Zomwe Muyenera Kuchita Ngati Inu Kapena Munthu Amene Mumamudziwa Angakhale Atapuma Utsi Wochuluka

Zamkati

• Nchiyani chimayambitsa kutulutsa utsi?
• Kupuma mosavuta
• Mankhwala osakaniza
• Mankhwala amatsitsimutsa
• Utsi zizindikiro inhalation
• Tsokomola
• Kupuma pang'ono
• Mutu
• Kuuma kapena kupuma mokweza
• Khungu limasintha
• Kuwonongeka kwa diso
• Kuchepetsa kuchepa
• Mwaye mwamphuno kapena pakhosi
• Kupweteka pachifuwa
• Utsi inhalation chithandizo choyamba
• Utsi matenda inhalation
• X-ray pachifuwa
• Kuyesa magazi
• Mpweya wamagazi wamagazi (ABG)
• Kutulutsa oximetry
• Bronchoscopy
• Chithandizo cha utsi wa utsi
• Mpweya
• Hyperbaric oxygenation (HBO)
• Mankhwala
• Nthawi yoti muwonane ndi dokotala
• Kuchiza kunyumba
• Kupuma kwa utsi ndi zotsatira za nthawi yayitali komanso mawonekedwe
• Kupewa kupuma kwa utsi
• Tengera kwina

Chidule

Oposa theka la anthu omwe amwalira chifukwa cha moto amayamba chifukwa cha kupumira utsi, malinga ndi Burn Institute. Kutulutsa utsi kumachitika mukamapuma tinthu tomwe timatulutsa utsi tomwe timatulutsa utsi. Kupuma utsi wovulaza kumatha kutentha mapapu anu komanso njira yapaulendo, kuwapangitsa kuti atupire ndikuletsa mpweya. Izi zitha kupangitsa kuti munthu akhale ndi vuto la kupuma mwamphamvu komanso kulephera kupuma.

Kutsekemera kwa utsi kumachitika nthawi zambiri mukamagwidwa m'deralo, monga khitchini kapena nyumba, pafupi ndi moto. Moto wochuluka umachitika mnyumba, nthawi zambiri umakhala chifukwa chophika, malo ozimitsira moto ndi zotenthetsera malo, kusowa kwa magetsi, komanso kusuta.

Ngati inu kapena munthu wina mwakhala mumoto ndikuwotchera utsi kapena akuwonetsa zipsinjo za utsi, monga kupuma movutikira, tsitsi lakumphuno, kapena kuwotcha, itanani 911 kuti mukalandire chithandizo chamankhwala mwachangu.

Nchiyani chimayambitsa kutulutsa utsi?

Zipangizo zoyaka, mankhwala, ndi mpweya womwe umapangidwa umatha kuyambitsa utsi mwa kupuma (kusowa mpweya wabwino), kukwiya ndi mankhwala, kupuma kwa mankhwala, kapena kuphatikiza. Zitsanzo ndi izi:

Kupuma mosavuta

Pali njira ziwiri zomwe utsi umatha kukulepheretsani mpweya. Kuyaka kumagwiritsa ntchito mpweyawo pafupi ndi moto, ndikukusiyani wopanda mpweya kuti mupume. Utsi umakhalanso ndi zinthu zina, monga kaboni dayokisaidi, zomwe zimavulaza ndikuchepetsa kuchuluka kwa mpweya mumlengalenga.

Mankhwala osakaniza

Kuyaka kungayambitse mankhwala omwe amavulaza khungu lanu ndi mamina. Mankhwalawa amatha kuwononga kapumidwe kanu, kupangitsa kutupa ndi kugwa kwa ndege. Amoniya, sulfure dioxide, ndi klorini ndi zitsanzo za mankhwala osokoneza bongo mu utsi.

Mankhwala amatsitsimutsa

Mankhwala omwe amapangidwa pamoto amatha kuwononga maselo mthupi lanu posokoneza kaperekedwe kapenanso kugwiritsa ntchito mpweya. Carbon monoxide, yomwe imayambitsa kufa kwa anthu mukamapuma utsi, ndi imodzi mwamagawo amenewa.

Kuvulala kwa mpweya kumatha kuvulaza mtima ndi mapapo, monga:

• Matenda osokoneza bongo
• mphumu
• emphysema
• matenda aakulu

Chiwopsezo chanu chowonongekeratu chifukwa cha kupuma kwa utsi ndichachikulu ngati muli ndi izi.

Utsi zizindikiro inhalation

Kuputa utsi kumatha kuyambitsa zizindikilo zingapo zomwe zimatha kukhala zovuta.

Tsokomola

• Mamina am'mimbamo mumatumbo anu amapumira ntchofu zambiri zikakwiyitsidwa.
• Kuchulukitsa kwa ntchofu ndi kukhwimitsa kwa minyewa yanu mumayendedwe anu kumayambitsa kutsokomola kosiyanasiyana.
• Mafinya angakhale omveka, otuwa, kapena akuda kutengera kuchuluka kwa tinthu tomwe timatenthedwa m'matumba kapena m'mapapu anu.

Kupuma pang'ono

• Kuvulaza njira yanu yopumira kumachepetsa kuperekera kwa mpweya m'magazi anu.
• Kupuma utsi kungasokoneze mphamvu ya magazi anu yonyamula mpweya.
• Kupuma mofulumira kumachitika chifukwa chofuna kubwezera zomwe zawonongeka mthupi.

Mutu

• Kuwonetsedwa kwa carbon monoxide, komwe kumachitika pamoto uliwonse, kumatha kupweteketsa mutu.
• Pamodzi ndimutu, poizoni wa carbon monoxide amathanso kuyambitsa nseru ndi kusanza.

Kuuma kapena kupuma mokweza

• Mankhwala atha kukwiyitsa komanso kuvulaza mawu anu ndikupangitsa kutupa ndi kukhwima kwa mayendedwe apamtunda.
• Madzi amatha kusonkhanitsa kumtunda kwa mpweya ndikupangitsa kutsekeka.

Khungu limasintha

• Khungu limatha kukhala lotumbululuka komanso labuluu chifukwa chosowa mpweya, kapena lofiira chifukwa cha poizoni wa carbon monoxide
• Pakhoza kukhala zotentha pakhungu lanu.

Kuwonongeka kwa diso

• Utsi ukhoza kukwiyitsa maso anu ndikupangitsa kufiira.
• Matenda anu atha kupsa.

Kuchepetsa kuchepa

• Mafuta otsika a oksijeni komanso mankhwala ophera mpweya amatha kuyambitsa kusintha monga kusokonezeka, kukomoka, komanso kuchepa.
• Kugwidwa ndi kukomoka kumakhalanso kotheka pambuyo pa kupuma kwa utsi.

Mwaye mwamphuno kapena pakhosi

• Soti m'mphuno mwanu kapena pakhosi ndi chisonyezero cha kutulutsa utsi komanso kuchuluka kwa utsi wambiri.
• Kutupa ndi mphuno ndi chizindikiro cha kupuma.

Kupweteka pachifuwa

• Kupweteka pachifuwa kumatha kuyambitsidwa ndikumapuma kwanu.
• Kupweteka pachifuwa kumatha kukhala chifukwa chotsika kwa oxygen mumtima.
• Kutsokomola kwambiri kumayambitsanso kupweteka pachifuwa.
• Matenda amtima ndi m'mapapo amatha kukulitsa chifukwa cha kupuma kwa utsi ndipo zimatha kupweteka pachifuwa.

Utsi inhalation chithandizo choyamba

Chenjezo: Aliyense amene amakumana ndi utsi wofewa amafunikira thandizo loyamba. Nazi zomwe muyenera kuchita:

• Itanani 911 kuti muthandizidwe mwadzidzidzi.
• Chotsani munthuyo pamalo odzazidwa ndi utsi ngati zili bwino kutero ndipo musunthireni pamalo ndi mpweya wabwino.
• Fufuzani kayendedwe ka munthuyo, mpweya wake, komanso kupuma kwake.
• Yambani CPR, ngati kuli kofunikira, podikirira thandizo ladzidzidzi kuti lifike.

Ngati inu kapena wina akukumana ndi zizindikiro zotsatirazi za utsi, imbani 911:

• ukali
• kuvuta kupuma
• kukhosomola
• chisokonezo

Kuputa utsi kumatha kukulira msanga ndipo kumakhudza zambiri kuposa njira yanu yopumira. Muyenera kuyimbira 911 m'malo moyendetsa nokha kapena munthu wina ku dipatimenti yapafupi yoopsa. Kulandila chithandizo chadzidzidzi kumachepetsa chiopsezo chanu chovulala kwambiri kapena kufa.

