Sonke sivile kwiindaba ukuba umntu ungeniswe kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele kwimeko "enzima". Okanye sibone iindaba eziqinisekisayo zokuba imeko yomnye umntu ngoku "ilungile". Kodwa athetha ukuthini la magama? Ngaba wakha wazibuza ukuba ithetha ukuthini intsingiselo yezonyango emva kwala magama? Yiloo nto sithetha ngayo namhlanje.
Kutheni oogqirha besebenzisa la magama?
Into yokuqala ekufuneka siyiqonde kukuba xa isibhedlele sichaza imeko yesigulana kwabeendaba okanye kubantu bangaphandle ngokubanzi, la magama asetyenziswa ngabom. Oko kukuthi, anika umbono oqhelekileyo wemeko yesigulana.
Eyona sizathu siphambili sokusebenzisa la magama aqhelekileyo kukukhusela ubumfihlo besigulana . Akunakwenzeka ukutyhila lonke ulwazi lwezonyango lwesigulana. Yiyo loo nto amanye amagama aqhelekileyo anje ngala esetyenziswa ukunika umbono ocacileyo wemeko.
Ukuba ilungu losapho okanye umhlobo uyagula okanye unengozi aze alaliswe esibhedlele, ugqirha okanye umongikazi unokukuchazela imeko ngala mazwi. Nangona kunjalo, ubunzulu bengcaciso abakunika yona bunokwahluka ngokuxhomekeke ekubeni usondele kangakanani kwisigulana kunye nokungxamiseka kwemeko.
Amagama ama-5 aphambili ahlulahlula iimeko zonyango
Ngokubanzi, kukho amagama ambalwa aqhelekileyo aqaliswa yimibutho efana ne-American Hospital Association (AHA). ESri Lanka, sihlala sihlela iimeko zezigulane ngendlela efanayo. Ngoku makhe sijonge intsingiselo yala magama.
| Imeko | Intsingiselo elula |
|---|---|
| Akukacaciswa (akukacaciswa okwangoku) | Isigulana asikahlolwa kakuhle ngugqirha kwaye asikafumani ngxelo yokuba sinesifo. |
| Kulungile | Iimpawu ezibalulekileyo zizinzile. Isigulana sisezingqondweni. Kulindeleke ukuba siphile ngokukhawuleza. |
| Ilungile | Iimpawu ezibalulekileyo aziguquguquki. Isigulana sisezingqondweni, kodwa sisenokuba nokungonwabi okanye iintlungu. Ingqikelelo ilungile. |
| Ndinzulu | Iimpawu ezibalulekileyo zisenokungazinzi. Imeko yesigulana imbi kakhulu. Kunzima ukutsho ngokuqinisekileyo ukuba kuza kwenzeka ntoni emva koko. |
| Okubalulekileyo | Iimpawu ezibalulekileyo azizinzanga, zingaphaya komlinganiselo oqhelekileyo. Isigulana sinokulahlekelwa zingqondo. Kukho umngcipheko ebomini, kwaye ikamva alinakuxelwa kwangaphambili. |
Yintoni umahluko phakathi 'kokuhle' kunye 'nokulunga'?
'Kulungile' kuthetha ukuba iimpawu ezibalulekileyo zesigulana, ezinje ngesantya sentliziyo, uxinzelelo lwegazi, kunye nobushushu bomzimba, zizinzile kumanqanaba aqhelekileyo . Isigulana silumkile kwaye asinazo naziphi na iingxaki ezinkulu. Ugqirha ulindele ukuba siphile kakuhle.
Kwimeko 'efanelekileyo' (eyanelisayo), iimpawu ezibalulekileyo zizinzile. Nangona kunjalo, isigulane sisenokuba singonwabanga okanye sinentlungu ethile. Sisezingqondweni. Okwangoku, ugqirha ulindele iziphumo ezilungileyo . Ngamafutshane, 'Elungileyo' ithetha imeko engcono kancinci.
Amagama amabini ayingozi athi 'Serious' kunye 'Critical'
Kwimeko 'embi kakhulu', iimpawu ezibalulekileyo zesigulana zisenokungazinzi. Oko kuthetha ukuba zinokudlula ngaphaya kwemida eqhelekileyo. Imeko yesigulana imbi kakhulu. Le yimeko apho nogqirha engenakwazi ukuqikelela ngokuthe ngqo ukuba kuza kwenzeka ntoni emva koko .
Imeko 'ebalulekileyo' yeyona inzima kakhulu. Apha , iimpawu ezibalulekileyo azizinzanga kwaphela, zingaphaya kwemida eqhelekileyo . Isigulana sinokulahlekelwa zingqondo. Kunzima kugqirha ukuba nethemba elihle ngekamva, okanye akuqinisekanga kakhulu ukuba angatsho nantoni na ngento eza kwenzeka.
Yintoni 'iCritical Care'?
Igama elithi 'critical' lisetyenziswa ukuchaza imeko yesigulana kunye nohlobo lonyango abaludingayo. Abantu abanezifo okanye ukwenzakala okusongela ubomi bafuna 'unyango oluqatha' , olulolona nyango luphezulu kakhulu olufumanekayo. Olu nyango ludla ngokwenziwa esibhedlele.KwiYunithi yoKhathalelo oluNgxamisekileyo (ICU).
Kwi-ICU, inkxaso yobomi iyabonelelwa. Eminye imizekelo yile:
- Umatshini okunceda ukuphefumla. Lo matshini siwubiza ngokuba yi-ventilator .
- Iindlela zokuvuselela ukuba intliziyo iyeka ukubetha. Umzekelo, i-CPR kunye ne -defibrillation .
- Ukondla ngetyhubhu ukuze umzimba ufumane izondlo kunye nolwelo olufunekayo.
Kodwa khumbula, ukuba nje isigulana sifumana 'inkxaso-mali yobomi' akuthethi ukuba ubomi baso busengozini. Ngamanye amaxesha, zisetyenziswa njengoncedo lwexeshana de isigulana sikwazi ukwenza loo misebenzi sodwa.
Ngoko ke ingaba 'iStable' yimeko?
Kulapho abantu abaninzi babambeka khona. Enyanisweni, imibutho efana ne-AHA ithi kungcono ukungasebenzisi igama elithi "stable" lodwa ukuchaza imeko yesigulana.
Kwakhona, abavumi ukusebenzisa amagama amabini afana nokuthi “ukugxeka kodwa uzinzile” kunye. Cinga ngako, ‘ukugxeka’ kuxhomekeke kumntu oneempawu zakhe ezibalulekileyo ezingazinzanga. Umntu onjalo angaba njani ‘uZinzile’? Oko kuyaphikisana, akunjalo?
Nangona kunjalo, kwizibhedlele ezininzi kwihlabathi liphela, njengakwilizwe lethu, kusetyenziswa igama elithi 'stable'. Apha, 'stable' idla ngokuthetha ukuba iimpawu ezibalulekileyo zesigulana azitshintshanga kakhulu ngelo xesha, kodwa zihlala zikwinqanaba elifanayo .
Nangona kunjalo, ekubeni kungekho nkcazelo yezonyango evunyiweyo ngale nto, oko ugqirha omnye akubiza ngokuba yi-'Stable' kunokubonwa 'njenge-Unstable' ngomnye.
Ngoko ke, ukuba ugqirha uthi 'zizinzile' xa umntu omaziyo esesibhedlele, kungcono ukuba umbuze kwakhona ukuze acacise ukuba uthetha ukuthini kanye kanye. "Gqirha, ngaba 'zizinzile' zithetha ukuba imeko yakhe iya isiba ngcono okanye ayibi mandundu?" Musa ukoyika ukubuza.
Umyalezo Wokuya Ekhaya
- Amagama anjengelithi 'Critical' kunye nelithi 'Fair', xa esetyenziswa kwiindaba okanye ngokubanzi ukuchaza imeko yesigulana, asetyenziswa ngabom ngendlela eqhelekileyo ukukhusela ubumfihlo besigulana.
- Amagama athi 'Kulungile', 'Kulungile', 'Okunzulu', kunye 'Nokubalasela' anika umbono ocacileyo wozinzo lweempawu ezibalulekileyo zesigulana, ingqondo, kunye nokukwazi kwakhe ukuchacha.
- Igama elithi 'stable' alinalo inkcazo ethile yezonyango, ngoko ke linokuba yinto edidayo kancinci.
- Ukuba umntu osondeleyo kuwe usesibhedlele, kwaye awuqondi nelizwi elithethwa ngugqirha,Ungaze ungathandabuzi ukucela ingcaciso. Lilungelo lakho. Ugqirha wakho uza kukuchazela ngendlela onokuyiqonda.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho