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Hutano Kukanganisa kurapa Kushungurudzika Kurapa oi-Shivangi Karn Na Shivangi Karn musi waJune 16, 2020 Sushant Singh Rajput akafa nekuda kwe asphyxia inokonzerwa nekurembera. Uyu mutambi wemakore makumi matatu nematatu akawanikwa akafa kuimba yake yekuMumbai. Iyo postmortem mushumo weSushant anoti asphyxia ine ligature mamaki pamutsipa wake.
Asphyxia mamiriro umo muviri wemunhu unotorerwa oxygen. Mukushaikwa kwe oxygen kana nekuda kweakawandisa kabhoni dhayokisaidhi, muviri unomira kushanda zvakajairika. Izwi rekuti 'asphyxia' rakatangira kuForensic Medicine uye rakashandiswa kunyanya kuzviitiko zvekufa zvine chekuita nekuzviuraya.
Kutambura izita rinoda kushandiswa neasphyxia. Rimwe racho izwi kudzipwa uko kunotsanangurwa sekumanikidza kwemweya kana wetsinga dzeropa mumutsipa, zvichitungamira asphyxia nekuda kwekufa kweiyo neuronal. Tarisa uone zvinokonzeresa, zviratidzo uye zvimwe zvinhu.
Chikonzero cheAsphyxia
Pane zvikonzero zviviri zvakakosha zveasphyxia. Zvinosanganisira:
1. Mechanical asphyxia
- Kusungirira
- Kudzvinyirira kwemutsipa
- Kunyura
- Choking
- Kusvuta (nekuvhara mhino nemuromo)
- Traumatic asphyxia (kuisa kumanikidza pachifuva kumisa kufema) [1]
- Bhegi repurasitiki asphyxia
- Positional / restraint asphyxia (kunyanya kudzora munhu ane chisimba kana ane hasha)
- Asingazive asphyxia (apo rurimi runovhara nzira yekufema kana munhu afenda)
2. Makemikari Asphyxia
- Kuwedzeredza kufema kwekabhoni monoxide [piri]
- Kushandiswa kwecyanide (kemikari inouraya inouraya nekukurumidza)
- Kuwedzeredza kufema kwehydrogen sulfide, kunyanya kana iwe ukagara padhuze nemaindasitiri achiburitsa gasi.
- Kushandiswa kwemamwe makemikari anokuvadza.
Asphyxia Rufu Nekuda Kwekurembera
Kufa kwechisimba kwakabatana neasphyxia kunonyanya kusanganisira kuturika. Icho chimiro chekudzipwa chinoguma nekuda kwekuvharika kwenzvimbo yemhepo mumutsipa. Kana munhu akamisa muviri wake negigature (chinhu chinoshandiswa kusunga senge tambo) muchimiro chine tambo (kumucheto kwetambo iri muchimiro chedenderedzwa rinosimbiswa kana mutoro waiswa) kutenderedza musoro wavo , iko kumanikidza kweiyo ligature kunomanikidza iyo trachea (windpipe) uye inokonzeresa kufefeterwa kwemhepo. Izvi zvinoguma nekufa kwemunhu. [3]
Nekudaro, panguva yekuvhiya, zvinhu zvinoverengeka zvinoita basa rekuzivisa kuti kwaive kuzviuraya, netsaona kana mugumisiro wekudhakwa kwemunhu.
Zviratidzo zveAsphyxia
- Rurimi rwakazvimba
- Kuvhiringidzika kunoonekwa
- Kuzvimba oropharynx (inosanganisira iyo yakapfava mukanwa, parutivi uye kumashure madziro ehuro, matoni, uye kumashure kwechitatu kwerurimi. [4]
- Neck abrasion
- Ligature mamaki (zvinhu mamaki anoshandiswa kuzviuraya chinangwa)
- Ropa kana marutsi mune oropharynx
- Chiso edema (kuzvimba)
- Kuchema
Hutano hwepfungwa Hwakakonzera Asphyxia?
Kuzviuraya ndicho chechitatu chikuru chinokonzera kufa kwevanhu vakuru. Sekureva kweWHO, mumasekondi makumi mana ega ega, kufa kumwe kunoitika nekuda kwekuzviuraya. Zvakare, kune vanhu vanosvika miriyoni imwe vanofa gore rega rega nekuda kwekuzviuraya.
Kushungurudzika kwepfungwa kana kusagadzikana kwepfungwa kwakadai sekushushikana kana kushushikana chinhu chakanyanya njodzi. Imwe ongororo ine chekuita neyepfungwa autopsy mushumo inoti makumi maviri neshanu muzana yezviitiko zvekuzviuraya akaonekwa aine chirwere chepfungwa senge bipolar affective kusagadzikana, kushushikana kwekushushikana uye schizophrenia (kufungidzira kana kufungidzira) uye dysthymia (kusingaperi kushushikana). [5]
Zvimwe zvinhu zvinosanganisira kusagadzikana kwepfungwa, kusagadzikana kwekushivirira kushivirira uye kusagadzikana kwehunhu hunhu. Kuwanda kuri pamusoro munyika dzakabudirira kupfuura munyika dzichiri kusimukira.
Njodzi Zviitiko zveAsphyxia
Njodzi dzinowanzoitika dzeasphyxia dzinosanganisira:
- Zvirwere zvepfungwa senge kusingaperi kushushikana. [6]
- Kurasikirwa nevadiwa.
- Kusarura kwevanhukadzi (kunyanya kusarura kweGBBTQ)
- Nhoroondo refu yekudheerera
- Zvinetso zvekurara
- Zvinetso zvemagariro nezvehupfumi zvakadai sekurasikirwa nebasa kana mari shoma
- Kusasangana kwevanhu panzvimbo imwe
- Zvirwere zvepanyama
- Neurosis (kunyanyisa kubatikana kwechimwe chinhu kana kusagadzikana kusanzwisisika)
- PTSD
- Kushungurudzika kwepfungwa kukuvara
Kuongororwa kweAsphyxia
Maitiro aya ndeekuti munhu apona kubva asphyxia. Nzira dzakajairika dzekuongorora dzinosanganisira:
- Ropa bvunzo: Kuti uwane kuwanda kweropa, chero huturu muropa kana kugwamba kweropa.
- CT Angiogram: Kuona chero kukuvadzwa kwakadzipwa kana kuzviuraya munzvimbo dzomuviri senge pamoyo kana pamapapu. Inoratidza zvakare mapfupa uye mitsipa yeropa kupokana.
- CT scan yehuropi: Kuongorora sitiroko uye chero zviratidzo zvekubuda ropa.
- Plain-chest radiology: Kuti uwane chero mweya wekufema, kunyanya mukutambudzika asphyxia.
Kurapa kana manejimendi yeAsphyxia
Kurapa kweasphyxia kunoenderana neanoongorora marapirwo emurwere. Kana munhu akasaratidza chero 'zviratidzo zvakaoma' kana kukuvara kushoma, vanoburitswa nedziviriro yakasimba uye kudzora-mumba kwemunhu nemhuri kana neshamwari. [4]
Kune varwere vane zviratidzo zvakakomba, vanoendeswa kune dhipatimendi rekukurumidzira kurapwa kwakakodzera sekuvhiyiwa kwekushungurudzika kana neurosurgery, ichiteverwa nepfungwa.
