Ukutshintsha kwemozulu kunye nokulawulwa kweentlekele kuye kwaphakamisa ukubaluleka kweeprothokholi ezinxulumene ne-hypothermia kaxakeka, ekufuneka yaziwe ngumhlanguli kwakhona kulawulo lobomi bemihla ngemihla.

Enyanisweni, ulwazi lweenkqubo ze-hypothermia aluyomfuneko, xa kujongwa amaqela aethe-ethe abemi ekufuneka ajamelane nobunzima bengqele kuzo zonke iindawo zehlabathi.

Yintoni Hypothermia?

I-Hypothermia yimeko yonyango enzima apho umzimba ulahlekelwa bubushushu ngokukhawuleza kunokuba udala.

Ubushushu bomzimba wokuphumla ngu-98.6 ºF (37 °C), kwaye ukuba ubushushu bomzimba buhamba ngaphantsi kwe-95 ºF, emva koko i-hypothermia iyenzeka.

Njengoko ubushushu bomzimba buhlala ngaphantsi kwe-95 ºF (35 °C) okanye buqhubeka nokuhla, umzimba uya kuqalisa ukuvala amalungu angafunekiyo ukugcina umbindi ushushu.

Xa enganyangwa, amalungu abalulekileyo aya kuvaleka, nto leyo ekhokelela ekubanjweni kwentliziyo nokufa.

Ziziphi izizathu kunye neempawu ze-Hypothermia?

I-Hypothermia idla ngokubangelwa xa umntu etyhile ixesha elide kwindawo ebanda kakhulu ixesha elide.

Kwiqondo lokushisa elibandayo, i-hypothermia ingenzeka kwimizuzu embalwa.

Nangona kunjalo, kunokwenzeka naxa umntu evezwe kwiimeko ezibandayo ezipholileyo, ezifana namanzi angaphantsi kwe-70 ° F (21 ° C).

Amanzi abandayo angoyena nobangela uxhaphakileyo kwaye ubulalayo we-hypothermia njengoko amanzi anokukhawuleza ukuhambisa ubushushu kude nomzimba.

Eyona ndlela yokuzikhusela kwi-hypothermia kwindawo ebandayo kukukhawulela ubungakanani besikhumba esivezwayo.

Utsalela nini umnxeba kwiNombolo kaXakeka

I-Hypothermia ibonakala lula; nangona kunjalo, ubunzima be-hypothermia bunokuba ngumngeni ngakumbi ukuqiniseka.

Eyona ndlela isebenzayo yokulinganisa ubunzulu be-hypothermia yomntu kukujonga isimo sakhe sengqondo.

Kwakwinqanaba lokuqala, izigulane zinokubhideka okanye zingaphenduli.

Kwinqanaba lokugqibela le-hypothermia, isigulane sinokuqala ukukhulula iimpahla ezinyusa izinga lokulahleka kobushushu.

Oku kubhekiselwa kuko njengokunganxibi okumangalisayo, okwenzeka ngexesha eliphakathi kunye ne-hypothermia enzima, njengoko umntu eqhubeka edidekile kwaye edidekile.

Njengoko i-hypothermia iba yingozi ngakumbi, kunokuba nzima ukulinganisa iimpawu ezibalulekileyo.

Jonga amanqanaba eglucose yegazi, njengoko ukungcangcazela kunokubangela ukuba i-glucose isetyenziswe ngokukhawuleza.

Xa ujonga i-pulse yesigulana, kubalulekile ukuba ucokise kwaye uthathe ixesha.

Ukwehla kobushushu bomzimba kubangela i-vasoconstriction, okwenza i-pulse ingavakali kwaye kube nzima ukuyibona.

Thatha imizuzwana engama-30 ukuya kumzuzu ukufumana ukubetha kwentliziyo.

Ukuba umntu unobushushu bomzimba obungaphantsi kwe-95 ºF (35 ºC), oku kunokubangela unxunguphalo lwezonyango, kwaye unyango olukhawulezileyo lunokufuneka.

Ukuba iqondo lobushushu alinakuthatyathwa, olona phawu lothusayo ibiya kuba kukudodobala kwemeko yengqondo yomntu. Ukuba umntu uyangcangcazela, uyagodola, avuleke abafundi, izihlunu eziqinileyo, ukuphefumla kade okanye intliziyo ibetha kade, ezi mpawu zisenokubangela unyango olukhawulezileyo.

Ukuba unyango alufumaneki, isenzo esilungileyo kukukhupha kwindawo ebandayo kwaye uqale unyango.

Indlela yokuNyanga i-Hypothermia

Kuya kufuneka ubuyisele ubushushu obuphambili besigulana ukulwa ne-hypothermia.

Isinyathelo sokuqala sokunyanga i-hypothermia ihlala isusa isigulane kwindawo ebandayo.

Oku kubandakanya ukususa iimpahla ezimanzi, ukomisa ulusu, kunye nokugquma isigulane ngengubo okanye ukusebenzisa iipakethe zokushisa kwi-armpits nakwi-groin kunye nesisu, kunye nokufudumala kwe-IV fluids ukuqala ukuvelisa ubushushu.

Ngenxa yokuba intliziyo isesichengeni sesingqi sentliziyo esiyingozi, akufuneki ukuba ifakwe kulo naluphi na uxinezeleko olungeyomfuneko.

Kuphephe ukuhambisa isigulana kangangoko kunokwenzeka kwaye ugxininise ekuveliseni ubushushu bomzimba wesigulana.

Ii-EMTs kunye neeParamedics Ziyiphatha njani i-Hypothermia e-US?

Ii-EMTs kunye neeParamedics kufuneka zibe noqeqesho olufanelekileyo kunye izixhobo ukunyanga i-hypothermia ngempumelelo.

I-hypothermia epholileyo inokunyangwa ngokufudumeza okuqhelekileyo; ukugquma isigulana nje ngeengubo, ukusikhusela kwindawo ebandayo, nokumnika isiselo esishushu kunokunceda ekubuyiseleni ubushushu obungundoqo besigulana.

Izixhobo ezintsonkothileyo zidla ngokufuneka ukubuyisela ubushushu obungundoqo obufanelekileyo kwiimeko ezinzima.

Esinye isisombululo esisebenzayo sokubuyisela ubushushu bomzimba sinokufudumeza igazi kwakhona.

Kutsalwa igazi lomguli, lifudunyezwe kumatshini wokuhlaziya igazi, lize libuyiselwe emzimbeni.

Kwii-EMTs ezifakwe kwiifayile ezingakwaziyo ukufikelela kumatshini we-hemodialysis, ukufudumeza kwendlela yomoya bubuchule obunokunceda ukufudumeza ubushushu besigulana.

Ukufudumala kwendlela yomoya kusebenzisa imaski yeoksijini efumileyo okanye ityhubhu yeempumlo ethe yafudunyezwa ukunyusa ubushushu bomzimba.

Zeziphi ezinye zeZixhobo eziyimfuneko ezifunwa yi-EMTs kunye neeParamedics ekuxilongweni nasekunyangeni i-Hypothermia

• Okokuqala kunye nokuphambili, i-EMT elungiselelwe kakuhle kufuneka ibe ne-thermometer ukulandelela ubushushu besigulane. Kwixesha elidlulileyo izixhobo ezisisiseko ezifunekayo ukujonga isigulana, kukho izixhobo eziluncedo kunyango lwe-hypothermia:
• Thermometer: Ukulinganisa ubushushu bomzimba.
• Ikhafu yoxinzelelo lwegazi: Ukubeka iliso kuxinzelelo lwegazi, olunokuthi lwehle kwizigulana ezine-hypothermic.
• Iimaski zeoksijini: Ukubonelela ngeoksijini eyongezelelweyo, ehlala ifuneka kwizigulana ezine-hypothermic ezama ukuphefumla.
• Ulwelo lwe-IV: Ukubuyisela ulwelo olulahlekileyo ngenxa yokubanda ngenxa yokubanda kunye nokunceda ukufudumala umzimba ukusuka ngaphakathi nangaphandle.
• Iingubo zokufudumeza: Ukufudumeza isigulana kunye nokuthintela ukulahleka kobushushu ngakumbi.
• Izixhobo zokubeka iliso: Ukuhlola ukubetha kwentliziyo yesigulana, ukuphefumla, nezinye iimpawu ezibalulekileyo.
• Istretcher: Ukuthutha isigulana ngokukhuselekileyo nangokukhululekileyo ukuya esibhedlele.
• Amayeza: Ukunyanga naziphi na iimeko ezinxulumene nazo okanye iingxaki, ezinjengeentlungu, ukuxhalaba, okanye iingxaki zentliziyo.
• Ukuqinisekisa ukuba ikiti yakho ixhotyiswe ngeziseko zokunceda ukunyanga i-hypothermia inokuthetha umahluko phakathi kobomi nokufa kwizigulane zakho.

Uqeqesho lweeMpendulo ze-EMT kwi-Hypothermia

Uqeqesho lwe-EMT lulungiselela abantu ukuba baphendule kwiimeko ezingxamisekileyo ezahlukeneyo, kubandakanywa iimeko eziphuthumayo zentliziyo ezifana nokuhlaselwa kwentliziyo, iintlungu ezinjengokuphuka kwamathambo, ukuchithwa, ukutyunjwa, kunye neemeko ezingxamisekileyo zendalo ezifana neemeko ezibangelwa ukuvezwa kwezinto ezinobungozi, ukushisa okukhulu, kunye nezinye izinto ezisingqongileyo.

Uqeqesho lwe-EMT lubandakanya amacandelo e-didactic kunye nezandla, apho abantu ngabanye bafunda ukuvavanya izigulane, ukuzinzisa, nokuzithutha ngokukhuselekileyo esibhedlele.

Ii-EMTs zikwaqeqeshelwa ulawulo losulelo, unxibelelwano, kunye neengqwalasela ezisesikweni kunye nezomthetho.

I-EMTS kufuneka iqhubeke nemfundo kunye noqeqesho ukuze ihlale isexesheni kwiindlela ezintsha kunye nobuchwepheshe kwiyeza likaxakeka.

Indlela Yokunqanda/Ukuthintela I-Hypothermia

I-Hypothermia inokuthintelwa nakwiindawo ezibandayo ngokukhusela umzimba kumoya obandayo ongaphandle.

Ukubuyisela ubushushu bomzimba kunye nokunciphisa inani lesikhumba esiveziweyo kunokunciphisa kakhulu amathuba e-hypothermia nangona kwiindawo ezibandayo ixesha elide.

I-Hypothermia yimeko eqhelekileyo kwaye enokubangela ukufa.

Njenge-EMT okanye IParamamic, ukuchonga kunye nokukwazi ukunyanga i-hypothermia kuyimfuneko.

I-Hypothermia inokubangelwa kukungakhuseleki okufutshane kubushushu obugqithisileyo okanye ukuba sesichengeni okongeziweyo kumaqondo obushushu aphakathi.

Unyango olusisiseko lwe-hypothermia lubandakanya ukufudumala umzimba kwiqondo lokushisa eliqhelekileyo ukukhusela umonakalo ongakumbi.

Iingubo kunye nesiselo esifudumeleyo sinokunceda kwiimeko ezininzi ezithambileyo, kodwa kuzo zonke iimeko, ingqalelo ekhawulezayo nesebenzayo kwisigulana sakho ukunceda ukukhusela i-hypothermia yabo ukuba ibe nzima isoloko ifuneka.

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