Kumangidwa kwa kupuma ndikutaya kapena kutha kwa kupuma. Kumangidwa kwa opuma kumaphatikizapo njira ziwiri zosiyana, monga kupuma kwapadera (apnea) kapena kusawonongeka kwathunthu (agonal kupuma). Mosasamala kanthu ngati wodwalayo akuwoneka kuti ali ndi minofu yoyendayenda mu chifuwa chake ndi mapewa, ngati palibe mpweya ukusunthira pamsewu (kapena pang'ono pokha), ndiye kuti ali kumapeto kwa kupuma.
Apnea
Kupanda kupuma kwathunthu kumadziwika ngati apnea. M'Chilatini, kutanthauza "ayi" kapena "ayi" pamene -pnea amatanthauza kupuma. Apnea ikhoza kukhala yochepa (kutanthauza kuti ikubwera ndi kupita) ngati kupuma kwa mpweya. Kapena, izo zikhoza kukhala zamuyaya, monga kumapeto kwa moyo.
Ngati wodwalayo akupumabe, koma akuvutika monga kupuma pang'ono , amadziwika kuti dyspnea ( dys - monga "osayenera" ndi -pnea monga "kupuma").
Agonal Breathing
Malemba azachipatala ndi othandizira zaumoyo nthawi zina amanena za kupuma komwe kumatchedwa agonal kupuma kapena agonal kupuma. Mwinamwake mwamvapo mawu awa ndikudabwa kuti amatanthauza chiyani. Ndi mtundu wapadera wa kupuma ndipo angapangidwe chifukwa cha kupuma mokwanira mudzidzidzi.
Kutupa kwa agonal ndi kosasinthasintha, kupuma kumakhala kawirikawiri pamene kumangidwa kwa mtima . Kawirikawiri, opulumutsa adzawona ozunzidwa atenga mpweya uwu kuposera 10 mpaka 12 pa mphindi; iyi ndi masekondi asanu kapena asanu ndi limodzi.
Kupuma kwa agonal sikupereka mpweya wabwino kwa thupi ndipo umayenera kukhala wofanana ndi kupuma konse. Nthawi zina, kachitidwe ka kupuma kamatchedwa "nsomba kupuma" kapena "kupuma khungu" chifukwa chofanana ndi nsomba m'madzi.
Chithandizo
Nthaŵi zambiri, odwala omwe amasiya kupuma mosayembekezereka amakhalanso akugwidwa ndi mtima ndipo ayenera kulandira CPR .
Kumangirira kupuma kungayambitsenso ndi mphumu yambiri, kumenyedwa, ndi zina zambiri. Nthawi imene wodwala sakupuma kapena ali ndi kupuma koma akudwala, amawoneka ngati akugwiritsidwa ntchito kupuma m'malo mogwira mtima. Malangizo a CPR a 2015 amauza anthu opulumutsa maulendo kuti athetse zofanana zonsezi: poyambira CPR.
Chimodzi mwa zifukwa zomwe zimachititsa kuti munthu azipuma kupuma popanda kumangidwa kwa mtima amamuwona opaleshoni ndi ena othandizira zaumoyo ndi kugwiritsa ntchito mankhwala opioid kapena mankhwala osokoneza bongo. Ndikofunika kudziwa nthawi yambiri ya opioid ndikuchita mogwirizana. Malinga ngati wodwala akuchiritsidwa mofulumira, matendawa amatha kusintha mosavuta ndi kugwiritsa ntchito naloxone ndipo wodwalayo akhoza kuchira popanda zotsatira zake.
Ngati naloxone sichipezeka kwa wodwalayo wodetsedwa ndi opioid, itanani 911. Pamene mukuyembekezera ambulansi, perekani kupulumutsidwa kwa wodwalayo. Kupulumutsa kupuma kudzathandiza wodwala kuti apulumuke mpaka nalxone itha kuperekedwa ndi odwala opaleshoni.
M'madera ena, naloxone ingapezeke kudzera mwa dokotala wa mankhwala ngati mankhwala, kapena kudzera pulogalamu yosinthana ndi singano popanda malipiro. Naloxone imangogwira ntchito pa opioid zinthu ndipo zotsatira zokha zodziwika zimagwirizana ndi kubwezeretsa zotsatira za opioid.
> Chitsime:
> Pham T, Brochard LJ, Slutsky AS. Mpweya Wotulutsa Mpweya: Chikhalidwe cha Art. Mayo Clin Proc. 2017 Sep; 92 (9): 1382-1400. do: 10.1016 / j.mayocp.2017.05.004. Onaninso.