Ukubuza ubuBulumko boNcedo oluPhambili lweNkxaso yokuQala
Kuba nje nje ndibe kwiinkonzo zonyango eziphuthumayo (EMS), unyango olukhethiweyo kwizigulana ezingenazicimo eziphefumulayo ukuzibeka kwindawo yokubuyisela. Ingcamango kukuthintela ukufumana i-emesis (isisu esiswini) kwimiphunga, yimeko eyaziwa ngokuba yinjongo . Kwi-parlance yezokwelapha, indawo yokubuyisela ibizwa ngokuba yi -postal postal position , okanye ngamanye amaxesha ibizwa ngokuba yi- postal decubitus position .
Phantse kuzo zonke iimeko, ababoneleli bokuqala bancediswa ukuba bafake isigulane kwicala lakhe lesobunxele kwaye bahlale belibiza ngokuba yi-postal postal postal position.
Indlela eSebenza ngayo (ekuthethwa ngayo)
Ingcamango yokubuyisela indawo kukuvumela ukuba izinto zesisu zikhuphe xa kwenzeka nayiphi na into. Umphezulu wesipopu (ipayipi yokutya) ilungile ecaleni kwinqanaba le-trachea (i-windpipe). Ukuba kukho nantoni ekhuphuka kwi-esophagus, ingayifumana kalula indlela yayo emiphakeni, ngokugqithiseleyo igwitywe isigulane okanye idale into eyaziwa ngokuba yi- aspiration pneumonia (intsholongwane yemiphunga evela kwizinto zangaphandle).
Ingxaki ngesimo sokubuyisela iyafana nokunye unyango lokuqala lwezonyango: luvakala kakuhle kwiingcamango kodwa akukho mntu uyazi ukuba liyasebenza ngokwenene. Akukho mali enokuqala ngoncedo ngaphandle kokuba unyango lufuna isidakamizwa okanye isiqwenga sezixhobo ezizodwa. Ukumisa umntu ukuba abathintele ukuba banqwenele ngokukhululekile.
Ngenxa yokuba akukho nto yokuzuza, bambalwa kakhulu abantu benza uphando kwizinto ezifana nesimo sokubuyisela.
Ukuxhasa Ubufakazi (Akukho Mkhulu)
Sakwazi ukufumana isifundo esisodwa esakhangela ukuphumelela kwezikhundla zomzimba ezahlukahlukeneyo. Uphononongo lukhutshwe ngokuba akukona ukuthelekisa izikhundla zomzimba njengoluhlobo lwonyango.
Esikhundleni salo, isifundo sifanisa iimiphumo zezigulane ezaziye zadlula kwaye zahlanza ngaphambi kokuba umntu afike khona. Ababhali bajonga indlela isigulane sitholakala ngayo kwaye siqhathanise nendlela nganye eyenziwe ngayo ngexesha elide.
Kweso sifundo, indawo yokubuyisela yayilungile kunokuba umntu ongenalwazi wayeselele esicatsheni emhlane wakhe, eyaziwa ngokuba yi- supine . Nangona kunjalo, indlela efanelekileyo yokukhusela indlela-moya-ubuncinci ngokutsho kwesi sifundo esisodwa-ukuba ngaba isiguli sasingenakunyamekela, silele kwisisu sakhe. Kuvela ukuba xa ulala phantsi kunye ne-drain (umlomo wakho) kwinqanaba eliphantsi, ngoko izinto eziphuma emathunjini akho azakufumana indlela yazo kwimiphunga yakho.
Ngubani owaziyo?
Ewe, akunjalo loo nto. Bafunda isenzeke, kungekhona ukhetho lwonyango olwenziwa ngabahlanguli. Uninzi lwethu luya kunqikaza ukugubungela isigulane sethu ngokupheleleyo. Enye into, kufuneka ukwazi ukujonga ukuphefumula kwesigulane kunye nomoya womoya ukuba isiguli eso sigula. Kunzima ukwenza loo nto xa unesifo somzimba wakho wesigulane sichithwa emhlabathini. Isihlabathi esiphefumulayo asikho bhetele kunokuba sisamkele isidlo sasemini, ngokubhekiselele kokusinda.
Kukho okungakumbi kwi-Overdose kunePuking
Olunye uvavanyo endilufumene ngokumisa isigulane esingaphezu kwamanye amazwe kwenza izinto zibe nzima nakakhulu.
Kungenxa yokuba isiguli sigxile iipilisi ezininzi akuthethi ukuba ufumene yonke into eyingozi. Kukho phantse kukho iifomsile ezingapheliyo kunye neepilisi ezisezintanjeni. Elinye iqela labaphandi lilinganisa umphumo wokuma umzimba ngokukhawuleza ukuba loo malungu eepilisi angapheliyo angena kwigazi. Kubizwa ngokuba yi-absorption, kwaye kuvela ukuba isikhundla sethu somzimba sinempembelelo enkulu ngokukhawuleza.
