I-Hypothermia

IHypothermia ukushisa komzimba okuyingozi, ngaphansi kuka-95 ° F (35 ° C).

Ezinye izinhlobo zokulimala okubandayo okuthinta izitho zibizwa ngokuthi ukulimala kwamakhaza asepheripherali. Kulezi, i-frostbite yiyona nto evame kakhulu ukulimala kweqhwa. Ukulimala okungabandi okuvela ekuchayekeni ezimweni ezibandayo ezimanzi kufaka phakathi umsele nonyawo lokucwiliswa. Ama-Chilblains (awaziwa nangokuthi i-pernio) amancane, ahlabayo noma abuhlungu izigaxa esikhunjeni ezivame ukwenzeka eminweni, ezindlebeni noma ezinzwaneni. Luhlobo lokulimala okungagodoli okuvela ezimweni ezibandayo nezomile.

Kungenzeka ukuthi uthuthukise i-hypothermia uma:

• Mdala kakhulu noma umncane kakhulu
• Ukugula okungalapheki, ikakhulukazi abantu abanezinkinga zenhliziyo noma zokugeleza kwegazi
• Abondlekile
• Ngikhathele ngokweqile
• Ukuthatha imithi ethile kadokotela
• Ngaphansi kwethonya lotshwala noma izidakamizwa

I-Hypothermia yenzeka lapho kulahleka ukushisa okuningi kunomzimba ongakwenza. Ezimweni eziningi, kwenzeka ngemuva kwesikhathi eside emakhazeni.

Izimbangela ezivamile zifaka:

• Ukuba ngaphandle ngaphandle kwezimpahla zokuzivikela ezanele ebusika
• Ukuwela emanzini abandayo echibini, emfuleni, noma kwenye indawo yamanzi
• Ukugqoka izingubo ezimanzi lapho kunomoya noma kubanda
• Ukuzikhandla okukhulu, ukungaphuzi uketshezi olwanele, noma ukungadli ngokwanele lapho kubanda

Lapho umuntu eba ne-hypothermia, kancane kancane balahlekelwa amandla okucabanga nokunyakaza. Eqinisweni, bangase bangazi nokuthi badinga ukwelashwa okuphuthumayo. Umuntu one-hypothermia naye kungenzeka abe nesithwathwa.

Izimpawu zifaka:

• Ukudideka
• Ukozela
• Isikhumba esiphaphathekile futhi esibandayo
• Ukuphefumula kancane noma ukushaya kwenhliziyo
• Ukuqhaqhazela okungalawulwa (yize kumazinga okushisa aphansi kakhulu, ukuqhaqhazela kungama)
• Ubuthakathaka nokulahleka kokuxhumana

I-Lethargy (ubuthakathaka nokulala), ukuboshwa kwenhliziyo, ukushaqeka, kanye ne-coma kungangena ngaphandle kokwelashwa okusheshayo. I-Hypothermia ingaba yingozi.

Thatha izinyathelo ezilandelayo uma ucabanga ukuthi othile une-hypothermia:

1. Uma umuntu enezimpawu ze-hypothermia ezikhona, ikakhulukazi ukudideka noma izinkinga zokucabanga, shayela u-911 khona manjalo.
2. Uma umuntu equlekile, hlola indlela yomoya, ukuphefumula, nokusakazwa kwegazi. Uma kunesidingo, qala ukutakula ukuphefumula noma i-CPR. Uma isisulu siphefumula ngaphansi kokuphefumula okungu-6 ngomzuzu, qala ukuphefumula kokutakula.
3. Thatha lowo muntu amngenise ekamelweni lokushisa bese umboza ngezingubo zokulala ezifudumele. Uma kungenzeki ukungena endlini, khipha lowo muntu emoyeni bese usebenzisa ingubo ukufaka ukufudumala emhlabathini obandayo.Mboza ikhanda nentamo yomuntu ukusiza ukugcina ukushisa komzimba.
4. Izisulu ze-hypothermia enamandla kufanele zisuswe endaweni ebandayo ngokuzikhandla okuncane ngangokunokwenzeka. Lokhu kusiza ukugwema imfudumalo ekuvinjweni kusuka emgodleni womuntu kuya ezicutshini. Kumuntu ophansi kakhulu we-hypothermic, ukuzivocavoca kwemisipha kucatshangwa ukuthi kuphephile, noma kunjalo.
5. Uma usungene ngaphakathi, susa noma yiziphi izingubo ezimanzi noma eziqinile bese uzifaka ngengubo eyomile esikhundleni sazo.
6. Afudumale umuntu. Uma kunesidingo, sebenzisa ukushisa komzimba wakho ukusiza ukufudumala. Faka izingcindezi ezifudumele entanyeni, odongeni lwesifuba, nasemgodini. Uma umuntu ephapheme futhi ekwazi ukugwinya kalula, mnike oketshezi olufudumele, olunoshukela, nolungelona utshwala ukusiza ukufudumala.
7. Hlala nalo muntu kuze kufike usizo lwezokwelapha.

Landela lezi zixwayiso:

• UNGACABANGI ukuthi umuntu otholwe elele enganyakazi emakhazeni usevele ushonile.
• Ungasebenzisi ukushisa okuqondile (njengamanzi ashisayo, iphedi yokufudumeza, noma isibani sokushisa) ukufudumeza umuntu.
• UNGAMUNIKI lowo muntu utshwala.

Shayela ku-911 noma kunini uma usola ukuthi othile une-hypothermia. Nikeza usizo lokuqala ngenkathi ulinde usizo oluphuthumayo.

Ngaphambi kokuchitha isikhathi ngaphandle emakhazeni, UNGAPHUZI ukuphuza utshwala noma ukubhema. Phuza uketshezi oluningi bese uthola ukudla okwanele nokuphumula.

Gqoka izingubo ezifanele emazingeni okushisa abandayo ukuze uvikele umzimba wakho. Lokhu kufaka phakathi:

• Ama-mittens (hhayi amagilavu)
• Ubufakazi bomoya, ukumelana namanzi, okokugqoka okuningi
• Amabili amasokisi (gwema ukotini)
• Isikhafu nesigqoko esivala izindlebe (ukugwema ukulahleka okukhulu kokushisa ngenhla kwekhanda lakho)

Gwema:

• Amazinga okushisa abanda kakhulu, ikakhulukazi ngemimoya ephezulu
• Izingubo ezimanzi
• Ukusakazeka okungalungile, okungenzeka kakhulu kusukela eminyakeni yobudala, izingubo eziqinile noma amabhuzu, izindawo eziminyene, ukukhathala, imithi ethile, ukubhema notshwala

Ukushisa komzimba okuphansi; Ukuchayeka kwamakhaza; Ukuchayeka

• Izendlalelo zesikhumba

I-Prendergast HM, i-Erickson TB. Izinqubo eziphathelene ne-hypothermia ne-hyperthermia. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 65.

UZafren K, uDanzl DF. Ukulimala kwamakhaza okubandayo nokungabandi. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 131.

UZafren K, uDanzl DF. Ingozi ye-hypothermia. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 132.