Ingabe ubuchopho bakho abutholi umoya-mpilo owanele? (I-Cerebral Hypoxia)

Ngezinye izikhathi ekuphileni kwethu, izinto ezingacabangeki ziyenzeka, akunjalo? Izinto ezifana nokuzizwa udidekile ngokuzumayo, ukungakwazi ukugxila, noma ukubona umuntu equleka futhi ewa. Ezinye zalezi zingase zicashe ngemuva kwenkinga enkulu yempilo. I-Cerebral Hypoxia ingenye yezimo ezinjalo ezidinga ukunakekelwa okuphuthumayo. Kalula nje, lokhu kusho ukuthi ubuchopho bethu abutholi inani elidingekayo lomoya-mpilo. Njengoba lokhu kungaba yingozi ngisho nokuphila, ake sixoxe ngalokhu ngokujulile namuhla.

Kuyini i-Cerebral Hypoxia?

Kalula nje, yilokho esikubiza ngokuthi (i-Cerebral Hypoxia) lapho ubuchopho bakho bungatholi umoya-mpilo owanele. Cabanga ngakho, njengazo zonke ezinye izingxenye zomzimba wethu, ubuchopho budinga umoya-mpilo ukuze busebenze. Lo moya-mpilo uyiswa ebuchosheni yigazi. Ngakho-ke, uma ungakwazi ukuphefumula kahle, noma uma ukugeleza kwegazi ebuchosheni kuma ngenxa yesizathu esithile, ubuchopho buthola umoya-mpilo omncane. Ngaphandle komoya-mpilo, uhlelo lwethu lwezinzwa alukwazi ukusebenza kahle. Yilapho izinto ezifana nokuphefumula, ukuhamba, ukukhuluma, nokubona ziphazamiseka khona.

Ngezinye izikhathi odokotela bakubiza lokhu ngokuthi “ukulimala kwe-hypoxia-anoxia.” I-Hypoxia isho ukwehla okuncane komoya-mpilo. Kodwa i-“anoxia” isho ukuthi ubuchopho abutholi umoya-mpilo nhlobo. Kodwa-ke, kokubili kuyingozi, ngoba ubuchopho buyisitho esizwela kakhulu.

Ziyini izimpawu zalokhu?

Izimpawu ziyahlukahluka kuye ngokuthi ubuchopho buphelelwa umoya-mpilo isikhathi esingakanani. Khumbula, amangqamuzana obuchopho aqala ukufa kungakapheli imizuzu embalwa yokuphelelwa umoya-mpilo. Ngakho-ke kubalulekile ukuqaphela lokhu ngokushesha.

Izimpawu zokuqala ezibonakalayo

Ezigabeni zokuqala, ungabona izimpawu ezifana nalezi:

• Ukuzizwa ungalingani, ungakwazi ukuhamba kahle (`Ataxia`). Cabanga ngokuzumayo ulahlekelwa ukulawula imilenze yakho.
• Ukuzizwa sengathi ikhanda lakho liyazungeza, liyazungeza futhi liyazungeza.
• Ukuzizwa ujabule kakhulu ngokuzumayo ngaphandle kwesizathu. Lokhu kuyamangaza kancane, akunjalo? Kodwa lokhu kungaba uphawu.
• Isilinganiso sokuphefumula esikhulayo, kodwa ukuphefumula okungajulile (`Tachypnea`).
• Ezinye izingxenye zomzimba azinangqondo, futhi kuzwakala sengathi izintuthwane ziyagijima.
• Kunzima ukugcina ingqondo yakho igxile futhi usebenze.

Izimpawu ezinzima ezibonakala kamuva

Uma isimo siba sibi kakhulu, izimpawu ezifana nalezi:

• Ukungaphumuli, ukucasuka.
• Ukudideka, ukulahlekelwa ukwazi. Ukungazi ukuthi ukuphi noma ukuthi wenzani.
• Ukushintsha kombala wesikhumba, izindebe, kanye nezinzipho (`i-Cyanosis`). Lokhu kwenzeka uma kungekho oxygen eyanele egazini.
• Ukozela, ubunzima bokuvuka.
• Ukunyakazisa kwemisipha ngokuzumayo (`Myoclonus`).
• Ukuqala kokuquleka, okungukuthi, ukuquleka.

Uma lesi simo siba sibi kakhulu , ukulahlekelwa ukwazi noma ngisho nokuquleka kungase kwenzeke. Ake sithembe ukuthi lokho ngeke kwenzeke.

Kungani lokhu (i-Cerebral Hypoxia) kwenzeka? Yiziphi izimbangela?

