Cishe uke wakubona kumamuvi, lapho umuntu ngengozi noma ngesizathu esithile ephuza amaphilisi amaningi kakhulu, uyawayisa esibhedlela bese efaka ipayipi bese ekhipha okungaphakathi esiswini sakhe. Lokhu yilokho esivame ukukubiza ngokuthi 'ukuhlanza isisu' noma 'ukumpompa isisu'. Nakuba kungase kubonakale kuyesabeka kancane, kuyinqubo yezokwelapha ebaluleke kakhulu engasindisa impilo. Kodwa ingabe lokhu kuyinto eyenziwa ngaso sonke isikhathi? Kwenziwa kanjani? Ingabe kuyabuhlungu? Ake sixoxe ngalokhu namuhla, ncamashi, ngaphandle kokwesaba.
Kalula nje, kuyini ukuhlanza isisu?
Ukuhlanza isisu inqubo yokumunca okuqukethwe esiswini sakho (okuqukethwe esiswini sakho). Lokhu kubizwa ngokwezokwelapha ngokuthi ukuhlanza isisu . 'Ukuhlanza' kusho 'ukugeza'. Ngakho-ke, kule nqubo, kwenzeka izinto ezimbili empeleni. Udokotela noma ilungu lezokwelapha eliqeqeshiwe lifaka ipayipi esiswini sakho, liyihlanze ngamanzi noma ngosawoti, bese limunca okuqukethwe esiswini sakho ngoketshezi. Le payipi ivame ukudluliselwa ngekhala lakho (ipayipi le-nasogastric) noma ngomlomo wakho (ipayipi le-orogastric) liye esiswini sakho.
Kungani kudingeka ukugeza isisu sakho?
Njengoba abantu abaningi bazi, lokhu kwenziwa esimweni esiphuthumayo. Uma sikhuluma iqiniso, uma umuntu ephuza ushevu, noma ephuza ngokweqile okuthile okufana namaphilisi , le ndlela isetshenziselwa ukusindisa impilo ngokususa ushevu ngokushesha esiswini ngaphambi kokuba umunceke emzimbeni.
Kodwa bewazi ukuthi ukuhlanza isisu akuyona nje into okufanele uyenze uma udle ubuthi? Kungaba usizo kakhulu nasezimweni ezingatheni kangako.
Ngokwesibonelo:
- Abanye abantu babhekana nokucindezeleka okukhulu kanye nokungakhululeki esiswini ngenxa yokudla, uketshezi, noma umoya. Ngalezo zikhathi, le ndlela isetshenziswa ukunciphisa lokho kucindezeleka.
- Uma kukhona ukopha okuningi (ukopha) okubangelwa yinto efana nesilonda esiswini, lokhu kuzosiza nasekuhlanzeni nasekususeni igazi eliningi.
- Ngesikhathi sokuhlinzwa okukhulu, ngenkathi uhlinzwa ngaphansi kwe-anesthesia, kunethuba elikhulu lokuthi okuqukethwe esiswini kuzobuyela emphinjeni bese kubhajwa emthanjeni womoya (i-aspiration). Cabanga ukuthi lokho kungaba yingozi kangakanani. Ukuze kuvinjelwe izinto ezinjalo, le ndlela isetshenziswa futhi ukususa uketshezi oluqongelela esiswini kulo lonke ukuhlinzwa.
| Izimo lapho kungase kudingeke khona ukuhlanza isisu | Incazelo |
|---|---|
| Ukungenisa ubuthi | Ukususa izinto ezinobuthi njengemithi namakhemikhali emzimbeni ngaphambi kokuba zimuncwe. |
| Ukungasebenzi kahle kwesisu | Ukususa ukudla okugcwele ezimweni lapho ukuphuma kwesisu kubambezeleka khona (isb., i-gastroparesis). |
| Ukuvaleka kwamathumbu | Ukunciphisa ingcindezi ngokususa uketshezi nomoya oqoqana esiswini ngenxa yokuvaleka kwamathumbu. |
| Ukuhlanza okuqhubekayo | Uma kukhona ukuhlanza okuqhubekayo kanye nesicanucanu esingenakukwazi ukulawulwa ngezinye izindlela zokwelapha. |
| Ukopha kwe-GI ephezulu | Ukuze ukhiphe igazi esiswini, thola umthombo oqondile wokopha, bese uhlanza isisu ngaphambi kokwenza isivivinyo esifana ne-endoscopy. |
| Ukuhlinzwa nezinye izinqubo zezokwelapha | Ngesikhathi sokuhlinzwa okukhulu, lapho kuhlinzekwa ukuphefumula okwenziwa (umoya osizwayo), ukuhlanza isisu ngaphambi kokuhlolwa kwe-endoscopy. |
Ingabe ukuhlanza isisu akuvamile kangaka kulezi zinsuku uma kunesimo esiphuthumayo?
