I-EZResus iyithuluzi lereferensi yokuvuselela eyenzelwe ochwepheshe bezempilo. Inikeza ukwesekwa kwazo zonke izici zehora lokuqala lokuvuselela. I-EZResus ayithathi indawo yokwahlulela komtholampilo noma inikeze ukuxilongwa. Iseluleko sikadokotela siyadingeka ngaphezu kokusebenzisa lolu hlelo lokusebenza nangaphambi kokwenza noma yiziphi izinqumo zezokwelapha.
Ngokwamukela inkambu yokuvuselela, uzibophezela ukuba yingxenye yeqembu elibhekene nesiphithiphithi sehora lokuqala lokuvuselela. Phakathi naleli hora lokuqala, izikhonkwane ziphezulu, isiguli sakho siyafa futhi udinga ukuthatha isinyathelo ngokushesha ngaphandle kwendawo yamaphutha. Ngisho noma uzilolonga esikhungweni esikhulu, uhlezi uzizwa uwedwa. Wena nethimba lakho niziphendulela esigulini futhi KUMELE nithole ukuxilonga okufanele nokwelashwa ngokushesha ngangokunokwenzeka.
Inkinga ukuthi awusoze wazi konke odinga ukukwazi. Ungakwenza kanjani? Noma ngabe yikuphi ukwenza kwakho kwamanje, ungase ubhekane nanoma yisiphi isimo esiphuthumayo kuwo wonke umkhakha wempilo yomuntu. Ukuvuselela kuwukuphela kwenkambu lapho ungenakho nhlobo ukulawula uhlobo lwesiguli ozodinga ukusinakekela. Noma ngabe ufuna ukukubeka, ngolunye usuku, uzodinga ukwenza ngaphandle kwendawo yakho yokunethezeka. Futhi lokhu kuyethusa.
Ngakho sazibuza umbuzo onzima: Yini esingayenza ngakho?
Nokho, okokuqala, sidinga ukubhekana nokugcwala kwengqondo, le nkungu ekhinyabeza ukucabanga kwethu okuphusile ngesikhathi sokushisa kwamanje. Kuyahlanya ukwenza noma yiluphi uhlobo lokubala kwengqondo ngo-2023 futhi kufanele sithumele noma yini engabalwa kukhompyutha: umthamo wezidakamizwa, ukukhethwa kwemishini, izilungiselelo ze-ventilator, ama-drip ... yonke into.
Sabe sesicabanga: Udokotela yedwa akanamsebenzi walutho. Uma sifuna lokhu kube wusizo, kufanele kube ireferensi yethimba lonke: odokotela, abahlengikazi, abezimo eziphuthumayo, osokhemisi nabelaphi bokuphefumula, njll. Ngale ndlela, ezilungiselelweni ezilinganiselwe zezinsiza, wonke umuntu uyakwazi ukufinyelela kukho konke: umhlengikazi uba umphefumulo wokuphefumula. Therapist, udokotela usengakwazi ukulungisa ama-drip.
Asizange sixoxe ngesihloko sohlelo lokusebenza isikhathi eside kakhulu. Uma ukwazi ukubhekana nanoma yiluphi uhlobo lwesiguli, udinga uhlelo lokusebenza olunebanga lesisindo esisuka ku-0.4 ukuya ku-200kg. Ngobubanzi obunjalo besisindo eseqile, siqashe ithimba le-NICU nosokhemisi abakhethekile ekudongeni izidakamizwa ekukhuluphaleni. Sengeze isilinganiso sesisindo ngokuya ngeminyaka yokukhulelwa futhi sathuthukisa umthamo ofanele wesidakamizwa esinesisindo somzimba.
Ekugcineni, kwakudingeka sibhekane nenkinga yegebe lolwazi. Ulenza kanjani ithuluzi elinikeza imininingwane enemininingwane ngokwedlulele yezinto ongazazi kodwa ngesikhathi esifanayo likunikeze okubalulekile ezihlokweni ozaziyo? Mhlawumbe udinga ulwazi oluningiliziwe lwe-esmolol drip, kodwa kuphela "ukuhlola kabili" okusheshayo komthamo wakho we-epinephrine? Leli gebe lolwazi liyahluka kakhulu phakathi kwethu. Ukudonswa kwe-milrinone esigulini esingu-3kg kuyiphupho elibi kwabaningi bethu, kodwa kuwumsombuluko ovamile, kuChris, usokhemisi wethu okwi-ICU yenhliziyo yezingane. KuChris, iphupho elibi liwukulungiswa kwe-alteplase ye-pulmonary embolism enkulu esigulini esikhulelwe, into esiyenza nsuku zonke ezigulini zohlangothi ezikhungweni zabantu abadala.
Sisebenze kanzima kulokhu futhi siqhamuke “nokubuka kuqala”. Ukuhlola kuqala kuyindlela yokufinyelela, ngokushesha okukhulu, ulwazi olufanele esimweni somtholampilo. Siqoqe lezo ngaphansi kwezimo zomtholampilo ukuze uthole, ngaphansi kokuchofoza oku-3, konke odinga ukukwazi. Ufuna ukujula? Vele uchofoze ku-elementi bese uthola imininingwane enemininingwane.
Yilokhu-ke, EZResus, impendulo yethu kulo mkhakha ohlanyayo wokuvuselela kabusha.
Sithemba ukuthi uzowujabulela ngempela umsebenzi wethu.
Zizwe ukhululekile ukusithumelela i-imeyili nganoma yini esingayenza kangcono. Silapha ngemishini. Sifuna ukusindisa izimpilo nani bafo!
Ithimba lezicelo ze-MD,
Inhlangano engenzi nzuzo yamavolontiya ahlanyayo angu-30 ematasa ngokuvuselela
I-EZResus (I-Easy Resus)
Kubuyekezwe ngo-
Jan 6, 2025