Ukumpontshelwa kwegazi ezindaweni ezihlukumezanayo: isibonelo se-Ireland

Ukulimala okukhulu kwengqondo kungenye yezimbangela eziphambili zokufa ngenxa yokuhlukumezeka okukhulu kanye nensizakalo entsha yokumpontshelwa igazi elindeleke ukuthi inciphise inani lokushona kwabantu

Iziguli ezihlukumezekile esifundeni saseDublin / Wicklow ezihlushwa ukopha okusongela impilo kulandela ukuhlukumezeka okukhulu akusadingeki ukuthi alinde aze afike eMnyangweni Wezimo eziphuthumayo (i-ED) ngaphambi kokuthola ukumpontshelwa igazi.

Umsebenzi wokuhlinzelwa kwegazi esibhedlela saseSt. Vincent's University Hospital (SVUH), ngokubambisana neWicklow Rapid Response (WWRR), oyimpahla kuzwelonke Ambulance Abakwa-Service (NAS), sebekwazi ukuhlinzeka ngegazi eliphuthumayo ne-plasma ngqo endaweni yesehlakalo.

Lokhu kungokokuqala e-Ireland ukuthi igazi litholakaliselwe ukumpontshelwa esibhedlela futhi kuzonikeza intuthuko enkulu ekunakekelweni okungalethwa ezigulini ngokushesha ngemuva kokuhlukumezeka okukhulu.

Impendulo yeWicklow Rapid is a insiza yokunakekelwa kwangaphambi kwesibhedlela, eqhutshwa ngokuzithandela nguDkt David Menzies, Umeluleki Wezemithi Yezimo Eziphuthumayo esibhedlela saseSt. Vincent's University ngokubambisana neNational Ambulance Service. Ngenye yezinsizakalo ezimbalwa e-Ireland lapho odokotela banikezwa umsebenzi yi-NAS kwizimo eziphuthumayo ezinzima zezokwelapha nezokulimazeka lapho isiguli singazuza ekwelashweni okuqakathekileko komgwaqo.

Ukuphela kwendlela yezeluleko zangaphambi kwesibhedlela sindisa iziguli ezopha kakhulu ezikhungweni zokuhlukumezeka bebelokhu ukusebenzisa isisombululo se-saline kepha ngoba ayiphathi i-oksijini noma i-clot, akuyona indlela efanelekile yokwelashwa.

Manje, esimweni sokuphuma kwegazi okusongela impilo, udokotela obhekele ukunakekelwa okubucayi kweWWRR uzokwazi ukuhambisa igazi elonga impilo kwiziguli ngaphandle kokulinda aze afike eMnyangweni Wezimo eziphuthumayo.

UDkt David Menzies, Isibhedlela saseSt. Vincent's University Hospital uthe: “Kuneqembu leziguli ezilimele kakhulu kangangokuba sizolinda igazi lizilinde lapho zifika eMnyangweni Wezimo Eziphuthumayo ukuze zimpontshelwe ngokushesha. Ukumpontshelwa igazi ngaphambi kokubeletha kuzonciphisa kakhulu isikhathi esithathayo ukuletha lokhu kwelashwa. I-Caseload yethu yamanje ikhombisa ukuthi inani elincane kodwa elibalulekile leziguli lingazuza kulokhu minyaka yonke. Isikhungo sokuhlinzeka ngokudluliselwa kwegazi okusindisa impilo esimisweni sangaphambi kwesibhedlela sesivele siyindlela yokunakekelwa kosizo lokunakekelwa kwangaphambi kwesibhedlela e-UK, eNyakatho Yurophu, e-Australia nase-USA. Kuhle ukuthi manje sesingakwazi ukukunikeza okokuqala lapha e-Ireland. ”

UMnu Martin Dunne, Umqondisi weNational Ambulensi Service uthe: “Isiguli sisenhliziweni yomsebenzi wethu futhi i-NAS igxile kakhulu ekunikeleni ngezinsizakalo kwezidingo eziphuthumayo zokunakekelwa kwabaguli ngaphambi kokufika esibhedlela. I-NAS iyakuthokozela ukuxhasa ukunakekelwa kweziguli okwenziwe ngcono okungahlinzekwa ngokudluliselwa kwangaphambi kwezibhedlela futhi kubheke phambili ekwandeni le phrojekthi ”.

