Ukugonywa kwezilwane kuyindlela ephumelelayo yokuvimbela nokulawula izifo ezithathelwanayo, futhi umphumela wokuvimbela nokulawula uyamangalisa.Kodwa-ke, ngenxa yesimo somzimba womuntu noma ezinye izici, ukusabela okubi noma ukusabela kokucindezeleka kungase kwenzeke ngemva kokugoma, okusongela impilo yezilwane.
Ukuvela kwemithi yokugoma ehlukahlukene kulethe imiphumela esobala ekuvimbeleni nasekulawuleni izifo ezithathelwanayo.Ukusetshenziswa kwemithi yokugoma yezilwane kugweme ngempumelelo ukuvela kwezinye izifo zezilwane.Isifo sonyawo nomlomo yisifo esiyingozi, esishisayo futhi esithathelwanayo esivame ukwenzeka ezilwaneni ezinenselo.Kwenzeka kaningi ezilwaneni ezifana nezingulube, izinkomo kanye nezimvu.Ngoba isifo somlomo nomlomo sisakazeka ngezindlela eziningi futhi ngokushesha, futhi singadlulela kubantu.Sekube nokuqubuka kwezifo eziningi, ngakho iziphathimandla zezilwane ezindaweni ezihlukahlukene zikhathazeke kakhulu ngokuvinjelwa nokulawulwa kwayo.Umuthi wokugoma wezinkomo nezimvu uwuhlobo olusebenzayo lomgomo wokuvikela ukwenzeka kwesifo samatele.Ungowomuthi wokugoma ongasebenzi futhi umphumela wokufaka isicelo ubaluleke kakhulu.
1. Ukuhlaziywa kokusabela kokucindezeleka komgomo wokugomela isifo samatele nezimvu
Ngomgomo wokugomela izinkomo nezimvu zesifo sonyawo nomlomo, ukusabela okungaba khona kwengcindezi ngemva kokusetshenziswa ikakhulukazi ukungabi namandla, ukulahlekelwa ukudla, indlala enzima, ubuthakathaka bemilenze, ukulala phansi, ukushintshashintsha kwezinga lokushisa lomzimba, i-auscultation kanye ne-palpation. ithole ukuthi i-peristalsis yomzila wesisu ihamba kancane.Ngemuva kokugoma, udinga ukunaka kakhulu ukusebenza kwezinkomo nezimvu.Uma impendulo yokucindezeleka okukhulunywe ngenhla kwenzeka, ukwelashwa okufika ngesikhathi kuyadingeka.Lokhu, kuhambisana nokumelana nezinkomo nezimvu ngokwazo, kuzobuyisela ngokushesha impilo yezinkomo nezimvu.Nokho, uma ukusabela kokucindezeleka kukubi, izinkomo nezimvu zingase zophe ngokwemvelo, zikhihlize amagwebu emlonyeni nezinye izimpawu phakathi nesikhathi esifushane ngemva kokugonywa, futhi izimo ezinzima zingase ziholele ngisho nasekufeni.
2. Izinyathelo eziphuthumayo zokuhlenga kanye nezokwelapha zokubhekana nengcindezi yomgomo wokugomela isifo samatele nomlomo wezinkomo
Akunakugwenywa ukuthi impendulo yokucindezeleka yomgomo wezinkomo nezimvu wokugomela isifo somlomo nomlomo izovela, ngakho abasebenzi abafanelekile kufanele balungele ukuhlengwa nokwelashwa nganoma yisiphi isikhathi.Ngokuvamile, ukusabela kokucindezeleka kokugoma izinkomo nezimvu ukugonywa kwesifo somlomo nomlomo ikakhulukazi kwenzeka phakathi namahora angu-4 ngemva komjovo, futhi kuzobonisa izimpawu ezisobala njengoba kushiwo ngenhla, ngakho kulula ukuhlukanisa.Ngakho-ke, ukuze kwenziwe umsebenzi wokuhlenga ophuthumayo wokuphendula ukucindezeleka okokuqala, izisebenzi zokuvimbela ubhubhane kudingeka ziphathe nezidakamizwa zokuhlenga izimo eziphuthumayo, futhi zijove izidakamizwa zokuphendula ukucindezeleka kanye nemishini yokugoma izinkomo nezimvu zesifo somlomo nomlomo.
Abasebenzi bokuvikela ubhubhane kufanele babhekisise izinguquko ezimpawu zezinkomo nezimvu ngesikhathi sokugoma, ikakhulukazi lapho ukugoma sekuqediwe, badinga ukubhekwa ngokucophelela futhi bahlole isimo sengqondo ukuze bathole ukuthi kukhona yini ukusabela kwengcindezi ngesikhathi sokuqala. .Uma ukusabela kokucindezeleka kubonakala ezinkomeni nasezimvini, ukuhlenga okuphuthumayo kufanele kwenziwe ngokushesha ngangokunokwenzeka, kodwa emsebenzini othize wokuhlenga, kudingeka wenziwe ngokuvumelana nesimo sangempela sezinkomo nezimvu.Enye iwukuthi ezinkomeni nasezimvini ezivamile, ngemva kokusabela kokucindezeleka, khetha i-0.1% epinephrine hydrochloride 1mL, intramuscularly, ngokuvamile phakathi nengxenye yehora, ingabuyela evamile;izinkomo nezimvu ezingakhulelwe, ingasetshenziswa futhi.Umjovo we-dexamethasone ungakhuthaza ukululama ngokushesha kwezinkomo nezimvu;i-compound glycyrrhizin ingase futhi isetshenziselwe umjovo we-intramuscular, umthamo womjovo ochazwe ngokwesayensi, ngokuvamile uzobuyela kokujwayelekile phakathi nengxenye yehora.Ezinkomeni nasezimvini ngesikhathi sokukhulelwa, ngokuvamile kukhethwa i-adrenaline, engabuyisela impilo yezinkomo nezimvu cishe ngesigamu sehora.
Isikhathi sokuthumela: Nov-10-2021