Ofuna obuzibu mu kussa? Ka twogere ku Respiratory Failure

Oluusi owulira ng’olina obuzibu okussa? Oba owulira nga tosobola kussa? Si kirungi okumala gasimbira ekkuuli ebintu bino. Kubanga, kino kiyinza okuba akabonero k’embeera ey’amaanyi eyitibwa Respiratory Failure . Leero, kino tugenda kukyogerako mu ngeri ennyangu gy’osobola okutegeera. Kino kiyinza okuba eky’amangu eky’obujjanjabi, kale kikulu okukimanya ku kino.

Tussa tutya? Kiki ekibaawo singa kino tekikola bulungi?

Lowooza ku kino, oxygen eri emibiri gyaffe nga petulooli eri mmotoka, oba ng’amafuta ge twetaaga okutambuza obulamu bwaffe. Bwe tussa omukka, omukka guno ogw’omuwendo oguyitibwa oxygen gugenda mu mawuggwe gaffe. Okusobola okugamba obulungi, okisigyeni ono agenda mu nsawo entonotono ez’empewo mu mawuggwe, eziyitibwa alveoli . Kiringa bbaasi esika okutuuka ku siteegi ya bbaasi.

Okuva awo, omusaayi "gutwala" omukka guno mu bitundu by'omubiri byonna, omuli obwongo bwaffe, omutima, ebinywa, n'ebitundu ebirala. Singa okisigyeni ono tatuuka mu bifo ebyo, obutoffaali bw’omubiri gwaffe tebujja kusobola kukola, ng’emmotoka etaliimu mafuta.

Kati, oluvannyuma lwa oxygen "okutuusibwa" mu bifo ebyo, obutoffaali bw'omusaayi, bwe bukomawo, bukuŋŋaanya kaboni dayokisayidi, omukka ogutalina mugaso eri omubiri era nga gufuuse kasasiro. Kino kiringa okutwala eby’okulya mu dduuka n’ozzaayo bbokisi njereere. Singa kaboni dayokisayidi ono akuŋŋaanyizibwa mu mubiri, ekyo nakyo kiba kizibu. Kubanga olwo tewabaawo kifo kimala omusaayi kutambuza omukka omupya. Kale, kaboni ono akomawo mu mawuggwe n’agobwa mu mubiri nga tufulumya omukka. Wano we tuba n’ekifo we tuyinza okuddamu okuyingiza omukka gwa oxygen omupya.

Singa ekitundu kyonna mu nkola eno yonna kigenda bubi, ebitundu by’omubiri gwaffe tebifuna mukka gwa oxygen gumala. Ekyo kye tuyita Respiratory Failure .

Waliwo ebika by’okulemererwa okussa?

Yee, waliwo ebika by’embeera eno ebiwerako, okusinziira ku ngeri gy’ebaawo ne ky’esinga okukosa. Oluusi kiyinza okubaawo mu bwangu (acute) , ate oluusi kiyinza okukula mpolampola okumala ekiseera (chronic) . Ebika ebikulu ebibiri bye bino:

1. Okulemererwa kw’okussa nga tebalina musaayi - Ekika 1

Mu ngeri ennyangu, eno mbeera ng’omusaayi gwo gulina omukka gwa oxygen omutono (`hypoxemia`) . Kino kibaawo ng’ossa kyokka ng’omusaayi tegufuna mukka gwa oxygen gumala. Obulwadde bw’omutima n’amawuggwe bye bisinga okuvaako kino. Abantu abamu era bakiyita hypoxic respiratory failure.

2. Okulemererwa kw’okussa mu ngeri ya Hypercapnic - Ekika 2

Wano omuwendo gwa kaboni dayokisayidi (CO2) mu musaayi gwo lwe gweyongera.. Emibiri gyaffe bwe giba tegisobola kuggya bulungi kaboni dayokisayidi, ekintu ekicaafu ekiyitibwa CO2, kikuŋŋaana mu musaayi. Olwo nga bwe kyayogeddwako emabegako, tewabaawo kifo kya oxygen mu musaayi. Embeera eno eyinza okuva ku ndwadde z’omutima, amawuggwe, ebinywa, n’obusimu (obwongo n’omugongo). Eddagala erimu nalyo liyinza okuvaako kino.

