Izisilumkiso zangasemva zisetyenziselwa emva kokuvulwa kwentliziyo evulekileyo ukuphepha ukutsala ngaphandle kwesikhumba njengesipiliso. Zenzelwe ukukhusela isigulane kwaye ukhusele ukusuleleka kwintsholongwane yakho ngokusebenzisa ukuguquka kwangasese kwangaphandle. Kodwa ngaba ukuphepha kwangunaphakade kuyimfuneko kwaye kufuneka ulandele ulondolozo lwangaphandle emva kokuhlinzwa kwentliziyo evulekile?
Ukuba uye wavulelwa intliziyo evulekile , ngoko unokufuna iinkonzo ezinezakhono zonyango kwisimo sokuvuselela inhliziyo , apho ungasebenza khona ekuphuculeni amandla akho nokunyamezela kwaye usebenze ukuphucula ukuhamba kwakho kokusebenza .
Emva kokuhlinzwa, ugqirha wakho unokufuna ukuba ulandele izicwangciso zangaphandle zangaphandle: indlela yokukhusela i-sternum, okanye isifuba sakho, emva kokuba uvuliwe ngentliziyo. Ukuvulwa kwentliziyo evulekileyo kufuna ukuba i- cardiac yakho yegulane idibanise i-sternum yakho ukuba ibone intliziyo yakho kunye nezakhiwo ezijikelezayo. Emva kokuhlinzwa, ugqirha wakho kufuneka ahlaziye i-sternum yakho ngokudibanisa ithambo kwindawo efanelekileyo. Ngokuqhelekileyo, ucingo oluqinileyo lisetyenziselwa ukubamba amathambo ndawonye ngelixa ukuphilisa kwenzeka.
Kutheni Usebenzisa Ukuqapha Kwangaphandle?
Izikhuselo zangaphandle zikunceda ukukhusela ukuhlukana kwesikhumba sakho njengoko kuphilisa. Ukuhlukana kwe-sternum yakho kunokunciphisa inkqubo yokuphulukisa ithambo, kunye nokukhusela kwangaphandle kukunceda ukunqanda ukutsala ngokugqithiseleyo kwi- incision . Oku kunokukunceda ukugcina ulusu luvaliwe ukukhusela intsholongwane kwi-incision yakho.
Ukugqithisa ngokweqile kwifuba lakho ngelixa liphilisa emva kokuvulwa kwentliziyo evulekile kunokubangela into ebizwa ngokuthi dehiscence, okanye ukwahlukana kwethambo. Ukuhlukana kunokuba ngumnyango wokuvula isifo sokungena emzimbeni wakho.
Ukuqapha kwangaphandle
Ukuba uye wavulelwa intliziyo evulekile, kufuneka ulandele i-odolo yakho ugqirha, njengoko abanye oogqirha basebenzisa iindlela ezahlukeneyo zobugcisa kwaye baneemfuno ezahlukeneyo emva kokuhlinzwa. Kufuneka uqonde ngokupheleleyo oko kulindelwe kuwe emva kokuhlinzwa kwentliziyo evulekile.
Ukukhusela kwangaphandle kubandakanya:
- Musa ukuphakamisa ngaphezu kwamakhilogremu angaphezu kwamahlanu ukuya kwezibhozo.
- Akukho ukukhangela okanye ukudonsa ngeengalo zakho.
- Musa ukufikelela emva komva wakho okanye ufinyelele zombini iingalo ukuya kwicala.
- Musa ukufikelela kwiingalo zombini.
Izicwangciso zakho zangasese zingapheli ngokuxhomekeke kwintando yakho okanye kwisibonelelo apho uthatha inxaxheba ekubuyiselweni komzimba. Abanye oogqirha, umzekelo, bakuvumela ukuba ufinyelele ingalo enye , kwaye abanye bakuvumela ukuba uphakamise ukuya kuma-10. Qiniseka ukuba uthetha nogqirha wakho ukuze uqonde izicwangciso zakho zangaphandle.
