Izimo eziphuthumayo zokushisa

Izimo eziphuthumayo zokushisa noma ukugula kubangelwa ukuchayeka ekushiseni okukhulu nelanga. Ukugula okushisa kungavinjelwa ngokunakekela lapho kushisa, kunomswakama.

Ukulimala kokushisa kungenzeka ngenxa yokushisa okuphezulu nomswakama. Kungenzeka ukuthi uzwe imiphumela yokushisa ngokushesha uma:

• Awujwayele ukushisa okuphezulu noma umswakama ophezulu.
• Uyingane noma umuntu omdala osekhulile.
• Usuvele ugula ngesinye isizathu noma ulimele.
• Ukhuluphele ngokweqile.
• Uyazivocavoca futhi. Ngisho nomuntu osesimweni esihle angahlushwa ukushisa uma izimpawu zokuxwayisa zinganakwa.

Okulandelayo kwenza kube nzima ngomzimba ukulawula izinga lokushisa, futhi kwenze ukuphuthuma kokushisa kube lula kakhulu:

• Ukuphuza utshwala ngaphambi noma ngesikhathi sokushisa noma ukushisa okuphezulu
• Ukungaphuzi uketshezi olwanele uma usebenza ngezinsuku ezifudumele noma ezishisayo
• Isifo senhliziyo
• Imithi ethile: Izibonelo i-beta-blockers, amaphilisi amanzi noma i-diuretics, eminye imithi esetshenziselwa ukwelapha ukudana, i-psychosis, noma i-ADHD
• Izinkinga zezindlala zomjuluko
• Ukugqoka izingubo eziningi kakhulu

Amajaqamba okushisa yisigaba sokuqala sokugula ngokushisa. Uma lezi zimpawu zingelashwa, zingaholela ekukhathaleni kokushisa bese kuthi ukushisa okushisayo.

Ukushaywa ukushisa kwenzeka lapho umzimba ungasakwazi ukulawula izinga lokushisa, futhi ulokhu ukhuphuka. Ukushiswa ukushisa kungabangela ukushaqeka, ukulimala kobuchopho, ukwehluleka komzimba, ngisho nokufa.

Izimpawu zokuqala zokuqaqamba kokushisa zifaka:

• Ukukhathala
• Izinhlungu zemisipha nezinhlungu ezivame ukwenzeka emilenzeni noma esiswini
• Omile
• Ukujuluka okusindayo

Izimpawu zakamuva zokukhathala kokushisa zifaka:

• Isikhumba esipholile, esimanzi
• Umchamo omnyama
• Isiyezi, ikhanda elikhanyayo
• Ubuhlungu bekhanda
• Isicanucanu nokuhlanza
• Ubuthakathaka

Izimpawu ze-heatstroke zifaka (shayela ku-911 noma inombolo yendawo ephuthumayo khona lapho):

• Umkhuhlane - izinga lokushisa elingaphezu kuka-104 ° F (40 ° C)
• Isikhumba esomile, esishisayo, nesibomvu
• Ukudideka okukhulu (izinga eliguquliwe lokwazi)
• Ukuziphatha okungenangqondo
• Kuyashesha, ukuphefumula okungajulile
• Ishayela ngokushesha, ebuthakathaka
• Ukuquleka
• Ukungazi lutho (ukulahlekelwa ukuphendula)

Uma ucabanga ukuthi umuntu angahle abe nokugula okushisa noma okuphuthumayo:

1. Umuntu alale phansi endaweni epholile. Phakamisa izinyawo zomuntu cishe ngamasentimitha ayi-12 (amasentimitha angama-30).
2. Faka izindwangu ezipholile, ezimanzi (noma amanzi apholile ngqo) esikhunjeni somuntu bese usebenzisa ifeni ukwehlisa ukushisa komzimba. Beka izingcindezi ezibandayo entanyeni yomuntu, emgodini nasekhwapheni.
3. Uma uqaphile, nikeza umuntu isiphuzo ukuba asiphuze (njengesiphuzo sezemidlalo), noma wenze isiphuzo esinosawoti ngokufaka isipuni (6 amagremu) kasawoti ilitha elilodwa lamanzi. Nikeza uhhafu wenkomishi (120 milliliters) njalo ngemizuzu eyi-15. Amanzi apholile azokwenza uma iziphuzo zikasawoti zingatholakali.
4. Ukuze uthole amajaqamba, nika iziphuzo njengoba kuphawuliwe ngenhla bese uhlikihla imisipha ethintekile ngobumnene, kodwa ngokuqinile, ize ikhululeke.
5. Uma umuntu ekhombisa izimpawu zokwethuka (izindebe eziluhlaza okwesibhakabhaka nezinzipho nokuncipha kokuqwashisa), eqala ukuquleka, noma alahlekelwe ukwazi, shayela u-911 bese unikeza usizo lokuqala lapho kudingeka.

Landela lezi zixwayiso:

• UNGANIKI umuntu imithi esetshenziselwa ukwelapha umkhuhlane (njenge-aspirin noma i-acetaminophen). Ngeke zisize, futhi zingaba yingozi.
• Ungamniki umuntu amaphilisi kasawoti.
• UNGAMUNIKI umuntu uketshezi oluqukethe utshwala noma i-caffeine. Zizokwenza kube nzima ngomzimba ukulawula ukushisa kwawo kwangaphakathi.
• UNGAYisebenzisi imishanguzo yotshwala esikhunjeni somuntu.
• UNGANIKI umuntu ngomlomo (ngisho iziphuzo ezinosawoti) uma lowo muntu ehlanza noma equlekile.

Shayela ku-911 uma:

• Umuntu ulahlekelwa ukwazi noma nini.
• Kukhona noma yiluphi olunye ushintsho ekuxwayeni komuntu (isibonelo, ukudideka noma ukuquleka).
• Umuntu unemfiva engaphezu kuka-102 ° F (38.9 ° C).
• Ezinye izimpawu ze-heatstroke zikhona (njenge-pulse esheshayo noma ukuphefumula okusheshayo).
• Isimo somuntu asithuthuki, noma siba sibi yize elashwa.

Isinyathelo sokuqala ekuvimbeleni izifo zokushisa ukucabanga phambili.

• Thola ukuthi izinga lokushisa lizoba yini usuku lonke lapho uzobe ungaphandle.
• Cabanga ngokuthi ubhekane kanjani nokushisa esikhathini esedlule.
• Qinisekisa ukuthi uzoba neziphuzo eziningi ongaziphuza.
• Thola ukuthi ukhona yini umthunzi lapho uya khona.
• Funda izimpawu zokuqala zokugula ngokushisa.

Ukusiza ukuvikela ukushisa okushisa:

• Gqoka izingubo ezikhululekile, ezingasindi futhi ezinombala okhanyayo uma kushisa.
• Phumula njalo futhi ufune umthunzi lapho kungenzeka.
• Gwema ukuzivocavoca noma ukuvivinya umzimba ngaphandle ngesikhathi sezulu esishisayo noma esiswakeme.
• Phuza uketshezi oluningi nsuku zonke. Phuza uketshezi oluningi ngaphambi kokuvivinya umzimba, ngesikhathi nangemva kokuvivinya umzimba.
• Qaphela kakhulu ukugwema ukushisa uma uthatha izidakamizwa eziphazamisa ukulawulwa kokushisa, noma uma ukhuluphele ngokweqile noma umuntu osekhulile.
• Qaphela izimoto ezishisayo ehlobo. Vumela imoto ukuthi ipholise ngaphambi kokungena.
• UNGALOKOTHI ushiye ingane ihleli emotweni ishiswe yilanga elishisayo, noma ngabe ivule amawindi.

Ngemuva kokululama ekuguleni okushisayo, buza umhlinzeki wakho wokunakekelwa kwezempilo ukuthola izeluleko ngaphambi kokubuyela ekuzikhandeni okunzima. Qala ukuzivocavoca endaweni epholile futhi wandise kancane izinga lokushisa. Ngaphezu kwamasonto amabili, khulisa ukuthi uzivivinya isikhathi eside kangakanani nokuthi kunzima kangakanani, kanye nenani lokushisa.

Ukushisa komzimba; Ukugula okushisa; Ukwehla kwamanzi emzimbeni - ukushisa okuphuthumayo

• Izimo eziphuthumayo zokushisa

U-O'Brien KK, uLeon LR, uKenefick RW, u-O'Connor FG. Ukuphathwa kwemitholampilo kwezifo ezihlobene nokushisa. Ku: Auerbach PS, Cushing TA, Harris NS, eds. Imithi Yasehlane Lase-Auerbach. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 13.

UPlatt M, Intengo MG. Ukugula okushisa. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 133.

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 66.

USawka MN, u-O'Connor FG. Ukuphazamiseka ngenxa yokushisa namakhaza. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 101.