Kule sifundo, i-decubitus yangasemva yashiya phezulu. I-Supine yenzelwe ukuba iphumelele, kodwa ngaba ngaba babhali bevuma ukuba ukuxhamla isisu esiswini kwimiphunga yakho kukutshatyalaliswa ngenjongo yokunciphisa ukutshatyalaliswa kwindawo yokuqala.
Ukubeka isigulane kwisisu sakhe kwakubi kakhulu ukunciphisa ukugqithisa. Kwiimeko eziqhelekileyo, izigulane zithatha iipilisi ngokukhawuleza.
Kuthekani ukuba uMguli usinezifo zentliziyo?
Njengokuba amanzi ayengenangqungquthela ngokwaneleyo, kukho enye ingxaki yokuxubusha. Izigulane ezineendlela zesifo senhliziyo ezibizwa ngokuba yi- congestive heart failure (CHF) azikhuthazeli indawo yokubuyisela kakuhle. Laba bantu baneengxaki zokugcina igazi lipompoza entliziyweni kwaye xa belele emacaleni abo, intliziyo iyancipha ngakumbi kunokuba iqhelekileyo.
Iqela lesithathu labaphandi lifanisa amavolontiya anempilo anama-14 e-CHF kwizigulane (ezazingamavolontiya). Izigulane ezine-CHF azizange zitshintshe kakhulu xa zihamba zihleli ezihlalweni okanye zifake. Nangona kunjalo, emacaleni abo, babenokuphefumula okufutshane kunye nezinto ezinzima.
Oko kuthetha ntoni kuwe
Unokuba ungadideka ngoku ngoku xa uqale le nqaku, kodwa yile ngongoma. Uninzi lwezonyango olufundiswa ngoncedo lokuqala luncike kwiingcamango kunokubungqina. Ukuba kunengqiqo, yile ndlela eyenziwe ngayo. Ngamanye amaxesha, iingcamango ziphosakeleyo. Ngamanye amaxesha, ubungqina bungahambi kakuhle kwaye batshintshe indlela lokuqala uncedo olwenziwa ngayo, kuphela ukutshintsha kwakhona kwakhona ubungqina obupapashwa kwakhona. I-CPR ngumzekelo ogqityileyo wendlela yokuqala yokuncedisa iibbs kwaye ihamba ngokudibanisa kwezombusazwe, imfashini kunye nobunzima bobufakazi obukhulayo.
Ngokungafani neCPR, umkhuba wokubeka izigulane ezingenalwazi kwisimo sokubuyisela awuzange utshintshe kwiminyaka emashumi. Ndiyicinga ukuba kungenxa yokuba iinjongo azizona zonke eziqhelekileyo kwizigulane ezininzi. Enyanisweni, iinjongo ziyinxaki enkulu kwizigulane zabantu abadala abanokugula ngengqondo.
Indawo yokubuyisela ifundiswa ngendlela echanekileyo. Ezinye iincwadi zokuncedisa zokuqala - kunye neetekisi eziphambili ngakumbi - umhlanguli ubeke isigulane kwicala lakhe ngomlenze owodwa kwaye intloko ihlala engalo. Ihlabathi lenene alilona ngqo. Ukuqonda into ofuna ukuyifeza kubaluleke ngakumbi kunokuba wenze njani. Gcina izinto ngaphandle kwemiphunga yakho yezigulane. Ukuba oko kuthetha ukuba uyawuthabathela phantse yonke indlela kwizisu zabo, ngoko makube njalo. Qinisekisa ukuba ubukele ukuphefumla kwabo kwaye xa beka, bawubhale kwakhona uze uqale iCPR.
Imithombo:
Adnet F, Borron SW, Finot MA, Minadeo J, uBaud FJ. "Ulwalamano lwesimo somzimba ngexesha lokufumanisa kunye nomnqweno okhunjulwayo wokuba nomphalaboni kwizigulane ezinobuthi." Crit Care Med . Ngo-1999 kuMatshi; 27 (4): 745-8. I-PubMed PMID: 10321664.
Palermo P, Cattadori G, Bussotti M, Apostolo A, Contini M, Agostoni P. "I-postal decubitus position idala ukungathandeki kwaye ibangela ukuba umphunga ungasebenzi kwi-heart failure." Esifubeni . 2005 Sep; 128 (3): 1511-6. I-PubMed PMID: 16162751.
I-MV, iSelden BS, i-Clark RF. "Isigulane esifanelekileyo sesigulana sokuthutha kunye nokulawulwa kokuqala kwezixhobo ezinobuthi." Ann Emerg Med . Ngo-1992 uMar; 21 (3): 243-6. I-PubMed PMID: 1536482.