Mwina mwawonapo m'mafilimu, pamene wina mwangozi kapena pazifukwa zina amwa mapiritsi ambiri, amawatengera kuchipatala ndipo amaika chubu ndikutulutsa madzi m'mimba mwake. Izi ndi zomwe nthawi zambiri timatcha 'kutsuka m'mimba' kapena 'kupopa m'mimba'. Ngakhale zingawoneke zoopsa pang'ono, ndi njira yofunika kwambiri yachipatala yomwe ingapulumutse moyo. Koma kodi izi zimachitika nthawi zonse? Zimachitika bwanji? Kodi zimapweteka? Tiyeni tikambirane za izi lero, makamaka, popanda mantha.
Mwachidule, kodi kutsuka m'mimba n'chiyani?
Kusamba m'mimba ndi njira yotulutsira zinthu zomwe zili m'mimba mwanu (zomwe zili m'mimba mwanu). Izi zimatchedwa kuti kusamba m'mimba mwanu . 'Kusamba' kumatanthauza 'kutsuka'. Chifukwa chake, munjira iyi, zinthu ziwiri zimachitikadi. Dokotala kapena wogwira ntchito zachipatala wophunzitsidwa bwino amalowetsa chubu m'mimba mwanu, ndikuchitsuka ndi madzi kapena saline, kenako n’kutulutsa zinthu zomwe zili m'mimba mwanu ndi madzi. Chubuchi nthawi zambiri chimadutsa m'mphuno mwanu (chubu cha nasogastric) kapena mkamwa mwanu (chubu cha orogastric) kupita m'mimba mwanu.
N’chifukwa chiyani munthu ayenera kusamba m’mimba?
Monga momwe anthu ambiri amadziwira, izi zimachitika mwadzidzidzi. Kunena zoona, ngati wina amwa poizoni, kapena amwa mapiritsi ochulukirapo , njira iyi imagwiritsidwa ntchito kupulumutsa moyo mwa kuchotsa poizoni m'mimba mwachangu asanayambe kulowa m'thupi.
Koma kodi mumadziwa kuti kutsuka m'mimba si chinthu chongochita mukangomwa poizoni? Kungakhalenso kothandiza kwambiri pazochitika zosaopsa kwambiri.
Mwachitsanzo:
- Anthu ena amakumana ndi kupsinjika kwambiri m'mimba chifukwa cha chakudya, zakumwa, kapena mpweya. Nthawi zina, njira iyi imagwiritsidwa ntchito kuchepetsa kupsinjika kumeneko.
- Ngati pali kutuluka magazi ambiri (kutuluka magazi) chifukwa cha chinthu monga chilonda cha m'mimba, izi zithandizanso kuyeretsa ndikuchotsa magazi ochulukirapo.
- Pa opaleshoni yayikulu, pamene mukuchitidwa opaleshoni yoletsa kupweteka, pali mwayi waukulu kuti zomwe zili m'mimba zibwererenso m'khosi ndikukakamira mu mpweya wotuluka m'mimba (kutuluka m'mphuno). Tangoganizirani momwe zingakhalire zoopsa. Pofuna kupewa zinthu zotere, njira iyi imagwiritsidwanso ntchito kuchotsa madzi omwe amasonkhana m'mimba panthawi yonse ya opaleshoni.
| Nthawi zina kutsuka m'mimba kungafunike | Kufotokozera |
|---|---|
| Kumeza poizoni | Kuchotsa zinthu zoopsa monga mankhwala ndi mankhwala m'thupi zisanalowe m'thupi. |
| Kulephera kwa m'mimba | Kuchotsa chakudya chomwe chadzaza m'mimba momwe kutsekula m'mimba kumachedwera (monga gastroparesis). |
| Kutsekeka kwa matumbo | Kuchepetsa kupanikizika pochotsa madzi ndi mpweya zomwe zimasonkhana m'mimba chifukwa cha kutsekeka kwa matumbo. |
| Kusanza kosalekeza | Ngati pali kusanza kosalekeza ndi nseru zomwe sizingathetsedwe ndi mankhwala ena. |
| Kutuluka magazi m'mimba mwa pamwamba | Kuti muchotse magazi m'mimba, dziwani komwe magaziwo akuchokera, ndipo yeretsani m'mimba musanachite mayeso monga endoscopy. |
| Opaleshoni ndi njira zina zachipatala | Pa opaleshoni yaikulu, popereka mpweya wopangira (kuthandiza kupuma), kuyeretsa m'mimba musanachite endoscopy. |
Kodi kutsuka m'mimba sikuli kofala masiku ano pakagwa ngozi?
