Yitya utywala - Yazi imiqondiso elumkisayo kunye nento omawuyenze

Umxholo

• Xa isenokuba sisiwa isiqaqa
• Yintoni omele uyenze xa unokukhotyokiswa butywala
• Unyango lwenziwa njani

Ikhoma yotywala yenzeka xa umntu engekho zingqondweni ngenxa yeempembelelo zotywala obuninzi emzimbeni. Ihlala isenzeka xa usela ngokungalawulekiyo, ugqitha amandla esibindi okucola utywala, okhokelela ekunxileni kwengqondo kunye namalungu ohlukeneyo emzimbeni. Xa ngaphezulu kwe-3 yeegramu zotywala zijongwa kwilitha nganye yegazi, kukho umngcipheko omkhulu wokuba isiqaqa esinxilisayo.

Le meko ithathwa njengemeko enzulu, kwaye ukuba ayinyangwa ngokukhawuleza, inokukhokelela ekufeni, ngenxa yokuncipha kokuphefumla, ukwehla kwenqanaba lentliziyo, kunye nokwehla kwamanqanaba eswekile yegazi okanye ezinye iingxaki ezinje ngokuphuhliswa kwe-arrhythmias kunye ne-acidic coma, umzekelo.

Xa iimpawu ezibonisa ikhoma elinxilisayo zifunyenwe, ezinje ngokulahleka kwengqondo, ukulala ubuthongo obunzulu apho umntu engaphenduliyo kwiminxeba nakwisikhuthazo okanye ubunzima ekuphefumleni, kubalulekile ukuba ubize i-SAMU okanye i-ambulensi ngokukhawuleza, ukunqanda ukuba mandundu imeko enokubangela ukufa okanye i-sequelae ye-neurological.

Xa isenokuba sisiwa isiqaqa

Uphawu lwe-coma enxilisayo kukuba awazi nto okanye akukho nto emva kokusela kakhulu utywala. Ezinye zeempawu ezinokubonakala ngaphambi kokuba ikhoma elinxilisayo zizi:

• Ukozela kakhulu;
• Ukulahleka okanye ukulahleka kwengqondo;
• Ubunzima bokuchaza amagama okanye amabinzana;
• Ukungakwazi ukugxila;
• Ukuphulukana nobuntununtunu kunye nengqondo;
• Kunzima ukuhamba okanye ukuma.

Kungenxa yokuba nangona, ekuqaleni, utywala bunesiphumo esingafunekiyo, ukusetyenziswa gwenxa kwale nto kunesiphumo esichaseneyo, kwaye kuphele kubangela uxinzelelo lwenkqubo yemithambo-luvo. Emva kotywala obuninzi, ukuthintelwa okugqithisileyo kwenkqubo ye-nervous system kungakhokelela kukungakwazi ukuqhubeka nokuphefumla, ukwehla kwenqanaba lentliziyo kunye nokwehla koxinzelelo lwegazi, oko kunokukhokelela ekufeni ukuba unyango alwenziwanga ngokufanelekileyo.

Le miqondiso kunye neempawu zivela xa isibindi, esinoxanduva lokucola kunye nokunceda ekupheliseni utywala, singasenako ukubusebenzisa bonke utywala obufunwayo, nto leyo ekhokelela ekwandeni kokuxinana kwale nto iye kumanqanaba ayityhefu egazini. Jonga ezinye iziphumo zotywala emzimbeni.

Yintoni omele uyenze xa unokukhotyokiswa butywala

Okokuqala, kubaluleke kakhulu ukuba wazi ukubonakala kweempawu ezandulela ikhoma elinxilisayo, ngakumbi ubunzima bokuchaza amagama okanye amabinzana, ukudideka, ukulala nokugabha, kuba, ukuba umntu unendawo ethile yokuqonda kwaye uyakwazi ukutya , kunokwenzeka ukuthintela ukwanda kokuhambisa amanzi kunye nokutya ukutya, ngakumbi ukutya okuneswekile.

Nangona kunjalo, ukuba uchonga ezinye zeempawu ezibonisa isiqaqa esinxilisayo, kufuneka ubize uncedo lwezonyango ngokukhawuleza, njenge-SAMU 192, ukuze umntu ahlangulwe ngokukhawuleza.

Ukongeza, ide ifike i-SAMU, umntu kufuneka agcinwe elele ngecala, kwindawo ekuthiwa yokhuseleko esecaleni ukunqanda ukufuthaniseka xa ugabha. Ukuthintela i-hypothermia, kubalulekile ukuqinisekisa ukuba umntu uyagqunywa kwaye kwindawo efudumeleyo, apho kungekho kuyilo lubandayo okanye ukubhencwa kutshintsho lwequbuliso kubushushu.

Akucetyiswa ukuba unikeze i-liquids, ukutya okanye amayeza, ukuba umntu akayazi, njengoko kunokunyusa umngcipheko wokukrwitshwa. Ayiboniswanga ukuba inceda ukugabha kumntu ongazi nto okanye uhlambe amanzi abandayo ukuzama ukumvusa. Ukuba umntu ubambe umphefumlo okanye ubanjwe ukubetha kwentliziyo, kuyacetyiswa ukuba uqalise indlela yokuvuselela i-cardiopulmonary. Jonga ukuba wenze ntoni ekubanjweni kwentliziyo.

Unyango lwenziwa njani

Unyango lwe-coma enxilisayo liqela lezonyango lwenziwa nge-serum ngqo emthanjeni we-hydration, ukunceda ukukhawulezisa ukupheliswa kotywala kunye nokubuyisela kwimeko yesiqhelo, ukongeza kwi-intravenous glucose, i-vitamin B1 endaweni yayo kunye nokwenza rhoqo amanqanaba e-electrolyte, ukuba kutshintshiwe.

Ukongeza, ukuba kukho imfuneko, ugqirha unokucebisa ukuba kusetyenziswe amayeza e-antiemetic okanye anticonvulsant, ngokweempawu eziboniswe sisigulana. Ukubeka iliso ngokuqhubekayo kwedatha ebalulekileyo yomntu kuya kuba yimfuneko, njengoko kunokwenzeka ukuba imeko inokuba mandundu kunye nokuphefumla okanye ukubanjwa kwentliziyo.

Emva kokuchacha, kuyacetyiswa ukuba wazise isigulana kunye nosapho malunga neengozi zotywala kwaye, ukuba kukho imfuneko, thumela umntu lowo kwiziko eligxile kunyango lotywala. Fumanisa ukuba ungenza njani unyango lotywala.