Kuyini ukuhlukumezeka kwekhanda, izimpawu eziyinhloko nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izinhlobo zokuhlukumezeka ekhanda
• Izinketho zokwelashwa
• I-sequelae engenzeka
• Yini ebangela

Ukuhlukumezeka ekhanda, noma ukulimala ebuchosheni okulimazayo, ukulimala kogebhezi okudalwa ukushaywa noma ukuhlukumezeka ekhanda, okungafinyelela ebuchosheni kudale ukopha kanye namahlule. Lolu hlobo lokuhlukumezeka lungadalwa yizingozi zezimoto, ukuwa okungathi sína ngisho nangenxa yezingozi ezenzeka ngesikhathi semidlalo.

Izimpawu zokuhlukumezeka ekhanda zincike emandleni okushaywa nangobukhulu bengozi, noma kunjalo, okuvame kakhulu ukuphuma kwegazi ekhanda, endlebeni noma ebusweni, ukuquleka, ukulahleka kwememori, ukushintsha kombono namehlo acwebile.

Ukwelashwa kwalolu hlobo lokuhlukumezeka kufanele kwenziwe ngokushesha okukhulu, ngoba lapho kuqala ukwenziwa kwezinqubo zokwelashwa, maningi amathuba okuthi umuntu athole ukwelashwa futhi kwehle nengozi yokulandelana, njengokulahlekelwa ukunyakaza kwemilenze, ubunzima bokukhuluma noma ukukhuluma. ukubona.

Kwezinye izimo, kuyadingeka ukuthi uvuselelwe i-physiatrist, i-physiotherapist, i-occupational Therapist noma i-speech therapist, ukunciphisa imiphumela emibi ye-sequelae futhi, ngaleyo ndlela, sithuthukise izinga lempilo yomuntu owalimala kabi ebuchosheni.

Izimpawu eziyinhloko

Izimpawu zokuhlukumezeka ekhanda zingavela ngokushesha ngemuva kwengozi noma zivele kuphela ngemuva kwamahora ambalwa, noma ngisho namasonto, ngemuva kokushaywa ikhanda, okuvame kakhulu ukuthi:

• Ukuquleka nokulahleka kwememori;
• Kunzima ukubona noma ukulahleka kombono;
• Ikhanda elibuhlungu;
• Ukudideka nokukhuluma okushintshiwe;
• Ukulahlekelwa ibhalansi;
• Ukuhlanza;
• Ukopha kakhulu ekhanda noma ebusweni;
• Ukuphuma kwegazi noma uketshezi olucacile ngamakhala nangezindlebe;
• Ukozela ngokweqile;
• Amehlo amnyama noma amabala ansomi ezindlebeni;
• Abafundi abanobukhulu obuhlukahlukene;
• Ukulahlekelwa umuzwa engxenyeni ethile yomzimba.

Uma kwenzeka ingozi, umuntu eletha lezi zimpawu, kuyadingeka ukuthi ushayele i-ambulensi yakwa-SAMU, ngo-192, ngokushesha, ukuze kwenziwe ukunakekelwa okukhethekile. Kodwa-ke, kubalulekile ukuthi ungasinyakazisi isisulu, uhlole ukuphefumula futhi, uma umuntu engaphefumuli, kuyadingeka ukwenza ukubhucungwa kwenhliziyo. Bona okuningi ngosizo lokuqala lokuhlukumezeka ekhanda.

Ezinganeni, izimpawu zokuhlukumezeka ekhanda zingabandakanya ukukhala okuphikelelayo, ukukhathazeka ngokweqile noma ukozela, ukuhlanza, ukwenqaba ukudla nokugoba ikhanda, okuvame kakhulu ekuweni okuvela ezindaweni eziphakeme, njengetafula noma umbhede, ngokwesibonelo.

Izinhlobo zokuhlukumezeka ekhanda

Ukuhlukumezeka ekhanda kungahlukaniswa ngezinhlobo eziningana, ngokuya ngobukhulu besibhakela, izinga lokulimala kobuchopho kanye nezimpawu eziveziwe, njenge:

• Ukukhanya: luhlobo oluvame kakhulu, lapho umuntu elulama khona ngokushesha okukhulu, njengoba kubonakala ngokulimala okuncane kobuchopho. Kulezi zimo, umuntu uvamisile ukuchitha amahora ambalwa ebhekile esimweni esiphuthumayo futhi angaqhubeka nokwelashwa ekhaya, ehlala esabhekiwe;
• Maphakathi: kuqukethe ukulimala okuthinta indawo enkulu yobuchopho futhi umuntu usengozini enkulu yezinkinga. Ukwelashwa kufanele kwenziwe esibhedlela kanti umuntu kufanele alaliswe esibhedlela;
• Sína: kusekelwe ekulimaleni okukhulu kobuchopho, lapho kutholakala khona ukopha okukhulu ekhanda, futhi kulezi zimo, umuntu kufanele alaliswe esibhedlela e-ICU.

Ngaphezu kwalokho, ukulimala okubangelwa ukuhlukumezeka ekhanda kungagxila, okuyilapho befika khona endaweni encane yobuchopho, noma ekusakazekeni, okubonakala ngokulahleka komsebenzi engxenyeni enkulu yobuchopho.

Kunoma yisiphi salezi zimo, isazi sezinzwa sizohlola izindawo zobuchopho ezithintekile ngokwenza i-computed tomography, ngoba kusukela lapho kuqhubeke, kuzonconywa ukwelashwa okufanele futhi okuphephe kunazo zonke.

Izinketho zokwelashwa

Ukwelashwa kokuhlukumezeka ekhanda kuncike ohlotsheni, ukuqina nobukhulu bezilonda ebuchosheni futhi kukhonjiswa ngudokotela wezinzwa ngemuva kokwenza i-computed tomography noma i-magnetic resonance imaging, noma kunjalo, kungadingeka ukubona odokotela bakwezinye izinto ezikhethekile, njenge udokotela wamathambo, isibonelo. isibonelo.

Ezimweni ezimnene kakhulu, udokotela angancoma ukusetshenziswa kwemithi yezinhlungu, ama-suture noma okokugqoka, esimweni sokulimala okucijile, nesikhathi sokuqapha nokubheka ukuthi ngabe umuntu akazikhombisi yini izimpawu zokuqina, futhi kungenzeka ukukhishwa esibhedlela emahoreni ayi-12 okuqala, ukugcina amakhambi ngomlomo nangokubheka.

Kodwa-ke, ezimeni zokuhlukumezeka ekhanda okumaphakathi kuya kokubi kakhulu, lapho kukhona ukopha, ukuphuka noma ukulimala kanzima ebuchosheni, ukuhlinzwa kungakhonjiswa ukunciphisa ingcindezi ekhanda futhi kunciphise ukopha, ngakho-ke, ukungena e-ICU futhi umuntu kungadingeka ahlale izinsuku eziningi aze alulame. Ngaphezu kwalokho, i-coma ebangelwa njalo ingahle ithethelelwe, esebenza ukunciphisa umsebenzi wobuchopho ukuze kusheshiswe ukululama. Ngesikhathi sokuquleka okwenziwe umuntu, umuntu uphefumula ngamadivayisi futhi athole imishanguzo emthanjeni.

I-sequelae engenzeka

Ukuhlukumezeka ekhanda kungadala i-sequelae yomzimba futhi kuholele kuzinguquko zokuziphatha, ezingabonakala kungekudala ngemuva kokuhlukumezeka, noma zivele isikhashana kamuva. Eminye i-sequelae ebonakalayo ukulahleka kokuhamba kwezitho zomzimba, izinguquko kumbono, ukulawula ukuphefumula, amathumbu noma izinkinga zomchamo.

Umuntu olimale ekhanda usengaba nobunzima bokukhuluma, ukugwinya, ukulahleka kwememori, ukunganaki, ulaka, ukucasuka kanye nezinguquko kumjikelezo wokulala.

Kodwa-ke, ngemuva kokuhlonza ukulandelana, udokotela uzokhombisa ukuvuselelwa, okuyisethi yemisebenzi eyenziwe ngongoti abanjengochwepheshe bomzimba, i-physiotherapist, i-speech therapist, isazi sokusebenza kwengqondo, owelapha emsebenzini ozosiza ekutholeni ukunyakaza futhi athuthukise izinga lempilo yomuntu owahlukumezeka ekhanda.

Yini ebangela

Izimbangela ezinkulu zokuhlukumezeka ekhanda yizingozi zezimoto, yingakho, ngokuya ngokwanda, uhulumeni ubelokhu ethuthukisa amaphrojekthi nemikhankaso ehlose ukusetshenziswa kwamabhande ezihlalo nezigqoko.

Ezinye izimbangela zokuhlukumezeka ekhanda kungaba ukulimala okubangelwa yimidlalo eyedlulele, njengokushushuluza eqhweni, noma imisebenzi yokuzijabulisa, njengalapho umuntu ewela empophomeni bese eshaya ikhanda lakhe edwaleni noma lapho ewela echibini. Ukuwa kungadala nalolu hlobo lokuhlukumezeka kwengqondo futhi kuvame kakhulu kubantu asebekhulile nasezinganeni. Bona ukuthi yini enye okufanele uyenze ngemuva kokuwa.