Kuthiwani uma uhlelo lwakho lwezinzwa lusengozini? Ake sifunde nge-'Neurogenic Shock' eyingozi!

Sonke sizwile igama elithi "shock," akunjalo? Ngezinye izikhathi silicabanga njengento ehlukile lapho sivele sesaba noma sicasukile. Kodwa kwezokwelapha, elithi "shock" libhekisela esimweni esibucayi kakhulu. Namuhla sizokhuluma ngohlobo olufanayo, kodwa oluhlukile kancane "lokushaqeka." Lokhu kubizwa ngokuthi 'ukushaqeka kwemizwa.' Kalula nje, kwenzeka lapho kunokulimala okukhulu ohlelweni lwethu lwezinzwa, ikakhulukazi umgogodla .

Kuyini ngempela 'i-Neurogenic Shock'?

Cabanga ngohlelo lwakho lwezinzwa njengohlelo lwefoni ezweni. Lezi zinzwa zithwala imiyalezo evela ebuchosheni iye kuzo zonke izingxenye zomzimba. Manje, uma kukhona ukulimala kulolu hlelo lwezinzwa, ikakhulukazi emgogodleni, njengokuphuka komgogodla noma ukubhidlika, uhlelo oluthwala le miyalezo luyaphazamiseka.

Ukushaqeka kwemizwa yisimo lapho ukushaya kwenhliziyo yakho, umfutho wegazi, kanye nokushisa komzimba kungalawuleki ngemva kwengozi. Njengezinye izinhlobo zokushaqeka, lesi yisimo esibi kakhulu, futhi ngezinye izikhathi singabulala. Isizathu salokhu ukuthi ukugeleza kwegazi emzimbeni wonke kuyaphazamiseka. Uma igazi lingahambi kahle, amangqamuzana ethu awatholi umoya-mpilo nezakhamzimba azidingayo. Khona-ke amangqamuzana awakwazi ukwenza imisebenzi yawo.

Ngakho-ke, kubalulekile ukufuna ukwelashwa kokushaqeka ngokushesha okukhulu.

Uyini umehluko phakathi kwe-'Neurogenic Shock' kanye ne-'Spinal Shock'?

Nakuba kokubili kuhlobene nokulimala komgogodla, kunomehluko omncane. Ekushaqekeni komgogodla, imisipha yakho iyakhubazeka futhi ama-reflex akho ayalahleka ngemva kokulimala komgogodla wakho. Ekushaqekeni kwe-neurogenic, imiphumela eyinhloko isezingeni lokushaya kwenhliziyo yakho kanye nomfutho wegazi.

Uyini umehluko phakathi kwe-'Neurogenic Shock' kanye ne-'Hypovolemic Shock'?

Ukushaqeka kwe-Hypovolemic yisimo esibangelwa ukulahlekelwa uketshezi oluningi kakhulu, ikakhulukazi igazi, emzimbeni. Umehluko omkhulu phakathi kwalokhu kokubili ukushaya kwenhliziyo.

• Umuntu onesifo sokushaqeka kwemizwa unenhliziyo eshaya kancane (bradyarrhythmia).
• Umuntu one-hypovolemic shock uba ne-heart rate ekhuphukile (i-tachycardia).

Ubani othinteka kakhulu yilesi simo? Sivame kangakanani?

Ukushaqeka kwemizwa kwenzeka kubantu abalimele emgogodleni futhi abalimaze uhlelo lwezinzwa.

Ucwaningo luphakamisa ukuthi phakathi kuka-19% no-31% wabantu abake balimala emgogodleni bazobhekanaLokhu kubizwa ngokuthi 'i-Neurogenic Shock'. Ngisho nasezweni elifana neMelika, abantu abaphakathi kuka-8,000 no-10,000 bahlushwa ukulimala komgogodla minyaka yonke. Izimbangela eziyinhloko zalokhu izingozi zezimoto nokuwa phezulu. Izingozi ezinjalo zivamile nasezweni lethu, akunjalo?

'I-Neurogenic Shock' iwuthinta kanjani umzimba wami?

