Amawuggwe go gawulira nga gajjudde amazzi? (Pulmonary Edema) - Ka twogere ku nsonga eno!

Oluusi owulira ng’olina obuzibu mu kussa? Oba owulira ng’ekifuba kikutte, oba osesema omusulo n’ekifuumuuka? Buno si bubonero bwa kumala bubuusa maaso. Eno eyinza okuba embeera ng’amawuggwe go gajjudde amazzi, mu by’obujjanjabi ge tuyita Pulmonary Edema . Kino kiyinza okuba eky’amaanyi ennyo, n’olwekyo kyetaagisa okujjanjabibwa amangu. Katukwogere ku nsonga eno mu bujjuvu leero.

Okuzimba kw’amawuggwe kye ki?

Mu ngeri ennyangu, Pulmonary Edema kwe kukuŋŋaanyizibwa kw’amazzi agasukkiridde, gamba ng’amazzi, mu mawuggwe go. Kilowoozeeko nga sipongi. Ensawo z’empewo entonotono eziri munda mu zo zinyiga omukka gwa oxygen mu musaayi nga tussa. Naye ssinga ensawo zino ez’empewo zijjula amazzi, okufaananako sipongi eyannyikiddwa mu mazzi, omukka gwa oxygen oguyinza okuyingira mu musaayi gukendeera. Wano w’ofuna obuzibu mu kussa, okusesema n’okunyiga ekifuba. Kino kiyinza okuteeka obulamu mu matigga, n’olwekyo kikulu okugenda ew’omusawo amangu ddala.

Obulwadde bw’amawuggwe obuyitibwa High Altitude Pulmonary Edema (HAPE) kye ki?

Wali olinnyeko ku lusozi? Oba yagenda ku buwanvu obw’amaanyi ennyo mu bwangu? Bw’okola bw’otyo, abantu abamu basobola okufuna embeera eyitibwa High Altitude Pulmonary Edema (HAPE) . Eno ngeri ya maanyi ey’obulwadde bw’obugulumivu/obulwadde bw’ensozi. Ensonga enkulu lwaki kino kiri bwe kityo eri nti omukka gwa oxygen mu mpewo gukendeera ng’ogenda weeyongera obugulumivu.

Bw’oba ​​olina HAPE, oyinza okuwulira ng’okooye, ng’oli munafu, ng’omubiri guluma, n’okukaluubirirwa okussa. Oyinza n’okusesema n’okunyiga ekifuba. Jjukira nti HAPE mbeera ya bujjanjabi ya mangu. Bw’ofuna obubonero buno, olina okugenda amangu ddala ku buwanvu obutono n’ogenda ew’omusawo.

Njawulo ki eriwo wakati wa Pulmonary Edema ne Pneumonia?

Embeera zombi zireetera amazzi okuzimba mu mawuggwe. Naye ekivaako kya njawulo. Obulwadde bw’ekifuba buva ku yinfekisoni. Obulwadde buno buyinza okuva ku buwuka, obuwuka oba ffene. Ebiramu bino bireetera amazzi okujjuza ensawo zo ez’empewo. Ate okuzimba amawuggwe , tekuva ku yinfekisoni, era amazzi agakuŋŋaana gatera okuba nga matono okusinga mu kifuba, naye nga gasinga kuba ga mazzi.

Njawulo ki eriwo wakati wa Pulmonary Edema ne Pleural Effusion?

Kino kiyinza okubuzaabuza katono. Pleural effusion kwe kukuŋŋaanyizibwa kw’amazzi mu pleura, oluwuzi olugonvu olwetoolodde amawuggwe . Ensigo (pleura) ye lining wakati w’amawuggwe n’ekisenge ky’ekifuba eky’omunda. Mu budde obwabulijjo, wabaawo oluwuzi lw’amazzi olugonvu ennyo lwokka. Okukulukuta kw’omusaayi mu kifuba kuyinza okuva ku mbeera nga ekifuba, okulemererwa kw’omutima okuzimba oba kookolo.Kiyinza okubaawo. Obutafaananako mu Pulmonary Edema , amazzi gye gali ebweru w’amawuggwe, amazzi ago gayinza okuleeta puleesa ku mawuggwe.

