Cabanga nje, odokotela esibhedlela baqinisekisa ukuthi inhliziyo yomuntu imile futhi ufile. Umndeni uyalila ngenxa yosizi. Kodwa ngemva kwesikhashana, ngokungalindelekile, umuntu ababecabanga ukuthi ufile uqala ukunyakaza nokuphefumula. Kufana nefilimu, akunjalo? Kuyisenzakalo sezokwelapha esingokoqobo, kodwa esingavamile kakhulu . Namuhla sikhuluma ngalesi simo esimangalisayo nesithakazelisayo, 'uLazarus Effect'.
Kalula nje, uyini umphumela kaLazarus?
Kalula nje, 'umphumela kaLazaru' uwukuthi, ngemva kokuba udokotela ememezele ukuthi umuntu ufile, ukujikeleza kwegazi komuntu (ukugeleza kwegazi) ngokuzumayo kuphinde kuqale emzimbeni wakhe, ngaphandle kosizo lwangaphandle, futhi abonise izimpawu zokuphila. Nakuba lokhu kungase kubonakale sengathi usebuyele ekuphileni ngemva kokufa, akukhona lokho okwenzekayo ngempela.
Kwezokwelapha, igama elifanele lalokhu lithi 'autoresuscitation' . Lisho 'ukuzivuselela'. Lisho ukuthi umzimba uyazivuselela. Ngokuvamile, lapho inhliziyo yomuntu ima (ukuma kwenhliziyo), senza i-CPR (Cardiopulmonary Resuscitation) ukuze sisindise impilo yakhe, akunjalo? Umphumela kaLazarus uvela ngemva kokuba i-CPR imisiwe.
Into ebalulekile ukuthi abantu ababhekana nalesi simo abafi ngempela futhi babuye baphile. Okwenzekayo ngempela ukuthi, yize imishini yezokwelapha ikhombisa ukuthi izitho zabo ezibalulekile ziyekile ukusebenza, kukhona ukubambezeleka okuncane ekuqaliseni kabusha kokujikeleza kwegazi. Lokhu kubambezeleka yikho okubenza babonakale sengathi babuye baphila.
Igama elithi 'uLazaru' livela endabeni eseBhayibhelini, lapho uJesu evusa khona indoda efile egama lingu 'uLazaru'. Kodwa ngokwezokwelapha, leli gama liyadukisa kancane. Ngoba lokhu akusona isimangaliso noma ukuzalwa kabusha, kodwa kuyisenzakalo esichazwayo (kodwa esingakaqondakali ngokugcwele) semvelo.
Amanye amagama asetshenziswe kulokhu yilawa:
- Isenzakalo sikaLazaru
- Isifo sikaLazarus
- Ukuvuselelwa kwe-Auto ngemva kokuvuselelwa kwe-cardiopulmonary okuhlulekile
Kwenzeka kanjani lokhu? Ake sithole ukuthi izenzakalo zilandelana kanjani ngqo.
Ukuze lokhu kubizwe ngokuthi umphumela kaLazaru, izenzakalo kufanele zenzeke ngokulandelana okuthile. Ake sibone ukuthi ziyini lezo zinyathelo. Kuzoba lula kakhulu kuwe ukuqonda lokhu etafuleni.
| Isinyathelo | Kwenzakalani |
|---|---|
| Isinyathelo 1 | Inhliziyo yomuntu iyayeka ukushaya ngenxa yokuhlaselwa yinhliziyo noma esinye isizathu (ukuma kwenhliziyo) . |
| Isinyathelo sesi-2 | Udokotela, umhlengikazi, noma omunye umuntu uzoqala i-CPR ngokushesha. |
| Isinyathelo 3 | Ngemva kokwenza i-CPR isikhashana, banquma ukuthi akunasizathu sokwenza i-CPR ngoba akukho mpendulo, futhi bayayiyeka. |
| Isinyathelo 4 | Ngale njongo, isikhulu sezokwelapha esigunyaziwe simemezela ukuthi isiguli sifile ngokwezokwelapha . Ngemva kwalokho, akukho okunye ukwelashwa okunikezwayo. |
| Isinyathelo 5 | Ngemva kwemizuzu embalwa, ngezinye izikhathi amahora, othile uzobona izimpawu zokuphila emzimbeni womuntu oshonile. (isib. ukuphefumula, ukunyakaza komzimba). Lezi zimpawu kumele zihlale isikhathi esingaphezu kwemizuzwana embalwa. |
| Isinyathelo 6 | Udokotela uzofika akuhlole, aqinisekise ukuthi ukujikeleza kwegazi kuqalile, bese eqala ukwelashwa ngokushesha futhi. |
Kunzima ukusho ukuthi kuthatha isikhathi esingakanani ukuthi lokhu kwenzeke ngemva kokumenyezelwa kokufa. Ngokusho kwamacala abikiwe, izimpawu zokuphila zivame ukuvela zingakapheli imizuzu eyi-10 yokumisa i-CPR. Kodwa-ke, ngezinye izikhathi kungathatha isikhathi eside. Ngezinye izikhathi, izimpawu zangaphandle zingase zingaveli kuze kube yilapho igazi seliqalile ukujikeleza emzimbeni.
