Ukuquleka - usizo lokuqala

Ukuquleka kulapho umuntu engakwazi ukuphendula kubantu nakwimisebenzi. Odokotela bavame ukubiza lokhu njenge-coma noma ukuba sesimeni se-comatose.

Olunye ushintsho ekuqwashiseni kungenzeka ngaphandle kokuquleka. Lokhu kubizwa ngokuthi kushintshiwe isimo sengqondo noma isimo sengqondo esishintshiwe. Kubandakanya ukudideka okungazelelwe, ukudideka, noma ukulala.

Ukungazi noma olunye ushintsho olungazelelwe esimweni sengqondo kufanele kuthathwe njengesimo esiphuthumayo sezokwelapha.

Ukuquleka kungabangelwa cishe noma yikuphi ukugula noma ukulimala okukhulu. Kungabangelwa futhi nayizidakamizwa (izidakamizwa) nokusetshenziswa kotshwala. Ukuminywa kwento kungaholela nasekuqulekeni.

Ukuquleka okufushane (noma ukuquleka) kuvame ukubangelwa ukuphelelwa ngamanzi emzimbeni, ushukela ophansi wegazi, noma umfutho wegazi ophansi wesikhashana. Kungabangelwa nezinkinga ezinkulu zenhliziyo noma zesistimu yezinzwa. Udokotela uzonquma ukuthi ngabe umuntu othintekile udinga ukuhlolwa yini.

Ezinye izimbangela zokuphelelwa amandla zifaka ukuhlunga ngesikhathi sokunyakaza kwamathumbu (vasovagal syncope), ukukhwehlela kanzima, noma ukuphefumula ngokushesha okukhulu (hyperventilating).

Umuntu uzobe engaphenduli (akaphenduli emsebenzini, ukuthinta, umsindo, noma okunye ukugqugquzela).

Izimpawu ezilandelayo zingenzeka ngemuva kokuthi umuntu engazi lutho:

• I-Amnesia yezenzakalo (ezingakhumbuli) ngaphambi nangesikhathi sokungazi
• Ukudideka
• Ukozela
• Ubuhlungu bekhanda
• Ukungakwazi ukukhuluma noma ukuhambisa izingxenye zomzimba (izimpawu zohlangothi)
• Ubumhlophe
• Ukulahlekelwa wukulawulwa kwamathumbu noma kwesinye (ukungalawuleki)
• Ukushaya kwenhliziyo okusheshayo (ukushaya kwenhliziyo)
• Ukushaya kwenhliziyo okuhamba kancane
  
• Isiphukuphuku (ukudideka okunzima nobuthakathaka)

Uma umuntu equlekile ngokuklinyeka, izimpawu zingafaka:

• Ukungakwazi ukukhuluma
• Kunzima ukuphefumula
• Ukuphefumula okunomsindo noma imisindo ephezulu ngenkathi uhogela
• Ukukhwehlela okuntekenteke
• Umbala wesikhumba o-Bluish

Ukulala akufani nokungazi. Umuntu olele uzophendula emisindweni enkulu noma ukuzamazama okuncane. Umuntu oqulekile ngeke.

Uma othile ephaphile kodwa ephapheme kunokujwayelekile, buza imibuzo embalwa elula, efana nale:

• Ubani igama lakho?
• Luyini usuku?
• Uneminyaka emingaka?

Izimpendulo ezingalungile noma ukungakwazi ukuphendula umbuzo kusikisela ushintsho esimweni sengqondo.

Uma umuntu equlekile noma enoshintsho esimweni sengqondo, landela lezi zinyathelo zosizo lokuqala:

1. Shayela noma utshele othile ukuthi akwenze shayela ku-911.
2. Bheka indlela yomoya yomuntu, ukuphefumula, nokushaya kwenhliziyo njalo. Uma kunesidingo, qala i-CPR.
3. Uma umuntu ephefumula futhi elele ngomhlane, futhi ungacabangi ukuthi kukhona ukulimala komgogodla, gingqa lowo muntu ngokucophelela uye kuye ohlangothini lwakhe. Gobisa umlenze ongaphezulu ukuze zombili izinqulu namadolo kungama-engeli angakwesokudla. Gwema ngobumnene ikhanda labo emuva ukugcina umoya uvulekile. Uma ukuphefumula noma ukushaya kwenhliziyo kumisa nganoma yisiphi isikhathi, gingqela umuntu emhlane wakhe bese uqala i-CPR.
4. Uma ucabanga ukuthi kukhona ukulimala komgogodla, shiya umuntu lapho ubathole khona (inqobo nje uma ukuphefumula kusaqhubeka). Uma umuntu ehlanza, gingqa umzimba wonke ngasikhathi sinye eceleni kwakhe. Sekela intamo yabo nomhlane ukugcina ikhanda nomzimba kusendaweni efanayo ngenkathi ugingqa.
5. Gcina umuntu efudumele kuze kufike usizo lwezokwelapha.
6. Uma ubona umuntu equleka, zama ukuvimbela ukuwa. Beka umuntu phansi phansi uphakamise izinyawo cishe ngamasentimitha ayi-12 (amasentimitha angama-30).
7. Uma ukuquleka kungenzeka kungenxa kashukela ophansi wegazi, nikeza umuntu okuthile okumnandi ukuba akudle noma akuphuze kuphela lapho esezwa.

Uma umuntu equlekile ngokuklinyeka:

• Qala i-CPR. Ukucindezelwa kwesifuba kungasiza ukukhipha into.
• Uma ubona okuthile okuvimba indlela yomoya futhi kungasebenzi, zama ukuyisusa. Uma into ifakwe emphinjeni womuntu, UNGAZAMI ukuyibamba. Lokhu kungadudula into iye phambili ku-airway.
• Qhubeka ne-CPR bese uqhubeka ubheka ukubona ukuthi into ikhishiwe kuze kufike usizo lwezokwelapha.

• UNGANIKI ukudla noma isiphuzo kumuntu oqulekile.
• Ungamshiyi yedwa.
• UNGABEKI umqamelo ngaphansi kwekhanda lomuntu oqulekile.
• UNGABASHAYI ngempama ubuso bomuntu oqulekile noma ufafaze amanzi ebusweni babo ukuzama ukumvuselela.

Shayela ku-911 uma umuntu equlekile futhi:

• Ayibuyeli kumqondo ngokushesha (kungakapheli umzuzu)
• Uwile phansi noma ulimele, ikakhulukazi uma bopha
• Unesifo sikashukela
• Ukuquleka
• Ulahlekelwe ukulawula kwesisu noma kwesisu
• Akuphefumuli
• Ukhulelwe
• Uneminyaka engaphezu kwengu-50

Shayela ku-911 uma umuntu ebuya, kodwa:

• Uzwa ubuhlungu besifuba, ingcindezi, noma ukungaphatheki kahle, noma ukushaya kwenhliziyo okushaya ngamandla noma okungajwayelekile
• Abakwazi ukukhuluma, banezinkinga zokubona, noma abakwazi ukuhambisa izingalo nemilenze yabo

Ukuvimbela ukuquleka noma ukuquleka:

• Gwema izimo lapho izinga likashukela egazini lakho liphansi kakhulu.
• Gwema ukuma endaweni eyodwa isikhathi eside unganyakazi, ikakhulukazi uma ujwayele ukuquleka.
• Thola uketshezi olwanele, ikakhulukazi esimweni sezulu esifudumele.
• Uma uzizwa sengathi uzoquleka, lala phansi noma uhlale ikhanda lakho ligobile phambili phakathi kwamadolo akho.

Uma unesimo sezempilo, esifana nesifo sikashukela, hlala ufaka umgexo oyisixwayiso wezokwelapha noma isongo.

Ukulahlekelwa ukwazi - usizo lokuqala; Coma - usizo lokuqala; Ukushintsha kwesimo sengqondo; Isimo sengqondo esishintshile; I-Syncope - usizo lokuqala; Ukuphelelwa amandla - usizo lokuqala

• Ukudideka kubantu abadala - ukukhipha
• Impikiswano kubantu abadala - okufanele ubuze udokotela wakho
• Ukudideka ezinganeni - ukukhipha
• Ukushayisana ezinganeni - okufanele ubuze udokotela wakho
• Ukuvimbela ukulimala ekhanda ezinganeni

• Indawo yokutakula - uchungechunge

I-American Red Cross. Ibhukwana Lomhlanganyeli Wosizo Lokuqala / i-CPR / AED. Okwesibili. IDallas, TX: I-American Red Cross; 2016.

UCrocco TJ, uMeurer WJ. Unhlangothi. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 91.

UDe Lorenzo RA. I-Syncope. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 12.

UKleinman ME, uBrennan EE, uGoldberger ZD, et al. Ingxenye 5: ukwesekwa kwabantu abadala okuyisisekelo kanye nekhwalithi yokuvuselelwa kwe-cardiopulmonary: Ukuvuselelwa kwemikhombandlela ye-2015 American Heart Association yokuvuselelwa kwenhliziyo kanye nokunakekelwa okuphuthumayo kwenhliziyo. Ukujikeleza. 2015; 132 (18 Suppl 2): ​​S414-S435. I-PMID: 26472993 www.ncbi.nlm.nih.gov/pubmed/26472993.

U-Lei C, Smith C. Ukucindezeleka nokwazi nokudangala. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahl13.