Yidla Utshwala - Yazi izimpawu eziyisixwayiso nokuthi wenzeni

-Delile

• Lapho kungaba ikhoma elidakayo
• Okufanele ukwenze uma kwenzeka uqulekile
• Yelashwa kanjani

Ikhoma yotshwala yenzeka lapho umuntu equlekile ngenxa yemiphumela yotshwala obuningi emzimbeni. Imvamisa kwenzeka lapho uphuza ngokungalawuleki, weqa amandla wesibindi okwenza utshwala, okuholela ekudakweni kobuchopho nezitho ezahlukahlukene emzimbeni. Lapho kuhlolwe ngaphezu kuka-3 amagremu otshwala kwilitha ngalinye legazi, kuba sengozini enkulu yokuba nekhoma lotshwala.

Lesi simo sithathwa njengesimo esibi kakhulu, futhi uma singelashwa ngokushesha, singaholela ekufeni, ngenxa yokwehla kwamandla okuphefumula, ukwehla kwenhliziyo, kanye nokwehla kwamazinga eglucose egazini noma ezinye izinkinga njengokuthuthukiswa kwama-arrhythmias kanye ne-coma ene-acidic, ngokwesibonelo.

Lapho kutholakala izimpawu ezibonisa ikhoma elidakayo, njengokulahlekelwa ukwazi, ukulala ubuthongo obukhulu lapho umuntu engaziphenduli izingcingo noma izinto ezishukumisayo noma ubunzima ekuphefumuleni, kubalulekile ukubiza iSAMU noma i-ambulensi ngokushesha okukhulu, ukugwema ukubhebhethekisa isimo esingadala ukufa noma i-sequelae enamandla yezinzwa.

Lapho kungaba ikhoma elidakayo

Uphawu lwe-coma yotshwala ukuthi uqulekile noma uqulekile ngemuva kokuphuza ngokweqile. Ezinye izimpawu ezingabonakala ngaphambi kwe-coma yotshwala yilezi:

• Ukozela ngokweqile;
• Ukuquleka noma ukulahlekelwa ukwazi;
• Kunzima ukuveza amagama noma imishwana;
• Ukungakwazi ukugxilisa ingqondo;
• Ukulahlekelwa ukuzwela nokucabanga;
• Kunzima ukuhamba noma ukuma.

Lokhu kungenxa yokuthi yize, ekuqaleni, utshwala bunomphumela wokukhubaza, ukusetshenziswa ngokweqile kwalesi sidakamizwa kunomphumela ophambene, futhi kugcina kudala ukucindezeleka kohlelo lwezinzwa. Ngemuva kophuzo oludakayo, ukuvinjelwa ngokweqile kohlelo lwemizwa oluphakathi kungaholela ekuhlulekeni ukuqhubeka nokuphefumula, ukwehla kwenhliziyo nokuncipha komfutho wegazi, okungaholela ekufeni uma ukwelashwa kungenziwanga kahle.

Lezi zimpawu nezimpawu zivela lapho isibindi, esibhekele ukuxubana nokusiza ukuqeda utshwala, singasakwazi ukugaya bonke utshwala obungenisiwe, okuholela ekwandeni kokuhlushwa kwalesi sakhi sibe namazinga anobuthi egazini. Futhi hlola eminye imiphumela yotshwala emzimbeni.

Okufanele ukwenze uma kwenzeka uqulekile

Okokuqala, kubaluleke kakhulu ukuqaphela ukuvela kwezimpawu ezandulela ikhoma elidakayo, ikakhulukazi ubunzima bokuchaza amagama noma amabinzana, ukudideka, ukulala nokuhlanza, ngoba, uma umuntu esenezinga elithile lokwazi futhi akwazi ukudla , kungenzeka ukuvimbela ukwanda ngokufaka amanzi ngamanzi nokudla ukudla, ikakhulukazi ukudla okunoshukela.

Kodwa-ke, uma ukhomba ezinye zezimpawu ezikhombisa ikhoma elidakayo, kuyadingeka ukuthi ubize usizo lwezokwelapha ngokushesha, njenge-SAMU 192, ukuze umuntu asindiswe ngokushesha okukhulu.

Ngaphezu kwalokho, ize ifike i-SAMU, umuntu kufanele agcinwe elele ngohlangothi, endaweni ebizwa ngokuthi yicala lokuphepha ukugwema ukuminyana okungaba khona ngokuhlanza. Ukugwema i-hypothermia, kubalulekile ukuqinisekisa ukuthi umuntu umboziwe futhi usendaweni efudumele, lapho kungekho khona okusalungiswa okubandayo noma ukuchayeka ekushintsheni okungazelelwe kokushisa.

Akunconyelwa ukunikeza uketshezi, ukudla noma imishanguzo, uma umuntu engazi, ngoba kungakhuphula ubungozi bokuklinya. Akukhonjiswa futhi ngokwenza ukuhlanza kumuntu oqulekile noma ukugeza ngamanzi abandayo ukuzama ukumvusa. Uma umuntu ebanjwa umoya noma eshaya ngenhliziyo, kuyalulekwa ukuthi aqale indlela yokuvuselela amandla enhliziyo. Bheka ukuthi wenzeni ekuboshweni kwe-cardiopulmonary.

Yelashwa kanjani

Ukwelashwa kwe-coma yotshwala yithimba lezokwelapha kwenziwa nge-serum ngqo emthanjeni we-hydration, ukusiza ukusheshisa ukuqedwa kotshwala nokubuyiselwa, ngaphezu kwe-glucose efakwa emthanjeni, ukufakwa kwe-vitamin B1 kanye nokwenziwa kwamazinga e-electrolyte, uma kushintshiwe.

Ngaphezu kwalokho, uma kunesidingo, udokotela angancoma ukusetshenziswa kwemithi ye-antiemetic noma ye-anticonvulsant, ngokusho kwezimpawu ezethulwe yisiguli. Ukuqapha okuqhubekayo kwedatha ebalulekile yomuntu kuzodingeka, ngoba kungenzeka ukuthi kungenzeka kube kubi kwalesi simo kanye nokuboshwa kokuphefumula noma kwenhliziyo.

Ngemuva kokululama, kuyalulekwa ukwazisa isiguli nomndeni ngobungozi bokuluthwa utshwala futhi, uma kunesidingo, udlulisele lowo muntu esikhungweni esigxile ekwelapheni utshwala. Thola ukuthi ukwelashwa kotshwala kungenziwa kanjani.