Khawucinge ukuba omnye wabathandekayo bakho ungeniswe esibhedlele ukuze atyandwe rhoqo. Sonke sinethemba lokuba yonke into iza kuhamba kakuhle. Kodwa, emva kokuba kwenziwe i-anesthesia , ubushushu bomzimba bunyuka ngequbuliso ngendlela eyingozi, izihlunu ziyaqina, kwaye isantya sentliziyo siba singaqhelekanga. Oku sithetha ngako namhlanje, imeko engaqhelekanga kodwa eyingozi kakhulu, esongela ubomi ebizwa ngokuba yi- 'malignant hyperthermia '. Kubaluleke kakhulu ukuqaphela oku.
Ngamafutshane, yintoni iMalignant Hyperthermia?
Okokuqala, masiqonde ukuba yintoni i-'Hyperthermia'. I-Hyperthermia kuxa ubushushu bomzimba wethu buphezulu kakhulu size singakwazi ukubulawula. Ngokwesiqhelo, ubushushu bomzimba wethu bugcinwa bumalunga nama-37 degrees Celsius (98.6 Fahrenheit) ngeenkqubo ezifana nokubila . Kodwa kwi-hyperthermia, olu lawulo luyalahleka kwaye ubushushu bunyuke ngaphezu kwama-40 degrees Celsius (104 Fahrenheit). Lo asingomkhuhlane uqhelekileyo, uyingozi kakhulu.
I-Hyperthermia idla ngokubangelwa zizinto zangaphandle ezifana nobushushu obuphezulu bendalo kunye nokuphelelwa ngamanzi emzimbeni ( ukungabikho kwamanzi emzimbeni).
Kodwa iMalignant Hyperthermia (MH) yinto eyahlukileyo. Yenzeka xa umzimba usabela ngendlela engaqhelekanga kwiintlobo ezithile ze-anesthetics . Ezi anesthetics zibalulekile ekwenzeni utyando lungabi buhlungu. Kodwa kwabanye abantu, la mayeza adibana nesiphene semfuza emzimbeni ukuze kubangele le meko iyingozi.
Yintoni ebangela i-malignant hyperthermia?
Le meko ibangelwa kakhulu ziintlobo ezithile zamayeza okubulala iintlungu. Ngamanye amaxesha inokubangelwa kukuzilolonga kakhulu okanye iimeko ezishushu kakhulu. Ibizwa ngokuba yi-'Awake Hyperthermia'.
Into ebalulekileyo kukuba nokuba umntu ukhe wawasebenzisa la mayeza ngaphandle kweengxaki ngaphambili, usenokuhlangabezana nale meko kwixesha elizayo . Ngoko ke, kubaluleke kakhulu ukuqaphela iingozi.
Makhe sijonge ukuba zeziphi izinto eziphambili ezibangela le meko.
| Uhlobo lweSiqalisi | Imizekelo kunye neenkcazo |
|---|---|
| Ii-Anesthetics ezifunxwayo | Iintlobo zeegesi ezisetyenziselwa ukulalisa isigulane ngexesha lotyando. Imizekelo: iDesflurane, iSevoflurane, iIsoflurane, iHalothane, iEnflurane. |
| Iziphumzi zeMisipha | Ngokukodwa, iyeza iSuccinylcholine lichongiwe njengeyona nto ibangela oku. Lisetyenziswa ukuphumza izihlunu ngexesha lotyando. |
| Ezinye izinto ezibangela | Kunqabile kakhulu, le meko inokubangelwa kukuzilolonga okugqithisileyo okanye ukuvezwa kwiimeko zemozulu ezishushu kakhulu. |
Zithini iimpawu zale meko?
Ezi mpawu zihlala zibonakala ngexesha okanye emva kokuba kufakwe i-anesthesia, ngoko oogqirha kunye nabasebenzi kwigumbi lotyando bayayiqwalasela kakhulu le nto.
Eyona nto ibalulekileyo kukuba nokuba umntu usemngciphekweni weMalignant Hyperthermia, unokuhlala engenazo iimpawu ubomi bakhe bonke. Iimpawu zibonakala kuphela xa kutyiwe iyeza elibangela ukuba umntu agule.
| Uphawu | Kwenzekani? |
|---|---|
| Ukuqina kwemisipha kunye nokungcangcazela | Umhlathi kunye nezinye izihlunu emzimbeni ziqina ngequbuliso ngokungathi zenziwe ngamatye. |
| Ukubetha kwentliziyo okukhawulezayo nokungaqhelekanga | Isantya sentliziyo sinyuka ngokugqithisileyo kwaye isingqisho siba singaqhelekanga. |
| Ukunyuka kwamanqanaba ekhabhoni dayokhsayidi (CO2) | Ubungakanani be-CO2 emoyeni ophumayo buyanda ngokukhawuleza kakhulu. Le yenye yeempawu zokuqala ezibonwa ngoogqirha. |
| Ukunyuka ngokukhawuleza kobushushu bomzimba | Oku kudla ngokuba luphawu oluvela emva kwezinye izifo. Ubushushu bunyuka bufikelele kumanqanaba ayingozi. |
| Ukwanda kwe-asidi egazini (i-Metabolic Acidosis) | Igazi liba ne-asidi ngenxa yeengxaki zemetabolism emzimbeni. |
| Ezinye iimpawu | Ukubila okugqithisileyo, amabala abomvu eluswini, kunye nobunzima bokuphefumla nako kunokubakho. |
Yintoni imbangela eyintloko ye-malignant hyperthermia?
