Bayanda abantu abangenwe yi-coronavirus ePoland. Isimo siba sibi kakhulu njengoba kungase kungabibikho odokotela abazonikeza usizo lwemishini yokuphefumula esindisa ukuphila. Isifundo azanele neze.
- Phakathi nokuqeqeshwa okukodwa akunakwenzeka ukufunda indlela yokufaka isiguli futhi usixhume emshinini wokuphefumula. Intubation inqubo engathandeki kakhulu yomuntu ophapheme, ngakho-ke udinga ukumlalisa, unikeze iziphumuli zemisipha.
- I-Anesthesiology specialization yenziwa - ngemva kokuphothula izifundo zezokwelapha - iminyaka engu-6. Ngaphambi kokuthola “i-specki”, udokotela osemncane akanalo ilungelo lokubulala izinzwa esigulini noma ukusebenzisa i-ventilator.
- Udokotela obulala izinzwa: Sengineminyaka engu-30 ngisebenza kulo mkhakha futhi ngike ngabona odokotela ababulala izinzwa abasebasha izandla zabo ezaziqhaqhazela ngenkathi zifaka isiguli, namazinyo abo egedla. Ukuqeqeshwa ngama-phantom akusoze kwafana nokuxhumana nomuntu ophilayo
- Ukuthola eminye imininingwane yakamuva nge-coronavirus, sicela uvakashele ikhasi lasekhaya le-TvoiLokony
UMnyango Wezempilo umemezele ngoLwesithathu izehlakalo eziyi-10 ezintsha zokutheleleka nge-COVID-040, irekhodi elisha kanye nokuwela kokuqala kwamamaki ayi-19. utheleleke nge-coronavirus. Elinye irekhodi laqoshwa ngoLwesine - amacala ayi-10.
Esikhathini sesibili sobhubhane, inani leziguli likhula ngokushesha, futhi esimweni seziguli ezigula kakhulu, kuyadingeka ukuzixhuma kuma-respirators.
Ekuqaleni kuka-Okthoba, angu-300 alawa madivayisi asetshenziswa, futhi angu-508 maphakathi nenyanga. Njengamanje, ezingaphezu kuka-800 zeziguli ezigula kakhulu zidinga ngempela ukuxhunywa le divayisi yokuphefumula eyisipesheli.
Izikhulu zazise ukuthi sinengqikithi yezinsimbi zokuphefumula eziyi-1200 ezitholakala ePoland. Nokho, akulona inani labo eliyinkinga enkulu namuhla, kodwa bambalwa kakhulu odokotela ababulala izinzwa abakwazi ukusebenzisa le mishini.
Lokhu kuyinkinga enkulu, ngoba sinodokotela abangu-6872 balo mkhakha ezweni, abangu-1266 babo baneminyaka engaphezu kuka-65 ubudala.
Iqiniso lokuthi lesi simo siyethusa lifakazelwa incwadi evela kuWaldemar Wierzba, umqondisi wesibhedlela Somnyango Wezangaphakathi Nokuphatha WaseWarsaw, eya ezinhloko zemitholampilo, ecashunwe uRzeczpospolita.
Amazwi akhe aputshukele kunethiwekhi: “Ngicela amavolontiya azofunda ukusetshenziswa okuyisisekelo kwemishini yokuphefumula”.
Khonamanjalo, odokotela ababulala izinzwa bayethusa ngokuthi ukusebenza kwalo mshini ngeke kufundwe ngempela ezinsukwini ezimbalwa.
- I-Anesthesiology specialization yenziwa ePoland iminyaka eyi-6. Ngaphambi kokuba lesi sikhathi siphele, udokotela osemusha ofuna ukusebenza njengochwepheshe kulo mkhakha esikhathini esizayo akavunyelwe ukwenza noma iyiphi inqubo yedwa. Kubandakanya i-anesthetize kanye nokusebenzisa umshini wokuphefumula. – kuchaza udokotela obulala izinzwa onolwazi esibhedlela sase-Szczecin futhi ucela ukudalulwa igama. – Kuwumshini obiza ngaphezu kwe-PLN 100 futhi awugcini nje ngokusekela ukuphefumula, kodwa futhi usindisa ukuphila kwesiguli esigula kakhulu. Angikwazi ukucabanga ukuthi ulwazi olukhethekile kulo mkhakha lungatholwa ngesikhathi sesifundo esisodwa. Esikhathini esifushane kangako, ungafunda kanjani ukuxhuma le divayisi kugesi, kodwa ukwelashwa nge-ventilator? Akunakwenzeka.
- Uhola malini ngempela udokotela obulala izinzwa? “Kuzodingeka ngisebenze amahora angu-400 ngenyanga”
Udokotela obulala izinzwa wengeza ngokuthi, yebo, zikhona izifundo zokuqeqesha ekungeneni komoya ngemishini, kodwa zihloselwe ochwepheshe kulo mkhakha.
- Kufanele sikhumbule ukuthi abantu abasesimweni esibucayi kakhulu sezempilo baya ezikhungweni zabagula kakhulu. Ukubhekana nazo kudinga ikhono eliphakeme kakhulu, uyaxwayisa.
Isifundo esifushane akwanele
Lapho isiguli singakwazi ukuphefumula ngokuzimela futhi singanikezi umzimba nge-oxygen eyanele, i-anesthesiologist - ngemva kokuhlola isimo somtholampilo wesiguli, ehlaziya ukuhlolwa okwengeziwe kwe-gasometric, tomographic kanye ne-X-ray - yenza isinqumo esibalulekile mayelana nokuxhuma kumshini wokuphefumula.
“Kuwumshini wokuphefumula”, kodwa ukuze kusebenze obulala izinzwa kufanele angene endleleni yokuphefumula yesiguli. Lokhu ukwenza ngosizo lwe-endotracheal tube, alifaka kuqhoqhoqho lesiguli.
-Intubation yinqubo engathandeki kakhulu kumuntu ophaphayo, ngakho-ke kufanele alaliswe futhi anikezwe izinto eziphumuza imisipha. Sekuyiminyaka engu-30 ngisebenza kulo mkhakha futhi izikhathi eziningi ngiye ngabona odokotela ababulala izinzwa abasebasha izandla zabo zaziqhaqhazela ngenxa yale nqubo, amazinyo abo exukuza. Futhi i-intubation iyikhono eliyisisekelo likadokotela ofuna ukusindisa izimpilo njengodokotela obulala izinzwa futhi asebenze egunjini labagula kakhulu. Ukuqeqeshwa ngama-phantom akusoze kwafana nokuxhumana nomuntu ophilayo - kuchaza udokotela waseSzczecin.
Futhi akakwazi ukucabanga ukuthi izinqubo eziyinkimbinkimbi kangaka zingenziwa abantu ngemva kwezifundo ezimfushane zokuzilungiselela.
- Izimpawu zokutheleleka ngegciwane. Okuthathu okuyisisekelo kanye nohlu lonke lokungajwayelekile
Ingabe utheleleke nge-coronavirus noma othile osondelene nawe une-COVID-19? Noma mhlawumbe usebenza kwezempilo? Ungathanda ukwabelana ngendaba yakho noma ubike noma yikuphi ukungahambi kahle okubonile noma okuthintekile? Sibhalele ku: [Email protected]. Siqinisekisa ukungaziwa!
Akwanele ukuvula umshini wokuphefumula
Ama-respirators ahlukile komunye nomunye.
- Phakathi kwazo kunemishini eyinkimbinkimbi kakhulu, ehlakaniphile enezinketho ezahlukene zokuphefumula zesiguli. Angikhulumi ngama-respirators avamile wezokuthutha anomshini olula kanye nemodi eyodwa yokusebenza. Lezi zisetshenziswa kuma-ambulensi endleleni esuka ekhaya lesiguli eya esibhedlela. Kodwa-ke, abakhethekile kakhulu kufanele bahlangabezane nemingcele ehlukahlukene, futhi izibhedlela eziningi ePoland zinamathuluzi anjalo onawo - kusho udokotela.
Futhi okubaluleke kakhulu, ukunakekelwa kwababulala izinzwa akugcini ngokuxhuma isiguli kumshini wokuphefumula. Baphinde bahileleke ekubuyiseleni ikhono lesiguli lokuphefumula ngokuzimela.
- Ikhono lokusebenzisa i-ventilator lidinga ulwazi olukhethekile olusekelwa ukuzijwayeza. Udokotela obulala izinzwa onolwazi kuphela ongaqinisekisa ukuthi kuzoba yithuluzi eliphumelelayo neliphephile esigulini, kuphetha udokotela obulala izinzwa.
Funda futhi:
- Isebenza kanjani imitholampilo? "Zivaliwe, zivaliwe"
- “Kubi kakhulu kunoMashi”. Amazwe ethula imikhawulo eqinile
- UProf. Kuna: Abukho ubufakazi bokuthi ukuvala i-lockdown kuzosisiza ukuthi sinqobe impi yokulwa negciwane
Okuqukethwe kuwebhusayithi ye-medTvoiLokony kuhloswe ngayo ukuthuthukisa, hhayi esikhundleni, ukuxhumana phakathi komsebenzisi Wewebhusayithi nodokotela wabo. Isizindalwazi senzelwe izinjongo zokwazisa kanye nezokufundisa kuphela. Ngaphambi kokulandela ulwazi olukhethekile, ikakhulukazi izeluleko zezokwelapha, eziqukethwe kuWebhusayithi yethu, kufanele uthintane nodokotela. Umlawuli akanazo imiphumela ebangelwa ukusetshenziswa kolwazi oluqukethwe kuWebhusayithi. Ingabe udinga ukubonisana nodokotela noma incwadi kadokotela? Iya ku-halodoctor.pl, lapho uzothola khona usizo lwe-inthanethi - ngokushesha, ngokuphepha futhi ngaphandle kokushiya ikhaya lakho.