Ganda - clammy

Clammy ganda rinotonhorera, rakanyorova, uye kazhinji rakachenuruka.

Clammy ganda rinogona kunge riri chimbichimbi. Fonera wako mupi wezvehutano kana yako yemuno emergency emergency, se911.

Zvinokonzera ganda clammy zvinosanganisira:

• Kushungurudzika kurwisa
• Kumira kurova kwemoyo
• Kuneta kwekupisa
• Kubuda ropa mukati
• Yakaderera ropa okisijeni mazinga
• Mishonga yekuita
• Sepsis (hutachiona hwemuviri)
• Yakanyanya seergic reaction (anaphylaxis)
• Kurwadziwa kwakanyanya
• Shock (yakaderera BP)

Kuchengetwa kwemusha kunoenderana nezviri kukonzera ganda rinogwamba. Fonera rubatsiro rwekurapa kana usina chokwadi.

Kana iwe uchifunga kuti munhu arohwa nehana, mumuradzika pasi nemusana uye simudza makumbo anenge gumi nemaviri (30cm). Fonera yako yemuno emergency emergency (se911) kana kuendesa munhu wacho kuchipatara.

Kana iro ganda rakakura rinogona kunge riri nekuda kwekuneta kupisa uye munhu akamuka uye anogona kumedza:

• Ita kuti munhu wacho anwe mvura yakawanda (isiri-doro)
• Fambisa munhu wacho kunzvimbo inotonhorera, ine mumvuri

Tsvaga rubatsiro rwekurapa nekukasira kana munhu wacho aine chimwe chezviratidzo kana zviratidzo zvinotevera:

• Kuchinja chinzvimbo chekurapa kana kugona kufunga
• Chifuva, mudumbu, kana kurwadziwa musana kana kusagadzikana
• Kutemwa nemusoro
• Kupfuura kweropa muduru: tsvina yakasviba, yakajeka tsvuku kana maroon reropa
• Kudzokorora kana kuramba uchingorutsa, kunyanya kweropa
• Zvinogona kunge kushandisa zvinodhaka
• Kufema kwekufema
• Zviratidzo zvekuvhunduka (senge nyonganiso, yakaderera nhanho yekusvinura, kana kushaya simba kupomba)

Nguva dzose bata chiremba wako kana kuenda kudhipatimendi rekukurumidzira kana zviratidzo zvikasakurumidza kupera.

Iye mupi achaita bvunzo dzepanyama uye obvunza mibvunzo nezvezviratidzo uye nhoroondo yemunhu yekurapa, inosanganisira:

• Ko ganda rakakura rakakurumidza kukura sei?
• Zvakamboitika kare here?
• Munhu akuvara here?
• Munhu wacho ari kurwadziwa here?
• Munhu wacho anoita seane kushushikana here kana kunetseka?
• Iye munhu achangoburitswa nekutonhora kwakanyanya here?
• Ndezvipi zvimwe zviratidzo zviripo?

Miedzo uye kurapwa kunogona kusanganisira:

• Airway rutsigiro, kusanganisira okisijeni, kufema chubhu kuburikidza nemuromo (intubation), uye mweya wekufema (ventilator)
• Ropa uye weti kuongororwa
• Chest x-ray
• ECG (electrocardiogram, kana moyo wekutsvagisa)
• Mvura kuburikidza nemutsinga (intravenous kana IV)
• Mishonga yekurapa zviratidzo

Maonero anoenderana nechikonzero cheganda ganda. Kuongorora uye bvunzo mhedzisiro kunobatsira kuona nekukurumidza uye kwenguva-refu maonero.

Ziya - kutonhora; Clammy ganda; Chando ziya

Brown A. Kutarisirwa kwakakomba. Muna: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, eds. Chinyorwa cheVakuru Emergency Medicine. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: chits. 2.

Brown A. Kumutsazve. Muna: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, eds. Chinyorwa cheVakuru Emergency Medicine. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: chits. 1.

Marik PE. Endocrinology yemhinduro yekushushikana panguva yekurwara kwakanyanya. Muna: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Kuchengetedza Kwakakosha Nephrology. 3rd ed. Philadelphia, PA: Elsevier; 2019: chits. 76.

Puskarich MA, Jones AE. Shock. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits.