Ukuvela kwamahhovisi anjalo kuye kwehlisa izinga lokushona kwezingane. Amayunithi okunakekelwa kwezingane ezincane okwamanje asebenza cishe kuzo zonke izikhungo ezinkulu zezokwelapha. Kule minyango, amaqembu asabela ngokushesha, ahambisa iziguli ezincane ezibhedlela ezincane eziya ezikhungweni zokwelashwa ezinkulu futhi ziqinisekise ukuzinza kweziguli ngesikhathi sokuthutha i-ambulensi. Izindlela ezihlukahlukene zokwelapha zisetshenziswa ezingxenyeni zokunakekela izingane ezinamandla. Esihlokweni esithi "Ukwelashwa okunamandla kwezimo ze-septic ezinganeni ezisanda kuzalwa" uzothola ulwazi oluningi oluthakazelisayo nolusizo.
I-ventilation yokufakelwa
I-ventilation yokufakelwa (i-IVL) iyindlela ejwayelekile kunazo zonke yokunakekelwa okujulile, okusetshenziselwa izinga elingapheli lokuhluleka ukuphefumula noma usongo lokuthuthukiswa kwalo. Ukuphuza umoya kungadingeka ukuze kube nokutheleleka kokuphefumula, okufana ne-bronchiolitis, evamile ezinsana ezisencane. Ukuhluleka kokuphefumula kungase kuyingxenye ye-multiple organ disysitive syndrome.
Ukugcina umsebenzi wezinhliziyo nomfutho wegazi
Ukunciphisa ukucindezeleka kwegazi kuvame ukubonakala ezinganeni ezisesimweni esibucayi. Lokhu kungenzeka ngenxa yethonya lama-toxins enhliziyweni, okwephula ikhono layo lokupompa igazi, noma ukungena kwezinto ezibangela ukwehla kwethambo le-vascular. Imithi ethile ikhulisa ukucindezeleka kwegazi, kanye nokushaya kwenhliziyo namandla.
Ukunikezwa kwamandla
Ukuhlinzeka ukudla okunomsoco kubalulekile kumntanakho ogula kakhulu. Ngeke avame ukudla, kuyilapho amandla omzimba wakhe adinga ukwanda. Eyunithi yokunakekela kakhulu, ukudla okunomsoco noma ngokusebenzisa ithubhu efakwe esiswini (gastrostomy) isetshenziswa. Ukwelapha okunamandla (ukuhluleka kwezinso kungase kwenzeke ngemuva kwesizinda sokuphazamiseka kwegazi, ngenhlanhla, izinso ziyakwazi ukubuyisela umsebenzi wazo ngemva kokuphazanyiswa kwesikhashana.) Umsebenzi wokuhlanza u-Renal ungase wenziwe nge-hemodialysis. Igazi lomntwana lifundwa ngophethiloli futhi lidluliswe ngedivaysi ehlunga uketshezi okwedlulele imikhiqizo enobuthi enobuthi.
Ukwelashwa kwama-antibiotic
Izingane ezine-sepsis (ukutheleleka kwegazi) zidinga ukwelashwa ngama-antibiotic ezithinta i-agent esetshenziselwa ukusakazwa. Uma lezi ziguli zingaphansi kweyunithi yokunakekelwa okukhulu, cishe ukusabalala kokutheleleka kufanele kucatshangelwe.
Ukunakekela isikhumba
Izingane ezinokushisa zidinga ukunakekelwa okwedlulele ngenxa yokuntuleka kwabo ukuvikelwa ekubhekaneni nokutheleleka nokulahlekelwa komzimba, okuvame ukuhlinzeka isikhumba. Kuzo zonke izinyunithi zokunakekela izingane ezinzulu, kufanele kunakekelwe ukunakekela ukulimala kwesikhumba kusuka ekucindezelweni noma kwezinye izinto ezibuhlungu. Ukunakekelwa okujulile kwezingane kanye nezinyathelo zokunakekelwa okunamandla zifakwa ezinganeni ezinezimo ezibucayi ezihlukahlukene. Ukuze uhlolisise futhi uphathe iziguli ezigula kakhulu, amakhono akhethekile wezokwelapha zabasebenzi kanye nemishini ekhethekile kuyadingeka. Kunezinkomba eziningi zokwelashwa ezigumbini zokunakekelwa okukhulu.
Izifo ezincane zesistimu
Ezinye izifo zingase zibe nzima ukuwa kwesistimu nokuhluleka kwesitho eziningi. I-Meningococcal meningitis ebangelwa yi-bacterium Neisseria meningitidis, eyaziwa kakhulu yizo. Ukuhluleka kokuphefumula okudinga ukungena umoya wokufakelwa umoya Ukuphelelwa ukuphefumula kungase kwenzeke ngokuzimela, isibonelo, ku-bronchiolitis, noma ngesakhiwo se-organ dysfunction syndrome, esakhiwa ngokulimala okuningi noma ukushisa.
Ukulimala
Izingozi zomgwaqo ezihilela izingane (njengabahamba ngezinyawo, abagibeli bamabhayisikili noma abagibeli) yizona ezibangela kakhulu ukulimala okukhulu. Ezinye izimbangela, njengokuwa kokuphakama noma uhlobo oluthile lokulimala, nazo zenzeka.
Ukushisa
Ukushisa emlilweni womlilo kuvame ukuhlanganiswa nokushiswa komusi, okwenza kube yingozi enkulu empilweni. Izingane ezithintekayo zivame ukudinga ukuvuselelwa kanye nokuhlinzekwa kweplastiki.
Ukubuyiselwa ngemuva kokusebenza okukhulu
Ngemuva kokungena kwenhliziyo, izinzwa zezinzwa nokunye okuhlinzekwa ngokubanzi, ingane ngokuvamile idinga ukwelashwa okuqhubekayo enyunithi yokunakekelwa okukhulu. Ukuqhuba iziguli ezinjalo, ngaphezu kwamakhono asebenzayo, odokotela nabahlengikazi badinga ulwazi olukhethekile.
Ukuhlukunyezwa okukhulu noma i-coma
Ukuqubuka noma i-coma kungabangelwa izimbangela ezihlukahlukene. Ukwehla, ukuphazamiseka kwemizimba njengokufana ne-hypoglycaemia (ukwehla kwamazinga e-glucose wegazi, ukulimala okungacacile kufanele kucatshangelwe ngabasebenzi bezokwelapha ekuxilongweni.) Ukugonywa kwengane esikhungweni sokunakekelwa okujulile kungasabisa abazali, ikakhulu uma kungekho ekhaya futhi isisulu sithuthwa. abazali bebhekene nesimo futhi baphendule imibuzo yabo. Izihlobo eziseduze zihlinzekwa ngezimo ezidingekayo ukuze zikwazi ukuchitha isikhathi kanye nengane , bangadinga ukuhlala esibhedlela ebusuku noma ngisho nesikhathi eside.
Lapho ingane ifa
Enyunithi yokunakekelwa okukhulu, ukufa kwengane kungenzeka. Ezimweni ezinjalo, abazali kufanele banikezwe ukufinyelela emzimbeni wakhe. Ingane ingatholakala ukuthi isifo sobuchopho, okwenza kube lula ukuthatha izitho zokufakelwa kwezitshalo. Lolu daba olubucayi kufanele luxoxwe ngokucophelela nabazali bomuntu oshonile. Ngezinye izikhathi bayavuma ukwenza lokhu ukuletha izinzuzo ezibalulekile komunye ingane. Ama brigades akhethekile ahlinzeka ukuthutha ingane esikhungweni sokunakekelwa okujulile esibhedlela lapho ayethunyelwe ekuqaleni futhi, uma kunesidingo, aphinde avuselele ngesikhathi sokuhamba. Odokotela nabahlengikazi bezinkampani ezinjalo baqeqeshwa ngokukhethekile ngosizo lokuthutha nokuvuselelwa ngokujwayelekile.