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Ezempilo Ukwelashwa kokuphazamiseka Ukuphazamiseka Ukwelapha oi-Shivangi Karn By UShivangi Karn ngoJuni 16, 2020 USushant Singh Rajput ushone ngenxa ye-asphyxia ngenxa yokulenga. Lo mlingisi oneminyaka engama-34 utholwe eseshonile lapho ehlala khona eMumbai. Umbiko we-postmortem weSushant uthi i-asphyxia enezimpawu zomlenze entanyeni yakhe.
I-asphyxia yisimo lapho umzimba womuntu uncishwa khona ukutholakala komoya-mpilo. Lapho kungekho umoya-mpilo noma ngenxa yesikhutha esiningi kakhulu, umzimba uyayeka ukusebenza ngokujwayelekile. Igama elithi 'asphyxia' lisuselwe kwa-Forensic Medicine futhi lisetshenziswe ikakhulu emicimbini yokufa ephathelene nokuzibulala.
Ukuhlushwa yigama elicishe lisetshenziswe ne-asphyxia. Elinye igama elithi strangulation elichazwa njengokucindezelwa kwemigwaqo yomoya noma imithambo yegazi entanyeni, okuholela ku-asphyxia ngenxa yokufa kwe-neuronal. Bheka izimbangela zayo, izimpawu zayo neminye imininingwane.
Isizathu Se-Asphyxia
Kunezimbangela ezimbili eziyinhloko ze-asphyxia. Kubandakanya:
1. I-asphyxia yemishini
- Ulenga
- Ukucindezelwa kwentamo
- Ukuminza
- Ukuchofoza
- Ukubhema (ngokuvimba ikhala nomlomo)
- I-asphyxia ebuhlungu (ukubeka ingcindezi esifubeni ukumisa ukuphefumula) [1]
- Isikhwama sepulasitiki i-asphyxia
- I-asphyxia yesikhundla / yokuzibamba (ikakhulukazi ukulawula umuntu onodlame noma onolaka)
- I-asphyxia engazi lutho (lapho ulimi luvimba indlela yomoya lapho umuntu equlekile)
2. I-Chemical Asphyxia
- Ukuhogela ngokweqile i-carbon monoxide [okubili]
- Ukusetshenziswa kwe-cyanide (ikhemikhali elibulalayo elibulala ngokushesha)
- Ukuhogela ngokweqile i-hydrogen sulfide, ikakhulukazi uma uhlala eduze nezimboni ezikhipha igesi.
- Ukusetshenziswa kwamanye amakhemikhali ayingozi.
Ukufa Kwe-Asphyxia Ngenxa Yokulenga
Ukufa okunodlame okuhlobene ne-asphyxia ikakhulu kubandakanya ukulengiswa. Kuyindlela yokuklinywa okuvela ngenxa yokuvaleka kwepaseji entanyeni. Lapho umuntu emisa umzimba wakhe nge-ligature (into esetshenziselwa ukubopha njengentambo) ngefomu le-noose (uhlangothi olulodwa lwentambo olwesimo sendilinga eqiniswayo lapho kufakwa umthwalo) ekhanda , amandla okubambeka kwe-ligature acindezela i-trachea (i-windpipe) futhi ibangele ukuvalwa kwemigwaqo yomoya. Lokhu kuholela ekufeni komuntu. [3]
Kodwa-ke, ngesikhathi sokuhlolwa kwesidumbu, kunezici eziningana ezidlala indima futhi ukuveza ukuthi empeleni kwakuzibulala, ngengozi noma ngumphumela wokudakwa komuntu.
Izimpawu Ze-Asphyxia
- Kuvuvukele ulimi
- Ukuphazamiseka okubonakalayo
- I-oropharynx evuvukile (ifaka phakathi ulwanga oluthambile, uhlangothi nodonga lwangemuva lomphimbo, amalaka, nengxenye yesithathu engemuva yolimi. [4]
- Ukuhuzuka kwentamo
- Amamaki we-Ligature (amamaki wezinto ezisetshenziselwa inhloso yokuzibulala)
- Igazi noma ukugabha ku-oropharynx
- I-edema yobuso (ukuvuvukala)
- Ukungahambi kahle
Ngabe Impilo Yengqondo Ibhekene Ne-Asphyxia?
Ukuzibulala kuyimbangela yesithathu ehamba phambili yokufa kwabantu abadala. Ngokwe-WHO, njalo ngemizuzwana engama-40, kufa umuntu oyedwa ngenxa yokuzibulala. Futhi, kunabantu abangaba yisigidi abafa minyaka yonke ngenxa yokuzibulala.
Ukuphazamiseka kwengqondo noma ukuphazamiseka kwengqondo njengokukhathazeka noma ukudangala kuyimbangela enkulu yobungozi. Ucwaningo oluphathelene nombiko wokuhlolwa kwesidumbu luthi amaphesenti angama-24 wamacala okuzibulala atholakale enezinkinga zengqondo ezifana ne-bipolar affective disorder, izifo zokudangala kanye ne-schizophrenia (ukubona izinto ezingekho kahle noma ukukhohlisa) kanye ne-dysthymia (ukudangala okungapheli). [5]
Ezinye izinto zifaka phakathi ukungazinzi ngokomzwelo, ukungabekezelelani kokukhungatheka nokuphazamiseka kobuntu okungahlali nabantu. Ukudlanga kuphezulu emazweni athuthukile kunasemazweni asathuthuka.
Izici Zengozi Ye-Asphyxia
Izici zobungozi ezivamile ze-asphyxia zifaka:
- Izifo zengqondo ezifana nokudangala okungapheli. [6]
- Ukulahlekelwa abantu obathandayo.
- Ukubandlululwa kobulili (ikakhulukazi ukucwaswa kwe-LGBTQ)
- Umlando omude wokuhlukumeza
- Izinkinga zokulala
- Izinkinga zezenhlalo nezomnotho njengokulahleka komsebenzi noma imali engenayo ephansi
- Ukuzihlukanisa emphakathini
- Izifo zomzimba
- I-Neurosis (ukukhathazeka ngokweqile kokuthile noma ukukhathazeka okungenangqondo)
- PTSD
- Ukulimala kwengqondo okubuhlungu
Ukuxilongwa Kwe-Asphyxia
Le nqubo yilapho umuntu esindile ku-asphyxia. Izindlela ezijwayelekile zokuxilonga zifaka:
- Ukuhlolwa kwegazi: Ukuthola ukubalwa kwegazi, noma ibuphi ubuthi egazini noma ukujiya kwegazi.
- I-CT Angiogram: Ukubuka noma yikuphi ukulimala okuklinyiwe noma ukulimala kokuzibulala ezingxenyeni zomzimba njengenhliziyo noma amaphaphu. Iphinde ikhombise ukuphambana kwamathambo nemithambo yegazi.
- Ukuskena kwe-CT kobuchopho: Ukuhlola ukushaywa unhlangothi nanoma yiziphi izimpawu zokopha.
- I-radiology yesifuba esingenalutho: Ukuthola noma yikuphi ukucindezeleka kokuphefumula, ikakhulukazi ku-asphyxia ehlukumezayo.
Ukwelashwa Noma Ukuphathwa Kwe-Asphyxia
Ukwelashwa kwe-asphyxia kusekelwe emibikweni yokuxilongwa kwesiguli. Uma umuntu engakhombisi noma yiziphi 'izimpawu ezinzima' noma ukulimala okuncane, uyakhishwa ngokuqapha okuqinile kokubuyisa kanye nokuqapha umuntu ekhaya ngumndeni noma abangani. [4]
Ezigulini ezinezimpawu ezinzima, zithunyelwa emnyangweni ophuthumayo ukuze zithole ukwelashwa okufanele njengokuhlinzwa noma ukuhlukunyezwa ngemithambo yegazi, kulandelwe ukwelashwa kwengqondo.
