Mmene Mungadziwire Zizindikiro za Mliri wa Khansa Yam'mimba

1 -

Kodi Ndi Nthawi Yanji Imene Muyenera Kuitanira 911 ndi Khansa Yam'mimba?

Mutha kudabwa kuti muitanitse 911 ngati muli ndi kansa ya m'mapapo . Ndipotu, ngati mukuyang'ana mndandanda wa zifukwa zokhala ndi ambulansi, ambiri ndi zizindikiro zomwe anthu omwe ali ndi khansara yamapapo amakumana nawo tsiku lililonse.

Inu dokotala mwinamwake mwakhala mukukambilana za zochitika zazing'ono zomwe zingabweretse vuto ladzidzidzi, koma panthawi yovuta, zingathandize kuyang'ana zizindikiro zenizeni, m'malo moyendetsa mndandanda wa zovuta zowunikira. Nkhaniyi imatchula zina mwa zizindikiro zomwe ziyenera kukupangitsani inu kapena wokondedwa wanu kutchula 911. Kumbukirani kuti mwadzidzidzi, nthawi ndi yofunika kwambiri. Kawirikawiri ndi bwino kuyitanitsa 911 poyamba, ndiyeno alola timu yowonongeka kuti iyankhule ndi dokotala wanu. (Ndibwinobe, funsani funso ili musanadzidzidwe ndidzidzidzi.)

Anthu ambiri amakayikira kuitana 911. Amafuna kuti maitanidwe awo akhale "abodza" komanso amamva ngati chinyengo. Iwo sangakonde kuwavutitsa odwala opaleshoni ngati sakudziwa kuti zizindikiro zawo ndi zoopsa. Simukuvutitsa aliyense pomutcha 911. Gulu loyankha mwachidziwitso liri maso ndipo likudikirira foni, ndipo oncologist wanu ndithudi akufuna kuti inu muthe 911 ngati muli ndi nkhawa.

Dzifunseni nokha: "Chinthu chovuta kwambiri chimene chingachitike n'chiyani?" Ngati mwaitana ndi onse, mumakhala kunyumba kapena kupita kwanu ngati zizindikiro zanu sizikudziwika kuti ndizidzidzidzi mu chipinda chodzidzimutsa. Ngati simukuitana komanso zizindikiro zanu zikuwopsyeza moyo wanu? Kunena zoona.

Mwina chizindikiro chodalirika kwambiri choti mukusowa chithandizo chodzidzimutsa, ndi m'matumbo anu akumverera. Ngati chinachake chikusiyana ndikukuwopsani, dinani. Intuition imalankhula mokweza, ndipo ndiwe yekha amene mukudziwa zomwe zimamveka thupi lanu-kapena ayi. Nazi malingaliro angapo a momwe mungatche 911 mogwira mtima .

2 -

Zovuta Kupuma

Anthu ambiri omwe ali ndi kansa ya m'mapapo amavutika ndi kupuma, ndiye mungadziwe bwanji kuti zizindikiro zanu ndizozidzidzidzimutsa?

Ngati mukuchita mantha ndi kupuma kwanu, muyenera kuitanitsa 911. Ngati kuyesera kupuma kumatopa, zizindikiro zanu zimakhala zovuta kwambiri. Zizindikiro monga kusintha kwadzidzidzi kwa kusintha mwadzidzidzi kupuma, kapena kutuluka kwa bluish khungu lanu ndi milomo ( cyanosis ,) ndi chifukwa choitanirako. Kutsekemera kwa mitsempha ya khosi pamene kupuma (kutchedwa "kugwiritsidwa ntchito kwa minofu yowonjezera :) kumapangitsa kuti zizindikiro zanu zikhale zovuta.

Ngati simukudziwa kuti kupuma kwanu kukuyipa bwanji, khalani ndi wina wolemba ndi kulemba chiwerengero cha mpweya womwe mumatenga nthawi iliyonse. Kawirikawiri kupuma kwa mpweya ndi mpweya 20 pang'onopang'ono kapena mphindi pang'ono pokhapokha ngati kupuma kwapitirira 24 kungasonyeze vuto lalikulu. Mpweya wa kupuma umatchedwa kuti ananyalanyaza chizindikiro chofunika. ndipo ndikofunikira kwambiri pakuneneratu zochitika zazikulu zamankhwala. Kwenikweni, kafukufuku waposachedwapa anapeza kuti kuwonjezeka kwa kupuma kwapadera kunalibwino kwambiri kuti ndi ndani yemwe anali wodalirika osati mu chipatala chokwanira, kusiyana ndi kukakamizidwa kwa magazi kapena kuthamanga kwa mtima .

Monga taonera kumayambiriro kwa nkhani ino, khulupirirani matumbo anu. Ngakhale kupuma kwanu kuli koyenera ndipo khungu lanu ndi lofiira, kutengeka kwa mpweya wochepa , makamaka ngati kukudetsani nkhawa, kuyenera kuthamangitsidwa mwamsanga.

3 -

Kudula Magazi

Kuthamanga magazi , kuposa supuni ya supuni ndi matenda ochiza matenda . Zingawoneke ngati magazi ambiri, koma kumbukirani kuti kutsokomola magazi 100, kapena 1/3 ya kapu yamagazi (yotchedwa hemoptysis) imatengedwa kuti ndiwopseza moyo ndi imfa ofalitsa oposa 30 peresenti.

Vuto ndi lakuti, kutaya magazi m'derali kungathenso kutsogolera njira zowonongeka (zosatheka kutengera mpweya m'mapapo) chikhumbo (kupuma magazi m'mapapo) ndi kuchepa kwa magazi. Kuchulukitsa ndalama zing'onozing'ono kuposa izi, chifukwa cha zomwe zimayambitsa kansa ya m'mapapo, zingakhale zofulumira kwambiri. Mwachitsanzo, mwa anthu omwe alibe khansa ya m'mapapo, pali zifukwa zambiri zokopa magazi. Komabe ndi khansara yamapapu, izi zimachitika chifukwa chotupa chimakula kukhala malo ofunikira, kapena mapulaneti apansi chifukwa cha chemotherapy .

Musati dikirani. Itanani 911.

4 -

Chifuwa cha Chifuwa

Kupweteka kwa chifuwa, kapena zomwe zimamva ngati " kupweteka m'mapapo " zingakhale zovuta kwa anthu omwe ali ndi khansa ya m'mapapo. Sikuti pali zifukwa zambiri zomwe zimayambitsa kupweteka kwa chifuwa chokhudzana ndi khansa ya m'mapapo ndi mankhwala a khansa, koma anthu omwe ali ndi khansa angakhalenso ndi matenda a mtima. N'zosavuta kuiwala pakati pa mankhwala omwe anthu omwe ali ndi khansa ya m'mapapo amavutika ndi matenda omwe ali nawo ngati anthu omwe alibe khansa ya m'mapapo pankhani ya matenda a mtima, ndipo mankhwala ambiri a khansa angathe kuwonjezera ngoziyi.

Kupweteka kwapachifuwa kwa chifuwa ndi chifukwa choitanitsira 911, ndipo mosiyana ndi malangizo operekedwa kwa anthu omwe alibe khansa kuyang'ana zowawa, kupweteka kowawa, kupweteka kwakukulu kungakhale kovuta kwambiri kwa anthu omwe ali ndi khansa.

5 -

Kusintha kwadzidzidzi m'malingaliro

Kusintha kwadzidzidzi m'mkhalidwe waumphawi kungakhale kosavuta kwa anthu omwe amakhala ndi khansa ya m'mapapo. Pali zifukwa zambiri zomwe zingayambitse chisokonezo , kuphatikizapo hypercalcemia ya malignancy , koma chinthu chofunika sikutanthauza chifukwa, koma kukhala wokonzeka kuitana 911 ngati munthu wasokonezekadi.

Zizindikilo zingaphatikizepo malingaliro , kusokonezeka, ndi chirichonse chimene mungasinthe ngati chisokonezo, kapena "kusiya" monga momwe achinyamata anganene. Palinso mafunso omwe odwala opaleshoni nthawi zambiri amapempha kuti adziwe ngati wodwala akusokonezeka: Ndingadziwe bwanji ngati wina akusokonezeka?

6 -

Kutaya kapena Kuwala Kwambiri

Kutaya chidziwitso (syncope) kapena kumverera ngati iwe kungawonongeke, ndi chifukwa choitanitsira 911 ndi khansara yamapapo. Pali mavuto ambiri a kansa ya m'mapapo yomwe imayambitsa machitidwe ambiri omwe angayambitse matendawa, koma chofunika kwambiri ndi kupeza mankhwala mwamsanga.

