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Zaumoyo Matenda amachiritso Kusokonezeka Kuthandizani oi-Shivangi Karn Ndi Shivangi Karn pa June 16, 2020 Sushant Singh Rajput adamwalira ndi asphyxia chifukwa chodzipachika. Wosewera wazaka 34 uyu adapezeka atafa kunyumba kwake ku Mumbai. Lipoti la postmortem la Sushant limanena kuti asphyxia wokhala ndi zilembo pakhosi pake.
Asphyxia ndimkhalidwe womwe thupi la munthu limalandidwa mpweya. Pakakhala mpweya kapena chifukwa cha kaboni dayokisaidi, thupi limasiya kugwira ntchito bwino. Mawu oti 'asphyxia' adachokera ku Forensic Medicine ndipo amagwiritsidwa ntchito makamaka pazochitika zakufa zokhudzana ndi kudzipha.
Kukhutira ndi mawu omwe amagwiritsidwa ntchito kwambiri ndi asphyxia. Liwu linalo ndikumangirira komwe kumatanthawuza kuponderezana kwa mayendedwe amitsempha kapena mitsempha m'khosi, zomwe zimapangitsa kuti asphyxia chifukwa cha kufa kwa neuronal. Onani zomwe zimayambitsa, zizindikiro ndi zina.
Chifukwa cha Asphyxia
Pali zifukwa ziwiri zazikulu za asphyxia. Zikuphatikizapo:
1. Mawotchi asphyxia
- Kulendewera
- Kupanikizika kwa khosi
- Kumira
- Kutsamwa
- Kutentha (potseka mphuno ndi pakamwa)
- Traumatic asphyxia (kuyika pachifuwa kuti asiye kupuma) [1]
- Pulasitiki thumba la asphyxia
- Posential / restraint asphyxia (makamaka kuwongolera munthu wachiwawa kapena wankhanza)
- Asphyxia osadziwa kanthu (pamene lilime limatseka poyenda pomwe munthu wakomoka)
2. Mankhwala Asphyxia
- Kuchulukitsa mpweya wa carbon monoxide [ziwiri]
- Kugwiritsa ntchito cyanide (mankhwala owopsa omwe amapha mwachangu)
- Kutulutsa mpweya wambiri wa hydrogen sulfide, makamaka mukakhala pafupi ndi mafakitale omwe amatulutsa gasi.
- Kugwiritsa ntchito mankhwala ena owopsa.
Asphyxia Imfa Chifukwa Chopachika
Imfa zachiwawa zokhudzana ndi asphyxia makamaka zimaphatikizapo kupachika. Ndi mtundu wina wokhotakhota womwe umabwera chifukwa cha kutsekeka kwa mpweya womwe ukupita m'khosi. Munthu akaimitsa thupi lake ndi chingwe (chinthu chomwe chimagwiritsidwa ntchito kumangirira ngati chingwe) mu mawonekedwe osakhazikika (kumapeto kwina kwa chingwe chomwe chimakhala ngati bwalo lomwe limamangika katundu akaikidwa) kuzungulira mutu wawo , mphamvu yokhazikika ya ligature imapanikiza trachea (windpipe) ndikupangitsa kutsekeka kwa mayendedwe amlengalenga. Izi zimabweretsa imfa ya munthu. [3]
Komabe, panthawi yofufuza, pali zifukwa zingapo zomwe zimagwiranso ntchito pofotokoza kuti zinali zodzipha, mwangozi kapena chifukwa chakuledzera kwa munthu.
Zizindikiro Za Asphyxia
- Lilime lotupa
- Zosokoneza zowoneka
- Kutupa oropharynx (kumaphatikizapo m'kamwa mofewa, mbali ndi kumbuyo kwa khosi, matani, ndi gawo lachitatu kumbuyo kwa lilime. [4]
- Khosi kumva kuwawa
- Zizindikiro zamagetsi (zolemba zomwe zimagwiritsidwa ntchito pofuna kudzipha)
- Magazi kapena masanzi mu oropharynx
- Edema ya nkhope (kutupa)
- Kuopsa
Kodi Thanzi Lamavuto Ndi Asphyxia?
Kudzipha ndiko chifukwa chachikulu chachitatu chomwe chimapha anthu akuluakulu. Malinga ndi WHO, pamasekondi 40 aliwonse, munthu m'modzi amafa chifukwa chodzipha. Komanso pali anthu pafupifupi wani miliyoni omwe amafa chaka chilichonse chifukwa chodzipha.
Matenda amisala kapena matenda amisala monga nkhawa kapena kukhumudwa ndizomwe zimayambitsa ngozi. Kafukufuku wokhudzana ndi kafukufuku wamaganizidwe akuti 24% ya milandu yodzipha idapezeka ndi matenda amisala monga bipolar affective disorder, matenda okhumudwa ndi schizophrenia (kuyerekezera zinthu m'maganizo kapena kusokeretsa) ndi dysthymia (kukhumudwa kwanthawi yayitali). [5]
Zina mwazinthu zimaphatikizapo kusakhazikika pamalingaliro, kusowa kwa kulolerana kokhumudwa komanso kusokonezeka kwamakhalidwe. Kukula kwakuchulukirachulukira m'maiko otukuka kuposa mayiko omwe akutukuka.
Zowopsa Za Asphyxia
Zomwe zimayambitsa chiopsezo cha asphyxia ndizo:
- Matenda amisala monga kukhumudwa kwakanthawi. [6]
- Kutaya okondedwa.
- Kusankhana pakati pa amuna ndi akazi (makamaka kusala kwa LGBTQ)
- Mbiri yakale yochitira nkhanza
- Mavuto ogona
- Mavuto azachuma monga kuchotsedwa ntchito kapena ndalama zochepa
- Kudzipatula pagulu
- Matenda athupi
- Neurosis (kutengeka kwambiri ndi chinthu china kapena nkhawa zopanda nzeru)
- PTSD
- Zovulala muubongo
Kuzindikira Kwa Asphyxia
Izi zimachitika munthu akapulumuka ku asphyxia. Njira zodziwitsa anthu zambiri ndi monga:
- Kuyezetsa magazi: Kuti mudziwe kuchuluka kwa magazi, kawopsedwe kalikonse m'magazi kapena kuwundana kwa magazi.
- CT Angiogram: Kuwona kuvulala kulikonse kwa pakhosi kapena kuvulala kodzipha mthupi monga mtima kapena mapapo. Zimasonyezanso mafinya ndi mitsempha yamagazi.
- Kujambula kwa CT muubongo: Kuunika sitiroko ndi zizindikiro zilizonse za kutaya magazi.
- Ma radiology pachifuwa: Kuti mupeze vuto lililonse la kupuma, makamaka mu asphyxia yoopsa.
Kuchiza Kapena Kuwongolera Asphyxia
Chithandizo cha asphyxia chimakhazikitsidwa ndi malipoti azidziwitso a wodwalayo. Ngati munthu sakuwonetsa 'zovuta zilizonse' kapena kuvulala pang'ono, amamasulidwa ndi njira zowonongera zobwezera ndikuwunika munthu m'nyumba ndi abale kapena abwenzi. [4]
Kwa odwala omwe ali ndi zizindikilo zowopsa, amatumizidwa ku dipatimenti yadzidzidzi kukalandira chithandizo choyenera monga opareshoni ya zoopsa kapena ma neurosurgery, ndikutsatiridwa ndi psychiatry.
