Owu, ingaba uziva ngathi uyafuthanisela? Masifumanise ukuba yintoni kanye kanye le (Asphyxiation)!

Ngamanye amaxesha ngequbuliso kuba nzima ukuphefumla, akunjalo? Okanye wakha wambona umntu enengxaki yokufuthanisela umoya? Le yinto eyoyikisayo neyingozi ngokwenene. Namhlanje siza kuthetha ngaloo ngxaki yokufuthanisela umoya, okanye igama lezonyango elithi `(Asphyxiation)`. Ukuba siyiqonda kakuhle le nto, singasindisa nobomi.

Yintoni i-`(Asphyxiation)`? Ngamafutshane...

Ngamafutshane, `(Asphyxiation)` ithetha ukuba umzimba wakho awufumani ioksijini eyaneleyo. Oku kunempembelelo enkulu kwinkqubo yokuphefumla. Ngamanye amaxesha kunokukhokelela ekungazini. Kwiimeko ezimbi kakhulu, nokufa kunokwenzeka. Abanye bakubiza ngokuba yi-`(asphyxia)`, abanye bakubiza ngokuba yi-`(suffocation)`. Zonke zithetha into enye.

Ziziphi iintlobo eziphambili ze-`(Asphyxiation)`?

Kukho iintlobo ezahlukeneyo zokufunxa umoya. Makhe sijonge ezona ziphambili.

`(Ukufutha koomatshini)` - Ukufutha koomatshini

Oku kwenzeka xa ungakwazi ukuphefumla ngenxa yento ethile okanye ukuma komzimba. Cinga nje ngomntu okukrwitshayo, okanye umntwana omncinci ebhajwa ithoyizi emqaleni, njl. Ngamanye amaxesha xa sibeka indawo yethu endaweni engafanelekanga, umzekelo, umntwana omncinci uyajika aze angakwazi ukujika aze abhajwe impumlo nomlomo wakhe emqamelweni, oko kuwela kolu luhlu.

Ukuphelelwa ngamandla kwengqondo - ukufuthaniseka okubangelwa yingozi

Oku kukwayinxalenye ye-"mechanical asphyxia". Okwenzekayo apha kukuba isifuba sakho, oko kukuthi, "umgodi wesifuba" ojikelezwe yimbambo, izihlunu, izicubu kunye nolusu, uyafuthaniseka ngenxa yamandla amakhulu (''ukwenzakala'') avela ngaphandle. Khawuthelekelele ukuba isifuba sakho sicinezelwe nzima kwingozi enkulu. Emva koko, igazi elivela entliziyweni lityhalelwa ngasemva ngemithambo ukuya entanyeni nasebuchotsheni.

Ukufuthaniseka ngexesha lokukhulelwa

Le yinto enxulumene neentsana zethu ezincinci. Le meko yenzeka xa umntwana engafumani umlinganiselo ofunekayo weoksijini ngaphambi nje kokuba azalwe, ngexesha, okanye emva nje kokuba ezelwe. Le yinto ekufuneka uyilumkele kakhulu.

`(Ukufuthaniseka komoya)` - ukufuthaniseka ngenxa yokucinezelwa

Olu lukwaluhlobo lwe-"mechanical asphyxia". Oku kwenzeka xa amandla amakhulu angaphandle ecinezela isifuba okanye isisu sakho. Umzekelo, ukuba uxinezelekile kwindawo enabantu abaninzi (cinga ngekonsathi), okanye ukuba umntu uhlala esifubeni sakho okanye uguqa esifubeni sakho.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-"Asphyxiation"?

Oku kuqheleke kakhulu kunokuba unokucinga. Umzekelo, eMelika kuphela, phantse abantu abayi-19,000 basweleke ngenxa yokufuthaniseka ngo-2016.

Kwakhona, ukususela ngo-2018 ukuya ku-2019, ukufuthaniseka yayiyeyona nto iphambili yokufa ngengozi kwabantwana abangaphantsi konyaka omnye ubudala. Ke ngoko, abazali abanabantwana abancinci kufuneka balumke kakhulu ngale nto.

I-Asphyxia iyichaphazela njani umzimba wam?

Le meko (i-Asphyxia) inokuchaphazela umzimba wakho ngeendlela ezahlukeneyo.

