Ingabe igazi lakho lihamba kahle? Ake sifunde ngesikhathi sokugcwalisa kabusha ama-capillary!

Namuhla sizokhuluma ngento ethile ethinta ezokwelapha kancane, kodwa ebaluleke kakhulu. Cishe uke wezwa ngayo, noma wayibona esibhedlela, lapho odokotela noma abahlengikazi becindezela khona umunwe womuntu. Ungase uzibuze ukuthi lokho kwenzani. Yilokho esizokhuluma ngakho namuhla. Lokhu kubizwa ngokuthi "Isikhathi Sokugcwalisa Ama-Capillary". Ungakhathazeki, sizochaza nje ukuthi yenzani nokuthi kungani ibalulekile.

Siyini lesi sikhathi sokugcwalisa kabusha ama-capillary?

Kalula nje, lokhu kuyindlela elula kakhulu yokuhlola. Kubheka ukuthi igazi lakho lijikeleza kahle kangakanani (ukuphuma kwegazi okungaphakathi) ezingalweni zakho, emilenzeni, nakwezinye izingxenye zomzimba wakho . Ama-capillary yimithambo yegazi emincane kakhulu emzimbeni wethu. Afana nemicu emincane. Lawa ma-capillary axhumanisa imithambo yegazi (imithambo yegazi ethwala igazi lisuka enhliziyweni) kanye nemithambo yegazi (imithambo yegazi ethwala igazi libuyele enhliziyweni). Ngakho-ke, lawa ma-capillary enza umsebenzi omuhle kakhulu wokuthwala umoya-mpilo kanye nezakhamzimba emzimbeni wonke.

Lokhu kuhlolwa kwe-`(Capillary Refill Time)` kuzama kakhulu ukuthola ukushaqeka . Ukushaqeka kuyisimo esiyingozi lapho ukujikeleza kwegazi emzimbeni kwehla khona ngokuzumayo, futhi izitho zethu ezibalulekile (njengobuchopho, inhliziyo, izinso) azitholi umoya-mpilo eziwudingayo. Lokhu kungenzeka uma kukhona isifo esisongela ukuphila noma ingozi enkulu.

Cabanga ngakho, uma kwenzeka ukushaqeka, udinga ukuthatha isinyathelo ngokushesha. Kungase kungabi nesikhathi sokwenza ukuhlolwa kwegazi (`izivivinyo zelebhu`) noma ukuskena okukhulu (`izifundo zezithombe`). Yilapho-ke lokhu kuhlolwa `(Isikhathi Sokugcwalisa I-Capillary)` kuba usizo kakhulu. Kungenziwa ngokushesha futhi kubonakale ukuthi kukhona yini ushintsho ekujikelezeni kwegazi .

Ubani odinga lokhu `(Ukuhlolwa Kokugcwalisa Kabusha Kwe-Capillary)`?

Lokhu kuhlolwa kuvame ukwenziwa lapho impilo yomuntu iba yimbi ngokuzumayo, noma lokho odokotela abakubiza ngokuthi “ukungazinzi kwezokwelapha.” Lokhu kubaluleke kakhulu uma kukhona ingozi yokushaqeka.

Nazi ezinye izimo lapho umuntu engase abe nesifo sokuwa:

• Ukusabela okukhulu kokungezwani komzimba (`Anaphylaxis`): Ukusabela okungazelelwe, okukhulu kokungezwani komzimba kokudla okuthile, imithi, noma ukulunywa yizinambuzane.
• Ukuphelelwa amanzi emzimbeni: Uma inani lamanzi emzimbeni liphansi kakhulu. Isibonelo, ngesikhathi sokuhlanza noma uhudo oluningi.
• Ukopha: Uma kuphuma igazi eliningi, kungaba ngenxa yokulimala okukhulu noma okunye ukopha kwangaphakathi.
• Ukushisa komzimba okuphezulu (i-Hyperthermia): Lokhu kungenzeka uma unomkhuhlane ophezulu noma uma ubekwe elangeni isikhathi eside kakhulu.
• I-Hypothermia: Uma ubhekene nomkhuhlane omkhulu.
• Ukusha okukhulu.

Uma isimo somuntu siba sibi ngenxa yezizathu ezinjengalezi, odokotela babheka lesi sihloko esithi "Capillary Refill Time" bese behlola ngokushesha ukuthi ukujikeleza kwegazi kusebenza kahle yini.

