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Kuongorora Kuongorora KunotangaKuvhiyiwa kwekukurumidzira kune iyo inofanirwa kuitwa pakarepo uye pasina iyo munhu angangopera akakuvadzwa zvachose.
Paanosvika pane imwe nzvimbo yekukurumidzira, vashandi vanokurumidza kutarisa kuongorora mamiriro ehupenyu hwemunhu. Izvi zvinosanganisira kutora zviratidzo zvinokosha , kuongorora zviratidzo, kuita kuongorora kwemuviri, nekutora nhoroondo yezvirwere zvekare zvekare uye zvemazuva ano, marwadzo, uye kushandiswa kwemishonga.
Kana murwere ari kurwara zvakanyanya, kurapwa kunogona kutanga pakarepo pedyo nekuongorora kwekushandisa. Kana zvichidiwa, munhu wacho anogona kugadziriswa nemishonga, kuwedzerwa ropa, kushandiswa kwemvura, mamwe maitiro ekugadzirisa matambudziko.
Muzviitiko zvakawanda, vanamukoti vachaita kuti vagone kuwana mishonga (kuisa mutezo weV IV mumupfu) kuitira kuti kupiwa kwekukurumidza kwemishonga.
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Kuongorora Kuongororwa Kusati KuvhiyaKana chiitiko chepanyama chikazadziswa uye murwere akadzikama, zvirwere zvekuongorora zvinogona kurayirwa kusanganisira X-rays, basa rebasa, computed tomography (CT) kuongorora, magnetic resonance imaging (MRI) scans, electrocardiograms (ECGs) kuongorora utano hwemwoyo, electroencephalograms (EEGs) kuongorora kuora kweuropi.
Kana zviedzo zvichiratidza kuti zvinoda kuvhiyiwa, chiremba anovhiya achakurumidza kubvunzurudzwa. Muzvipatara zvikurusa, kushungurudzika kana chirwere chechiremba chinowanzowanikwa maawa makumi maviri nemazuva uye kazhinji vanozoita maitiro avo pachavo muimba yepamhanho.
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Emergency Transfer kune Chimwe ChinhuZvichienderana nerudzi rwechipatara munhu anotorwa, kuendesa kune imwe nzvimbo inogona kudiwa. Zvipatara zviduku kana zvekumaruwa kazhinji hazvive nevanyanzvi kana tekodhi yepamhizha yekuvhiya.
Mumamiriro ezvinhu akadaro, imba inoshamwaridzana ichagadzirisa kuendeswa kana murwere akasimbiswa, kazhinji mukati memawa kana kupfuura. Kutakura kunogona kusanganisira ambulensi kana helicopter nevashandi vakarovedzwa kuti vabatsire kushandiswa kwakachengeteka.
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Kugadzirira KuvhiyaKazhinji anesthesia inowanzopiwa panguva dzekuvhiya kwekukurumidza kuitira kuti munhu agadzikane zvachose uye kwenguva pfupi akaoma mapfupa ake. Kuti uite izvi, mishonga inopihwa ne IV kuti udzose murwere apo chiremba anoisa endotracheal tube mumhepo. Iyo tube inosanganiswa nemhepo inoputira iyo inotora kupfuurira kumurwere panguva yekuvhiyiwa.
Mimwe mishonga inopiwa ipapo kudzivirira chero kufamba uye kuvimbisa kuti munhu anorara kuburikidza nehutano hwose. Anesthesiolgist acharamba aripo kuti arambe achitarisa zviratidzo zvinokosha.
Kana zvichidikanwa, anesthesiologist ichaisa mamwe mitsara ye IV kana imwe mutsara mukuru (unonzi mukati wepakati ) mukati mevarwere ruoko rwekupa mishonga yakasiyana-siyana panguva imwe chete.
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KuvhiyaKamwe kamwe aneshehesia yakazadza, chirwere chekuvhima chinotanga. Nzvimbo yemuviri inofanira kushandiswa pairi ichacheneswa zvakakwana uye yakakomberedzwa neisina kuvharwa kuitira kuti nzvimbo yacho igare isina simba.
Chimiro chekuvhiya uye kurwara kucharaira kuti vangani vanovhiya vanodiwa uye kuti basa rinotora nguva yakareba sei. Kana zvichidikanwa, kuwedzerwa ropa kunogona kurairwa kuti iwedzere kugadzirisa murwere munguva yekuita. Kazhinji, zvirwere zve IV zvakapiwa panguva yekuvhiya kubhadhara chero kurasikirwa kweropa uye muviri wemvura.
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Kudzoka Pashure KokuvhiyaApo kuvhiyiwa kwapera, munhu wacho achatungamirirwa kunhengo ye -post-anesthesia (PACU) kana yakagadzikana. Murwere anowanzova groggy kusvikira anesthesia inopera. Munguva iyi yekugadzirisa, zviratidzo zvinoshandiswa nemunhu zvinonyatsoongororwa uye kurapa kunorwadza kunotarisirwa sezvinodiwa.
Kana mumwe murwere akangwarira uye anesthesia apera, iye achaendeswa kuchipatara kuti atange kupora. Vaya vasina kugadzikana kana vachida kuongororwa nguva dzose vachaendeswa kunhengo huru yekuchengetedza (ICU) .
Vanhu vanowanzokuvadzwa mahy vanofanira kuramba vari muvharidziro kusvikira vasimba zvakakwana kuti vafemire pachavo. Vamwe vangada kuvhiyiwa mamwe mabasa kana kurapwa.
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Kuvandudza uye KubudiswaMushure mokuvhiyiwa, mishonga inorwisa mabhakitiriya ichagadzirirwa kuchengetedza utachiona uye mishonga yakasiyana-siyana yemarwadzo ichashandiswa kubatsira kubvisa marwadzo. Nguva yekudzoka inogona kusiyanisa uye inogona kusanganisira kurapwa kwemaitiro. Vaya vari muCI vachagara imomo kusvikira vachikwanisa kufema pasina rubatsiro.
Kune varwere vanorwarawo kuti vadye, chikafu chinogona kuendeswa neAV kana kuti kuburikidza nehutano hwekudya hunoiswa mukati mehutu. Kana yakasimba zvakakwana kuita, murwere anotanga nekukanda zviduku zvakanyanyisa zvinoshandiswa uye zvishoma nezvishoma kufambira mberi kune kudya kwakakwana.
Kune avo vanogona kuita, kupora kunotanga nekukumbira munhu kuti agare pamucheto wemubhedha uye oenda kuimba yekugezera. Sezvo munhu wacho achivandudza, marwendo ekufamba achawedzerwa kana asina kushandiswa.
Vapeki vacharamba vachipa kuvharidzira panguva yekugara muchipatara uye kudzidzisa murwere nzira yekuchengetedza zvakanaka maronda kana ari pamba. Chipatara ichirapa chirongwa chinotanga kana chiremba achivimbiswa kuti munhu wacho akadzikinurwa zvakakwana. Kana zvichidikanwa, kutarisirwa kwehutano hwemusha kucharairwa kuti vabatsire nechinjeuko kana kuti kuenderera mberi nekuchengeta.