Sengoli: Charles Brown
Letsatsi La Creation: 3 Hlakubele 2021
Ntlafatsa Letsatsi: 25 November 2024
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Litaba

Kamora ho kenya pelo pelo, ho hlaphoheloa butle butle, 'me ho bohlokoa ho noa meriana ea letsatsi le letsatsi e khothalletsoang ke ngaka ho qoba ho lahloa ke pelo e kentsoeng. Leha ho le joalo, ho bohlokoa hape ho boloka phepo e nepahetseng, ho ja feela lijo tse phehiloeng hantle, haholo lijo tse phehiloeng, ho qoba tšoaetso e ka behang bophelo ba mokuli kotsing.

Ka kakaretso, kamora 'opereishene, mokuli o amoheloa ka phapusing ea tlhokomelo e matla (ICU) ka matsatsi a ka bang 7, mme ke kamora moo feela a fetisetsoang setsing sa bakuli ba kulang, moo a lulang libeke tse ling tse peli,' me a tsoa Libeke tse 4 hamorao.

Kamora ho tsoa, ​​mokuli o tlameha ho tsoelapele ka boeletsi ba bongaka, hore butle butle a tsebe ho fumana bophelo bo botle mme a phele bophelo bo tloaelehileng, a tsebe ho sebetsa, ho ikoetlisa kapa ho ea lebopong, mohlala. ;

Pholiso kamora ho kenya pelo

Kamora 'opereishene, mokuli o tla lula ka phapusing ea ho hlaphoheloa lihora tse' maloa, 'me ka mor'a moo o tla fetisetsoa ICU, moo a tlamehang ho lula, ka karolelano matsatsi a 7, hore a hlahlojoe khafetsa le ho thibela mathata.


Nakong ea ho kena sepetlele ICU, mokuli a ka hokeloa lipeepeng tse 'maloa ho netefatsa boiketlo ba hae, mme a ka lula ka catheter ea senya, li-drain tsa sefuba, li-catheters matsohong a hae le catheter ea nko ho iphepa, mme ho tloaelehile ho ikutloa bofokoli ba mesifa le ho hema ka thata ka lebaka la ho se sebetse nako e telele pele ho ts'ebetso.

Catheter matsohongLiphaepe le lipeipiNose probe

Maemong a mang, hang kamora ho buuoa, mokuli a ka hloka ho lula ka phapusing a le mong, a arohane le bakuli ba bang mme, ka linako tse ling a sa amohele baeti, hobane sesole sa 'mele sa bona se fokola mme, ba ka tšoaetsoa habonolo ke lefu lefe kapa lefe, haholoholo. tšoaetso., Ho beha bophelo ba mokuli kotsing.


Ka tsela ena, mokuli le bao a kopanang le bona ba ka hloka ho roala mask, seaparo le liatlana ha a kena ka kamoreng ea hae. Ke feela kamora ho ba le botsitso moo a fetisetsoang ts'ebetsong ea bakuli, moo a lulang libeke tse ka bang 2 mme butle-butle oa fola.

Ho hlaphoheloa hae joang ka mor'a ho buuoa

Maemong a mangata, ho khutlela hae ho etsahala libeke tse 3 ho isa ho tse 4 kamora ho buuoa, leha ho le joalo, e fapana le liphetho tsa liteko tsa mali, electrocardiogram, echogram le X-ray ea sefuba, tse etsoang makhetlo a 'maloa nakong ea ho lula sepetlele.

ElectrocardiogramUltrasound ea peloLiteko tsa mali

Bakeng sa ho boloka tšalo-morao ea mokuli, kamora ho tsoa sepetlele, ho beoa kemiso le ngaka ea pelo ho latela litlhoko.


Bophelo ba mokuli ea jetsoeng hape bo etsa liphetoho tse itseng, 'me o lokela ho:

1. Ho noa lithethefatsi tse itšireletsang mafung

Kamora ho buuoa ho fetisetsa pelo, mokuli o hloka ho noa lithethefatsi tse itšireletsang mafung letsatsi le leng le le leng, e leng meriana e thusang ho thibela ho lahla setho se jetsoeng, joalo ka Cyclosporine kapa Azathioprine, mme se lokela ho sebelisoa bophelo bohle. Leha ho le joalo, ka kakaretso, lethal dose la meriana lea fokotseha, joalo ka ha ho bontšitsoe ke ngaka, ka ho fola, ho etsa hore ho hlokahale hore ho etsoe liteko tsa mali pele ho amohela kalafo ho latela litlhoko.

Ho feta moo, khoeling ea pele ngaka e ka supa ts'ebeliso ea:

  • Lithibela-mafu, ho qoba kotsi ea tšoaetso, joalo ka Cefamandol kapa Vancomycin;
  • Ho kokobetsa bohloko, ho fokotsa bohloko, joalo ka Ketorolac;
  • Li-diuretics, joalo ka Furosemide ho boloka bonyane 100 ml ea moroto ka hora, ho thibela ho ruruha le ho se sebetse ha pelo;
  • Corticosteroids, ho thibela tšoaetso ea ho ruruha, joalo ka Cortisone;
  • Li-anticoagulants, joalo ka Calciparina, ho thibela ho theoa ha thrombi, e ka hlahang ka lebaka la ho se khone ho tsamaea;
  • Likokoana-hloko, ho thibela tšollo ea mali e tsoang tšilo ea mali, joalo ka Omeprazole.

Ntle le moo, ha ua lokela ho noa meriana efe kapa efe ntle le boeletsi ba bongaka, hobane e ka sebelisana 'me ea lebisa ho hanoeng ha setho se kenngoeng.

2. Ho ikoetlisa kamehla

Kamora ho kenya pelo, hangata mokuli o fumana ho le thata ho ikoetlisa ka lebaka la ho rarahana ha opereishene, bolelele ba nako ea ho lula le ts'ebeliso ea li-immunosuppressants, leha ho le joalo, sena se lokela ho qalisoa sepetlele, kamora hore mokuli a tsitse 'me a se a sa sebetse o noa meriana ka methapo.

Bakeng sa ho fola kapele, boikoetliso ba aerobic bo lokela ho etsoa, ​​joalo ka ho tsamaea metsotso e 40 ho isa ho e 60, makhetlo a 4 ho isa ho a 5 ka beke, butle butle ea limithara tse 80 ka motsotso, e le hore pholiso e potlake mme mokuli ea jetsoeng a khona ho khutla letsatsi. mesebetsi ea letsatsi lena.

Ntle le moo, o lokela ho ikoetlisa ka mokhoa oa anaerobic, joalo ka ho otlolla, ho eketsa motsamao o kopaneng, ho matlafatsa mesifa, ho ntlafatsa masapo a masapo le ho fokotsa ho otla ha pelo.

3. Ja lijo tse phehiloeng feela

Kamora ho kenya 'mele, mokuli o tlameha ho latela phepo e nepahetseng, empa o tlameha ho:

Qoba lijo tse talaKhetha lijo tse phehiloeng
  • Tlosa lijo tsohle tse tala lijong, joalo ka lisalate, litholoana le maro le tse sa tloaelehang;
  • Felisa ts'ebeliso ea lijo tse sa jeoang, joalo ka chisi, yogurt le thepa e makotikoting;
  • Sebelisa feela lijo tse phehiloeng hantles, tse phehiloeng haholo, joalo ka apole e phehiloeng, sopho, lehe le phehiloeng kapa le phehiloeng;
  • Noa metsi a diminerale feela.

Lijo tsa mokuli e lokela ho ba lijo tsa bophelo bohle tse qobang ho kopana le likokoana-hloko e le ho qoba tšoaetso, 'me ha ho lokisoa lijo, matsoho, lijo le lisebelisoa tsa ho pheha li lokela ho hlatsuoa hantle ho qoba tšilafalo. Tseba seo u lokelang ho se ja: Lijo bakeng sa boits'ireletso bo tlase.

4. Boloka bohloeki

Ho qoba mathata ho bohlokoa ho boloka tikoloho e hloekile kamehla, 'me u lokela ho:

  • Ho hlapa letsatsi le leng le le leng, ho hlatsoa meno bonyane makhetlo a 3 ka letsatsi;
  • Ho hloekisa ntlo, moea o kenang moea, o se nang mongobo le likokoanyana.
  • Qoba ho kopana le batho ba kulang, ka mohlala, feberu;
  • Se ke oa ea khafetsa libakeng tse silafetseng, ka moea o batang, ho bata kapa ho chesa haholo.

Hore pholiso e sebetse ka katleho ho hlokahala ho sireletsa mokuli maemong a ka hlaselang sesole sa 'mele se fokolang.

Mathata a ho buoa

Ho kenyelletsa pelo ke ts'ebetso e rarahaneng haholo ebile e bonolo, ka hona, likotsi tsa ts'ebetso ena ea pelo li lula li le teng. Tse ling tsa mathata, li kenyelletsa ts'oaetso kapa ho hana, ka lebaka la ho fokolisa sesole sa 'mele kapa lefu la pelo, ho hloleha ha pelo, ho se sebetse ha liphio kapa ho oa, mohlala.

Nakong ea ho fola, haholo-holo kamora ho tsoa, ​​ho bohlokoa ho shebella matšoao a ka supang matšoao a mathata, joalo ka feberu, ho hema ka thata, ho ruruha ha maoto kapa ho hlatsa, mohlala, 'me haeba ho etsahala, o lokela ho ea hanghang kamore ea maemo a tšohanyetso ho qala kalafo e nepahetseng.

Fumana hore na opereishene e etsoa joang ho: Ho kenyelletsa pelo.

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