Kuvame kangakanani lokhu ngempela? Zingaba yini izimbangela?
Ungase uzibuze ukuthi lokhu kuyinto evamile yini. Akunjalo nhlobo. Kusukela ngo-1982 kuya ku-2018, kube nezimo ezingama-65 kuphela zalolu hlobo ezibikiwe ezincwadini zezokwelapha. Kulezo, eziyi-18 sezilulame ngokuphelele.
Kodwa abacwaningi bakholelwa ukuthi lokhu kuvame kakhulu kunokubikwa. Ngezinye izikhathi, kungabonakala ngemva kokuba isiguli siqinisekisiwe ukuthi sifile ngoba akekho eduze. Akwaziwa ukuthi ubani ongase abhekane nalokhu. Kodwa u-68% wamacala abikiwe angabantu abangaphezu kweminyaka engu-60. Kungenzeka ngaphakathi nangaphandle kwezibhedlela, kodwa kuphela ngemva kokuba i-CPR isiqediwe.
Ngakho-ke, kungani lokhu kwenzeka?
Odokotela abakayitholi imbangela eqinisekile engu-100% yalokhu, kodwa kukhona inkolelo-mbono eyinhloko neyamukelekayo.
Kubizwa ngokuthi inkolelo-mbono 'yokukhuphuka kwentengo ngokweqile' . Cabanga ngayo ngale ndlela.
1. Uma senza i-CPR, senza ukucindezela isifuba ngokushesha futhi sinikeze ukuphefumula okwenziwe, akunjalo? Lokho kupompa umoya emaphashini ngokushesha.
2. Uma umoya ungena emaphashini ngokushesha, asikho isikhathi esanele sokukhipha umoya. Lokhu kubangela ukuthi umoya ongaphakathi emaphashini ubambeke, futhi ingcindezi engaphakathi kwesifuba iyanda kakhulu.
3. Ngenxa yalokhu kucindezela okwandayo, igazi alikwazi ukugeleza liye enhliziyweni kahle, futhi alikwazi ukupompelwa emzimbeni. Kufana nokubamba ipayipi lamanzi ngokuqinile.
4. Lapho nje i-CPR imiswa, lokhu kucindezela okukhulu ngaphakathi esifubeni kuyanyamalala ngokuzumayo.
5. Ngemuva kwalokho ukugeleza kwegazi okuvinjiwe kuqala ukugeleza emuva enhliziyweni. Lokhu kuqhuma kwegazi okungazelelwe kungaqalisa kabusha umsebenzi kagesi wenhliziyo eyayimile, futhi inhliziyo ingaqala ukushaya futhi.
Kodwa into edabukisayo okufanele uyikhumbule ukuthi noma ngabe ukujikeleza kwegazi kubuyiselwa ngale ndlela, abantu abaningi ngeke baphile isikhathi eside, ngoba ngaleso sikhathi ubuchopho nezinye izitho zomzimba kungenzeka ukuthi sezivele zonakaliswe kakhulu ukuntuleka komoya-mpilo.
Ingabe into efana nale ingavinjelwa ukuthi ingenzeki?
Ungacabanga ngobuhlungu obungokwengqondo obubangelwa yilesi simo emndenini wesiguli? Kunzima kakhulu ukuthwala umcabango womuntu obekucatshangwa ukuthi ufile, enethemba elincane lokuvuselelwa, bese eba nalelo themba ngokuzumayo. Ngakho-ke, odokotela bazama ukunciphisa amathuba okuba lokhu kwenzeke kanye nengozi yokumemezela ukuthi umuntu ufile kusenesikhathi .
