Cabanga ngokubona umuntu oseduze nawe elahlekelwa ingqondo ngokuzumayo, umzimba wakhe wonke uqonde njengogodo, futhi izitho zakhe ziboshwe ngendlela exakile... Yeka ukuthi lokho kuyesabeka futhi kuyadabukisa kangakanani? Lokhu kuyisibonakaliso sesimo esibi kakhulu esaziwa kwezesayensi yezokwelapha. Lokhu kubizwa ngokuthi i-Decerebrate Posturing. Nakuba leli gama lingase lizwakale liyinkimbinkimbi kancane uma ulizwa, namuhla sizokhuluma ngalo kalula, ngendlela ongayiqonda.
Kuyini lokhu ku-Decerebrate Posturing?
Kalula nje, lokhu akusona isifo, kodwa kuyisibonakaliso. Lapho ubuchopho bethu, ikakhulukazi i-brainstem, bonakaliswe kakhulu, imisipha emzimbeni iyaqina ngokungazikhetheli bese umzimba uthatha ukuma okungajwayelekile. Lokhu kubizwa ngokuthi i-Decerebrate Posturing. Umuntu okubonayo lokhu angase acabange ukuthi ukwenza lokhu ngamabomu , kodwa empeleni akanalo igunya phezu kwakho.
Into ebalulekile ukuthi umuntu obonisa lesi senzo uhlala engazi lutho, ekwi-coma ejulile . Okusho ukuthi, abakwazi ukuvuswa ngokukhuluma noma ngokuthinta. Esibhedlela, odokotela banaka kakhulu lesi senzo lapho benza ukuhlolwa okubizwa ngokuthi i-Glasgow Coma Scale, okukala ubunzima besiguli esikwi-coma.
Lena yindlela lesi simo esivame ukubonakala ngayo. Singabonakala ohlangothini olulodwa lomzimba noma kuzo zombili izinhlangothi.
| Ingxenye yomzimba | Isenzo esibonisa |
|---|---|
| Imilenze | Iqondiswe ngokuphelele futhi yaqiniswa. |
| Izinzwane | Ibheke ngaphandle ukusuka emzimbeni, ibheke ngaphakathi kancane. |
| Izandla | Ibanjwe ihambisana nomzimba, icindezelwe ngokuqinile nhlangothi zombili. Izandla ziphendukele ngaphakathi, izintende zibheke ngaphandle. |
| Ingalo | Igobile ngaphandle komzimba. |
| Iminwe | Isibambo sigoqwe ngaphakathi njengomcamelo. |
| Umgogodla | Kungase kugobeke emuva futhi kuqine. |
Yini ebangela lesi simo esibucayi?
Njengoba ngishilo ngaphambili, imbangela enkulu yalokhu ukulimala kwe-brainstem. I-brainstem iyibhuloho elixhumanisa ubuchopho bethu nomgogodla. Le ngxenye ilawula izinqubo ezibaluleke kakhulu zokusinda, njengokuphefumula nokushaya kwenhliziyo. Ngakho-ke, ukulimala kwalokhu kuyindaba engathi sína kakhulu.
Nazi ezinye zezimbangela ezingaba khona zokuma kwe-decebrate:
- Ukulimala okukhulu ekhanda: Ukulimala Kobuchopho Obubuhlungu (ii-TBI) okubangelwa izinto ezifana nezingozi zezimoto kanye nokuwa.
- Isifo sohlangothi: Ukuvaleka noma ukuqhekeka komthambo wegazi ohambisa igazi ebuchosheni.
- Ukopha ebuchosheni: Ukopha ngaphakathi ebuchosheni (Intracranial Hemorrhage) ngenxa yezimbangela ezifana nomfutho wegazi ophakeme.
- Izimila Zobuchopho: Umdlavuza noma izimila ezingengozini ezikhula, ikakhulukazi esiqwini sobuchopho.
- Ukutheleleka okukhulu: Ukutheleleka okuthinta ubuchopho, njenge-meningitis noma i-encephalitis.
