Kulephera kwa kupuma

Zamkati

• Chidule
• Kodi kulephera kupuma ndi chiyani?
• Nchiyani chimayambitsa kulephera kupuma?
• Kodi zizindikiro zakulephera kupuma ndi ziti?
• Kodi kulephera kupuma kumapezeka bwanji?
• Kodi njira zochizira kupuma ndi ziti?

Chidule

Kodi kulephera kupuma ndi chiyani?

Kulephera kupuma ndimikhalidwe yomwe magazi anu alibe mpweya wokwanira kapena amakhala ndi kaboni dayokisaidi wochuluka. Nthawi zina mutha kukhala ndi mavuto onse awiri.

Mukamapuma, mapapu anu amatenga mpweya. Mpweyawo umadutsa m'magazi anu, womwe umapita nawo ku ziwalo zanu. Ziwalo zanu, monga mtima ndi ubongo wanu, zimafunikira magazi okosijeni awa kuti azigwira ntchito bwino.

Gawo lina la kupuma ndikuchotsa kaboni dayokisaidi m'magazi ndikuupumira. Kukhala ndi kaboni dayokisaidi wochuluka m'magazi anu kungavulaze ziwalo zanu.

Nchiyani chimayambitsa kulephera kupuma?

Zinthu zomwe zimakhudza kupuma kwanu zingayambitse kupuma. Izi zitha kukhudza minofu, misempha, mafupa, kapena ziwalo zomwe zimathandizira kupuma. Kapenanso zimatha kukhudza mapapu mwachindunji. Izi zimaphatikizapo

• Matenda omwe amakhudza mapapu, monga COPD (matenda osokoneza bongo), cystic fibrosis, chibayo, kuphatikizika kwamapapu, ndi COVID-19
• Zinthu zomwe zimakhudza mitsempha ndi minofu yomwe imalamulira kupuma, monga amyotrophic lateral sclerosis (ALS), muscular dystrophy, kuvulala kwa msana, ndi sitiroko
• Mavuto a msana, monga scoliosis (curve mu msana). Amatha kukhudza mafupa ndi minofu yogwiritsira ntchito kupuma.
• Kuwonongeka kwa minyewa ndi nthiti kuzungulira mapapo. Kuvulala pachifuwa kumatha kuwononga izi.
• Kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa
• Kuvulala kwa mpweya, monga kupuma utsi (kuchokera pamoto) kapena utsi wowopsa

Kodi zizindikiro zakulephera kupuma ndi ziti?

Zizindikiro zakulephera kupuma zimadalira chifukwa komanso kuchuluka kwa mpweya ndi mpweya woipa m'magazi anu.

Mulingo wochepa wa oxygen m'magazi ungayambitse kupuma pang'ono komanso njala yamlengalenga (kumverera kuti simungapume mpweya wokwanira). Khungu lanu, milomo yanu, ndi zikhadanso zitha kukhala ndi mtundu wabuluu. Mulingo wambiri wa carbon dioxide ukhoza kuyambitsa kupuma mwachangu komanso chisokonezo.

Anthu ena omwe amalephera kupuma amatha kugona kwambiri kapena kutaya chidziwitso. Amathanso kukhala ndi arrhythmia (kugunda kwamtima kosazolowereka). Mutha kukhala ndi zizindikilozi ngati ubongo ndi mtima wanu sukupeza mpweya wokwanira.

Kodi kulephera kupuma kumapezeka bwanji?

Wothandizira zaumoyo wanu azindikira kuti kupuma kulephera kutengera

• Mbiri yanu yazachipatala
• Kuyezetsa thupi, komwe nthawi zambiri kumaphatikizapo
• Kumvetsera m'mapapu anu kuti muwone ngati simumveka bwino
• Kumvera mtima wanu kuti muwone ngati pali arrhythmia
• Mukuyang'ana mtundu wabuluu pakhungu lanu, milomo yanu, ndi zikhadabo
• Mayeso ozindikira, monga
• Kutulutsa oximetry, kachipangizo kakang'ono kamene kamagwiritsa ntchito kuwala kuti muyese kuchuluka kwa mpweya m'mwazi wanu. Chojambuliracho chimapita kumapeto kwa chala kapena khutu lanu.
• Kuyesa magazi kwamagazi, mayeso omwe amayesa mpweya wa oxygen ndi kaboni dayokisaidi m'magazi anu. Magazi anu amatengedwa pamtsempha, nthawi zambiri m'manja mwanu.

