Pamwe wakambozviona mumafirimu, kana mumwe munhu netsaona kana nekuda kwechimwe chikonzero akanwa mapiritsi akawandisa, anoaendesa kuchipatara uye anoisa chubhu mukati oburitsa mvura iri mudumbu make. Izvi ndizvo zvatinowanzodaidza kuti 'kushambidza dumbu' kana kuti 'kupomba dumbu'. Kunyangwe zvingaita sekutyisa zvishoma, inzira yekurapa inokosha zvikuru inogona kuponesa hupenyu. Asi ichi chinhu chinoitwa nguva dzese here? Chinoitwa sei? Chinorwadza here? Ngatitaurei nezvazvo nhasi, chaizvo, pasina kutya.
Zvichitaurwa zviri nyore, chii chinonzi kushambidza mudumbu?
Kugeza mudumbu inzira yekuburitsa zviri mudumbu (zviri mukati medumbu). Izvi zvinonzi gastric lavage . 'Lavage' zvinoreva 'kugeza'. Saka, mukuita uku, zvinhu zviviri zvinoitika. Chiremba kana mushandi wezvekurapa akadzidziswa anoisa chubhu mudumbu mako, oisuka nemvura kana munyu, obva aburitsa zviri mukati medumbu mako nemvura. Chubhu iyi inowanzo pfuudzwa nemumhino dzako (nasogastric tube) kana nemuromo wako (orogastric tube) mudumbu mako.
Sei zvichikosha kugeza dumbu?
Sekuziva kunoita vanhu vazhinji, izvi zvinoitwa kana paine dambudziko. Kutaura chokwadi, kana munhu akanwa chepfu, kana akanwa mapiritsi akawandisa , nzira iyi inoshandiswa kuponesa hupenyu nekubvisa chepfu mudumbu nekukurumidza isati yapinda mumuviri.
Asi waizviziva here kuti kugeza mudumbu hakusi kungoitwa chete kana wadya chepfu? Zvinogonawo kubatsira zvikuru mumamiriro ezvinhu asina kunyanya kuoma.
Semuyenzaniso:
- Vamwe vanhu vanonzwa kumanikidzwa kwakanyanya uye kusagadzikana mudumbu nekuda kwechikafu, mvura, kana mhepo. Panguva idzodzo, nzira iyi inoshandiswa kuderedza kumanikidzwa ikoko.
- Kana ropa rakawanda (kubuda ropa) nekuda kwechimwe chinhu chakaita seronda remudumbu, izvi zvichabatsirawo kuchenesa nekubvisa ropa rakawandisa.
- Pakuvhiyiwa kukuru, paunenge uchivhiyiwa, pane mukana mukuru wekuti zviri mudumbu zvichadzoka muhuro zvonamira mupaipi yemhepo (aspiration). Fungidzira kuti izvozvo zvingave nengozi sei. Kudzivirira zvinhu zvakadaro, nzira iyi inoshandiswawo kubvisa mvura inoungana mudumbu panguva yekuvhiyiwa.
| Mamiriro ezvinhu apo kushambidza gastric kungave kwakakosha | Tsananguro |
|---|---|
| Kunwa chepfu | Kubvisa zvinhu zvine chepfu zvakaita semishonga nemakemikoro mumuviri zvisati zvanyungudutswa mumuviri. |
| Kusashanda zvakanaka kwedumbu | Kubvisa chikafu chazara mumamiriro ezvinhu apo dumbu rinononoka kubuda (semuenzaniso, gastroparesis). |
| Kuvharika kwematumbu | Kuderedza kumanikidzwa nekubvisa mvura nemhepo zvinoungana mudumbu nekuda kwekuvharika kwemudumbu. |
| Kurutsa nguva dzose | Kana paine kurutsa uye kuda kurutsa kunoramba kuripo izvo zvisingagone kudzorwa nedzimwe nzira dzekurapa. |
| Kubuda ropa mudumbu repamusoro | Kuti ubvise ropa mudumbu, tsvaga kwakabva ropa chaipo, uye geza dumbu usati waita bvunzo dzakadai se endoscopy. |
| Kuvhiya nedzimwe nzira dzekurapa | Munguva yekuvhiyiwa kukuru, pakupa mweya wekufema (kubatsira kufemesa), kuchenesa dumbu usati waitwa endoscopy. |
Kugeza dumbu hakusi kwakajairika mazuva ano here kana paine emergency?
Ehe, nyaya iyoyo ndeyechokwadi. Kusiyana nekare, havasi vese vakadya chepfu ikozvino vanofanirwa kugezwa matumbu avo. Mumakumi emakore achangopfuura, kunyange nzanga huru dzepasi rose dzine chepfu dzakakurudzira kuti izvi zvisaitwe nguva dzose.
Chikonzero cheizvi ndechekuti mune dzimwe nguva, kune dzimwe nzira dzakachengeteka uye dzinoshanda kupfuura kugeza mudumbu. Semuenzaniso, imwe nzira ndeyekupa charcoal yakakangwa . Iyi ipfu nhema. Painopinda mudumbu, inonyudza chepfu iri mudumbu pamusoro payo. Zvadaro, pamwe chete nehupfu, inoburitswa mutsvina. Imwe nzira ndeyeKudiridza Uta Hwese (WBO) . Izvi zvinosanganisira kuburitsa mvura yakawanda mudumbu rose. Saka, chiremba ndiye anosarudza kurapwa kwakakodzera zvichienderana nezvinhu zvakawanda, zvakaita semamiriro emurwere, rudzi rwechepfu yaakanwa, uye kuti yagara kwenguva yakareba sei.
Zvakanaka, saka ngatione kuti kurapwa uku kunoshanda sei chaizvo.
Maitiro ese aya anogona kukamurwa kuita matanho makuru matatu.
1. Kugadzirira
2. Kupinza dumbu muchubhu
3. Kusveta/Kugeza Dumbu
Kugadzirira
Vasati vatanga izvi, vashandi vezvehutano vanotanga vanyatsoongorora zviratidzo zvako zvinokosha, zvakaita seBP, kurova kwemoyo, uye kufema . Kana uchiziva, vachakutsanangurira kurapwa uye vowana mvumo yako. Vachaongorora gag reflex yako. Dzimwe nguva, chubhu yekufema inogona kuiswa kuti ibatsire kuchengetedza mweya wako wakavhurika panguva iyi.
Kupinza muchubhu
Chubhu inoshandiswa kugeza dumbu inogona kuiswa nepamhino (nasogastric tube) kana nepamuromo (orogastric tube), sezvambotaurwa. Kuti ibvise zviri mudumbu nekukurumidza, chubhu yakafara zvishoma inowanzo shandiswa, iyo inoiswa nepamuromo.
Heino maitiro ekuita izvi:
- Kutanga, uchaiswa panzvimbo yakatwasuka zvishoma, kana kuti uchaiswa nemusana wako musoro wako wadzikiswa zvishoma wotendeukira kuruboshwe.
- Zvadaro, mushonga unorapa huro unoiswa pahuro. Izvi zvinoderedza kusagadzikana kwakadai sekusvotwa uye kurwadziwa kwehuro.
- Kana uri kushandisa muromo, pane kanhu kadiki kadiki kari mumuromo mako kanodzivirira kuti usatsenga muromo netsaona.
- Tevere, chiremba achayera nekutara kureba kwechubhu inodiwa kuti isvike mudumbu mako.
- Mafuta anoiswa pamucheto wechubhu uye anopfuudzwa nokungwarira muhuro.
- Kana usina chaunoziva, unogona kukumbira rubatsiro rwekumedza chubhu kana kukumbira mvura yekunwa uchishandisa jira.
- Kana chubhu yaiswa pahukuru hwakanyorwa, inosungirirwa paganda nepurasita kuti isafambe-fambe.
Chinhu chinonyanya kukosha ndechekuti kana ukanzwa kukosora kana kuoma kufema paunenge uchiisa chubhu, rega kuisa chubhu nekukasika, bvisa kwechinguva, mirira kwechinguva, woedza zvakare. Kana chubhu yacho yapinda mudumbu kana kuti yapinda mupombi yemhepo zvisirizvo zvinogona kusimbiswa neX-ray kana nekutora sampuli diki yemvura kubva muchubhu uye kuyedza pH yayo.
Kugeza dumbu nekubvisa mvura
Kana chubhu yapinda mudumbu, inotanga kusukwa. Izvi zvinogona kuitwa nemvura isina kuchena kana kuti nesaline solution. Saline inoshandiswa, kunyanya kuvana vadiki neavo vasina mvura mumuviri nekuda kwekurutsa, kuchengetedza munyu ne electrolyte balance mumuviri. Dzimwe nguva, mushonga unokodzera rudzi rwechepfu inonwiwa unogona kuwedzerwa mumushonga uyu.
- Kutanga, mvura shoma (inenge 300 mL yemunhu mukuru, inenge 10 mL yemwana) inotumirwa nepachubhu ichienda mudumbu.
- Mushure mekuisiya kwemaminitsi angangoita maviri, mvura yacho inodhonzwa ichibuda nemuchubhu (supction).
- Maitiro aya anodzokororwa kakawanda kusvika mvura inodzoka yachena, zvichireva kuti zvinenge zvese zviri mudumbu zvabviswa.
- Kana zvichidikanwa, charcoal inowedzerwa mumvura yekupedzisira. Izvi zvinobata chero zvidimbu zvine chepfu zvasara mudumbu, zvichibvumira kuti zvipfuure nemudumbu zvobviswa pamwe chete netsvina.
Zvinorwadza zvakanyanya here kana ukaita izvi? Zvinonzwa sei?
Iri idambudziko rinosangana nevanhu vazhinji. Kutaura zvazviri, kupomba hakukuvadzi. Zvisinei, kuva nechubhu muhuro kunogona kushungurudza. Unogona kunzwa kurwadziwa pahuro, kunyanya kana uchiisa nekubvisa chubhu. Zvisinei, vanachiremba vanogona kubatsira kuderedza kusagadzikana uku nekushandisa spray inopedza simba kana kuisa mafuta muchubhu, izvo zvinogona kugadziriswa nyore nyore.
Ndezvipi njodzi nematambudziko ekurapwa uku?
Kana chiremba akadzidziswa akaita izvi nemazvo, njodzi yekusangana nematambudziko ishoma kwazvo. Zvisinei, sezvinoitwa nedzimwe nzira dzese dzekurapa, pane njodzi diki.
- Kukuvara kudiki pagurokuro kana mudumbu kana chubhu ikaiswa.
- Kana ukarutsa panguva yekurapwa, zviri mukati zvinogona kupinda mumhepo yako yekufema (aspiration) . Izvi zvinogona kuva nengozi.
- Chubhu iyi yakapinda netsaona munzira yekufema. (Ndosaka nzvimbo chaiyo yakasimbiswa)
- Kana chubhu iri muhuro, tsinga (vagus nerve) inomutswa, zvichikonzera cardiac arrhythmias .
Mikana yekuti chimwe chinhu chakadai chiitike yakaderera zvikuru. Zvisinei, vashandi vezvehutano vanogara vakangwarira uye vanotora matanho anodiwa.
Kana muchetura ukanwiwa, mudumbu munofanira kusukwa here? Unosarudza sei?
