Chodabwitsa

Kusokonezeka ndimachitidwe owopseza moyo omwe amapezeka pomwe thupi silikutuluka magazi okwanira. Kupanda magazi kumatanthauza kuti maselo ndi ziwalo sizimapeza mpweya wokwanira komanso michere kuti igwire bwino ntchito. Ziwalo zambiri zitha kuwonongeka chifukwa cha izi. Kugwedezeka kumafunikira chithandizo mwachangu ndipo kumatha kuwonjezeka mwachangu kwambiri. Pafupifupi munthu m'modzi mwa anthu asanu amene ali ndi mantha adzafa chifukwa cha izi.

Mitundu yayikulu yazodabwitsazi ndi monga:

• Kusokonezeka kwa mtima (chifukwa cha mavuto amtima)
• Kutengeka kwamphamvu (komwe kumachitika ndimagazi ochepa kwambiri)
• Anaphylactic mantha (amayamba chifukwa cha kusokonezeka)
• Matenda am'madzi (chifukwa cha matenda)
• Neurogenic mantha (chifukwa cha kuwonongeka kwa dongosolo lamanjenje)

Kusokonezeka kumatha kuyambitsidwa ndi vuto lililonse lomwe limachepetsa magazi, kuphatikiza:

• Mavuto amtima (monga matenda amtima kapena mtima kulephera)
• Kuchepetsa magazi (monga kutaya magazi kwambiri kapena kutaya madzi m'thupi)
• Kusintha kwa mitsempha yamagazi (monga matenda ndi matenda kapena zovuta zina)
• Mankhwala ena omwe amachepetsa kwambiri kugwira ntchito kwa mtima kapena kuthamanga kwa magazi

Kugwedezeka nthawi zambiri kumalumikizidwa ndikutuluka magazi kunja kapena mkati kuchokera kuvulala koopsa. Kuvulala kwa msana kungayambitsenso mantha.

Matenda oopsa ndi chitsanzo cha mtundu wina wamanjenje kuchokera ku matenda.

Munthu wodwala amakhala ndi vuto lotsika kwambiri magazi. Kutengera ndi zomwe zimayambitsa komanso mtundu wa mantha, zizindikilozi ziphatikiza chimodzi kapena zingapo zotsatirazi:

• Kuda nkhawa kapena kusakhazikika / kupumula
• Milomo yabuluu ndi zikhadabo
• Kupweteka pachifuwa
• Kusokonezeka
• Chizungulire, mutu wopepuka, kapena kukomoka
• Wotuwa, wozizira, khungu
• Mkodzo wotsika kapena wopanda
• Kutuluka thukuta kwambiri, khungu lonyowa
• Kutentha kwachangu koma kofooka
• Kupuma pang'ono
• Kukhala osazindikira (osayankha)

Chitani izi ngati mukuganiza kuti munthu akuchita mantha:

• Imbani 911 kapena nambala yadzidzidzi yakomweko kuti muthandizidwe mwachangu.
• Onani momwe munthuyo akuyendera, kupuma, komanso kufalikira kwake. Ngati ndi kotheka, yambani kupuma ndi CPR.
• Ngakhale munthuyo atha kupuma yekha, pitirizani kuwunika kupuma kwake mphindi 5 zilizonse mpaka thandizo litafika.
• Ngati munthuyo ali ndi chidziwitso ndipo SAKUVULALA kumutu, mwendo, khosi, kapena msana, ikani munthuyo mwamantha. Ikani munthuyo kumbuyo ndikukweza miyendo pafupifupi masentimita 30. Osakweza mutu. Ngati kukweza miyendo kukupweteketsani kapena kungamupwetekeni, musiyeni munthuyo atagona pansi.
• Perekani chithandizo choyenera choyambirira kwa mabala, kuvulala, kapena matenda.
• Sungitsani munthuyo kukhala wofunda komanso womasuka. Masulani zovala zolimba.

NGATI MUNTHU AKUVOMEREZA KAPENA KULETSEDWA

• Tembenuzani mutu kuti muteteze kutsamwa. Chitani izi bola ngati simukuganiza kuti kuvulala kwa msana.
• Ngati mukuganiza kuti kuvulala kwa msana, "log roll" munthuyo m'malo mwake. Kuti muchite izi, sungani mutu, khosi, ndi kumbuyo kwa munthuyo, ndikugubuduza thupi ndi mutu ngati gawo limodzi.

Pakakhala mantha:

• Osamupatsa munthu chilichonse pakamwa, kuphatikiza chilichonse choti adye kapena kumwa.
• MUSAMAYENDE munthuyo povulala msana.
• MUSADikire kuti zizindikiro zowopsa ziwonjezeke musanapemphe thandizo lachipatala.

Imbani 911 kapena nambala yadzidzidzi yakomweko nthawi iliyonse munthu akakhala ndi zodandaula. Khalani ndi munthuyo ndikutsatira njira zoyambirira zothandizira kufikira atalandira thandizo lachipatala.

Phunzirani njira zopewera matenda amtima, kugwa, kuvulala, kuchepa kwa madzi m'thupi, ndi zina zomwe zimayambitsa mantha. Ngati mukudwala matendawa (mwachitsanzo, kulumidwa ndi tizilombo kapena mbola), nyamulani cholembera cha epinephrine. Wothandizira zaumoyo wanu akuphunzitsani momwe mungagwiritsire ntchito komanso nthawi yanji.

• Chodabwitsa

Angus DC. Yandikirani wodwalayo ndi mantha. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 98.

Puskarich MA, Jones AE. Chodabwitsa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 6.