Khawuthelekelele ubona umntu osondeleyo kuwe ngequbuliso elahlekelwa zingqondo, umzimba wakhe wonke uqondeke njengekhuni, kwaye amalungu akhe evalelwe ngendlela engaqhelekanga... Yeka indlela eyoyikisayo nebuhlungu ngayo loo nto? Olu luphawu lwesifo esibi kakhulu esaziwa kwisayensi yezonyango. Oku kubizwa ngokuba yiDecerebrate Posturing. Nangona eli gama lisenokuvakala linzima xa uliva, namhlanje siza kuthetha ngalo ngokulula, ngendlela onokuyiqonda.
Yintoni le Decerebrate Posturing?
Ngamafutshane, esi asisosifo, kodwa luphawu. Xa ingqondo yethu, ingakumbi isiseko sobuchopho, yonakele kakhulu, izihlunu zomzimba ziyaqina ngokungazikhetheli kwaye umzimba uthatha ukuma okungaqhelekanga. Oku kubizwa ngokuba yiDecerebrate Posturing. Umntu obona oku usenokucinga ukuba ukwenza oku ngabom , kodwa eneneni akanalawulo kuko.
Into ebalulekileyo kukuba umntu obonisa esi senzo uhlala engazi nto, ekwi-coma enzulu . Oko kukuthi, abanakuvuswa ngokuthetha okanye ngokuchukumisa. Esibhedlele, oogqirha banika ingqalelo ekhethekileyo kwesi senzo xa besenza uvavanyo olubizwa ngokuba yiGlasgow Coma Scale, olulinganisa ubunzima besigulana esikwi-coma.
Le meko idla ngokubonakala ngolu hlobo. Ingabonakala kwicala elinye lomzimba okanye kumacala omabini.
| Ilungu lomzimba | Isenzo esibonisa |
|---|---|
| Imilenze | Ilungisiwe ngokupheleleyo kwaye yaqiniswa. |
| Iinzwane | Ijonge ngaphandle ukusuka emzimbeni, ijike kancinci ngaphakathi. |
| Izandla | Ibanjwe ihambelana nomzimba, icinezelwe ngokuqinileyo kumacala omabini. Izandla zijikelwe ngaphakathi, iintende zijonge ngaphandle. |
| Isandla | Igobile isuka emzimbeni. |
| Iminwe | Isibambo sigoqwe ngaphakathi njengomqamelo. |
| Umqolo | Isenokuba igobile ngasemva kwaye iqine. |
Yintoni ebangela le meko inzima kangaka?
Njengoko benditshilo ngaphambili, unobangela oyintloko woku kukonakala kwe-brainstem. I-brainstem yibhulorho edibanisa ingqondo yethu kunye nomqolo. Le nxalenye ilawula iinkqubo ezibalulekileyo zokusinda, ezinje ngokuphefumla kunye nokubetha kwentliziyo. Ngoko ke, ukonakala koku yingxaki enzulu kakhulu.
Nazi ezinye zezizathu ezinokubangela ukuba i-decerebrate posturing ingasebenzi kakuhle:
- Ukulimala kakhulu entloko: Ukulimala kwengqondo okubangelwa zizinto ezifana neengozi zeemoto kunye nokuwa.
- Istroke: Ukuvaleka okanye ukuqhekeka komthambo wegazi ohambisa igazi engqondweni.
- Ukopha ebuchosheni: Ukopha ngaphakathi ebuchosheni (Intracranial Hemorrhage) ngenxa yezizathu ezifana noxinzelelo lwegazi oluphezulu.
- Ii-Brain Tumors: Ii-Cancer okanye ii-tumors ezingengozini ezikhula, ingakumbi kwi-brain stem.
- Usulelo olunzima: Usulelo oluchaphazela ingqondo, olufana ne-meningitis okanye i-encephalitis.
- Uxinzelelo lwegazi olungaphakathi kwentloko: Ukunyuka okugqithisileyo koxinzelelo ngaphakathi kwentloko ngenxa yesizathu esifana nokudumba kwengqondo.
- Ukunqongophala kweoksijini engqondweni: I-Cerebral Hypoxia yenzeka xa ukunikezelwa kweoksijini engqondweni kunqanyulwa kwiimeko ezifana nokutshona okanye ukuhlaselwa yintliziyo.
- Ezinye iimeko zonyango: Iimeko ezifana neReye's syndrome kunye neHydrocephalus (ukuqokelelwa kolwelo engqondweni).
Iphathwa njani le nto?
Into ebalulekileyo kukuba le ndlela yokuma eqinileyo ayinakunyangwa ngokuthe ngqo. Oogqirha bazama ukunyanga imeko yezonyango ebangele oko.
Umzekelo, ukuba unobangela lusulelo lobuchopho, kuya kunikwa amayeza okubulala iintsholongwane. Ukuba kukho ukopha engqondweni, kunokufuneka utyando ukuze kumiswe okanye kuncitshiswe uxinzelelo.
Ngenxa yokuba aba baguli bengekho zingqondweni, basenokungakwazi ukuphefumla bodwa. Ngamaxesha anjalo, bangeniswa kwigumbi lonyango oluphezulu (ICU) baze bafakwe isixhobo somoya.Siqhagamshelene kwaye sibonelela ngazo zonke iindlela zonyango ezixhasayo ezifunekayo ukuze siqhubeke siphila.
Ekubeni zininzi izizathu zoku, unyango luyahluka. Ngoko ke, ngugqirha wakho kuphela onokuchaza ngcono unyango oluza kunikwa isigulana sakho.
Ngaba le meko ingathintelwa?