Mukapezeka kuti mukulephera kupuma, omwe amakupatsani amayang'ana zomwe zikuyambitsa. Kuyesedwa kwa izi nthawi zambiri kumaphatikizapo x-ray pachifuwa. Ngati wothandizira wanu akuganiza kuti mutha kukhala ndi arrhythmia chifukwa chakulephera kupuma, mutha kukhala ndi EKG (electrocardiogram). Uku ndi kuyesa kosavuta, kopanda ululu komwe kumazindikira ndikulemba zamagetsi amtima wanu.

Kodi njira zochizira kupuma ndi ziti?

Chithandizo cha kulephera kupuma chimadalira

• Kaya ndi pachimake (kanthawi kochepa) kapena kosatha (kupitilira)
• Ndizovuta bwanji
• Chikuyambitsa ndi chiyani

Kulephera kwakukulu kwa kupuma kumatha kukhala kwadzidzidzi kuchipatala. Mungafunike chithandizo kuchipatala. Kulephera kupuma nthawi zambiri kumachiritsidwa kunyumba. Koma ngati kulephera kwanu kupuma kuli kovuta, mungafunike chithandizo kuchipatala chosamalira nthawi yayitali.

Chimodzi mwazolinga zazikulu zamankhwala ndikutenga mpweya m'mapapu anu ndi ziwalo zina ndikuchotsa carbon dioxide mthupi lanu. Cholinga china ndikutenga zomwe zayambitsa vutoli. Chithandizo chingaphatikizepo

• Thandizo la oxygen, kudzera m'mphuno yamphongo (timachubu tating'ono tating'ono tomwe timapita m'mphuno mwanu) kapena kudzera pachisoti chomwe chimakwanira mphuno ndi pakamwa panu
• Tracheostomy, dzenje lopangidwa ndi opaleshoni lomwe limadutsa kutsogolo kwa khosi lanu ndikupita kupayipi yanu. Chitubu chopumira, chotchedwanso tracheostomy, kapena chubu cha trach, chimayikidwa mu dzenje kukuthandizani kupuma.
• Mpweya wabwino, makina opumira omwe amapumira mpweya m'mapapu anu. Imatulutsanso mpweya woipa m'mapapu anu.
• Mankhwala ena opuma, monga mpweya wabwino wosagwira ntchito (NPPV), womwe umagwiritsa ntchito mpweya wofatsa kuti mpweya wanu uzitha kutseguka mukamagona. Chithandizo china ndi bedi lapadera lomwe limagwedezeka mmbuyo ndi mtsogolo, kukuthandizani kupuma ndikutuluka.
• Zamadzimadzi, nthawi zambiri kudzera mumitsempha (IV), kuti magazi aziyenda bwino mthupi lanu lonse. Amaperekanso zakudya.
• Mankhwala chifukwa chovuta
• Chithandizo chazomwe zimalepheretsa kupuma. Mankhwalawa atha kuphatikizira mankhwala ndi njira zake.

Ngati mukulephera kupuma, onani wothandizira zaumoyo wanu kuti akupatseni chithandizo chamankhwala nthawi zonse. Wopereka wanu atha kupereka lingaliro lakukonzanso kwamapapo.

Ngati kulephera kwanu kupuma sikuli kwakanthawi, onetsetsani kuti mukudziwa nthawi komanso komwe mungapeze thandizo pazizindikiro zanu. Mukufuna chisamaliro chadzidzidzi ngati muli ndi zizindikiro zoyipa, monga zovuta kupuma kapena kuyankhula. Muyenera kuyimbira omwe akukuthandizani mukawona kuti matenda anu akukula kapena ngati muli ndi zizindikilo zatsopano.

Kukhala ndi kulephera kupuma kumatha kuyambitsa mantha, nkhawa, kukhumudwa, komanso kupsinjika. Kulankhulana, mankhwala, ndi magulu othandizira angakuthandizeni kuti mukhale bwino.

NIH: National Heart, Lung, ndi Blood Institute