Kodi hypothermia yothandizira ndi yotani ndipo imagwira ntchito bwanji

Zamkati

• Zatheka bwanji
• Chifukwa chake zimagwira ntchito
• Zovuta zotheka

Therapy hypothermia ndi njira yachipatala yomwe imagwiritsidwa ntchito pambuyo poti mtima wamangidwa, womwe umakhala woziziritsa thupi kuti muchepetse chiwopsezo cha kuvulala kwamitsempha ndi mapangidwe am'mimba, kuwonjezera mwayi wopulumuka komanso kupewa sequelae. Kuphatikiza apo, njirayi itha kugwiritsidwanso ntchito m'malo monga kuvulala kwa ubongo kwa akulu, sitiroko ischemic ndi encephalopathy ya hepatic.

Njira imeneyi iyenera kuyambika posachedwa pomwe amangidwa pamtima, chifukwa magazi amasiya nthawi yomweyo kunyamula mpweya wokwanira kuti ubongo ugwire ntchito, koma amatha kuchedwa mpaka maola 6 mtima ukugundanso. Komabe, pazochitikazi chiopsezo chokhala ndi sequelae chimakhala chachikulu.

Zatheka bwanji

Njirayi ili ndi magawo atatu:

• Kupatsidwa ulemu gawo: kutentha kwa thupi kumachepetsedwa mpaka kufikira kutentha pakati pa 32 ndi 36ºC;
• Gawo lokonzanso: kutentha, kuthamanga kwa magazi, kuthamanga kwa mtima komanso kupuma kumayang'aniridwa;
• Bwerezaninso gawo: kutentha kwa munthu kumakwera pang'onopang'ono komanso m'njira yoyendetsedwa bwino kuti athe kufikira kutentha pakati pa 36 ndi 37.5º.

Pofuna kuziziritsa thupi, madotolo amatha kugwiritsa ntchito njira zingapo, komabe, omwe amagwiritsidwa ntchito kwambiri ndi kugwiritsa ntchito mapaketi a ayezi, matiresi otentha, chisoti cha ayisi kapena ayisikilimu molunjika mumtsinje wa odwala, mpaka kutentha kukufika pakati pa 32 ndi Kutentha kwa 36 ° C. Kuphatikiza apo, gulu lazachipatala limagwiritsanso ntchito njira zotsitsimula kuti munthu akhale bwino ndikupewa kuwonekera kwa kunjenjemera

Nthawi zambiri, hypothermia imasungidwa kwa maola 24 ndipo, panthawiyi, kugunda kwa mtima, kuthamanga kwa magazi ndi zizindikilo zina zofunika zimayang'aniridwa ndi namwino kuti apewe zovuta zazikulu. Pambuyo pake, thupi limatenthedwa pang'onopang'ono mpaka kufika kutentha kwa 37ºC.

Chifukwa chake zimagwira ntchito

Magwiridwe antchito a njirayi sanadziwikebe bwino, komabe, akukhulupirira kuti kuchepa kwa kutentha kwa thupi kumachepetsa magwiridwe antchito amagetsi muubongo, kumachepetsa kugwiritsa ntchito mpweya. Mwanjira imeneyi, ngakhale mtima sukupopa magazi ochuluka, ubongo umapitilizabe ndi mpweya womwe umafunikira kuti ugwire ntchito.

Kuphatikiza apo, kutsitsa kutentha kwa thupi kumathandizanso kupewa kukula kwa zotupa muubongo, zomwe zimawonjezera chiopsezo chowonongeka ma neuron.

Zovuta zotheka

Ngakhale ndi njira yotetezeka kwambiri, ikachitika mchipatala, hypothermia yothandizira imakhalanso ndi zoopsa zina, monga:

• Sinthani kugunda kwa mtima, chifukwa chakuchepa kwamtima;
• Kuchepetsa kugundana kwamatenda, kukulitsa chiopsezo chotaya magazi;
• Kuchuluka chiwopsezo cha matenda;
• Kuchuluka kwa shuga m'magazi.

Chifukwa cha zovuta izi, njirayi imatha kuchitidwa mu Intensive Care Unit komanso ndi gulu lazachipatala lophunzitsidwa bwino, popeza ndikofunikira kuyesedwa kangapo pa maola 24, kuti muchepetse mwayi wopanga zovuta zamtundu uliwonse.