Amaphutha ajwayelekile kakhulu okuphendula kokuqala esigulini esithintekile ngenxa yokushaqeka?
Ukwethuka yisimo esenzeka ngenxa yokungakwazi ukusebenza kwegazi emzimbeni. Isimo esisongela impilo esivumela ukungenelela okusheshayo namasu okulondoloza impilo.
Ekuhlinzekeni ukungenelela ukuze a isiguli esibhekene nokushaqeka, imigomo yezokwelapha isekelwe ku A B C D E sondela. Ku ukuhamba emoyeni nokuphefumula, ukuthunyelwa kwe-oxygen kufanele kukhuliswe ngokuqinisekisa ukuphumula okunamandla nokungavinjelwe. Ngokusakaza, ukugeleza kwegazi kufanele kubuyiselwe ukuvuselelwa kwamanzi nokulawula okuqhubekayo ukulahlekelwa igazi. Ngokulandelayo, ukukhathazeka ngokukhubazeka nokuchayeka kuthathwa njengezinto ezibalulekile ezilandelayo.
In izimo eziphuthumayo, abaphendulayo banikeza ukungenelela okufanelekile okuzosiza ekuvimbeleni ukulimala okuqhubekayo, nokuthutha isisulu esikhungweni sezokwelapha ngokushesha ngangokunokwenzeka. Amaphutha ajwayelekile kakhulu lapho umphendulayo wokuqala angazibophezela ukusiza isiguli esethukile kungase ivela ku ukuhlola ngokwayo; ngakho-ke, ukuxilongwa kahle kanye nokuphathwa kwakungeke kwenziwe ngenxa yalokho.
Kukhona izimbangela eziningi zokushaqeka, kungahle kube ngenxa ye-anaphylaxis, hypovolemia, sepsis, neurogenic noma i-cardiogenic. Amanye amaphutha enziwa ngabaphenduli abezimo eziphuthumayo ekwelapheni iziguli ezinokwethuka kufaka phakathi:
Ukuhlolwa okungaphelele kwezibonakaliso ezibalulekile kanye nezinye izimpawu zokwethuka
Kukhona izimo lapho ochwepheshe bezempilo zivame ukugxila ekucindezelweni kwegazi kuphela njengesinkomba sokuthuthumela. Lokho ukusho ukuthi lapho umfutho wegazi uvamile, kukhona umsolwa.
Izimpawu nezimpawu zokushaqeka zivame ukukhombisa umfutho wegazi ophansi (hypotension), ukukhuphuka kwenhliziyo (tachycardia), kanye nokuphefumula okwandayo (tachypnea). Kwezinye izimo, umfutho wegazi lomuntu ohlukunyeziwe ungahle uvele uvamile ongakhombisa isimo sendawo yokusebenzelana nemimoya.
Udokotela kufanele ahlolisise kakhulu, ngaphandle kwesilinganiso se-pulse kanye nokuphefumula, nomfutho wegazi. Isibonelo, umphendulayo angazibona izimpawu zokungaphili kahle okungaguquguquki nesimo sengqondo esishintshile, okuvumela ukuphathwa kwemitholampilo enonya.
Ukwehluleka ukuhlinzeka ngama-antibiotics uma kwenzeka ukushaqeka okwenziwe nge-septic
Akuzona zonke izimpendulo zokuqala ezikwazi ukunikeza imishanguzo emisha endaweni yesehlakalo. Ngemuva kwalokho, ukuphathwa kwe-antibiotic kuqalwa kuphela esibhedlela noma ngisho nangemva kokuqinisekiswa kokuthuthumela kwe-septic ngokusebenzisa izivivinyo zokuxilonga, ngokusobala okungalungile.
Ukusatshiswa kwe-Septic yisimo esisongela impilo esidinga ukwelashwa ngokushesha. Njenge-sepsis, iyasolwa, kungumfutho ukuthi ukwelashwa ngemithi elwa namagciwane kuqalwa kungakapheli ihora noma ngokushesha okukhulu. Ukwehluleka ukuhlinzeka ngemithi elwa namagciwane ngokushesha kubhekwa nomthetho njengoba ukunakekelwa kwezokwelapha okunganaki.
Isingeniso se-vasopressors, njenge-epinephrine, ngaphandle kokuqinisekisa ivolumu eyanele yamanzi
Ezimweni zokushaqeka, ukunciphisa kwengcindezi yegazi kuzisulu ngokuvamile kuvame ukugqugquzela abaphenduli bezophuthumayo ukuba banikeze ama-vasopressors ukuze balondoloze ukucindezelwa komzimba okushoyo. Noma kunjalo, ukuqaliswa kokucindezela isiguli ngokunciphisa ivolumu yamanzi akufanelekile. Ngokusho kwe-PulmCCM, ukuvuselelwa okwanele kwamanzi noma ukumnika okungenani i-30ml / kg ye-crystalloids (mayelana ne-1500-3000ml) kufanele yenziwe ezigulini eziningi ngaphambi kokuphathwa kwe-vasopressors.
Umbhali:
UMichael Gerard Sayson
Umhlengikazi Obhalisiwe oneBachelor of Science ku-Nursing Degree evela eSaint Louis University kanye ne-Master of Science ku-Nursing Degree, Major ku-Nursing Administration and Management. Amaphepha omqondo we-2 obhalisiwe nababhali ababambisene nabo 3. Ukuqhuba umsebenzi wobunesi iminyaka engaphezu kwengu-5 manje ngokunakekelwa okuqondile nokungaqondile.
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