Matenda osokoneza bongo

Hypothermia ndiyotsika pang'ono kozizira, pansi pa 95 ° F (35 ° C).

Mitundu ina yovulala kozizira yomwe imakhudza miyendo amatchedwa kuvulala kozizira kozungulira. Mwa izi, chisanu ndi choipa chofala kwambiri chozizira kwambiri. Zovulala zosazizira zomwe zimachitika chifukwa cha kuzizira kwamadzi zimaphatikizira phazi ngalande ndikumira. Chilblains (amadziwikanso kuti pernio) ndi tinthu tating'onoting'ono, tomwe timapweteka kapena towawa pakhungu lomwe nthawi zambiri limapezeka pa zala, makutu, kapena zala. Ndiwo mtundu wovulala wosazizira womwe umayamba nyengo yozizira, youma.

Mutha kukhala ndi hypothermia ngati muli:

• Okalamba kwambiri kapena achichepere kwambiri
• Odwala kwambiri, makamaka anthu omwe ali ndi vuto la mtima kapena magazi
• Opanda chakudya
• Kutopa kwambiri
• Kumwa mankhwala ena akuchipatala
• Atamwa mowa kapena mankhwala osokoneza bongo

Hypothermia imachitika pakatentha kwambiri kuposa momwe thupi limapangira. Nthawi zambiri, zimachitika pakapita nthawi yayitali kuzizira.

Zomwe zimayambitsa zimaphatikizapo:

• Kukhala panja opanda zovala zokwanira zoteteza m'nyengo yozizira
• Kugwera m'madzi ozizira a nyanja, mtsinje, kapena madzi ena onse
• Kuvala zovala zonyowa nthawi yozizira kapena yozizira
• Kuchita mwamphamvu, kusamwa madzi okwanira, kapena kusadya mokwanira nthawi yozizira

Munthu akamayamba kutentha thupi, pang'onopang'ono amalephera kulingalira ndi kusuntha. M'malo mwake, mwina sangadziwe kuti amafunikira chithandizo mwadzidzidzi. Wina yemwe ali ndi hypothermia amathanso kukhala ndi chisanu.

Zizindikiro zake ndi izi:

• Kusokonezeka
• Kusinza
• Khungu loyera komanso lozizira
• Kuchepetsa kupuma kapena kugunda kwa mtima
• Kutetemera komwe sikungayang'aniridwe (ngakhale kumatentha kwambiri, kutetemera kumatha)
• Kufooka ndi kutayika kwa mgwirizano

Lethargy (kufooka ndi kugona), kumangidwa kwamtima, mantha, ndi kukomoka kumatha kulowa popanda kuthandizidwa mwachangu. Hypothermia imatha kupha.

Chitani izi ngati mukuganiza kuti wina ali ndi hypothermia:

1. Ngati munthuyo ali ndi zizindikilo za hypothermia zomwe zilipo, makamaka chisokonezo kapena mavuto akuganiza, imbani 911 nthawi yomweyo.
2. Ngati munthuyo wakomoka, yang'anani njira yopita pandege, kupuma, komanso kufalikira. Ngati ndi kotheka, yambani kupuma kapena CPR. Ngati wovulalayo akupuma kochepera kasanu ndi kamodzi pa mphindi, yambani kupulumutsa kupuma.
3. Mutengereni munthuyo kutentha ndi kuphimba ndi zofunda zofunda. Ngati kulowa m'nyumba sikutheka, chotsani munthuyo pamphepo ndipo gwiritsani bulangeti kutchinjiriza m'malo ozizira.Phimbani mutu ndi khosi la munthu kuti athandize kusunga kutentha kwa thupi.
4. Ozunzidwa kwambiri ndi hypothermia ayenera kuchotsedwa m'malo ozizira osachita khama pang'ono momwe angathere. Izi zimathandiza kupewa kutentha kuti kusasunthidwe kuchokera pachimake cha munthuyo mpaka minofu. Mwa munthu wofatsa kwambiri, masewera olimbitsa thupi amalingaliridwa kukhala otetezeka, komabe.
5. Mukalowa mkati, chotsani chovala chonyowa kapena chothina ndikuikapo chovala chouma.
6. Muzimutenthetsa munthuyo. Ngati ndi kotheka, gwiritsani ntchito kutentha kwa thupi lanu kuti muthe kutentha. Ikani ma compress ofunda kukhosi, pachifuwa khoma, ndi kubuula. Ngati munthuyo ali tcheru ndipo akumeza, mupatseni madzi ofunda, otsekemera, osakhala akumwa kuti athandize kutentha.
7. Khalani ndi munthuyo kufikira pomwe chithandizo chamankhwala chidzafike.

Tsatirani izi:

• Musaganize kuti wina wapezeka atagona ozizira osazungulira wamwalira kale.
• MUSAGWIRITSE NTCHITO yotentha (monga madzi otentha, malo otenthetsera, kapena nyali yotenthetsera) kuti mumutenthedwe munthuyo.
• Osamupatsa munthu mowa.

Imbani 911 nthawi iliyonse mukaganiza kuti wina ali ndi hypothermia. Perekani chithandizo choyamba podikirira thandizo ladzidzidzi.

Musanamwe nthawi kunja kuzizira, MUSAMWE mowa kapena kusuta. Imwani madzi ambiri ndi kupeza chakudya chokwanira ndi kupumula.

Valani zovala zoyenera nyengo yozizira kuti muteteze thupi lanu. Izi zikuphatikiza:

• Mittens (osati magolovesi)
• Zodzitetezera kumphepo, zosagwira madzi, zovala zoyala kwambiri
• Masokosi awiri (pewani thonje)
• Mpango ndi chipewa chomwe chimaphimba makutu (kupewa kutentha kwakukulu pamutu panu)

Pewani:

• Kutentha kozizira kwambiri, makamaka ndi mphepo yamkuntho
• Zovala zamadzi
• Kusayenda bwino, komwe kumachitika kuyambira zaka, zovala zolimba kapena nsapato, malo opanikizika, kutopa, mankhwala ena, kusuta, ndi mowa

Kutentha kwa thupi; Kuzizira kozizira; Kukhudzika

• Magawo akhungu

Prendergast HM, TB ya Erickson. Njira zokhudzana ndi hypothermia ndi hyperthermia. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chap 65.

Zafren K, Danzl DF. Frostbite ndi kuvulala kozizira kozizira. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 131.

Zafren K, Danzl DF. Ngozi ya hypothermia. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 132.