Izingozi zingenzeka ngezikhathi ezingalindelekile empilweni yethu. Ngezinye izikhathi, sishiswa amanzi ashisayo achithekile, noma lapho sipheka, sishiswa uwoyela. Nakuba iningi lala ma-burn lincane, amanye anzima kakhulu kunalokho ongase ukucabange. Namuhla, sizokhuluma ngohlobo lokusha olubi kakhulu, olubizwa ngokuthi ukusha kwezinga lesithathu, noma `(Ukusha Kwezinga Lesithathu)`. Kubaluleke kakhulu kuwe nakubathandekayo bakho ukwazi ngalokhu.
Kalula nje, kuyini ukusha kwezinga lesithathu?
Ukusha kuwumonakalo esikhumbeni sethu nasezicutshini ezingaphansi kwaso, obangelwa yinto efana nokushisa okuphezulu, amakhemikhali, noma ugesi. Ukusha kwezinga lesithathu yilapho lo monakalo ujula kakhulu.
Cabanga ngesikhumba sethu njengekhekhe elinezingqimba ezintathu.
1. Ingqimba ephezulu (i-Epidermis): Lena yingxenye yesikhumba esiyibonayo.
2. Isendlalelo sesibili (i-Dermis): Yilapho kutholakala khona izinto ezifana nezindlala zokujuluka, ama-follicle ezinwele, kanye nemithambo yegazi.
3. Ingqimba yesithathu (iHypodermis): Lolu ungqimba olujulile kakhulu, olwenziwe ngamafutha.
Uma kusha ngezinga lesithathu, zonke lezi zingqimba ezintathu ziyalimala . Akukhona lokho kuphela, kodwa ngisho neziphetho zemizwa ngaphansi kwesikhumba ziyabhujiswa.
Into eyesabekayo kakhulu lapha ukuthi awuzwa ubuhlungu endaweni eshile ngoba imizwa iyabhujiswa. Ngenxa yokuthi abukho ubuhlungu, abanye abantu bacabanga ukuthi, "O... lokhu akuyona into enkulu kangako." Kodwa empeleni yilokho okwesabekayo kakhulu. Ngisho noma ungazizwa ubuhlungu, umonakalo ukhulu kakhulu.
Kubukeka kanjani ukusha kwezinga lesithathu?
Kunezimpawu eziningana ezingakhomba ukusha okunje. Ungase ungaziboni zonke lezi zimpawu ngesikhathi esisodwa.
- Isikhumba esishile sibukeka njengesikhumba .
- Isikhumba siba some kakhulu .
- Umbala wesikhumba uyashintsha. Ungaba mhlophe, umnyama, noma ubomvu obumnyama .
- Indawo eshile iyakhukhumala .
Into ebaluleke kakhulu ukuthi uma ucindezela indawo eshile ngomunwe wakho, ayiphenduki ibe mhlophe bese iphenduka ibe bomvu futhi. Lokhu kuvame ukwenzeka ngokusha kwezinga lokuqala nelesibili. Kodwa akwenzeki ngokusha kwezinga lesithathu.
Ngokuvamile, ukusha kwezinga lesithathu kuhambisana nezimpawu zokusha kwezinga lesibili, njengezimpukane kanye nesikhumba esikhanyayo nesimanzi.
Ake sazi kahle umehluko phakathi kwamazinga okusha
Ukusha kuhlukaniswa ngokwezinga lesikhumba esonakele ngalo. Leli thebula lizokusiza ukuqonde lokhu kalula.
