Ingaba igazi lakho lihamba kakuhle? Masifunde ngeXesha lokuzalisa kwakhona iCapillary!

Namhlanje siza kuthetha ngento ethile engonyango, kodwa ibaluleke kakhulu. Mhlawumbi ukhe wayiva, okanye wayibona esibhedlele, apho oogqirha okanye abahlengikazi becinezela umnwe womntu. Usenokuba uzibuza ukuba yintoni na loo nto. Yiloo nto siza kuthetha ngayo namhlanje. Oku kubizwa ngokuba yi "Capillary Refill Time". Ungakhathazeki, siza kuchaza nje ukuba yintoni na eyenzayo kunye nesizathu sokuba ibalulekile.

Lingakanani eli xesha lokugcwalisa kwakhona i-capillary?

Ngamafutshane, olu luvavanyo olulula kakhulu. Lujonga indlela igazi lakho elijikeleza ngayo (i-peripheral perfusion) ezingalweni zakho, emilenzeni, nakwezinye iindawo zomzimba wakho . Ii-capillaries zezona mithambo yegazi mincinci emzimbeni wethu. Zifana nemisonto emincinci. Ezi capillaries zidibanisa imithambo yegazi (imithambo yegazi ethwala igazi lisuka entliziyweni) kunye nemithambo yegazi (imithambo yegazi ethwala igazi libuyela entliziyweni). Ngoko ke, ezi capillaries zenza umsebenzi omhle wokuthwala ioksijini kunye nezondlo emzimbeni wonke.

Olu vavanyo lwe-`(Capillary Refill Time)` luzama kakhulu ukubona ukothuka . Ukothuka yimeko eyingozi apho ukujikeleza kwegazi emzimbeni kwehla ngequbuliso, kwaye amalungu ethu abalulekileyo (afana nengqondo, intliziyo, izintso) akafumani ioksijini ayidingayo. Oku kunokwenzeka xa kukho isifo esisongela ubomi okanye ingozi enkulu.

Cinga ngako oku, xa kukho umothuko, kufuneka wenze ngokukhawuleza. Kusenokungabikho xesha lokwenza uvavanyo lwegazi (`uvavanyo lwelebhu`) okanye iiskeni ezinkulu (`izifundo zomfanekiso`). Kulapho olu vavanyo lwe`(Capillary Refill Time)` luba luncedo kakhulu. Lungenziwa ngokukhawuleza kwaye kubonwe ukuba kukho utshintsho na ekujikelezeni kwegazi .

Ngubani ofuna olu `(Uvavanyo Lokugcwalisa I-Capillary)`?

Olu vavanyo ludla ngokwenziwa xa impilo yomntu isiba mandundu ngequbuliso, okanye oko oogqirha bakubiza ngokuba “kungazinzi kwezonyango.” Oku kubaluleke ngakumbi ukuba kukho umngcipheko wokothuka.

Nazi ezinye zeemeko apho umntu anokufumana i-concussion:

• Impendulo ebukhali ye-allergy (`Anaphylaxis`): Impendulo ekhawulezileyo neqatha ye-allergy kukutya okuthile, amayeza, okanye ukutyiwa zizinambuzane.
• Ukuphelelwa ngamanzi emzimbeni: Xa umlinganiselo wamanzi emzimbeni uphantsi kakhulu. Umzekelo, xa uhlanza kakhulu okanye urhudo.
• Ukopha: Xa kuphuma igazi elininzi, nokuba kukwenzakala okukhulu okanye ukopha kwangaphakathi.
• Ubushushu bomzimba obuphezulu (iHyperthermia): Oku kungenzeka xa unomkhuhlane ophezulu okanye xa ubekwe elangeni ixesha elide.
• I-Hypothermia: Xa ubekwe kwindawo ebandayo kakhulu.
• Ukutsha kakhulu.

Xa imeko yomntu isiba mandundu ngenxa yezizathu ezinje, oogqirha bajonga eli gama lithi "Capillary Refill Time" baze bahlole ngokukhawuleza ukuba ukujikeleza kwegazi kusebenza kakuhle na.

Olu vavanyo lwenziwa nini?

Oku kwenziwa xa imeko yempilo yomntu ithathwa njengengazinzile. Oko kukuthi,

• Ukutshintsha kwesimo sengqondo: Umntu usenokudideka, aziphathe ngendlela engaqhelekanga, aze athethe amazwi angaqhelekanga.
• Izandla ezibandayo, iinyawo, iintende, kunye neenyawo: Ezi ziqala ukubanda xa ukujikeleza kwegazi kuncipha.
• Utshintsho oluyingozi kwiimpawu ezibalulekileyo: Oku kuthetha ukuba izinto ezifana noxinzelelo lwegazi, isantya sokubetha kwentliziyo, isantya sokuphefumla, kunye nobushushu bomzimba zinokuba phantsi kakhulu okanye ziphakame.
• Ukulahlekelwa yingqondo.

Xa iimpawu ezinje zibonakala, ukujonga "iXesha lokuzalisa kwakhona iCapillary" kunokuba luncedo kakhulu ekuxilongweni kwangethuba nasekuqaliseni unyango . Olu vavanyo lukwasetyenziselwa ukujonga indlela abasabela ngayo abaguli kunyango lokwethuka.

Lwenziwa njani olu vavanyo lwe-`(Capillary Refill Time)`?

Oku kulula kakhulu. Ungazama oku ekhaya (kodwa khumbula, ungafumani isifo ngokusekelwe koku kuphela. Ukuba unamathandabuzo, bona ugqirha).

Nantsi indlela oogqirha abakwenza ngayo oku:

1. Ngokwesiqhelo, ugcina enye yeengalo okanye imilenze yakho ingaphezulu kancinci kwentliziyo yakho .

2. Emva koko, cinezela umnwe (ulusu olungaphezulu kwenzipho) okanye uzwane imizuzwana emi-5 ukuya kweli-10 . Xa ucinezela ngolo hlobo, ulusu olukuloo ndawo luya kuba mthubi, kuba igazi elithile liya kususwa kwi-capillaries apho.

3. Emva koko, uxinzelelo luyakhululwa kwaye ulusu luyalinganiswa ukuze kubonwe ukuba kuthatha ixesha elingakanani ukuba ulusu olukhanyayo lubuyele kumbala walo wokuqala . Oku kubizwa ngokuba yi-"Capillary Refill Time". Umbala wolusu ubuyela kwisiqhelo xa igazi elineoksijini lizalisa ii-capillaries ezingenanto.

Oku kudla ngokuhlolwa ngomnwe. Nangona kunjalo, xa kukho imeko engxamisekileyo, ingakumbi ukuba umzimba womntu ubanda kakhulu (umzekelo, kwimeko ethi "Hypothermia", okanye ukuba usabanda xa efika esibhedlele ngenxa yemozulu ebandayo), ukujonga ngomnwe kusenokungachaneki kangako. Kwiimeko ezinjalo, oogqirha banokukujonga oku ngolusu olukufutshane nethambo eliphakathi lesifuba (``Sternum`') .

Lifanele libe yintoni ixesha eliqhelekileyo `(Ixesha Lokugcwalisa I-Capillary)`?

Kumntu ophilileyo, kuthatha imizuzwana embalwa ukuba ii-capillaries ziphinde zigcwale igazi:

• Iintsana ezisandul’ ukuzalwa: Kungathatha malunga nemizuzwana emibini.
• Abantu abadala: Malunga nemizuzwana emi-3.
• Abantu abadala: Mhlawumbi ngaphezulu kancinci kwemizuzwana emi-3.

Nangona kunjalo, ukuba eli xesha belikwinqanaba eliqhelekileyo akuthethi ukuba awukothuki okanye awunaso esinye isifo esinzima. Kwimeko enjalo, i-"Capillary Refill Time" iqhelekile, kodwa ingxaki kukuba akukho ngxaki inkulu ngokuhamba kwegazi eziphelweni zenkqubo yakho yokujikeleza kwegazi ngelo xesha. Emva koko oogqirha baya kuqhubeka nokukuhlola ukuze bajonge ezinye izizathu.

Kwenzeka ntoni ukuba `(Ixesha Lokugcwalisa I-Capillary)` aliqhelekanga?

