Reka twige ku byangiritse biterwa no kubura umwuka wa ogisijeni mu bwonko (Ibikomere byo mu bwonko bitagira uburozi n'uburozi)

Twese tuzi uburyo ari ngombwa ko duhumeka kugira ngo tubeho. Ni ko bimeze no ku bwonko bwacu. Uturemangingo tw'ubwonko dukenera umwuka uhoraho wa ogisijeni . Tekereza gato, iyo umwuka ugera mu bwonko uhagaze iminota 4 cyangwa irenga, uturemangingo tw'ubwonko dutangira gupfa. Ibi bishobora kwangiza ubwonko bikomeye cyane, rimwe na rimwe bikaba bitagishoboka. Uyu munsi turimo kuvuga kuri iki kibazo giteje akaga, ariko twese tugomba kumenya iki kibazo.

Kwangirika k'ubwonko kutagira umwuka uhagije n'uburozi budafite umwuka uhagije ni iki?

Aya mazina yombi ashobora kumvikana nk'aho agoye gato, ariko mu by'ukuri yoroshye cyane. Reka turebe.

Ubwonko bukoresha kimwe cya gatanu cya ogisijeni mu mubiri wacu. Ubwonko ntibushobora gukora neza hatabayeho ogisijeni, bukohereza ubutumwa binyuze mu mitsi kandi bugatuma ibintu byose biri mu mubiri bikora neza.

• Gukomereka mu bwonko : Iki ni cyo gihe umwuka wa ogisijeni ugera mu bwonko ugabanuka. Ntabwo uhagarara burundu, ariko uba muto cyane ugereranyije n'ingano ikenewe.
• Ububabare bw'ubwonko buterwa n'uburozi: Ibi birakomeye kurushaho. Aha, ubwonko buba bwabuze umwuka wa ogisijeni burundu.

Hari igihe abaganga bakoresha aya magambo hamwe. Ariko, byombi ni indwara zishobora kwangiza ubwonko cyane. Iyo umuntu amaze igihe kinini adafite ogisijeni, ashobora kurwara koma cyangwa ndetse no gupfa mu bwonko.

Ni iki gituma ubwonko bubura ogisijeni?

Itangwa rya ogisijeni mu bwonko rishobora kugabanuka cyangwa kugabanuka bitewe n'impamvu zitandukanye, zimwe muri zo dushobora kutazi.

Ni ibihe bimenyetso by'iyi ndwara?

Gutakaza ubwenge bishobora kubaho mu masegonda 15 nyuma yo kubura umwuka wa ogisijeni mu bwonko. Byongeye kandi, ibi bimenyetso bishobora no kugaragara mu buryo butunguranye.

• Kutabasha kuvuga neza cyangwa kutabasha guhuza amagambo
• Urujijo, gutakaza kwibuka
• Kuremba mu maso
• Iminwa n'uruhu bihinduka ubururu/imvi
• Guhumeka mu buryo buciriritse cyangwa bwihuse cyane
• Abanyeshuri bafite ubumuga bwo mu nda
• Ntabwo ari gusubiza izina
• Indwara zo mu mutwe

Abaganga babibona bate?

Ubusanzwe, iyo umurwayi agejejwe kuri ETU akabazwa ibyabaye (urugero, kurohama, kurohama n'ibiryo), abaganga baba bafite igitekerezo cyiza. Ariko kugira ngo bamenye uburemere bw'imvune, bakora ibizamini bike.

• CT scan cyangwa MRI scan: Ibi bishobora kureba niba hari ibyangiritse ku bwonko, nko kubyimba.
• EEG (Electroencephalogram): Ibi bipima imikorere y'amashanyarazi y'ubwonko. Ibi bifasha kumenya uburyo ubwonko bukora.
• Angiografiya: Iki kizamini gikorwa kugira ngo harebwe niba hari imiyoboro y'amaraso ifungana itanga amaraso mu bwonko.
• Ikizamini cy’ubushobozi bwavuyeho: Iki kizamini gisuzuma niba ubwonko busubiza ku byiyumvo nko kubona, kumva no gukoraho.

Ivurwa ite?