Empeleni kunezizathu eziningi zalokhu. Emazweni afana neMelika, imbangela enkulu ukumiswa kwenhliziyo ngemva kokuhlaselwa yinhliziyo . Kodwa-ke, lesi simo singavela nganoma yisiphi isikhathi lapho ukunikezwa komoya-mpilo ebuchosheni kuphazamiseka. Cabanga ngezinto ezinjengalezi:

• Uma une-anemia enzima, lapho kunamaseli abomvu egazi ambalwa kakhulu egazini, lokhu kungenxa yokuthi la maseli abomvu athwala umoya-mpilo.
• Ukwehla okukhulu komfutho wegazi (`umfutho wegazi ophansi` noma `umfutho wegazi ophansi`). Lokhu kunciphisa inani legazi elimpontshelwa ebuchosheni.
• Isimo lapho umoya-mpilo wehliswa khona uye ezicutshini zomzimba (i-systemic hypoxia).

Nazi ezinye izizathu:

• Ubuthi be-carbon monoxide bungenzeka ngokuphefumula igesi ye-carbon monoxide noma intuthu evela emlilweni. Lokhu kungenzeka uma kukhona umlilo endlini noma inkinga ngepayipi lokukhipha umoya emotweni.
• Ukuminyana, ukuklinywa, kanye nezinye izinhlobo zezingozi ezivimbela ukuphefumula. Njengalapho ingane encane ihlafuna ithoyizi bese iklinywa, noma lapho othile eminza.
• Ugesi.
• Ukulimala ekhanda, okungukuthi, ukulimala okukhulu ekhanda, ikakhulukazi ukulimala kobuchopho okubuhlungu.
• Isifo senhliziyo.
• Ngisho noma uya kominza bese usinda (`Usuzominza`).
• Ukweqisa izidakamizwa noma ukusebenzisa kabi umuthi wokuphefumula.
• Uma ukuquleka kuqhubeka.
• Ukulahlekelwa igazi kakhulu noma ukopha. Uma unengozi enkulu, njengasengozini.
• Izinkinga ezenzeka ngesikhathi sokuhlinzwa (`Izinkinga zokuhlinzwa`) noma i-anesthesia (`izinkinga ze-anesthesia`).
• Isifo sohlangothi.

Yiziphi izinkinga eziyingozi ezingabangelwa yilokhu?

O, lokhu kuyadabukisa ukusho, kodwa izinto ezimbi kakhulu ezingenzeka ngenxa ye-`(Cerebral Hypoxia)` yilezi:

• Ukulala ubuthongo obukhulu. Lokhu kusho ukulala ubuthongo obukhulu, ungaqondi lutho.
• Ukufa kobuchopho. Ngemva kwalokhu, akukho ukululama.
• Ngeshwa, ngisho nokufa kungenzeka.

"Yingakho sithi lokhu kuyisimo esiphuthumayo, futhi uma ubona ngisho nophawu oluncane kakhulu, kufanele ubonane nodokotela ngokushesha."

Odokotela bakuthola kanjani lokhu?

Uma unalezi zimpawu, udokotela uzoqala ahlole izinga lokuncipha kokugeleza kwegazi ebuchosheni. Lokhu kungafaka phakathi ukuhlolwa okufana nalokhu:

• I-Angiography: Lokhu kuhlola ukuvaleka kwemithambo yegazi.
• I-CT scan noma i-MRI scan. Lokhu kuthatha izithombe zengaphakathi lobuchopho ukuze kuhlolwe ukuthi kukhona yini isifo sohlangothi, ukopha ngaphakathi kobuchopho, ukuvuvukala kobuchopho, noma omunye umonakalo.
• Ukuhlolwa kwe-EEG (i-Electroencephalogram - i-EEG). Lokhu kuhlola umsebenzi kagesi wobuchopho.
• Ukuhlolwa kwamandla okuvuselelwe. Lokhu kuhlola indlela ubuchopho obusabela ngayo emizweni efana nokuthinta.

Iyini indlela yokwelapha lokhu?

Odokotela baqala ukwelashwa ngokuthola ukuthi imbangela iyini bese belapha leyo nkinga ukuze kubuyiselwe ukugeleza komoya-mpilo ebuchosheni. Isibonelo, uma unenkinga yokuphefumula, ungasebenzisa umshini (`umoya wokuphefumula wemishini`) ukukusiza ukuphefumula. Noma ungasebenzisa ukwelashwa okusiza ukugeleza kwegazi elinomoya-mpilo ebuchosheni.

Ukwelashwa kuncike esimweni sesiguli kanye nembangela yokuntuleka komoya-mpilo. Into eyinhloko ukubuyisela ukuhlinzekwa komoya-mpilo ebuchosheni ngokushesha okukhulu.

Kuzothatha isikhathi esingakanani ukululama kulesi simo? (Outlook)

Lokhu kuyahlukahluka kumuntu nomuntu. Ngokuvamile, imiphumela incike ezintweni ezifana nalezi:

• Isikhathi esingakanani ubuchopho buphelelwa umoya-mpilo. Khumbula, ukulimala kobuchopho kuqala cishe ngemizuzu emine ngemva kokuncishwa umoya-mpilo. Ngakho-ke, uma ubuchopho buphelelwa umoya-mpilo isikhathi eside, amathuba okulimala kobuchopho aba maningi.
• Isizathu salokhu ukuthi , isibonelo, olunye ucwaningo lubonise ukuthi abantu abaningi abathola "i-cerebral hypoxia" ngemva kokuhlaselwa yinhliziyo banezinkinga ezinkulu ngekhono labo lokucabanga (''cognition'').
• Uma lesi simo siholele ekubeni yi-coma, ukuthi i-coma ihlale isikhathi esingakanani. Isibonelo, ezinye izifundo ziphakamisa ukuthi abantu abaphuma kwi-coma esikhathini esingaphansi kwamasonto amane banezinkinga ezimbalwa zesikhathi eside kunalabo abahlala kwi-coma isikhathi eside.

Ngakho-ke, lokhu kuyinto eyinkimbinkimbi kakhulu. Abanye abantu bayalulama ngokushesha, abanye bathatha isikhathi eside, kanti abanye ngeshwa balahlekelwa yimpilo yabo unomphela.

Ingabe i-hypoxia yobuchopho ingavinjelwa?

Ngeshwa, asikwazi ukuvimbela zonke izimo ze-cerebral hypoxia ezibangelwa izingozi ezifana nokuminza kanye nokuminza. Kodwa-ke, singathatha izinyathelo zokunciphisa ingozi yezingozi ezinjalo.

Ukuze uzivikele ezingozini, yenza lezi zinto:

• Faka izinto zokuthola intuthu kanye nezinto zokuthola i-carbon monoxide ekhaya lakho bese uzihlola njalo ukuqinisekisa ukuthi zisebenza kahle.
• Qiniseka ukuthi wonke umuntu ubopha amabhande esihlalo noma nini lapho esemotweni.
• Sebenzisa amavesti okusindisa impilo uma ungena emanzini, bhukuda kuphela ezindaweni lapho kukhona abaqaphi bokuphila, futhi uqaphe izingane ezincane, ngisho nasegumbini lokugezela.
• Gqoka izigqoko zokuzivikela uma udlala imidlalo enomthelela omkhulu, ukugibela ibhayisikili, ukuskeyitha, noma ukugibela izicathulo zeqhwa.

Nciphisa ingozi yezinkinga zempilo:

Izifo ezifana nokuma kwenhliziyo, ukuhlaselwa yinhliziyo, kanye nesifo sohlangothi nazo zandisa ingozi yokuntuleka kwe-cerebral hypoxia. Nakuba zingenakuvinjelwa ngokuphelele, kunezinto ongazenza ukuze unciphise ingozi yakho:

• Thuthukisa indlela yakho yokuphila. Ukuzivocavoca nsuku zonke nokudla ukudla okunempilo, njengokudla kwaseMedithera noma ukudla kwe-DASH, kunganciphisa ingozi yakho yokuhlaselwa yinhliziyo kanye nesifo sohlangothi.
• Qaphela ingozi yakho yokuba nesifo senhliziyo (`ukumiswa kwenhliziyo`). Khuluma nodokotela wakho ngezinkinga zakho kanye nomlando womndeni wakho wesifo senhliziyo. Udokotela wakho angabe esehlola ingozi yakho bese e-oda ukuhlolwa okufana nesifundo se -EKG (`Electrocardiogram - EKG`) noma i-EP (`Electrophysiology - EP`) .
• Gwema imikhuba yokuphila eyingozi. Izinto ezifana nokubhema nokusebenzisa ugwayi, ukusebenzisa kabi izidakamizwa, kanye nokuphuza utshwala ngokweqile kwandisa ingozi yesifo senhliziyo kanye nesifo sohlangothi.
• Lawula izimo zezokwelapha eziyisisekelo ezifana nesifo sikashukela, umfutho wegazi ophakeme, i-hyperlipidemia, kanye nokukhuluphala ngokweqile, okwandisa nengozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi.
• Thola ukuhlolwa kwezokwelapha njalo. Bona udokotela womndeni wakho okungenani kanye ngonyaka ukuze uhlolwe ngokuphelele. Ngale ndlela, uma kukhona izimpawu ezandisa ingozi ye-`(Cerebral Hypoxia)`, ungazibona kusenesikhathi.