Kalula nje, uma kukhona ukulimala emgogodleni, imizwa yethu ayikwazi ukuthumela izimpawu emithanjeni yegazi, ithi, "Kulungile, manje nciphisa kancane." Uma lo myalezo ungamukelwanga kahle, imithambo yegazi iba mikhulu kakhulu, okubizwa ngokuthi 'i-vasodilation '. Kufana nombhobho wamanzi okhula ngokuzumayo. Okwenzekayo ukuthi umfutho wegazi wehla ngokuzumayo 'i-hypotension' . Lapho umfutho wegazi wehla, ukugeleza kwegazi emzimbeni wonke nakho kuyehla. Lokhu kusho ukuthi izitho zethu ezibalulekile azitholi umoya-mpilo eziwudingayo.

Ziyini izimpawu zalokhu?

Izimpawu zokushaqeka kwe-neurogenic zifaka:

• Umfutho wegazi ophansi (Hypotension): Lolu uphawu oluyinhloko.
• Isilinganiso senhliziyo esihamba kancane (i-Bradyarrhythmia): Inani lokushaya ngomzuzu livame ukwehla.
• Isikhumba siba bomvu futhi sishise, bese kubanda, kube manzi, futhi kube manzi.
• Izindebe nezinzipho ziphenduka zibe luhlaza okwesibhakabhaka: Lokhu kungenxa yokuntuleka komoya-mpilo egazini.
• Ukulahlekelwa ngokuphelele kwengqondo noma ukuncipha kwengqondo: Lokhu kungenzeka ngenxa yokuncipha kokugeleza kwegazi ebuchosheni.

Uma umuntu enesinye noma ngaphezulu salezi zimpawu, ikakhulukazi uma eke walimala emgogodleni, kufanele anikezwe ukunakekelwa okusheshayo.

Yiziphi izimbangela ze-'Neurogenic Shock'?

Kunezizathu eziningana eziyinhloko zalesi simo:

• Ukulimala komgogodla: Lena imbangela evame kakhulu. Kungabangelwa izinto ezifana nengozi yemoto, ukuwa usuka endaweni ephakeme, noma ingozi yezemidlalo.
• Ubuthi obuthinta uhlelo lwezinzwa oluzimele.
• I-Guillain-Barré syndrome: Lesi yisimo esingavamile esithinta isimiso sezinzwa.
• I-anesthesia yomgogodla: Le anesthesia inikezwa kwezinye izinhlinzeko. Ingenzeka kaningi njengenkinga.
• I-Transverse myelitis: Lokhu futhi ukutheleleka kwemizwa emgogodleni.

Odokotela bakuthola kanjani lokhu?

Ukuze ahlole ukuthi une-neurogenic shock, udokotela uzokwenza okulandelayo:

1. Kuhlolwa umzimba: Isimo sakho kanye nohlobo lokulimala kuyahlolwa.

2. Izimpawu ezibalulekile ziyahlolwa: umfutho wegazi, izinga lokushaya kwenhliziyo, izinga lokuphefumula, kanye nezinga lokushisa kuyalinganiswa.

3. Ukuhlolwa kwegazi kwenziwa:Funda ngesimo sangaphakathi somzimba kanye nokusebenza kwezitho zomzimba.

4. Kuyelwa ukuskena: Ukuze kuhlolwe ngokunembile umonakalo womgogodla.

Hlobo luni lokuskena okwenziwayo?

Lezi yizinhlobo ezimbili eziyinhloko zokuskena:

• I-CT Scan (I-Computed Tomography - I-CT scan): Lokhu kungawubona kahle umonakalo emathanjeni.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI scan): Lokhu kungabheka kangcono umonakalo ezicutshini ezithambile zomgogodla, okungukuthi, intambo yomgogodla kanye nemizwa.

Iphathwa kanjani i-Neurogenic Shock?

Lesi yisimo esiphuthumayo sezokwelapha futhi ukwelashwa kufanele kuqale ngokushesha.

Okokuqala, odokotela bazofaka i-brace yentamo entanyeni yakho. Lokhu kwenzelwa ukuvimba umgogodla ukuthi ungabi mubi kakhulu, ngoba ukuhambisa intamo yakho kungenza ukulimala kube kubi kakhulu.