UDkt Joan Fitzgerald, Udokotela oxhumanisa abakwaHematologist esibhedlela iSt Vincent's University uthe: “Le ntuthuko entsha ethokozisayo ibe izinyanga eziningi ilungiselela futhi izokwenza umehluko omkhulu ekwelashweni esingalunikeza ezigulini ezilimele kakhulu esifundeni. Abososayensi bezokwelapha e-Blood Transfusion Laboratory basebenzisane kakhulu noMnyango Wezimo Eziphuthumayo, abakwaNational Ambulance Service kanye neWicklow Rapid Response ukuqinisekisa ukuthi uhlelo luphephile futhi luphephile ngaphandle kokuchithwa kwemikhiqizo yegazi nokulandelela okugcwele i-24 / 7 kubandakanya nezikhathi zamaholide ”.

Ngaphezu kwamaseli abomvu, iWWRR izothwala amayunithi amabili e-plasma ukukhuthaza ukugcwala kwegazi. Ngenkathi amaseli abomvu ephethe i-oxygen, ukufaka i-plasma ku-1: Isilinganiso se-1 ngamangqamuzana abomvu ngubufakazi obukhona njengamanje bokukhuthaza ukugcotshwa kwegazi, okuyinkinga eyaziwayo kwiziguli ezinkulu ezihlukumezekile. Igazi eliphuthumayo ne-plasma kuhlinzekwa njalo ngamahora we-48 kusuka kwelebhu yokumpontshelwa igazi e-SVUH futhi kubuyelwe njengoba kudingeka. Uma singasetshenziswanga, imikhiqizo ibuyiselwa kungakapheli amahora angama-48 kwelebhu yokumpontshelwa igazi kwa-SVUH ukuze isetshenziswe kwenye indawo, ukuvimbela noma yikuphi ukungcoliswa. Imikhiqizo yegazi ingumthombo oyigugu futhi kufanele igcinwe siqandisiwe. Imikhiqizo yegazi igcinwa emabhokisini e-Credo © "Golden Hour", aqinisekiswa ukugcinwa isikhathi eside ku-WWRR RRV e-4oC ngokwenza ukuthi igazi ne-plasma zitholakale ngokushesha ezindaweni ezinkulu zeziyingozi.

Lapho igazi lidingeka ezimweni ezihlukumezayo, kumele ifudunyezwe ekushiseni komzimba okuyisinyathelo esibalulekile ekuvimbeleni i-hypothermia nezinye izinkinga ezigulini ezithola imikhiqizo yegazi.

Ngenxa yokuqongelela imali neminikelo, iSt Vincent's Foundation isanda ukuthenga izithambiso zegazi nezifudumezi ukuze zisebenzise ukusetshenziswa kwangaphambi kwesibhedlela. Igazi le-Qinflow © I-Warrior kanye nokufudumeza okufudumele yisimo sedivayisi yobuciko, eyenzelwe ngokuqondile ukusetshenziswa kwasesibhedlela. Lokhu kuzoba yunithi yokuqala enjalo esetshenziswa e-Ireland futhi inamandla okufudumeza okufakayo okuphathelene nemikhiqizo yegazi kusuka ku-4oC kuya ekushiseni komzimba ngemizuzwana. Sibonga kakhulu abanikeli kanye nabahlinzeki bezimali abakwenzile lokhu

UDkt Stephen Field, uMqondisi Wezokwelapha Nesayensi we-Irish Blood Transfusion Service uthe: “I-IBTS iyakujabulela ukusekela lolu hlelo, oluzosindisa impilo. Kunobufakazi obuhle besayensi bokumpontshelwa ngaphambi kwesibhedlela futhi kuyinto ejwayelekile kwenye indawo. Imikhiqizo yegazi ihlala ifunwa njalo, uma abantu bengathanda ukuxhasa lokhu, enye yezindlela ezingcono kakhulu zokwenza lokho ukunikela ngegazi labo ”.