Isikhumba - i-clammy

Isikhumba seClammy sipholile, simanzi, futhi imvamisa siphaphathekile.

Isikhumba seClammy singaba yisimo esiphuthumayo. Shayela umhlinzeki wakho wezokunakekelwa kwezempilo noma inombolo yakho ephuthumayo yasendaweni, efana no-911.

Izimbangela zesikhumba se-clammy zifaka:

• Ukuhlaselwa kokukhathazeka
• Isifo senhliziyo
• Ukukhathala kokushisa
• Ukopha ngaphakathi
• Izinga le-oxygen ephansi yegazi
• Ukusabela kwezokwelapha
• I-Sepsis (ukutheleleka komzimba wonke)
• Ukusabela okweqile komzimba (anaphylaxis)
• Ubuhlungu obukhulu
• Ukushaqeka (umfutho ophansi wegazi)

Ukunakekelwa kwasekhaya kuncike kulokho okubangela isikhumba se-clammy. Shayela usizo lwezokwelapha uma ungaqiniseki.

Uma ucabanga ukuthi lo muntu uthukile, mlale phansi ngomhlane bese uphakamisa imilenze cishe ngamasentimitha ayi-12 (30 centimeters). Shayela inombolo yakho yendawo ephuthumayo (efana no-911) noma uyise lowo muntu esibhedlela.

Uma isikhumba se-clammy singabangelwa ukukhathala kokushisa futhi umuntu uvukile futhi angaginya:

• Yenza lowo muntu aphuze uketshezi oluningi (olungelona uphuzo oludakayo)
• Hambisa umuntu endaweni epholile, enomthunzi

Funa usizo lwezokwelapha ngokushesha uma lowo muntu enalezi zimpawu noma izimpawu ezilandelayo:

• Isimo sezempilo esishintshiwe noma ikhono lokucabanga
• Isifuba, isisu, noma iqolo noma ukungaphatheki kahle
• Ubuhlungu bekhanda
• Ukudlula kwegazi esitokisini: isitofu esimnyama, igazi elibomvu ngokukhanyayo noma i-maroon
• Ukuphalaza okuphindaphindiwe noma okuphikelelayo, ikakhulukazi kwegazi
• Ukusetshenziswa kabi kwezidakamizwa okungenzeka
• Ukuphelelwa umoya
• Izimpawu zokushaqeka (njengokudideka, izinga eliphansi lokuqwashisa, noma ukushaya ngamandla okubuthakathaka)

Njalo xhumana nodokotela wakho noma uye emnyangweni ophuthumayo uma izimpawu zingapheli ngokushesha.

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo mayelana nezimpawu kanye nomlando wezokwelapha womuntu, kufaka phakathi:

• Isikhumba se-clammy sakhula ngokushesha kangakanani?
• Kwake kwenzeka ngaphambili?
• Ingabe umuntu ulimele?
• Ingabe lo muntu usezinhlungwini?
• Ingabe umuntu ubonakala ekhathazekile noma ecindezelekile?
• Ngabe lo muntu usanda kuvezwa amazinga okushisa aphezulu?
• Yiziphi ezinye izimpawu ezikhona?

Ukuhlolwa nokwelashwa kungafaka:

• Ukusekelwa kwe-Airway, kufaka phakathi i-oxygen, ishubhu lokuphefumula ngomlomo (intubation), nomshini wokuphefumula (umshini wokuphefumula)
• Ukuhlolwa kwegazi nomchamo
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Uketshezi ngomthambo (ngemithambo yegazi noma nge-IV)
• Imithi yokwelapha izimpawu

Umbono uncike embangela yesikhumba se-clammy. Imiphumela yokuhlolwa kanye neyokuhlolwa izosiza ekuboneni ukubukeka kwangesikhathi esiseduze nesikhathi eside.

Umjuluko - kubanda; Isikhumba seClammy; Umjuluko obandayo

UBrown A. Ukunakekelwa okubucayi. Ku: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, abahleli. Incwadi Yemithi Ephuthumayo Yabantu Abadala. Umhla wesi-4. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2015: isahluko 2.

UBrown A. Ukuvuselelwa. Ku: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, abahleli. Incwadi Yemithi Ephuthumayo Yabantu Abadala. Umhla wesi-4. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2015: isahluko 1.

Marik PE. I-Endocrinology yempendulo yengcindezi ngesikhathi sokugula okunzima. Ku: Ronco C, Bellomo R, Kellum JA, Ricci Z, abahleli. Ukunakekelwa Okubalulekile I-Nephrology. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 76.

IPuskarich MA, uJones AE. Ukushaqeka. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 6.