Okulandelayo, into ebaluleke kakhulu ukulawula umfutho wegazi ophansi (hypotension). Lokhu kwenziwa ngokunikeza uketshezi olufana nosawoti nge-IV (engena emthanjeni).

Bese kuthi, kunikezwe imithi yokulawula ukushaya kwenhliziyo okuhamba kancane (i-bradyarrhythmia).

Ngesikhathi welapha lo 'Neurogenic Shock', uzophinde welashwe nanoma yikuphi okunye ukulimala okungenzeka ukuthi ukutholile ngenxa yengozi.

Yimiphi imithi esetshenziswayo?

Odokotela bangasebenzisa izinhlobo eziningana zemithi ukuze baphathe ukushaqeka kwe-neurogenic:

• I-Phenylephrine
• I-Norepinephrine `(I-Norepinephrine)`
• I-Epinephrine
• I-Atropine
• I-Glycopyrrolate `(I-Glycopyrrolate)`
• I-Isoproterenol `(Isoproterenol)`
• I-Theophylline
• I-Aminophylline

Le mithi inikezwa ngaphansi kokuqondisa okuqinile kukadokotela, kucatshangelwa izici eziningi ezifana nesimo sesiguli, umfutho wegazi, kanye nokushaya kwenhliziyo.

Ingabe kukhona izinkinga noma imiphumela emibi yokwelashwa?

Noma yimuphi umuthi ungabangela imiphumela emibi. Kodwa odokotela bakhetha umuthi kuphela uma izinzuzo esigulini zidlula ingozi. Futhi, uma inani loketshezi olunikezwa nge-IV ngezinye izikhathi liphezulu kakhulu, kunethuba elincane lokuthi umzimba uzovuvukala.

Ngingayinciphisa kanjani le ngozi?

Njengoba imbangela eyinhloko yokushaqeka kwemizwa ukulimala komgogodla, kubalulekile ukuvimbela ukulimala okunjalo. Kunezinto eziningana ongazenza ukusiza:

• Ungashayeli uphuze utshwala noma izidakamizwa. Shayela ngokucophelela nangokucophelela.
• Gqoka ibhande lesihlalo njalo uma uhamba ngemoto. Gibela ngokuphepha ngama-three-wheeler kanye nama-motorcycle.
• Ungangeni emanzini angajulile noma ezindaweni ezingaziwa. Lokhu kungabangela ukulimala okukhulu entanyeni.
• Qaphela ngokuphepha lapho ukhwela izihlahla futhi usebenza ezindaweni eziphakeme.

Yini engingayilindela uma nginokwethuka okubangelwa yizinzwa?

Uma ukulimala komgogodla kubangela ukushaqeka kwemizwa, umfutho wegazi ophansi (ukwehla komfutho wegazi) ungaqhubeka kuze kube amasonto amahlanu.

Futhi, ezinye izinkinga zingavela ngalesi simo. Isibonelo:

• Amahlule egazi emithanjeni yemilenze (i-Deep Vein Thrombosis - DVT)
• Izilonda zokucindezeleka
• I-pneumonia yokuphefumula ibangelwa ukudla noma ezinye izinto ezingena emoyeni .

Ukushaqeka kwemizwa kungahlala isikhathi esingakanani?

Ngokuvamile, izimpawu zokushaqeka kwemizwa zingahlala cishe amasonto amane kuya kwamahlanu . Kodwa-ke, lokhu kungahluka kumuntu nomuntu futhi kuye ngohlobo lwengozi.

Ngizokwazi yini ukubuyela emsebenzini/esikoleni?

Ukuthi ungabuyela emisebenzini yakho evamile, emsebenzini, noma esikoleni kuncike ebunzimeni bokulimala komgogodla wakho kanye nohlobo lwanoma yikuphi okunye ukulimala okungenzeka ukuthi ukutholile. Ngezinye izikhathi kungadingeka wenze izinguquko ezinkulu empilweni yakho, ikakhulukazi uma unenkinga yokuhamba.

Iyini inhloso yokushaqeka kwemizwa?