Eyona sizathu siphambili sesi siphene semfuza . Ngamafutshane, kukho isiphene kwimfuza elawula ukusebenza kwezihlunu emizimbeni yethu. Esi siphene sinokufunyanwa njengelifa kwasekuzalweni, okanye singasetyenziswa kamva ebomini.
Izazinzulu zifumanise iziphene zemfuza ezingaphezu kwama-80 ezibangela le meko. Yimeko enokudluliselwa kwizizukulwana ngezizukulwana . Oku kuthetha ukuba ukuba umama wakho, utata, umnakwenu okanye udadewenu unale meko, nawe unokuba nayo. Kwakhona, amadoda anamathuba amancinci okuba nale meko kunabafazi.
Ngaba kunokwenzeka ukwazi kwangaphambili ukuba le ngozi ikhona na?
Ewe, kukho iimvavanyo ezimbini zonyango ukuqinisekisa ukuba le ngozi ikhona na.
1. Uvavanyo lwegazi oluvela kwimfuza: Kunokuthathwa isampulu yegazi lakho kwaye ii-genes ezikuyo zinokuvavanywa ukuze kubonwe ukuba kukho naziphi na iziphene ezinkulu zemfuza ezinxulumene noku. Nangona kunjalo, ezi mvavanyo azichanekanga ngokupheleleyo. Oku kungenxa yokuba imeko inokubangelwa ziziphene zemfuza ezingekafunyanwa.
2.I-Biopsy yeMisipha: Olu lolona vavanyo luchanekileyo. Kolu vavanyo, ugqirha uthatha iqhekeza elincinci kakhulu lemisipha emlenzeni wakho aze alivavanye kwilebhu ukuze abone ukuba lisabela njani kumayeza abangela i-MH. Olu vavanyo alwenzelwanga wonke umntu. Oogqirha bacebisa olu vavanyo kuphela ukuba kukho umntu kusapho lwakho onayo le meko okanye ukuba uneempawu ezirhanelekayo.
Unganyanga njani le meko ukuba ivele ngequbuliso?
I-Molignant Hyperthermia yimeko engxamisekileyo yezonyango. Oku kuthetha ukuba kufuneka inyangwe ngokukhawuleza. Ukuba into efana nale iyenzeka kwigumbi lotyando, iqela lezonyango liza kuthatha inyathelo ngoko nangoko.
- Into yokuqala ekufuneka uyenze kukuyeka ngoko nangoko ukusebenzisa i-anesthetic ebangele le meko .
- Okulandelayo, iyeza elikhethekileyo elibizwa ngokuba yi- 'Dantrolene' lifakwa ngemithambo yegazi. Olu lolona nyango luqinisekileyo lwe-MH.
- Isigulana sisongelwa 'ngengubo yokupholisa' ukuze kuncitshiswe ubushushu bomzimba. Iipakethe zomkhenkce zikwabekwa kwiindawo ezifana namakhwapha kunye nezinqe.
- I-cold saline (ii-cold IV fluids) zinikwa ukuze zipholise umzimba.
- Isigulana singeniswa kwiYunithi yoKhathalelo oluNzulu (ICU) okanye kwiYunithi yoNyango oluNgxamisekileyo (ETU) ukuze sijonge imeko yaso ngokusondeleyo.
Sifanele senze ntoni ukuze sizikhusele kule ngozi?
Akukho nyango okwangoku lwesiphene semfuza esibangela oku, ngoko ke eyona nto ingcono onokuyenza kukulawula umngcipheko nokuthintela imeko engxamisekileyo.
Ukuba wena okanye umntu kusapho lwakho ufunyaniswe eneMalignant Hyperthermia, okanye ukuba kukho nantoni na erhanelwayo ngayo, kufuneka wazise i-anesthesiologist kunye nogqirha ngaphambi kokuba wenze naluphi na utyando.
Le yeyona nto ibalulekileyo ekufuneka uyikhumbule. Xa usazisa, oogqirha baya kuqinisekisa ukuba basebenzisa kuphela amayeza okubulala iintlungu akhuselekileyo angayi kubangela i-MH. Ngoko ke, kubaluleke kakhulu ukuba uqaphele imbali yezonyango yosapho lwakho.
Umyalezo Wokuya Ekhaya
- I-Malignant Hyperthermia (MH) yindlela engaqhelekanga, enokuba yingozi ebomini xa kuthe kwasetyenziswa amayeza athile okubulala iintlungu.
- Isizathu esiphambili soku sisiphene semfuza esidluliselwa kwizizukulwana ngezizukulwana.
- Ukuba kukho umntu kusapho lwakho onayo le meko, nawe usenokuba sengozini.
- Ngaphambi kokuba utyando luqhubeke, kubalulekile ukuxelela ugqirha wakho ngembali yosapho lwakho ye-MH. Oku kungasindisa ubomi bakho.
- Ukuqaphela le ngozi yeyona ndlela ilungileyo yokuthintela imeko engxamisekileyo.
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