I-Asphyxia yisimo lapho umzimba, umzimba uncishwa umoya-mpilo. Lesi sici esibalulekile ekusebenzeni komzimba asisafinyeleli ezithweni ezibalulekile (ubuchopho, inhliziyo, izinso, njll.). Imiphumela yokuphelelwa umoya iyingozi, isongela ukuphila.

I-asphyxia, ngokwencazelo, ukuncipha komoyampilo emzimbeni. Lokhu kubangela ubunzima bokuphefumula okungaba nzima kakhulu. Ngempela, ngenxa yokuphelelwa umoya-mpilo, igazi alisakwazi ukunikeza lesi sici esibalulekile kuzo zonke izitho. Ngakho-ke laba bamuva baba ntula. Ukulimala kwezitho ezibalulekile (inhliziyo, ubuchopho, izinso, amaphaphu) kungaba yingozi kumuntu.

I-asphyxia ivame ukuhlotshaniswa nokubandakanyeka ngaphambi kokubeletha. Bese sihlukanisa:

• I-Intrapartum asphyxia, ebonakala nge-acidosis (pH <7,00), ngokuvamile ithinta izitho eziningi. Kuyi-neonatal futhi kungaba imbangela ye-encephalopathies (ukulimala kobuchopho)
• I-Positional asphyxia ingumphumela wokuvinjwa kwemisipha yokuphefumula. Futhi, lolu hlobo lwe-asphyxia luwumphumela wesimo se-acidosis kanye ne-alveolar hypoventilation.

Icala elithile le-erotic asphyxiation kanye nezingozi zako

I-Erotic asphyxia iwuhlobo olukhethekile lwe-asphyxia. Kuwukuphucwa kobuchopho ku-oxygen, ngaphakathi kohlaka lwemidlalo yocansi. Umdlalo we-headscarf ohlukile walolu hlobo lokuphefumula. Le mikhuba isetshenziselwa ukuheha injabulo ethile (ucansi, isiyezi, njll.). Izingozi nemiphumela kubi kakhulu. Ubuchopho buncishwa umoya-mpilo, ukusebenza kwawo kuncipha kakhulu futhi imiphumela ingaba engenakuhlehliswa, ibulale imbala.

Kunezimbangela eziningi ezingabangela i-asphyxia:

• ukuvinjelwa kwento ethile emgudwini wokuphefumula
• ukwakheka kwe-edema ye-laryngeal
• ukwehluleka kokuphefumula okunamandla noma okungapheli
• ukuhogela imikhiqizo enobuthi, igesi noma intuthu
• ukucabangela
• isikhundla esivimba imisipha yokuphefumula, ebanjwe isikhathi eside

Isimo sokuphelelwa umoya singathinta noma yimuphi umuntu uma esesimweni esingakhululekile, evimbela ukuphefumula kwakhe, noma ngisho nokugwinya umzimba wangaphandle ovimba isimiso sakhe sokuphefumula.

Izingane ezizalwa ngaphambi kwesikhathi zisengozini enkulu yokuhosha. I-fetus engahleleki kahle phakathi nayo yonke noma ingxenye yokukhulelwa ingabuye ihlupheke ngenxa yokuphelelwa umoya, ngokuncishwa umoya-mpilo ovela enkabeni.

Izingane ezincane, ezinokuthambekela okwandisiwe kokufaka izinto emilonyeni yazo nazo zisengozini enkulu (imikhiqizo yasendlini enobuthi, amathoyizi amancane, njll.).

Okokugcina, izisebenzi umsebenzi wazo ongaphansi kokusebenza ezitokisini noma ukusebenzisa imikhiqizo enobuthi nazo zinengozi eyengeziwe yokuhogela umoya.

Imiphumela yokuphelelwa umoya iyingozi. Ngempela, ukuncishwa komzimba komoya-mpilo ngokuhlelekile kuholela ekuncipheni kwalesi sici esibalulekile emzimbeni nasezithweni ezibalulekile: ubuchopho, inhliziyo, amaphaphu, izinso, njll.

Izimpawu zomtholampilo kanye nezimpawu ze-asphyxia ziwumphumela oqondile wokuncishwa komzimba komoya-mpilo. Bahumushela kusi:

• ukuphazamiseka kwezinzwa: ukukhubazeka kokubona, ukuhayiza, ukushaya ikhwela noma i-tinnitus, njll.
• ukuphazamiseka kwezimoto: ukuqina kwemisipha, ubuthakathaka bemisipha, njll.
• ukuphazamiseka kwengqondo: ukulimala kobuchopho, ukulahlekelwa ukwazi, ukudakwa kwe-anoxic, njll.
• ukuphazamiseka kwemizwa: ukubambezeleka kokusabela kwemizwa kanye ne-psychomotor, ukuncenceza, ukukhubazeka, njll.
• ukuphazamiseka kwenhliziyo nemithambo yegazi: i-vasoconstriction (ukuncipha kobubanzi bemithambo yegazi) iholela ngokungaqondile ekuncipheni kwezitho nemisipha (izisu, ubende, ubuchopho, njll.)
• ukungalingani kwe-acid-base
• i-hyperglycemia
• ukuphazamiseka kwamahomoni
• izinkinga zezinso.

Izici eziyingozi zokuphefumula yizi:

• ukuma okungalungile kwe-fetus ngesikhathi sokukhulelwa
• ukusebenza ngaphambi kwesikhathi
• isikhundla esivimba ukuphefumula
• ukuthuthukiswa kwe-edema ye-laryngeal
• ukuchayeka emikhiqizweni enobuthi, umhwamuko noma amagesi
• ukungeniswa komzimba wangaphandle

I-asphyxia yangaphambi kokubeletha kanye neyengane ayinakubikezelwa.

I-asphyxia ezinganeni ezincane iwumphumela ngokuyinhloko wokungeniswa kwemikhiqizo enobuthi noma imizimba yangaphandle. Izinyathelo zokuvimbela zinciphisa ingozi yezingozi: beka imikhiqizo yasendlini kanye neyobuthi endaweni ephakeme, qapha ngokucophelela imizimba yangaphandle emlonyeni, njll.

Ukuvimbela i-asphyxia kubantu abadala kuhilela ukugwema izikhundla ezingakhululekile nokuvimbela uhlelo lokuphefumula.

Ukuphathwa kwecala lokuphefumula umoya kufanele kusebenze ngokushesha ukuze kuncishiswe imiphumela kanye nengozi yokufa komuntu.

Inhloso eyinhloko yokwelashwa ukuvula imigudu yomoya. Kulokhu, ukukhishwa komzimba wangaphandle kanye nokuchithwa komuntu kubalulekile. Umlomo ukuya emlonyeni kuyisigaba sesibili, okuvumela ukuphinda kufakwe umoya-mpilo emzimbeni. Uma kunesidingo, ukubhucungwa kwenhliziyo kuyisinyathelo esilandelayo.

Lolu sizo lokuqala ngokuvamile kufanele lwenziwe ngokushesha ngangokunokwenzeka, ngesikhathi sisalinde usizo. Lapho laba bamuva befika, isiguli sifakwa ngaphansi kokuphefumula okwenziwayo futhi kwenziwa uchungechunge lokuhlolwa (umfutho wegazi, i-perfusion, izinga lokushaya kwenhliziyo, izinga le-oxygenation, njll.).