Ngaba wakha weva oogqirha besithi, "Siza kumondla isigulane" xa omnye wezalamane okanye abahlobo bakho ekwi-ICU (iyunithi yokhathalelo olunzulu)? Okanye ungakhumbula igama elithi 'proning' lisetyenziswa rhoqo ngexesha lobhubhane we-COVID-19. Nangona oku kusenokuba yinto entsha kwabaninzi, eneneni yindlela ebaluleke kakhulu nekudala esetyenziswa ngoogqirha ukusindisa ubomi bezigulane ezinengxaki yokuphefumla enzima. Ngoko ke, namhlanje siza kuthetha ngayo yonke into ngendlela elula kakhulu, ngendlela onokuyiqonda.
Kalula nje, yintoni 'ukuProning'?
Ukuziphakamisa kuyinto elula kakhulu. Kukuguqula isigulana esilele ebhedini sibe yindawo yokulala. Kufana nokujika ngesisu ukuze silale. Kodwa oku akusiyo into esiyenzayo ngokungakhathali, yinto eyenziwa ngononophelo olukhulu nangenjongo ngabasebenzi bezonyango esibhedlele.
Oku kudla ngokwenziwa kwizigulana ezineengxaki zokuphefumla ezinzima , ingakumbi ezo ziphefumla ngoomatshini. Oku kwandisa ubungakanani beoksijini efikelela emzimbeni wesigulana.
Nangona yaduma kakhulu ngexesha lobhubhane we-COVID-19, oku akunto intsha. Oogqirha bebesebenzisa le ndlela amashumi eminyaka. Uphando lubonise nokuba ukuvela kwangoko kwizigulane ezinezifo zokuphefumla ezinzima ezisebenzisa i-ventilator kunokunciphisa kakhulu ukufa .
Zeziphi iintlobo zezifo ezisetyenziselwa le ndlela?
Indlela yokuzilolonga isetyenziswa kakhulu ukunceda izigulana ezinezifo zokuphefumla ezinzima apho umzimba ungafumani ioksijini eyaneleyo (i-hypoxia). Eyona meko ixhaphakileyo kwezi yi- Acute Respiratory Distress Syndrome (ARDS).
Ngamafutshane, i-ARDS kukuqokelelana kolwelo kwiingxowa zomoya ezincinci ngaphakathi kwemiphunga yethu, i-alveoli. Cinga ngayo njengesiponji esifunxa amanzi size sivale izithuba. Xa ezi ngxowa zomoya zizaliswa lulwelo, akukho ndawo yokuphefumla komoya. Le yimeko embi kakhulu. I-ARDS inokwenzeka njengemeko enzima yezifo ezifana ne-pneumonia kunye ne-COVID-19.
Kutheni i-oxygenation iphucuka xa ujika isisu sakho?
Le yeyona nto ibalulekileyo. Inqanaba leoksijini linyuka njani xa ujika ngesisu sakho? Zimbini izizathu eziphambili zoku. Isizathu kukuba imizimba yethu ayilingani.
1. Ubunzima obuphantsi kunye noxinzelelo emiphungeni (Umoya oPhucukileyo)
Ngenxa yokuma komzimba wethu, sinezicubu ezininzi zemiphunga emqolo kunasesifubeni.Xa silala ngomqolo, ubunzima bentliziyo yethu kunye nezinye izitho zesisu buwela ngqo phezu kwemiphunga yethu. Kwakhona, kwiimeko ezifana ne-ARDS, ulwelo oluqokelelana emiphungeni lukwafaka uxinzelelo kwiingxowa zomoya ngaphandle ngenxa yomxhuzulane. Oku kunciphisa amandla emiphunga okuzalisa ngokupheleleyo ngomoya.
Khawuthelekelele ukuba unesisindo esifubeni sakho kwaye kunzima ukuphefumla. Kwenzeka into efanayo nakwimiphunga yakho.
Nangona kunjalo, xa isigulane sijikwa sisisu (indawo esihlala kuyo), ubunzima bentliziyo kunye nezinye izitho abuweli emaphashini, kodwa buwela emathanjeni esifuba. Kwakhona, ulwelo olukwimiphunga luqokelelana kwindawo encinci, engaphambili yemiphunga. Oku kukhulula indawo enkulu yemiphunga emqolo. Emva koko , umoya ungangena kakuhle kuloo ndawo, uvumela imiphunga ukuba yande ukuya kuthi ga kumandla ayo aphezulu.
