Kutulutsa mpweya

Hyperventilation ndikupumira mwachangu komanso mwakathithi. Amatchedwanso kupitirira malire, ndipo kumatha kukupatsani mpweya.

Mumapuma mpweya wabwino komanso mumatulutsa mpweya woipa. Kupuma mopitirira muyeso kumapangitsa mpweya wochepa wa carbon dioxide m'magazi anu. Izi zimayambitsa zizindikilo zambiri za kupuma kwa mpweya.

Mutha kupititsa patsogolo chifukwa chakumangika monga nthawi yamantha. Kapena, zitha kukhala chifukwa cha zovuta zamankhwala, monga kutuluka magazi kapena matenda.

Wothandizira zaumoyo wanu adzazindikira chifukwa cha kupuma kwanu. Kupuma mwachangu kumatha kukhala kwadzidzidzi kuchipatala ndipo muyenera kuchiritsidwa, pokhapokha mutakhala ndi izi kale ndipo omwe akukupatsani akukuuzani kuti mutha kuzichitira nokha.

Ngati mumamwa mopitirira muyeso, mutha kukhala ndi vuto lachipatala lotchedwa hyperventilation syndrome.

Mukapitirira muyeso, mwina simungadziwe kuti mukupuma mofulumira komanso mozama. Koma mwina mudzazindikira zizindikilo zina, kuphatikiza:

• Kumverera mopepuka, chizungulire, ofooka, kapena osatha kuganiza bwino
• Kumva ngati kuti sungathe kupuma
• Kupweteka pachifuwa kapena kuthamanga komanso kugunda kwamtima
• Kuwombera kapena kuphulika
• Pakamwa pouma
• Minofu yolimba m'manja ndi m'mapazi
• Dzanzi ndi kumva kulasalasa mmanja kapena pakamwa
• Mavuto akugona

Zomwe zimayambitsa kutengera mtima ndizo:

• Kuda nkhawa ndi mantha
• Mantha
• Zomwe zimakhala ndi mwayi wamaganizidwe akakhala ndi matenda mwadzidzidzi, owopsa (mwachitsanzo, vuto la somatization)
• Kupsinjika

Zoyambitsa zamankhwala ndi monga:

• Magazi
• Vuto la mtima monga kulephera kwa mtima kapena vuto la mtima
• Mankhwala osokoneza bongo (monga aspirin overdose)
• Matenda monga chibayo kapena sepsis
• Ketoacidosis ndi matenda omwewo
• Matenda a m'mapapo monga mphumu, COPD, kapena embolism pulmonary embolism
• Mimba
• Kupweteka kwambiri
• Mankhwala olimbikitsa

Wopereka wanu adzakufunsani pazifukwa zina zakuchulukirachulukira kwanu.

Ngati wothandizirayo wanena kuti kupuma kwanu chifukwa cha nkhawa, kupsinjika, kapena mantha, pali zomwe mungachite kunyumba. Inu, abwenzi anu, ndi abale anu mutha kuphunzira njira zothetsera kuti izi zisachitike ndikupewa kuukira kwamtsogolo.

Mukayamba kuphulika, cholinga ndikukulitsa kaboni dayokisaidi m'magazi anu. Izi zidzathetsa zizindikiro zanu zambiri. Njira zochitira izi ndi izi:

1. Pezani kulimbikitsidwa ndi mnzanu kapena abale anu kuti akuthandizeni kupumula. Mawu onga "mukuchita bwino," "simukuvutika ndi mtima," komanso "simufa" ndi othandiza kwambiri. Ndikofunikira kwambiri kuti munthuyo akhale wodekha ndikugwiritsa ntchito mawu ofewa, omasuka.
2. Pofuna kuthana ndi carbon dioxide, phunzirani kupuma pakamwa. Izi zimachitika ndikuphwanya milomo yanu ngati kuti mukuzimitsa kandulo, kenako ndikupumira pang'onopang'ono milomo yanu.

Pakapita nthawi, njira zokuthandizani kuti musamamwe mopitirira muyeso ndi monga:

1. Ngati mwapezeka kuti muli ndi nkhawa kapena mantha, onani akatswiri azaumoyo kuti akuthandizeni kumvetsetsa ndi kuchiza matenda anu.
2. Phunzirani masewera olimbitsa thupi omwe amakuthandizani kupumula komanso kupuma kuchokera kufinya ndi pamimba, osati kuchokera pachifuwa chanu.
3. Yesetsani kugwiritsa ntchito njira zopumira, monga kupumula kwapang'onopang'ono kwa minofu kapena kusinkhasinkha.
4. Chitani masewera olimbitsa thupi nthawi zonse.

Ngati njira izi zokha sizingalepheretse kupitirira muyeso, omwe akukuthandizani atha kulangiza mankhwala.

Itanani omwe akukuthandizani ngati:

• Mukupuma mofulumira kwa nthawi yoyamba. Izi ndizadzidzidzi zamankhwala ndipo muyenera kupita naye kuchipatala nthawi yomweyo.
• Mukumva kuwawa, mutentha thupi, kapena mukutuluka magazi.
• Kusungunuka kwanu kumapitilira kapena kukuipiraipira, ngakhale mutachiritsidwa kunyumba.
• Mulinso ndi zisonyezo zina.

Wothandizira anu amayesa thupi ndikufunsani za zomwe mukudwala.

Kupuma kwanu kudzaunikidwanso. Ngati simukupuma mwachangu panthawiyo, woperekayo angayesere kuyambitsa mpweya mwa kukuuzani kuti mupume mwanjira inayake. Woperekayo adzawonanso momwe mumapumira ndikuwunika minofu yomwe mumagwiritsa ntchito kupuma.

Mayeso omwe atha kulamulidwa ndi awa:

• Kuyezetsa magazi kwama oxygen ndi carbon dioxide m'magazi anu
• Chifuwa cha CT
• ECG kuti muwone mtima wanu
• Kutulutsa mpweya m'mapapu anu kuti muyese kupuma ndi mapapu
• X-ray pachifuwa

Kupuma mofulumira; Kupuma - mofulumira komanso mozama; Kupitilira muyeso; Kupuma mofulumira; Mlingo kupuma - mofulumira ndi zakuya; Hyperventilation matenda; Kuopsa kwamantha - kutulutsa mpweya; Nkhawa - hyperventilation

Braithwaite SA, Perina D. Dyspnea. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 22.

Schwartzstein RM, Adams L. Dyspnea. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 29.