo cha moyo ziyenera kupangidwa. Apa tifunika kuyang'ana ubwino wa chithandizocho ndi katundu womwe umabwera nacho.
Kodi chithandizo cha moyo chimayamba liti? Kodi chingaimitsidwe?
Kawirikawiri, madokotala amayamba chithandizo cha moyo akangozindikira kuti thupi lanu likuchifuna. Izi zitha kuchitika nthawi iliyonse, monga ngozi kapena matenda adzidzidzi.
Komabe, chithandizo cha moyo sichinayambike m'mikhalidwe ngati iyi:
- Ngati mudzikana nokha: Ngati wodwalayo ali ndi chidziwitso, anganene kuti sakufunikira chithandizo choterocho.
- Malangizo Oyambirira: Anthu ena, ngakhale ali ndi thanzi labwino, amakhala ndi zikalata zalamulo (malangizo oyambirira) zonena kuti safunikira chithandizo chochirikiza moyo ngati atadwala matenda osachiritsika.
- Ngati banja lipanga chisankho: Ngati wodwalayo sangathe kupanga chisankho, achibale ake apafupi kwambiri ndi omwe angapange chisankhocho m'malo mwa wodwalayo.
Kuletsa chithandizo cha moyo
Iyi ndi gawo lofunika kwambiri pa nkhaniyi. Munthu akhoza kukhala ndi chithandizo cha moyo kwa nthawi yayitali. Koma nthawi ina, ngati madokotala azindikira kuti palibe mwayi woti wodwalayo achire kapena kukhala ndi moyo wabwino ndi mankhwalawa, adzakudziwitsani kapena banja lanu.
Chofunika kwambiri kuti inu ndi banja lanu mumvetsetse apa ndichakuti munthu amafa osati chifukwa chakuti chithandizo chayimitsidwa, koma chifukwa cha matenda osachiritsika omwe ali nawo. Kuletsa chithandizo cha moyo kumangolola zomwe zidzachitike mwachibadwa.
Ichi ndi chisankho chaumwini kwambiri. Ndi ufulu wovomerezeka ndi wachikhalidwe kusiya chithandizo chamankhwala chomwe sichilinso chopindulitsa.
Kodi mitundu ikuluikulu ya zinthu zothandizira moyo ndi iti?
Tikamaganizira za makina othandizira kupuma, nthawi zambiri timaganiza za makina omwe amatithandiza kupuma, koma ndi zinthu zambiri kuposa pamenepo. Tiyeni tiwone mitundu ikuluikulu.
| Njira Yothandizira | Mwachidule, izi ndi zomwe zimachitika... |
|---|---|
| Mpweya wopumira wa makina | Kwa munthu amene sangathe kupuma, makina otchedwa ventilator amapopera mpweya m'mapapo. Pachifukwa ichi, chubu chimayikidwa mu payipi ya mphepo kudzera pakamwa kapena mphuno (intubation). |
| ECMO (Kupereka Mpweya wa Oxygen ku Extracorporeal Membrane) | Iyi ndi njira yapamwamba kwambiri kuposa chopumira mpweya. Imatenga magazi m'thupi, imagwiritsa ntchito makina kuwonjezera mpweya m'magazi amenewo, kuchotsa mpweya wa carbon dioxide, ndikuubweza m'thupi. Ili ngati mapapo opangidwa. |
| Kubwezeretsa mtima ndi mapapo (CPR) | Kuyesa kuyambitsanso mtima mwa kukanikiza pachifuwa, kupumitsa mtima, ndi mankhwala kwa munthu amene mtima wake ndi kupuma kwake zasiya kugwira ntchito. |
| Zakudya Zopangira ndi Kuthira Madzi | Kupereka zakudya ndi madzi kudzera mu chubu cholowetsedwa kudzera mu mphuno kupita m'mimba (kudyetsa m'chubu) kapena mwachindunji mumtsempha (TPN) kwa munthu amene sangathe kudya kapena kumwa ndi pakamwa. |
| Kutsegula kwa impso | Magazi a munthu amene impso zake sizikugwira ntchito amadutsa mu makina omwe amachotsa zinyalala ndi madzi owonjezera ndikuyeretsa. Izi zili ngati impso yopangidwa. |
Zambiri pang'ono za izi
- Chopumira mpweya: Ichi chingagwiritsidwe ntchito pamavuto a nthawi yochepa, monga chibayo chachikulu, kapena mavuto a nthawi yayitali, monga omwe ali ndi kuvulala kwa msana. Komabe, kwa munthu amene ali ndi matenda otsiriza, chopumira mpweya chimangotalikitsa nthawi ya kufa. Sichichiritsa matenda oyamba.