Ukuvalelwa kwezinto zangaphandle

Khawucinge ukuba kukho into evala indlela yakho yomoya. Emva koko umzimba wakho uqokelela ikharbon diokside. Oku sikubiza ngokuba yi-hypercapnia. Kwangaxeshanye, ioksijini ayifiki kwizicwili zomzimba (i-hypoxia).

Emva koko umzimba uzama ukuphefumla kwakhona. Kunokuba yinto eyoyikisayo ukubona. Ungabona izinto ezifana namehlo ekhula, ulusu lutshintsha umbala, izandla zibamba intamo yakho, kwaye ukhohlela kancinci.

Uxinzelelo lwegazi kunye nesantya sentliziyo yakho ziyanda ngequbuliso. I-pH yegazi lakho iyehla. Umzimba wakho ukhupha iihomoni ezibizwa ngokuba zii-catecholamines. Ezi catecholamines ziihomoni ezibalulekileyo 'kwimpendulo yokulwa okanye yokubaleka' yomzimba.

Ekugqibeleni, uxinzelelo lwakho lwegazi luyehla kwaye isantya sentliziyo yakho siyehla.

Ukuba ukuvaleka akusuki ngeli xesha, okanye ukuba umntu akayinyangi ngokukhawuleza, intliziyo ingayeka (ukuma kwentliziyo) kwimizuzu emine ukuya kwemihlanu. Oku kuyingozi kakhulu.

Ukuntywiliselwa emanzini

Kwi-10% yabantu abatshonayo, imithambo yakho yelizwi iyayeka ukusebenza ngequbuliso xa amanzi engena emqaleni wakho. Oku kubizwa ngokuba yi-"laryngospasm." Emva koko uyafa ngenxa "yokuphefumla kancinci," nangona kungekho manzi emiphungeni yakho.

Kwezinye iimeko ezingama-90%, izihlunu ezikwisithuba esiphakathi kwemithambo yakho yelizwi (i-'glottis') ziyaphumla, nto leyo ebangela ukuba imiphunga yakho izaliswe ngamanzi.

Umzimba wakho ufunxa amanzi acocekileyo ngokukhawuleza. Amanzi acocekileyo ayayinyibilikisa i-'plasma' egazini lakho aze abangele ukuba 'iiseli ezibomvu zegazi' ziqhekeke ('hemolysis').

Amanzi anetyuwa atsala ulwelo oluvela kwinkqubo yakho yokujikeleza kwegazi luye emiphungeni yakho, nto leyo enciphisa ubungakanani beplasma egazini lakho.

Zithini iimpawu zokuphefumla kancinci?

Kukho iimpawu ezininzi ezibonakala kule meko ethi "Asphyxiation":

• Ubunzima bokuphefumla (ukuphelelwa ngamandla). Abanye abantu baziva ngathi bayafuthanisela.
• Ukuphefumla ngokukhawuleza okanye nzulu (umoya ophuma ngamandla).
• Ukulahlekelwa yingqondo.
• Ukukhwehlela.
• Ukurhawuzelela okanye ukutshintsha kwelizwi.
• Ukungakwazi ukuthetha.
• Ukutshintsha kombala wobuso okanye wemilebe (kunokuba bomvu, mfusa, luhlaza okwesibhakabhaka okanye ngwevu).
• Ubunzima bokuginya okanye ukungakwazi ukuginya.
• Ukulahlekelwa yinkumbulo.
• Ukuchama okanye ukukhupha indle ngaphandle kokuqonda.
• Isiyezi.
• Intloko ebuhlungu.

Zithini izizathu ze-`(Asphyxia)`?

Zininzi izizathu ezibangela oku kuphefumla kancinci. Makhe sijonge ezimbalwa zazo:

