Kulephera Kupuma Kumayambitsa, Zizindikiro, Kuzindikira ndi Chithandizo

Kuperewera kwa kupuma kumachitika pamene mapapu anu alephera kugwira ntchito yawo yopititsa mpweya m'magazi anu ndi kuchotsa mpweya woipa. Zingakhale zovuta za matenda osokoneza bongo (COPD).

Ziwalo zanu, minofu ndi zida zina zimafuna mpweya . Mapapu anu ali ndi udindo wobweretsa mpweya mu thupi lanu, kumene umatengedwa ndi maselo ofiira a m'magazi ndi kutengedwera kumene kuli kofunikira.

Pakali pano, mpweya woipa - mpweya wotayika wa maselo anu pamene iwo amagwiritsa ntchito mpweya - umayenda kuchokera m'magazi anu ndi kubwerera m'mapapu anu, kumene mumatulutsa. Njira yonseyi imatchedwa kusinthana kwa gasi.

Popanda kupuma, kusinthanitsa kwa mpweya sikugwira ntchito momwe ikuyenera kugwira ntchito, ndipo maselo m'thupi lanu amayamba kuvutika ndi kusowa kwa mpweya, mpweya woipa kwambiri, kapena onse awiri. Mpweya waukulu wa carbon dioxide ukhoza kusokoneza chiwerengero cha asidi m'thupi, chomwecho chimatha kupangitsa kupuma sikulephera.

Kulephera kupuma mwadzidzidzi ndizodziwikiratu zamankhwala. Ngati inu kapena munthu wina wapafupi sangapume, funsani 911.

Zifukwa za kulephera kwa Kupuma

Zinthu zomwe zimakhudza mphamvu yanu yopuma bwino zingayambitse kupuma. Zina zomwe zingayambitse vutoli ndi izi:

• Kupewera kwa ndege
• Kuvulaza mutu
• Chibayo
• Phumu
• COPD
• Mankhwala osokoneza bongo, kuphatikizapo mankhwala osokoneza bongo (monga morphine kapena Vicodin) ndi benzodiazepines, makamaka akaphatikiza ndi mowa.

• Kulemera kwakukulu
• Sitiroko
• Chikumbutso cha embolism
• Amyotrophic lateral sclerosis (ALS)

Chikhalidwe sichiyenera kukhudza mapapu mwachindunji kuti chiyambitse kupuma. Mwachitsanzo, kupwetekedwa, ALS ndi mankhwala osokoneza bongo / mowa mopitirira muyeso zonse zomwe zingatheke zingakhudze dongosolo lanu la mitsempha la mitsempha ndi minofu yomwe imayambitsanso kupuma kwanu.

Zizindikiro za Kulephera kwa Kutentha

Chizindikiro choyamba cha kupuma kupuma kumene mungaone kuti ndi mpweya wopuma - mumamva ngati simungathe kupuma kapena kupeza mpweya wokwanira m'mapapu anu. Mungayambe kupuma mofulumira.

Zizindikiro zina zotheka ndizo:

• Kusokonezeka
• Kumva kutopa kapena kutopa
• Lethargy (simudzakhala ndi mphamvu)
• Kugona
• Bluish tinge ku khungu lanu

Ngati zizindikiro zanu zolephera kupuma zikuyamba mwadzidzidzi, muyenera kuziwona kuti ndizowopsa mwachipatala ndikupempha thandizo mwamsanga. Ngati dokotala wakuuzani kuti muli ndi vuto lopuma kupuma chifukwa cha COPD kapena matenda ena, mukhoza kulandira chithandizo kunyumba kwanu kapena kuchipatala cha nthawi yaitali.

Kuzindikira ndi Kuteteza Mkhalidwe Wanu

Ngati dokotala akudandaula kuti akulephera kupuma, angayese mayesero angapo kuti akudziwe. Izi ziphatikizapo:

• Chifuwa cha X-ray
• CT ya chifuwa
• Kuyeza magazi kumayambitsa (ABGs)
• Kuyesedwa kwa magazi ndi madzi ena

Mukalephera kupuma, chitsimikizo chanu chitha kukhala chotsatira, malinga ndi chifukwa cha vuto lanu:

• Mankhwala otchedwa sronida , steroids komanso mwina mankhwala opha tizilombo
• Noninvasive zabwino-pressure ventilation (CPAP kapena BiPAP )
• Thandizo la okosijeni
• Wopuma mpweya kapena osapuwala maski

Mukakhala ndi thanzi labwino, dokotala wanu adzakuuzani za zomwe mungachite pochita chithandizo chamankhwala nthawi yaitali. Chiyembekezo chanu cha kuchira chidzadalira chomwe chimapangitsa kuti kupuma kwanu kusaleke koyambirira, kuipa kwake, kuchitidwa mwamsanga, komanso thanzi lanu lonse.

Kusuta kumayambitsa matenda ambiri a m'mapapo omwe amachititsa kuti munthu asapume mpweya. Choncho, ngati mumasuta, muyenera kusiya nthawi yomweyo. Kutaya thupi kungathandize kuchepetsa kupuma, komanso.

_Zotsatira:

_{National Heart, Lung ndi Magazi Institute. Kodi N'chiyani Chimachititsa Kulephera Kuzizira? pepala lolemba.}

_{National Heart, Lung ndi Magazi Institute. Kodi Kulephera kwa Kutupa Kumatanthauzanji? pepala lolemba.}

_{Smeltzer, S., Bare, B. Buku la Buku la Nursing-Nursing Nursing. Lippincott. 1996.}

_{Laibulale ya National National Medicine. Pepala lolephera kulephera kupuma.}