Ushobora kuba warabonye cyangwa warumvise abantu bari mu bitaro baterwa 'umunyu'. Bikubiyemo kanula ishyirwa mu mitsi, ifatanye n'agafuka k'amazi kamanitse ku gitereko kirekire. Abantu benshi bumva bafite ubwoba kuri ibi, cyangwa bakeka ko bikoreshwa gusa ku ndwara zikomeye. None se, amazi yo mu mibonano mpuzabitsina ni iki, azwi cyane nka saline? Ni ryari koko aba akenewe? Reka tubisobanure mu buryo bworoshye kandi busobanutse neza hamwe na Nirogi Lanka.
Kuki ukeneye ibinyobwa biva mu mitsi?
Mu magambo make, amazi yo mu mitsi (IV) ni amazi yihariye agezwa mu maraso yawe binyuze mu mitsi. Impamvu nyamukuru yo kuyakoresha ni ukwirinda cyangwa kuvura umwuma w'amazi — aho amazi n'amashanyarazi by'ingenzi mu mubiri wawe bigera ku rugero rwo hasi cyane.
Hafi 60% by'umubiri wawe bigizwe n'amazi. Tekereza uko bigenda iyo uru rugero rugabanutse cyane. Buri ngirabuzimafatizo n'urugingo rw'umubiri wawe byishingikiriza ku mazi kugira ngo bikore. Iyo udashobora kugira amazi ahagije unywa amazi wenyine, kuvurwa hakoreshejwe imiyoboro ya IV biba ngombwa.
| Ibibazo Bisanzwe Bisaba Amazi yo mu Mitsi | |
|---|---|
| Indwara ikomeye | Iyo urwaye kuruka cyane no gucibwamo , umubiri wawe utakaza amazi menshi vuba. Muri ibyo bihe, igogora ryawe rishobora kudashobora kwinjiza ibyo unywa. |
| Imyitozo ngororamubiri no kwishyira mu mwanya w'ubushyuhe | Gukora imyitozo ngororamubiri cyane cyangwa kumara igihe kirekire umuntu ahura n'ubushyuhe bwinshi bishobora gutuma amazi atakaza byinshi bitewe n'ibyuya. |
| Ibikomere bikomeye cyangwa ubushye | Gukomereka bikomeye cyangwa gushya cyane bishobora gutuma amazi yo mu mubiri agabanuka vuba. |
| Kubaga | Mu gihe cyo gukora ibiyobyabwenge bisaba ikinya, ntushobora kurya cyangwa kunywa, kandi umubiri wawe ukeneye ubufasha bw'amazi menshi mu gihe cyo kubagwa na nyuma yaho. |
Ingaruka zo Kubura Amazi mu Mubiri
Iyo umubiri wawe ubuze amazi mu mubiri, bigira ingaruka ku mikorere y’umubiri myinshi:
- Guhungabana kw'uburinganire bw'amashanyarazi yawe.
- Ibibazo byo kutabona neza no kwibuka.
- Gutakaza imbaraga no kunanirwa guhoraho.
- Igogora ritameze neza n'imikorere y'amara.
- Kuribwa umutwe kenshi kandi bikabije.
- Kwangirika kw'ingingo z'ingenzi , nk'impyiko, umutima n'ubwonko.
- Kugabanuka k'imikorere y'umubiri.
- Kwangirika k'ubuzima bw'uruhu.
Ibi ni ibimenyetso bisanzwe by’umwuma ukabije. Niba uhuye na kimwe cyangwa byinshi muri ibi, nyamuneka shaka ubufasha kwa muganga vuba. Niba ari ikibazo cyihutirwa, hamagara 911 cyangwa usure ibitaro bikwegereye.
| Ibimenyetso | Icyo ushobora kubona |
|---|---|
| Kuzungera | Kumva ufite umutwe ukeye iyo uhagaze cyangwa ugenda. |
| Amaso yumye | Amaso yumva yumye, nubwo wagerageza kurira. |
| Umunwa wumye/iminwa | Kubura amacandwe, iminwa yacitse, n'ururimi rwumye. |
| Uruhu rwumye | Uruhu rusa n'urumutse, rufite iminkanyari, cyangwa rutangiye kugaragara nk'aho rufite ibizinga. |
| Umunaniro ukabije | Kumva unaniwe nubwo nta myitozo ngororamubiri ihagije. |
| Guhumeka vuba | Guhumeka vuba kurusha uko usanzwe uruhuka. |
| Ibihe Bikonje | Amaboko n'ibirenge bikonje iyo ubikozeho. |
| Kugabanuka kw'inkari | Kunyara munsi y'inshuro enye ku munsi, hamwe n'inkari zijimye. |
Ubwoko bw'amazi ya IV
Muganga wawe azagusobanurira ubwoko bukwiye bw'amazi yo mu miyoboro y'amaraso akurikije uburwayi bwawe. Hari ibyiciro bibiri by'ingenzi:
Ibisubizo bya Crystalloid
Ibi ni byo bintu bikunze gukoreshwa cyane. Birimo uduce duto duto duhita mu mitsi yawe y'amaraso tujya mu turemangingo twawe.
- Umunyu usanzwe : Uyu ni 'umunyu' abantu bose bazi. Muri make ni uruvange rw'amazi na sodium chloride (umunyu).
- D5W: Iyi irimo dextrose (ubwoko bw'isukari) ivanze n'amazi.
- Ringer's yo mu bwoko bwa Lactated: Iyi irimo sodium, chloride, potasiyumu, kalisiyumu, na lactate. Ikunze gukoreshwa iyo hakenewe amazi menshi vuba.
Ibisubizo bya Colloid
Ibi birimo molekile nini zidahita mu rukuta rw'uturemangingo byoroshye, akenshi ziguma mu maraso kugira ngo zigumane ingano. Urugero, harimo Albumin na Hetastarch.
Bigenda bite iyo uhawe inshinge ya IV?
Ubu buryo bukorwa na muganga cyangwa umuforomo wabyigiye mu buryo bunoze kandi bw’umwuga.
1. Ubwa mbere, umuganga wawe azagena ubwoko n'ingano y'amazi yo mu miyoboro y'amaraso ukeneye hashingiwe ku buremere bwawe, imyaka yawe, n'uburwayi bwawe ubu.
2. Hanyuma, aho umuntu yinjiza (ubusanzwe inkokora y'imbere cyangwa hejuru y'ukuboko kwawe) hasukurwa neza n'umuti wica udukoko .
3. Ikarito ihambiriwe ku kuboko kwawe kugira ngo imitsi igaragare neza.
4. Nyuma yo guhitamo umutsi ukwiye, hashyirwamo kanula yangiritse (umuyoboro muto wa pulasitiki urimo urushinge). Ushobora kumva utobowe gato, ariko bimara igihe gito gusa.
5. Iyo kanula imaze gushyirwa neza mu mutsi, tourniquet irakurwaho.
6. Kanula ihambiriwe ku kuboko kwawe hakoreshejwe kaseti yo kwa muganga kugira ngo wirinde ko habaho kwimuka ku bw'impanuka.
7. Umuyoboro uhujwe n'agafuka kawe k'amazi yo mu miyoboro y'amaraso ushyirwa kuri kanula.
8. Agapfunyika ka IV kamanikwa ku gitereko cya IV, kandi amazi agatangwa ku gipimo gigenzurwa binyuze mu ipompo cyangwa imbaraga za rukuruzi, bigatuma umuntu ahabwa neza.
9. Abakozi bacu b'abaganga bazakurikirana ibikorwa byose buri gihe kugira ngo umutekano wawe ube mwiza.
Mu gihe ufite inshinge zo mu muyoboro w’amaraso (IV), niba ubona ko amazi asa n’aho yihuta cyane cyangwa agenda buhoro, niba wumva ububabare aho wakorewe, niba kanula isa n’aho ifunguye, cyangwa niba ubabara umutwe cyangwa uhumeka nabi, hita ubimenyesha muganga wawe cyangwa umuforomo.
Ni izihe nyungu n'ingaruka byagira?
Gusubiza amazi mu mubiri hakoreshejwe iv ni uburyo busanzwe cyane, bworoshye kandi bwizewe bwo kwa muganga. Butanga ubutabazi bwihuse kandi, ku barwayi barembye cyane, bushobora kurokora ubuzima.
Nubwo ingorane zidakunze kubaho, ni byiza kuzimenya kugira ngo umenye icyo ugomba kwitondera.
| Ingorane | Ibisobanuro |
|---|---|
| Guhagarika umwuka mu kirere | Umwuka winjira mu mitsi unyuze mu muyoboro. Ibi ni gake cyane ariko bisaba ubuvuzi bwihuse. |
| Umutsi wacitse | Umutsi ushobora gusenyuka mu gihe cyo kuwushyiramo cyangwa nyuma yo kuwukoresha igihe kirekire. Ibi nibibaho, abakozi bazakoresha ahandi hantu. |
| Amazi menshi cyane | Iyo amazi atanzwe vuba cyane, bishobora gutera kuribwa umutwe, umuvuduko ukabije w'amaraso, cyangwa kugorwa no guhumeka. Guhindura umuvuduko w'amaraso bikemura ibi. |
| Hematoma | Amaraso ava mu bice bikikije. Asa n'igisebe kandi akenshi azakira mu byumweru bike. |
| Kwandura | Bibaho iyo aho umuntu yinjiriye hatagumanye isuku. Ibi bishobora kuvurwa neza hakoreshejwe imiti igabanya ubukana. |
| Kwinjira mu bwihisho | Amazi ava mu ngingo zikikije iyo kanula ihindutse. Bishobora gutera ububabare buto/kubyimba, ariko byoroshye kuyakemura. |
| Phlebite | Kubyimba k'imitsi. Bikunze kugaragara; bivurwa no gukuraho kanula no gushyiramo udukoresho dushyushye two gukaraba. |
Ubutumwa bwo kujyana mu rugo
- Ibinyobwa bya IV, cyangwa 'saline', bikoreshwa cyane cyane mu kuvura umwuma no kugarura electrolyte iringaniye.
- Kubura amazi mu mubiri ntibikwiye gufatwa nk'ibintu byoroshye; niba ugaragaje ibimenyetso bikomeye, shaka ubufasha bwa muganga ako kanya cyangwa uhamagare inzego z'ubutabazi bwihuse.
- Uburyo bwo kuvura hakoreshejwe imashini zigabanya ubukana bwa IV ni uburyo busanzwe kandi bufite umutekano bukorerwa mu bitaro buri munsi. Ntugahangayikishwe nabyo.
- Ubwoko bwihariye n'ingano y'amazi uhabwa bigenwa na muganga wawe hashingiwe ku isuzuma ry'ubuzima bwawe.
- Niba wumva umerewe nabi mu gihe ukoresheje imashini ya IV, banza ubwire umuforomo wawe cyangwa muganga wawe ako kanya.
Ibinyobwa biva mu miyoboro y'amaraso, umunyu, amazi make mu mubiri, kanula, kuvurwa mu mitsi, Nirogi Lanka
