Cishe uke wabona othile ku-movie noma ku-TV exhunywe emishinini eminingi ukuze amsize aphefumule. Sivame ukukubiza ngokuthi 'isisekelo sokuphila.' Kodwa kuyini lokhu ngempela? Ingabe lokhu kuyinto okufanele uyesabe? Isisekelo sokuphila empeleni asisho ukufa. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kuyini ngempela i-Life Support?
Kalula nje, ukusekela impilo kuyinqubo yokuhlinzeka ngokusekela kwangaphandle esithweni (njengemaphaphu, izinso, noma inhliziyo) esingasebenzi kahle, kusetshenziswa umshini noma enye inqubo yezokwelapha, kuze kube yilapho isitho sesikwazi ukusebenza sodwa futhi. Lokhu kufana nokusebenzisa isihlalo sabakhubazekile isikhathi esifushane lapho umuntu engakwazi ukuhamba. Kunikeza umzimba isikhathi nokusekela okudingayo ukuze ululame.
Kodwa-ke, ngezinye izikhathi umzimba awukwazi ukusebenza wodwa ngaphandle kosizo lwaleyo mishini. Ngezinye izikhathi ezinjengalezi lapho kufanele kwenziwe khona izinqumo ezinzima mayelana nokusekelwa kokuphila. Lapha sidinga ukubheka izinzuzo zokwelashwa kanye nomthwalo okuwuthwalayo.
Iqala nini i-life support? Ingabe ingamiswa?
Ngokuvamile, odokotela baqala usizo lokuphila ngokushesha nje lapho beqaphela ukuthi umzimba wakho uyaludinga. Lokhu kungenzeka nganoma yisiphi isikhathi, njengasengozini noma ekuguleni okungazelelwe.
Kodwa-ke, ukwesekwa kokuphila akuqalwa ezimweni ezinjengalezi:
- Uma uthi cha: Uma isiguli siqaphile, singasho ukuthi asidingi ukwelashwa okunjalo.
- Iziqondiso kusengaphambili: Abanye abantu, ngisho noma bephilile, banezincwadi zomthetho (iziqondiso kusengaphambili) ezithi abadingi ukwelashwa okusekela impilo uma bethola isifo esibulalayo.
- Uma umndeni wenza isinqumo: Ezimweni lapho isiguli singakwazi ukwenza isinqumo, amalungu omndeni aseduze kakhulu angenza isinqumo egameni lesiguli.
Ukuyeka ukusekela impilo
Lena yingxenye ebucayi kakhulu yalesi sihloko. Umuntu angaba nokusekelwa kokuphila isikhathi eside. Kodwa ngesinye isikhathi, uma odokotela beqaphela ukuthi awekho amathuba okuba isiguli sibe ngcono noma siphile impilo enhle ngalezi zindlela zokwelapha, bazokwazisa wena noma umndeni wakho.
Into ebaluleke kakhulu okufanele uyiqonde wena nomndeni wakho lapha ukuthi umuntu akafanga ngoba ukwelashwa kuyekiwe, kodwa ngenxa yesimo esingelapheki anaso. Ukugodla isisekelo sokuphila kumane nje kuvumela lokho okuzokwenzeka ngokwemvelo.
Lesi yisinqumo somuntu siqu kakhulu. Kuyilungelo elisemthethweni nelingokokuziphatha ukuyeka ukwelashwa okungasasizi ngalutho.
Yiziphi izinhlobo eziyinhloko zokusekela impilo?
Uma sicabanga ngomshini osisiza ukuphefumula, sivame ukucabanga ngomshini osisiza ukuphefumula, kodwa ungaphezu kwalokho. Ake sibheke izinhlobo eziyinhloko.