Iki ni ikibazo cyihutirwa cy’ubuvuzi. Umaze kugezwa kwa muganga, abaganga bazagerageza guha ubwonko umwuka uhagije vuba bishoboka. Bazaguha kandi imiti igenzura umuvuduko w’amaraso n’umuvuduko w’umutima.

Uburyo bwo kuvura butandukana bitewe n'uburemere bw'uburwayi bw'umurwayi. Akenshi, umurwayi yinjizwa mu cyumba cyita ku barwayi barembye cyane (ICU) kandi agashyirwa ku cyuma gifasha guhumeka neza.

Mu bihe bimwe na bimwe bikomeye, hakoreshwa uburyo bwihariye bwo kuvura bwitwa Therapeutic Hypothermia .

Ubu buryo bwo kuvura umubiri bukonjesha ni ubuhe?

Ubu ni uburyo bwihariye bwo kuvura. Icyakozwe hano ni ugukoresha amashuka yihariye kugira ngo ubushyuhe bw'umubiri bugerweho kandi bugabanuke kugeza kuri dogere selisiyusi 32-34 mu gihe cy'amasaha agera kuri 24. Hanyuma umubiri usubizwa buhoro buhoro ku bushyuhe busanzwe. Ubushakashatsi bwagaragaje ko ibi bishobora kugabanya kubyimba no kwangirika k'ubwonko. Bifasha kandi kurinda ubwonko binyuze mu kugabanya ingano ya ogisijeni n'ingufu zikenerwa n'uturemangingo tw'ubwonko.

Ingaruka zishobora kubaho igihe kirekire nyuma yo gukira

Nubwo umuntu yagarura ubwenge nyuma yo gukomereka cyane mu bwonko, hashobora kubaho ingaruka zirambye. Izi ngaruka zishobora kuba iz'umubiri, izo mu mutwe cyangwa izo mu myitwarire.

• Ingaruka ku mubiri: Kuribwa umutwe, kubura uburinganire mu gihe cyo kugenda, ibibazo byo kureba, gucika intege , kugorwa no kuvuga no kumira, kubura ibyiyumvo by'umubiri, impinduka mu buryo bwo gusinzira.
• Ingaruka zo mu mutwe no mu myitwarire: gutakaza kwibuka, kwiheba, kugorwa no kwita ku bintu, urujijo, kudashobora gutekereza neza, impinduka mu miterere y'umuntu (kumva utari uwo wari usanzwe), no kurakara.

Gukira bishoboka bite?

Uburyo umuntu akira neza biterwa n'ibintu byinshi:

• Ubwonko bwamaze igihe kingana iki nta mwuka wa ogisijeni?
• Kwangirika k'ubwonko gukomeye gute?
• Wari ufite imyaka ingahe igihe impanuka yabaga? (Abari munsi y'imyaka 50 bafite amahirwe menshi yo gukira)
• Wamaze igihe kingana iki uri muri koma?

Ibikomere bito akenshi bishobora gukira burundu nta ngaruka z'igihe kirekire. Ariko, ibikomere bikomeye bishobora gufata amezi cyangwa imyaka kugira ngo bikire. Hari igihe umuntu ashobora kudakira burundu.

Ni gute ubwoko bw'impanuka bwakwirindwa?

Iyo umuntu atakaje ubwenge umutima we ugahagarara gutera, CPR (Cardiopulmonary Resuscitation) , ari byo massage y'umutima no guhumeka ukoresheje umunwa, bishobora gufasha mu gukomeza gutanga amaraso na ogisijeni mu bwonko kugeza igihe ubufasha bwa muganga bugeze. Ibi bishobora kugabanya cyane ibyago byo kwangirika k'ubwonko bikomeye. Kwiga gukora CPR bishobora gufasha kurokora ubuzima.

Byongeye kandi, kurikiza izi ntambwe z'umutekano:

• Irinde impanuka ziterwa n'amazi. Jya uba maso nubwo abana baba bari mu bwogero.
• Shyiramo ibikoresho bipima umwotsi n'ibikoresho bipima monoxide ya karubone mu rugo rwawe.
• Niba hari umuntu wanyoye uburozi, mujyane kwa muganga vuba. Niba bibaye ngombwa, ushobora guhamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo umugire inama.