Nthawi zambiri timaona m'mafilimu ndi m'ma TV kuti munthu akamwa poizoni kapena kumwa mapiritsi ambiri, amatengedwa kupita kuchipatala ndipo 'kutsuka m'mimba' kumachitika. Amayika chubu ndikutulutsa zomwe zili m'mimba. Kwenikweni, izi ndi zomwe madokotala amati 'Gastric Lavage' kapena 'Stomach Pumping'. Mwachidule, kutsuka m'mimba. Koma kodi izi n'zosavuta monga momwe zimaonekera m'mafilimu? Kodi izi zimachitika nthawi zonse akapatsidwa poizoni? Tiyeni tikambirane za izi lero.
Kodi Gastric Lavage ndi chiyani kwenikweni?
Mwachidule, iyi ndi njira yachipatala yomwe zinthu zomwe zili m'mimba mwanu zimachotsedwa pogwiritsa ntchito chubu. Izi zimaphatikizapo kulowetsa chubu chopyapyala kudzera m'mphuno kapena pakamwa panu m'mimba mwanu, kulowetsa madzi pang'ono kapena madzi amchere, kenako kutulutsa zinthu zomwe zili m'mimba mwanu ndi madziwo. Izi zikutanthauza kuti m'mimba mukutsukidwa ndi kutsukidwa, pomwe nthawi yomweyo mukuchotsa zomwe zili mkati.
Kodi 'Pump ya m'mimba' imafunika pazochitika ziti?
Anthu ambiri amadziwa izi ngati chithandizo chadzidzidzi. Inde, ndi zoona. Kaya munthu amwa poizoni kapena amwa mankhwala ochulukirapo , njira iyi imagwiritsidwa ntchito kupulumutsa moyo mwa kuchotsa poizoni m'mimba asanayambe kulowa m'thupi.
Koma chithandizochi sichigwiritsidwa ntchito pazifukwa zadzidzidzi zokha, komanso pazifukwa zina.
- Chepetsani kuthamanga kwa magazi m'mimba mukakhala ndi chakudya, madzi, kapena mpweya wochuluka.
- Chotsani magazi ambiri m'mimba.
- Tsukani ndi kutsuka m'mimba musanayambe opaleshoni yaikulu. Izi zingathandize kupewa kuti zinthu zomwe zili m'mimba zisalowe pakhosi panu panthawi ya opaleshoni.
| Nthawi zina kutsuka m'mimba kungafunike | Njira zachipatala pogwiritsa ntchito kutsuka m'mimba |
|---|---|
| Kumeza/Kupha poizoni | Opaleshoni ya m'mimba |
| Matenda omwe amachedwetsa kutulutsa m'mimba (Gastroparesis) | Mpweya wothandiza |
| Kutsekeka kwa matumbo ang'onoang'ono | Kuyesa kwa asidi m'mimba |
| Kusanza kosalekeza komanso kusanza | Musanayambe endoscopy (Upper Endoscopy) |
| Kutuluka magazi m'mimba chapamwamba |
Kodi kutsuka m'mimba kumachitika nthawi yadzidzidzi?
Kunena zoona, si zachilendo monga kale. Makamaka ngati mankhwala a poizoni. Posachedwapa, mabungwe otsogola padziko lonse lapansi amalimbikitsa kuti kutsuka m'mimba kusakhale njira yokhayo yochizira poizoni, koma kuti njira zina zochiritsira ziganizidwe. Nthawi zina, mankhwala monga makala oyambitsidwa amatha kukhala otetezeka komanso ogwira mtima kwambiri. Chifukwa chake, madokotala amasankha chithandizo choyenera kwambiri kutengera zinthu zambiri, kuphatikizapo mkhalidwe wa wodwalayo, mtundu wa poizoni womwe wadyedwa, komanso nthawi yomwe yapita.
Kodi chithandizochi chimagwira ntchito bwanji kwenikweni?
Njirayi ingagawidwe m'magawo atatu akuluakulu.
1. Kukonzekera: Mukafika kuchipatala, madokotala ndi anamwino adzayang'ana zizindikiro zanu zofunika pa moyo nthawi zonse - monga kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kugunda kwa mpweya. Ngati muli ndi chidziwitso, adzakufotokozerani za njirayi ndikupempha chilolezo chanu. Ngati pakufunika kutero, mutha kuyika chubu chopumira kuti mupewe kuti zomwe zili m'mimba zisalowe m'mapapo mwanu panthawi ya opaleshoniyi.
2. Kulowetsa m'mimba: Izi zimaphatikizapo kulowetsa chubu m'mimba mwanu ndikuchilumikiza ku pampu yakunja. Ngati chubu ichi chalowetsedwa kudzera m'mphuno mwanu, chimatchedwa ``nasogastric chubu'', ndipo ngati chalowetsedwa kudzera mkamwa mwanu, chimatchedwa ``orogastric chubu.'' Chubu chokulirapo pang'ono, chomwe chimalowetsedwa kudzera mkamwa mwanu, nthawi zambiri chimagwiritsidwa ntchito kutsuka m'mimba mwanu.
- Izi zitha kuchitika mwa kugona molunjika kapena kutembenukira kumanzere ndikutsitsa mutu wanu pang'ono.
- Ndimapopera mankhwala kuti pakhosi panga pakhale dzanzi. Izi zimachepetsa kwambiri kupweteka ndi kusasangalala.
- Pali kachidutswa kakang'ono ka kuluma mkamwa kuti kasathe kutafuna pa chubu.