Kutulutsa utsi kwakhala nkhani yotentha (palibe chilango chofunira) kuyambira pomwe mafani omwe adatchuka pa TV "This Is Us" adaphunzira za kutha kwa khalidwe la Jack.Muchiwonetserochi, Jack adadwala utsi wofiirira atabwerera mnyumba yake yoyaka kuti athandize mkazi wake ndi ana kuthawa. Anabwereranso kwa galu wabanja komanso zofunika zina zofunika kubanja.
Nkhaniyi idabweretsa chidwi chochuluka kuopsa kwa kupuma kwa utsi ndi zomwe simuyenera kuchita pakabuka moto. Zinasiyanso anthu ambiri akudabwa ngati kupuma utsi kungapangitse kuti munthu yemwe akuwoneka wathanzi akhale ndi vuto la mtima. Yankho ndilo inde.
Malinga ndi Dipatimenti ya Zaumoyo ku New York State, tinthu tating'onoting'ono titha kulowa mkati mwanu ndikupumira mpaka m'mapapu anu. Pakulimbikira thupi, zovuta zamtima zimatha kukulirakulira chifukwa chokhala ndi kaboni monoxide ndi zinthu zina. Zotsatira zakupuma kwa utsi, kuchita masewera olimbitsa thupi, komanso kupsinjika kwakukulu zonse zimalepheretsa mapapu anu ndi mtima wanu, zomwe zingayambitse matenda amtima.

Utsi matenda inhalation

Kuchipatala, dokotala adzafuna kudziwa:

• gwero la utsi womwe udapumira
• munthuyo adawululidwa kwa nthawi yayitali bwanji
• kuchuluka kwa utsi womwe munthuyo adakumana nawo

Mayeso ndi njira zake zitha kulimbikitsidwa, monga:

X-ray pachifuwa

X-ray ya chifuwa imagwiritsidwa ntchito poyang'ana ngati pali kuwonongeka kwamapapu kapena matenda.

Kuyesa magazi

Kuyesa magazi angapo, kuphatikiza kuwerengera kwathunthu kwa magazi ndi kagayidwe kachakudya, amagwiritsidwa ntchito kuwunika kuchuluka kwama cell ofiira ndi oyera, kuchuluka kwa ma platelet, komanso chemistry ndi magwiridwe antchito a ziwalo zambiri zomwe zimazindikira kusintha kwama oxygen. Magulu a Carboxyhemoglobin ndi methemoglobin amafufuzidwanso mwa iwo omwe apumira utsi kuti ayang'ane poizoni wa carbon monoxide.

Mpweya wamagazi wamagazi (ABG)

Kuyesaku kumagwiritsidwa ntchito kuyeza kuchuluka kwa oxygen, carbon dioxide, ndi chemistry m'magazi. Mu ABG, magazi amatengedwa kuchokera pamtsempha m'manja mwanu.

Kutulutsa oximetry

Pogwiritsira ntchito oximetry, kachipangizo kakang'ono kamene kali ndi kachipangizo kamayikidwa pambali ya thupi, monga chala, chala, kapena khutu, kuti muwone momwe mpweya umapezera minofu yanu.

Bronchoscopy

Thubhu yaying'ono, yoyatsidwa imayikidwa mkamwa mwanu kuti muwone mkatikati mwa njira yanu yapaulendo kuti muwone kuwonongeka ndikusonkhanitsa zitsanzo, ngati zingafunike. Kugwiritsa ntchito mankhwala ogwiritsira ntchito kungagwiritsidwe ntchito kukupumulitsani kuti muchite izi. Bronchoscopy itha kugwiritsidwanso ntchito pochizira utsi wa utsi kuti utulutse zinyalala ndi zotsekera kuti zithandizire kuchotsa panjira.

Chithandizo cha utsi wa utsi

Chithandizo cha utsi chotulutsa utsi chingaphatikizepo:

Mpweya

Oxygen ndi gawo lofunikira kwambiri la mankhwala opumira utsi. Amayendetsedwa kudzera mu chigoba, chubu cha mphuno, kapena kudzera mu chubu chopumira chomwe chayikidwa kukhosi kwanu, kutengera kuopsa kwa zizindikilo.

