Ingabe uvame ukuba nekhanda elibuhlungu? Noma uzizwa sengathi ulahlekelwa yibhalansi yakho noma ulahlekelwa yibhalansi yakho uma uhamba? Kukhona ukuhlolwa okukhethekile okwenziwa udokotela ukuthola imbangela yalezi zinto. Namuhla sikhuluma ngalokhu kuhlolwa okukhethekile okwenziwa ohlelweni lwezinzwa, olusebenza njengegumbi lokulawula lomzimba wethu, okungukuthi, ukuhlolwa kwezinzwa. Ungesabi uma uzwa leli gama, kulula kakhulu.
Kalula nje, kuyini ukuhlolwa kwezinzwa?
Kalula nje, lokhu ukuhlolwa ngokomzimba okwenziwa udokotela ukuhlola ukuthi ubuchopho bakho, umgogodla, kanye nemizwa yakho kusebenza kahle kangakanani. Njengokuhlola injini yemoto, udokotela uhlola uhlelo lokulawula umzimba wakho. Lena yindlela engcono kakhulu yokuthola ukuthi ngabe kukhona yini inkinga ohlelweni lwakho lwezinzwa.
Ulwazi oluvela kulolu vivinyo luzosiza udokotela wakho ukuthi anqume ukuthi yiziphi izivivinyo (njengokuskena) okudingeka uzenze ngokulandelayo. Lezi zivivinyo zingahluka kuye ngezimpawu onazo. Ngakho-ke ungase ungakwazi ukwenza izivivinyo ezifanayo nezenziwe umngane wakho. Ngezinye izikhathi lokhu kuhlolwa kungathatha isikhathi, ngoba uhlelo lwethu lwezinzwa luyisimiso esiyinkimbinkimbi kakhulu.
Uma usuvele uthola ukwelashwa kwesimo sesimiso sezinzwa, udokotela wakho uvame ukwenza lolu vivinyo ukuze ahlole ukuthi ukwelashwa kusebenza kahle yini.
Ubani okudingeka enze lolu vivinyo?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezivamile, udokotela wakho angase asikisele ukuthi uhlolwe izinzwa. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Ubuhlungu bekhanda obuvamile | Ikhanda elibuhlungu elinzima nelihlala njalo, elihlukile kwekhanda elibuhlungu elivamile. |
| Isiyezi kanye nobunzima bokuhamba | Ukuzizwa sengathi igumbi liyajikeleza, ukulahlekelwa ibhalansi lapho uhamba, kanye nokuzizwa unesiyezi. |
| Ukuba ndikindiki noma ukulahlekelwa umuzwa emilenzeni | Ukuzwa umuzwa wokucasuka engalweni, emlenzeni, noma engxenyeni yobuso, noma umuzwa wokuthi leyo ngxenye ayinampilo. |
| Izinguquko zombono | Ukubona okufiphele ngokuzumayo, ukubona okukabili, ukungakwazi ukujika amehlo womabili aye ohlangothini olulodwa. |
| Izinguquko zememori nokuziphatha | Ukulahlekelwa yinkumbulo, ukungahlaliseki, ukudideka, izinguquko ezingachazeki ekuziphatheni. |
| Ubunzima bokukhuluma | Ukungaqondi kahle amagama, ukungakwazi ukuhlanganisa amagama (i-Dysarthria noma i-Aphasia), ukungakwazi ukuqonda okushiwoyo. |
| Ukuquleka | Ukulahlekelwa yingqondo ngokuzumayo kanye nokuthuthumela komzimba noma eminye imizwa engavamile. |
| Izimo zokungazi lutho | Izimo ezijulile zokungazi lutho, njenge-coma. |
Ukuthi nje unezimpawu ezifana nalezi akusho ukuthi unesifo esibi kakhulu. Kodwa akuwona umqondo omuhle ukungazinaki izinto ezinjengalezi. Kuwukuhlakanipha ukubona udokotela bese uthola imbangela.
Yini eyenziwa udokotela ngesikhathi sokuhlolwa?
Kulungile, manje ake sibone ukuthi kwenzekani kulolu vivinyo. Luqukethe izingxenye eziningana. Dokotela, kuye ngezimpawu zakho, ungenza ezinye noma zonke lezi zingxenye.