Ukuba ixesha lokugcwalisa i-capillary lingaphandle komlinganiselo oqhelekileyo (oko kukuthi, lithatha ixesha elide kakhulu) , oko kuthetha ukuba igazi liyalibaziseka ekufikeleleni kwiindawo ezikude zomzimba nokuzalisa kwakhona. Oku kungaba luphawu lokothuka.

Ukuba oku kuyenzeka, oogqirha baza kusebenzisa ezinye iimvavanyo ezikhawulezayo ukufumanisa unobangela ochanekileyo nokufumanisa ukuba ingxaki inzulu kangakanani. Umzekelo:

• I-Pulse Oximetry: Oku kulinganisa inqanaba leoksijini egazini lakho. Usenokuba ukhe wayibona imashini encamathisela isixhobo esifana nekliphu emnweni wakho.
• I-Laser Doppler Flowmetry: Le yindlela entsonkothileyo kancinci. Isebenzisa indibaniselwano ye-laser beams kunye namaza esandi ukulinganisa amandla egazi elihamba ngemithambo yegazi kunye nemithambo yegazi.
• I-Near-Infrared Spectroscopy: Oku kusebenzisa imisebe yokukhanya ukuvavanya amanqanaba eoksijini kwizicubu.

Ixesha lokuzalisa iCapillary alilodwa uvavanyo olusetyenziselwa ukuvavanya umngcipheko wokothuka. Kunye noku, ezinye izinto ezifana nesantya sokubetha kwentliziyo, uxinzelelo lwegazi, inqanaba lokuqonda, kunye nokukhupha umchamo nazo ziyajongwa. Zonke ezi zinto zidityaniswe ukunceda oogqirha ukuba benze izigqibo ngokukhawuleza.

Kuthekani ukuba unobangela weempawu zokungcangcazela yingxaki kwinkqubo yokujikeleza kwegazi?

Ukuba kunjalo, unyango kufuneka luqale ngoko nangoko . Uhlobo lonyango olunikwayo luya kuxhomekeka kwisizathu seempawu kunye nokuba zinzima kangakanani.

Unyango oluqhelekileyo lunokuquka:

• Utofelo-gazi: Ukuba kukho ukulahleka kwegazi okuninzi.
• Ukufakwa kwetyhubhu: Ukuba awukwazi ukuphefumla kakuhle wedwa.
• Ulwelo olufakwa emthanjeni (`ulwelo lwe-IV`): Ukufaka izinto ezifana ne-saline emzimbeni.
• Amayeza: Umzekelo, ii-steroids okanye ii-antibiotics.
• Ukupholisa umzimba ngokukhawuleza: Ukuba umkhuhlane uphezulu kakhulu.
• Ioksijini eyongezelelweyo.

Umyalezo Oza Kuwuthatha Ekhaya Ovela Kwinto Esiyithethileyo

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyiqonda kakuhle le `(Capillary Refill Time)` esithethe ngayo namhlanje. Eyona nto ibalulekileyo ekufuneka uyikhumbule yile:

Ixesha lokuzalisa kwakhona ii-capillaries lixesha elithathwayo ukuze ii-capillaries zizalise kwakhona.Uvavanyo olulula, olukhawulezayo, nolubaluleke kakhulu lokujonga ukuba igazi lihamba kakuhle na kwiindawo ezikude zomzimba kubantu abasengozini yokothuka.

• Oku kunceda kakhulu oogqirha ukuze babone ukuba kukho ukwehla ngequbuliso kokuhamba kwegazi , nokuba kusemva kokugula kakhulu okanye ingozi enkulu.
• Ukuba kuthatha ixesha elide kunesiqhelo ukuba ii-capillaries ezisemnweni wakho okanye ezinzwaneni ziphinde zigcwale igazi (ngesiqhelo ngaphezulu kwemizuzwana emi-2-3), oko kungaba luphawu lwesifo esibi .
• Ukuba ubona into efana nale, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza ngaphandle kokulibazisa , kuba unyango olungxamisekileyo lunokusindisa ubomi.

Ngoko ke, ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

Ixesha Lokugcwalisa I - Capillary, Umothuko, Ukuvuza Kwegazi Kwicala Elingaphandle, Ukhathalelo Olungxamisekileyo, Ukuhlolwa Kwempilo