Ðe gbɔgbɔ le fu ɖem na wòa? Mina míaƒo nu tso Yagbɔgbɔ ƒe Dɔmawɔmawɔ nyuie ŋu

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be gbɔgbɔ le sesẽm na yea? Alo ɖe nèsena le ɖokuiwò me be yemate ŋu agbɔ ya oa? Menyo be nàŋe aɖaba aƒu nusiawo dzi ko o. Elabena, esia ate ŋu anye nɔnɔme sesẽ aɖe si woyɔna be Yagbɔgbɔ ƒe Dɔmawɔmawɔ nyuie ƒe dzesi. Egbea, míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu. Esia ate ŋu anye atikewɔwɔ kpata, eyata ele vevie be nànya esia.

Aleke míegbɔa yae? Nukae adzɔ ne esia mewɔ dɔ nyuie o?

Bu eŋu kpɔ, oxygen le míaƒe ŋutilã me abe mɔ̃memi na ʋu ene, alo abe ami si míehiã be míatsɔ awɔ míaƒe agbee ene. Ne míegbɔ ya la, ya xɔasi sia si woyɔna be oxygen la gena ɖe míaƒe lãkusi me. Ne míagblɔe tututu la, ɔksidzin sia yia yakotoku suesuesue siwo le lãkusia me, siwo woyɔna be alveoli . Ele abe bɔs aɖe si le hehem yina bɔsɖoƒe aɖe ene.

Tso afima la, ʋua "tsɔa" ɔksidzin sia yia ŋutilã ƒe akpawo katã, siwo dome míaƒe ahɔhɔ̃, dzi, lãmekawo, kple ŋutinu bubuwo hã le. Ne oxygen sia meɖo teƒe mawo o la, míaƒe ŋutilã ƒe lãmenugbagbeviwo mate ŋu awɔ dɔ o, abe ʋu si me ami mele o ene.

Fifia, ne wotsɔ oxygen la "na" teƒe mawo vɔ la, ʋumenugbagbeviawo, ne wole tɔtrɔm gbɔ la, ƒoa carbon dioxide, si nye ya si ŋu viɖe aɖeke mele na ŋutilãa o eye wònye gbeɖuɖɔ la nu ƒu. Esia le abe nuɖuɖu tsɔtsɔ yi fiase me kple aɖaka ƒuƒluwo gbugbɔgaɖoɖo ene. Ne ya si woyɔna be carbon dioxide sia ƒo ƒu ɖe ŋutilãa me la, ema hã nye kuxi. Elabena ekema teƒe mesɔ gbɔ be ʋua natsɔ ɔksidzin yeye o. Eyata, ya si woyɔna be carbon dioxide sia gatrɔna vaa lãkusiwo me eye wòdoa go le ŋutilãa me ne míegbɔ ya. Ɣemaɣie teƒe gasu mía si be míagaxɔ ɔksidzin yeye aɖe ake.

Ne nuwɔna sia katã ƒe akpa aɖe meva yi nyuie o la, míaƒe ŋutilã ƒe lãkusiwo mekpɔa ɔksidzin si sɔ o. Emae nye nusi míeyɔna be Yagbɔgbɔ ƒe Dɔmawɔmawɔ nyuie .

Ðe gbɔgbɔtsixetsixe ƒomevi aɖewo lia?

Ẽ, nɔnɔme sia ƒomevi vovovowo li, le alesi wòdzɔna kple nusi wògblẽna koŋ nu. Ɣeaɖewoɣi la, ate ŋu adzɔ kpata (acute) , eye ɣebubuɣiwo la, ate ŋu adzɔ vivivi le ɣeyiɣi aɖe megbe (si nɔa anyi didi) . Ƒomevi vevi eveawoe nye:

1. Hypoxemic Yagbɔgbɔ ƒe Dɔmawɔmawɔ - Ƒomevi 1

Kpuie ko la, esia nye nɔnɔme si me oxygen mesɔ gbɔ ɖe wò ʋu me o (`hypoxemia`) . Esia dzɔna ne ègbɔ ya gake wò ʋu mexɔ oxygen si sɔ o. Dzidɔ kple aɖuɖɔtoedɔléle koŋue hea esia vɛ. Ame aɖewo hã yɔnɛ be gbɔgbɔtsixe ƒe dɔmawɔmawɔ nyuie si me ya mesɔ gbɔ ɖo o.

2. Hypercapnic Yagbɔgbɔ ƒe Dɔmawɔmawɔ - Ƒomevi 2

Esiae nye esime carbon dioxide (CO2) ƒe agbɔsɔsɔ si le wò ʋu me dzina ɖe edzi.. Ne míaƒe ŋutilã mete ŋu ɖe carbon dioxide, si nye gbeɖuɖɔ si woyɔna be CO2, ɖa nyuie o la, ƒoa ƒu ɖe ʋua me. Emegbe abe alesi míegblɔe va yi ene la, teƒe aɖeke meganɔa ya si woyɔna be oxygen si le ʋua me o. Dzitodzito, lãkusi, lãmekawo, kple lãmekawo (ahɔhɔ̃ kple aklã) ƒe dɔlélewo ate ŋu ahe nɔnɔme sia vɛ. Atike aɖewo hã ate ŋu ahe esia vɛ.

Wo dometɔ bubuwo hã li:

• Yagbɔgbɔ ƒe Dɔmawɔmawɔ nyuie (Ƒomevi 3): Esia ate ŋu adzɔ le amekoko me. Atike si wua alɔ̃dɔdɔ si wozãna le amekoko me ate ŋu ana gbɔgbɔ nasesẽ ɣeaɖewoɣi. Azɔ hã, yakotoku siwo le lãkusi me ate ŋu agbã (atelectasis), si ana ya si woyɔna be oxygen mate ŋu aɖo ʋua gbɔ o.
• Yagbɔgbɔ ƒe Dɔmawɔmawɔ nyuie le Dzidziɖedzi ta (Ƒomevi 4): Dzidzime nye nɔnɔme sesẽ aɖe si me ʋu ƒe sisi dzi ɖena kpɔtɔna kpata eye kuxiwo abe aklã me ʋuʋu ene. Esia ate ŋu ana gbɔgbɔtsixe natsi hã. Nuwo abe sepsis ( dɔlékui sesẽ aɖe si kaka ɖe ŋutilã bliboa me), dzidɔ kpata , kple ʋu si gbɔ eme ate ŋu ahe dzidziƒoame vɛ.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo ate ŋu ato vovo le nusi gbɔ wòtso nu. Gake dzesi aɖewo li siwo bɔ:

• Gbɔgbɔ sesẽ alo gbɔgbɔtsixetsixe ƒe seselelãme (gbɔgbɔtsixetsixe).
• Gbɔgbɔ kabakaba (tachypnea).
• Sese le eɖokui me be ɖeɖi te ye ŋu ŋutɔ (ɖeɖiteameŋu).
• Sese le ɖokuiwò me be yeƒe dzi le ƒoƒom kabakaba alo yeƒe dzi ƒe tsotso mele ɖoɖo nu o.
• Kɔdzidede le ʋuʋudedi alo ʋu me (heoptysis).
• Fifia si gbɔ eme.
• Dzimaɖitsitsi, zitɔtɔ.
• Ŋutilã si ƒe ŋutigbalẽ le ɣie.
• Ŋutilã, nuyi, alo asibidɛ ƒe amadede ƒe tɔtrɔ blɔ (cyanosis) - Esia nye dzesi vevi aɖe be oxygen ƒe anyimanɔmanɔ.
• Taɖuame .
• Nukpɔkpɔ si me mekɔ o.
• Dzimaɖitsitsi, tɔtɔ, ŋutete manɔamesi be wòabu tame nyuie.
• Nuwɔna ƒe tɔtrɔ, menye abe alesi wònɔna ɖaa ene o.

Vevietɔ: Ne dzesi siawo dometɔ aɖe le ŋuwò la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake , elabena esia ate ŋu anye nudzɔdzɔ kpata.

Nukawoe hea gbɔgbɔtsixetsixe vɛ?

Kpuie ko la, nɔnɔme sia dzɔna ne míaƒe ŋutilã ƒe ŋutete be wòaxɔ ɔksidzin ahaɖe ya si woyɔna be carbon dioxide do goe le susu aɖe ta. Nusiwo ate ŋu akpɔ ŋusẽ ɖe esia dzi dometɔ aɖewoe nye:

• Ya ƒe sisi nyuie ƒe anyimanɔmanɔ alo ʋu ƒe sisi yi lãkusiwo me dzi ɖeɖe kpɔtɔ .
• Mɔxexe, abi, alo tsi ƒe ƒoƒo ɖe lãkusi me.
• Gbɔgbɔ nyuie alo gbɔgbɔ deto ƒe ŋutete manɔamesi.Esia ate ŋu atso dɔléle siwo gblẽa nu le lãkusi ŋu, lãmeka alo lãmeka siwo kpena ɖe ŋuwò nègbɔa ya ŋu ƒe kuxiwo, alo abi siwo le akɔta ŋu gbɔ.
• Ʋu ƒe sisi to dzia me ƒe nɔnɔme siwo mesɔ o .

Amekawoe le afɔku me wu? (Afɔku Siwo Le Ame Ŋu) .

Ame aɖewo le afɔku gã aɖe me be woaxɔ gbɔgbɔtsixe ƒe dɔmawɔmawɔ nyuie. Woawoe nye:

• Ame siwo ŋu lãkusidɔ le: Le kpɔɖeŋu me, dɔlélewo abe gbɔgbɔtsixetsixe sesẽ (ARDS) , aklãdɔ si xea mɔ na ame ƒe dɔwɔwɔ atraɖii (COPD) , aklãdɔ , asrã , cystic fibrosis , aklã me ʋu ƒe sisi (tsi si le lãkusi me) , aklã me ʋu ƒe sisi (ʋu ƒe sisi le lãkusi me) , kple aklã me fibrosis (aɖuɖɔtoe me abi) .
• Ame siwo ŋu dzi alo ʋu ƒe sisi ƒe dɔlélewo le: abe dzidɔ , dzidɔ si wodzina , dzidɔ , kple dzidziƒoame ene.
• Ame siwo ŋu dɔléle siwo gblẽa nu le lãmekawo kple lãmeka siwo kpena ɖe gbɔgbɔ ŋu le: nɔnɔmewo abe lãmekawo ƒe dɔmawɔmawɔ nyuie , amyotrophic lateral sclerosis (ALS) , scoliosis sesẽ (akɔta ƒe ƒoƒo) , kple Guillain-Barré syndrome .
• Nuveviwɔame le akɔta, aklã, alo ahɔhɔ̃ ŋu (si me ʋusɔgbɔdɔ hã le).
• Sigaretnono alo nu bubu siwo doa dziku na ame ƒe lãkusi: atikewo ƒe dzudzɔ, ke, ɖiƒoƒo ya (abe ʋu sesẽ siwo dona le míaƒe mɔwo dzi, dɔwɔƒewo ƒe dzudzɔ, kple ke si dona tso xɔtuƒewo ene), kple asbestos.
• Amekoko siwo hiã be woatsɔ atike si naa alɔ̃dɔdɔ ame.
• Atike vɔ̃ɖiwo zazã alo ahanono fũu akpa.
• Ƒe si woxɔ: Vidzĩ yeyewo (vevietɔ esiwo wodzi kple tsitsi sue) kple ame tsitsi siwo xɔ wu ƒe 65 le afɔku me wu.

Aleke ɖɔktawo dea dzesi esiae?

Ðɔkta aɖe akpɔe ɖa be gbɔgbɔtsixe tsia ƒowò hã to oxygen kple carbon dioxide agbɔsɔsɔme si le wò ʋu me la me dzodzro me . Woalé ŋku ɖe wò ʋu ƒe sisi hã ŋu eye woazã mɔ̃ sue aɖe si wotsɔna ƒoa ʋu (si woyɔna be `pulse oximeter` alo `pulse ox`) atsɔ akpɔ oxygen ƒe agbɔsɔsɔ le wò ʋu me. Woaɖo to wò dzi kple wò lãkusi hã eye woado wò kpɔ. Ne wosusu be nɔnɔme sia le wo ŋu la, woate ŋu awɔ dodokpɔ bubu geɖe.

Nukawoe nye dodokpɔ mawo?

• Pulse oximetry ƒe dɔwɔwɔ:Esia bia be nàtsɔ sensor aɖe ade wò asibidɛ dzi be wòadzidze oxygen agbɔsɔsɔme si le wò ʋu me. Zi geɖe la, wowɔa esia ne èyi ɖɔkta gbɔ.
• Ʋukawo me Ʋu ƒe Gas (ABG) dodokpɔ: Wotsɔa aŋe ɖea ʋu sue aɖe tso asibidɛ, abɔta, alo akɔta eye wodzidzea oxygen kple carbon dioxide ƒe agbɔsɔsɔ. Esia ate ŋu ana nyatakaka siwo de pɛpɛpɛ ŋutɔ.
• Aklã ƒe Dɔwɔwɔ Dodokpɔwo (PFT): Le dodokpɔ sia me la, wobia tso asiwò be nàgbɔ ya ahado go to nuƒomɔ̃ si wotsɔ do ka kple mɔ̃ aɖe dzi. Esia ate ŋu akpɔ alesi wò lãkusiwo le dɔ wɔm nyuie.
• Nɔnɔmetatawo dodokpɔ: X-ray kple CT scan ɖea foto ametia ƒe akpa si le eme. Togbɔ be amesiawo mate ŋu anya gbɔgbɔtsixetsixe tẽ o hã la, woate ŋu akpe ɖe ame ŋu woanya nusi gbɔ wòtso.
• Electrocardiogram (EKG): Esia dzidzea alesi dzia le dɔ wɔm nyuie. Ne ɖɔktaa susu be dzidɔ gbɔe kuxia tso la, abia be woawɔ EKG.

Aleke wowɔa nu ɖe ​​esia ŋui?

Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie ƒe atikewɔwɔ nɔ te ɖe eƒe sesẽ kple nusi gbɔ wòtso dzi . Taɖodzinu vevi siwo le atikewɔwɔ ŋue nye be woada nusi gbɔ wòtso, ana oxygen geɖe wò, alo azã gbɔgbɔmɔ̃ (`mɔ̃ɖaŋumɔ̃`) vaseɖe esime nàte ŋu agbɔ le ɖokuiwò si ake.

Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie nye nusi dzɔna kpata eye ehiã be woadae enumake. Gake woate ŋu ada gbɔgbɔtsixetsixe si nu mesẽ o si nɔa anyi didi (si nɔa anyi didi) le aƒeme ɣeaɖewoɣi to nɔnɔme si gbɔ wòtso dzi ɖuɖu me.

Nukawoe nye atikewɔmɔnu tɔxɛawo?

• Mɔ̃ɖaŋununya ƒe yaƒoƒo: Esia bia be woatsɔ wò aƒo ka na yagbɔgbɔmɔ̃ kple mɔ̃ aɖe si wotsɔ de wò yaƒoƒomɔ̃ me, si gbɔa ya hegbɔa ya ɖe wò lãkusiwo me.
• Extracorporeal Membrane Oxygenation (ECMO): Esia nye atikewɔwɔ si sesẽ vie wu. Ebia be woazã mɔ̃ aɖe si toa ʋua me atsɔ aɖe ʋu le ŋutilãa me, atsɔ oxygen akpe ɖe eŋu, aɖe ya si woyɔna be carbon dioxide ɖa, eye emegbe wòagage ɖe ŋutilãa me ake.
• Oxygen-dɔdamɔnu: Mɔ̃ aɖe toa gbɔgbɔtsixetsixe alo mɔ̃ sue aɖe (cannula) si woda ɖe ŋɔti me dzi naa oxygen bubu. Woate ŋu awɔ esia le kɔdzi alo le aƒeme.
• Lãmetsiwo: Wotsɔa tsiwo dea ʋuka me (IV - tẽe yia ʋuka me). Esia nana ʋu ƒe sisi le ŋutilãa me nyona ɖe edzi eye wòkpena ɖe ame ŋu wòtsɔa ɔksidzin geɖe yia lãmekawo me.
• Atikewɔwɔ me nɔnɔme siwo gbɔ wòtso la dada: Le nusi gbɔ gbɔgbɔtsixetsixe tso nu la, ɖɔkta ate ŋu akafu atike alo atikewɔwɔ bubuwo.

Ðe mɔ aɖe li si dzi woato axe mɔ ɖe esia nua?

Womate ŋu axe mɔ ɖe gbɔgbɔtsixetsixe nu ɣesiaɣi o. Gake àte ŋu aɖe gbɔgbɔtsixetsixe atraɖii xɔxɔ ƒe afɔkua dzi akpɔtɔ ne èkpɔ dzi, lãkusi, alo lãmekawo ƒe dɔléle ɖesiaɖe si ate ŋu anɔ ŋuwò dzi. Ne afɔku aɖe le ŋuwò na nɔnɔme sia la, ƒo nu kple wò ɖɔkta tso mɔ siwo dzi nàto aɖe wò afɔkua dzi akpɔtɔ ŋu.

Ðe woate ŋu ada gbɔgbɔtsixe ƒe dɔmawɔmawɔ nyuiea?

Esia nye nɔnɔme sesẽ aɖe ŋutɔ. Ame akpa gãtɔ hayana tso eme. Enɔ te ɖe nusi gbɔ dɔlélea tso, eƒe sesẽme, kple alesi wodae kabae dzi.

Togbɔ be woate ŋu ada nu geɖe siwo hea gbɔgbɔtsixetsixe kpata vɛ hã la, ate ŋu awu ame ne womedae kaba o. Ame siwo woxɔ ɖe kɔdzi le gbɔgbɔtsixe ƒe dɔmawɔmawɔ nyuie ta la dometɔ siwo ade akpa etɔ̃lia kuna. Zi geɖe la, dɔléle aɖe si nu sẽna ɖe edzi le ɣeyiɣi aɖe megbe gbɔe gbɔgbɔtsixetsixe atraɖii tsona.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne dɔléle aɖe si nɔa anyi didi si nana gbɔgbɔtsixe tsia ƒowò la, ƒo nu kple wò ɖɔkta. Ate ŋu agblɔ gbɔgbɔtsixetsixe ƒe dzesi siwo ŋu wòle be nàlé ŋku ɖo kple alesi nàkpɔ wò nɔnɔmea gbɔe na wò.

Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?

Ne gbɔgbɔtsixetsixe ƒe dzesiwo le ŋuwò la, yi xɔ si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ enumake, alo nàƒo ka na 911. Esia ate ŋu awu ame ne mèwɔ atike nɛ kaba o.

Nukae wòle be mabia nye ɖɔkta?

Ate ŋu aɖe vi be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• Atikewɔwɔmɔnu kawoe le asinye?
• Nuka tae wòle alea ɖo?
• Aleke wòle be mazã nye atikewoe?
• Aleke wòle be mazã mɔ̃ sia (e.g., oxygen machine)? Àte ŋu afia alesi nàwɔe lam?
• Ɣekaɣie mate ŋu akpɔ mɔ be nye lãme nasẽ?
• Ɣekaɣie magava kpɔ wò ake?

Gbedasi si Wotsɔ Yi Aƒeme

Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie nye dɔléle sesẽ aɖe si wua ame ɣeaɖewoɣi. Ne èsusu be gbɔgbɔtsixe tsia ƒowò vevie la, taflatse ƒo ka na 911 enumake alo nàdi atikewɔla kpata. Ne gbɔgbɔtsixe tsia ƒowò atraɖii, alo ne nɔnɔme aɖewo le ŋuwò si nana wò afɔkua dzina ɖe edzi la, ƒo nu kple wò ɖɔkta tso atikewɔwɔ nyuitɔ ŋu. Ate ŋu anɔ te ɖe wò nɔnɔmea dzi aɖe atikewɔmɔnu siwo nàte ŋu awɔ kple nusi nàkpɔ mɔ na me. Lé be na wò gbɔgbɔ, elabena wò agbee!

` Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie, gbɔgbɔ sesẽ, oxygen, carbon dioxide, lãkusi, beléle kpata, ARDS, COPD