Kupanga zisankho zothandizira pamoyo

Zamkati

• Kodi chithandizo cha moyo ndi chiyani?
• Mitundu yothandizira moyo
• Mawotchi opumira
• Kubwezeretsanso mtima (CPR)
• Kutsegula
• Zakudya zopangira
• Chida chothandizira kumanzere (LVAD)
• Makina owonjezera a oxygenation (ECMO)
• Kuyambitsa chithandizo chamoyo
• Kuyimitsa chithandizo chamoyo
• Zotsatira zowerengera
• Kutenga

Kodi chithandizo cha moyo ndi chiyani?

Mawu oti "thandizo la moyo" amatanthauza kuphatikiza kulikonse kwa makina ndi mankhwala omwe amachititsa kuti thupi la munthu likhale lamoyo pomwe ziwalo zawo zikadasiya kugwira ntchito.

Nthawi zambiri anthu amagwiritsa ntchito mawu oti life life kutanthauza makina opumira omwe amakuthandizani kupuma ngakhale mutavulala kwambiri kapena kudwala kuti mapapu anu asagwire ntchito.

Chifukwa china chosowa chopumira ndi kuvulala kwaubongo komwe sikulola kuti munthuyo ateteze mayendedwe ake kapena kuyambitsa mpweya bwino.

Thandizo lamoyo ndi lomwe limapatsa madokotala mwayi wochita maopaleshoni ovuta. Ikhozanso kutalikitsa moyo kwa anthu omwe akuchira kuvulala koopsa. Thandizo lamoyo lingathenso kukhala chinthu chofunikira kwa anthu ena kuti akhalebe ndi moyo.

Pali anthu ambiri omwe ali ndi makina opumira omwe akupitilizabe kukhala moyo wamba. Komabe, anthu omwe amagwiritsa ntchito chida chothandizira moyo samachira nthawi zonse. Mwina sangathenso kupuma ndikugwira ntchito paokha.

Ngati munthu amene ali ndi makina opumira ali ndi vuto lakukomoka kwanthawi yayitali, izi zitha kuyika mamembala pabanja zovuta kuti asankhe kaya wokondedwa wawo apitilize kukhala opanda chidziwitso mothandizidwa ndi makinawo.

Mitundu yothandizira moyo

Mawotchi opumira

Zizindikiro za chibayo, COPD, edema, kapena mavuto ena am'mapapo zimapangitsa kuti zikhale zovuta kupuma nokha, yankho lakanthawi kochepa ndikugwiritsa ntchito makina opumira. Amatchedwanso makina opumira.

Wopuma amapuma pantchito yopereka mpweya ndikuthandizira kusinthana kwa gasi pomwe thupi lanu lonse limapuma ndipo limatha kuchiritsa.

Othandizira amagwiritsidwanso ntchito kumapeto kwa matenda osachiritsika, monga matenda a Lou Gehrig kapena kuvulala kwa msana.

Anthu ambiri omwe amafunikira kugwiritsa ntchito makina opumira amachira ndipo amatha kukhala opanda. Nthawi zina, thandizo la moyo limakhala chinthu chofunikira kuti munthu akhale ndi moyo.

Kubwezeretsanso mtima (CPR)

CPR ndiyeso yoyamba yothandizira kupulumutsa moyo wamunthu akasiya kupuma. Kumangidwa kwa mtima, kumira m'madzi, ndi kutsamwa ndizochitika zomwe munthu amene wasiya kupuma atha kupulumutsidwa ndi CPR.

Ngati mukufuna CPR, munthu amene akupereka CPR amakanikizani pachifuwa kuti magazi anu azipopa mumtima mwanu mukakomoka. Pambuyo pa CPR yopambana, dokotala kapena woyankha woyamba adzawona ngati njira zina zothandizira moyo kapena chithandizo chofunikira.

Kutsegula

Defibrillator ndi makina omwe amagwiritsa ntchito zikopa zamagetsi zakuthwa kuti musinthe mawonekedwe amtima wanu. Makinawa atha kugwiritsidwa ntchito pambuyo pazochitika zamtima, monga matenda amtima kapena arrhythmia.

Chotetezera makina chimatha kuchititsa kuti mtima wanu uzimenya bwino ngakhale mutadwala zomwe zingayambitse zovuta zambiri.

Zakudya zopangira

Zakudya zopangira m'malo mwake zimalowa m'malo mwa kudya ndi kumwa ndi chubu chomwe chimalowetsa zakudya m'thupi lanu.

Izi sizitanthauza kuthandizira pamoyo, popeza pali anthu omwe ali ndi vuto la kugaya kapena kudyetsa omwe ali athanzi omwe angadalire zakudya zopangira.

Komabe, zakudya zopangira mavitamini nthawi zambiri zimakhala gawo la njira yothandizira moyo ngati munthu sakomoka kapena sangathe kukhala wopanda chithandizo cha makina opumira.

Zakudya zopangira zitha kuthandizanso kukhalabe ndi moyo kumapeto kwa zovuta zina.

Chida chothandizira kumanzere (LVAD)

LVAD imagwiritsidwa ntchito ngati mtima walephera. Ndi chida chamakina chomwe chimathandiza mpweya wamanzere kupopera magazi mthupi.

Nthawi zina LVAD imakhala yofunikira pamene munthu akuyembekezera kumuika mtima. Sichilowa m’malo mwa mtima. Zimangothandiza kupopera mtima.

Ma LVAD amatha kukhala ndi zovuta zina, chifukwa chake munthu amene angalembetse mtima pamndandanda atha kusankha kuti asayikidwe kamodzi pambuyo pofufuza nthawi yawo yoyembekezera komanso chiopsezo ndi dokotala wawo.

Makina owonjezera a oxygenation (ECMO)

ECMO imatchedwanso kuti extracorporeal life support (ECLS). Izi ndichifukwa choti makina amatha kuchita ntchito yamapapu (veno-venous ECMO) kapena onse mtima ndi mapapo (veno-arterial ECMO).

Amagwiritsidwa ntchito makamaka kwa makanda omwe sanakule bwino mtima kapena machitidwe opumira chifukwa cha zovuta zazikulu. Ana ndi akulu amathanso kufunikira ECMO.

ECMO nthawi zambiri ndimankhwala omwe amagwiritsidwa ntchito njira zina zikalephera, koma atha kukhala othandiza. Pamene mtima wa munthu ndi mapapo ake zikulimbikira, makinawo akhoza kutsekedwa kuti thupi la munthuyo ligwire ntchito.

Nthawi zina, ECMO itha kugwiritsidwa ntchito koyambirira kuti iteteze kuwonongeka kwa mapapu kuchokera kumalo opumira.

Kuyambitsa chithandizo chamoyo

Madokotala amayamba kuthandizira pakakhala kuti zikuwonekeratu kuti thupi lanu likufunika kuthandizidwa kuti mupulumuke. Izi zitha kukhala chifukwa cha:

• kulephera kwa chiwalo
• kutaya magazi
• matenda omwe asokonekera

Ngati mwasiya malangizo olembedwa omwe simukufuna kuyikidwa pa chithandizo chamoyo, dotolo sangayambe ntchitoyi. Pali mitundu iwiri ya malangizo:

• osatsitsimutsa (DNR)
• lolani imfa yachilengedwe (NDI)

Ndi DNR, simudzatsitsimutsidwa kapena kupatsidwa chubu chopumira mukasiya kupuma kapena kumangidwa pamtima.

Ndi NDI, adotolo amalola chilengedwe kuti chichitike ngakhale mutafunikira chithandizo chamankhwala kuti mukhalebe ndi moyo. Kuyesetsa kulikonse kudzachitidwa kuti mukhale omasuka komanso opanda ululu, komabe.

Kuyimitsa chithandizo chamoyo

Ndiukadaulo wothandizira moyo, tili ndi kuthekera kosunga anthu amoyo kwanthawi yayitali kuposa kale. Koma pali nthawi zina pomwe zosankha zovuta zokhudzana ndi kuthandizira pamoyo zitha kukhala kwa okondedwa a munthu.

Ntchito yaubongo ya munthu ikaima, palibe mwayi wochira. Nthawi zomwe palibe zochitika zaubongo zomwe zapezeka, adotolo angavomereze kuti azimitsa makina opumira ndi kusiya zakudya zopangira.

Adokotala ayesa kangapo kuti atsimikizire kuti kulibe mwayi wochira asanapereke malingaliro awa.

Atazimitsa chithandizo chamoyo, munthu yemwe wamwalira muubongo adzafa mkati mwa mphindi zochepa, chifukwa sangathe kupuma payekha.

Ngati munthu ali ndi chimbudzi chokhazikika koma osafa muubongo, thandizo lawo limakhala ndimadzi ndi zakudya. Ngati izi zaimitsidwa, zingatenge kulikonse kuchokera kwa maola ochepa mpaka masiku angapo kuti ziwalo zofunika za munthuyo zizimitsidwe kwathunthu.

Mukamawona ngati mungazimitse thandizo la moyo, pali zinthu zambiri zomwe zimasewera. Mungafune kulingalira za zomwe munthuyo akadafuna. Izi zimatchedwa chiweruzo cholowa m'malo.

Njira ina ndikuganizira zomwe zimakonda wokondedwa wanu ndikuyesera kupanga chisankho potengera izi.

Ngakhale zitakhala bwanji, zisankhozi ndizokhudza munthu aliyense payekha. Zidzasinthanso malinga ndi matenda omwe munthu amene akukambidwayo akuchokera.

Zotsatira zowerengera

Palibe njira zodalirika za kuchuluka kwa anthu omwe amakhala ndi moyo atapatsidwa chithandizo kapena kuchotsedwa.

Zomwe zimayambitsa chifukwa chomwe anthu amapezera thandizo la moyo komanso zaka zomwe ali nazo pomwe thandizo la moyo likufunika zimapangitsa kukhala kosatheka kuwerengera zotsatira.

Koma tikudziwa kuti zovuta zina zimakhala ndi zotulukapo zabwino ngakhale munthu atathandizidwa.

Ziwerengero zikuwonetsa kuti anthu omwe amafunikira CPR atamangidwa pamtima amatha kuchira. Izi ndizowona ngati CPR yomwe amalandira imaperekedwa moyenera komanso nthawi yomweyo.

Pambuyo pa nthawi yomwe mumagwiritsa ntchito makina opumira, zolosera zamtsogolo za moyo zimakhala zovuta kumvetsetsa. Mukakhala pa makina opumira monga gawo lakumapeto kwa moyo kwa nthawi yayitali, mwayi wanu wopulumuka popanda izo umayamba kuchepa.

A anthu amapulumuka atachotsedwa makina opumira mwaupangiri wa dokotala. Zomwe zimachitika pambuyo pake zimasiyanasiyana kutengera matenda.

M'malo mwake, kafukufukuyu adapezeka kuti kafukufuku wowonjezera wazotsatira za nthawi yayitali kwa anthu omwe anali pa makina opumira amafunikira.

Kutenga

Palibe amene akufuna kumva ngati "zonse zili kwa iwo" akamapanga chisankho chokhudza kuthandizira moyo kwa wokondedwa. Ndi chimodzi mwazovuta komanso zamalingaliro zomwe mungakumane nazo.

Kumbukirani kuti si chisankho chotsani chithandizo chamoyo chomwe chingapangitse wokondedwa wanu kumwalira; ndi chikhalidwe chathanzi. Vutoli silimayambitsidwa ndi inu kapena lingaliro lanu.

Kuyankhula ndi abale ena, wopempherera kuchipatala, kapena wothandizira kumakhala kovuta panthawi yachisoni komanso popanga zisankho. Osakakamizidwa kupanga chisankho chokhudza kuthandizira pamoyo wanu kapena munthu amene mukumupanga sangakhale womasuka naye.