Cabanga nje ukuthi omunye wabathandekayo bakho ungeniswe esibhedlela ukuze ahlinzwe njalo. Sonke sinethemba lokuthi konke kuzohamba kahle. Kodwa, ngemva kokunikezwa i-anesthesia , izinga lokushisa lomzimba likhuphuka ngokuzumayo ngendlela eyingozi, imisipha iyaqina, futhi ukushaya kwenhliziyo kuba okungajwayelekile. Yilokhu esikhuluma ngakho namuhla, isimo esingavamile kodwa esiyingozi kakhulu, esisongela ukuphila esibizwa ngokuthi ' i-malignant hyperthermia '. Kubaluleke kakhulu ukuqaphela lokhu.
Kalula nje, iyini i-Malignant Hyperthermia?
Okokuqala, ake siqonde ukuthi iyini i-'Hyperthermia'. I-Hyperthermia yilapho izinga lokushisa lomzimba wethu liba phezulu kakhulu futhi singakwazi ukulilawula. Ngokuvamile, izinga lokushisa lomzimba wethu ligcinwa cishe kuma-degree Celsius angu-37 (98.6 Fahrenheit) ngezinqubo ezifana nokujuluka . Kodwa ku-hyperthermia, lokhu kulawulwa kuyalahleka futhi izinga lokushisa likhuphuka ngaphezu kwama-degree Celsius angu-40 (104 Fahrenheit). Lokhu akuwona umkhuhlane ojwayelekile, kuyingozi kakhulu.
I-Hyperthermia ivame ukubangelwa yizici zangaphandle njengokushisa okuphezulu kwemvelo kanye nokuphelelwa amanzi emzimbeni ( ukuntuleka kwamanzi emzimbeni).
Kodwa i-Malignant Hyperthermia (MH) ihlukile. Kwenzeka lapho umzimba usabela ngendlela engajwayelekile ezinhlotsheni ezithile zemithi yokubulala izinzwa . Le mithi yokubulala izinzwa ibalulekile ekwenzeni ukuhlinzwa kungabi buhlungu. Kodwa kwabanye abantu, le mithi ihlangana nesici sofuzo emzimbeni ukuze kubangele lesi simo esiyingozi.
Yini ebangela i-malignant hyperthermia?
Lesi simo sibangelwa kakhulu izinhlobo ezithile zemithi yokubulala izinzwa. Ngezinye izikhathi singabangelwa nokuvivinya umzimba ngokweqile noma izimo zemvelo ezishisa kakhulu. Sibizwa ngokuthi 'i-Awake Hyperthermia'.
Into ebalulekile ukuthi noma ngabe umuntu wake wathatha le mithi ngaphandle kwezinkinga esikhathini esidlule, angase abhekane nalesi simo ngesikhathi esizayo . Ngakho-ke, kubaluleke kakhulu ukuqaphela izingozi.
Ake sibheke ukuthi yiziphi izinto ezibangela lesi simo.
| Uhlobo Lokubangela | Izibonelo nezincazelo |
|---|---|
| Imithi Yokubulala Izinzwa Ephefumulwayo | Izinhlobo zamagesi asetshenziswa ukulalisa isiguli ngesikhathi sokuhlinzwa. Izibonelo: I-Desflurane, i-Sevoflurane, i-Isoflurane, i-Halothane, i-Enflurane. |
| Iziphumuli Zemisipha | Ikakhulukazi, umuthi i -Succinylcholine utholakale njengembangela enkulu yalokhu. Usetshenziselwa ukukhulula imisipha ngesikhathi sokuhlinzwa. |
| Ezinye Izinto Ezibangela | Akuvamile kakhulu, lesi simo singabangelwa ukuzivocavoca okunzima ngokweqile noma ukuchayeka ezimweni zezulu ezishisa kakhulu. |
Ziyini izimpawu zalesi simo?
Lezi zimpawu zivame ukuvela ngesikhathi noma ngokushesha ngemva kokunikezwa kwe-anesthesia, ngakho odokotela nabasebenzi egumbini lokuhlinza bakunaka kakhulu lokhu.
Into ebalulekile ukuthi noma umuntu esengozini yokuthola i-Malignant Hyperthermia, angahlala engenazo izimpawu kukho konke ukuphila kwakhe. Izimpawu zivela kuphela uma kudliwa umuthi obangela lesi sifo.
| Isibonakaliso | Kwenzekani? |
|---|---|
| Ukuqina kwemisipha nokuthuthumela | Umhlathi kanye neminye imisipha emzimbeni ngokuzumayo kuqina sengathi yenziwe ngamatshe. |
| Ukushaya kwenhliziyo okusheshayo nokungajwayelekile | Isilinganiso senhliziyo sikhuphuka ngokweqile futhi isigqi siba esingajwayelekile. |
| Amazinga akhuphukayo e-carbon dioxide (CO2) | Inani le-CO2 emoyeni okhishwayo landa ngokushesha okukhulu. Lesi ngesinye sezibonakaliso zokuqala odokotela abaziqaphelayo. |
| Ukwenyuka okusheshayo kwezinga lokushisa lomzimba | Lokhu kuvame ukuba uphawu oluvela ngemva kwezinye izifo. Izinga lokushisa liyakhuphuka liye emazingeni ayingozi. |
| Ukwanda kwe-asidi egazini (i-Metabolic Acidosis) | Igazi liba ne-asidi ngenxa yezinkinga ze-metabolic emzimbeni. |
| Ezinye izici | Ukujuluka okukhulu, amabala abomvu esikhumbeni, kanye nobunzima bokuphefumula nakho kungase kwenzeke. |
Iyini imbangela eyinhloko ye-malignant hyperthermia?
Isizathu esiyinhloko salokhu ukukhubazeka kwezakhi zofuzo . Kalula nje, kukhona ukukhubazeka kwezakhi zofuzo ezilawula ukusebenza kwemisipha emzimbeni wethu. Lokhu kukhubazeka kungazuzwa njengefa kusukela ekuzalweni, noma kungenziwa kusebenze kamuva ekuphileni.
Ososayensi bathole amaphutha ofuzo angaphezu kuka-80 abangela lesi simo. Lesi yisimo esingadluliselwa kusuka esizukulwaneni kuya kwesinye . Lokhu kusho ukuthi uma umama wakho, ubaba, umfowenu noma udadewenu enalesi simo, nawe unamathuba amaningi okuba naso. Futhi, amadoda anamathuba amancane okuthola lesi simo kunabesifazane.
Kungenzeka yini ukwazi kusengaphambili ukuthi le ngozi ikhona yini?
Yebo, kunezivivinyo ezimbili zezokwelapha ukuqinisekisa ukuthi le ngozi ikhona yini.
1. Ukuhlolwa Kwegazi Lofuzo: Kungathathwa isampula yegazi lakho bese izakhi zofuzo ezikulo zingahlolwa ukuze kubonakale ukuthi kukhona yini amaphutha amakhulu ezakhi zofuzo ahlobene nalokhu. Kodwa-ke, lezi zivivinyo azinembile ngokuphelele. Lokhu kungenxa yokuthi lesi simo singabangelwa nayimaphutha ezakhi zofuzo angakatholakali.
2.I-Muscle Biopsy: Lolu vivinyo olunembe kakhulu. Kulolu vivinyo, udokotela uthatha ingxenye encane kakhulu yomsipha emlenzeni wakho bese eyihlola elabhorethri ukuze abone ukuthi isabela kanjani emithini ebangela i-MH. Lolu vivinyo alwenzelwa wonke umuntu. Odokotela batusa lolu vivinyo kuphela uma othile emndenini wakho enalesi simo noma uma unezimpawu ezisolisayo.
Ungayelapha kanjani le nkinga uma ivele ngokuzumayo?
I-Molignant Hyperthermia iyisimo esiphuthumayo sezokwelapha. Kusho ukuthi sidinga ukwelashwa ngokushesha. Uma kwenzeka into efana nale egumbini lokuhlinza, ithimba lezokwelapha lizothatha isinyathelo ngokushesha.
- Into yokuqala okufanele uyenze ukuyeka ngokushesha ukunikeza umuthi wokubulala izinzwa obangele lesi simo .
- Okulandelayo, umuthi okhethekile obizwa ngokuthi ' iDantrolene' ufakwa ngemithambo yegazi. Lona ukuphela kokwelashwa okuqinisekile kwe-MH.
- Isiguli sisongwa 'ngengubo yokupholisa' ukuze kuncishiswe izinga lokushisa lomzimba. Amaphakethe eqhwa abekwa nasezindaweni ezifana namakhwapha kanye nezinqe.
- Usawoti obandayo (uketshezi olubandayo lwe-IV) lunikezwa ukuze kupholiswe umzimba.
- Isiguli singeniswa eYunithi Yokunakekelwa Okujulile (ICU) noma eYunithi Yokwelashwa Okuphuthumayo (ETU) ukuze siqaphe isimo saso ngokuseduze.
Yini okufanele siyenze ukuze sizivikele kule ngozi?
Ayikho ikhambi lesici sofuzo esibangela lokhu, ngakho-ke into engcono kakhulu ongayenza ukulawula ingozi nokuvimbela isimo esiphuthumayo ukuthi singabi khona.
Uma wena noma othile emndenini wakho etholakale ene-Malignant Hyperthermia, noma uma kukhona okusolakala ngayo, kufanele wazise udokotela wezinzwa nodokotela ohlinzayo ngaphambi kokuba wenze noma yikuphi ukuhlinzwa.
Lena yinto ebaluleke kakhulu okufanele uyikhumbule. Uma usazisa, odokotela bazoqinisekisa ukuthi basebenzisa izibulala-zinhlungu eziphephile kuphela ezingeke zibangele i-MH. Ngakho-ke, kubaluleke kakhulu ukuqaphela umlando wezokwelapha womndeni wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Malignant Hyperthermia (MH) iyindlela engavamile, engase isongela ukuphila emithini ethile yokubulala izinzwa.
- Isizathu esiyinhloko salokhu ukukhubazeka kwezakhi zofuzo okudlulela ezizukulwaneni ngezizukulwane.
- Uma othile emndenini wakho enalesi simo, nawe ungase ube sengozini.
- Ngaphambi kwanoma yikuphi ukuhlinzwa, kubalulekile ukwazisa udokotela wakho ngomlando womndeni wakho we-MH. Lokhu kungasindisa impilo yakho.
- Ukuqaphela le ngozi kuyindlela engcono kakhulu yokuvimbela isimo esiphuthumayo.
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