Amanyathelo okumelana noxinzelelo lweyeza lokugonya isifo samanqina kunye neegusha

Ukugonywa kwezilwanyana ngumlinganiselo osebenzayo wokuthintela kunye nokulawula izifo ezosulelayo, kwaye uthintelo kunye nesiphumo sokulawula siyamangalisa.Nangona kunjalo, ngenxa yomzimba womntu okanye ezinye izinto, ukusabela okubi okanye ukunyanzeliswa kwengcinezelo kunokwenzeka emva kokugonywa, okusongela impilo yezilwanyana.

Ukuvela kwezitofu ezahlukahlukeneyo kuzise imiphumo ecacileyo ekuthinteleni nasekulawuleni izifo ezosulelayo.Ukusetyenziswa kogonyo lwezilwanyana kuthintele ngempumelelo ukuvela kwezinye izifo zezilwanyana.Isifo sonyawo kunye nomlomo sisifo esibukhali, esitshisayo kwaye esosulela kakhulu esikholisa ukwenzeka kwizilwanyana ezinophuphu olucandekileyo.Iyenzeka rhoqo kwizilwanyana ezifana neehagu, iinkomo, neegusha.Ngenxa yokuba isifo sonyawo kunye nomlomo sisasazeka ngeendlela ezininzi kwaye ngokukhawuleza, kwaye sinokudluliselwa ebantwini.Kuye kwaqhambuka izihlandlo ezininzi, ngoko ke abasemagunyeni bezilwanyana kwiindawo ezahlukeneyo baxhalabile kakhulu ngothintelo nolawulo lwayo.Isitofu sokugonya iinkomo neegusha luhlobo lwesitofu sokugonya esisebenzayo sokuthintela ukwenzeka kwesifo sonyawo nomlomo.yeyesitofu sokugonya esingasebenziyo kwaye isiphumo sokusetyenziswa sibaluleke kakhulu.

1. Uhlalutyo lwempendulo yoxinzelelo lwenkomo neegusha zokugonya isifo samanqina nomlomo

Kugonyo lwenkomo neegusha lwesifo sonyawo nomlomo, iziphumo zoxinzelelo olunokwenzeka emva kokusetyenziswa ikakhulu kukunqongophala kwamandla, ukuphelelwa ngumdla, ukubetha ngamandla, ubuthathaka bamalungu omzimba, ukulala phantsi, ukuguquguquka kobushushu bomzimba, ukushukuma kunye nokucofa. yafumanisa ukuba i-peristalsis yendlela yesisu iyacotha.Emva kokugonywa, kufuneka ubeke ingqalelo ngokusondeleyo ekusebenzeni kweenkomo kunye neegusha.Ukuba impendulo yoxinzelelo ekhankanywe ngasentla iyenzeka, unyango olufike ngexesha luyafuneka.Oku, kudityaniswa nokuxhathisa kweenkomo neegusha ngokwazo, kuya kukhawuleza kubuyisele impilo yenkomo neegusha.Noko ke, ukuba ukusabela koxinezeleko kuqatha, iinkomo neegusha zisenokopha ngokwendalo, zibe namagwebu emlonyeni nezinye iimpawu kwithuba nje elifutshane emva kokuba zigonyiwe, yaye iimeko ezimandundu zinokude zikhokelela ekufeni.

2. Uhlangulo olungxamisekileyo kunye namanyathelo onyango lwempendulo yoxinzelelo lwenkomo kunye negusha yokugonya isifo sonyawo kunye nomlomo.

Akunakuphepheka ukuba impendulo yoxinzelelo lweyeza lokugonya inkomo kunye neegusha zesifo sonyawo kunye nomlomo luya kuvela, ngoko ke abasebenzi abafanelekileyo kufuneka balungiselele ukuhlangulwa kunye nonyango nangaliphi na ixesha.Ngokuqhelekileyo, impendulo yoxinzelelo lwenkomo kunye negusha yokugonywa kwesifo sonyawo kunye nomlomo kwenzeka ikakhulu kwiiyure ezi-4 emva kokutofa, kwaye iya kubonisa iimpawu ezicacileyo njengoko kukhankanyiwe ngasentla, ngoko kulula ukwahlula.Ngoko ke, ukuze kuqhutywe umsebenzi wokuhlangula unxunguphalo ngexesha lokuqala, abasebenzi bokuthintela ubhubhane kufuneka baphathe amachiza okuhlangula ngokukhawuleza kunye nabo, kunye nokutofa iziyobisi zokuphendula uxinzelelo kunye nezixhobo zokugonya izifo zenkomo kunye neegusha.

Abasebenzi bothintelo lobhubhane kufuneka baqwalasele ngononophelo utshintsho kwiimpawu zenkomo neegusha ngexesha lokugonywa, ngakumbi emva kokuba ugonyo lugqityiwe, kufuneka baqwalaselwe kwaye baphonononge imeko yengqondo ukufumanisa ukuba kukho ukusabela koxinzelelo okokuqala. .Ukuba ukusabela koxinzelelo kubonwa kwiinkomo kunye neegusha, uhlangulo olungxamisekileyo kufuneka luqhutywe ngokukhawuleza, kodwa kumsebenzi othile wokuhlangula, kufuneka uqhutywe ngokwemeko yenkomo kunye neegusha.Enye kukuba kwiinkomo eziqhelekileyo kunye neegusha, emva kokusabela koxinzelelo, khetha i-0.1% epinephrine hydrochloride 1mL, intramuscularly, ngokubanzi ngaphakathi kwesiqingatha seyure, inokubuyela ngokuqhelekileyo;kwiinkomo neegusha ezingamithiyo, ingasetyenziswa.Inaliti ye-dexamethasone inokukhuthaza ukuchacha ngokukhawuleza kweenkomo neegusha;Ikhompawundi ye-glycyrrhizin ingasetyenziselwa inaliti ye-intramuscular, umthamo wenaliti echazwe ngokwesayensi, ngokubanzi iya kubuyela kwimeko yesiqhelo kwisiqingatha seyure.Kwiinkomo neegusha ngexesha lokukhulelwa, ngokuqhelekileyo kukhethwa iadrenaline, enokubuyisela impilo yenkomo neegusha malunga nesiqingatha seyure.