Waliwo ebika ebirala:

• Okulemererwa kw’okussa nga balongooseddwa (Ekika 3): Kino kiyinza okubaawo ng’olongooseddwa. Eddagala eriwunyiriza erikozesebwa ng’alongoosebwa oluusi liyinza okukaluubiriza okussa. Ate era, ensawo z’empewo mu mawuggwe zisobola okugwa (atelectasis), ne ziremesa omukka gwa oxygen okutuuka mu musaayi.
• Okulemererwa okussa olw’okusannyalala (Ekika 4): Okusannyalala mbeera ya maanyi nga puleesa ekendedde mu bwangu n’ebizibu ng’okuzimba amawuggwe. Kino nakyo kiyinza okuvaako okussa okulemererwa. Okusannyalala kuyinza okuva ku bintu nga sepsis ( yinfekisoni ey’amaanyi esaasaana mu mubiri gwonna), omutima okulwala amangu , n’okuvaamu omusaayi omungi.

Bubonero ki obulaga embeera eno?

Obubonero bw’okulemererwa okussa buyinza okwawukana okusinziira ku kivaako. Kyokka waliwo obubonero obumu obutera okulabika:

• Okukaluubirirwa okussa oba okuwulira ng’ossa bulungi (dyspnea).
• Okussa amangu (tachypnea).
• Okuwulira ng’okooye nnyo (obukoowu).
• Okuwulira ng’omutima gwo gukuba mangu oba ng’omutima tegukuba.
• Okusesema omusulo oba omusaayi (hemoptysis).
• Okutuuyana ekisusse.
• Obutawummula, okutabulwa.
• Olususu olumyufu.
• Okukyusa langi y’olususu, emimwa oba enjala za bbululu (cyanosis) - Kano kabonero ka maanyi ak’obutaba na mukka gwa oxygen.
• Okulumizibwa omutwe .
• Okulaba okutali kwa maanyi.
• Okweraliikirira, okutabulwa, obutasobola kulowooza bulungi.
• Enkyukakyuka mu nneeyisa, obutaba nga bulijjo.

Ekikulu: Bw’oba ​​olina obubonero buno bwonna, olina okugenda mu basawo amangu ddala , kubanga kino kiyinza okuba eky’amangu.

Biki ebivaako okulemererwa okussa?

Mu ngeri ennyangu, embeera eno ebaawo ng’obusobozi bw’omubiri gwaffe okuyingiza omukka gwa oxygen n’okugoba kaboni dayokisayidi butaataaganyizibwa olw’ensonga ezimu. Ebintu ebiyinza okukosa kino mulimu:

• Obutaba na mpewo emala oba omusaayi okukendeera mu mawuggwe.
• Okuzibikira, enkovu oba amazzi okuzimba mu mawuggwe.
• Obutasobola kussa bulungi oba mu buziba.Kino kiyinza okuva ku ndwadde ezikwata amawuggwe, obuzibu ku busimu oba ebinywa ebikuyamba okussa, oba obuvune mu kifuba.
• Ebitali bya bulijjo mu kutambula kw’omusaayi mu mutima.

Ani ali mu bulabe obw’amaanyi? (Ensonga ezireeta akabi)

Abantu abamu bali mu bulabe bwa maanyi obw’okulemererwa okussa. Bbo bali:

• Abantu abalina endwadde z’amawuggwe: Okugeza, endwadde nga acute respiratory distress syndrome (ARDS) , chronic obstructive pulmonary disease (COPD) , pneumonia , asthma , cystic fibrosis , okuzimba amawuggwe (amazzi mu mawuggwe) , pulmonary embolism (omusaayi okuzimba mu ttanka y’amawuggwe) , n’okuzimba amawuggwe (okubeera n’enkovu z’amawuggwe) .
• Abantu abalina endwadde z’omutima oba enkola y’okutambula kw’omusaayi: gamba ng’okulwala omutima , endwadde z’omutima ezizaalibwa , okulemererwa kw’omutima , n’okusannyalala .
• Abantu abalina endwadde ezikosa obusimu n’ebinywa ebiyamba mu kussa: embeera nga muscular dystrophy , amyotrophic lateral sclerosis (ALS) , severe scoliosis (okukoona kw’omugongo) , n’obulwadde bwa Guillain-Barré syndrome .
• Obuvune mu kifuba, omugongo oba obwongo (nga mw’otwalidde n’okusannyalala).
• Okunywa sigala oba okubeera mu bintu ebirala ebinyiiza amawuggwe: omukka gw’eddagala, enfuufu, obucaafu bw’empewo (nga omukka omungi ogufuluma mu mmotoka ku nguudo zaffe, omukka gw’amakolero, n’enfuufu okuva mu bifo we tuzimba), ne asibesito.
• Okulongoosa okwetaaga okubudamya.
• Okukozesa ebiragalalagala oba okunywa omwenge ekisusse.
• Emyaka: Abalongo (naddala abazaalibwa nga tebakula bulungi) n’abantu abakulu abasukka mu myaka 65 bali mu bulabe bwa maanyi.

Abasawo kino bakizuula batya?

Omusawo ajja kukebera oba tolina buzibu mu kussa ng'akebera obungi bwa oxygen ne carbon dioxide mu musaayi gwo . Era bajja kukebera puleesa yo era bakozese ekyuma ekitono ekikwata (ekiyitibwa `pulse oximeter` oba `pulse ox`) okukebera omukka gwa oxygen mu musaayi gwo. Era bajja kuwuliriza omutima gwo n’amawuggwe go bakukebere. Singa embeera eno eteeberezebwa, bayinza okukola ebigezo ebirala ebiwerako.

Ebigezo ebyo bye biruwa?

• Okupima omukka (pulse oximetry): .Kino kizingiramu okuteeka sensa ku lugalo lwo okupima obungi bwa oxygen mu musaayi gwo. Kino kitera okukolebwa ng’ogenda okulaba omusawo.
• Okukebera omukka gw’omusaayi mu misuwa (ABG): Omusaayi omutono guggyibwa n’empiso okuva ku mukono, omukono ogwa waggulu oba mu kisambi ne bapimibwa emiwendo gya oxygen ne carbon dioxide. Kino kiyinza okuwa amawulire amatuufu ennyo.
• Okukebera enkola y’amawuggwe (PFT): Mu kukebera kuno, osabibwa okussa n’okufulumya ng’oyita mu kamwa akayungiddwa ku kyuma. Kino kiyinza okukebera engeri amawuggwe go gye gakola obulungi.
• Okukebera ebifaananyi: Ebifaananyi bya X-ray ne CT scan bikuba ebifaananyi by’omubiri ogw’omunda. Wadde nga bino tebisobola kuzuula butereevu bulwadde bwa kussa, bisobola okuyamba okuzuula ekibuleeta.
• Electrocardiogram (EKG): Kino kipima omutima bwe gukola obulungi. Singa omusawo alowooza nti obuzibu buva ku bulwadde bw’omutima, ajja kulagira EKG.

Kino kikwatibwa kitya?

Obujjanjabi bw'okulemererwa okussa businziira ku buzibu bwakwo n'ekivaako . Ebigendererwa ebikulu eby’obujjanjabi kwe kujjanjaba ekivaako, okukuwa omukka gwa oxygen omungi, oba okukozesa ekyuma ekissa (`mechanical ventilation`) okutuusa lw’onoosobola okuddamu okussa ku bubwo.

Obuzibu bw’okussa obw’amangu bwa mangu era bwetaaga okujjanjabibwa mu bwangu. Naye, okulemererwa kw’okussa okutono, okumala ebbanga eddene (okutambula obutasalako) oluusi kuyinza okujjanjabibwa awaka nga tufuga embeera esirikidde.

Bujjanjabi ki obw’enjawulo?

• Okuyingiza empewo mu byuma: Kino kizingiramu okukuyunga ku kyuma ekissa ne tube eyingizibwa mu kkubo lyo ery’empewo, essa n’okufulumya empewo mu mawuggwe go.
• Extracorporeal Membrane Oxygenation (ECMO): Buno bujjanjabi buzibu katono. Kizingiramu okukozesa ekyuma ekiyita mu mubiri okuggya omusaayi mu mubiri, okuguteekamu omukka gwa oxygen, okuggyamu kaboni dayokisayidi, n’oluvannyuma okuddamu okuyingira mu mubiri.
• Obujjanjabi bwa oxygen: Ekyuma kituusa oxygen ow’enjawulo nga kiyita mu masiki y’okussa oba akatuli akatono (cannula) akateekebwa mu nnyindo. Kino osobola okukikola mu ddwaaliro oba awaka.
• Amazzi: Amazzi gaweebwa mu misuwa (IV - butereevu mu musuwa). Kino kiyamba entambula y’omusaayi mu mubiri n’okuyamba okutambuza omukka gwa oxygen omungi mu bitundu by’omubiri.
• Okujjanjaba embeera z’obujjanjabi ezisibukako: Okusinziira ku kivaako okulemererwa okussa, omusawo ayinza okukuwa amagezi ku ddagala oba obujjanjabi obulala.

Waliwo engeri y’okuziyiza kino?

Okulemererwa okussa tekuyinza kuziyizibwa bulijjo. Kyokka, osobola okukendeeza ku bulabe bw’okulwala okulemererwa okussa obutawona ng’oddukanya embeera yonna ey’omutima, amawuggwe oba obusimu gy’oyinza okuba nayo. Bw’oba ​​olina ekintu ekiyinza okuvaako embeera eno, yogerako n’omusawo wo ku ngeri gy’oyinza okukendeeza ku bulabe bwo.

Okulemererwa okussa kuyinza okuwona?

Eno mbeera ya maanyi nnyo. Abantu abasinga bakiwona. Kisinziira ku kivaako obulwadde, obuzibu bwabwo, n’engeri gye bujjanjabwa amangu.

Wadde ng’ebintu bingi ebivaako okulemererwa okussa ennyo bisobola okujjanjabibwa, kiyinza okutta omuntu singa tebijjanjabwa mangu. Abantu nga kimu kya kusatu abaweereddwa ebitanda olw’okulemererwa okussa bafa. Obuzibu bw’okussa obutawona butera kuva ku bulwadde obweyongera okumala ekiseera.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina obulwadde obutawona obukuteeka mu bulabe bw’okulemererwa okussa, yogerako n’omusawo wo. Asobola okukubuulira obubonero bw’okulemererwa okussa kw’olina okwegendereza n’engeri gy’oyinza okuddukanyaamu embeera yo.

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

Bw’oba ​​olina obubonero bw’okulemererwa okussa, genda mu kisenge ky’abalwadde ab’amangu ekikuli okumpi, oba kuba 911. Kino kiyinza okukutta singa tojjanjabwa mangu.

Kiki kye nsaana okubuuza omusawo wange?

Kiyinza okuba eky’omugaso okubuuza omusawo wo ebibuuzo nga bino:

• Bujjanjabi ki bwe nnina?
• Kiki ekivaako kino?
• Nkozese ntya eddagala lyange?
• Nkozese ntya ekyuma kino (e.g., ekyuma kya oxygen)? Osobola okundaga engeri?
• Ddi lwe nsobola okusuubira okuwona?
• Ddi lwe nnandizzeemu okukulaba?

Obubaka Obutwala Awaka

Okulemererwa okussa mbeera ya maanyi, oluusi etta. Bw’oba ​​olowooza nti olina obuzibu obw’amaanyi mu kussa, kuba ku 911 mu bwangu oba ogende mu ddwaaliro ery’amangu. Bw’oba ​​olina obuzibu bw’okussa obutawona, oba bw’oba ​​olina embeera eyongera obulabe bw’okubufuna, yogerako n’omusawo wo ku bujjanjabi obutuufu. Asobola okunnyonnyola obujjanjabi bw’oyinza okukozesa n’ebyo by’osuubira okusinziira ku mbeera gy’olimu. Labirira okussa kwo, kubanga bwe bulamu bwo!

` Obutassa bulungi, okukaluubirirwa okussa, omukka gwa oxygen, carbon dioxide, amawuggwe, okulabirira mu bwangu, ARDS, COPD