Hyperbaric oxygenation (HBO)

HBO imagwiritsidwa ntchito pochiza poyizoni wa carbon monoxide. Mudzaikidwa m'chipinda choponderezedwa ndikupatsidwa mpweya wambiri. Mpweyawu umasungunuka m'madzi am'magazi kuti minofu yanu ilandire mpweya pomwe kaboni monoxide imachotsedwa m'magazi anu.

Mankhwala

Mankhwala ena atha kugwiritsidwa ntchito pochiza utsi wothira utsi. Ma bronchodilator atha kupatsidwa kupumula minofu yam'mapapo ndikukulitsa njira zowuluka. Maantibayotiki amatha kuperekedwa kuti athetse kapena kupewa matenda. Mankhwala ena atha kuperekedwa kuti athetse poizoni wamankhwala.

Nthawi yoti muwonane ndi dokotala

Ngati mwalandira chithandizo chofufumitsa utsi ndikukhala ndi malungo, pitani kuchipatala nthawi yomweyo, popeza mungakhale ndi matenda. Itanani 911 ngati mungakumane ndi izi:

• kutsokomola kapena kusanza magazi
• kupweteka pachifuwa
• kugunda kwamtima mosasinthasintha kapena mwachangu
• kuchulukitsa kupuma
• kupuma
• milomo yabuluu kapena zikhadabo

Kuchiza kunyumba

Kuphatikiza pa kumwa mankhwala ndikutsatira malangizo omwe adokotala akukupatsani, pali zinthu zina zapakhomo zomwe mungachite potsatira utsi wothira utsi:

• Muzipuma mokwanira.
• Kugona m'malo otsika kapena kulimbikitsa mutu wanu ndi mapilo kukuthandizani kupuma mosavuta.
• Pewani kusuta kapena kusuta.
• Pewani zinthu zomwe zingakwiyitse mapapu anu, monga kuzizira kwambiri, kutentha, chinyezi, kapena mpweya wouma.
• Chitani chilichonse chopumira monga mwalangizidwa ndi dokotala wanu, wotchedwanso bronchial ukhondo mankhwala.

Kupuma kwa utsi ndi zotsatira za nthawi yayitali komanso mawonekedwe

Kuchira chifukwa cha kupuma kwa utsi ndikosiyana ndi aliyense ndipo zimatengera kukula kwa zovulala. Zimadaliranso ndi thanzi lanu lonse pamapapu musanavulaze. Zitenga nthawi kuti mapapu anu achiritse bwino ndipo mupitilizabe kupuma movutikira ndikutopa mosavuta kwakanthawi.

Anthu omwe ali ndi zipsera amatha kupuma movutikira kwa moyo wawo wonse. Hoarseness kwa nthawi yayitali imakhalanso yofala kwa anthu omwe amakhala ndi utsi wambiri.

Mutha kupatsidwa mankhwala oti muzimwa mukamachira. Mungafunike ma inhalers a nthawi yayitali ndi mankhwala ena kuti akuthandizeni kupuma bwino, kutengera kuwonongeka kwa mapapu anu.

Chithandizo chotsatira ndi gawo lofunikira kuti muchiritse. Sungani nthawi yonse yotsatiridwa ndi dokotala wanu.

Kupewa kupuma kwa utsi

Pofuna kupewa kupuma utsi, muyenera:

• Ikani zoyesera utsi mchipinda chilichonse chogona, kunja kwa malo ogona, komanso mulingo uliwonse wanyumba yanu, malinga ndi National Fire Protection Association.
• Ikani zoyesera za carbon monoxide kunja kwa malo ogona pamlingo uliwonse wanyumba yanu.
• Yesani zoyeserera zanu za utsi ndi kaboni monoxide mwezi uliwonse ndikusintha mabatire chaka chilichonse.
• Pangani dongosolo lakuwuluka moto ukazichita ndi banja lanu komanso ena omwe akukhala kwanu.
• Osasiya ndudu, makandulo, kapena zotenthetsera m'mlengalenga osayang'aniridwa ndikuzimitsa ndi kutaya zinthu zokhudzana ndi kusuta moyenera.
• Osasiya khitchini osasamalidwa mukamaphika.

Tengera kwina

Kuputa utsi kumafunikira chithandizo chamankhwala mwachangu ngakhale sipakhala zooneka. Chithandizo choyambirira chitha kuthandiza kupewa zovuta zina ndi imfa.