Ingabe umuntu okuthiwa ufile angavuka aphile? Ake sixoxe ngalesi simo esingavamile esibizwa ngokuthi iLazarus Effect!

Wake wezwa ngesimo lapho umuntu ebonakala sengathi usephila futhi ngemva kokuba odokotela sebememezele ukuthi ufile? Kuzwakala kungakholeki kancane, akunjalo? Kodwa-ke, lesi yisenzakalo esingavamile kodwa esibikiwe ezweni lezokwelapha. Sibizwa ngokuthi i-Lazarus Effect. Ake sixoxe ngakho ngemininingwane ethe xaxa namuhla, ngoba kungabaluleka ukukwazi.

Ngakho-ke, uyini ngempela umphumela kaLazarus?

Kalula nje, umphumela kaLazarus uwukuthi, ngemva kokuba udokotela esememezele ngokusemthethweni ukuthi othile ufile, ukugeleza kwegazi lakhe kuqala ngokuzumayo futhi baqale ukukhombisa izimpawu zokuphila. Odokotela bakubiza lokhu ngokuthi 'i-autoresuscitation' . Okusho ukuthi, ngemva kokuba i-CPR imile, inhliziyo iqala ukushaya futhi ukujikeleza kwegazi kubuyiselwa ngaphandle kosizo lwangaphandle. Kodwa-ke, lokhu akufani nezindaba ezithi umuntu ofile empeleni uyaphila. Kukhona indaba eBhayibhelini mayelana nendoda egama linguLazaru evuswa kwabafileyo. Kodwa lesi simo sezokwelapha sihlukile. Okwenzekayo lapha ukuthi ngemva kokuba odokotela sebethole ukuthi izitho ezibalulekile zomuntu ziyekile ukusebenza futhi bathi zifile, ngezinye izikhathi kuba nokulibaziseka okuncane ekuqaliseni kabusha ukushaya kwenhliziyo nokujikeleza kwegazi. Lokhu kulibaziseka yikho okwenza umuntu abonakale efile bese ebuya ekuphileni. Lokhu kubizwa ngokuthi 'isenzakalo sikaLazarus', 'i-Lazarus syndrome', njll. Ngokwezokwelapha, kubizwa nangokuthi 'i-autoresuscitation ngemva kokuvuselelwa kwenhliziyo okuhlulekile'. Kodwa masikhumbule ukuthi kumane nje (i-Autoresuscitation).

Yiziphi izinto okudingeka zenzeke ukuze lokhu kwenzeke?

Odokotela bayasiqaphela lesi simo (i-autoresuscitation) lapho kwenzeka uchungechunge lwezehlakalo kanje:

• Okokuqala, umuntu ubhekana nesimo esiphuthumayo, njengokuma kwenhliziyo .
• Bese udokotela noma omunye umuntu oqeqeshiwe uqala ukuvuselelwa kwenhliziyo nokuphefumula (CPR).
• Ngesinye isikhathi, umuntu owenza i-CPR uyaqaphela ukuthi lokhu kwelashwa akuvezi imiphumela elindelekile nokuthi umuntu ufile.
• Ngemuva kwalokho, uchwepheshe wezokwelapha ogunyaziwe ukuqinisekisa ukufa umemezela ngokusemthethweni ukuthi umuntu ushonile ngokwezokwelapha .
• Kusukela ngaleso sikhathi kuqhubeke, akukho ukungenelela kwezokwelapha, okungukuthi, akukho okunye ukwelashwa, okwenziwayo.
• Ngemva kwemizuzu embalwa, noma ngisho namahora, othile uzobona izimpawu zokuphila (isibonelo, ukunyakaza komzimba, ukuphefumula). Lezi zimpawu kufanele zihlale isikhathi esingaphezu kwemizuzwana embalwa.
• Ekugcineni, udokotela uqinisekisa ukuthi ukujikeleza kwegazi lomuntu sekuqalile futhi, futhi ukwelashwa okusebenzayo kuyaqala kabusha.

Kunzima ukusho ukuthi kuthatha isikhathi esingakanani ukuthi ukujikeleza kwegazi kuqale kabusha ngemva kokufa. Ngokusho kwamacala abikiwe, izimpawu zokuphila zivame ukuvela zingakapheli imizuzu eyi-10 yokumisa i-CPR. Kodwa-ke, ngezinye izikhathi kungathatha isikhathi eside. Kungenzeka ukuthi akekho ozobona ukuthi ukujikeleza kwegazi kuqala kabusha isikhathi esithile.

Ivame kangakanani iLazarus Effect?

Amarekhodi ezokwelapha abonisa ukuthi empeleni lesi yisenzakalo esingavamile kakhulu . Kusukela ngo-1982 kuya ku-2018, amacala anjalo angu-65 alotshwe ezincwadini zezokwelapha emhlabeni wonke. Kulawa, abantu abangu-18 kuphela abalulame ngokugcwele. Kodwa-ke, abacwaningi bakholelwa ukuthi lesi simo singase sibe sivame kakhulu kunalokho okubikiwe ngempela. Kodwa-ke, akukacaci ukuthi sivame kangakanani, noma ukuthi ubani ongase abhekane nalokhu. Uma sibheka amacala abikiwe kuze kube manje, iningi labantu abaye babhekana nalokhu (cishe u-68%) baneminyaka engaphezu kuka-60. Lokhu (i-autoresuscitation) kuye kwenzeka kokubili ngaphakathi nangaphandle kwezibhedlela. Kodwa-ke, kuhlale kwenzeka ngemva kokuba othile enikezwe i-CPR.

Kungani kwenzeka lesi Sigameko sikaLazaru? Iyini imbangela?

Uma ngikhuluma iqiniso, odokotela abasazi kahle ukuthi yini ebangela lokhu. Kodwa, nansi enye yezinkolelo-mbono eziyinhloko eziye zabekwa ukuze zichaze lokhu. Cabanga ngakho, uma wenza i-CPR, uphoqa umoya ungene emaphashini ngokushesha kakhulu. Lokhu ngezinye izikhathi kungabangela amaphaphu ukuthi agcwalise kakhulu. Lokhu kubizwa ngokuthi 'i-hyperinflation.' Kalula nje, amaphaphu agcwalisa kakhulu, futhi asikho isikhathi esanele sokuba umoya ugcwale ngokuphelele. Lokhu kubangela ukuthi ingcindezi ngaphakathi kwesifuba ikhuphuke ngokuzumayo.

Uma ingcindezi esifubeni ikhula ngale ndlela, ukugeleza kwegazi kuya enhliziyweni kanye negazi eliphuma enhliziyweni liyancishiswa. Ngemuva kwalokho, lapho i-CPR imiswa, ingcindezi ekhulayo iyancipha ngokuzumayo. Ngemuva kwalokho, igazi elivalelekile lingaqala ukugeleza libuyele enhliziyweni . Lena yindlela ukujikeleza kwegazi okuqaliswa ngayo kabusha. Kodwa-ke, ezimweni eziningi, lokhu kungokwesikhashana nje.

Into ebalulekile ukuthi noma ngabe ukujikeleza kwegazi kubuyiselwa isikhashana, abantu abaningi abaphili isikhathi eside. Yingakho odokotela bezama ukugwema ukuqala kokujikeleza kwegazi sekwephuzile noma ukumemezela ukufa ngaphambi kwesikhathi. Ngoba, uma lokho kwenzeka, abanakekeli nomndeni ngokuzumayo baba nethemba elikhulu, bese kuba nzima ukucabanga ngosizi nokushaqeka lapho kulahleka ngokushesha.

Ngakho-ke zikhona yini izindlela zokuvimbela lesi Sigameko sikaLazaru?

Esikhundleni sokuvimbela ngokuphelele lesi simo, into ebalulekile lapha ukugwema ukuphetha ngaphambi kwesikhathi nangokungafanele ngokuthi othile ushonile. Ngenxa yalesi sizathu, abacwaningi baphakamise iziqondiso ezithile odokotela okufanele bazilandele ngaphambi kokumemezela ukufa. Lezi yizi:

• Qhubeka ne -CPR okungenani imizuzu engama-20 .
• Uma wenza i-CPR, thatha izinyathelo zokuphepha ukuze uvimbele ukwanda okukhulu kwentengo, okuyilapho amaphaphu egcwala kakhulu. Isibonelo, ezinye iziqondiso ze-CPR zithi nikeza ukuphefumula okungu-12 ngomzuzu.
• Ukwelashwa nge-electroconvulsive, okungukuthi, ngemva kokunciphisa i-fibrillation (ngezinye izikhathi okungavimba inhliziyo ukuba ishaye ngokuphelele okwesikhashana - lokhu kubizwa ngokuthi i-asystole noma "i-flat-lining"), ungayimisi i-CPR ngokuzumayo.
• Ukuqapha okuqhubekayo nokuseduze kakhulu kwesiguli okungenani imizuzu eyi-10 ngemva kokuyeka ukwelashwa kwe-CPR ngaphambi kokumemezela ukuthi ushonile.

Ingabe kufanele sicabange ngezinqumo okudingeka sizenze ekupheleni kwempilo yethu?

Uma ucabanga ngezimo zokuphila noma ukufa ezinjengalezi, ungase uzizwe ungenalusizo futhi wesaba. Lokho kuvamile. Kodwa ungenza izinqumo kusenesikhathi mayelana nokuthi yikuphi ukunakekelwa kwezokwelapha okufunayo nokuthi yini ongayifuni ekupheleni kwempilo yakho futhi uthathe indima ebonakalayo kulezo zinqumo. Isibonelo, unganquma ukuthi ufuna i-CPR noma olunye usizo lokuphila. Ngale ndlela, ungazisa udokotela wakho, umndeni wakho, kanye nabathandekayo bakho ukuthi ufunani kusenesikhathi. Ungaphinda uqambe ngokusemthethweni umuntu ongakwenzela izinqumo zezokwelapha uma ungakwazi ukwenza kanjalo (igunya lokunakekelwa kwempilo lommeli).

Lezi azizona izinqumo ezilula neze, kodwa ukuhlela kusenesikhathi ngangokunokwenzeka kungakunika wena nomndeni wakho ukuthula kwengqondo okukhulu esikhathini esizayo.

Okokugcina, izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Lo mphumela kaLazarus uyinto engavamile kakhulu, kodwa yinto eyenzeka nsuku zonke ezweni lezokwelapha, lapho wonke umuntu, kuhlanganise nodokotela, ezama ukusindisa impilo yomuntu. Ngakho-ke, ngicabanga ukuthi lokho esikhulume ngakho namuhla ngalesi simo esingavamile kuzoba yisikhumbuzo esihle sokuthi uqaphele kakhulu ukwesekwa kwempilo kanye nokunakekelwa kokuphela kwempilo. Qiniseka ukuthi ukhuluma nodokotela wakho futhi uthole ukuthi yiziphi izinketho zakho, nokuthi ungazibhala kanjani izifiso zakho. Kuzoba kubaluleke kakhulu kuwe nomndeni wakho.

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'Isenzakalo sikaLazaru, Umphumela kaLazaru, Ukuvuselelwa Kwemvelo, I-CPR, ukufa, ukuvuselelwa, imithi, ukuvuselelwa kwenhliziyo namaphaphu, ukunakekelwa okuphuthumayo