Okokuqala, udokotela uzokubuza imibuzo embalwa. Bazokubuza imibuzo eminingi mayelana nezimpawu zakho, ukuthi zaqala nini, ukuthi uzizwa kanjani, ezinye izifo onazo, kanye nemithi oyiphuzayo. Ngemuva kwalokho, kuzoqala ukuhlolwa ngokomzimba.
| Isigaba sokuhlola | Izinto ocelwa ukuba uzenze nezinto ohlolwa ngazo |
|---|---|
| Isimo Sengqondo/Ukuqonda | Lokhu kwenzelwa ukuhlola inkumbulo yakho, ikhono lakho lokucabanga, kanye nokunaka. Udokotela uzokubuza imibuzo mayelana nosuku, isikhathi, kanye nokuthi ukuphi. Uzokubuza ukuthi uphinde amagama ambalwa. Uzokubuza ukuthi wenze izibalo ezilula. |
| Imizwa Yekhanda | Kunezinzwa ezingu-12 ezigijima ngqo zisuka ebuchosheni bethu ziye ebusweni bethu, emehlweni nasezindlebeni. Ukuze abone ukuthi lezi zisebenza kahle yini, udokotela uzokucela ukuthi ugoqe amehlo akho, ukhuhle ubuso bakho, ukhiphe ulimi lwakho, bese ubheka okuthile. Uzokhanyisa ithoshi bese ebuka ukusabela kwendandatho emnyama yeso lakho. |
| Ukunyakaza, Ibhalansi Nokuxhumanisa | Yilapho behlola khona ukuthi ubuchopho buyakwazi yini ukuxhumana kahle nemisipha. Bakutshela ukuthi uvale amehlo akho bese uthinta ikhala lakho ngomunwe wakho. Bakwenza ushukumise izingalo nemilenze yakho. Bakutshela ukuthi uhambe umugqa oqondile, uhambe ngezithende zakho. |
| Ukuzindla | Cishe uke wakubona lokhu ngaphambili. Udokotela uthatha isando esincane serabha bese ethinta idolo lakho, indololwane, noma ezinye izindawo. Bese ebuka izitho zakho zihamba ngokuzenzekelayo. Lokhu kukhombisa ukuthi imiyalezo yezinzwa ihamba ngokushesha nangendlela ephumelelayo kangakanani. |
| Ukuhlolwa Kwezinzwa | Yilapho uhlolwa khona ukuze kubonakale ukuthi uyakwazi yini ukuzwa izinto ezifana nokuthinta, ubuhlungu, kanye nokushisa. Bazokucela ukuthi uvale amehlo akho bese bebuza ukuthi ungakwazi yini ukuzwa ucezu lukakotini esikhumbeni sakho. Bangase bakuhlabe ngenaliti encane ukuze babone ukuthi uyakwazi yini ukuzwa ubuhlungu. Bazokuhlola ukuthi ungakwazi yini ukuzwa okuthile okushisayo noma okubandayo esikhumbeni sakho. |
| Isistimu Yezinzwa Ezimele | Lokhu kulawula izinto esingenakuzilawula. Lokho kusho izinto ezifana nokuphefumula, ukushaya kwenhliziyo, kanye nomfutho wegazi. Udokotela angase akubuze imibuzo mayelana nokulawula amathumbu kanye nesinye. Angase futhi alinganise umfutho wegazi lakho njengoba ushintsha izikhundla. |
Uhlola kanjani ukuthi awukho yini engqondweni?
Uma umuntu equlekile ngemuva kokulimala ekhanda, njengasengozini, odokotela basebenzisa indlela ekhethekile ukukala ukusebenza kobuchopho bomuntu. Ibizwa ngokuthi iGlasgow Coma Scale (GCS) . Ibheka lokhu:
- Uyavula amehlo akho?
- Uyakhuluma?
- Ingabe uyashukumisa izitho zakho ngokwalokho okushiwoyo?
Ngokuthola lezi zimpendulo, kutholakala umbono wezinga lomonakalo ebuchosheni.
Yiziphi izifo ezingatholakala ngalesi sivivinyo?
Lokhu kuhlolwa kuyisinyathelo sokuqala nesibaluleke kakhulu ohambweni lokuthola isifo. Ngolwazi olutholakala kulokhu, udokotela angasola isimo esithile sezokwelapha.
- Isifo sohlangothi: Isimo esenzeka lapho ukugeleza kwegazi kuya ebuchosheni kuyeka noma umthambo wegazi ebuchosheni uqhuma.
- Ukutheleleka: Ukutheleleka okuthinta ubuchopho kanye nomgogodla, njenge-meningitis noma i-encephalitis.
- Ukuphazamiseka Kokunyakaza: Izifo ezithinta ukunyakaza komzimba, njengesifo sikaParkinson.