Yebo, leyo ndaba iyiqiniso. Ngokungafani nesikhathi esidlule, akuwona wonke umuntu odle ubuthi manje okudingeka ahlanzwe izisu zakhe. Emashumini eminyaka amuva nje, ngisho nemiphakathi emikhulu enobuthi emhlabeni income ukuthi lokhu akufanele kwenziwe njalo.
Isizathu salokhu ukuthi kwezinye izimo, kunezinye izindlela eziphephile futhi ezisebenza kangcono kunokuhlanza isisu. Isibonelo, enye indlela ukunikeza i-activated charcoal . Lena yimpuphu emnyama. Uma ingena esiswini, imunca ubuthi esiswini phezu kwayo. Bese, kanye nobuthi, bukhishwa esitulweni. Enye indlela yileUkunisela Amathumbu Aphelele (i-WBO) . Lokhu kuhilela ukukhipha yonke indlela yokugaya ukudla ngenani elikhulu loketshezi olukhethekile. Ngakho-ke, udokotela unquma ukwelashwa okufanele kakhulu ngokusekelwe ezicini eziningi, njengesimo sesiguli, uhlobo lobuthi obudliwe, nokuthi sebukhona isikhathi esingakanani.
Kulungile, ake sibone ukuthi lokhu kwelashwa kusebenza kanjani ngempela.
Lonke lolu hlelo lungahlukaniswa ngezinyathelo ezintathu eziyinhloko.
1. Ukulungiselela
2. Ukufakwa kwepayipi
3. Ukumunca/Ukuhlanza Isisu
Ukulungiselela
Ngaphambi kokuqala lokhu, abasebenzi bezokwelapha bazoqala ngokuqapha izimpawu zakho ezibalulekile, njengomfutho wegazi, ukushaya kwenhliziyo, kanye nokuphefumula . Uma uqaphile, bazochaza ukwelashwa futhi bathole imvume yakho enolwazi. Bazohlola i-gag reflex yakho. Ngezinye izikhathi, kungafakwa ipayipi lokuphefumula ukusiza ukugcina umoya wakho uvulekile phakathi nale nqubo.
Ukufakwa kwepayipi
Ipayipi elisetshenziselwa ukugeza isisu lingafakwa ngekhala (ipayipi le-nasogastric) noma ngomlomo (ipayipi le-orogastric), njengoba kushiwo ngaphambili. Ukuze kukhishwe ngokushesha okuqukethwe esiswini, kuvame ukusetshenziswa ipayipi elibanzi kancane, elifakwa ngomlomo.
Nansi indlela yokwenza lokhu:
- Okokuqala, uzobekwa endaweni eqondile kancane, noma uzobekwa ngomhlane wakho ikhanda lakho liphansi kancane bese uphendukela kwesobunxele.
- Ngemuva kwalokho, kufakwa isifutho sokubulala izinzwa esifakwe emphinjeni. Lokhu kunciphisa ukungakhululeki okufana nokucanuzela kwenhliziyo kanye nomphimbo obuhlungu.
- Uma usebenzisa i-mouthpiece, kukhona i-block encane yokulunywa emlonyeni wakho ukuze ikuvimbele ekuhlafuneni i-mouthpiece ngephutha.
- Okulandelayo, udokotela uzolinganisa futhi amake ubude bepayipi elidingekayo ukuze lifinyelele esiswini sakho.
- Kufakwa i-lubricant esihlokweni sepayipi bese idluliselwa ngokucophelela emphinjeni.
- Uma uphapheme, ungacela usizo lokugwinya ipayipi noma ucele amanzi ngotshani.