| Indlela Yokusekela | Kalula nje, yilokhu okwenzekayo... |
|---|---|
| Umoya Wokusebenza Ngomshini | Kumuntu ongakwazi ukuphefumula, umshini obizwa ngokuthi i-ventilator upompa umoya emaphashini. Ngenxa yalokhu, kufakwa ipayipi emlonyeni noma ekhaleni (intubation). |
| I-ECMO (i-Extracorporeal Membrane Oxygenation) | Lena indlela ethuthuke kakhulu kune-ventilator. Ithatha igazi emzimbeni, isebenzisa umshini ukwengeza umoya-mpilo kulelo gazi, isuse i-carbon dioxide, bese ilibuyisela emzimbeni. Kufana nephaphu lokwenziwa. |
| Ukuvuselelwa kwenhliziyo namaphaphu (CPR) | Ukuzama ukuqala kabusha inhliziyo ngokucindezela isifuba, ukukhulula imisipha yenhliziyo, kanye nemithi kumuntu onenhliziyo nokuphefumula okuyekile ukusebenza. |
| Ukudla Okunomsoco Nokumanzisa Okwenziwa | Ukuhlinzekwa kokudla okunomsoco kanye noketshezi ngepayipi elifakwe ngekhala esiswini (ukuncelisa ngepayipi) noma ngqo emthanjeni (TPN) kumuntu ongakwazi ukudla noma ukuphuza ngomlomo. |
| Ukuhlolwa Kwezinso | Igazi lomuntu onezinso ezingasebenzi lidluliselwa emshinini osusa udoti kanye noketshezi olwengeziwe bese ulihlanza. Lokhu kufana nezinso zokwenziwa. |
Okunye okwengeziwe ngalezi
- Umshini wokuphefumula: Lokhu kungasetshenziswa ezinkingeni zesikhashana, njenge-pneumonia enzima, noma ezinkingeni zesikhathi eside, njengalezo ezinokulimala komgogodla. Kodwa-ke, kumuntu osesigabeni sokugcina sokugula okungapheli, umshini wokuphefumula uzokwandisa inqubo yokufa. Ngeke welaphe isifo esiyisisekelo.
- I-Dialysis: Lokhu akulona ikhambi lokwehluleka kwezinso. Kumane nje kuthathe indawo yomsebenzi wezinso ngomshini. Uma i-dialysis iyekwa, izinso zizophinde zihluleke. Akekho ongaphila ngaphandle kwezinso ezisebenzayo. Kwabanye abantu, ikhwalithi yokuphila enikezwa ukwelashwa kwe-dialysis iwufanele umzamo. Kodwa kwabanye abantu, ikakhulukazi labo abanezinye izifo ezingelapheki, i-dialysis ingaba yinto ecindezelayo kakhulu kunokuba ibe nenzuzo.
Kuyini i-BLS ne-ALS?
Lokhu futhi kuyingxenye ebalulekile okufanele uyazi mayelana nokusekelwa kokuphila.
Ukusekelwa Kokuphila Okuyisisekelo (i-BLS)
Lokhu kubhekisela kumasu ayisisekelo okusindisa impilo anganikezwa yinoma ubani uma kunesimo esiphuthumayo. Isibonelo, uma othile ehlaselwa yinhliziyo emgwaqweni bese ehudulwa, usizo lokuqala noma abasebenzi bezokwelapha abafika endaweni yesehlakalo bazokwenza i-CPR . Lawa masu angafundwa yinoma ubani.
Ukusekelwa Kokuphila Okuthuthukisiwe (i-ALS)
Lena inqubo yezokwelapha ethuthukisiwe edlula i-BLS. Yenziwa kuphela odokotela nabasebenzi bezokwelapha abaqeqeshiwe. Lokhu kwelashwa kwe-ALS kwenziwa e -Emergency Treatment Unit (ETU) noma e-Intensive Care Unit (ICU) yesibhedlela. Kusetshenziswa imithi, imishini, kanye nezindlela ezithuthukisiwe. Lolu hlobo lokwelashwa kwezingane ezincane lubizwa ngokuthi i-Pediatric Advanced Life Support (PALS) .
Ukusekela impilo kuyinto engakusiza wena noma othandekayo wakho esimweni esiphuthumayo noma ngesikhathi sokugula isikhathi eside. Kunganikeza umzimba isikhathi sokululama. Kodwa ngezinye izikhathi, kumane nje kwandise inqubo yokufa.
Into ebaluleke kakhulu ukukhuluma ngalokhu ngokukhululekile nangokwethembeka nodokotela wakho nomndeni wakho. Ukuqala, ukwenqaba, nokuyeka ukusekelwa kokuphila konke kuyisinqumo somuntu siqu nesingathi sína.
Umlayezo Wokuya Nawe Ekhaya
- Ukusekela impilo kuyisipho sesikhashana esithweni somzimba, futhi akulona uphawu lokufa.
- Lokhu kwenzelwa ukunikeza umzimba isikhathi kanye nokusekelwa okudingayo ukuze ululame.
- Ezigabeni zokugcina zesifo esibulalayo, ukusekelwa kokuphila kungandisa inqubo yokufa.
- Ukuthi uzoqala noma uyeke yini i-life support kuyisinqumo somuntu siqu. Kubalulekile ukuxoxa ngalokhu nodokotela wakho nomndeni wakho.
- Into ebaluleke kakhulu: Umuntu akafanga ngoba ukwelashwa kuyekiwe. Imbangela yokufa yisimo esiyisisekelo, esingelapheki.
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