- Izinkinga Zokuwohloka Kwezinzwa: Izifo ezibangela ukulahlekelwa kancane kancane kwenkumbulo nokusebenza kobuchopho, njengesifo i-Alzheimer's.
- Izinkinga ze-Epilepsy kanye ne-Seizure: Ukuqina okubangelwa ukusebenza okungajwayelekile kukagesi ebuchosheni.
- I-Multiple Sclerosis: Isifo esibangelwa ukulimala kwesembozo sokuvikela esizungeze imizwa.
- Izinkinga Zekhanda: Izimo zekhanda ezinzima njenge-migraine.
- Ukulimala Kobuchopho Obubuhlungu: Ukulimala ekhanda okubangelwe yingozi.
Ngizilungiselela kanjani ngaphambi kokuhlolwa?
Lokhu akudingi ukulungiselela okuningi, kodwa ukwenza lezi zinto kuzokwenza izinto zibe lula kakhulu kuwe nakudokotela.
1. Izingubo: Gqoka izingubo ezikhululekile nezikhululekile ngoba udokotela kuzodingeka ashukumise izitho zakho.
2. Bhala phansi ulwazi: Bhala phansi izimpawu zakho ephepheni elincane.
- Izimpawu zaqala nini?
- Kuzwakala kanjani? (isb., ukusha? ukuqaqamba?)
- Kukhula nini?
- Ingabe ukwenza okuthile ngakho kuzokwenza kube ncane?
3. Imininingwane yemithi:Thatha imininingwane ngayo yonke imithi oyisebenzisayo (kufaka phakathi imithi yezinye izifo).
4. Imibiko emidala: Uma unemibiko yokuhlolwa yangaphambilini, yiphathe.
Uma usukulungele kanje, ngeke ukhohlwe lutho. Kulula kakhulu futhi ukuthi udokotela akuthole isithombe esicacile ngawe.
Kwenzekani ngemva kokuhlolwa?
Ngokuvamile, ngokushesha nje lapho ukuhlolwa sekuqediwe, udokotela uzokhuluma nawe ngalokho akucabangayo kanye nalokho akubonile.
Uma imiphumela yokuhlolwa ingavamile, okusho ukuthi kukhona ukusolakala kwenkinga, udokotela uzoyala ukuhlolwa okwengeziwe ukuze aqinisekise imbangela. Ukuhlolwa okunjalo kufaka phakathi:
- Ukuhlolwa Kwegazi: Hlola ezinye izimbangela, njengokuntuleka kwamavithamini.
- Izifundo Zokuthwebula Izithombe: Lokhu kungathatha izithombe ezicacile zobuchopho noma umgogodla. Isibonelo , ukuskena kwe-MRI (Magnetic Resonance Imaging) noma i-CT (Computed Tomography) .
- I-EEG (i-Electroencephalogram): Lokhu kuhlola ukusebenza kukagesi kobuchopho bakho. Lokhu kusiza kakhulu ekutholeni izimo ezifana nokuquleka.
- Izifundo ze-EMG (Electromyogram) kanye Nokuqhutshwa Kwezinzwa: Lokhu kuhlola ukuthi izinzwa nemisipha yakho isebenza kahle kangakanani.
- Ukubhoboza Kwethambo: Lokhu kuhilela ukuthatha isampula yoketshezi oluzungeze umgogodla oluvela emgogodleni wakho. Lokhu kubalulekile ekutholeni izifo ezifana ne-meningitis.
Kungemva kwalezi zivivinyo kuphela lapho udokotela ezokutshela khona ngqo ukuthi siyini isimo sakho sezokwelapha bese eqala ukwelashwa okudingekayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwezinzwa akumelwe ukwesabe. Kuwukuhlolwa okuvamile ngokomzimba okuhlola impilo yesimiso sakho sezinzwa.
- Ungazinaki izimpawu ezifana nobuhlungu bekhanda obuvamile, isiyezi, ukungazweli ezithweni zomzimba, kanye nokulahlekelwa yinkumbulo. Lezi kungaba izimpawu zokuqala zokugula.
- Uma uya kohlolwa, bhala phansi imininingwane mayelana nezimpawu zakho kanye nemithi oyiphuzayo. Kuzoba usizo olukhulu kudokotela.
- Lokhu kuhlolwa kukodwa akukwazi ukubona zonke izifo, kodwa kuyisinyathelo sokuqala esibaluleke kakhulu ohambweni oluya ekuxilongweni okunembile.
- Uma unokungabaza nganoma yiziphi izimpawu, qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko.
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