Uyu mubvunzo unokosha zvikuru. Kugeza mudumbu kunoshanda zvakanyanya kana kwaitwa pakutanga kwekuchetura. Nekufamba kwenguva, chepfu inotanga kunyura mumuviri zvishoma nezvishoma kubva muura. Panguva iyoyo, kushambidza mudumbu hakuzobatsiri zvakanyanya. Saka, chiremba achafunga nezvezvinhu zvakati wandei pakusarudza kana achifanira kuita kurapa uku.
| Nguva dzakakodzera dzekugezesa mudumbu | Kana kushambidza dumbu kusina kukodzera kana kuti kune njodzi |
|---|---|
| Kusvika kuchipatara mukati meawa imwe chete mushure mekuiswa chepfu. | Kana wakambodya chero chinhu chinokuvadza zvakanyanya kana kuti chinoparadza (semuenzaniso acid, bleach). (Chubhu yacho inogona kukuvara zvakanyanya kana ikaiswa). |
| Rudzi rwechepfu rwakabatwa rune njodzi huru uye runoisa upenyu panjodzi . | Kana wakanwa hydrocarbon yakaita sepeturu kana parafini (izvi zvinogona kupinda nyore nyore muhuro mokufema zvokonzera kukuvara). |
| Mimwe mishonga (semuenzaniso Activated Charcoal) haina kukwana kana kuti haigone kupihwa. | Murwere wacho haadi kurapwa zvakanyanya kana kuti anoita zvinhu zvinokanganisa. |
| Rudzi rwemuchetura unonwiwa ndirwo runononotsa kubuda kwechinhu mudumbu. | Murwere ari kubatwa nepfari . |
| Chikwata chevanachiremba chiri kuita kurapa ichi chakapihwa kudzidziswa kwehunyanzvi hwekurapa uku. | Murwere wacho haana chaanoziva kana kuti ane hope uye nzira yekufema haina kudzivirirwa. |
Unoona sei dambudziko rekukurumidzira? Ndezvipi zviratidzo zvekuti unofanira kuona chiremba nekukasika?
Kana iwe kana mumwe munhu waunotarisira akashandisa mishonga zvakanyanya, anwa chepfu, kana kuti ari kurwara nedoro, tsvaga rubatsiro rwechiremba nekukasika. Usamirire kusvika zviratidzo zvaonekwa. Kana usina chokwadi, enda kuchipatara chiri pedyo nekukasika.Enda kuEmergency Treatment Unit (ETU).
Heano mamwe ezviratidzo zvinowanzoonekwa zvemuchetura:
- Dzungu
- Kusvotwa nekurutsa
- Kurova kwemoyo
- Kuoma kufema
- Kupisa mukati kana kutenderedza muromo
- Kunhuhwirira kwemakemikari pakufema
- Kubatwa nepfari
- Kusagadzikana kana kusagadzikana
- Kurasikirwa nepfungwa
- Kurara zvakanyanya kana kurasikirwa nepfungwa
Zvakakosha: Kana uchifungidzira kuti ane chepfu, usamboedza kurapa kana kukonzera kurutsa kumba. Kana uchida mazano, unogona kufonera National Poisons Information Centre paColombo National Hospital muSri Lanka. Zvisinei, kana mamiriro emurwere akakomba, zvakakosha kuendesa murwere kuchipatara pasina kunonoka.
Mharidzo Yekuenda Nayo Kumba
- Kupomba dumbu inzira inokosha yekurapa inogona kuponesa hupenyu mune dzimwe nguva dzenjodzi, asi ingasave iriyo nzira yekutanga yekurapa chepfu dzese mazuva ano.
- Kunyangwe zvisingafadzi kuva nechubhu muhuro panguva yekurapwa uku, hazvinyanyi kurwadza. Vanachiremba vanotora matanho ekuderedza kusagadzikana.
- Kana iwe kana mumwe munhu waunoziva akadya chepfu, mushonga, kana kemikari netsaona, usamboedza kurapa chepfu kumba. Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
- Chiremba anoongorora murwere ndiye anosarudza kana munhu achida kugezwa mudumbu kana kwete. Zvinhu zvakawanda zvinotariswa, zvakaita semamiriro emurwere, chinhu chaanwa, uye nguva yaapedza.
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