• I-Anaphylaxis: Le yi-allergy enzima kakhulu. Idla ngokubangelwa kukutya. Inokubangela neempawu ezinzima ezifana nokuhlanza, ukudumba kwamalungu kunye nobuso (ingakumbi imilebe).
• Isifuba:Esi sisifo semiphunga 'esingapheliyo'. Sinokwenziwa mandundu zizinto ezifana nongcoliseko lomoya, umthambo, uboya bezilwanyana zasekhaya, kunye nomsi wecuba.
• `(Ukufutha kwindawo ethile)` - Ukufutha kwindawo ethile: Oku kwenzeka xa ukuphefumla kwakho kuthintelwa yindlela umzimba wakho omi ngayo. Oku kwenzeka rhoqo kwiintsana ezisandula ukuzalwa okanye abantwana abancinci abangenamandla okujika imizimba yabo. Umzekelo, oku kunokwenzeka ukuba umntwana ulele ejonge phantsi kwaye impumlo nomlomo wakhe unamathele kumatrasi kwaye abakwazi ukujika.
• Ukufuthaniseka kwamakhemikhali: Oku kwenzeka xa ikhemikhali oyiphefumlayo isusa ioksijini emiphungeni yakho ize iyizalise ngeoksijini. Ioksijini ke ayikwazi ukufikelela kwezinye iindawo zomzimba wakho. Iikhemikhali ezifana ne-carbon monoxide, i-cyanide, i-hydrogen sulfide, kunye nezinye iikhemikhali ezifumaneka kwiimveliso zokucoca indlu zinokubangela oku.
• Ukugqithisa ii-opioids: Ii-opioids ziikhemikhali ezisebenza neeseli zemithambo-luvo ukunciphisa iintlungu. Ukuba uzithatha kakhulu, ukuphefumla kwakho kunokucotha kwaye ekugqibeleni kuyeke.
• Ukuminza: Oku kukufunxwa okubangelwa kukuntywiliselwa kulwelo, ngokuqhelekileyo emanzini.
• Ukuvaleka/ukuvaleka kwezinto zangaphandle: Into yangaphandle ivala indlela yomoya. Oku kunokwenzeka xa ukutya kungaginywanga kakuhle, okanye xa ukuhlanza kunamathela emqaleni emva kokusela utywala obuninzi (ityhefu yotywala).
• Ukukrwitshwa: Ukuvala indlela yomoya ngokusonga isandla, intambo, intambo, okanye enye into entanyeni.

Ungayiqaphela njani `(Asphyxiation)`?

Oku kukrwitshwa "yimeko engxamisekileyo yezonyango" efuna unyango olukhawulezileyo . Ukuba ukufutshane nomntwana omncinci okanye umntu omdala onengxaki yokuphefumla ngequbuliso, mbuze ukuba "uyakrwitshwa na." Ukuba abakwazi ukuphendula, khangela ezi mpawu:

• Ukubamba intamo (le yimpawu eqhelekileyo esetyenziswa ukuchaza ukuba ubambekile).
• Ukukhohlela kancinci kancinci nangokubuthathaka.
• Ukwenza isandi sokukhala xa uphefumla ('uphefumula ngokuphefumla').
• Ukungakwazi ukuthetha.
• Ukulahlekelwa yingqondo.

Ukuba umntwana unengxaki yokuphefumla, jonga utshintsho kwindlela aziphethe ngayo. Umzekelo, ubunzima bokuphefumla, ukukhala okubuthathaka, okanye ukukhohlela kancinci.

Ingaba kulungile na ukunika umntu ongakwaziyo ukuphefumla into yokusela?

Hayi, ayilunganga konke konke. Ukuba unika umntu onengxaki yokuphefumla into yokusela, ingawuvala ngakumbi umoya.

Zeziphi iimvavanyo ezisetyenziselwa ukuxilonga `(Asphyxia)`?

Ukuba kukho into ebambeke kwindlela yakho yomoya, ugqirha wakho angasebenzisa i-X-ray okanye i-bronchoscopy ukuze afumane indawo evalelekileyo aze ayisuse.

Iphathwa njani i-`(Asphyxia)`?

Unyango luxhomekeke kwisizathu sokuphefumla kancinci. Iindlela zonyango ziquka:

• Ukuvuselelwa kwentliziyo nemiphunga (CPR): Ukucinezela isifuba kunceda ukugcina ukuhamba kwegazi ukuya kwizitho ezibalulekileyo de intliziyo iqale ukubetha kwakhona. Olu luncedo lokuqala olubaluleke kakhulu.
• I-Heimlich maneuver: Ukutyhala isisu kunceda ekukhupheni izinto kwindlela yomoya. Oku kuluncedo ngakumbi xa into ethile, njengokutya, ibambeke kwindlela yomoya.
• Amayeza: Kuxhomekeke kwisizathu sokuphefumla kancinci, amayeza athile angasetyenziswa. Umzekelo, i-inhaler ye-asthma, i-epinephrine (EpiPen®) ye-allergies, okanye i-naloxone (Narcan®) ye-opioid overdose.
• Ukuvuselela umphefumlo ngomlomo: Oku kunceda ekuvuseleleni ukuphefumla. Kungenziwa kubantu abaye batshona okanye abanengxaki yokuphefumla emva kokuthatha ii-opioid ezininzi.
• Unyango lweoksijini: Ioksijini ithunyelwa emzimbeni ngetyhubhu yokuphefumla, imaski yeoksijini, ityhubhu yempumlo, okanye i-ventilator.