- Ukucindezeleka Kwegazi Okungaphakathi Kwekhanda: Ukwanda okukhulu kwengcindezi ngaphakathi kwekhanda ngenxa yesizathu esinjengokuvuvukala kobuchopho.
- Ukuntuleka komoya-mpilo ebuchosheni: I-Cerebral Hypoxia yenzeka lapho ukuhlinzekwa komoya-mpilo ebuchosheni kunqanyulwa ezimweni ezifana nokuminza noma ukuhlaselwa yinhliziyo.
- Ezinye izimo zezokwelapha: Izimo ezifana ne-Reye's syndrome kanye ne-Hydrocephalus (ukunqwabelana koketshezi ebuchosheni).
Kuphathwa kanjani lokhu?
Into ebalulekile ukuthi lokhu kuma okuqinile akunakwelashwa ngqo. Odokotela bazama ukwelapha isimo sezokwelapha esiyisisekelo esibangele lokhu.
Isibonelo, uma imbangela iwukutheleleka kobuchopho, kuzonikezwa ama-antibiotic. Uma kukhona ukopha ebuchosheni, kungase kudingeke ukuhlinzwa ukuze kumiswe noma kuncishiswe ingcindezi.
Ngenxa yokuthi laba ziguli abazi lutho, bangase bangakwazi ukuphefumula bodwa. Ngezikhathi ezinjalo, balaliswa egunjini lokunakekelwa okujulile (ICU) futhi bafakwe umshini wokuphefumula.Sixhumene futhi sinikeza zonke izindlela zokwelapha ezisekelayo ezidingekayo ukuze sisekele impilo.
Njengoba kunezimbangela eziningi zalokhu, ukwelashwa kuyahlukahluka. Ngakho-ke, udokotela wakho kuphela ongachaza kangcono ukwelashwa okuzonikezwa isiguli sakho.
Ingabe lesi simo singavinjelwa?
Nakuba singenakukuvimbela ngokuqondile ukwenzeka kwesimo sokuma esiwohlokile, singakwazi ukuzivikela ezifweni nasezingozini ezisibangelayo . Yilokho okungcono kakhulu esingakwenza.
- Gqoka imishini yokuphepha: Ukulimala ekhanda kuyimbangela eyinhloko yezingozi. Ngakho-ke , gqoka isigqoko sokuzivikela kahle uma ugibela amabhayisikili nezithuthuthu. Uma uhamba ngezimoto, qiniseka ukuthi ubopha ibhande lesihlalo .
- Lawula izifo ezingamahlalakhona: Uma unezifo ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma isifo sokuwa, landela imiyalelo kadokotela wakho, uphuze imithi yakho ngendlela efanele, futhi uyiphathe kahle.
- Indlela yokuphila enempilo: Ukudla ukudla okulinganiselayo, ukuzivocavoca umzimba ngenkuthalo, nokugcina isisindo esinempilo kungavikela ezifweni ezifana nesifo sohlangothi.
- Thola ukwelashwa kwezifo ngokushesha: Ungacabangi nje ukuthi "kulungile" uma uthola ukutheleleka endlebeni, ekhaleni, noma esweni lakho. Ngezinye izikhathi, lokhu kutheleleka kungasakazekela ebuchosheni futhi kubangele izimo ezibucayi. Ngakho-ke, bona udokotela ngokushesha bese uthola ukwelashwa.
- Gwema izidakamizwa notshwala: Ukusetshenziswa kwazo kungathinta kabi impilo yobuchopho.
Kufanele ufune nini iseluleko sezokwelapha?
Lokhu akucabangeki.
Uma ubona umuntu equlekile, enemisipha ehlulekayo ukulawula, futhi esesimweni esingavamile esichazwe, kuyisimo esiphuthumayo sezokwelapha esiphuthumayo kakhulu.
Shayela i-ambulensi (njengo-1990) ngokushesha noma umyise esibhedlela esiseduze i-Emergency Treatment Unit (ETU) ngokushesha okukhulu. Ungalibali isikhashana.
