Ngesinye isikhathi empilweni yethu, ngenxa yengozi, ukuhlinzwa, noma isimo esithile sezokwelapha, thina noma othandekayo singadinga ukumpontshelwa igazi. Lena inqubo yezokwelapha ebaluleke kakhulu engasindisa izimpilo. Kodwa-ke, nakuba iphephile ezimweni eziningi, akuvamile kakhulu, izinkinga zingavela ngenxa yalokhu kumpontshelwa igazi . Namuhla sikhuluma ngesimo esibucayi kancane, kodwa esidinga sonke ukusazi. Leyo yi-TACO, noma ngokwezokwelapha 'i-Transfusion-Associated Circulatory Overload'.
Iyini ngempela i-TACO?
Kalula nje, i-TACO yilapho inani loketshezi emzimbeni wakho likhuphuka ngokuzumayo ngemva kokunikela ngegazi, futhi awukwazi ukuliphatha. Cabanga ngakho njengethangi lamanzi eligcwala amanzi ngokuzumayo.
Uma sinikela ngegazi, uketshezi oluthile luyafakwa emithanjeni yethu yegazi. Ngokuvamile, inhliziyo nezinso zethu zingaphatha kahle lolu ketshezi olwengeziwe futhi zigcine umzimba ulinganisele. Kodwa ngezinye izikhathi, ikakhulukazi uma unikela ngegazi eliningi kakhulu ngesikhathi esisodwa, noma uma inhliziyo noma izinso zakho zibuthakathaka, lolu ketshezi olwengeziwe alukwazi ukuphathwa. Ngemuva kwalokho, ingcindezi emithanjeni yegazi iyanda, futhi uketshezi luqala ukuvuza ezithweni ezifana namaphaphu . Lokhu kwenza kube nzima ukuphefumula, umzimba uyavuvukala, futhi umfutho wegazi uyanda ngendlela engakaze icatshangwe. Lesi yisimo esibi kakhulu , ngakho-ke kubalulekile ukufuna usizo lwezokwelapha ngokushesha uma kuvela izimpawu.
Ziyini izimpawu zalesi simo?
Izimpawu ze-TACO zingabonakala nganoma yisiphi isikhathi phakathi noma phakathi namahora ayi-12 okunikela ngegazi. Ngakho-ke, kufanele siqaphele kakhulu ngomuntu onikele ngegazi phakathi nalesi sikhathi. Izimpawu eziyinhloko zichazwe kuthebula elingezansi.
| Isibonakaliso | Incazelo |
|---|---|
| Ubunzima bokuphefumula (i-Dyspnea) | Lolu uphawu oluyinhloko noluvame kakhulu. Amaphaphu agcwala uketshezi, okwenza kube nzima ukuphefumula. Lokhu kungaba kubi kakhulu uma ulele phansi. |
| Ukukhwehlela | Ngezinye izikhathi ukukhwehlela kungase kube khona nge-mucus ebomvana nenegwebu. |
| Ubuhlungu besifuba | Ungase uzwe ukuqina kwesifuba noma ubuhlungu njengoba inhliziyo isebenza kanzima. |
| Umbala oluhlaza okwesibhakabhaka wesikhumba, izindebe, noma izinzipho (i-Cyanosis) | Lokhu kungenzeka uma umzimba ungatholi umoya-mpilo owanele. Lokhu kuyimpawu enkulu. |
| Ukuvuvukala kwemilenze, amaqakala, noma intamo | Lokhu kuvuvukala kubangelwa ukugcinwa koketshezi emzimbeni. Imithambo entanyeni nayo ingase ibonakale ikhukhumele. |
| Inhliziyo esheshayo (i-Tachycardia) | Inhliziyo ishaya ngokushesha ngoba inhliziyo kufanele isebenze kanzima ukuze ipompe igazi emzimbeni wonke. |
| Ukuzungeza noma ukulahlekelwa ukwazi | Lesi simo singabangelwa ukwehla kwenani lomoya-mpilo ofinyelela ebuchosheni. |
| Ikhanda elibuhlungu kakhulu | Esinye isibonakaliso esingaba khona ngenxa yomfutho wegazi ophakeme. |
Into ebaluleke kakhulu ukuthi, uma ubona noma yiziphi zalezi zimpawu, ungazinaki. Uma usesibhedlela, yazisa umhlengikazi noma udokotela ngokushesha. Uma usekhaya, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Ubani osengozini enkulu?
Nakuba i-TACO ingathinta noma ubani, abanye abantu basengozini enkulu. Uma noma yiziphi zalezi zimo zisebenza kuwe noma kothile omaziyo, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokunikela ngegazi.
| Isici sengozi | Incazelo emfushane |
|---|---|
| Uneminyaka engaphezu kwengu-60 ubudala | Njengoba sikhula, ukusebenza kwenhliziyo nezinso kungase kwehle kancane ngokwemvelo. |
| Ukuba nomlando wesifo senhliziyo | Abantu abanezimo ezifana nokuhlaselwa yinhliziyo noma ukwehluleka kwenhliziyo basengozini enkulu. |
| Ukuba nesifo sezinso | Uma izinso, okuyizitho eziyinhloko ezilawula inani loketshezi emzimbeni, zibuthakathaka, kuba nzima ukususa uketshezi oluningi. |
| Izifo zokuphefumula ezifana ne-COPD | Kulabo asebevele benohlobo oluthile lobuthakathaka bamaphaphu, njenge-Chronic Obstructive Pulmonary Disease (COPD), kungaba nzima ukubhekana noketshezi olugcwalisa amaphaphu. |
| Ukusetshenziswa kwemithi ethile | Uma usanda kusebenzisa imithi ekhulisa umfutho wegazi (ama-Vasopressors) noma imithi esusa uketshezi emzimbeni (ama-Loop Diuretics). |
| Senginikele ngegazi izikhathi eziningana ngaphambili | Ingozi ingase ikhuphuke kancane nakulabo abampontshelwa igazi njalo. |
Udokotela ukubona futhi akwelaphe kanjani lokhu?
Uma uba nezimpawu ze-TACO, into yokuqala udokotela wakho azokwenza ukukuhlola ngokucophelela bese ebuza ngezimpawu zakho. Bazolalela ukuphefumula kwakho futhi balinganise umfutho wegazi lakho.
Ngemuva kwalokho, ukuqinisekisa ukuxilongwa, ungathunyelwa ukuze uyohlolwa okufana nalokhu:
- I-X- ray yesifuba: Lokhu kungahlola uketshezi emaphashini.
- Ukuhlolwa kwegazi : Amazinga athile e-enzyme ayahlolwa ukuze kubonakale ukuthi kukhona yini umonakalo enhliziyweni.
- I-Echocardiogram: Lokhu kunganikeza isithombe esicacile somsebenzi wenhliziyo kanye nokupompa kwayo.
Njengokwelashwa, ukunikezwa kwegazi lakho kuyamiswa ngokushesha. Ube usunikezwa umuthi wokudambisa bese ubekwa embhedeni ukuze kukusize uphefumule. Ukwelashwa okuyinhloko yimithi yokukhipha uketshezi emzimbeni, okuyimithi esusa uketshezi oluningi emzimbeni. Lokhu kwandisa ukuphuma komchamo futhi kusiza ukulawula amazinga oketshezi emzimbeni .
Uma ukuphefumula kuba nzima, ukwelashwa nge-oxygen kungadingeka. Ezimweni ezimbi kakhulu, isiguli kungadingeka sixhunywe emshinini wokuphefumula owenziwe (Mechanical Ventilation).
Ingabe zikhona izindlela zokuvimbela lokhu?
Yebo, lokhu kungavinjelwa ngezinga elithile. Uma ungomunye wamaqembu asengozini okukhulunywe ngawo ngenhla, udokotela uzoqikelela kakhulu lapho enquma ukukunika igazi.
- Ukunciphisa izinga lokumpontshelwa igazi: Ukuze kuvinjelwe inani elikhulu loketshezi ukuthi lingangeni emzimbeni ngesikhathi esisodwa, izinga lokumpontshelwa igazi liyancipha kakhulu.
- Ukunikeza Ama-Diuretics Ngaphambi Kokwelashwa: Ngaphambi kokunikela ngegazi, imithi inganikezwa ukususa uketshezi oluningi emzimbeni.
- Ukunikela ngegazi: Esikhundleni sokunikeza lonke inani legazi ngesikhathi esisodwa, ungalinikeza ngamanani amancane, ahlukaniswe ngamanani amabili ngosuku.
Kungumthwalo wakho ukutshela udokotela wakho umlando wakho wezokwelapha ophelele (ikakhulukazi izinkinga zenhliziyo nezinso) ngaphandle kokufihla lutho. Uma wake waba nokungakhululeki ngesikhathi sokunikela ngegazi ngaphambilini, qiniseka ukuthi uyakusho nalokho.
Ukunikela ngegazi kuyinto esindisa impilo. I-TACO iyisimo esingavamile. Kodwa ukuqaphela kungakusiza ukuthi uqaphele izimpawu futhi ufune ukwelashwa ngokushesha uma zivela.
Umlayezo Wokuya Nawe Ekhaya
- I-TACO iyinkinga enkulu, kodwa engavamile, engenzeka ngokunikela ngegazi.
- Ubunzima bokuphefumula, ukukhwehlela, ukuvuvukala, kanye nobuhlungu besifuba yizimpawu eziyisixwayiso eziyinhloko.
- Le ngozi iphezulu kubantu asebekhulile abanesifo senhliziyo, sezinso, noma samaphaphu.
- Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngenkathi unikela ngegazi noma zingakapheli amahora ayi-12 unikele, yazisa ngokushesha abasebenzi bezokwelapha noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
- Ngaphambi kokunikela ngegazi, qiniseka ukuthi utshela udokotela wakho ngomlando wakho wezokwelapha ophelele kanye nanoma yiziphi izinkinga oye wabhekana nazo ngesikhathi sokunikela ngegazi ngaphambilini.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho