Kuchokera Kuchiza Kuchiritsa kwa Mpweya Wopuma Mpweya
Pambuyo pa opaleshoni, inu kapena wokondedwa wanu mungafunikire kupuma mankhwala ndi mitundu ina ya mankhwala opuma kuti muteteze mavuto. Izi zikhoza kukhala kuchokera kuchipatala chimodzi ndi inhaler kuti chisamaliro cha ICU chisamalire kwa anthu odwala omwe amafuna mpweya woti awathandize kupuma mpaka atha kupuma okha.
Kodi Odwala Opaleshoni Amatani?
Mankhwalawa ndi ena ambiri amaperekedwa ndi odwala opaleshoni (RT), ogwira ntchito zachipatala omwe amaphunzitsidwa kuti apitirize mapapu ndikugwiritsira ntchito ndondomeko ya chisamaliro pamodzi ndi gulu lonse lachipatala.
Iwo angagwire ntchito ndi dokotala yemwe amasamalira kuchipatala, katswiri wa pulmonologist - dokotala wodziwika bwino pa nkhani ya mapapo a mapapo, kapena angagwire ntchito kudera lonse kusamalira odwala ambiri a mitundu yosiyanasiyana.
Ntchito za Job zimasiyanasiyana kuchokera ku malo kupita ku malo. M'zipatala zina, opaleshoni ya kupuma imapereka chithandizo chonse cha kupuma, pamene ena, akhoza kugawa ntchito yofanana ndi aamwino. Kawirikawiri, RT imapereka mankhwala osokoneza bongo monga nebulizer mankhwala ndi nebulizer mankhwala ndipo amagwira ntchito limodzi ndi aubwino monga ntchito yawo ingagwirizane.
Zifukwa Zopatsira Opaleshoni Zimayenera
Aliyense amene ali pachiopsezo chokhala ndi vuto la kupuma, kapena amene ali ndi vuto lalikulu la mapulitsi, amatha kuchiritsidwa ndi wodwala kupuma mu chipatala. Odwala opaleshoni, ambiri, ali pangozi yaikulu ya kupuma kupambana kuposa munthu aliyense.
Kukhala pa mpweya panthawi yopaleshoni, ndipo njira yobwezeretsa kuchipatala imayambitsa chiopsezo chotenga matenda a m'mapapo ndi zina.
Odwala opaleshoni ambiri amene amakhala usiku umodzi kapena kupitirira kuchipatala atatha opaleshoni akhoza kuyembekezera kukhala ndi chithandizo chamtundu wina panthawi yawo.
Mitundu Yambiri Yopiritsa Opaleshoni
Thandizo la okosijeni: Odwala ambiri amafuna mpweya wothandizira maola angapo kapena ngakhale masiku akutsatira opaleshoni.
Mpweya woterewu ukhoza kuperekedwa kupyolera mumphuno wamphongo, maski, kapenanso kupuma mpweya ngati kuli kofunikira. Okosijeni nthawi zambiri amatha kusintha ndi opaleshoni yopuma.
Inhalers: Awa ndi mankhwala omwe amatsitsimutsidwa, "kudzikuza" kamodzi pa nthawi. Amagwiritsidwa ntchito ndi anthu omwe ali ndi mphumu ndipo amagwiritsidwa ntchito kutsegula mpweya, kuchepetsa kutsekemera ndi kutupa, komanso kuchepetsa kapena kuteteza zizindikiro za mphumu.
Matenda a Nebulizer: Ichi ndi mtundu wa mankhwala osokoneza bongo omwe amalembedwa kwa mphindi kapena ola limodzi. Zimathandiza kutsegula mpweya, kuchepetsa kukwiya komanso kungachepetse kutupa. Mankhwala a Nebulizer amatha kugwiritsidwa ntchito kuthandizira kukanika kwa mphumu.
CPAP ndi BiPAP: Awa ndi makina omwe amathandiza wodwala kuti azigwiritsa ntchito oxygen mwa kugwira ntchito yotseguka. Wodwalayo amavala mask omwe amathandiza kupewa matenda a apnea, zomwe zimachitika pamene wodwala amasiya kupuma ali m'tulo. CPAP ndi BiPAP zingagwiritsidwe ntchito kwa odwala matenda akuluakulu a mapapu omwe sakupuma bwino okha koma sali odwala kwambiri moti amafuna mpweya wabwino. Makina a BiPAP amagwiritsidwa ntchito ndi odwala matenda aakulu omwe ali ndi matenda a m'mapapo, chifukwa angathe kuchepetsa kuchuluka kwa mpweya wa carbon dioxide umene ungakhale wolimba m'thupi.
Kuchepetsa ndi Kupweteka Kwambiri: Odwala opuma opaleshoni amaphunzitsa njira imeneyi kwa odwala omwe akuvutika kuthetsa zobisika m'mapapo awo. Wodwalayo amapuma mobwerezabwereza potsatira chifuwa chachikulu.
Momwe Mungakanire: Anthu omwe atha kuchitidwa opaleshoni amafunika kukhwima, koma kukhwima mwamphamvu kumakhala kovuta kwambiri, makamaka kupsinjika kwa m'mimba. Kuphunzira chifuwa bwino pambuyo pochita opaleshoni , pogwiritsa ntchito bwino, kumapangitsa kuti chifuwa chimveke bwino komanso chosapweteka kwambiri.
Zokakamiza Spirometry: Ichi ndi chida chimene chimafuna kuti wodwala azigwira ntchito mwamphamvu, zomwe zimathandiza kutsegula mlengalenga ndikuletsa atelectasis .
Kukula: Kwa odwala omwe sangathe kuchotsa zobisala pamsewu mwa kukokera, kuyamwa kungatheke. Izi zimachitika mwa kuyika kachidutswa kakang'ono ku chipangizo choyamwa ndikuchiyika panjira. Izi zikhoza kuchitika kwa odwala omwe akupuma okha kapena omwe ali pa mpweya wabwino.
Kupanga Ventilator: Kwa odwala omwe sangathe kupuma okha, mpweya wabwino ungakhale wofunikira. Kwa odwala omwe amafuna mpweya wabwino , opaleshoni yopuma amawathandiza kwambiri. The RTs, pamodzi ndi anamwino, ali ndi udindo woyendetsa mpweya ndi ma tubing omwe amamugwiritsira ntchito makina, kupereka chithandizo chakum'patsa wodwala komanso kusamalidwa ndi pakamwa.
Ntchito Yamaphunziro Imayesa: Izi ndi mayesero omwe amachitidwa kuti adziwe mmene mapapo a mthupi amathandizira. Mayeserowa amalembedwa ndi dokotala kapena wothandizira ena koma amachitidwa ndi RT.
Magetsi Omwe Amagazidwe : Ichi ndi mayeso omwe amachitidwa pamagazi ochokera mu mitsempha yomwe imatha kudziwa ngati wodwala alandira oxygen yokwanira, momwe akupuma bwino, ndipo ngati akusowa thandizo lowonjezera kupuma kuchokera ku BiPAP, CPAP kapena mpweya wabwino. Odwala opaleshoni ndi anamwino nthawi zambiri amakhala ndi udindo wokoka magazi, ndipo nthawi zambiri amathandizira kuti athandizidwe.
Mphuno: M'mabungwe ambiri ndi zipatala zina, opaleshoni ya kupuma ali ndi udindo wopangira chubu chotsitsa, mpweya wopuma womwe umalola odwala kuti aponyedwe pamoto. Anesthesia omwe amapereka chithandizo amachitanso ntchitoyi kwa odwala omwe akuchitidwa opaleshoni pogwiritsa ntchito anesthesia.
Maphunziro: Odwala ambiri amafunika kudziwa zambiri zokhudza matenda awo, kusuta fodya, ndi mankhwala omwe akuuzidwa. Odwala opaleshoni nthawi zambiri amayenera kutsimikiza kuti wodwalayo amadziwa kugwiritsa ntchito nebulizer kapena inhaler, kulimbikitsa makhalidwe abwino ndi maphunziro ena.
> Chitsime:
> Ma Institutes of Health. Kodi Kulephera kwa Kupuma Kumaphatikizidwa Bwanji? https://www.nhlbi.nih.gov/health/health-topics/topics/rf/kutengeka.