Hypothermia

IHypothermia inobushushu obuphantsi bomzimba obuyingozi, obungaphantsi kwama-95 ° F (35 ° C).

Ezinye iintlobo zokulimala okubandayo okuchaphazela amalungu kuthiwa kukulimala okubanda komzimba. Kwezi zinto, iqabaka yeyona ngozi ixhaphakileyo yokubanda. Ukulimala okungafakwanga kubanda ngenxa yokuchaphazeleka kwimeko ezimanzi ezibandayo kubandakanya umsele wonyawo kunye neemeko zonyawo lokuntywiliselwa. Iichilblains (ekwabizwa ngokuba yi-pernio) zincinci, ziyarhawuzela okanye zibuhlungu amaqhuma kulusu oluhlala lwenzeka eminweni, ezindlebeni okanye kwiinzwane. Luhlobo lokulimala okungenasiphelo okuvela kwindawo ezibandayo, ezomileyo.

Unamathuba okuphuhlisa i-hypothermia ukuba:

• Mdala kakhulu okanye umncinci kakhulu
• Ukugula okungapheliyo, ngakumbi abantu abaneentliziyo okanye iingxaki zokuhamba kwegazi
• Ukungondleki
• Ndidinwe kakhulu
• Ukuthatha amayeza athile amiselweyo
• Phantsi kwempembelelo yotywala okanye iziyobisi

I-Hypothermia yenzeka xa kulahleka ubushushu obungaphezulu kokwenza komzimba. Kwiimeko ezininzi, kwenzeka emva kwexesha elide kubanda.

Izizathu eziqhelekileyo zibandakanya:

• Ukuba ngaphandle ngaphandle kwempahla yokuzikhusela eyaneleyo ebusika
• Ukuwela emanzini abandayo echibini, umlambo, okanye elinye iqula lamanzi
• Ukunxiba iimpahla ezimanzi kwimozulu enomoya okanye ebandayo
• Ukusebenza nzima, ukungaseli ngokwaneleyo, okanye ukungatyi ngokwaneleyo kwimozulu ebandayo

Njengomntu ophuhlisa i-hypothermia, ngokuthe ngcembe baphulukana namandla okucinga nokuhamba. Ngapha koko, banokungazi nokuba bafuna unyango olungxamisekileyo. Umntu one-hypothermia naye unokubakho iqabaka.

Iimpawu zibandakanya:

• Ukudideka
• Ukozela
• Isikhumba esimdaka nesibandayo
• Ukucothisa ukuphefumla okanye ukubetha kwentliziyo
• Ukuqhaqhazela okungenakulawulwa (nangona kubushushu obuphantsi kakhulu emzimbeni, ukungcangcazela kunokuma)
• Ubuthathaka kunye nokuphulukana nolungelelwaniso

I-Lethargy (ubuthathaka kunye nokulala), ukubanjwa kwentliziyo, ukothuka kunye ne-coma kunokungena ngaphandle kokonyango kwangoko. I-Hypothermia inokubulala.

Thatha la manyathelo alandelayo ukuba ucinga ukuba umntu unehypothermia:

1. Ukuba umntu unayo nayiphi na impawu ye-hypothermia ekhoyo, ngakumbi ukudideka okanye iingxaki zokucinga, tsalela umnxeba ku-911 kwangoko.
2. Ukuba umntu akazi nto, jonga umoya, ukuphefumla, kunye nokuhamba. Ukuba kukho imfuneko, qala ngokuhlangula ukuphefumla okanye iCPR. Ukuba ixhoba liphefumla ngaphantsi kwesi-6 sokuphefumla ngomzuzu, qalisa ukuhlangula ukuphefumla.
3. Thatha umntu amse ngaphakathi kubushushu begumbi kwaye umgqume ngeengubo ezishushu. Ukuba akunakungena ngaphakathi endlwini, khupha lo mntu emoyeni kwaye usebenzise ingubo ukubambelela kumhlaba obandayo.Gquma intloko nentamo yomntu ukunceda ukugcina ubushushu bomzimba.
4. Amaxhoba e-hypothermia aqatha kufuneka asuswe kwindawo ebandayo ngokuzama kangangoko kunokwenzeka. Oku kunceda ukuthintela ubushushu ekuvuthelweni ukusuka kumbindi womntu ukuya kwizihlunu. Kumntu onobulali kakhulu, ukusebenzisa imisipha kucingelwa ukuba kukhuselekile, nangona kunjalo.
5. Nje ukuba ungene ngaphakathi, susa naziphi na iimpahla ezimanzi okanye ezixineneyo uze ubeke impahla eyomileyo endaweni yazo.
6. Shushu loo mntu. Ukuba kukho imfuneko, sebenzisa ubushushu bomzimba wakho ukunceda ukufudumala. Faka isicelo sokunyanzela okufudumeleyo entanyeni, eludongeni lwesifuba, kunye nasemiphakathini. Ukuba umntu uphaphile kwaye unokuginya ngokulula, mnike ulwelo olufudumeleyo, oluswiti, nolungengotywala ukunceda ukufudumala.
7. Hlala naloo mntu de kufike uncedo lwezonyango.

Landela la manyathelo:

• SUKUQWALASELA ukuba umntu ufunyenwe elele engasebenzi engqeleni sele ebhubhile.
• Sukusebenzisa ubushushu ngqo (njengamanzi ashushu, iphedi yokufudumeza, okanye isibane sobushushu) ukufudumeza umntu.
• MUSA ukunika umntu utywala.

Tsalela umnxeba ku-911 nangaliphi na ixesha xa ukrokrela ukuba umntu une-hypothermia. Nika uncedo lokuqala ngelixa ulinde uncedo olungxamisekileyo.

Phambi kokuba uchithe ixesha ngaphandle engqeleni, UNGASELI utywala okanye utshaye. Sela iziselo ezininzi kwaye ufumane ukutya okwaneleyo kunye nokuphumla.

Nxiba iimpahla ezifanelekileyo kumaqondo obushushu abandayo ukukhusela umzimba wakho. Oku kubandakanya:

• Imittens (hayi iigloves)
• Ubungqina bomoya, ukunganyangeki kwamanzi, iimpahla ezininzi ezibekeke
• Iibini ezimbini zeekawusi (thintela umqhaphu)
• Isikhafu kunye nomnqwazi ogqume iindlebe (ukunqanda ilahleko enkulu kubushushu ngentloko yentloko yakho)

Phepha:

• Amaqondo obushushu abanda kakhulu, ngakumbi ngemimoya ephezulu
• Iimpahla ezimanzi
• Ukuhamba gwenxa, okunokwenzeka ukusuka kubudala, iimpahla ezixineneyo okanye iibhutsi, indawo ezixineneyo, ukudinwa, amayeza athile, ukutshaya notywala

Ubushushu bomzimba obuphantsi; Ukubonakaliswa kubanda; Ukungakhuseleki

• Uluhlu lolusu

I-Prendergast HM, i-Erickson TB. Iinkqubo ezinxulumene ne-hypothermia kunye ne-hyperthermia. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 65.

UZafren K, uDanzl DF. Ingqele eqhaqhazelis 'amazinyo kunye nengqele. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 131.

UZafren K, uDanzl DF. Ingozi yehypothermia. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 132.