Banja lanu ndi abwenzi ayenera kudziwa nthawi yoyitanitsa 911 ngati simungathe kuwauza - monga momwe zilili. Gawani ndi okondedwa anu mndandanda wa zizindikiro zomwe zimasonyeza kuti mwadzidzidzi muli ndi mndandanda wa momwe mukudziwira, mankhwala, ndi mankhwala omwe muli nawo panopa, ngati wina akufuna kukuyankhulani. Musaganize odwala opaleshoni kapena chipatala, mudzakhala ndi chidziwitso ichi.

Onetsetsani zizindikiro izi zomwe mukufuna kutaya ndi kuyang'ana zizindikiro izi:

• Kukwapula
• Kusokonezeka
• Mwadzidzidzi kuchepa mwakumva
• Masomphenya a ngalande
• Nausea
• Flushing, ndi
• Kudodometsa

Ngati mukudandaula, yang'anani wothandizira banja kuti ayimbire 911, ndipo alowe m'malo omwe simukuvulazidwa ngati mutayazindikira. Nthawi zambiri zimalimbikitsidwa kukhala pansi ndi mutu wanu pakati pa mawondo anu, koma ngakhale izi zingakhale zoopsa ngati kugwa kuchokera pa mpando kungayambe kuvulazidwa. Musati dikirani kuti muwone ngati zizindikiro zanu zidutsa, ngakhale mutakhulupirira kuti pali chifukwa chabwino cha zizindikiro zanu.

7 -

Maso, Mkhosi, kapena Lilime Kutupa

Kusokonezeka kwa anaphylactic , njira yowopsya kwambiri yowonongeka kawirikawiri imakhala limodzi ndi kugwedeza kwakukulu kwa magazi, ndidzidzidzi kwa anthu omwe ali ndi khansa ya m'mapapo. Ndi mankhwala omwe anthu ambiri ali nawo panthawi ya chithandizo cha khansa ya m'mapapo-ambiri mwa iwo angayambe kusokoneza maganizo-chizindikiro chilichonse choopsa kwambiri choyenera kuchitidwa. Chinthu chapadera chotchedwa angioedema chitha kupezeka mwa anthu ogwiritsa ntchito mankhwala okhudza mankhwala monga Taxol (paclitaxel) Izi nthawi zambiri zimachititsa kutupa kwa nkhope, makamaka khungu lozungulira maso ndi lilime. Ndi zifukwa zonsezi, anthu akhoza kukhala okondwa kwambiri, akutha , akufooka, ndipo potsiriza amadziwa.

Vena cava syndrome yapamwamba imakhalanso yowopsa kwa anthu omwe ali ndi khansa ya m'mapapo. Ndi matendawa, kupanikizika ku malo oyandikana nawo kuchokera ku chotupa pafupi ndi mapapo am'mapapo kungayambitse kumverera kumutu, mitsempha ya mkhosi, ndi chifuwa.

8 -

Kufooka Kwadzidzidzi / Kugonjetsa Kapena Kutaya Kuthandizira Thupi / Chikhodzodzo

Kupweteka kwa msana wam'mimba (SCC) chifukwa cha khansa ya m'mapapo yomwe yafalikira ku fupa , imatha kupita kuchipatala mwadzidzidzi-kapena, vuto limene chithandizo chofulumira chingathandize kusunga ntchito. Zizindikiro za SCC nthawi zambiri zimayambira ndi ululu kumbuyo kapena kumutu,

Kufooka kwakukulu kapena kupweteka kwa mapeto (kapena awiri) ndi kutayika kwa matumbo kapena chikhodzodzo chifukwa cha SCC amatchedwa " cauda equina syndrome ." Izi ndizidzidzidzi zoopsa zomwe ziyenera kuitanitsa 911.

Pali njira zingapo zomwe kupweteka kwa msana kumapezeka kwa anthu omwe ali ndi khansara yamapapo, koma chinthu chofunika kudziwa ndi chakuti izi ndizodzidzidzi. Ngakhale khansa yomwe ili ndi vuto lopulumuka, vuto lachipatala lachipatala lingathe kusunga ntchito.

9 -

Fever

Fungo lingakhale vuto lachipatala ndi khansara yamapapo, koma kutentha komwe izi zimakhala zosautsa zidzasiyana pakati pa anthu, ndi mankhwala omwe akuperekedwa.

Tikulemba izi ngati zovuta, chifukwa ngakhale kukhala ndi maantibayotiki abwino, chaka chilichonse pali opulumuka a khansa omwe sakhala nawo kwa ER m'nthawi ya mankhwala opha tizilombo.

Mzere wa 101 F (kapena 100.5 F) nthawi zambiri umatchulidwa ngati mlingo umene mungamuitane dokotala, koma izi zidzakhala zosiyana kwa aliyense. Mankhwala monga chemotherapy a khansa ya m'mapapo , akhoza kuchepetsa mphamvu ya thupi kuti imenyane ndi matenda , ndi mankhwala ophera tizilombo amene amachitira ntchito kwa anthu ena, sangakhale ogwira ntchito; Musagwiritse ntchito mankhwala achikulire omwe mumakhala nawo.

Matenda a sepsis ndi septic akudziwika bwino kwambiri omwe anthu omwe ali ndi kansa ya m'mapapo ayenera kuitanitsa 911. Kuwonjezera pa malungo, anthu nthawi zambiri amakhala ndi zizindikiro zina, monga kumutu, kuthamanga kwa mtima, chisokonezo, ndi kugwedezeka. Ndikofunika kuzindikira kuti anthu ena okhala ndi sepsis, mmalo mokhala ndi malungo, amakhala ndi kutentha kwa thupi (hypothermia).

Lankhulani ndi dokotala wanu za momwe kutentha kwanu "kuchenjezera" kuyenera kukhalira patsogolo pa nthawi. Ngati muli pa chemotherapy, khalani ochenjera kwambiri chifukwa cha malungo. Ngakhale kuchuluka kwa maselo oyera a magazi kumakhala kozoloŵera kapena kochepa, zimaganiziridwa kuti, nthawi zina, maselo oyera omwe timakhala nawo sangagwire ntchito pa mankhwala a chemotherapy.

10 -

Kudziwa za Chiwonongeko Chobwera Kapena "Chisamaliro Chachisanu ndi chimodzi"

Chovuta kufotokoza chifukwa choitanitsira 911, ndi chabe lingaliro lanu labwino kuti chinachake choipa chikukuchitikirani. Kungakhale kuphatikizapo zizindikiro zomwe mukukumana nazo, kapena mwadzidzidzi kuopa zomwe zikuchitika m'thupi lanu. Khulupirirani chibadwa chanu. Pali zambiri zomwe sitizimvetsetsa mu mankhwala, koma matupi athu nthawi zambiri amapeza njira zotithandiza kudziwa pamene tikufunikira thandizo.

Kuzindikira kwa chiwonongeko kwadaphunzitsidwa mchipatala, ndipo kafukufuku uyu akuwonetsa kuti chidziwitso cha chiwonongeko chomwe chikubwera chikufala kwa anthu asanakhale ndi matenda a mtima, asanayambe kugwidwa ndi kuthamanga kwa magazi, komanso asanagwe

11 -

Kukonzekera Zowopsa

Monga momwe anthu akukonzera chivomezi, n'kopindulitsa kukonzekera.wachidziwitso chachipatala. Mofanana ndi masoka achilengedwe, anthu ambiri sakuganiza momveka bwino monga momwe amafunira.

Khalani okonzeka manambala a foni, ndi foni yoyandikana ndi iyo ngati mukuganiza kuti zizindikiro zanu zikusintha mwanjira iliyonse

Sankhani momwe mungakonde kukhala ndi nthawi yambiri . Mwachitsanzo, kodi mukukonzekera kuchiza kapena kani, kuti mukulitse khalidwe linalake la moyo. Ngati mwatsiriza zowonjezereka malangizo onetsetsani kuti izi ndi zothandiza. M'dziko lokongola, chipatala chiyenera kukhala ndi zolemba zonse zofunika. Komabe, nthawi zina-chifukwa cha kulowera kwakukulu kwa odwala-wina amachotsedwa kuchipatala china.

Lembani mndandanda wa maulendo a pabanja pa malo abwino Mayi wina ali ndi khansara yamapapu ankasungira thumba laling'ono la "usiku wonse" lomwe linali ndi zinthu zofunika monga mauthenga. Iye adanena kuti izi sizimamuvutitsa, chifukwa adachitanso zomwezo pamene anali ndi pakati, podziwa kuti atayamba kugwira ntchito, akhoza kuiwala zinthu zambiri zofunika.

Khalani ndi chidule cha mankhwala ndi zinthu zanu kuti mubweretse. Ngati ambulansi yanu imasokonezedwa, izi zingapulumutse nthawi yamtengo wapatali yomwe antchito am'chipinda chodzidzimutsa amatsata madokotala anu ndi zambiri.

Ngati zizindikiro zikubwera mwamsanga, imbani 911 choyamba. Awuzeni ogwira ntchito zam'chipatala mofulumira ndi kuchipatala kuti apite kuchipatala pofufuza madokotala anu.

12 -

Zizindikiro zoopsa pa Mapeto a LIfe

Tsoka ilo, anthu ambiri amatha kuchipatala kumapeto kwa moyo, ngakhale atakhala kuti akufuna kufa kunyumba. Ngati ichi ndi chokhumba chanu, kambiranani za momwe mungaganizire zachipatala mosamala ndi okondedwa anu, musanayambe kukumana ndi mavuto (onani m'munsimu.) Pakhoza kukhala zochitika zomwe mungakonde kuti muzipititse kuchipatala.

Choyamba, chingathandize kufotokozera mawu ochepa. DNR amatanthauza kuti musayambirane. Izi zikutanthauza kuti simukufuna antchito ofulumira kuchita CPR (kupanikizani mtima wanu kapena kukhumudwitsa mtima wanu ngati muli ndi chizoloŵezi choipa cha mtima chomwe chingachititse imfa.) DNI amatanthauza kuti musamvetse. Izi zikutanthauza kuti simufuna kuti akatswiri azachipatala apange tiyi kuti mpweya uzikupuma. Nthaŵi zambiri, odwala amasankha DNR dongosolo lomwe limaphatikiza zonsezo. Ndikofunika kumvetsetsa izi mosamala musanasankhe izi pa zifukwa zingapo. Kumangidwa kwa mtima sikukutanthauza kuti mtima wako wasiya. Nthawi zina ngakhale kupwetekedwa mtima kwapang'ono kungayambitse mtima wodabwitsa womwe ungathe kupha pokhapokha ngati mutayambiranso (monga mantha).

Ngati muli ndi DNR kapena DNI order, onetsetsani kuti muli ndi chikalata cha ichi, ndikuti banja lanu likudziwa zomwe mwasankha. CPR imakhala yopambana ngati wina ali ndi khansa yomaliza, koma m'madera ena, oyankha mofulumira amayenera kuchita CPR ngakhale kuti CPR ilipo.

Kuwonjezera pa DNR ndi DNI, ndikofunika kulankhula za zofuna zanu zokhudzana ndi chipatala kumapeto kwa moyo. Pali zizindikiro zambiri kumapeto kwa moyo zomwe zingafunike zithandizo zina osati kubwezeretsanso kapena kutsegula. Mwachitsanzo, mungafunike kukhala ndi zizindikiro zanu (monga ululu wowawa) ngakhale mutakhala ndi DNR / DNI dongosolo.

Ngakhale kuti anthu ambiri amatsatira malangizo otsogolera, palibe lamulo lovomerezeka lalamulo la DNH (musalowe kuchipatala). Pofuna kupeŵa chipatala chosafunikira ku mapeto a moyo ndikofunikira kuti odwala apange chisankho choyambirira, ngati, ndipo pazifukwa zotani, angaganizire kupita kuchipatala. Ngati muli pa chipatala, gulu lanu lachilendo lingakuthandizeni kufotokoza zofuna zanu ndikupanga zisankho.

_Zotsatira:

_{Cretikos, M., et al. Mpweya wa kupuma: kunyalanyaza chizindikiro chofunikira. Medical Journal of Austalia . 2008. 188 (11): 657-9.}

_{Johns Hopkins Mankhwala. Mphepete mwachitsulo. Inapezeka pa 02/16/16. http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/}

_{Parkes, R. Mpata wa kupuma: chizindikiro chosaiwalika. Namwino Wowopsa . 2011. 19 (2): 12-7.}

_{Zozizwitsa Zowonjezereka. (2009). Ku Holland-Free Cancer Medicine (9th ed.). Pmph usa.}