| Izinga lokusha | Izendlalelo zesikhumba ezonakele | Ukubukeka okuvamile |
|---|---|---|
| Izinga lokuqala | Ungqimba oluphezulu lwesikhumba kuphela (i-epidermis). | Ukubomvu kwesikhumba, ukuvuvukala okuncane, ubuhlungu. (isib. ukushiswa yilanga) |
| Izinga lesibili | Izendlalelo zesikhumba ezingaphezulu neziphakathi (i-Epidermis ne-Dermis). | Amabhamuza, ukubomvu okujulile, ubuhlungu obukhulu. |
| Izinga lesithathu | Zonke izingqimba ezintathu zesikhumba kanye nongqimba lwamafutha (i-Hypodermis). | Isikhumba siba mhlophe/simnyama/sibe nsundu, sibukeka somile, asizwa ubuhlungu . |
| Amazinga amane, amahlanu, kanye nesithupha | Lokhu kuyingozi kakhulu. Umonakalo ungadlulela emisipheni, emathanjeni nasemathanjeni. | Isikhumba sibhujiswe ngokuphelele, okuveza izicubu ezingaphansi. |
Okubaluleke kakhulu, noma yikuphi ukusha kwezinga lesithathu noma okubi kakhulu kudinga usizo lwezokwelapha ngokushesha . Ungalokothi uzame ukukwelapha ekhaya.
Yini ebangela ukusha okukhulu kangaka?
Noma yini ebangela ukusha okuvamile ingabangela ukusha kwezinga lesithathu, kuye ngokuthi isikhumba sithintana nobani kanye nobukhali baso (ubunzima baso).
- Ilangabi: Ukuchayeka ngqo emlilweni.
- Izinto ezishisayo: Ukuba nento efana nensimbi eshisayo noma i-silencer ethinta umzimba isikhathi eside.
- Amanzi ashisayo noma umusi: Ukupheka emanzini abilayo, uwoyela, noma umusi ovela esitofini sokucindezela.
- Ugesi: Ukushaqeka kukagesi okunamandla aphezulu.
- Amakhemikhali: Ukuthintana kwesikhumba nama-asidi noma izisekelo eziqinile.
- Ukubanda okukhulu: Ukushiya izinto ezibandayo kakhulu (isib. iqhwa elomile) esikhumbeni isikhathi eside.
Uphatha kanjani ukusha kwezinga lesithathu?
Uma wena noma omunye umuntu enokusha okunje, into yokuqala okufanele uyenze ukuya e-Emergency Treatment Unit (ETU) yesibhedlela . Ungahlali nje ekhaya bese wenza sengathi awunazo izinhlungu. Esibhedlela, odokotela bazolandela lezi zinyathelo:
1. Ukuhlanza indawo eshile: Udokotela uzosusa ngokucophelela isikhumba esifile, izicubu, kanye nezinye izinsalela endaweni eshile bese ezihlanza. Akufanele ususe lutho ekhaya noma uzame ukuqhuma amabhamuza.
2. Ukumboza ukusha: Ngemva kokuhlanza, faka amafutha okubulala amagciwane bese umboza ukusha ngebhandishi elihlanzekile. Lokhu kubaluleke kakhulu ukuvimbela ukutheleleka. Udokotela wakho uzokufundisa ukuthi ungayishintsha kanjani lebhandishi nsuku zonke.
3. Ama-antibiotic: Ama-antibiotic anganikezwa ukuvimbela ukutheleleka noma ukwelapha ukutheleleka okukhona. Uma ukusha kukubi kakhulu, le mithi inganikezwa nge-intravenously ngesisombululo se-saline.
4. Gcwalisa uketshezi lomzimba: Ukusha okukhulu kungabangela ukulahleka kwenani elikhulu loketshezi lomzimba olubalulekile kanye negazi. Lokhu kungaholela ekushaqekeni ngisho nasekufeni. Ngakho-ke, kunikezwa usawoti ukuze kugcwaliswe uketshezi olulahlekile.
5. Ama-Painkiller: Ngisho noma ungazizwa ubuhlungu lapho usha, ungase uzwe ubuhlungu njengoba inxeba liphola. Udokotela wakho uzokunikeza ama-painkiller adingekayo.
6. Ukuxhunyelelwa Kwesikhumba: Uma ukusha kukubi kakhulu, kungadingeka ukuxhunyelelwa kwesikhumba ukuze kusize inxeba liphole ngokushesha. Lokhu kuhilela ukuthatha ungqimba oluncane lwesikhumba endaweni enempilo yomzimba bese ulunamathisela endaweni eshile.
Ingabe lokhu kusha kuzoshiya isilonda?
Yebo, ukusha kwezinga lesithathu cishe kuzoshiya isilonda . Kodwa uma ulandela imiyalelo kadokotela wakho futhi unakekela inxeba, ungaligcina isilonda sincane ngangokunokwenzeka. Ngokuhamba kwesikhathi, lezi zibazi zingase ziphele.
Ungakuvimbela kanjani ukusha okukhulu kangaka?
Bathi, “Ukuqapha kuyindlela engcono kakhulu yokwelapha.” Ukulimala okuningi kokusha kungavinjelwa.
- Gcina izinto ezifana namanzi ashisayo, ama-ayina, nezintambo zikagesi kude nezingane.
- Gcina izinga lokushisa lemishini yokufudumeza amanzi lingaphakathi kwemingcele.
- Hlola izinga lokushisa ngaphambi kokunikeza izingane ukudla noma iziphuzo.
- Qaphela kakhulu uma usondela emalangabini avulekile (izitofu, izitofu).
- Qiniseka ukuthi ugqoka amagilavu okuzivikela uma usebenzisa amakhemikhali.
- Sebenzisa isithako sokuvikela ilanga ukuze uzivikele elangeni uma uphuma elangeni.
Umlayezo Wokuya Nawe Ekhaya
- Ukusha kwezinga lesithathu kuyisimo esiphuthumayo sezokwelapha esibi kakhulu .
- Iqiniso lokuthi awuzizwa ubuhlungu endaweni yokusha akusho ukuthi umonakalo mncane kakhulu, kusho ukuthi imizwa yonakele.
- Ungalokothi uzame ukwelapha isilonda esifana nalesi ekhaya . Yiya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Ungafaki noma yini efana nomuthi wokuxubha amazinyo, iqhwa, noma ibhotela endaweni yokusha. Mboza kancane indawo yokusha ngendwangu ehlanzekile neyomile bese uya esibhedlela.
- Uma ungaqiniseki ukuthi ushile kangakanani, qiniseka ukuthi ubonana nodokotela .
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi e-Dronedarone (Dronedarone / Multaq) ayimithi enamandla kakhulu esetshenziselwa siphi isifo?
Leli akulona iphilisi elivamile lesifo senhliziyo! Liyisidakamizwa esinamandla nesisha sesigaba sesi-3 sokulwa nokushaya kwenhliziyo (esifana ne-amiodarone, kodwa esingenayo i-iodine) odokotela abasisebenzisayo ukuze balungise isigqi senhliziyo yesiguli, okuyisimo lapho amakamelo aphezulu enhliziyo eshaya khona ngokuzumayo ngendlela engavamile/ngokushesha (i-Atrial Fibrillation/Flutter) futhi kuncishiswe ingozi yokulaliswa esibhedlela esikhathini esizayo.
💬 Uma inhliziyo ishaya ngendlela exakile, leli philisi (i-Dronedarone) lingayilungisa kanjani indlela inhliziyo eshaya ngayo?
Lesi yisithiyo esibanzi esivimba wonke amasango enhliziyweni! Uma sifika enhliziyweni, sivimba 'amasango e-Potassium (aqeda ukusetha kabusha kweseli isikhathi eside), 'amasango e-Sodium' ashajayo, 'amasango e-Calcium' afinyelayo, kanye nomyalezo 'we-Adrenaline / Beta-blockade' ovela ebuchosheni otshela inhliziyo ukuthi ishaye ngokushesha. Bese kuthi, kungakhathaliseki ukuthi inhliziyo ishaya ngokushesha kangakanani, yehlise ijubane bese ibuyela esimweni sayo esijwayelekile.
💬 Yiziphi 'izingozi ezibulalayo' (Isexwayiso Sebhokisi Elimnyama) okufanele abantu abathatha lo muthi (i-Multaq) baziqaphele?
Izingozi zimbi kakhulu! Uma unesifo senhliziyo esinciphise amandla okupompa/Ukwehluleka Kwenhliziyo, akufanele uphuze lokhu, ngoba kungabangela ukumiswa kwenhliziyo ngokuzumayo nokufa (Ingozi yokufa iphindwe kabili)! Futhi, isibindi sabanye abantu sizobhujiswa ngo-100% (ubuthi besibindi), futhi uma isibindi esisha singatshalwa, isiguli sizofa.
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