Ukuhlamba isisu: xa kubonisiwe kwaye kwenziwa njani

Umxholo

• Xa kubonisiwe
• Kuhlanjwa njani isisu
• Iingxaki ezinokubakho zokuhlamba
• Ngubani ongafanelekanga

Ukuhlanjwa kwesisu, okwaziwa ngokuba sisisu esiswini, yindlela ekuvumela ukuba uhlambe ngaphakathi kwesisu, ususe umxholo ongekangeniswa ngumzimba. Ke, le nkqubo ihlala isetyenziswa kwimeko yokungenisa izinto eziyityhefu okanye ezinokucaphukisa, ekungekho ntsholongwane kuyo okanye alukho olunye uhlobo lonyango. Qonda into omawuyenze kwangoko kwimeko yetyhefu.

Ngokufanelekileyo, ukuhlamba isisu kufuneka kwenziwe ngaphakathi kweeyure ezi-2 zokufaka into kwaye kufuneka kwenziwe esibhedlele ngumongikazi okanye omnye ugqirha wezempilo ofanelekileyo ukunqanda iingxaki ezinje ngokufuna ulwelo emiphungeni.

Xa kubonisiwe

Kwiimeko ezininzi, ukuhlamba isisu kusetyenziselwa ukucoca isisu xa kungenwa ngeedosi eziphezulu zezinto okanye amayeza anokuba yityhefu emzimbeni, anje:

• Izinto ezichaseneyo, njengepropranolol okanye i-verapamil;
• I-Tricyclic yoxinzelelo, ezinje ngeAmitriptyline, Clomipramine okanye Nortriptyline.

Nangona kunjalo, ayizizo zonke iimeko zokungenisa okugqithisileyo kwezinto ezifuna ukuhlanjwa esiswini. Eyona ndlela yokufumanisa ukuba le nkqubo iyimfuneko na, kwaye kufuneka wenze ntoni ukunciphisa umngcipheko weengxaki, kukudibana ne IZiko loLwazi ngeTyhefu, kule nombolo 0800 284 4343.

Ngaphantsi kwesiqhelo, ukuhlamba isisu kunokusetyenziselwa ukukhupha isisu ngaphambi kovavanyo lokuqonda isifo, njenge-endoscopy, umzekelo. Fumana ngakumbi malunga ne-endoscopy kwaye xa yenziwe.

Kuhlanjwa njani isisu

Ukuhlamba isisu kufuna ukwenziwa esibhedlele ngumongikazi okanye omnye umsebenzi oqeqeshiweyo wezempilo. Ngexesha lenkqubo, ingcali kufuneka ilandele la manyathelo alandelayo:

1. Faka ityhubhu esiswini ngomlomo okanye impumlo esiswini;
2. Beka umntu phantsi umjikele kwicala lasekhohlo, ukuququzelela ukukhutshwa kwesisu;
3. Qhagamshela isirinji eyi-100 mL ukuya kumbhobho;
4. Susa iziqulatho zesisu ukusebenzisa isirinji;
5. Beka i-200 ukuya kwi-300 ml ye-saline efudumeleyo kuma-38ºC ngaphakathi esiswini;
6. Susa zonke iziqulatho zesisu kwakhona kwaye uphinde ufake i-200 ukuya kwi-300 ml ye-serum;
7. Phinda la manyathelo de imixholo esuswe esiswini ibonakale.

Ngokwesiqhelo, ukufumana isisu esifanelekileyo sesisu, kufuneka usebenzise ukuya kuthi ga kwi-2500 ml ye-saline ngexesha lenkqubo yonke. Kwimeko yabantwana, inani le-serum efunekayo lingahluka phakathi kwe-10 ukuya kwi-25 ml ye-serum kwi-Kg nganye yesisindo, ukuya kuthi ga kwi-250 mL.

Emva kokuhlamba, kuyacetyiswa ukuba kufakwe phakathi kwe-50 ukuya kwi-100 yeegramu zamalahle avuselelweyo esiswini, ukuthintela ukufunxwa kwayo nayiphi na into eseleyo eseleyo esiswini. Kwimeko yabantwana, esi sixa-mali kufuneka sibe yi-0.5 ukuya kwi-1 gram kuphela nge-kg yobunzima.

Iingxaki ezinokubakho zokuhlamba

Ngelixa ukuhlamba isisu kuyindlela esindisa ubomi kumntu othathe idosi ephezulu kakhulu yetyhefu, inokubangela iingxaki. Eyona nto ixhaphakileyo ngumnqweno wamanzi emiphungeni, onokuthi ekugqibeleni ubangele inyumoniya, umzekelo.

Ukuthintela lo mngcipheko, inkqubo kufuneka yenziwe ngumongikazi nakwindawo yokuhlala, kuba mancinci amathuba okuba ulwelo ludlule kwindlela yomoya. Ezinye iingxaki ezinokuthi zenzeke zibandakanya ukopha esiswini, ukukrala kwengqula okanye ukugqobhoza komqala, ekufuneka kunyangwe ngokukhawuleza esibhedlele.

Ngubani ongafanelekanga

Isigqibo sokwenza isisu sokuhlambalaza kufuneka sihlale sivavanywa liqela lezonyango, nangona kunjalo, ukuhlamba isisu kuyaphikiswa kwiimeko ezinje:

• Umntu ongekho zingqondweni ngaphandle kwe-intubation;
• Ukungenisa izinto ezinobungozi;
• Ubukho be-varices esophageal varices;
• Umthamo ogqithisileyo wokugabha ngegazi.

Ukongeza, ukuba utyando lwenziwe kwithumbu lesisu, ukuhlamba kufuneka kuvavanywe kakuhle, kuba kukho umngcipheko omkhulu weengxaki.