Okuwuga kw’amawuggwe kye ki?

Embeera eno oluusi esobola okubaawo mu bawuzi n’abavubi abavuganya. Era kiyitibwa (Immersion Pulmonary Edema) . Bw’ogenda okubbira mu mazzi, omusaayi oguva mu magulu n’olubuto gukyusibwa ne gugenda mu mawuggwe. Omuwendo guno ogw’omusaayi ogw’enjawulo gwongera puleesa mu misuwa mu mawuggwe. Olwo, amazzi gakulukuta okuva mu mikutu egyo ne gakuŋŋaanyizibwa mu nsawo z’empewo. Kino kiyinza okwonoona amawuggwe.

Biki ebivaako okuzimba amawuggwe?

Ebivaako amazzi mu mawuggwe bisobola okwawulwamu ebika bibiri ebikulu.

1. Ebivaako omutima

2. Ebivaako ebirala okuggyako endwadde z’omutima (Noncardiogenic) .

1. Ebivaako obulwadde bw’omutima (Cardiogenic Pulmonary Edema) .

Cardiogenic Pulmonary Edema mbeera amazzi mwe gakuŋŋaana mu mawuggwe olw’ekizibu ky’omutima. Kilowoozeeko nga ppampu y’amazzi. Singa oludda olwa kkono olw’omutima terupampagula bulungi musaayi, omusaayi gusibira mu misuwa gy’omusaayi mu mawuggwe, ng’ekidduka ky’ebidduka. Puleesa eri mu misuwa egyo yeeyongera, n’esika amazzi ago mu nsawo z’empewo.

Embeera y'omutima enkulu eyinza okuvaako amazzi okujjuza amawuggwe mu ngeri eno kwe kulemererwa kw'omutima okuzimba . Okugatta ku ekyo, era kiyinza okuva ku mbeera nga:

• Omutima okulwala.
• Ebinywa by’omutima ebinafuye (Cardiomyopathy).
• Okukulukuta oba okufunda kw’obusuwa bw’omutima (Valvular heart disease).
• Puleesa (Peesa).
• Omutima obutakuba bulungi (Arrhythmia).
• Myocarditis (okuzimba ebinywa by’omutima).
• Pericardial effusion (okukuŋŋaanyizibwa kw’amazzi mu pericardium, oluwuzi olwetoolodde omutima).

2. Okuzimba kw’amawuggwe okutali kwa mutima (Noncardiogenic Pulmonary Edema) .

Noncardiogenic pulmonary edema mbeera amazzi mwe gakuŋŋaana mu mawuggwe, so si kiva ku buzibu bw’omutima. Kino kibaawo ng’emisuwa mu mawuggwe gizimba oba nga gyonoonese. Olwo amazzi ne gakulukuta okuva mu misuwa egyo ne gakuŋŋaanyizibwa mu nsawo z’empewo.

Obulwadde bw’okusannyalala kw’abantu abakulu (ARDS) lye linnya eddala erikwata ku mbeera eno (Noncardiogenic Pulmonary Edema) . Ekizibu ekikulu mu (ARDS) kwe kuzimba. Kino kiyinza okuva ku:

• Obulwadde bw’ekifuba.
• Obulwadde obw’amaanyi (Sepsis).
• Obuvune mu mubiri (Trauma).
• Obulwadde bw’olubuto.
• Obulwadde bw’ekibumba.
• Eddagala erimu.
• Okuvaamu omusaayi oba okuzimba mu bwongo(Okuzimba kw’amawuggwe okuva mu busimu).

Okugatta ku ekyo, embeera eyitibwa negative pressure pulmonary edema esobola okubaawo oluvannyuma lw’okuzibikira kw’omukutu gw’empewo ogwa waggulu. Bw’ogezaako okussa ng’ate waliwo ekiziyiza kino, emisuwa mu mawuggwe gyonooneka era amazzi ne gakulukuta. Kino era kye kibaawo mu High Altitude Pulmonary Edema (HAPE) , kye twayogeddeko emabegako.

Bubonero ki obulaga obulwadde bwa Pulmonary Edema?

Embeera eno esobola okubaawo mu bwangu (acute) oba okukula mpolampola okumala ekiseera (chronic).

Okuzimba kw’amawuggwe okw’amaanyi

Obubonero bwa kino bulabika mangu.

• Obuzibu mu kussa (dyspnea) , naddala ng’otambula oba ng’ofukamidde.
• Omusulo ogufuluma mu musaayi oba ogw’ebikuta.
• Okuwunya ddoboozi lya kufuuwa ng’ossa.
• Okuwulira ng’olwana okussa.
• Okuwulira nga oziyira.
• Okunyiga ekifuba oba okulumwa.

Okuzimba kw’amawuggwe okutambula obutasalako

Obubonero bufaananako n’obw’embeera etandika amangu, naye buyinza obutaba bwa maanyi nnyo. Obubonero obulala kuliko:

• Okuzuukuka mu tulo olw’okuwulira ng’oziyira.
• Obuzibu bw’okussa bweyongera ng’ogalamidde.
• Okuzimba kw’amagulu.
• Okuwulira ng’okooye nnyo era ng’okooye.

Pulmonary Edema ezuulibwa etya?

Bw’olaba omusawo, ajja kusooka kukukebera omubiri okukebera amazzi mu mawuggwe. Ajja kuwuliriza omutima gwo n’amawuggwe ng’akozesa ekyuma ekiwuliriza. Agenda kunoonya mu ngeri ey’enjawulo:

• Okweyongera oba okukendeera kw’okukuba kw’omutima oba puleesa.
• Okweyongera kw’omutindo gw’okussa.
• Amaloboozi g’omutima agatali ga bulijjo.
• Amaloboozi agawunya oba okuwunya mu mawuggwe.
• Okuzimba mu mubiri.
• Olususu okukyuka langi enzirugavu oba bbululu.

Biki ebikebera okuzuula obulwadde?

Singa omusawo ateebereza nti olina amazzi mu mawuggwe, ajja kulagira okukeberebwa okulala okutonotono. Mu bino mulimu:

• Okubala Omusaayi mu bujjuvu (CBC).
• Kemiko w’omusaayi.
• Okukebera pulse oximetry okukebera omukka gwa oxygen mu musaayi.
• X-ray y’ekifuba okulaba oba mu mawuggwe mulimu amazzi.
• Echocardiogram, ultrasound y’omutima, ekolebwa okukebera oba omutima gukola bulungi.
• Electrocardiogram (EKG) okukebera oba omutima gulina obuzibu mu kutambula kw’omutima oba omutima ogulwala.
• Okukebera okuyitibwa cardiac catheterization okukebera oba emisuwa gy’omutima egy’omutima gizibiddwa.

Pulmonary Edema ejjanjabwa etya?

Pulmonary Edema mbeera ya maanyi nnyo. Singa ofuna embeera eno mu bwangu (acutely), .Obujjanjabi obw’amangu bwetaagibwa. Oyinza okwetaaga okujjanjabibwa mu kitongole ekikola ku by’obujjanjabi obw’amangu (ETU) oba mu kitongole ky’abalwadde abayi (ICU) .

Wano waliwo engeri z’obujjanjabi:

• Okuwa omukka gwa oxygen okuyita mu buyumba obutono (prongs) obuteekebwa mu nnyindo.
• Okukozesa ebyuma ebifuuwa empewo mu mawuggwe nga biyita mu masiki eyambala ku maaso.
• Okukozesa ebyuma ebissa oba eby’okussa ebifuuwa empewo okuyita mu ttanka eyingiziddwa mu nnyindo.
• Eddagala lyongera okufulumya omusulo okuggyamu amazzi oba eddagala erinyweza omutima.
• Singa okuzimba amawuggwe tekuva ku kulemererwa kw’omutima okuzimba, eddagala eddala ng’eddagala eritta obuwuka n’ery’eddagala lya steroids liyinza okuwandiikibwa.

Nsobola ntya okuziyiza okuzimba amawuggwe?

Bw’oba ​​oli mu bulabe obw’amaanyi obw’okuzimba amawuggwe, osobola okukola emitendera egiwerako okwerabirira.

• Bw’oba ​​olina obulwadde bw’omutima, mira eddagala lyo ddala nga omusawo bw’akulagidde.
• Funa okugema buli kiseera.
• Laba omusawo emirundi mingi naddala ng’olina obuzibu mu kussa.
• Lya emmere ennungi era erimu omunnyo omutono.
• Tonywa ssigala.
• Kuuma omugejjo omulungi.
• Bw’oba ​​oteekateeka emirimu egiyinza okuvaako okuzimba amawuggwe, gamba ng’okutambulako, yogerako n’omusawo wo.

Ddi lwe nnina okugenda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) ?

Obuvune obw’amaanyi mu mawuggwe buyinza okutta omuntu. Bw’oba ​​olina obubonero buno, kuba 911 oba genda mu kisenge ky’abalwadde ab’amangu ekikuli okumpi amangu ddala:

• Okukaluubirirwa ennyo mu kussa.
• Okuwulira nga oziyira.
• Okussa obubi.
• Okusesema omusaayi oba omusulo ogulimu ebikuta ebirimu omusaayi.
• Eddoboozi eriwuuma oba okuwulira ng’olwana okussa.
• Omutima okukuba amangu.
• Okuwulira nga towummudde oba nga otabuse.
• Olususu okukyuka langi ya bbululu oba enzirugavu.
• Okutuuyana ekisusse.
• Okuziyira oba okunafuwa.

Ekikulu: Okuzimba amawuggwe mbeera ya bujjanjabi ya maanyi. Bw’ofuna embeera eno mu bwangu, olina okunoonya obujjanjabi mu bwangu. Emikisa gy’okuwona embeera eno gisinziira ku kivaako embeera eno, obuzibu bw’embeera eno, n’engeri gy’onoonya amangu obujjanjabi. Gy’okoma okufuna obujjanjabi amangu, emikisa gyo egy’okuwona gye gikoma okubeera emirungi.

Embeera eno esobola okumala bbanga ki? Oba kyandiviiriddeko okufa okw’amangu?

Ebbanga ly’osobola okuwangaala n’embeera eno kisinziira ku kivaako embeera eno n’engeri gy’ofuna obujjanjabi amangu. Bw’oba ​​olina ekifuba ekizibu, weetaaga okujjanjabibwa amangu ago. Mu mbeera enzibu, kiyinza okutta obulamu singa tebujjanjabwa mangu. N’olwekyo, kitera okwetaagisa okuweebwa ekitanda mu ddwaaliro naddala mu mbeera ez’amangu.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Kale, bye twogeddeko leero (Pulmonary Edema)Oba nsuubira nti kati otegedde bulungi embeera eyitibwa amazzi agajjuza amawuggwe.

• Eno mbeera ya maanyi: tomala gasimbira ekkuuli. Funa omusawo amagezi amangu ddala ng’olaba obubonero.
• Wayinza okubaawo ensonga nnyingi: kino kiyinza okubaawo olw’ensonga endala, so si bulwadde bwa mutima bwokka.
• Obujjanjabi nga bukyali kikulu nnyo: Gy’okoma okufuna obujjanjabi amangu, emikisa gyo egy’okuwona gye gikoma okubeera eminene.
• Weegendereze obubonero: Weegendereze ebintu ng’okukaluubirirwa okussa, okulumwa mu kifuba, n’okusesema ekifuba.
• Fuba okwewala: Kikulu nnyo okugoberera obulamu obulungi.

Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, tolwawo kwogera na musawo wo. Sigala nga oli mulamu bulungi!

` Pulmonary Edema, Obuzibu mu kussa, Obulwadde bw’omutima, Obulwadde bw’amawuggwe, ARDS, Obulabirizi obw’amangu