Abacwaningi banikeze odokotela iziqondiso ezithile.
- Yenza i-CPR okungenani imizuzu engama-20: Zama isikhathi esanele, ngaphandle kokuyeka ngokushesha.
- Ukugwema ukwehla kwamandla emali ngokweqile lapho wenza i-CPR: Isibonelo, ukungaphefumuli ngaphezu kwemizuzu eyi-12 ngomzuzu.
- Ungayeki i-CPR ngokushesha ngemva kokunciphisa i-fibrillation: Ngezinye izikhathi, inhliziyo ingayeka okwesikhashana ngokuphelele ngemva kokunciphisa i-fibrillation. Lokhu kubizwa ngokuthi "i-asystole" noma "ukubeka ulwelwesi oluyisicaba." Ngakho-ke udinga ukulinda isikhashana.
- Ngemva kokuyeka i-CPR, isiguli siqashwa njalo imizuzu eyi-10 ngaphambi kokumemezela ukuthi sishonile: Phakathi nalesi sikhathi, ukujikeleza kwegazi kuhlolwa ngokucophelela ukuze kubonakale ukuthi sekuqalile yini.
Ufundani kulokhu?
Uma sikhuluma ngezinto ezifana nomphumela kaLazarus, i-CPR, kanye nokusindisa izimpilo, singazizwa singenamandla. Kodwa empeleni kunezindlela esingalawula ngazo lezi zinto kusenesikhathi. Okungukuthi, ukwenza izinqumo mayelana nokunakekelwa kokuphela kwempilo kusenesikhathi.
Cabanga nje, uma ubugula kakhulu futhi ungakwazi ukukhuluma, ubani obenganquma ukuthi hlobo luni lokwelashwa olufunayo nolungalufuni?
- Uyafuna ukwenza i-CPR?
- Ungathanda yini ukuxhunywa nemishini yokusekela impilo?
Lezi yizinto okudingeka sizicabangele kusengaphambili. Kubaluleke kakhulu ukuxoxa ngezifiso zakho nomndeni wakho kanye nodokotela wakho. Ungaqamba igunya lommeli wezempilo ukuze likwenzele izinqumo zezokwelapha.
Lezi yizihloko ezinzima ukukhuluma ngazo, kodwa ukunquma ngalezi zinto kusenesikhathi nokwazisa abathandekayo bakho nodokotela kuzokunikeza wena kanye nalabo abazokwenza izinqumo ukuthula kwengqondo okukhulu phakathi nalesi sikhathi esinzima.
Nakuba umphumela kaLazarus ungavamile kakhulu, imizamo yokusindisa impilo kanye nokwelashwa kokusekela impilo kuyinto eyenzeka nsuku zonke ezweni lezokwelapha. Ngakho-ke, lesi sihloko sizoba yisikhumbuzo esihle sokuthi ucabange ngakho kabanzi futhi ukhulume ngezifiso zakho.
Umlayezo Wokuya Nawe Ekhaya
- 'Umphumela kaLazarus' uyisenzakalo sezokwelapha sangempela, kodwa esingavamile ukubikwa.
- Lokhu akusikho ukuvuselelwa kwabafileyo, kodwa ukubuyiselwa emuva kokujikeleza kwegazi okulibazisekile ngemva kokuba i-CPR isimisiwe.
- Isizathu esiyinhloko salokhu kusolwa ukuthi ingcindezi esifubeni iyanda ngesikhathi se-CPR, futhi uma imiswa, igazi libuyela enhliziyweni.
- Ngisho noma bebonisa izimpawu zokuphila futhi ngale ndlela, abaningi abaphili isikhathi eside.
- Odokotela balandela iziqondiso ezikhethekile ukuze bavimbele ukusho ngaphambi kwesikhathi ukuthi umuntu ushonile.
- Isifundo esibaluleke kakhulu esingasithola kulesi sihloko ukubaluleka kokuxoxa nomndeni wethu nodokotela kusenesikhathi ukuthi yiziphi izindlela zokwelapha ezidingekayo ekupheleni kokuphila.
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