- Yesani kutalika kwa chubu chomwe mukufuna pa mimba yanu ndipo muyike chizindikiro.
- Nsonga ya chubu imathiridwa mafuta ambiri ndipo pang'onopang'ono imadutsa pakhosi panu kupita m'mimba mwanu. Ngati muli ndi chikumbumtima panthawiyi, mudzapemphedwa kumwa madzi. Izi zithandiza chubu kulowa mosavuta.
- Onetsetsani kuti chubu chili m'mimba.Kuyezetsa kwa X-ray kumachitika, kapena chitsanzo chaching'ono cha madzi chimatengedwa kuchokera mu chubu ndipo acidity yake (pH) imayesedwa.
3. Kuchotsa/Kutsuka m'mimba: Pambuyo potsimikizira kuti chubu chilipo, madzi pang'ono (madzi kapena mchere) amadutsa mu chubucho kupita m'mimba. Pakatha mphindi imodzi kapena ziwiri, madziwo amachotsedwa pamodzi ndi zomwe zili m'mimba. Izi zimachitika kangapo mpaka madzi omwe abwerera atayera kwathunthu. Nthawi zina, makala oyambitsidwa amawonjezeredwa ku madzi omaliza. Izi zimathandiza kutseka poizoni wotsala womwe walowa m'matumbo ndikuwutulutsa ndi ndowe.
Kodi zimapweteka mukachita izi? Kunena zoona, pakhoza kukhala kusasangalala pang'ono komanso kumva ngati chinachake chikutsika pakhosi panu mukayika chubu ndikuchitulutsa. Koma ogwira ntchito zachipatala amayesetsa kuchepetsa zimenezo. Palibe ululu zinthuzo zikachotsedwa m'mimba.
Kodi ndi liti pamene muyenera kusankha kutsuka m'mimba ngati mwadwala poizoni?
Izi ndizofunikira kwambiri. Izi sizigwira ntchito pa poizoni aliyense. Dokotala amapanga chisankho ichi ataganizira zinthu zingapo.
| Kupanga zisankho zokhudzana ndi kupopa m'mimba | |
|---|---|
| Chithandizochi nthawi zambiri chimagwiritsidwa ntchito pamene: | |
| Ngati poizoniyo sanamwe kwa nthawi yayitali (nthawi zambiri mkati mwa ola limodzi). | |
| Ngati poizoni amene wadyedwa ndi woopsa kwambiri, womwe ungawononge moyo . | |
| Ngati mankhwala ena (monga Activated Charcoal) sakukwanira kapena sangaperekedwe. | |
| Nthawi zina pamene chithandizochi sichili choyenera kapena chingakhale choopsa: | |
| Pamene zinthu zomwe zimayambitsa kutupa (monga asidi, palafini) zalowetsedwa. (Kuwonongeka kungachuluke ngati chubucho chalowetsedwa). | |
| Ngati wodwalayo ali chikomokere kapena sakudziwa kalikonse (popanda kuteteza njira yopumira). | |
| Ngati wodwalayo ali ndi khunyu (kufooka) . | |
| Ngati papita maola angapo kuchokera pamene poizoniyo analowetsedwa (chifukwa poizoniyo anali atalowetsedwa kale panthawiyo). |
Nthawi yoti mupeze upangiri wachipatala nthawi yomweyo
Ngati inu kapena munthu amene mumamusamalira mukuganiza kuti mwamwa mankhwala osokoneza bongo mopitirira muyeso, mwamwa poizoni, kapena mwamwa poizoni, muyenera kupita kuchipatala mwachangu . Yang'anirani zizindikiro zotsatirazi:
Chofunika kwambiri: Musayesere kuyambitsa kusanza kapena mankhwala ena kunyumba. Uphungu wa zachipatala ndi wofunikira. Ngati mukukayikira, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
| Zizindikiro zadzidzidzi za poizoni | |
|---|---|
| Chizungulire | Kusanza ndi kusanza |
| Kugunda kwa mtima | Kuvuta kupuma |
| Kupsa mkati ndi mozungulira pakamwa | Fungo la mankhwala pa mpweya |
| Kugwidwa ndi khunyu | Kusakhazikika |
| Kugona kapena kutaya chidziwitso | Kusokonezeka maganizo |
| Ngati muli ndi zizindikiro izi, pitani ku Dipatimenti Yodzidzimutsa yapafupi (ETU) nthawi yomweyo! | |
Uthenga Wopita Nawo Kunyumba
- 'Kupopa m'mimba' sikophweka monga momwe kumasonyezedwera m'mafilimu; ndi chithandizo chomwe chimachitidwa ndi anthu ophunzitsidwa bwino pazifukwa zinazake zachipatala.
- Mankhwalawa amagwiritsidwa ntchito makamaka pakakhala poizoni wambiri (mkati mwa nthawi yochepa kuchokera pamene wayamba) komanso pa zosowa zina zachipatala.
- Kusamba m'mimba sikoyenera pa poizoni aliyense. Dokotala wanu ndiye adzasankha chithandizo choyenera komanso chotetezeka kwambiri kwa wodwalayo.
- Ngati pali kukayikira pang'ono kuti pali poizoni, musayese kuchiza kunyumba, koma pitani ku Chipatala cha Emergency Treatment Unit (ETU).
- Ngati muli ndi nkhawa kapena mafunso okhudza izi, musaope kulankhula momasuka ndi dokotala wanu.
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