Yintoni enokuyilindela ukuba utyunjwa ngokukhawuleza

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Uvavanyo Lokungeniswa luqala

Utyando oluphuthumayo lufuneka luyenze ngokukhawuleza kwaye ngaphandle komntu umntu angafa afezeke ngokusisigxina.

Xa befika kwigumbi lokuxakeka, abasebenzi bexakeka-mali baya kuqala ukuhlola imeko yomntu. Oku kuya kubandakanya ukuthatha iimpawu ezibalulekileyo , ukuphonononga iimpawu, ukwenza uvavanyo lomzimba, nokuthatha imbali yezifo ezidlulileyo kunye nezikhoyo, ukunyamezela, kunye nokusetyenziswa kwamachiza.

Ukuba isiguli sigula kakhulu, unyango luqala ngokukhawuleza kunye nokuhlolwa kokungena. Ukuba kuyimfuneko, loo mntu unako ukuzinzuliswa ngamayeza, ukumpontshelwa igazi, i-intravenous fluids, nezinye iindlela zokungenelela ngongxamiseko.

Kwiimeko ezininzi, abahlengikazi baya kuqalisa ukufikelela kwiindawo ezihamba phambili (ukufaka umgca we-IV kwisigqubuthelo) ukwenzela ukuba ukuhanjiswa ngokukhawuleza kweyeza.

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Ukuvavanya ukuxilongwa phambi koPhando

Emva kokuba uvavanyo lomzimba luphelile kwaye isigulane siphelile, iimvavanyo zokuxilonga zingahle ziyalwe kuqukwa ii-ray-ray, umsebenzi webhu, i- calculography tomography (CT) , i-IMM) , i- electrocardiograms (ECGs) ukuhlola impilo yempilo, i-electroencephalogram (i-EEGs) ukuhlola ukulimala kwengqondo.

Ukuba iimvavanyo ziqinisekisa isidingo sokuhlinzwa, ugqirha uya kuthethwa ngoko nangoko. Kwizibhedlele ezinkulu, utyhafu okanye ugqirha oqhelekileyo udla ngokufumaneka iiyure ezingama-24 ngemini kwaye ngokuqhelekileyo baya kwenza uvavanyo lwabo kwigumbi lexakeka.

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Utshintsho olukhawulezileyo kwenye indawo

Ngokuxhomekeka kwimeko yesibhedlele umntu uthathelwa kuyo, ukudluliselwa kwesinye indawo kunokufuneka. Izibhedlele ezimancinci okanye zasemaphandleni kaninzi akanayo iingcali okanye ubuchule bokwenza imisebenzi ethile.

Kwimeko enje, igumbi lexakeka liza kulungelelanisa ukutshintshwa xa isiguli sigxininiswe, ngokuqhelekileyo kwiyure okanye ngaphantsi. Izothutho zingabandakanya i-ambulensi okanye i-helicopter kunye nabasebenzi abaqeqeshwe kwi-board ukuza kuncedisa ukuhanjiswa okukhuselekileyo.

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Ukulungiselela Ukuhlinzwa

Ngokubanzi i-anesthesia idla ngokunikezelwa ngexesha lotyando oluphuthumayo ukuzondla ngokuzenzekelayo umntu kwaye okwethutyana ukutyhafisa imisipha yakhe. Ukwenza oku, amayeza ahanjiswa yi-IV ukuphumla isigulane ngelixa ugqirha ebeka i- tube endotracheal kwi-windpipe. I-tube ixhunyiwe kwi- ventilator ethatha ukuphefumula kwesigulane ngexesha lotyando.

Amanye amayeza anikezelwa ukukhusela nayiphi na intshukumo kunye nokuqinisekisa ukuba umntu ulele kulo lonke inkqubo. I-anesthesiolgist iya kuhlala isesandleni ukuqhubeka ilonge imiqondiso ebalulekileyo.

Ukuba kuyimfuneko, i-anesthesiologist iya kufaka enye imigca ye-IV okanye enye inkulu (ebizwa ngokuba ngumgaqo ophakathi ) kwisandla somguli ukuhambisa amayeza ahlukeneyo ngexesha elifanayo.

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Ukugqithisa

Xa i-anesthesia jikelele iqalile ukusebenza, utyando oluphuthumayo luya kuqala. Ummandla womzimba omele usebenze kuwo uya kuhlambuluka ngokugqibeleleyo kwaye ujikelezwe ngumbumba ongezantsi ukuze uqinisekise ukuba indawo iyahlala ingenayo i-germ.

Ubume bonyango kunye nokugula kuya kubonisa ukuba bangaphi abagqirha abafunekayo kwaye kuya kuthatha ixesha elingakanani ukusebenza. Ukuba kuyimfuneko, ukunyelwa igazi kunokuyalelwa ukuba kuphuculwe isigulane ngexesha le nkqubo. Ngokuqhelekileyo, ii-IV zamanzi zinikezwa ngexesha lotyando lokuhlawulela nayiphi na ilahleko yegazi kunye namanzi omzimba.

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Ukubuyiswa emva kokuPiliswa

Xa utyando lugqityiwe, umntu uya kuthunyelwa kwinqununu yokunakekelwa kwe-anesthesia (PACU) ukuba zizinzile. Isigulane siza kuba groggy ade i-anesthesia igqithe. Ngethuba lesigaba sokubuyisela, iimpawu ezibalulekileyo zomntu ziya kuhlolisiswa ngokuthe tye kunye neyeza zonyango ezinqunyiwe njengoko zifunekayo.

Xa isigulane silumkile kwaye i-anesthesia igugile, uya kuthunyelwa ekamelweni lesibhedlele ukuze aqale ukuphilisa. Abo bazinzileyo okanye banesidingo sokubeka esweni rhoqo baya kuthathwa kwiyunithi yokunyamekela (ICU) .

Abantu abanokulimala kakhulu mahy kufuneka bahlale kwi-ventilator de kube banamandla ngokwaneleyo ukuphefumula ngokwabo. Abanye bangadinga uphando olongezelelweyo okanye iinkqubo zonyango.

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Ukubuyiselwa kunye nokuKhutshwa

Emva kokuhlinzwa, ii- antibiotics ziya kunikwa ukuba zithintele ukusuleleka kwaye unyango lweentlungu ziya kusetyenziswa ukunceda ukulawula intlungu. Izihlandlo zokubuyisela ziyahluka kwaye zingaquka unyango lokuvuselela. Abo bahlala kwi-ICU baya kuhlala apho bafike baphume ngaphandle kokuncediswa.

Kwizigulane ezigulayo kakhulu ukutya, ukutya okunokutya kunokuhanjiswa yi-IV okanye ngokusebenzisa ityhubhu yokutya efakwa kwisigxina. Xa unamandla okwaneleyo ukuyenza, isigulane siza kuqala ngokususa ixabiso elincinci lotywala kunye nokuqhubela phambili kwindlela yokutya okuqhelekileyo.

Kwabo abanokwenza, ukubuyiswa kuya kuqala ngokucela umntu ukuba ahlale emphethweni webhedi kwaye ahambe aye kwindawo yokuhlambela. Njengoko umntu ephucula, imida yokuhamba iya kwandiswa kunye okanye ngaphandle kokuncedisa ukuhamba.

Abongikazi baya kunika ukunyamekela ngexesha lokuhlala esibhedlele kwaye bafundise isigulane indlela yokunyamekela kakuhle isilonda xa ehlala ekhaya. Inkqubo yokukhutshwa kwezibhedlele iza kuqala xa ugqirha uyaqinisekiswa ukuba lo mntu ukhululiwe. Ukuba kuyimfuneko, unyango lwezempilo lwasekhaya luyalelwe ukuba luncedise ukutshintsha okanye ukubonelela ngononophelo oluqhubekayo.