Izimo eziphuthumayo.

Ngo inqubo yokwelapha yesimanje, kukhona welithi "isimo esiphuthumayo" (noma izimo esiphuthumayo). Ngakho sikubiza isimo umzimba womuntu, amelela ingozi ngokushesha ukuphila isiguli. Esiphuthumayo isimo eliyifa zidinga ukwelashwa ngokushesha eziphuthumayo (usizo lokuqala), uphethwe kanye nokwelashwa isimo sokugembula.

Injongo eyinhloko kuleli cala abahlulekayo ukumphilisa nesineke, kodwa adluliselwe kusukela esindayo futhi esibucayi esimweni esigculisayo khona.

Namuhla, izimo eziphuthuma kakhulu zokuhlale okubeka ukufunda nokucwaninga. Olwenziwe ukuhlolwa kokubili i-theory kanye nama-practical nokwandisa njengoba sinjalo kwe-circuit nesineke. Ngo inqubo yocwaningo kanye nokucwaninga, odokotela zifezeke ukucaciseleka bomsebenzi umphumela ukwelashwa.

izimo eziphuthumayo kungenzeka kubangelwa izinkinga ezihlukahlukene pathologies kanye, kuye ngokuthi lokhu, zidinga izifunda ezahlukene futhi izindlela cupping. Ngokuvamile, lezi zifo zenzeka umkhuba kuhlinzwa noma zenhliziyo. Ngakho, izimo ephuthumayo zokuhlinza zingenziwa okubangelwa pathologies ezilandelayo ngqo ekuthuthukiseni: isilonda duodenal noma esiswini (kaningi perforation noma penentratsii zokugcina), pancreatitis, appendicitis (usongo ukudabuka Nogange lwawo nokuthuthukiswa peritonitis), yena peritonitis (ezikhulayo ngasiphi kuhlinzwa isifo) nabanye. izinqubo ezinjalo sokugembula zidinga ukwelashwa okuphuthumayo ngokushesha.

Eziphuthumayo e nezenhliziyo ethulwa infarction kakhulu ngokuvamile esivimba amanzi, inhliziyo block, isifo senhliziyo, arrhythmia, conduction noma excitability inhliziyo.

Isikimu yokunikeza ukunakekelwa kwezempilo izimo eziphuthumayo:

- Ukubulawa uhla zokuqala zosizo zokukhwabanisa (eyenziwa indoda owabona isimo eziwohlokayo isiguli)

- usizo Medical oyi-wezokwelapha (abahlengikazi kwenziwe, ambulensi nabasebenza)

- Emergency usizo lwezempilo (okufanelekela ongoti bezokwelapha ICU)

izimo eziphuthumayo okunjalo, njengoba ukulahlekelwa isikhathi eside ukwazi noma ikhoma imvelaphi engalungisiwe, zidinga ngokushesha emthanjeni thiamine, ne-glucose naloxone (jet).

Le mithi ezintathu babe hhayi umsebenzi zokwelapha kodwa futhi zokuxilonga kuphela.

40% i-glucose iqondiswa ngesikhathi umthamo 80 namamililitha. Lokhu Isixazululo ukwazi iziguli ukwazi nge ikhoma eyenga kahle kungakhuphula izinga likashukela. Uma kwenzeka, uma ikhoma kudalwe esinye inqubo isifo, glucose ngeke kudingekile kulesi sifundazwe, ungumthombo wamandla.

Thiamine iqondiswa ngemithambo yegazi i elingu-100 mg nokuvimbela asebenzayo Wernicke encephalopathy njengoba yezinkinga ikhoma oludakayo. Naloxone wenza umsebenzi walo kwenzeka ukuthi ikhoma kwakubangelwa ubuthi by opiates.

Ezimweni eziningi, isamba enganele kwesikhathi ukuxilonga isimo sokugembula kwenza ukuthi kube nesidingo ukuthi iqalise isifo ukubonakaliswa emitholampilo ezinye laboratory bystrovypolnimym nedatha wezinsimbi. On incazelo enembile idatha etholakalayo kuncike ukuphumelela ukwelashwa, ngisho impilo isiguli.

Lapho ukwelapha iziguli ezinjalo, ukunakekelwa okukhethekile kumele zikhokhelwe ukuphepha ukuhambisana, njengoba idatha mayelana umuntu futhi isifo sakhe ngokuvamile ngingekho, okungadingi ukukhipha khona-hepatitis nesineke, isifo sofuba kanye human immunodeficiency virus. Kuphethe zonke manipulations (zokwelapha kanye kusebenta kwahulumende) kufanele kwenziwe ikhumbula lesi sici.