- Kuchotsa impso m'thupi: Iyi si njira yothetsera vuto la impso. Imangosintha ntchito ya impso ndi makina. Ngati kuchotsa impso m'thupi kwayimitsidwa, impso zidzalepheranso. Palibe amene angakhale ndi moyo popanda impso kugwira ntchito. Kwa anthu ena, moyo wabwino womwe chithandizo cha kuchotsa impso m'thupi chimapereka ndi wofunika kwambiri. Koma kwa anthu ena, makamaka omwe ali ndi matenda ena osachiritsika, kuchotsa impso m'thupi kungakhale kovuta kwambiri kuposa kopindulitsa.
Kodi BLS ndi ALS ndi chiyani?
Ichi ndi gawo lofunika kudziwa pankhani yothandizira moyo.
Thandizo Loyambira la Moyo (BLS)
Izi zikutanthauza njira zoyambira zopulumutsira moyo zomwe aliyense angapereke pakagwa ngozi. Mwachitsanzo, ngati wina ali ndi vuto la mtima pamsewu ndipo akukokedwa, thandizo loyamba kapena ogwira ntchito zachipatala omwe afika pamalopo adzachita CPR . Njirazi zitha kuphunziridwa ndi aliyense.
Thandizo Lapamwamba la Moyo (ALS)
Iyi ndi njira yotsogola yachipatala yomwe imapitirira BLS. Imachitidwa ndi madokotala ndi ogwira ntchito zachipatala ophunzitsidwa bwino okha. Chithandizo cha ALS ichi chimachitikira mu Emergency Treatment Unit (ETU) kapena Intensive Care Unit (ICU) ya chipatala. Imagwiritsa ntchito mankhwala, makina, ndi njira zamakono. Chithandizo chamtunduwu cha ana aang'ono chimatchedwa Pediatric Advanced Life Support (PALS) .
Chithandizo cha moyo ndi chinthu chomwe chingakuthandizeni inu kapena wokondedwa wanu pakagwa ngozi kapena panthawi ya matenda a nthawi yayitali. Chimapatsa thupi nthawi yoti lichiritse. Koma nthawi zina, chimangotalikitsa nthawi ya imfa.
Chofunika kwambiri ndikulankhula za izi momasuka komanso moona mtima ndi dokotala wanu komanso banja lanu. Kuyamba, kukana, ndi kusiya chithandizo cha moyo ndi zisankho zanu zazikulu komanso zaumwini.
Uthenga Wopita Nawo Kunyumba
- Chithandizo cha moyo ndi chithandizo chakanthawi ku chiwalo m'thupi, ndipo si chizindikiro cha imfa.
- Izi ndi kupatsa thupi nthawi ndi chithandizo chomwe likufunika kuti lichiritse.
- Pamapeto pa matenda osachiritsika, chithandizo cha moyo chingangowonjezera nthawi ya imfa.
- Kuyamba kapena kusiya chithandizo cha moyo ndi chisankho chaumwini. Ndikofunikira kukambirana izi ndi dokotala wanu komanso banja lanu.
- Chofunika kwambiri: Munthu samwalira chifukwa chakuti chithandizo chatha. Choyambitsa imfa ndi vuto losachiritsika.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment