Indlela yokwazisa iziganeko zeMilenze yezoLungisa

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Ufanele Ubize nini 911 ngeCancer Cancer?

Unokuzibuza xa kufuneka ubiza 911 ukuba unomdlavuza wamaphaphu . Emva koko, ukuba ukhangele uluhlu lwezizathu zokubiza i-ambulensi, ezininzi iimpawu abantu abanomdlavuza wamaphaphu bahlangabezana nazo zonke iintsuku.

Unogqirha unokuthi uxubushe ngeemeko ze-oncology ezinokubangela ingxamiseko, kodwa kwintlekele, inokukunceda ukubukela iimpawu ezithile, kunokuba usebenzise uluhlu lwezinto zokuxilonga. Eli nqaku libalula ezinye zeempawu ezifunekayo okanye umntu othandekayo ukuba abize i-911. Khumbula ukuba kwimeko engxamisekileyo, ixesha libalulekileyo. Ngokuqhelekileyo ukubiza u-911 kuqala, kwaye ke vumela iqela lokuphendula ngokukhawuleza lidibanise nodokotela wakho. (Okhetele, buza lo mbuzo ngaphambi kokuba unxinzelelo.)

Abantu abaninzi banqikaze ukubiza 911. Abafuni ukuba umnxeba wabo ube "i-alamu yamanga" kwaye bazive ngathi u-hypochondriac. Basenokungafuni ukuphazamisa ama-paramedics ukuba abaqinisekanga ukuba iimpawu zabo zisongela ubomi. Awukhathazi nabani ngokubiza 911. Iqela leempendulo eziphuthumayo livukile kwaye lilinde umnxeba, kwaye i-oncologist yakho ngokuqinisekileyo iyafuna ukuba ubize u-911 ukuba unenkxalabo.

Zibuze: "Yintoni eyona nto eyona nto enokwenzeka?" Ukuba ubiza kunye nabo bonke, uhlala ekhaya okanye uhamba ekhaya xa iimpawu zakho zingabonwa ngongxamiseko kwimeko yexakeka. Ukuba awuyibizi kwaye iimpawu zakho zisongela ubomi? Kuthiweyo.

Mhlawumbi isibonakaliso esithembekileyo sokuba ufuna unonophelo lwengxakeko, uvakalelwa ngumzimba wakho. Ukuba kukho into evakalelwa ngayo kwaye iyethusa, fowuna. Intuition iyathetha ngokukhawuleza, kwaye nguwe kuphela owaziyo into evakalelwa yinto eqhelekileyo yomzimba wakho okanye awukho. Nazi izicwangciso ezimbalwa malunga nendlela yokufowunela ngokufanelekileyo 911 .

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Unzima Ukuphefumula

Abantu abaninzi abanomdlavuza wamaphaphu bafumana ubunzima bokuphefumla, ngoko ungazi njani ukuba iimpawu zakho ziyingozi?

Ukuba ukhathazeka ngokuphefumla kwakho, kufuneka ubize i-911. Ukuba ukuzama ukuphefumula kuya kuba nzima, iimpawu zakho ziba nzima kakhulu. Iimpawu ezifana nokuqala ngokukhawuleza kokutshintshwa ngokukhawuleza ekuphefumla, okanye ukugqithiswa kweblugi kunye nemilomo yakho (i- cyanosis ,) kuyisizathu sokubiza. Ukuqiniswa kwemisipha yentamo ngelixa ukuphefumla (okubizwa ngokuba "ukusetyenziswa kweemisipha yokufikelela) kuphakamisa ithuba lokuba iimpawu zakho zinzulu.

Ukuba awuqinisekanga ukuba ukuphefumula kwakho kukubi kangakanani, yenza umntu ukubala kwaye abhale inani lokuphefumla uthatha ngomzuzu ngamnye. Iqondo eliqhelekileyo lokuphefumula liphefumula ngo-20 ngomzuzu okanye ngaphantsi, ngelixa iqondo lokuphefumula elingaphezu kwe-24 linokubonisa imeko enzulu kakhulu. Isantya sokuphefumula siye sabizwa ngokuba ngumqondiso obalulekileyo ongenanto. kwaye kubaluleke kakhulu ekuqaliseni iziganeko ezinkulu zonyango. Enyanisweni, uphando olutshanje lufumene ukuba ukwanda kwezinga lokuphefumula kwakuyilungelelaniso elungileyo yecandelo elinyamekileyo, kungekhona kwinqanaba lokunyamekela, kunokuba ngaba ingcinezelo yegazi okanye izinga lentliziyo .

Njengoko kuphawuliwe ekuqaleni kwesi nqaku, kholosa umthambo wakho. Nangona izinga lakho lokuphefumla liqhelekile kwaye ulusu lwakho luliphuzi, uvakalelo lokuphefumula , ingakumbi xa kukubangela ukuba ukhathazeke, kufuneka uhlolwe ngokukhawuleza.

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Ukuhlamba igazi

Ukuhlamba igazi , ngaphezu kwepasipuni yingozi yonyango . Ingabonakali njengegazi elininzi, kodwa khumbula ukuba ukukhwehlela i-100 cc yegazi, okanye i- 1/3 yendebe yegazi (ebizwa ngokuba yi-hemoptysis enkulu) ithathwa njengongxamiseko obungozi bokufa (izinga lokufa) kwama-30 ekhulwini.

Ingxaki kukuba, ukuphuma kwamanzi kule ndawo kunokukhawuleza kukukhokelela ekukhuselweni komoya (ukungakwazi ukufumana umoya emiphakeni) inqwenela (ukuphefumla igazi emiphakeni) kunye nokunciphisa okukhulu kwegazi. Ukuhlahlela ixabiso elincinci kuneli, ngenxa yezizathu ezinomdlavuza wamaphaphu, kunokuba nzima kakhulu ngokukhawuleza. Ngokomzekelo, kubantu abangenayo umdlavuza wamaphaphu, baninzi izizathu zokukhwehlela igazi. Kodwa nangomdlavuza wamaphaphu, oku kubangelwa ukuba i-tumor ikhula ibe yindawo ebalulekileyo, okanye iiplatelet eziphantsi ngenxa ye-chemotherapy .

Musa ukulinda. Ifowuni 911.

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Iintlungu zesifuba

Intlungu yesifuba, okanye into evakalelwa ngathi " intlungu yephunga " ingaba yimeko engxamisekileyo kubantu abanomdlavuza wemiphunga. Akunjalo nje kuphela izizathu ezinokubangela iintlungu zesifuba ezihlobene nomhlaza wamaphaphu kunye nokunyangwa komhlaza, kodwa abantu abanomhlaza bangaba nesifo senhliziyo. Kulula ukulibala phakathi kweyonyango abantu abanomdlavuza wamaphaphu abanenkxalabo efanayo yezokwelapha njengabantu abangenayo umdlavuza wamaphaphu xa kufike kwiintliziyo zesifo, kwaye unyango oluninzi lomhlaza lunokwandisa le mngcipheko.

Ukuqala ngokukhawuleza kwentlungu yesifuba yisizathu sokubiza u-911, kwaye ngokungafani nemiyalelo enikwe abantu abangenayo umdlavuza ukuba bajonge ubuhlungu, ubuhlungu obuhlungu, intlungu ebuhlungu ingaba yinto enzulu kubantu abanomdlavuza.

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Utshintsho olukhawulezileyo kwisimo sengqondo

Utshintsho olukhawulezileyo kwisimo sengqondo lunokubakho uxinzelelo kubantu abaphila nomhlaza wemiphunga. Kukho ezininzi ezinokubangela ukudideka , kubandakanywa ne- hypercalcemia yesifo , kodwa into ebalulekileyo ayiyikucacisa isizathu, kodwa ukulungele ukubiza 911 ukuba umntu udidekile.

Iimpawu zingabandakanya ukucinga , ukuphazamiseka, kunye nantoni na ongayichaza njengokudideka, okanye "ukuhla" xa umntwana esho. Kukho imibuzo enokuthi i-paramedics ihlala ibuza ukuba isiguli sididekile: Ndingathini ukuba umntu udidekile?

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Ukutyhafa okanye ukuxhamla

Ukulahlekelwa kwengqondo (syncope) okanye ukuziva ngathi unokulahlekelwa ingqondo, sizathu sokubiza 911 ngomhlaza wemiphunga. Kukho iingxaki ezininzi zomdlavuza wamaphaphu ezibandakanya iinkqubo ezininzi zomzimba ezinokubangela le mpawu, kodwa into ebalulekileyo ukufumana unyango ngokukhawuleza.

Intsapho yakho kunye nabahlobo kufuneka bazi ukuba nini ukubiza 911 ukuba awukwazi ukubatshela - njengolu hlobo. Yabelana nabathandekayo bakho uluhlu lweempawu ezibonisa ukuxakeka kwimeko engxamisekileyo kwaye ube nolwahlulo olulandelayo lokuxilonga, unyango kunye neyeza unyango, xa kwenzeka ukuba omnye umntu afune ukuthetha nawe. Musa ukucinga iil paramedics okanye nesibhedlele, uya kuba nale nkcazelo.

Khangela ezi zibonakaliso kunye neempawu oza kutyhafa kwaye uzijonge ezi mpawu:

• Ukuxela
• Ukudideka
• Ngokukhawuleza kwehla ngokuva
• Ukuvakalelwa kombono we-tunnel
• I sizathu
• Ukuqhuma, kunye
• Ukuthuthumela

Ukuba uziva uphelile, qaphela ilungu lentsapho ukuba libize 911, kwaye ungene kwindawo ongayi kulimala ngayo xa ulahlekelwa ingqondo. Kuhlala kunconywa ukuba uhlale phantsi kwentloko yakho phakathi kwamadolo, kodwa nokuba le nto ingaba yingozi njengoko ukuwa esihlalweni kungabangela ingozi yokulimala. Musa ukulinda ukubona ukuba iimpawu zakho ziyadlula, nangona ukholelwa ukuba kukho isizathu esihle sempawu zakho.

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Ubuso, iNeck, okanye uLwimi lweNtuthuko

Ukutshatyalaliswa kwe-Anaphylactic , uhlobo olubi kakhulu lweempembelelo ezivame ukuhamba kunye nokunciphisa kakhulu uxinzelelo lwegazi, yimeko engxamisekileyo kubantu abanomdlavuza wamaphaphu. Ngoluhlu lwemithi abaninzi abantu abaye baphila ngexesha lotyando lomhlaza wamaphaphu-ezininzi zazo ezinokubangela ukuphazamiseka komzimba-naluphi na uphawu lweempembelelo ezinzulu zokumelana nazo. Uhlobo olukhethekileyo lwe- angioedema enokuthi lwenzeka kubantu abasebenzisa iziyobisi ze-chemotherapy ezifana ne-Taxol (paclitaxel) Oku kubangelwa ukuvuvukala kobuso, ngakumbi ulusu olujikeleze amehlo nolwimi. Ngazo zombini kwezi meko, abantu bangakhula ngokukhawuleza, bebuhlungu , bebuthathaka , kwaye ekugqibeleni bangazi kakuhle.

I-Superior vena cava syndrome ingaba yinkxalabo yonyango kubantu abanomdlavuza wamaphaphu. Ngale syndrome, uxinzelelo kwizakhiwo ezikufuphi ezivela kwi-tumor kufuphi nomphezulu wamaphaphu kunokubangela ukuvakalelwa kwintloko, i-veated neck veins, kunye nokukhukhuma kwesifuba.

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Ubuthakathaka besigqeba somlenze / ubunzima okanye ukulahlekelwa kweBilo / isilwanyana sokuLawula

Ukunyanzeliswa kwentambo yomgudu (SCC) ngenxa yomdlavuza wamaphaphu oye wasasazeka kwithambo , kunokukhokelela kwimeko yengxamiseko yonyango-okanye ubuncinane, imeko apho unyango olukhawulezayo lunokunceda ukugcina umsebenzi. Iimpawu ze-SCC zidla ngokuqala ngentlungu emva okanye entanyeni,

Ubuthakathaka obukhulu okanye ubunzima bokuphelela (okanye ezimbini) kunye nokulahlekelwa kwesilwanyana okanye ukulawulwa kwesisu ngenxa ye-SCC ibizwa ngokuba yi " cauda equina syndrome ." Le ngxakeko engxamisekileyo enokuthi ifune ukubiza 911.

Kukho iindlela ezininzi apho ukunyanzeliswa kwentambo yomgudu kunokwenzeka kubantu abanomdlavuza wamaphaphu, kodwa into ebalulekileyo ukwazi ukuba yinto engxamisekileyo. Ngaphandle kweekhansithi ezinomlinganiselo wokusweleka kobuhlwempu, unyango olungxamisekileyo lwezonyango lungakwazi ukulondoloza umsebenzi.

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Fever

Umkhuhlane unokuba yimeko engxamisekileyo yonyango ngomdlavuza wamaphaphu, kodwa ukushisa apho oku kube yimeko engxamisekileyo kuya kuhluka phakathi kwabantu, kwaye zithini unyango.

Silubhala oku njengengxamiseko, kuba nangona kunemithi emibi ye-antibiotiki, unyaka ngamnye kunabantu abasindileyo abanomhlaza abangenzi nto kwi-ER ngexesha lokuba i-antibiotics isebenze.

Icandelo lika-101 F (okanye i-100.5 F) lisoloko likhankanywe njengezinga apho ubuncinane bambiza ugqirha wakho, kodwa oku kuya kuba nzima kuwo wonke umntu. Unyango olunjengekhemotherapy yomdlavuza wamaphaphu , unokunciphisa amandla omzimba ukulwa nokusuleleka , kunye namayeza anokuthi asetyenziswe kwabanye abantu, angenakusebenza; ungalisebenzisi umyalelo omdala wamayeza omzimba onawo.

I-Sepsis ne-septic syckrome imimangaliso ecacileyo apho abantu abanomdlavuza wemiphunga kufuneka babize i-911. Ukongeza kwindlovane, abantu baninzi baneminye impawu, njengobunzima bokukhanya, intliziyo yexabiso elikhawulezayo, ukudideka kunye nokuthuthumela. Kubalulekile ukuba uqaphele ukuba abanye abantu abane-sepsis, esikhundleni sokuba nomkhuhlane, babe neqondo eliphantsi lokushisa umzimba (hypothermia.)

Thetha ugqirha wakho malunga nokuba ubushushu bakho bokuba "isilumkiso" kufuneka kube ngaphaya kwexesha. Ukuba unokhemotherapy, qaphela ngakumbi umkhuhlane. Nangona inani lakho legazi elimhlophe liqhelekileyo okanye liqhelekileyo eliqhelekileyo, kucingelwa ukuba, kwezinye iimeko, iiseli zegazi ezimhlophe esinazo zingasebenzi nakwi-chemotherapy.

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Ingqiqo yeTshaba elizayo okanye "iNqununu yesithandathu"

Omnye kunzima ukuchaza isizathu sokubiza 911, yinto yakho enembile yokuba into eyenzeka kakhulu kuwe. Kungaba udibaniso lweempawu ozivelayo, okanye ukwesaba ngokukrakra oko kwenzekayo emzimbeni wakho. Yithemba i sidima sakho. Kukho into esingayiqondiyo kumachiza, kodwa imizimba yethu ihlala ifumana iindlela zokusenza siyazi ukuba sinesidingo esinzulu sonyango.

Ingcamango yecala iqhutyelwe ngophando, kwaye olu uphando lubonisa ukuba ukuvalelwa kwintsikelelo ezayo kuqhelekileyo kubantu ngaphambi kokuhlaselwa kwentliziyo, ngaphambi kokuncipha kwegazi, nangaphambi kokubanjwa

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Ukulungiselela iNgxamiseko

Njengoko abantu baceba isithwathwa, kunceda ukucwangcisa. Njengoko kwintlekele yendalo, abaninzi abantu abakucinganga ngokucacileyo njengoko beqhele ukukwenza.

Yenza iifowuni zeefowuni zilungele, kunye nefowuni kufuphi nawe xa ucinga ukuba iimpawu zakho ziyatshintsha nangayiphi na indlela

Yenza isigqibo sokuba unobundlobongela obungathanda ukubekho ngaphambi kwexesha . Umzekelo, ngaba uzimisele ukunyanga okanye kunoko, ukwandisa umgangatho wobomi. Ukuba uthe wagqiba umyalelo wenkqubela phambili qiniseka ukuba oku kusebenza. Kwilizwe elifanelekileyo, isibhedlele kufuneka sibe neirekhodi eziyimfuneko. Sekunjalo, kukho amaxesha apho-ngenxa yokungena okukhulu kwezigulane-umntu uya kuhanjiswa kwenye isibhedlele.

Unalo uluhlu lwezonxibelelwano zentsapho kwindawo efanelekileyo Umfazi othile onomdlavuza wamaphaphu wagcina encinci "ibusuku" ebuthwe ngezinto ezibalulekileyo ezifana nolwazi lokunxibelelana. Watsho ukuba akazange amkhathaze, kuba wayeyenzile into efanayo xa ekhulelwe, eyazi ukuba xa kuqalwe umsebenzi wayeza kubakhohlwa izinto ezininzi ezibalulekileyo.

Yenza isishwankathelo sonyango ngezinto zakho zokuzisa. Ukuba i-ambulensi yakho iyaphambukiswa, oku kungalondoloza ixesha elixabisekileyo apho igumbi lesiganeko sogxina lithatha oogqirha bakho nolwazi.

Ukuba iimpawu ziza ngokukhawuleza, fowuna u-911 kuqala. Vumela abasebenzi bezonyango zongxamisekileyo kunye nesibhedlele esiphuthumayo kwigumbi elisebenza ngokusemthethweni ekulandeleni oogqirha bakho.

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Iimpawu eziKhuselekileyo ekupheleni kweLife

Ngelishwa, abantu abaninzi baphela esibhedlele ekupheleni kobomi, nokuba ngaba bekunqwenela ukufa ekhaya. Ukuba le nto inomnqweno, xubusha iimeko apho uya kuziqwalasela ngenyameko kunye nabathandekayo bakho, ngaphambi kokuba ubhekane neengxaki (jonga ngezantsi.) Kukho iimeko apho unqwenela ukuba ungene esibhedlele.

Okokuqala, kunokukunceda ukuchaza amagama ambalwa. I-DNR ithetha ukuba ungahlali. Oku kuthetha ukuba awufuni abasebenzi bezongxamiseko ukuba benze i- CPR (cindezela intliziyo yakho okanye usityekise intliziyo yakho ukuba ufanele ube nesigqi senhliziyo esingaqhelekanga eya kubangela ukufa.) I-DNI ithetha ukuba ungayifumani. Oku kuthetha ukuba awuyi kufuna abaqeqeshi bamayeza ophuthumayo ukuba bafake ityhubhu evumela umoya ukuba uphefumlele. Kwiimeko ezininzi, izigulana zikhetha umyalelo we-DNR ochaphazela zombini. Kubalulekile ukuqonda ezi ngxaki ngaphambi kokuba wenze ezi zigqibo ngezizathu ezimbalwa. Ukubanjwa komzimba akuthethi ukuba intliziyo yakho imile. Ngamanye amaxesha nokuba nesifo senhliziyo esincinci singakhokelela kwisigqi senhliziyo esingaqhelekanga esingaba sisifo ngaphandle kokuba kuvuselelwe ukuhlaziywa (njengokutshatyalaliswa).

Ukuba unomyalelo we-DNR okanye i-DNI, qiniseka ukuba unayo ikopi ngesandla, kwaye intsapho yakho iyazi isigqibo sakho. I-CPR ayiphumelelekanga xa umntu ephethe umdlavuza wokuphela, kodwa kwezinye iindawo, abaphenduli bezoxakeka ngokukhawuleza kufuneka benze iCPR nangona kukho umyalelo weCPR.

Ukongeza kwi-DNR kunye ne-DNI, kubaluleke kakhulu ukuthetha ngezimfuno zakho malunga nokulaliswa esibhedlele ekupheleni kobomi. Kukho iimpawu ezininzi ekupheleni kobomi ezingadinga ukungenelela ngaphandle kokuvuselela okanye ukungena. Umzekelo, unokuba ufuna ukufumana iimpawu zakho (ezinjengeentlungu ezinzima) uphathwe nokuba unayo i-DNR / DNI oda.

Ngelixa abantu abaninzi bazalisekisa izikhokelo zangaphambili , akukho DNH esemthethweni (musa ukungenisa izibhedlele). Ukuze ugweme ukuhlala esibhedlele ngokungadingekile ekupheleni kobomi kubalulekile ukuba izigulane zenze isigqibo kwangaphambili malunga nokuba, kwaye phantsi kweziphi iimeko, ziza kuthathwa njengezibhedlele. Ukuba uhlala esibhedlele, iqela lakho lokubhedlele lingakunceda ukuba uchaze iminqweno yakho kwaye wenze ezi zigqibo.

_Imithombo:

_{Cretikos, M., et al. Izinga lokuphefumula: uphawu olubalulekileyo olunanyanzelwanga. I-Journal Journal ye-Austalia . 2008. 188 (11): 657-9.}

_{Johns Hopkins Medicine. Ugcini lweCordinal Compression. Ufikelele kwi-02/16/16. http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/}

_{Parkes, R. Iqondo lokuphefumula: uphawu olubhaliweyo. UmNesi oPhezulu . 2011. 19 (2): 12-7.}

_{Iimeko zokuphefumula ze-Oncology. (2009). E-Holland-I-Cancer Medicine (i-9th ed.). Pmph usa.}