2. Ukuphuculwa kokusebenza kakuhle kokutshintshiselana kwegesi emiphungeni
Kwiimeko ezifana ne-ARDS, kukho ukungalingani phakathi kobungakanani bomoya ongena emiphungeni (umoya ongeniswayo) kunye nobungakanani beoksijini efunxwa egazini (ukukhupha igazi). Kumntu ophilileyo, ezi nkqubo zimbini zihambelana kakuhle.
Nakweyiphi na indawo esikuyo, umva wemiphunga yethu ufumana igazi elingaphezulu kunelangaphambili. Ngoku khawucinge ngento eyenzekayo xa isigulana sijikwa sisisu.
- Ngokwenqaku lokuqala, amagumbi angaphandle emiphunga avuleke kakuhle kwaye azaliswe ngumoya.
- Into yesibini kukuba inxalenye yomqolo ezele ngumoya ikwanayo negazi elingcono kakhulu.
Ngamafutshane, apho kukho ioksijini eninzi, ukuhamba kwegazi nako kulungile. Kufana nokuhambisa iimpahla kanye apho kufuneka zibe khona. Oku kwenza inkqubo yokuphefumla isebenze ngakumbi.
| Indawo yesigulana | Kwenzeka ntoni kwimiphunga? |
|---|---|
| Ukulala phantsi | Imiphunga icinezelwe ngenxa yobunzima bentliziyo kunye namalungu omzimba. Kunzima ukuba umoya ufikelele ngasemva kwemiphunga. |
| Ithambekele | Imiphunga iyakhululeka njengoko ubunzima bezitho zomzimba busiya esifubeni. Amagumbi amakhulu emiphunga angasemva avuleka kakuhle aze azalise umoya. |
Uba sengozini njani xa umntu ekwisibhedlele?
Le yinto ecetywayo neyenziwa ngononophelo olukhulu. Akufani nokujika nje umntu ngexesha elinye. Ibandakanya iqela loogqirha, abahlengikazi, kunye neengcali zokuphefumla ezisebenzisanayo. Oku kudla ngokwenzeka:
- Okokuqala, zonke iityhubhu kunye neengcingo ezidityaniswe kwisigulana (umzekelo, iityhubhu zesaline, iityhubhu zomoya, iingcingo ze-ECG) zicwangciswe ngononophelo ukuze zingakhululeki okanye zibhideke.
- Ingcali yokuphefumla ibamba ngokukhuselekileyo ityhubhu ye-endotracheal entlokweni nasemlonyeni wesigulane.
- Emva koko iqela eliseleyo lilungisa isigulana ngokubeka ishiti phantsi kwesigulana, libeke imiqamelo kunye nelinye ishiti phezu kwesigulana.
- Emva koko, bonke abantu, ngaxeshanye, ngokwesiginali esinikiweyo, bajika isigulana siye kwelinye icala lebhedi, baze baye kwelinye icala.
- Okwangoku, siphinda sijonge ukuba zonke iipayipi kunye neengcingo zisendaweni yazo.
- Ekugqibeleni, isigulana sijikwa ngokupheleleyo esiswini saso size sibekwe kakuhle kwimiqamelo ebibekwe ngaphambili. Imiqamelo ikwabekwa intloko nentamo ukuze kubekho indawo ekhululekileyo.
Oku kunokwahluka kancinci ukusuka esibhedlele ukuya kwesinye, kwaye ngamanye amaxesha kusetyenziswa izixhobo ezikhethekileyo kule njongo.
Ndifanele ndiyigcine ixesha elingakanani inje?
Amanqanaba eoksijini kwabanye abaguli aqala ukuphucuka kwiyure nje enye. Nangona kunjalo, ukuqinisekisa ukuba kukho uphuculo oluhlala ixesha elide, oogqirha bahlala begcina isigulana sigobile iiyure ezili-12 ukuya kwezili-18 ngexesha . Ukuba imeko yesigulana iyaphucuka, basigcina kwesi sikhundla ubuncinane iiyure ezili-16 ngosuku, baze babuyele kwindawo yokulala ixesha eliseleyo.
Zithini iingozi kunye neenzuzo zokuzilungiselela?
Njengayo nayiphi na inkqubo yezonyango, ukucheba kuneengozi ezithile, kodwa iingenelo zingaphezulu kakhulu kwezo ngozi.
| Iinzuzo | Iingozi |
|---|---|
| Iphucula kakhulu amanqanaba eoksijini egazini. | Ukukhubeka ngengozi kwetyhubhu ye-endotracheal xa ujika isigulane. |
| Kwenza kube lula ukukhupha izinto eziphuma kwimiphunga ezifana ne-mucus. | I-catheter yemithambo ekhutshiweyo ekhupha ityuwa. |
| Ivula imithambo yegazi emiphungeni kwaye iphucula ukusebenza kwentliziyo. | Ukuba neengxaki zoxinzelelo lwegazi okanye ukubetha kwentliziyo. |
| Inyusa amandla okususa ngokukhawuleza kwi-ventilator. | Ukuvaleka kwendlela yomoya. |
| Kuye kwafunyaniswa ukuba kunciphisa ukufa kwabantu abane-ARDS enzima. | Amathuba okuba nezilonda zoxinzelelo eluswini. |
Ukuze kuncitshiswe ezi ngozi, oogqirha kunye nabasebenzi babongikazi basebenzisana njengeqela ngendlela ecwangcisiweyo. Lo mngcipheko uphantsi kakhulu, ingakumbi kwizibhedlele ezinamava koku.
Yintoni i-'Awake Proning'?
Usenokuba ukhe weva ngale nto. Ukuvuka ujonge phantsi yinkqubo yokufundisa isigulana esisezingqondweni esingadibaniyo nomatshini womoya ukuba siziphendulele esiswini saso. Oku kwenziwa kwiimeko ezingembi kangako, ngenjongo yokuthintela imfuneko yomatshini womoya.
Kodwa oku kubaluleke kakhulu. Oku akuyonto onokuyenza wedwa. Ufanele ukwenze kuphela ukuba ugqirha wakho uyihlolisisile imeko yesigulana waza wayicebisa. Nangona kunjalo, abasebenzi bezonyango baya kukunceda ufunde indlela yokutshintshela kuloo ndawo ngokukhuselekileyo.
Ukubona umntu omthandayo esibhedlele, ingakumbi iyunithi yokhathalelo oluphezulu, ekwimeko embi kakhulu yinto eyoyikisayo nebangela usizi. Ngazo zonke iingcingo, iityhubhu, kunye noomatshini bokubetha, kunokuba nzima kakhulu. Sisenokungaziqondi ezinye zezinto ezenziwa ngoogqirha. Ukuzibamba ngentloko yenye yezixhobo ezibalulekileyo ezisetyenziswa ngoogqirha ukusindisa ubomi besigulana. Nangona kungengonyango ngalunye olusebenza nge-100%, uphando lubonise ukuba ukuzibamba ngentloko yindlela entle yokusindisa ubomi bezigulane ezinezifo zokuphefumla ezinzima kunye nokukhawulezisa ukuchacha kwazo.
Umyalezo Wokuya Ekhaya
- Ukuzilolonga yinkqubo yokuguqula isigulana esinesifo sokuphefumla sibe sisisu ukuze sonyuse amanqanaba eoksijini emzimbeni.
- Oku kusetyenziswa kakhulu kwiimeko ezinzima ezifana ne-ARDS, ingakumbi kwizigulana ezisebenzisa i-ventilator.
- Isebenza ngokunciphisa uxinzelelo emiphungeni nokubonelela ngegazi elifanelekileyo kwindawo apho umoya ungena khona.
- Ukuhlikihla imilenze yinkqubo ecwangcisiweyo necoselelwe kakhulu eyenziwa esibhedlele liqela lezonyango eliqeqeshiweyo.
- Nangona kukho iingozi ezithile, ukujongwa kwentloko kuye kwabonakala kunceda kakhulu ekunciphiseni izinga lokufa kwezigulane kwiimeko ezinzima.
- Ungaze uzame "ukuVuka" ekhaya okanye esibhedlele ngaphandle kwengcebiso kagqirha. Soloko uqhagamshelana nogqirha wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho