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Impilo Ukuphazamiseka kunyango Ukuphazamiseka kunyango oi-Shivangi Karn Ngu Shivangi Karn ngoJuni 16, 2020 USushant Singh Rajput usweleke ngenxa ye-asphyxia ebangelwa kukuxhonywa. Lo mdlali uneminyaka engama-34 wafunyanwa eswelekile kwindawo ahlala kuyo eMumbai. Ingxelo ye-postmortem ye-Sushant ithi i-asphyxia ineempawu zomlenze entanyeni.
I-Asphyxia yimeko apho umzimba womntu ufumana ukubonelelwa ngeoksijini. Xa kungekho oksijini okanye ngenxa yecarbon dioxide eninzi, umzimba uyayeka ukusebenza ngesiqhelo. Igama 'asphyxia' livela kwi-Forensic Medicine kwaye lisetyenziswe ikakhulu kwimicimbi yokufa enxulumene nokuzibulala.
Ukuhluthwa ligama eliphantse lasetyenziswa kunye ne-asphyxia. Elinye igama kukukrwitshwa okuchazwa njengokucinezelwa kweendlela zomoya okanye imithambo yegazi entanyeni, ekhokelela kwi-asphyxia ngenxa yokufa kwe-neuronal. Jonga oonobangela, iimpawu kunye nezinye iinkcukacha.
Unobangela weAsphyxia
Zimbini izinto ezibangela i-asphyxia. Ziquka:
1. I-asphyxia yoomatshini
- Ukuxhoma
- Ukunyanzelwa kwentamo
- Ukurhaxwa
- Ukukrwitsha
- Ukutshiza (ngokuthintela impumlo nomlomo)
- I-asphyxia eyothusayo (ukubeka uxinzelelo esifubeni ukuyeka ukuphefumla) [1]
- Ingxowa yeplastiki asphyxia
- Isikhundla / uthintelo lwe-asphyxia (ubukhulu becala ukulawula umntu onogonyamelo okanye umntu onolunya)
- I-asphyxia engaziwayo (xa ulwimi lubhloka kwindlela yomoya xa umntu engekho zingqondweni)
2. I-Asphyxia yemichiza
- Ukungenisa kakhulu i-carbon monoxide [Mbini]
- Ukusetyenziswa kwe-cyanide (ikhemikhali ebulalayo ebulala ngokukhawuleza)
- Ukungenisa kakhulu i-hydrogen sulfide, ngakumbi xa uhlala kufutshane namashishini akhupha igesi.
- Ukusetyenziswa kwezinye iikhemikhali eziyingozi.
Ukufa kwe-Asphyxia ngenxa yokulenga
Ukusweleka ngogonyamelo okunxulumene ne-asphyxia ikakhulu kubandakanya ukuxhonywa. Yindlela yokuqunjelwa ebangelwa kukuvaleka kwendlela yomoya entanyeni. Xa umntu emise umzimba wakhe nge-ligature (into esetyenziselwa ukubopha intambo) kwifomu yomtya (isiphelo esinye sentambo esikwisangqa esiqiniswayo xa kufakwa umthwalo) entloko Ukunyanzelwa kwegilature kuxinzezele i-trachea (i-windpipe) kwaye kubangela ukucinywa komoya. Oku kubangela ukufa komntu. [3]
Nangona kunjalo, ngexesha lotyando lwesidumbu, izinto ezininzi zidlala indima yokuba zichaze ukuba ukuzibulala, ngengozi okanye sisiphumo sokunxila komntu.
Iimpawu zeAsphyxia
- Ukudumba ulwimi
- Ukuphazamiseka okubonakalayo
- I-oropharynx edumbileyo (ibandakanya inkalakahla ethambileyo, icala kunye nodonga lwangasemva lomqala, iitoni, kunye nomva wesithathu wolwimi. [4]
- Ukukrala emqaleni
- Amanqaku e-Ligature (amanqaku ezinto ezisetyenziselwa injongo yokuzibulala)
- Igazi okanye ukugabha kwi-oropharynx
- Ukudumba kobuso (ukudumba)
- Ukurhabaxa
Ngaba impilo yengqondo inoxanduva lwe-Asphyxia?
Ukuzibulala kungunobangela wesithathu ophambili wokufa kwabantu abadala. Ngokwe-WHO, qho emva kwemizuzwana engama-40, kusweleke umntu omnye ngenxa yokuzibulala. Kwakhona, kukho abantu abasisigidi abaswelekayo minyaka le ngenxa yokuzibulala.
Ukuphazamiseka kwengqondo okanye ukuphazamiseka kwengqondo okunje ngoxinzelelo okanye uxinzelelo yeyona nto iphambili emngciphekweni. Uphononongo olunxulumene nengxelo ye-autopsy yengqondo ithi iipesenti ezingama-24 zamatyala okuzibulala afunyaniswa eneengxaki zengqondo ezinje ngengxaki yokuphazamiseka engqondweni, ukuphazamiseka koxinzelelo kunye neschizophrenia (ukubona izinto ezingekhoyo okanye ubuqhetseba) kunye nedysthymia (uxinzelelo olungapheliyo). [5]
Ezinye izinto zibandakanya ukungazinzi ngokweemvakalelo, ukunqongophala kokunyamezelana kunye nokuphazamiseka kubuntu. Ukuxhaphaka kuphezulu kumazwe ahambele phambili kunamazwe asaphuhlayo.
Izinto zomngcipheko weAsphyxia
Imingcipheko eqhelekileyo ye-asphyxia ibandakanya:
- Izifo zengqondo ezinje ngoxinzelelo olungapheliyo. [6]
- Ukuphulukana nabantu obathandayo.
- Ucalucalulo ngokwesini (ngakumbi ucalucalulo lwe-LGBTQ)
- Imbali ende yokuxhatshazwa
- Iingxaki zokulala
- Iingxaki zoqoqosho nezentlalo njengokuphulukana nomsebenzi okanye umvuzo ophantsi
- Ukubekwa wedwa koluntu
- Izifo zomzimba
- I-Neurosis (ukuthanda kakhulu into ethile okanye uxinzelelo olungenangqondo)
- PTSD
- Ukonzakala kwengqondo ebuhlungu
Ukuchongwa kwe-Asphyxia
Le nkqubo kuxa umntu esindile kwi-asphyxia. Iindlela eziqhelekileyo zokuchonga zibandakanya:
- Uvavanyo lwegazi: Ukufumanisa ubalo lwegazi, nayiphi na into eyityhefu egazini okanye ekuxinaneni kwegazi.
- I-CT Angiogram: Ukujonga nakuphi na ukonzakala okukrwitshiweyo okanye ukwenzakala kokuzibulala kumalungu omzimba anjengentliziyo okanye imiphunga. Ikwabonisa amathambo kunye nemithambo yegazi.
- Ukuvavanywa kwe-CT kwengqondo: Ukuvavanya ukubetha kunye nayo nayiphi na imiqondiso yokopha.
- I-radiology yesifuba esicacileyo: Ukufumana naluphi na uxinzelelo lokuphefumla, ngakumbi kwi-asphyxia ebuhlungu.
Unyango okanye uLawulo lwe-Asphyxia
Unyango lwe-asphyxia lusekwe kwiingxelo zesigulana. Ukuba umntu akabonisi naziphi na 'iimpawu ezinzima' okanye ukwenzakala okuncinci, bayakhululwa ngokuthintela ngokungqongqo kunye nokubeka esweni umntu ngaphakathi kusapho okanye ngabahlobo. [4]
Kwizigulana ezineempawu ezinzima, zithunyelwa kwisebe likaxakeka kunyango olufanelekileyo njengotyando lwenzakalo okanye i-neurosurgery, ilandelwe lunyango lwengqondo.