- Uma ithubhu selifakwe ngobukhulu obuphawuliwe, liboshelwa esikhumbeni nge-plaster ukuze lingalihambi.
Into ebaluleke kakhulu ukuthi uma uhlangabezana nanoma yikuphi ukukhwehlela noma ubunzima bokuphefumula ngenkathi ufaka ithubhu, yeka ukufaka ithubhu ngokushesha, uyikhiphe isikhashana, ulinde isikhashana, bese uzama futhi. Ukuthi ithubhu lingene esiswini noma lingene ngephutha epayipini lomoya kungaqinisekiswa nge-X-ray noma ngokuthatha isampula encane yoketshezi oluvela ethubhu bese uhlola i-pH yalo.
Ukugeza isisu nokukhipha uketshezi
Uma ipayipi selingene kahle esiswini, inqubo yokuhlanza iyaqala. Lokhu kungenziwa ngamanzi alula noma ngesisombululo sikasawoti. Kusetshenziswa usawoti, ikakhulukazi ezinganeni ezincane kanye nalabo abaphelelwe amanzi emzimbeni ngenxa yokuhlanza, ukuze kulondolozwe ibhalansi kasawoti kanye ne-electrolyte emzimbeni. Ngezinye izikhathi, ikhambi elifanele uhlobo lobuthi obudliwe lingangezwa kulesi sixazululo.
- Okokuqala, inani elincane loketshezi (cishe ama-300 mL kumuntu omdala, cishe ama-10 mL kumntwana) lithunyelwa ngepayipi liye esiswini.
- Ngemva kokuyishiya cishe umzuzu owodwa noma emibili, uketshezi ludonswa emuva ngepayipi (ukumunca).
- Le nqubo iphindaphindwa izikhathi eziningana kuze kube yilapho uketshezi olubuyayo luhlanzekile, okusho ukuthi cishe konke okuqukethwe yisisu sekususiwe.
- Uma kudingeka, i-activated charcoal yengezwa oketshezini lokugcina. Lokhu kuzobamba noma yiziphi izinhlayiya ezinobuthi ezisele esiswini, okuzivumela ukuthi zidlule emathunjini bese zikhishwa kanye nendle.
Ingabe kubuhlungu kakhulu uma wenza lokhu? Kuzwakala kanjani?
Lena inkinga abantu abaningi abanayo. Eqinisweni, ukupompa akulimazi. Kodwa-ke, ukuba nepayipi emphinjeni wakho kungaba yinto engakhululekile. Ungase ube nomphimbo obuhlungu, ikakhulukazi lapho ufaka futhi ukhipha ipayipi. Kodwa-ke, odokotela bangasiza ekunciphiseni lokhu kungakhululeki ngokusebenzisa isifutho sokufafaza noma ukugcoba ipayipi, okungalawuleka kalula.
Yiziphi izingozi nezinkinga zalokhu kwelashwa?
Uma udokotela oqeqeshiwe enza le nqubo ngendlela efanele, ingozi yezinkinga iphansi kakhulu. Kodwa-ke, njengakuzo zonke izinqubo zezokwelapha, kunengozi encane.
- Ukulimala okuncane emgogodleni noma esiswini lapho kufakwa ipayipi.
- Uma uhlanza ngesikhathi sokwelashwa, okuphakathi kungangena emoyeni wakho (i-aspiration) . Lokhu kungaba yingozi.
- Ipayipi lingena ngephutha endleleni yokuphefumula. (Yingakho indawo eqondile iqinisekisiwe)
- Uma ipayipi lisemphinjeni, inzwa (i-vagus nerve) iyavuselelwa, okubangela ukungasebenzi kahle kwenhliziyo .
Amathuba okuba into efana nale yenzeke mancane kakhulu. Kodwa-ke, abasebenzi bezokwelapha bahlala beqaphile futhi bathatha izinyathelo ezidingekayo.
Uma ugwinya ubuthi, ingabe kuyadingeka ukuhlanza isisu? Unquma kanjani?
Lona umbuzo obaluleke kakhulu. Ukuhlanza isisu kusebenza kahle kakhulu uma kwenziwa ekuqaleni kwenqubo yokubuthi. Ngokuhamba kwesikhathi, ubuthi buzoqala kancane kancane ukungena emzimbeni busuka emathunjini. Ngaleso sikhathi, ukuhlanza isisu ngeke kube usizo kakhulu. Ngakho-ke, udokotela uzocabangela izici eziningana lapho enquma ukuthi uzolwenza yini lolu hlobo lokwelashwa.
| Izikhathi ezifanele zokuhlanza isisu | Kunini lapho ukuhlanza isisu kungafaneleki noma kuyingozi? |
|---|---|
| Ukufika esibhedlela kungakapheli nehora elilodwa edliwe ubuthi. | Uma uke wadla noma yini ebangela umdlavuza noma ebolile kakhulu (isib. i-asidi, i-bleach). (Ipayipi lingase lonakale kakhulu uma lifakwa). |
| Uhlobo lobuthi olugwinyiwe luyingozi kakhulu futhi lusongela ukuphila . | Uma uphuze i-hydrocarbon efana nophethiloli noma i-parafini (lokhu kungangena kalula emgudwini wokuphefumula futhi kubangele umonakalo). |
| Ezinye izindlela zokwelapha (isib. i-Activated Charcoal) azanele noma azikwazi ukuhlinzekwa. | Isiguli simelana kakhulu nokwelashwa noma siziphatha ngendlela ephazamisayo. |
| Uhlobo lobuthi oludliwayo yilolo olubambezela ukuphuma kwesisu. | Isiguli sinesifo sokuwa . |
| Ithimba lezokwelapha elenza lokhu kwelashwa lithole ukuqeqeshwa okukhethekile kokwelashwa. | Isiguli asizi lutho noma silele futhi indlela yokuphefumula ayivikelekile. |
Uyibona kanjani isimo esiphuthumayo? Yiziphi izimpawu zokuthi kufanele ubonane nodokotela ngokushesha?
Uma wena noma othile omnakekelayo esebenzise imithi ngokweqile, edle ubuthi, noma ehlushwa ubuthi botshwala, funa iseluleko sezokwelapha ngokushesha. Ungalindi kuze kuvele izimpawu. Uma ungabaza, hamba esibhedlela esiseduze ngokushesha.Yisa eYunithi Yokwelapha Eziphuthumayo (i-ETU).
Nazi ezinye izimpawu ezivamile zokuthi umuntu unesifo sobuthi:
- Isiyezi
- Isicanucanu nokuhlanza
- Ukushaya kwenhliziyo
- Ubunzima bokuphefumula
- Ukusha ngaphakathi noma eduze komlomo
- Iphunga lamakhemikhali emoyeni
- Ukuquleka
- Ukungaphumuli noma ukucasuka
- Ukulahlekelwa ingqondo
- Ukozela okukhulu noma ukulahlekelwa ukwazi
Okubalulekile: Uma usola ukuthi kukhona ubuthi, ungalokothi uzame ukwelapha noma ukuvusa ukuhlanza ekhaya. Uma udinga iseluleko, ungashayela iNational Poisons Information Centre eColombo National Hospital eSri Lanka. Kodwa-ke, uma isimo sesiguli sibucayi, kubalulekile ukuyisa isiguli esibhedlela ngaphandle kokulibala.
Umlayezo Wokuya Nawe Ekhaya
- Ukumpompa isisu kuyindlela ebalulekile yokwelapha engasindisa izimpilo kwezinye izimo eziphuthumayo, kodwa kungenzeka ukuthi akuyona indlela yokuqala yokwelapha ubuthi kulezi zinsuku.
- Nakuba kungakhululeki ukuba nepayipi emphinjeni wakho ngesikhathi sokwelashwa, akubuhlungu kakhulu. Odokotela bathatha izinyathelo zokunciphisa ukungakhululeki.
- Uma wena noma othile omaziyo edla ubuthi, umuthi, noma ikhemikhali ngephutha, ungalokothi uzame ukuyelapha ekhaya. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Udokotela ohlola isiguli unquma ukuthi umuntu udinga yini ukuhlanza isisu noma cha. Kucatshangelwa izici eziningi, njengesimo sesiguli, into edliwe, kanye nesikhathi esidlulile.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment