Ho nyekoa ke pelo le ho hlatsa - batho ba baholo

Ho nyekeloa ke maikutlo ke ho batla ho hlatsa. Hangata e bitsoa "ho kula mpeng."

Ho hlatsa kapa ho lahlela ke ho qobella lintho tse ka mpeng hore li nyolohe ka phaephe ea lijo le ka hanong.

Mathata a tloaelehileng a ka bakang ho nyekeloa ke pelo le ho hlatsa a kenyelletsa:

• Matsoalo a lijo
• Tšoaetso ea mpa kapa mala, joalo ka "feberu ea mpa" kapa chefo ea lijo
• Ho lutla ha lijo tse ka mpeng (lijo kapa mokelikeli) ho ea holimo (hape ho bitsoa reflux ea gastroesophageal kapa GERD)
• Meriana kapa kalafo ea bongaka, joalo ka chemotherapy ea mofets'e kapa kalafo ea radiation
• Ho tšoaroa ke hlooho ea migraine
• Boloetse ba hoseng nakong ea bokhachane
• Boloetse ba leoatle kapa ba ho sisinyeha
• Bohloko bo bohloko, joalo ka ka majoe a liphio
• Tšebeliso e feteletseng ea matekoane

Ho nyekeloa le ho hlatsa hape e kanna ea ba matšoao a temoso ea pele a mathata a tebileng a bongaka, joalo ka:

• Sehlomathiso
• Ho koaloa ka maleng
• Kankere kapa hlahala
• Ho noa moriana kapa chefo, haholo-holo ke bana
• Liso tse ka mpeng ea mpa kapa mala a manyane

Hang ha mofani oa tlhokomelo ea bophelo a fumane sesosa, o tla batla ho tseba ho phekola ho nyekeloa ke pelo kapa ho hlatsa.

U kanna ua hloka ho:

• Nka meriana.
• Fetola tsela eo u jang ka eona, kapa u leke lintho tse ling hore u ikutloe u le betere.
• Noa lino tse nyenyane tse hlakileng khafetsa.

Haeba u na le bokuli ba hoseng nakong ea bokhachane, botsa mofani oa hau mabapi le kalafo e ka bang teng.

Lintlha tse latelang li ka thusa ho phekola bokuli ba motsamao:

• Ho lula u khutsitse.
• Ho noa li-antihistamine, tse kang dimenhydrinate (Dramamine).
• U sebelisa li-patches tsa letlalo tsa scopolamine (joalo ka Transderm Scop). Tsena li na le thuso bakeng sa maeto a atolositsoeng, joalo ka leeto la leoatle. Sebelisa setsiba joalo ka ha mofani oa hau a u laela. Scopolamine ke ea batho ba baholo feela. Ha ea lokela ho fuoa bana.

Letsetsa 911 kapa u ee kamoreng ea maemo a tšohanyetso haeba u:

• Nahana hore ho hlatsa ho bakoa ke chefo
• Hlokomela mali kapa ntho e lefifi, e 'mala oa kofi mahlatseng

Bitsa mofani oa litšebeletso hang-hang kapa u batle tlhokomelo ea bongaka haeba uena kapa motho e mong a na le:

• Ke hlatsa nako e telele ho feta lihora tse 24
• Ha o khone ho boloka maro leha e le afe fatše ka lihora tse 12 kapa ho feta
• Ho opeloa ke hlooho kapa molala o sataletseng
• Ha e ntše metsi lihora tse 8 kapa ho feta
• Bohloko bo bohloko ba mpeng kapa mpeng
• Vomited makhetlo a 3 kapa ho feta ka letsatsi le le leng

Matšoao a ho felloa ke metsi 'meleng a kenyelletsa:

• Ho lla ntle le meokho
• Molomo o omileng
• Nyora e eketsehileng
• Mahlo a hlahang a koahetse
• Liphetoho tsa letlalo: Ka mohlala, haeba u thetsa kapa u pepeta letlalo, ha le khutle ka tsela eo le tloaetseng ho etsa ka eona
• Ho rota khafetsa kapa ho ba le moroto o mosehla o lefifi

Mofani oa hau o tla etsa tlhahlobo ea 'mele mme o tla sheba matšoao a ho felloa ke metsi.

Mofani oa hau o tla botsa lipotso mabapi le matšoao a hau, joalo ka:

• Ho hlatsa ho qalile neng? E nkile nako e kae? E etsahala hangata hakae?
• Na e etsahala kamora ho ja, kapa ka mpeng e se nang letho?
• Na matšoao a mang a teng joalo ka bohloko ba mpeng, feberu, letshollo kapa hlooho e opang?
• Na u hlatsa mali?
• Na u hlatsa ntho efe kapa efe e shebahalang joaloka lebala la kofi?
• Na u hlatsa lijo tse sa silang?
• U qetetse neng ho ntša metsi?

Lipotso tse ling tseo u ka botsitsoeng ka tsona li kenyelletsa:

• Na esale u theola boima ba 'mele?
• Na u kile oa nka leeto? Hokae?
• U noa meriana efe?
• Na batho ba bang ba jeleng sebakeng se le seng le uena ba na le matšoao a tšoanang?
• Na u imme kapa u ka ima?
• O sebelisa matekoane? Haeba ho joalo, u e sebelisa hangata hakae?

Liteko tsa tlhahlobo tse ka etsoang li kenyelletsa:

• Liteko tsa mali (joalo ka CBC e nang le phapano, litekanyo tsa mali tsa electrolyte, le liteko tsa ts'ebetso ea sebete)
• Ho hlahloba urinal
• Ho etsa lithuto tsa (ultrasound kapa CT) tsa mpa

Ho ipapisitse le sesosa le hore na u hloka maro a mang a mangata, u ka tlameha ho lula sepetlele kapa tleliniking nako e telele. U kanna ua hloka maro a fanoang ka methapo ea hau (methapo kapa IV).

Emesis; Ho hlatsa; Ho ferekana mala; Ho halefa mala; Boipheliso

• Tlosa lijo tse metsi
• Lijo tse felletseng tsa mokelikeli

• Tsamaiso ea ho sila lijo

Crane BT, Mahe SDZ, Zee DS. Mathata a bohareng ba liaparo. Ka: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology. La 6th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 166.

Guttman J. Ho nyekeloa le pelo le ho hlatsa. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 26.

Mcquaid KR. Atamela mokuli ea nang le lefu la mala. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 123.