Ukuwashwa kwesisu: lapho kukhonjiswa nokuthi kwenziwa kanjani

-Delile

• Uma kukhonjisiwe
• Kwenziwa kanjani ukugeza isisu
• Izinkinga ezingenzeka zokuwasha
• Ubani okungafanele akwenze

Ukuhlanza isisu, okwaziwa nangokuthi ukuhlanza isisu, kuyindlela ekuvumela ukuthi ugeze ingaphakathi lesisu, ususe okuqukethwe okungakangeni emzimbeni. Ngakho-ke, le nqubo isetshenziswa kakhulu ezimweni zokungeniswa kwezinto ezinobuthi noma ezicasulayo, ezingekho i-antidote noma enye indlela yokwelashwa. Qonda okufanele ukwenze ngokushesha uma kwenzeka ufaka ubuthi.

Okufanelekile, ukuhlanzwa esiswini kufanele kwenziwe kungakapheli amahora amabili wokufaka into futhi kufanele kwenziwe esibhedlela ngumhlengikazi noma omunye uchwepheshe wezempilo ofanelekile ukugwema izinkinga ezinjengokulangazelela uketshezi oluya emaphashini.

Uma kukhonjisiwe

Ezimweni eziningi, ukuhlanzwa esiswini kusetshenziselwa ukuhlanza isisu uma kwenzeka kungeniswa imithamo ephezulu yezinto noma amakhambi angaba nobuthi emzimbeni, njenge:

• Ama-antihypertensives, njengepropranolol noma i-verapamil;
• I-Tricyclic antidepressants, njenge-Amitriptyline, Clomipramine noma i-Nortriptyline.

Kodwa-ke, akuwona wonke amacala okufakwa ngokweqile kwezinto ezidinga ukuhlanzwa esiswini. Indlela engcono yokuthola ukuthi ngabe le nqubo iyadingeka yini ngempela, nokuthi yini okufanele uyenze ukunciphisa ubungozi bezinkinga, wukubonisana ne- Isikhungo Sokwaziswa Sobuthi, ku-0800 284 4343.

Ngokuvamile, ukuhlanzwa kwesisu kungasetshenziselwa ukukhipha isisu ngaphambi kokuhlolwa kokuxilongwa, njenge-endoscopy, isibonelo. Thola kabanzi mayelana ne-endoscopy nokuthi kwenziwa nini.

Kwenziwa kanjani ukugeza isisu

Ukugeza isisu kudinga ukwenziwa esibhedlela ngumhlengikazi noma omunye uchwepheshe wezempilo oqeqeshiwe. Ngesikhathi senqubo, uchwepheshe kumele alandele lezi zinyathelo ezilandelayo:

1. Faka ishubhu esiswini ngomlomo noma ikhala esiswini;
2. Beka umuntu phansi bese umjikisa ohlangothini lwesobunxele, ukwenza lula ukuphuma kwesisu;
3. Xhuma isirinji eyi-100 mL kushubhu;
4. Susa okuqukethwe yisisu ukusebenzisa isipetu;
5. Beka u-200 kuya ku-300 ml wamanzi anosawoti afudumele ku-38ºC ngaphakathi esiswini;
6. Susa konke okuqukethwe yisisu futhi bese ufaka kabusha i-serum engama-200 kuye kwangama-300 ml;
7. Phinda lezi zinyathelo kuze kukhishwe okuqukethwe esiswini kube sobala.

Imvamisa, ukuthola ukuhlanzwa kwesisu okulungile, kuyadingeka ukusebenzisa i-saline efinyelela ku-2500 mL kuyo yonke inqubo. Endabeni yezingane, inani le-serum elidingekayo lingahluka phakathi kwe-10 kuye ku-25 mL ye-serum nge-Kg ngayinye yesisindo, kuze kufike ku-250 mL.

Ngemuva kokuwasha, kuyalulekwa futhi ukuthi ufake phakathi kuka-50 kuye ku-100 amagremu amalahle acushiwe esiswini, ukuvimbela ukumuncwa kwanoma iyiphi into esele esele esiswini. Endabeni yezingane, leli nani kufanele libe ngu-0,5 kuya ku-1 gram kuphela ngekhilogremu yesisindo.

Izinkinga ezingenzeka zokuwasha

Ngenkathi ukugeza isisu kuyindlela esindisa impilo yomuntu othathe umthamo ophakeme kakhulu wento enobuthi, nakho kungadala izinkinga ezithile. Okuvame kakhulu ukufisa uketshezi emaphashini, okungagcina kubangele inyumoniya, isibonelo.

Ukugwema le ngozi, inqubo kufanele yenziwe ngumhlengikazi futhi ehleli phansi, ngoba mancane amathuba oketshezi oludlula ezindleleni zomoya. Ezinye izinkinga ezingenzeka zibandakanya ukopha esiswini, ukuqhuma komphimbo noma ukugcwala komphimbo, okudinga ukwelashwa ngokushesha okukhulu esibhedlela.

Ubani okungafanele akwenze

Isinqumo sokwenza ukuhlanza isisu kufanele ngaso sonke isikhathi sihlolwe yithimba lezokwelapha, noma kunjalo, ukuhlanzwa kwesisu kuyaphikiswa ezimweni ezinjengalezi:

• Umuntu ongazi lutho ngaphandle kwe-intubation;
• Ukungeniswa kwezinto ezonakalisayo;
• Ubukhona be-varices esophageal varices obukhulu;
• Umthamo owedlulele wokuhlanza ngegazi.

Ngaphezu kwalokho, uma kwenziwe ukuhlinzwa emathunjini, ukuwasha nakho kudinga ukuhlolwa kahle, ngoba kunengozi enkulu yezinkinga.