Khungu - clammy

Khungu lachikopa ndi lozizira, lonyowa, ndipo nthawi zambiri limakhala lotumbululuka.

Khungu la Clammy limakhala ladzidzidzi. Imbani wothandizira zaumoyo wanu kapena nambala yanu yadzidzidzi yakomweko, monga 911.

Zomwe zimayambitsa khungu lam'madzi ndi izi:

• Kuda nkhawa
• Matenda amtima
• Kutopa kozizira
• Kutuluka magazi mkati
• Magazi ochepa a oxygen
• Mankhwala amathandiza
• Sepsis (matenda opatsirana thupi)
• Kulimbana ndi zovuta (anaphylaxis)
• Kupweteka kwambiri
• Kusokonezeka (kuthamanga kwa magazi)

Kusamalira kunyumba kumadalira zomwe zimayambitsa khungu lowuma. Itanani thandizo lachipatala ngati simukutsimikiza.

Ngati mukuganiza kuti munthuyo akuchita mantha, mugoneni chagada ndikukweza miyendo pafupifupi masentimita 30. Itanani nambala yanu yadzidzidzi (monga 911) kapena mutengereni munthuyo kuchipatala.

Ngati khungu lolira limatha kukhala chifukwa chakutopa ndipo munthuyo wagalamuka ndipo amatha kumeza:

• Muuzeni munthuyo kuti amwe madzi ambiri (osamwa mowa)
• Sunthani munthuyo pamalo ozizira bwino

Funsani thandizo lachipatala mwachangu ngati munthuyo ali ndi zizindikiro izi:

• Udindo wamankhwala wosintha kapena luso loganiza
• Pachifuwa, m'mimba, kapena kupweteka msana kapena kusapeza bwino
• Mutu
• Kupereka kwa magazi mu chopondapo: chopondapo chakuda, magazi ofiira owoneka bwino kapena maroon
• Kusanza kosalekeza kapena kosalekeza, makamaka kwamagazi
• Kugwiritsa ntchito mankhwala osokoneza bongo
• Kupuma pang'ono
• Zizindikiro zodzidzimutsa (monga kusokonezeka, kuchepa, kapena kufooka)

Nthawi zonse muziyankhulana ndi dokotala kapena pitani ku dipatimenti yodzidzimutsa ngati zizindikiro sizichoka msanga.

Wothandizirayo ayesa mayeso ndikufunsa mafunso okhudza zizindikilozo komanso mbiri yazachipatala ya munthu, kuphatikiza:

• Kodi khungu lowuma linayamba msanga bwanji?
• Kodi zidachitikapo kale?
• Kodi munthuyo wavulala?
• Kodi munthuyo akumva kuwawa?
• Kodi munthuyo akuwoneka wodandaula kapena wopanikizika?
• Kodi munthuyu adakumana ndi kutentha posachedwa?
• Ndi zisonyezo zina ziti zomwe zilipo?

Mayeso ndi mankhwala atha kuphatikizira:

• Thandizo la airway, kuphatikiza oxygen, chubu lopumira mkamwa (intubation), ndi makina opumira (mpweya wabwino)
• Kuyesa magazi ndi mkodzo
• X-ray pachifuwa
• ECG (electrocardiogram, kapena kutsata mtima)
• Zamadzimadzi kudzera mumitsempha (intravenous kapena IV)
• Mankhwala ochizira matenda

Malingaliro amatengera chifukwa cha khungu lowuma. Kufufuza ndi zotsatira zamayeso kudzakuthandizani kudziwa zamtsogolo komanso zazitali.

Thukuta - kuzizira; Khungu lachikopa; Thukuta lozizira

Brown A. Chisamaliro chofunikira. Mu: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, olemba. Buku Lophunzitsira la Mankhwala Achikulire Achikulire. Wolemba 4. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: mutu 2.

Brown A. Kubwezeretsanso. Mu: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, olemba. Buku Lophunzitsira la Mankhwala Achikulire Achikulire. Wolemba 4. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: mutu 1.

Marik PE. Endocrinology yankho la kupsinjika panthawi yakudwala. Mu: Ronco C, Bellomo R, Kellum JA, Ricci Z, olemba. Chisamaliro Chachikulu Nephrology. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: mutu 76.

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.