Ngaba wakha wajonga esipilini waza wabona umthambo osecaleni kwentamo yakho obonakala uvuvukile okanye uvuvukile? Okanye wakha wayibona entanyeni yomnye umntu? Nangona oku kuqhelekile ngamanye amaxesha, umthambo ovuvukileyo ohlala uvuvukile entanyeni, owaziwa ngokuba yi-'Jugular Vein Distention', unokuba luphawu lwengxaki enkulu emzimbeni wethu, ngakumbi entliziyweni nakwinkqubo yokujikeleza kwegazi. Ke ngoko, kubaluleke kakhulu ukuqaphela oku.
Kalula nje, kwenzeka ntoni?
Masiqale siqonde ukuba zeziphi ezi veins ze-jugular. Ezi luhlobo lomthambo wegazi omkhulu ohamba usuka entlokweni yethu, udlule entanyeni yethu, uye esifubeni esingaphezulu. Zifana nemithambo yegazi ephambili ethwala igazi emzimbeni wethu.
Kukho iintlobo ezimbini eziphambili zemithambo ye-jugular:
- Imithambo Yangaphandle Yentloko: Le ikufutshane kancinci nolusu lwentamo, ngaphezu kwemisipha.
- Imithambo Yangaphakathi Yesifuba: Le mikhulu kancinci kwaye ifumaneka phantsi kwemisipha yentamo.
Zombini ezi veins ziqokelela igazi entlokweni yethu zize zingene esifubeni sethu, apho zidibana khona neminye imithambo emikhulu ukuze zenze enye yemithambo emikhulu emzimbeni wethu , iSuperior Vena Cava . Lo mthambo uthwala igazi ngqo kwi-atrium yasekunene phezulu kwentliziyo yethu.
Khawuthelekelele nje, njengokuba kukho ingxinano yezithuthi kwindlela enkulu, umgca endleleni uba mide. Ukuba isantya sokumpompa igazi entliziyweni yethu siyancipha, okanye ukuba kukho naluphi na uthintelo kule vena cava iphambili, igazi liqala ukubuya umva. Ngelo xesha, uxinzelelo ngaphakathi kwimithambo yejugular luyanda, kwaye loo mthambo uyavuvukala kwaye ubonakale unde. Oku sikubiza ngokuba yiJugular Vein Distention (JVD).
Zithini izizathu eziphambili zokudumba kwemithambo entanyeni?
Imithambo yentamo evulekileyo luphawu loxinzelelo oluphezulu ngendlela engaqhelekanga kwi-atrium yasekunene yentliziyo kunye ne-vena cava ephezulu. Oku kungaba luphawu lwezifo ezininzi ezinzulu.
| Uhlobo lwesifo | Izizathu ezinokwenzeka |
|---|---|
| Ingqwalasela ekhethekileyo: Ukongeza ekuvulekeni kwemithambo yentamo, ukuba kukho ukwehla koxinzelelo lwegazi (njengokudinwa, ukuba neentloko ezimfutshane), ezi zinokuba ziimeko ezingxamisekileyo ezisongela ubomi! | |
| Izinto ezingxamisekileyo nezinokubeka ubomi esichengeni |
|
| Ezinye izizathu ezinzulu | |
| Ezinye iimeko zempilo ezinzulu |
|
Ngaba oku kungenzeka ngenxa yezizathu ezingezizo izifo?
Ewe, ngamanye amaxesha, nangona kungekho sifo, imithambo entanyeni inokudumba okwethutyana. Oko kukuthi, ngenxa yemisebenzi eyonyusa uxinzelelo ngaphakathi esifubeni okwethutyana.
Umzekelo:
- Ukusetyenziswa koomatshini be-CPAP: Le meko inokubangelwa kukunyuka koxinzelelo esifubeni ngenxa yokuba umoya unyanzelwa ukuba ungene emiphungeni ngoomatshini be-CPAP abasetyenziselwa ukunyanga i-sleep apnea.
- Indlela Yokwenza Izinto Eza Kunceda Ukuyeka Ukuphefumla: Xa ubamba umphefumlo wakho uze wenze izinto ezifana nokutyhala ngamandla.
- Uvavanyo lwezonyango: Oku kungenzeka okwethutyana xa ugqirha ekuxilonga aze acinezele indawo yesisu sakho apho isibindi sakho sikhoyo.
Kodwa khumbula, ezi zezexeshana. Ukuba unemithambo evuvukileyo entanyeni yakho ngaphandle kwesizathu esicacileyo, ayilocebo lilungileyo ukungayinaki loo nto.
Inyangwa njani le meko?
Eyona nto ibalulekileyo ekufuneka uyiqonde apha kukuba imithambo yegazi evuvukileyo luphawu, asisosifo. Ngoko ke, unyango alukho kwimithambo yegazi evuvukileyo ngokwayo, kodwa luxhomekeke kwimeko ebangela ukuba ivuvuke.
Ngokuxhomekeke kwisizathu, iindlela zonyango ziyahluka. Ngamanye amaxesha inokunyangeka ngamayeza kuphela. Kwezinye iimeko, inokubandakanya notyando. Ngugqirha wakho kuphela onokukunika icebiso elifanelekileyo malunga nonyango olukulungeleyo kunye noko unokukulindela kulo.
Khumbula, le ayiyonto ekufuneka uyizame ukuyixilonga wedwa ekhaya. Ifuna ugqirha oqeqeshiweyo ukuze axilonge aze afumanise unobangela, njengoko ngamanye amaxesha inokuba luphawu lokuqala lwesimo esinzima nesisongela ubomi.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Ukuba ukrokrela ukuba unentamo evuvukileyo, kungcono ukubona ugqirha ngokukhawuleza ukuze akunike icebiso, kuba oku kudla ngokunxulunyaniswa neengxaki ezinkulu zentliziyo kunye nenkqubo yokujikeleza kwegazi.
Ngokukodwa, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko ukuba:
- Ukuba, kunye nomthambo we-jugular ovulekileyo, ufumana neempawu zoxinzelelo lwegazi oluphantsi, ezinje ngesiyezi, ukuba nentloko ebuhlungu, kunye nokuquleka.
Ukudibana kwezi mpawu zimbini kunokuba luphawu lwemeko esongela ubomi efana neCardiac Tamponade, iTension Pneumothorax, okanye iPulmonary Embolism . Ke ngoko, kwiimeko ezinjalo, musa ukulibazisa.
Umyalezo Wokuya Ekhaya
- Ukwanda kwemithambo yesifuba (JVD) akusiso isifo, kodwa luphawu lwenye imeko efihlakeleyo.
- Oku kudla ngokuba luphawu lwesifo sentliziyo esinzulu okanye ingxaki kwinkqubo yokujikeleza kwegazi.
- Ungaze uzame ukuyixilonga ngokwakho le nto ekhaya. Inokuba yingozi.
- Ukuba ukrokrela ukuba unale mpawu, qiniseka ukuba ubona ugqirha.
- Ukuba unesizungu okanye uphelelwa ngamandla kunye nomthambo wentamo ovuthulukileyo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
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