Muraho! Iyo umwana wawe arwaye mu buryo butunguranye, cyangwa habaye impanuka nto, ni ibisanzwe ko wowe nk'umubyeyi wumva uhangayitse, si byo se? Muri ibyo bihe, ubwenge bwacu buhita bujya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro, ni ukuvuga icyumba cy’ubutabazi bw’ibanze (ER) . Kuko tuzi ko turamutse tugiyeyo, dushobora kuvurwa igihe icyo ari cyo cyose cy’umunsi, uko umwana yaba amerewe kose. Ariko se, tugomba kujya kwa muganga w’ubutabazi bw’ibanze ku ndwara cyangwa imvune iyo ari yo yose? Hari igihe, hari igihe ushobora kubona ubutabazi buturutse kwa muganga w’umuryango wawe cyangwa ikigo gisanzwe cyita ku barwayi. Reka tuvuge kuri ibi byose uyu munsi.
Ese koko ngomba kujya kwa muganga w’indwara z’uruhu cyangwa se nshobora kubona ubufasha ahandi?
Dore ikibazo, rimwe na rimwe bishobora kuba ikibazo cyihutirwa cy’ubuvuzi . Muri icyo gihe, ikintu cyiza cyo gukora ni ukujyana umwana wawe mu cyumba cy’ubutabazi bw’ibanze (Emergency Room) (hari n’abandi babyita ED - Emergency Department ).
Ariko, hari indwara zimwe na zimwe n'impanuka nto zishobora kuvurwa no kubonana na muganga w'umuryango wawe no kubona imiti, cyangwa se no gushaka ubuvuzi mu ivuriro ryihutirwa (muri Sri Lanka, ibi bikunze kuboneka mu bitaro byigenga, cyangwa ibigo bimwe na bimwe by'abaganga bitanga serivisi nk'izo).
Rero, mu gihe tugomba kujya kwa muganga w’indwara z’ingorabahizi (ER), ni ngombwa cyane kumenya icyo tugomba kwitega nitugerayo n’icyo tugomba kwitegura.
Ni ryari wagombye guhamagara mu 1990 kugira ngo uhamagare imbangukiragutabara?
Hari ibihe bimwe na bimwe aho byaba byiza guhamagara imbangukiragutabara kuruta kujyana umwana wawe kwa muganga wita ku buzima mu modoka yawe. Muri Sri Lanka, dushobora guhamagara Serivisi y'Imbangukiragutabara ya Suwaseriya yo mu 1990. Dore bimwe mu bihe ushobora guhamagara imbangukiragutabara:
- Iyo umwana afite ikibazo cyo guhumeka kandi uruhu rugasa n'ubururu .
- Niba waragize impanuka y'imodoka ugatakaza ubwenge, cyangwa niba warakomeretse bikomeye.
- Niba umwana afite igicuri cyangwa isereri .
- Iyo umwana atazi cyangwa atagize icyo avuga.
- Niba hari ukeka ko umwana yakomeretse mu ijosi cyangwa mu ruti rw'umugongo .
- Niba watakaje ubwenge nyuma yo gukomereka ku mutwe , komeza kuruka, cyangwa ntukivure nk'uko bisanzwe.
- Niba urimo kuva amaraso mu buryo butunguranye .
- Niba umwana adakira neza cyangwa afite ikibazo cyo guhumeka bitewe n'uburozi , ikiruta byose, niba ukeka ko yarozwe, hamagara Ikigo cy'Igihugu gishinzwe Amakuru ku Burozi kuri 0112686143 kugira ngo umugire inama.Bashobora kandi kukwohereza kuri ER.
Icy'ingenzi: Biragoye kudatinya mu bihe nk'ibi, ariko fata ingamba zikenewe mu mutuzo ushoboka.
Twitegura dute mbere yo kujya kwa muganga w’indwara z’uruhu (ER)? (Tegura mbere y’igihe)
Ni ibisanzwe kumva ufite ubwoba iyo ugomba kujya kwa muganga wita ku buzima hamwe n'umwana. Ariko kwitegura gato mbere y'igihe bishobora kugabanya iyo mpungenge.
Vugana na muganga usanzwe w'umwana wawe kugira ngo umenye icyo wakora mu gihe cy'impanuka n'ikigo gishinzwe kuvura indwara z'uruhu (ER). Muganga wawe ashobora kukubwira ibijyanye n'ikigo gishinzwe kuvura indwara z'uruhu (ER), cyangwa akakohereza kwa muganga w'indwara z'uruhu mu bitaro aho akunze kubona abarwayi.
Ese nkwiye kujyana umwana wanjye kwa muganga w’abana mu bitaro by’abana?
Mu magambo make, ibitaro by’abana ni ahantu hihariye mu kuvura abana. Bashobora kuba bafite abaganga b’inzobere mu by’abana, abaforomo, n’ibigo byagenewe iyo ntego. Rero, niba habaye ikibazo cyihutirwa kandi hari ibitaro by’abana biri hafi aho (urugero, ibitaro by’abana bya Lady Ridgeway), ushobora gutekereza kujyayo.
Ubundi buryo, ushobora gushaka abaganga mu bitaro bya leta cyangwa iby’abikorera ku giti cyabo biri hafi yawe. Niba ku mpamvu runaka indwara yihariye y’umwana wawe idashobora kuvurwa muri ibyo bitaro, abaganga baho bazashyiraho gahunda yo kohereza umwana wawe mu kigo gifite ibitaro bikwiye.
Ese twandika amateka y'ubuzima bw'umwana ku rupapuro?
Ibi ni ingenzi cyane. Mu gihe cy'ubushyuhe bwinshi, bishobora kugorana kwibuka amakuru arambuye ku ndwara z'umwana wawe n'imiti ye. Kubwibyo, ni ingirakamaro cyane kwandika amateka y'ubuzima bw'umwana wawe. Abike ahantu abantu bose bo mu rugo bashobora kuyabona. Ibi bizaba ingirakamaro niba umuntu urera umwana wawe (urugero: umurera, nyogokuru) agomba kujyana umwana wawe kwa muganga wita ku buzima mu gihe cy'ubutabazi bwihuse.
Dore bimwe mu bintu byongera kuri iyo nkuru y'ubuvuzi :
- Imiti umwana arimo gufata ubu (amazina n'ingano).
- Allergie umwana afite (ku miti, ibiryo, nibindi).
- Niba warigeze kujya mu bitaro mbere, nyamuneka tanga ibisobanuro birambuye.
- Kubagwa mbere.
- Indwara zidakira umwana afite (urugero: asima, diyabete).
- Indwara zikomeye mu muryango (urugero: indwara z'umutima, kanseri).
- Raporo ku mateka y'urukingo rw'umwana.
Nanone, andika izina na nimero ya terefone by'umuganga w'ibanze w'umwana wawe (ni ukuvuga umuganga w'umuryango wawe), hamwe n'izina na nimero ya farumasi aho ukunda gufata imiti yawe.
Ni iki wagombye kwibuka iyo witegura kujya kwa muganga wita ku buzima?
Iyo ugiye kwa muganga w’abana n’umwana wawe, ni ngombwa kumenya neza ikibazo umwana wawe afite ubu.
- Ikibazo cyatangiye ryari/saha ki?(Niba ari imvune, igihe, niba ari indwara, igihe imaze).
- Ibimenyetso by'ubu ni ibihe?
- Ni ubuhe buryo bwo kuvura n'imiti wamaze kugerageza ?
- Ni ryari/ni ryari umwana yaherukaga kurya cyangwa kunywa ikintu icyo ari cyo cyose ?
Tekereza umwana wawe yamaze kumira umuti cyangwa ikintu runaka ukoresha mu rugo. Iyo ugiye kwa muganga w’indwara z’ingorabahizi, fata icupa cyangwa agapaki karimo icyo kinyobwa. Muri ubwo buryo, abaganga bashobora gusobanukirwa neza ubwoko bw’ubuvuzi watanga. Niba umwana wawe yamaze kumira ikintu gito (urugero: igiceri, igikinisho), jyana ikindi muri ibyo bintu niba bishoboka.
Ni iki wakwitega iyo ugiye kwa muganga wita ku buzima?
Tegereza gutegereza igihe gito.
Mu gihe cy’impanuka iyo ari yo yose, uretse mu gihe cy’impanuka ikomeye cyane, tegereza gutegereza igihe gito . Niba ufite umwanya mbere yo kujya kwa muganga, zana ikintu cyo gusoma, nk'igitabo cyangwa ikinyamakuru. Ni byiza kandi kuzana ikaramu n'urupapuro kugira ngo wandike ibibazo byose ufite kwa muganga. Niba umwana wawe adafite ikibazo kinini, zana ikintu gito cyo gukina nacyo (nk'amakaramu, ibitabo, ibikinisho, idubu ukunda). Niba ubona ko umwana wawe ashobora gukenera kuguma mu bitaro, ni byiza kandi kuzana umwenda wo guhindura n'uburoso bw'amenyo kuri wowe n'umwana wawe.
Nta buryo bwo kumenya neza igihe uzamara muri ER. Ariko niba umwana wawe afite ikibazo gikomeye cy'uburwayi , ushobora kwizera ko abaganga bazahita bamuvura.
Abaganga bakunze kubanza kubona imvune zikomeye n'indwara , bityo rero iyo ugiye mu cyumba cy’ibizamini ufite imvune nto, ushobora gutegereza igihe gito. Ushobora gutegereza nubwo nta muntu uri mu cyumba cyo gutegereza, niba ibyumba byo gupimisha byuzuye, cyangwa niba abaganga benshi n'abaforomo bavura umurwayi umwe ukomeye. Igikuru ni uko, niba wumva indwara y'umwana wawe irushaho kuba mbi mu gihe utegereje kubonana na muganga, bwira abakozi b'ibitaro ako kanya.
Triage ni iki? Reka twige no ku zindi nyandiko
Akimara kugera kwa muganga wita ku buzima, umuforomo azaza kureba umwana. Azamubaza ibimenyetso, arebe ibimenyetso by'ingenzi (nk'umuriro, umuvuduko w'amaraso, n'umuvuduko w'umwuka), hanyuma akore isuzuma ryihuse. Ibi byitwa triage . Muri make, iyi ni inzira yo gushyira imbere ibyo umwana akeneye mu buvuzi hashingiwe ku buremere bw'uburwayi bwe.
Hanyuma uzanyura mu nzira yo kwiyandikisha.Bazagutegeka. Uzasabwa gusinya ku Mpapuro zo Kuvurwa. Niba ufite ubwishingizi bw'ubuzima, za iyo karita. (Mu bitaro bya leta muri Sri Lanka, ibi bisabwa ku bwishingizi ntabwo ari ngombwa, ariko mu bitaro byigenga, ibi ni ingenzi).
Ibindi bintu byo kumenya:
- Abaganga benshi bafite serivisi zo guhindura cyangwa umuntu ushobora kugufasha mu guhindura. Niba utavuga Sinhala neza (urugero, niba uvuga Igitamili cyangwa Icyongereza), ni byiza kuzana umuntu wo mu muryango cyangwa inshuti ushobora kugufasha.
- Mu bihe bimwe na bimwe, muganga ashobora guhitamo ko umwana atarya cyangwa ngo anywe ikintu icyo ari cyo cyose. Kubwibyo, mbere yo guha umwana icyo kurya cyangwa icyo kunywa, baza abaganga niba nta kibazo kirimo.
- Iyo ugiye kwa muganga w’indwara zo mu mutwe (ER) mu mpera z’icyumweru cyangwa nijoro, inzobere ishobora kutaba ihari icyo gihe. Ariko nibiba ngombwa, bazategura kumuzana. Niba bikenewe ko abagwa, bazahamagara umuganga w’inzobere.
Wakora iki kugira ngo uhumurize umwana wawe? (Kumuhumuriza)
Mu gihe utegereje mu bitaro, wowe n'umwana wawe mushobora kubona abantu barwaye cyane cyangwa bakomeretse. Ni ibisanzwe ko umwana muto agira ubwoba iyo abonye cyangwa yumvise ibintu nk'ibyo. Rero, bwira umwana wawe ko ibitaro ari ho hantu heza ho kuba abarwayi, kandi ko abaganga bari hano bazamufasha kumva amerewe neza. Niba bishoboka, tanga urugero rw'igihe umuntu uzi yakomeretse kandi yari afite ubwoba icyo gihe, ariko agakira nyuma y'uko abaganga bamuvuje.
Ibitaro bimwe na bimwe binini bifite Inzobere mu buzima bw'abana bashobora gufasha abana guhangana n'imihangayiko yo kuba bari mu bitaro, bakabategurira uburyo bwo kwivuza, no kubigisha uburyo bwo kuvura ububabare butari ubwo mu rwego rw'imiti.
Ibintu byo gukurikirana
Mu gihe uri mu bitaro, gerageza kwandika amakuru y'ingenzi wumva.
- Amazina y'abaganga.
- Icyo bavuga ku ndwara cyangwa imvune.
- Umuti cyangwa ubuvuzi buhabwa umwana.
- Amabwiriza y'icyo wakora mu rugo (Gukurikirana cyangwa Kwita ku Rugo) .
Ni iki ugomba kumenya iyo uvuye mu bitaro by’abaganga b’inzobere (ER)? (Kuva mu bitaro by’abaganga b’inzobere (ER))
Niba umwana wawe yasezerewe mu bitaro, menya neza ko usobanukiwe amabwiriza yo kwita ku bana mu rugo. Niba hari ikintu utumva, ntutindiganye kumubaza.
Kenshi na kenshi, umuganga wavuraga umwana wawe uri mu bitaro azavugana na muganga w’umuryango wawe. Iyo umwana wawe yinjiye mu bitaro, umuganga w’ibitaro azabimenyesha umuganga wawe.
Hari abashinzwe ubuvuzi bw’ibanze bazaguha inyandiko cyangwa inyandiko z’ikoranabuhanga z’ibyo wabonye, abandi bakabyandika bakabyoherereza umuganga w’umuryango wawe. Bika kopi y’impapuro wakira igihe umwana wawe yasezerewe, kandi uzayijyane igihe ugiye kureba umuganga nyuma.
Hanyuma, ubutumwa bwo kujyana mu rugo:
Kujya kwa muganga w’indwara z’indengakamere hamwe n’umwana bishobora kugutera ubwoba. Ariko, niba udatinya, witeguye gato, kandi ukaba usobanukiwe gato ibibera muri muganga w’indwara z’indengakamere, ushobora koroshya icyo gihe kigoye.
Ibuka: Umutekano w'umwana wawe n'imibereho myiza ye ni byo by'ingenzi cyane. Ntugatinye kubona ubufasha igihe cyose n'aho ubukeneye. Ni byiza kandi kuganira na muganga wawe kuri ibi bintu buri gihe.
Mbifurije ubuzima bwiza mwese!
Ubuvuzi bwihutirwa , Ikigo cyita ku barwayi barwaye indwara zidasanzwe, Icyumba cy’ubutabazi bw’ibanze, Ubuzima bw’abana, Serivisi y’imbangukiragutabara, Amateka y’ubuzima, Triage, Serivisi y’ubuzima muri Sri Lanka











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