Ngiyazi ukuthi kuyesabeka kakhulu futhi kuyadabukisa ukubona umuntu omthandayo ekulesi simo. Nakuba kunezimo lapho abantu abaningi abanalesi simo bengasindi khona, akunjalo ngaso sonke isikhathi. Ngokuthuthuka kwezokwelapha zanamuhla, kuye kwavela izindlela ezintsha zokuxilonga nokwelapha izimo ezibangela lokhu. Ngakho-ke, kubaluleke kakhulu ukuba nethemba nokusebenzisana eduze nodokotela.
Umlayezo Wokuya Nawe Ekhaya
- Ukuma okuwohlokile akusona isifo, kodwa uphawu olubi olubangelwa umonakalo omkhulu esiqwini sobuchopho.
- Umuntu obonisa lesi senzo uhlala engazi lutho futhi ekwi-coma.
- Lesi yisimo esiphuthumayo sezokwelapha esibi kakhulu. Isiguli kufanele siyiswe ngokushesha eYunithi Yokwelapha Esiphuthumayo (i-ETU) yesibhedlela.
- Ukwelashwa akuqondisiwe ngqo esimweni somzimba, kodwa esimweni sezempilo esiyisisekelo esibangele lokhu (isib. isifo sohlangothi, ukulimala ekhanda).
- Izinyathelo ezinjengokuvimbela ukulimala ekhanda nokuphatha izifo ezingamahlalakhona zinganciphisa ingozi yalesi simo.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi e-Ambrisentan (Ambrisentan / Letairis) ayimithi ekhethekile kakhulu enikezwa yisiphi isifo?
Lona akuwona umuthi ojwayelekile! Lona umuthi osebenza kahle kakhulu we-Endothelin Receptor Antagonist (ERA) ophumuza imithambo yegazi enhliziyweni nasemaphashini, isifo esibulalayo lapho imithambo yegazi ethwala igazi lisuka enhliziyweni liya emaphashini iba mfushane/iqine, futhi umfutho wegazi ngaphakathi kwemithambo uba phezulu kakhulu kangangokuthi ungaqhuma! Lona uthuthuke kakhulu kuneBosentan, futhi futhi awulona ingozi kangako esibindini.
💬 Uma imithambo yegazi eholela emaphashini ivaliwe futhi usuzokufa, ungayiphumuza kanjani imithambo yegazi ngokuthatha la maphilisi (i-Ambrisentan)?
Imithambo yegazi emaphashini iyalelwa ukuba inciphe yikhemikhali enamandla emzimbeni wethu ebizwa ngokuthi 'i-Endothelin-1'! Uma leli philisi lingena egazini, livimba (ngokukhetha kakhulu) kuphela izindawo lapho lelo khemikhali lingabopha/licindezele inkinobho kuma-constrictors emithambo yegazi (ama-ETA receptors). Njengoba amanye ama-receptor (ETB) evulwa, ikhemikhali ekhulula imithambo yegazi ingena, futhi yonke imithambo emaphashini ikhululeke kahle (i-Vasodilation) futhi isiguli siyalulama.
💬 Yiziphi 'izingozi ezibulalayo' kanye nemiphumela emibi (Izexwayiso Zebhokisi Elimnyama) okufanele abesifazane abasebenzisa lo muthi (i-Ambrisentan) bazi ngazo?
Ingozi enkulu ukuthi lokhu akuvunyelwe ngokuphelele 'kumama abakhulelwe'! Uma ingane izalwa ngenkathi iphuza lokhu, ingane izokhubazeka nakanjani (i-Teratogenic / Ukukhubazeka kokuzalwa) futhi ifele ngaphakathi (ngakho-ke, izindlela ezimbili zokulawula inzalo kumele zisetshenziswe)! Omunye umphumela omkhulu kakhulu ukuthi lokhu kubangela ukuvuvukala okukhulu komzimba wonke/amaqakala (Ukugcinwa Okukhulu Koketshezi / Ukuvuvukala Kwezingqimba).
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