Inde, nkhaniyi ndi yoona. Mosiyana ndi kale, si aliyense amene wamwa poizoni amene tsopano akuyenera kutsukidwa m'mimba mwake. M'zaka zaposachedwapa, ngakhale mabungwe akuluakulu padziko lonse lapansi omwe amamwa poizoni amalimbikitsa kuti izi zisachitike mwachizolowezi.
Chifukwa cha izi n'chakuti nthawi zina, pali njira zina zomwe ndi zotetezeka komanso zothandiza kuposa kutsuka m'mimba. Mwachitsanzo, njira imodzi ndi kupereka makala ogwiritsidwa ntchito . Uwu ndi ufa wakuda. Ukalowa m'mimba, umayamwa poizoni m'mimba pamwamba pake. Kenako, pamodzi ndi poizoni, umatulutsidwa mu ndowe. Njira ina ndiKuthirira Matumbo Onse (WBO) . Izi zimaphatikizapo kutulutsa madzi ambiri m'mimba. Choncho, dokotala amasankha chithandizo choyenera kwambiri potengera zinthu zambiri, monga momwe wodwalayo alili, mtundu wa poizoni amene wamwa, komanso nthawi yomwe wakhalapo.
Chabwino, tiyeni tiwone momwe chithandizochi chimagwirira ntchito.
Njira yonseyi ingagawidwe m'magawo atatu akuluakulu.
1. Kukonzekera
2. Kulowetsa m'mimba
3. Kuyamwa/Kutsuka m'mimba
Kukonzekera
Musanayambe izi, ogwira ntchito zachipatala choyamba aziyang'anira mosamala zizindikiro zanu zofunika, monga kuthamanga kwa magazi, kugunda kwa mtima, ndi kugunda kwa mpweya . Ngati muli ndi chidziwitso, adzakufotokozerani chithandizocho ndikupeza chilolezo chanu chodziwitsidwa. Adzayang'ana gag reflex yanu. Nthawi zina, chubu chopumira chingaikidwe kuti chithandize kuti mpweya wanu ukhale wotseguka panthawiyi.
Kulowetsa m'chubu
Chubu chomwe chimagwiritsidwa ntchito kutsuka m'mimba chikhoza kulowetsedwa kudzera m'mphuno (chubu cha nasogastric) kapena kudzera mkamwa (chubu cha orogastric), monga tafotokozera kale. Kuti mutulutse mwachangu zomwe zili m'mimba, nthawi zambiri mumagwiritsidwa ntchito chubu chokulirapo pang'ono, chomwe chimalowetsedwa kudzera mkamwa.
Umu ndi momwe mungachitire izi:
- Choyamba, mudzayikidwa pamalo oyima pang'ono, kapena mudzayikidwa chagada mutu wanu utatsitsidwa pang'ono ndikutembenukira kumanzere.
- Kenako, mankhwala oletsa ululu amapakidwa pakhosi. Izi zimachepetsa kusapeza bwino monga nseru ndi kupweteka pakhosi.
- Ngati mukugwiritsa ntchito choyamwa pakamwa, pali kachidutswa kakang'ono mkati mwa pakamwa panu komwe kamakulepheretsani kutafuna choyamwa pakamwa mwangozi.
- Kenako, dokotala adzayeza ndi kulemba kutalika kwa chubu chomwe chikufunika kuti chifike m'mimba mwanu.
- Mafuta amapakidwa pamwamba pa chubucho ndipo amaperekedwa mosamala kwambiri pakhosi.
- Ngati muli ndi chikumbumtima, mutha kupempha thandizo pomeza chubu kapena kupempha madzi akumwa kudzera mu udzu.
