Kulephera Kwambiri Kupuma

Zamkati

• Mitundu ya pachimake kupuma kulephera
• Kodi zizindikiro za kulephera kupuma kwambiri ndi ziti?
• Nchiyani chimayambitsa kulephera kwakukulu kwa kupuma?
• Kuletsa
• Kuvulala
• Ntenda yopuma movutikira
• Kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa
• Kupuma kwa mankhwala
• Sitiroko
• Matenda
• Ndani ali pachiwopsezo cholephera kupuma bwino?
• Kuzindikira kulephera kupuma kwamphamvu
• Kuchiza kulephera kwakukulu kwa kupuma
• Kodi ndingayembekezere chiyani pakapita nthawi?

Kodi kulephera kupuma kwambiri ndi chiyani?

Kulephera kwakukulu kwa kupuma kumachitika madzi akamatuluka m'matumba am'mapapu anu. Izi zikachitika, mapapu anu sangatulutse mpweya m'magazi anu. Komanso, ziwalo zanu sizingapeze magazi okwanira okosijeni okwanira kuti azigwira ntchito. Muthanso kukhala ndi cholephera kupuma pachimake ngati mapapu anu sangathe kuchotsa mpweya woipa m'magazi anu.

Kulephera kupuma kumachitika ma capillaries, kapena timitsempha tating'onoting'ono ta magazi, mozungulira matumba anu amlengalenga sangathe kusinthanitsa mpweya wabwino ndi mpweya. Vutoli limatha kukhala lowopsa kapena losatha. Ndikulephera kupuma kwamphamvu, mumakumana ndi zisonyezo posakhalitsa ndi mpweya wokwanira mthupi lanu. Nthawi zambiri, kulephera kumeneku kumatha kubweretsa imfa ngati sichichiritsidwa mwachangu.

Mitundu ya pachimake kupuma kulephera

Mitundu iwiri yolephera komanso kupuma movutikira ndi hypocemic komanso hypercapnic. Zonsezi zimatha kuyambitsa zovuta zazikulu ndipo nthawi zambiri zinthu zimakhalira limodzi.

Kulephera kwa kupuma kwa Hypoxemic kumatanthauza kuti mulibe mpweya wokwanira m'magazi anu, koma milingo yanu ya kaboni dayokisaidi ili pafupi kwambiri.

Kulephera kupuma kwa Hypercapnic kumatanthauza kuti mumakhala mpweya woipa wochuluka m'magazi anu, komanso pafupi ndi mpweya wabwino kapena wosakwanira m'magazi anu.

Kodi zizindikiro za kulephera kupuma kwambiri ndi ziti?

Zizindikiro zakulephera kupuma bwino zimadalira pazomwe zimayambitsa komanso kuchuluka kwa kaboni dayokisaidi ndi mpweya wamagazi.

Anthu omwe ali ndi mpweya wambiri wa carbon dioxide amatha:

• kupuma mofulumira
• chisokonezo

Anthu omwe ali ndi ma oxygen ochepa amatha:

• kulephera kupuma
• Mtundu wabuluu pakhungu, m'manja, kapena milomo

Anthu omwe amalephera kwambiri m'mapapu komanso kuchepa kwa oxygen akhoza kukumana:

• kusakhazikika
• nkhawa
• kugona
• kutaya chidziwitso
• kufulumira komanso kupuma pang'ono
• kuthamanga mtima
• kugunda kwamtima kosafunikira (arrhythmias)
• thukuta kwambiri

Nchiyani chimayambitsa kulephera kwakukulu kwa kupuma?

Kulephera kupuma kwamphamvu kumayambitsa zifukwa zingapo:

Kuletsa

China chake chikakhala pakhosi panu, mutha kukhala ndi vuto lopeza mpweya wokwanira m'mapapu anu. Kuletsa kumatha kuchitika kwa anthu omwe ali ndi matenda osokoneza bongo (COPD) kapena mphumu pamene kuwonjezeka kumapangitsa kuti njira zampweya zizikhala zochepa.

Kuvulala

Kuvulala komwe kumawononga kapena kusokoneza dongosolo lanu la kupuma kumatha kusokoneza kuchuluka kwa mpweya m'magazi anu. Mwachitsanzo, kuvulala kwa msana kapena ubongo kumatha kukhudza kupuma kwanu. Ubongo umauza mapapu kuti apume. Ngati ubongo sungathe kutumiza mauthenga chifukwa chovulala kapena kuwonongeka, mapapo sangathe kupitiliza kugwira ntchito moyenera.

Kuvulala kwa nthiti kapena chifuwa kumathandizanso kupuma. Zovulala izi zitha kukulepheretsani kutulutsa mpweya wokwanira m'mapapu anu.

Ntenda yopuma movutikira

Matenda ovuta kupuma (ARDS) ndi vuto lalikulu lomwe limadziwika ndi mpweya wochepa m'magazi. ARDS imakukhudzani ngati muli ndi vuto lazaumoyo monga:

• chibayo
• kapamba (kutupa kwa kapamba)
• zoopsa kwambiri
• sepsis
• kuvulala koopsa muubongo
• Kuvulala kwam'mapapo komwe kumachitika chifukwa chakupuma utsi kapena mankhwala

Zitha kuchitika mukakhala kuchipatala mukulandira matenda anu.

Kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa

Ngati mumamwa mankhwala osokoneza bongo kapena kumwa mowa mopitirira muyeso, mutha kuwononga ubongo ndikulepheretsani kupuma kapena kutulutsa mpweya.

Kupuma kwa mankhwala

Kulowetsa mpweya wa poizoni, utsi, kapena utsi zingayambitsenso kupuma koopsa. Mankhwalawa atha kuvulaza kapena kuwononga minofu yam'mapapu anu, kuphatikiza matumba ampweya ndi ma capillaries.

Sitiroko

Sitiroko imachitika ubongo wanu ukamwalira kapena kuwonongeka kwa mbali imodzi kapena zonse ziwiri za ubongo. Nthawi zambiri, zimakhudza mbali imodzi yokha. Ngakhale kuti sitiroko imakhala ndi zizindikiro zina, monga kusalankhula bwino kapena kusokonezeka, zimachitika mwachangu. Ngati mwadwala sitiroko, simungathenso kupuma bwino.

Matenda

Matendawa ndi omwe amayambitsa kupuma. Chibayo makamaka, chimatha kuyambitsa kupuma, ngakhale ARDS ikalibe. Malinga ndi chipatala cha Mayo, nthawi zina chibayo chimakhudza ma lobes asanu m'mapapu.

Ndani ali pachiwopsezo cholephera kupuma bwino?

Mutha kukhala pachiwopsezo cha kupuma koopsa ngati:

• kusuta fodya
• imwani mowa mopitirira muyeso
• khalani ndi mbiri yabanja yamatenda opumira kapena zikhalidwe
• khalani ndi vuto la msana, ubongo, kapena chifuwa
• ali ndi chitetezo chamthupi chovuta
• ali ndi mavuto aakulu (okhalitsa), monga khansa ya m'mapapo, matenda osokoneza bongo (COPD), kapena mphumu

Kuzindikira kulephera kupuma kwamphamvu

Kulephera kupuma bwino kumafuna chithandizo chamankhwala mwachangu. Mutha kulandira oxygen kuti ikuthandizeni kupuma ndikupewa kufa kwa ziwalo zathupi ndi ubongo.

Dokotala wanu akakukhazikitsani, atenga njira zina zokuthandizani kudziwa matenda anu, monga:

• kuchita mayeso thupi
• ndikufunsani mafunso okhudza banja lanu kapena mbiri yathanzi lanu
• onetsetsani kuchuluka kwa mpweya wa oxygen ndi kaboni dayokisaidi mthupi lanu pogwiritsa ntchito pulse oximetry chipangizo ndi kuyesa magazi kwamagazi ochepa
• onetsani X-ray pachifuwa kuti muyang'ane zovuta m'mapapu anu

Kuchiza kulephera kwakukulu kwa kupuma

Chithandizo chimayankha zovuta zilizonse zomwe mungakhale nazo. Dokotala wanu adzakuthandizani kulephera kwanu kupuma ndi njira zingapo.

• Dokotala wanu akhoza kukupatsani mankhwala opweteka kapena mankhwala ena kuti akuthandizeni kupuma bwino.
• Ngati mutha kupuma mokwanira nokha ndipo hypoxemia yanu ndiyabwino, mutha kulandira mpweya kuchokera ku thanki ya oxygen kuti ikuthandizeni kupuma bwino. Matanki ampweya wonyamula amapezeka ngati vuto lanu likufunika.
• Ngati simungathe kupuma mokwanira panokha, dokotala wanu akhoza kuyika chubu chopumira mkamwa mwanu kapena mphuno, ndikulumikiza chubu ndi makina opumira kuti akuthandizeni kupuma.
• Ngati mungafune kuthandizidwa kwa nthawi yayitali, ntchito yomwe imapangitsa kuti pakhale njira yolowera pamphepo yotchedwa tracheostomy itha kukhala yofunikira.
• Mutha kulandira oxygen kudzera mu thanki ya oxygen kapena makina opumira kuti akuthandizeni kupuma bwino.

Kodi ndingayembekezere chiyani pakapita nthawi?

Mutha kuwona kusintha kwamapapu anu ngati mungalandire chithandizo choyenera cha vuto lanu. Mwinanso mungafunike kukonzanso mapapu, zomwe zimaphatikizapo chithandizo cha masewera olimbitsa thupi, maphunziro, ndi uphungu.

Kulephera kupuma bwino kumatha kuwononga mapapu anu kwakanthawi. Ndikofunika kupeza chithandizo chamankhwala mwadzidzidzi ngati mukukumana ndi zizindikilo zakulephera kupuma.