Yintoni i-hypothermia yonyango kwaye isebenza njani

Umxholo

• Kwenziwa njani
• Kutheni isebenza
• Iingxaki ezinokwenzeka

Unyango lwehypothermia yindlela yonyango esetyenziswe emva kokubanjwa kwentliziyo, ebandakanya ukupholisa umzimba ukunciphisa umngcipheko wokonzakala kwemithambo-luvo kunye nokwenziwa kwamahlwili, ukwandisa amathuba okusinda kunye nokuthintela i-sequelae. Ukongeza, obu buchule bunokusetyenziswa nakwiimeko ezinje ngokulimala kwengqondo kubantu abadala, ukubetha kweschemic kunye ne-hepatic encephalopathy.

Obu buchule kufuneka buqaliswe ngokukhawuleza emva kokubanjwa kwentliziyo, njengoko igazi liyema kwangoko ukuhambisa isixa esifunekayo seoksijini ukuze isebenze ingqondo, kodwa inokulibaziseka ukuya kuthi ga kwiiyure ezi-6 emva kokuba intliziyo ibethe kwakhona. Nangona kunjalo, kwezi meko umngcipheko wokuphuhlisa i-sequelae mkhulu.

Kwenziwa njani

Le nkqubo inezigaba ezi-3:

• Induction isigaba: iqondo lobushushu lomzimba liyacuthwa lide lifike kumaqondo obushushu aphakathi kwama-32 nama-36ºC;
• Isigaba sesondlo: Kujongwa ubushushu, uxinzelelo lwegazi, ukubetha kwentliziyo kunye nokuphefumla;
• Phinda isigaba: iqondo lobushushu lomntu lenyuka ngokuthe chu kwaye ngendlela elawulwayo ukuze kufikelelwe kumaqondo obushushu aphakathi kwama-36 nama-37.5º

Ukupholisa umzimba, oogqirha banokusebenzisa iindlela ezahlukeneyo, nangona kunjalo, ezona zisetyenzisiweyo zibandakanya ukusetyenziswa kweepakethe zomkhenkce, oomatrasi abashushu, isigcina-ntloko somkhenkce okanye ice cream ngqo emthanjeni wezigulana, de ubushushu bufike kumaxabiso aphakathi kwama-32 kunye Ngama-36 ° C. Ukongeza, iqela lezonyango lisebenzisa amayeza okuphumla ukuqinisekisa ukonwaba komntu kunye nokuthintela ukuvela kweenyikima

Ngokubanzi, i-hypothermia igcinwa kangangeeyure ezingama-24 kwaye, ngelo xesha, ukubetha kwentliziyo, uxinzelelo lwegazi kunye nezinye iimpawu ezibalulekileyo zihlala zijongwa ngumongikazi ukuze kuthintelwe iingxaki ezinzulu. Emva kwelo xesha, umzimba ufudunyezwa kancinci ufike kubushushu be-37ºC.

Kutheni isebenza

Indlela yokusebenza kwale ndlela ayikaziwa ngokupheleleyo, nangona kunjalo, kukholelwa ukuba ukunciphisa iqondo lobushushu emzimbeni kunciphisa ukusebenza kombane kwengqondo, kunciphisa inkcitho yeoksijini. Ngale ndlela, nokuba intliziyo ayimpomli isixa segazi esifunekayo, ingqondo iyaqhubeka ineoksijini efuna ukusebenza.

Ukongeza, ukunciphisa amaqondo obushushu emzimbeni kuyanceda ekuthinteleni ukukhula kokudumba kwizihlunu zobuchopho, ezonyusa umngcipheko wokonakaliswa kwee-neurons.

Iingxaki ezinokwenzeka

Nangona iyindlela ekhuselekileyo, xa isenziwa esibhedlele, i-hypothermia yonyango nayo inobungozi, njenge:

• Utshintsho kwisantya sentliziyo, ngenxa yokwehla okuphawulweyo kwentliziyo;
• Ukuhla kwe-coagulation, ukwandisa umngcipheko wokopha;
• Ukwanda komngcipheko wosulelo;
• Ukunyuka kwexabiso leswekile egazini.

Ngenxa yezi ngxaki, obu buchule bunokwenziwa kuphela kwiCandelo loKhathalelo olunzulu kunye neqela lezonyango eliqeqeshiweyo, kuba kufuneka kwenziwe uvavanyo oluninzi ngaphezulu kweeyure ezingama-24, ukunciphisa amathuba okuphuhlisa naluphi na uhlobo lwengxaki.