- Chubucho chikayikidwa pa kukula kolembedwa, chimamangiriridwa pakhungu ndi pulasitala kuti chisayendeyende.
Chofunika kwambiri ndichakuti ngati mukukumana ndi chifuwa kapena vuto lopuma mukalowetsa chubu, siyani kulowetsa chubu nthawi yomweyo, chitulutseni kwakanthawi, dikirani kwakanthawi, kenako yesaninso. Kaya chubucho chalowadi m'mimba kapena chalowa molakwika mu mkodzo wa mphepo chingatsimikizidwe ndi X-ray kapena potenga chitsanzo cha madzi kuchokera mu chubucho ndikuyesa pH yake.
Kutsuka m'mimba ndi kuchotsa madzi
Chitoliro chikalowa m'mimba mwamphamvu, njira yotsukira imayamba. Izi zitha kuchitika ndi madzi wamba kapena madzi amchere. Saline imagwiritsidwa ntchito, makamaka kwa ana aang'ono ndi omwe akusowa madzi m'thupi chifukwa cha kusanza, kuti mchere ndi ma electrolyte azikhala bwino m'thupi. Nthawi zina, mankhwala oyenera mtundu wa poizoni wolowetsedwa angawonjezedwe ku yankholi.
- Choyamba, madzi pang'ono (pafupifupi 300 mL kwa munthu wamkulu, pafupifupi 10 mL kwa mwana) amatumizidwa kudzera mu chubu kupita m'mimba.
- Pambuyo posiya kwa mphindi imodzi kapena ziwiri, madziwo amachotsedwanso kudzera mu chubu (suction).
- Njirayi imabwerezedwa kangapo mpaka madzi obwererawo atayera, zomwe zikutanthauza kuti pafupifupi zonse zomwe zili m'mimba zachotsedwa.
- Ngati pakufunika, makala oyambitsidwa amawonjezeredwa ku madzi omaliza. Izi zimasunga tinthu ta poizoni totsala m'mimba, zomwe zimatilola kudutsa m'matumbo ndikuchotsedwa ndi ndowe.
Kodi zimapweteka kwambiri mukachita izi? Kodi zimamveka bwanji?
Ili ndi vuto lomwe anthu ambiri ali nalo. Ndipotu, kupopa sikupweteka. Komabe, kukhala ndi chubu pakhosi panu kungakhale kovuta. Mutha kumva kupweteka pakhosi, makamaka mukalowetsa ndikuchotsa chubucho. Komabe, madokotala angathandize kuchepetsa kusasangalala kumeneku pogwiritsa ntchito mankhwala opopera kapena kudzola chubucho, zomwe zingakhale zovuta kuzisamalira.
Kodi zoopsa ndi zovuta za chithandizochi ndi ziti?
Ngati dokotala wophunzitsidwa bwino achita izi molondola, chiopsezo cha mavuto chimakhala chochepa kwambiri. Komabe, monga momwe zimakhalira ndi njira zina zonse zachipatala, pali chiopsezo chochepa.
- Kuvulala pang'ono kwa m'mero kapena m'mimba pamene chubucho chalowetsedwa.
- Ngati mukusanza panthawi ya chithandizo, zomwe zili mkati mwake zitha kulowa mu mpweya wanu (kupuma) . Izi zitha kukhala zoopsa.
- Chubucho chinalowa mwangozi munjira yopumira mpweya. (Ndicho chifukwa chake malo enieni atsimikiziridwa)
- Pamene chubu chili pakhosi, mitsempha (vagus nerve) imalimbikitsidwa, zomwe zimayambitsa matenda a mtima .
Mwayi woti zinthu ngati izi zichitike ndi wochepa kwambiri. Komabe, ogwira ntchito zachipatala amakhala maso nthawi zonse ndipo amachitapo kanthu kofunikira.
Ngati munthu wameza poizoni, kodi ndi kofunikira kutsuka m'mimba? Kodi mumasankha bwanji?
