Ukushisa okuvamile komzimba kugcinwa ngenxa yokusebenza kahle kwe-hypothalamic centre of thermoregulation kanye nokugcinwa njalo kwesilinganiso samanzi-electrolyte. Uma kungenjalo, kunesifo sokushisa - izimpawu kanye nokwelashwa kwalesi sifo kufanele kwaziwe kuwo wonke umuntu, ngoba izinga lokufa kwalesi sifo liphakeme kakhulu. Lapho izinga lokushisa likhuphuka ngaphezu kwama-degree angu-41, cishe amaphesenti angama-50% abulawa.
Izimpawu kanye nokwelashwa kwesifo sokushisa ekhaya
Izimpawu ezijwayelekile zenkinga echazwe zixhomeke ebuqini bayo. Kunezinhlobo ezingu-3 zokushaywa kwesibindi:
1. Kulula:
- i-nausea eqinile;
- isiyezi;
- ubuthakathaka emzimbeni;
- ikhanda;
- inzwa yokushisa;
- isifiso sokulala phansi, ukulala.
2. Ephakathi:
- ukuhlukunyezwa kokucabangela, ukuhlanza;
- ikhanda elikhulu;
- ubuthakathaka obunzima emisipha, kuze kube yilapho imilenze iminyene;
- ukulinda okujwayelekile;
- ukwanda kwenhliziyo nokuphefumula;
- ukuphazamiseka okukhulu;
- okungajwayelekile - ukuphelelwa amandla;
- ukwandisa izinga lokushisa komzimba kuze kufike kuma-40 degrees;
- ukujuluka okukhulu;
- ukoma;
- ukuzwa ukungabi nomoya;
- isikhumba esishisayo nesomile.
3. Kunzima kakhulu:
- ukuzithokozisa ngokuzumayo;
- ukuphazamiseka kwengqondo ngendlela yokukhohliswa, ukuboniswa kwezinto ezibukwayo nokuhlola;
- i- pulse ebuthakathaka kodwa esheshayo , ukushaya kuze kube ngu-120 kumasekhondi angu-60;
- isikhala sesikhumba;
- ukukhululwa okukhulu kokujuluka okunamathelayo;
- ukuphefumula okusheshayo;
- amathoni ezithulu zenhliziyo;
- lokushisa okukhulu kakhulu, 41-43 degrees Celsius;
- ukuphazamiseka kokuqonda;
- ukuphelelwa amandla ;
- ukwehla okubukhali emgqeni okhishwe ngosuku;
- ukuvinjelwa kwezingxube ze-muscle nezokuhlanganyela;
- ukungabi nampendulo eyanele ye-pupillary ekukhanyeni;
- ukuhlanza okukhulu;
- ama-spasms spasms nama-cramps;
- izimo ezihambisanayo;
- ukwephula okukhulu komzimba nomzimba wokuphefumula;
- ubuhlungu emlenzeni;
- ukuphefumula;
- ukuphazamiseka kokulala noma ukungabikho kokulala okuphelele;
- ngezinye izikhathi - ukuhlukunyezwa okungazibandakanyi, ukuchama.
Nge-stroke yokushisa okuncane futhi okulinganiselayo, ukwelashwa okuzimele kuvunyelwe, nakuba kuhlale kululeka ukubonana nodokotela.
Izinyathelo zokwelapha:
- Beka isisulu endaweni epholile, umvumela ukuba alale emhlane noma eceleni, uma kukhona ukuhlanza.
- Nikeza ukufinyelela emoyeni fresh futhi epholile. Susa izingubo ezinzima nezishisayo.
- Faka isicelo sokucindezela okubandayo ebunzini, entanyeni nasezindaweni lapho izitsha ezinkulu zitholakala khona, ungasebenzisa iphakheji le-hypothermic.
- Ukuphuza umzimba, ukuphuzisa isisulu ngamanzi (ama-18-20 degrees) noma ukufaka ithawula elimanzi, ishidi. Kuvunyelwe ukuthatha ishayela noma ukugeza okupholile.
- Nika amanzi okuphuza, itiye, ikhofi.
Isikhathi sokwelashwa kwezimpawu emva kokushaywa kwesibindi kuhambisana nobuqili babo. Ngokusemthethweni, uma izinyathelo ezibalwe zifakwe ngaphakathi kwehora kusukela ngesikhathi sokunqotshwa, imvelo ibuyiselwa ngokushesha, kulo lonke usuku.
Kunini lapho kudingeka khona ukwelashwa kwesibhedlela esibhedlela?
Ukwakhiwa kwezibhedlela kuyadingeka uma kunezinhlobo ezimbi ze-pathology okukhulunywe ngakho, futhi uma isisulu sengozini enkulu yokubhekana nezinkinga:
- ingane;
- umuntu osekhulile;
- umuntu onesifo senhliziyo;
- owesifazane okhulelwe.
Esikhathini esibhedlela, ngaphezu kokwelashwa okuvamile okuyisimangaliso, ukwelashwa kwe-muscle stimulation (Dymedrol, Aminazine), ukuhlukunyezwa (Seduxen, Phenobarbital) nokuphazamiseka
Ukwelashwa kwemiphumela yesifo sokushisa
Ngemuva kokunqoba ngempumelelo isimo esibucayi, esongela ukuphila komuntu, ukwelashwa okusekelayo kwenziwa. Nikeza amavithamini weqembu B, amalungiselelo we-calcium ne-iron.
Isisulu sinconywa ukuphumula okungenani izinsuku ezingu-7 ngemuva kokushaywa kwesibindi, ukubheka umbuso osheshayo futhi ukwandise inani lansuku zonke lokusetshenziswa kwamanzi, ukugwema ukushisa okuphindaphindiwe.