Ngizinakekela kanjani? (Ukuzinakekela)

Ngemva kokuntuleka kwe-cerebral hypoxia, ungase ube nobunzima bokukhuluma, ukuhamba, noma ukulawula ukunyakaza komzimba wakho. Uma lokhu kwenzeka, ungase udinge usizo lwezokwelapha, njengokwelashwa ngokomzimba noma ukwelashwa ngenkulumo . Kungathatha izinyanga ukululama ngokuphelele. Ngakho-ke, yiba nesineke futhi uhlanganyele ekwelashweni.

Ilungu lomndeni wami linesifo esibucayi (i-Cerebral Hypoxia). Ngingamsiza kanjani?

I-`` (Cerebral Hypoxia)` ebucayi yisimo esibi esingasongela impilo. Ngezinye izikhathi singaholela ekukhubazekeni, okungahlala amasonto amaningana, noma esimweni 'sesimo sezitshalo' esingaphenduli.Kungadluliselwa futhi. Kodwa-ke, ngenxa yokuthi ilungu lomndeni wakho alikho engqondweni, lizodinga ukunakekelwa okuqhubekayo esibhedlela noma esikhungweni sokuvuselela. Kungaba nzima kakhulu ngamalungu omndeni ukuhlala eqinile engqondweni phakathi nalesi sikhathi. Kodwa-ke, into engcono kakhulu ongayenza ukukhuluma nodokotela njalo futhi ubanikeze ukwesekwa abakudingayo.

Kufanele ngifune nini iseluleko sezokwelapha ngokushesha?

I-Cerebral Hypoxia iyisimo esiphuthumayo sezokwelapha. Uma unezimpawu - noma zibonakala zingenangozi, njengesiyezi noma ukudideka - shayela u-911 ngokushesha, cela othile akushayele ucingo, bese uya egumbini lezimo eziphuthumayo esibhedlela ngokushesha. Uma othile endaweni yakini ebonisa lezi zimpawu, kusho ukuthi:

• Ukulahlekelwa ukwazi.
• Ukuquleka.
• Ukuphefumula kancane, ubunzima bokuphefumula.
• Uma ubonisa izimpawu zokuhlaselwa yinhliziyo noma isifo sohlangothi (isib. ubuhlungu obukhulu esifubeni, ukungakwazi ukukhuluma, ukugoba kolunye uhlangothi lobuso).

Ngesikhathi esinjengalesi, kumelwe sithathe isinyathelo ngokushesha, ngaphandle kokulibala umzuzwana!

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ululama kwi-Cerebral Hypoxia, ungase ufune ukuzibuza le mibuzo:

• "Uyazi ukuthi kungani lokhu kwenzeke kimi, dokotela?"
• "Kungenzeka yini lokhu futhi?"
• "Yimiphi imiphumela emibi engaba khona yalokhu?"

Uma ilungu lomndeni noma othandekayo wakho ene-cerebral hypoxia futhi engakwazi ukukhuluma, ungambuza le mibuzo:

• "Umonakalo wobuchopho ungakanani?"
• "Yimiphi imiphumela emibi engaba khona?"
• "Ingabe kukhona umuthi ongasiza ekunciphiseni izimpawu zelungu lomndeni wami?"
• "Isimo sakhe sizoba njani ngokuhamba kwesikhathi?"

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Cerebral Hypoxia ingenzeka kunoma ubani, futhi ingaguqula impilo futhi ibeke ngisho nasengozini empilweni. Nakuba kungekho ndlela yokuyivimbela ngokuphelele, kunezindlela zokunciphisa ingozi yakho. Iqala ngokunakekela impilo yakho iyonke. Isibonelo, uma une-high blood pressure, ukuyiphatha kahle kunganciphisa ingozi yakho yokuthola isifo senhliziyo noma isifo sohlangothi kanye nokuthola i-cerebral hypoxia. Ngakho-ke, khuluma nodokotela wakho njalo futhi unakekele impilo yakho. Leyo nkulumo ingakusiza ugweme i-cerebral hypoxia nezinye izimo ezingathi sína. Ungesabi, into ebaluleke kakhulu ukuba nolwazi futhi uhlale uphephile.

` I-cerebral hypoxia, ukuntuleka komoya-mpilo ebuchosheni, ukuntuleka komoya-mpilo, ukulimala kobuchopho, ukwelashwa okuphuthumayo, ukuphelelwa umoya, ukuhlaselwa yinhliziyo, isifo sohlangothi