Funso ili ndi lofunika kwambiri. Kusamba m'mimba kumakhala kothandiza kwambiri pokhapokha ngati kwachitika msanga poyambitsa poizoni. Pakapita nthawi, poizoniyo amayamba kulowa m'thupi pang'onopang'ono kuchokera m'matumbo. Pa nthawiyo, kusamba m'mimba sikudzakhala kothandiza kwambiri. Chifukwa chake, dokotala adzaganizira zinthu zingapo akamasankha ngati angachite chithandizochi.
| Nthawi yoyenera yotsuka m'mimba | Pamene kutsuka m'mimba sikoyenera kapena koopsa |
|---|---|
| Kufika kuchipatala pasanathe ola limodzi kuchokera pamene adapatsidwa poizoni. | Ngati mwadya chilichonse chomwe chimayaka kwambiri kapena chowononga (monga asidi, bleach). (Chubucho chingawonongeke kwambiri chikayikidwa). |
| Mtundu wa poizoni womwe munthu amadya ndi woopsa kwambiri komanso woopsa . | Ngati mwamwa hydrocarbon monga petulo kapena palafini (izi zitha kulowa mosavuta m'njira yopumira ndikuwononga). |
| Mankhwala ena (monga Activated Charcoal) sakwanira kapena sangaperekedwe. | Wodwalayo amakana chithandizo kapena amachita zinthu mosokoneza. |
| Mtundu wa poizoni womwe umalowetsedwa ndi womwe umachedwetsa kutulutsa madzi m'mimba. | Wodwalayo akudwala khunyu . |
| Gulu lachipatala lomwe likuchita chithandizochi lalandira maphunziro apadera pa chithandizochi. | Wodwalayo ali ndi chikumbumtima kapena akugona ndipo njira yopumira mpweya siili yotetezeka. |
Kodi mumazindikira bwanji zadzidzidzi? Kodi ndi zizindikiro ziti zomwe muyenera kuwonana ndi dokotala nthawi yomweyo?
Ngati inu kapena munthu amene mumamusamalira wamwa mankhwala mopitirira muyeso, wamwa poizoni, kapena akudwala poizoni wa mowa, funsani upangiri wa dokotala nthawi yomweyo. Musadikire mpaka zizindikiro zitayamba kuonekera. Ngati mukukayika, pitani kuchipatala chapafupi nthawi yomweyo.Pitani ku Chipinda Chothandizira Padzidzidzi (ETU).
Nazi zizindikiro zodziwika bwino za poizoni:
- Chizungulire
- Kusanza ndi kusanza
- Kugunda kwa mtima
- Kuvuta kupuma
- Kupsa mkati kapena mozungulira pakamwa
- Fungo la mankhwala pa mpweya
- Kugwidwa ndi khunyu
- Kusakhazikika kapena kusokonezeka
- Kutaya chidziwitso
- Kugona kwambiri kapena kutaya chidziwitso
Chofunika: Ngati mukuganiza kuti muli ndi poizoni, musayese kuchiza kapena kusanza kunyumba. Ngati mukufuna upangiri, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital ku Sri Lanka. Komabe, ngati vuto la wodwalayo ndi lalikulu, ndikofunikira kupita naye kuchipatala mwachangu.
Uthenga Wopita Nawo Kunyumba
- Kupopa m'mimba ndi mankhwala ofunikira omwe angapulumutse miyoyo nthawi zina zadzidzidzi, koma mwina si mankhwala oyamba a poizoni masiku ano.
- Ngakhale kuti zimakhala zovuta kukhala ndi chubu pakhosi panu panthawi ya chithandizochi, sizimapweteka kwambiri. Madokotala amachitapo kanthu kuti achepetse kusasangalalako.
- Ngati inu kapena munthu amene mumamudziwa mwangozi wamwa poizoni, mankhwala, kapena mankhwala, musayese kuchiza matendawa kunyumba. Pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo.
- Dokotala amene amafufuza wodwalayo amasankha ngati munthu akufunika kutsukidwa m'mimba kapena ayi. Zinthu zambiri zimaganiziridwa, monga momwe wodwalayo alili, mankhwala omwe wameza, ndi nthawi yomwe yapita.
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