Ukuqapha kwangaphandle kunye noTyhila
Umgulana wakho womzimba angasebenza nawe ekuvuseleleni inhliziyo ukukunceda uqonde kwaye ugcine izicwangciso zakho zangaphambili . Unokufumanisa ukuba ukuhamba ngokusemthethweni kokusebenza kunzima ngelixa ugcina izilumkiso zangaphandle, kwaye umgulana wakho wenyama unokukufundisa ukuba uhambe njani ngelixa ugcina izicwangciso zangaphandle. Ezi ziquka:
- Ukuqhankqalaza kunye nokunyuka esihlalweni
- Ukuhamba ngezitepiringi ngaphandle kokukrazula
- Ukuqhafaza embhedeni
- Ukuhlala esihlalweni
- Ukusebenzisa isixhobo esixhasayo , njengesihamba okanye umdaka
- Ukwenza ii- ADL ezisisiseko, njengokuxubusha iinwele zakho nokugqoka
Ndide Ndibe Ndide Kangakanani Ukuba Ndilondoloze Ukuqapha Kwangaphandle?
Ukuba ugqirha wakho ekucela ukuba ulandele ulondolozo lwangaphandle, ngoko kufuneka akwazi ukukuxelela xa ungasadingeki ulandele izicwangciso. Ngokubanzi, isifuba sakho kufuneka siphiliswe kwisithuba seveki ezine ukuya ezintandathu emva kokuhlinzwa kwakho kwentliziyo evulekileyo, kunye nokuqapha kwangaphandle kufuneka kuphakanyiswe ngelo xesha. Kwakhona, landela ingcebiso ngogqirha wakho malunga nexesha lokuyeka ukulandelwa kwangaphambili.
Ngaba Ukuqapha Kwangunaphakade Kuyimfuneko?
Kukho ingxoxo malunga nokuba izicwangciso zangasese zize ziyimfuneko ukukhusela isifuba sakho njengoko iphelisa emva kokuhlinzwa kwentliziyo evulekile. Kukho ukungabikho kobubungqina obubonisa ukuba usengozini xa ungalandeli ukuphepha kwangaphandle, kwaye ezinye iingcali zincoma ukuba wenze imisebenzi eqhelekileyo ngokusekelwe kukunyamezela kwakho. Iimvakalelo zokuqhawula okanye ukuphuma emlonyeni wakho zibonakalisa ukuba i-sternum yakho ishukumisa kancane, ngoko ukuba oko kwenzeka, umsebenzi owenze ukuba awufanelekile, kwaye ugqirha kufuneka uxelelwe.
Abanye abaqeqeshi bathi ukuxelela ukuba ugweme ukuphakamisa izinto kwaye ukugcina iingalo zakho kungakhokelela ekuziphatheni kokugwema ukwesaba okanye ukuphepha ukuhamba ngenxa yokuba ukwesaba ukuzilimaza.
Kungakhathaliseki ukuba ugqirha wakho uncoma ukuba ulandelele izicwangciso zangasemva emva kokuvulwa kwentliziyo, kufuneka ulandele icebiso lakhe. Thetha nomgulana wakho wenyama ukuze uqiniseke ukuba uhamba ngokufanelekileyo kwaye ugcina izicwangciso zakho zangaphandle.
ILizwi
Ukuvulwa kwentliziyo kuvulekileyo kungenza usebenze kakhulu, kwaye uqinisekise ukuba wenze zonke izinto ezifanelekileyo emva kokuba utyando lubaluleke kakhulu. Ubulumko obuqhelekileyo uthi ukulandela ukukhusela kwangaphandle kunokunceda ukunciphisa umngcipheko weengxaki emva kokuhlinzwa. Ukuba uye wavuleka intliziyo evulekile, qiniseka ukuba uqonde oko kulindeleke kuwe malunga nokuqapha kwangaphandle.
Imithombo:
> Cahalin, L > et al >. > Ongunaphakade > izilumkiso: ngaba ixesha lokuba > utshintsho >? Ukuqapha ngokumelene ne > izithintelo > - ukuhlaziywa kweencwadi kunye neziphakamiso zokuhlaziywa. I-Cardiopulm Phys Ther J; 22 (1): 2011: 5-15.
Hillegas, E. kunye noSadowski, HS "Izixhobo zeCardiopulmonary Physical Therapy." 1994. WB Saunders Co. Philadelphia.
Imizekelo: Enye yezixhobo zesimo sam sokuvuselela kwimizimba yam, kwakufuneka ndifunde kwaye ndilandele izicwangciso zangaphandle.