Uma ingelashwa, izimo eziningi zokushaqeka ziyabulala. Kodwa-ke, ukwelashwa okusheshayo nokufanelekile kungasindisa impilo yakho. Impilo yakho yesikhathi esizayo incike ezintweni eziningana, okuhlanganisa:

• iminyaka yakho.
• Ubukhulu bengozi.
• Ukulimala kwezinye izitho zomzimba.
• Ezinye izifo ezingamahlalakhona onazo (ezinye izinkinga zezokwelapha).
• Kwathatha isikhathi esingakanani ukuthola ukwelashwa?
• Izinkinga ezengeziwe njengokungakwazi ukukhuluma nokulahlekelwa ibhalansi.
• Indlela umzimba wakho osabela ngayo ekwelashweni.

Ngokudabukisayo, umuntu oye walimala emgogodleni unamathuba okufa ngaphambi kwesikhathi aphindwe kabili kuya kahlanu kunomuntu ongazange alimale emgogodleni. Ingozi yokufa iphezulu kakhulu ngonyaka wokuqala ngemva kokulimala emgogodleni.

Ngizinakekela kanjani?

Uma ulimele emgogodleni, kungenzeka kakhulu ukuthi ube nezinye izinkinga zempilo, njenge-Deep Vein Thrombosis (DVT), njengoba kushiwo ngaphambili. Futhi, ukushaqeka kwemizwa, isimo lapho ukugeleza kwegazi kuncipha khona futhi isitho esisodwa noma ngaphezulu sonakaliswa.

Isimo sawo wonke umuntu sihlukile, kodwa kunoma ubani oke wabhekana nokushaqeka kwemizwa, kubalulekile ukulandela ukwelashwa ngokomzimba kanye neseluleko sezokwelapha ngokucophelela ukuze kuvinjelwe izinkinga zesikhathi esizayo.

Kufanele ngimbone nini udokotela wami?

Uma ubona noma yiziphi izinguquko esimweni sakho, njengokushintsha kwezimpawu ezibalulekile noma ubuhlungu, kufanele wazise udokotela wakho ngokushesha.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Kufanele ufune usizo oluphuthumayo ngokushesha uma unezimpawu ezilandelayo:

• Ubuhlungu besifuba
• Isiyezi
• Isicanucanu

Lokhu kungaba izimpawu zesinye isimo esibucayi.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela imibuzo efana nale:

• Iyini inhloso yesimo sami esithile?
• Ingabe izitho zami zomzimba zonakele ngenxa 'ye-Neurogenic Shock'?
• Yiziphi izinto ezibaluleke kakhulu okudingeka ngizenze uma ngibheka isimo sami?

Isifinyezo kanye nomyalezo wokuthatha uye ekhaya

Kulungile, ngakho-ke 'i-Neurogenic Shock' esikhulume ngayo namuhla iyisimo esiyingozi kakhulu esingabangelwa ukulimala okukhulu emgogodleni. Kulokhu, ukulimala ohlelweni lwezinzwa kubangela ukuthi umzimba ulahlekelwe ukulawula izinto ezifana nokushaya kwenhliziyo kanye nomfutho wegazi.

Into ebaluleke kakhulu ukuhlala uphephile ngangokunokwenzeka futhi uzame ukugwema ukulimala komgogodla wakho. Qaphela kakhulu lapho ushayela, usebenza ezindaweni eziphakeme, futhi ugxumela emanzini.

Uma kwenzeka ingozi, ukufuna usizo lwezokwelapha ngokushesha kungakusiza usindise impilo yakho. Ngemva kwalokho, ukuqhubeka nokwelashwa ngokomzimba njengoba kuyalelwe udokotela wakho kuzokusiza ukuthi uhlale uphilile ngangokunokwenzeka. Ithimba lakho lezokwelapha lizokusiza unqobe le nselele.

Ukushaqeka Kwezinzwa , Ukulimala Komgogodla, Umfutho Wegazi, Isimiso Sezinzwa, Isimo Esiphuthumayo, Ukwehla Kwegazi Egazini, I-Bradyarrhythmia