Nangona singenakukuthintela ngokuthe ngqo ukwenzeka kwesimo sokuma esiwohlokileyo, sinokuzikhusela kwizifo neengozi ezisibangelayo . Leyo yeyona nto ilungileyo esinokuyenza.
- Nxiba izixhobo zokhuseleko: Ukulimala entloko yeyona nto ibangela iingozi. Ngoko ke , nxiba isigcina-ntloko ngokufanelekileyo xa ukhwela iibhayisekile kunye neebhayisekile. Xa uhamba ngezithuthi, qiniseka ukuba unxibe ibhanti yesihlalo .
- Lawula izifo ezingapheliyo: Ukuba unezifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye isifo sokuwa, landela imiyalelo kagqirha wakho, usele amayeza akho ngokuchanekileyo, kwaye uwalawule kakuhle.
- Indlela yokuphila enempilo: Ukutya ukutya okunesondlo, ukuzilolonga, kunye nokugcina ubunzima obusempilweni kunokukhusela kwizifo ezifana nestroke.
- Fumana unyango lwezifo ngokukhawuleza: Musa ukucinga nje ukuba "kulungile" xa ufumana isifo endlebeni, empumlweni, okanye elisweni. Ngamanye amaxesha, ezi zifo zinokusasazeka ziye engqondweni kwaye zibangele izifo ezinzulu. Ngoko ke, bona ugqirha ngoko nangoko uze ufumane unyango.
- Ziphephe iziyobisi notywala: Ukusetyenziswa kwazo kunokuchaphazela kakubi impilo yengqondo.
Ufanele ufune nini ingcebiso kagqirha?
Oku akucingeki.
Ukuba ubona umntu engekho zingqondweni, enemisipha engakwaziyo ukuyilawula, kwaye ekwimeko engaqhelekanga echazwe apha, yingxamiseko yezonyango engxamisekileyo kakhulu.
Fowunela i-ambulensi (efana neka-1990) ngoko nangoko okanye umse loo mntu kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane ngokukhawuleza. Musa ukulibazisa okomzuzwana.
Ndiyazi ukuba kuyoyikisa kakhulu kwaye kunzima ukubona umntu omthandayo ekule meko. Nangona kukho iimeko apho abantu abaninzi abanale meko bengasindi, akusoloko kunjalo. Ngokuhambela phambili kwezonyango zanamhlanje, kuye kwavela iindlela ezintsha zokuxilonga nokunyanga iimeko ezibangela oku. Ke ngoko, kubaluleke kakhulu ukuba nethemba nokusebenzisana ngokusondeleyo noogqirha.
Umyalezo Wokuya Ekhaya
- Ukuma okuwohlokileyo akusiso isifo, kodwa luphawu olubi olubangelwa kukonakala okukhulu kwisiqu sobuchopho.
- Umntu obonisa esi senzo uhlala engazi nto kwaye ekwi-coma.
- Le yingxamiseko enkulu yezonyango. Isigulana kufuneka sithathwe sisiwe kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Unyango alujoliswanga ngqo kwindlela umzimba omi ngayo, kodwa lujoliswa kwimeko yempilo ebangela oko (umz., istroke, ukwenzakala entloko).
- Amanyathelo anjengokuthintela ukwenzakala entloko nokulawula izifo ezingapheliyo anokunciphisa umngcipheko wale meko.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi ze-Ambrisentan (Ambrisentan / Letairis) ziyindlela ekhethekileyo yonyango olunikwe isifo esithile?
Eli asiloyeza eliqhelekileyo! Eli liyeza elisebenzayo kakhulu le-Endothelin Receptor Antagonist (ERA) elikhulula imithambo yegazi entliziyweni nasemiphungeni, isifo esibulalayo apho imithambo yegazi ethwala igazi esuka entliziyweni ukuya emiphungeni incipha/iqina, kwaye uxinzelelo lwegazi ngaphakathi kwimithambo luba phezulu kangangokuba lunokugqabhuka! Eli liphucuke kakhulu kuneBosentan, kwaye alinabungozi kangako kwisibindi.
💬 Xa imithambo yegazi ekhokelela emaphashini ivaliwe kwaye sele uza kufa, uzithatha njani ezi pilisi (i-Ambrisentan) ukuze zandise imithambo yegazi?
Imithambo yegazi emiphungeni iyalelwa ukuba inciphe yikhemikhali enamandla emzimbeni wethu ebizwa ngokuba yi-'Endothelin-1'! Xa le pilisi ingena egazini, ivala (ngokukhetha kakhulu) kuphela iindawo apho loo khemikhali inokubopha/icinezele iqhosha kwi-blood vessel constrictors (ETA receptors). Ekubeni ezinye ii-receptors (ETB) zivuliwe, ikhemikhali ekhulula imithambo yegazi ingena, kwaye yonke imithambo emiphungeni ikhululekile kakuhle (Vasodilation) kwaye isigulana siyaphila.
💬 Zeziphi 'iingozi ezibulalayo' kunye neziphumo ebezingalindelekanga (Isilumkiso seBlack Box) ekufuneka abafazi abasebenzisa eli yeza (i-Ambrisentan) bazi ngazo?
Eyona ngozi inkulu kukuba oku akuvumelekanga ngokupheleleyo 'kumama abakhulelweyo'! Ukuba umntwana uzelwe esela oku, umntwana ngokuqinisekileyo uya kuba nokukhubazeka (Teratogenic / Birth defects) aze afe ngaphakathi (ngoko ke, kufuneka kusetyenziswe iindlela ezimbini zokulawula ukuzala)! Esinye isiphumo esikhulu kukuba oku kubangela ukudumba okukhulu komzimba wonke/amaqatha (Severe Fluid Retention / Peripheral Edema).
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho