Kuika anthu magazi pamavuto: chitsanzo cha ku Ireland

Matenda akulu a hemorrhage ndi chimodzi mwazomwe zimayambitsa kufa chifukwa cha kuvulala kwambiri komanso ntchito yatsopano yoika magazi omwe akuyembekezeka kuchepetsa ziwengo

Odwala ovutika m'chigawo cha Dublin / Wicklow akuvutika magazi owopsa kutsatira kuvulala kwakukulu sikumafunikiranso kudikirira kufikira iwo kuDipatimenti Yadzidzidzi (Emergency department (ED)) asanalandire magazi.

Opaleshoni yoika magazi ku chipatala cha St. Vincent's University Hospital (SVUH), mogwirizana ndi Wicklow Rapid Response (WWRR), omwe ndi chuma ku National Ambulansi Service (NAS), tsopano imatha kupereka magazi mwadzidzidzi ndi plasma mwachindunji pamalo owopsa.

Aka ndi koyamba ku Ireland kuti magazi azitha kupatsidwa magazi asanaperekedwe kuchipatala ndipo athandizanso chisamaliro chachikulu mu chisamaliro chomwe chimatha kuperekedwa kwa odwala atangochita zoopsa.

Kuyankha Mwansangala ndi chisamaliro chachipatala chisanachitike, kuyendetsedwa modzifunira ndi Dr David Menzies, Mlangizi wa Emergency Medicine kuchokera ku chipatala cha University of St. Vincent mogwirizana ndi National Ambulansi Service. Ndi imodzi mwazithandizo zingapo ku Ireland komwe madokotala amapatsidwa ntchito ndi NAS ku zovuta zapangozi zamankhwala komanso zoopsa komwe wodwalayo angapindule ndi chithandizo chamankhwala chofunikira m'mbali mwa msewu.

Njira yokhayo yamankhwala azachipatala chisanachitike pulumutsanso magazi omwe ali ndi vuto langozi yakhala ikugwiritsidwa ntchito mchere njira koma chifukwa sikhala ndi oxygen kapena machira, si chithandizo choyenera.

Tsopano, kukachitika magazi owopsa pangozi, dokotala wosamalira odwala WWRR azitha kupereka magazi opulumutsa moyo kwa odwala osadikira mpaka iwo atafika kuDipatimenti Yodzidzimutsa.

Dr David Menzies, wa pa chipatala cha University of St. Vincent adati: "Pali gulu la odwala omwe avulala kwambiri kuti tiwayembekezere magazi podikirira kuDipatimenti Yodzidzimutsa kuti atipatse magazi nthawi yomweyo. Kuika magazi prehospital kumachepetsa kwambiri nthawi yomwe imafunikira kupereka mankhwalawa. Kafukufuku wathu wapano akuwonetsa kuti odwala ochepa koma ofunikira amatha kupindula ndi izi chaka chilichonse. Malo operekera chithandizo chopulumutsa amoyo kuchipatala chisanachitike ndi omwe ali kale chisamaliro cha othandizira odwala omwe ali ndi chipatala chachikulu ku UK, North Europe, Australasia ndi USA. Ndizosangalatsa kuti tsopano titha kudzapereka kuno ku Ireland kwa nthawi yoyamba. ”

A Martin Dunne, Director of the National Ambulance Service adati: "Wodwala ndiye wofunika pantchito yathu ndipo NAS imakonda kwambiri zopereka zothandizira odwala asanachitike kuchipatala modzifunira. NAS ndiosangalala kuthandizira chisamaliro chakuchipatala cha odwala omwe amathandizidwa asanaperekedwe kuchipatala ndipo akuyembekezera kukulitsa ntchitoyi ”.

Dr Joan Fitzgerald, a Consultant Haematologist ku chipatala cha University of St. Vincent adati: "Kukula kwatsopano kumeneku kwakhala miyezi ingapo kukonzekera ndipo patithandiza kwambiri chithandizo chomwe titha kupereka kwa odwala ovulala kwambiri m'derali. The Medical Scientists mu Blood Transfusion Laborator adagwira ntchito mosamala ndi Dipatimenti Yodzidzimutsa, National Ambulance Service ndi Wicklow Rapid Response kuonetsetsa kuti makina ali otetezeka komanso otetezeka popanda kuwononga katundu wamagazi komanso kuthekera kwathunthu kwa 24 / 7 kuphatikiza nthawi ya tchuthi ”.

Kuphatikiza pa maselo ofiira, WWRR izikhala ndi zigawo ziwiri za plasma zolimbikitsa kutseka magazi. Ngakhale maselo ofiira amakhala ndi okosijeni, kuyika madzi a m'magazi mu 1: Chiwerengero cha 1 chokhala ndi maselo ofiira ndicho umboni wabwino kwambiri wolimbikitsira magazi, vuto lomwe ladziwika kwa odwala ovulala kwambiri. Mwazi wadzidzidzi ndi plasma zimaperekedwa maola aliwonse a 48 kuchokera ku labotale yothiridwa magazi ku SVUH ndikubwezeretsanso monga pakufunikira. Ngati sichinagwiritsidwe ntchito, zinthuzo zimabwezedwedwa mkati mwa maola a 48 ku labotale yakuyika magazi ku SVUH kuti mugwiritse ntchito kwina, kupewa kuwononga kulikonse. Zinthu zamagazi ndi zinthu zamtengo wapatali ndipo ziyenera kusungidwa. Zinthu zamagazizi zimasungidwa m'mabokosi a Credo © "Golden Hour", omwe amakhala kuti amawasungitsa kwa nthawi yayitali pa WWRR RRV ku 4oC potero ndikupangitsa magazi ndi madzi a m'magazi kupezekanso pamalo opezeka zowopsa.

Magazi akafunika pamavuto, iyenera kuyatsidwa ndi kutentha kwa thupi chomwe ndichofunikira popewa hypothermia ndi zovuta zina mwa odwala omwe amalandila magazi.

Chifukwa cha kupanga ndalama ndi zopereka, a St Vincent a Foundation posachedwapa atha kugula magazi ndi madzi ofunda kuti agwiritsidwe ntchito chipatala chisanachitike. Magazi a Qinflow © Wankhondo ndiwofunda kwamadzimadzi ndi mkhalidwe wa chipangizo chojambulidwa, chopangidwa makamaka kuti chisagwiritsidwe ntchito kuchipatala. Ichi ndi gawo loyamba lomwe likugwiritsidwa ntchito ku Ireland ndipo imatha kutentha madzi amkati ndi magazi kuchokera ku 4oC mpaka kutentha kwa thupi m'masekondi. Tili othokoza kwambiri kwa omwe amapereka ndi omwe amapereka ndalama zomwe zathandiza kuti izi zitheke

Dr Stephen Field, Medical & Scientific Director wa Irish Blood Transfusion Service anati: "Bungwe la IBTS ndiokondwa kuthandizira ntchitoyi, yomwe ipulumutsa moyo. Pali umboni wabwino wasayansi wokhudza kuikidwa magazi asanafike kuchipatala ndipo ndizofala kwina kulikonse. Zogulitsa zamagazi ndizofunikira nthawi zonse, ngati anthu angafune kuthandizira izi, imodzi mwanjira zabwino kwambiri zomwe angachitire izi ndikupereka magazi okha ".