Lolu vivinyo lwenziwa nini?

Lokhu kwenziwa uma isimo sempilo somuntu sibhekwa njengesingazinzile. Okusho ukuthi,

• Isimo sengqondo esishintshile: Umuntu angase adideke, aziphathe ngendlela exakile, futhi ahlaze amazwi akhe.
• Izandla ezibandayo, izinyawo, izintende zezandla, kanye nezinyawo: Lokhu kuqala ukubanda lapho ukujikeleza kwegazi kwehla.
• Izinguquko eziyingozi ezimpawini ezibalulekile: Lokhu kusho ukuthi izinto ezifana nomfutho wegazi, izinga lokushaya kwenhliziyo, izinga lokuphefumula, kanye nokushisa komzimba kungaba phansi kakhulu noma kuphakame kakhulu.
• Ukulahlekelwa ukwazi.

Uma izimpawu ezinjengalezi zibonakala, ukuhlola "Isikhathi Sokugcwalisa Ama-Capillary" kungaba usizo kakhulu ekuxilongweni kwasekuqaleni nasekuqalweni kokwelashwa . Lokhu kuhlolwa kusetshenziselwa futhi ukuqapha indlela iziguli ezisabela ngayo ekwelashweni okushaqisayo.

Lolu hlolo lwe-`(Capillary Refill Time)` lwenziwa kanjani?

Lokhu kulula kakhulu. Ungakuzama lokhu ekhaya (kodwa khumbula, ungakuxilongi ukugula okusekelwe kulokhu kuphela. Uma ungabaza, bona udokotela).

Nansi indlela odokotela abakwenza ngayo lokhu:

1. Ngokuvamile, ugcina enye yezingalo noma imilenze yakho ingaphezulu kancane kwenhliziyo yakho .

2. Bese ucindezela umunwe (isikhumba esingaphezu kozipho) noma uzwane cishe imizuzwana emi-5 kuya kweyi-10 . Uma ucindezela kanjalo, isikhumba esikuleyo ndawo sizoba mhlophe, ngoba igazi elithile lizosuswa kuma-capillary lapho.

3. Okulandelayo, ingcindezi iyakhishwa bese kulinganiswa isikhumba ukuze kubonakale ukuthi kuthatha isikhathi esingakanani ukuthi isikhumba esimpunga sibuyele embala waso wokuqala . Lokhu kubizwa ngokuthi "Isikhathi Sokugcwalisa Ama-Capillary". Umbala wesikhumba ubuyela esimweni esijwayelekile lapho igazi elinomoya-mpilo ligcwalisa ama-capillary angenalutho.

Lokhu kuvame ukuhlolwa ngomunwe. Kodwa-ke, esimweni esiphuthumayo, ikakhulukazi uma umzimba womuntu ubanda kakhulu (isibonelo, esimweni esithi "Hypothermia", noma uma esabanda lapho efika esibhedlela ngenxa yesimo sezulu esibandayo), ukuhlola ngomunwe kungase kungabi nembile kakhulu. Ezimweni ezinjalo, odokotela bangase bahlole lokhu ngesikhumba esiseduze nethambo eliphakathi lesifuba (``Sternum`') .

Kufanele kube yini isikhathi esijwayelekile `(Isikhathi Sokugcwalisa Ama-Capillary)`?

Kumuntu ophilile, kuthatha imizuzwana embalwa nje ukuthi ama-capillary agcwale igazi futhi:

• Izinsana ezisanda kuzalwa: Kungaba cishe imizuzwana emibili.
• Abantu abadala: Cishe imizuzwana emi-3.
• Abantu abadala: Mhlawumbe imizuzwana engaphezu kwemithathu.

Kodwa-ke, ukuthi lesi sikhathi besingaphakathi kwesilinganiso esijwayelekile akusho ukuthi awuthukile noma awunaso esinye isifo esibi. Esimweni esinjalo, "Isikhathi Sokugcwalisa Ama-Capillary" sivamile, kodwa inkinga ukuthi akukho nkinga enkulu ngokugeleza kwegazi ekugcineni kohlelo lwakho lokujikeleza kwegazi ngaleso sikhathi. Khona-ke odokotela bazoqhubeka nokukuhlola ukuze babheke ezinye izimbangela.

Kwenzekani uma `(Isikhathi Sokugcwalisa Ama-Capillary)` singavamile?

Uma isikhathi sokugcwalisa i-capillary singaphezu kwesilinganiso esijwayelekile (okungukuthi, sithatha isikhathi eside kakhulu) , kusho ukuthi igazi liyephuza ukufinyelela izingxenye ezikude zomzimba bese lizigcwalisa. Lokhu kungaba uphawu lokushaqeka.

Uma lokhu kwenzeka, odokotela bazosebenzisa ezinye izivivinyo ezisheshayo ukuthola imbangela eqondile nokunquma ukuthi inkinga ingathi sína kangakanani. Isibonelo:

• I-Pulse Oximetry: Lokhu kulinganisa izinga lomoya-mpilo egazini lakho. Kungenzeka ukuthi uke wawubona umshini onamathisela idivayisi efana ne-clip emunweni wakho.
• I-Laser Doppler Flowmetry: Lena indlela eyinkimbinkimbi kancane. Isebenzisa inhlanganisela yemisebe ye-laser namagagasi omsindo ukukala amandla egazi eligeleza emithanjeni nasemithanjeni.
• I-Near-Infrared Spectroscopy: Lokhu kusebenzisa imisebe yokukhanya ukuhlola amazinga e-oxygen ezicutshini.

Isikhathi Sokugcwalisa Ama-Capillary akusona sodwa isivivinyo esisetshenziswa ukuhlola ingozi yokushaqeka. Kanye nalokhu, ezinye izinto ezifana nesivinini sokushaya kwenhliziyo, umfutho wegazi, izinga lokuqwashisa, kanye nokukhishwa komchamo nazo ziyaqashwa. Konke lokhu kuhlanganiswe ukusiza odokotela ukuthi benze izinqumo ezisheshayo.

Kuthiwani uma imbangela yezimpawu zokuthuthumela iyinkinga ohlelweni lokujikeleza kwegazi?

Uma kunjalo, ukwelashwa kumele kuqale ngokushesha . Uhlobo lokwelashwa olunikezwayo luzoncika embangela yezimpawu nokuthi zimbi kangakanani.

Ukwelashwa okuvamile kungafaka:

• Ukumpontshelwa igazi: Uma kunokulahleka kwegazi okuningi.
• Ukufakwa kwepayipi: Uma ungakwazi ukuphefumula kahle wedwa.
• Uketshezi olufakwa emthanjeni (`uketshezi lwe-IV`): Ukunikeza izinto ezifana nosawoti emzimbeni.
• Imithi: Isibonelo, ama-steroid noma ama-antibiotic.
• Ukupholisa umzimba ngokushesha: Uma umkhuhlane uphezulu kakhulu.
• I-oxygen eyengeziwe.

Umyalezo Wokuya Ekhaya Ovela Kulokho Esikushilo

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kahle lesi `(Isikhathi Sokugcwalisa Ama-Capillary)` esikhulume ngaso namuhla. Into ebaluleke kakhulu okufanele uyikhumbule yile:

Isikhathi Sokugcwalisa Ama-Capillary yisikhathi esithathayo ukuze ama-capillary agcwalise kabusha.Ukuhlolwa okulula, okusheshayo, nokubaluleke kakhulu ukuhlola ukuthi igazi ligeleza kahle yini ezindaweni ezikude zomzimba kubantu abasengozini yokushaqeka.

• Lokhu kusiza kakhulu odokotela ukubona ukuthi kube nokwehla okungazelelwe kokugeleza kwegazi , kungaba ngemva kokugula okukhulu noma ingozi enkulu.
• Uma kuthatha isikhathi eside kunokujwayelekile ukuthi ama-capillary asemunweni wakho noma ozwaneni aphinde agcwale igazi (ngokuvamile ngaphezu kwemizuzwana emi-2-3), kungaba uphawu lwesimo esibucayi .
• Uma ubona into efana nale, kungcono ukufuna iseluleko sezokwelapha ngokushesha ngaphandle kokulibala , ngoba ukwelashwa okuphuthumayo kungasindisa impilo.

Ngakho-ke, ngithemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

Isikhathi Sokugcwalisa Ama - Capillary, Ukushaqeka, Ukugeleza Kwamanzi Eceleni, Ukunakekelwa Okuphuthumayo, Ukuhlolwa Kwezempilo