Ungayithintela njani `(Asphyxiation)`?

Eyona ndlela ilungileyo yokuthintela olu hlobo lokufuthanisela kukuqaphela . Ukuba umntu okwindawo okuyo unengxaki yokuphefumla, fowunela ku-1990 (inkonzo ye-ambulensi engxamisekileyo yaseSri Lanka) ngoko nangoko.

• Xa usitya, hlafuna ukutya kancinci kwaye uthethe emva kokuginya kuphela. Jonga abantwana bakho ngononophelo ngelixa besitya. Bakhuthaze ukuba batye ngemibhobho emincinci kwaye ubaxelele ukuba bangathethi bade bakuginye ukutya kwabo.
• Ukuba une-aleji yokutya, soloko uphethe i-EpiPen. Jonga ilebheli yezithako kuyo yonke into oyityayo.
• Xa udada emanzini, hamba nomnye umntu ubuncinane. Ukuba awukwazi ukudada, nxiba ijakethi yokusindisa ubomi.
• Ukuba usengozini yokuba ne-asthma, soloko ugcina i-inhaler kufutshane.
• Faka izixhobo zokubona i-carbon monoxide ekhayeni lakho. Yiba nezixhobo ezisebenzisa amafutha afana neenkuni okanye igesi (umz., izitovu, izifudumezi zamanzi, ii-oven) zihlolwe yingcali eqeqeshiweyo kanye ngonyaka.

Kwenzeka ntoni xa `(Asphyxia)` isenzeka?

Ukuba unobangela wokuphefumla kancinci unyangwa ngoko nangoko, amathuba okuchacha ayanda.

Nangona kunjalo, ukuba ukufunxa akunyangeki ngokukhawuleza, kunokuba nemiphumo ehlala ixesha elide okanye engapheliyo, efana nesifo sohlangothi, ukwenzakala kwengqondo, okanye ukufa. Ngoko ke, kubaluleke kakhulu ukuthatha amanyathelo ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba wakha waba namava anje, okanye ukuba ufuna ukwazi okungakumbi ngawo, ungabuza ugqirha wakho ezi zinto:

• Ndingenza ntoni ukuba umntu akaphefumli?
• Ngaba ndiza kuba nemiphumo yempilo yexesha elide okanye engapheliyo ngenxa yokungakwazi ukuphefumla?
• Ngaba ndinayo i-allergies yokutya? Ngaba kufuneka ndiye kwingcali ye-allergies?
• Ndingenza ntoni ukuze ndizikhusele kule meko `(yokuphelelwa ngamandla)` kwixesha elizayo?

Okokugqibela, kukho into ekufuneka uyikhumbule! (Umyalezo Wokuya Ekhaya)

I-Asphyxiation yimeko eyoyikisayo kakhulu apho ioksijini inqunyulwa emzimbeni. Ukuba wena okanye umntu ohamba naye ubonisa iimpawu zokufuthanisela, kunokuba yinto eyoyikisayo. Nangona kunjalo, kubalulekile ukuhlala uzolile kangangoko unako. Qaphela iimpawu zobunzima bokuphefumla, ingakumbi ukuba izandla zakho zibambe intamo yakho. Fowunela u-911 ngoko nangoko kwaye ulandele imiyalelo yabo. Okukhona unyanga unobangela wokufuthanisela ngokukhawuleza, kokukhona amathuba akho okuphepha iingxaki zempilo zexesha elide okanye ezingapheliyo. Ukuqonda kwakho kunye nesenzo sakho ngokukhawuleza kunokunceda ukusindisa ubomi!

Ukuphefumla , ioksijini, ukuphefumla, uncedo lokuqala, imeko engxamisekileyo, ukufuthaniseka, ukuminxeka, ukurhaxwa, i-carbon monoxide, i-CPR, i-Heimlich maneuver