Tonsefe takumanapo ndi chinthu chomwe timadya kapena kumwa "cholakwika" ndikukodwa pakhosi. Zikatero, timayenera kuchikoka, misozi ikutsika m'maso mwathu. Nthawi zambiri, si vuto likatuluka. Koma taganizirani, chimachitika ndi chiyani ngati chinthu chomwe chimakodwa pakhosi pathu, kaya ndi chakudya, madzi pang'ono, kapena dontho la malovu, sichipita m'mimba mwathu, koma chimapita m'mapapo mwathu kudzera m'njira zopumira? Umu ndi momwe chinthu chomwe sichiyenera kulowa m'mapapo chimalowera m'mapapo ndikuyambitsa matenda a bakiteriya, omwe timangotcha `(Aspiration Pneumonia)`.
Mwachidule, kodi Aspiration Pneumonia ndi chiyani?
Chibayo cha mpweya chomwe chimabwera chifukwa cha kupuma ndi matenda a bakiteriya m'mapapu athu. Chimachitika pamene chinthu china chosiyana ndi mpweya umene timapuma - monga chakudya, chakumwa, malovu, asidi m'mimba, kusanza, kapena chinthu chachilendo - chilowa m'njira zathu zopumira.
Tangoganizani kuti pali njira ziwiri pakhosi pathu. Chimodzi ndi "m'mero" chomwe chimatenga chakudya ndi chakumwa kupita nacho m'mimba. Chinanso ndi "mphuno ya mphepo" yomwe imatenga mpweya womwe timapuma kupita nawo m'mapapo. Nthawi zambiri, tikameza chinthu, mphuno ya mphepo iyi imatseka ndi kachidutswa kakang'ono. Choncho chakudya ndi chakumwa zimapita m'mimba molunjika. Koma nthawi zina, pamene njirayi sikugwira ntchito bwino, chinthu "cholakwika" chimachitika.
Choopsa n'chakuti, anthu ena sadziwa ngakhale pang'ono kuti chinachake chikulowa m'mapapu awo motere. Timachitcha kuti "kupuma chete." Izi zikutanthauza kuti zimachitika popanda kutsokomola kapena kutsamwa. Kenako pamatenga masiku, mwina milungu ingapo, zizindikiro za chibayo zisanawonekere.
Kodi zizindikiro za vutoli ndi ziti?
Chibayo cha kupuma sichingayambitse zizindikiro nthawi yomweyo, koma mukhoza kukumana ndi zizindikirozi pakatha masiku angapo.
| Chizindikiro | Kufotokozera |
|---|---|
| Malungo | Chizindikiro choyamba cha matenda m'thupi. Chingathenso kutsagana ndi kupweteka kwa minofu. |
| Kuvuta kupuma (Dyspnea) | Kupuma kumamveka ngati kovuta komanso kovutitsa. Pakhoza kukhala phokoso loti "phokoso" kuchokera pachifuwa popuma. |
| Chifuwa | Chifuwa chomwe chimabweretsa ntchofu. Nthawi zina ntchofu iyi imatha kukhala ndi magazi kapena mafinya . Ntchofu imatha kukhala yobiriwira, yachikasu, kapena yabulauni. |
| Kupweteka pachifuwa | Mungamve kupweteka kwambiri pachifuwa chanu mukapuma mpweya wozama kapena kutsokomola. |
| Mpweya woipa | Mpweya woipa ungayambitsidwe ndi kukula kwa mabakiteriya m'mapapo. |
| Kutopa kwambiri | Mungamve kutopa kwambiri komanso kugona pamene thupi lanu likulimbana ndi matenda. |
N’chifukwa chiyani izi zikuchitika? Ndani ali pachiwopsezo chachikulu?
Mwachidule, vutoli lingayambitsidwe ndi chilichonse chomwe sichili m'mapapo. Chifukwa mabakiteriya amatha kulowa m'mapapo ndi zinthu zimenezo. Anthu ena amakhala pachiwopsezo chachikulu cha izi.
| Gawo la zoopsa | N’chifukwa chiyani ali pachiwopsezo chachikulu? |
|---|---|
| Anthu omwe ali ndi vuto la kumeza (Dysphagia) | Anthu omwe ali ndi matenda amitsempha monga sitiroko, kuvulala kwa ubongo, ndi matenda a Parkinson amakhala ndi vuto lomeza, zomwe zimapangitsa kuti chakudya ndi zakumwa zilowe mosavuta m'njira yopumira. |
| Anthu okalamba (oposa zaka 65) | Pamene tikukalamba, minofu yomwe imagwira ntchito pomeza ndi kutsokomola imafooka. Chitetezo cha mthupi chimafookanso, zomwe zimatipangitsa kukhala pachiwopsezo chachikulu chotenga matenda. |
| Anthu amene adachitidwa opaleshoni ya mano kapena opaleshoni ya mano | Mukapatsidwa mankhwala oletsa kupweteka, chitetezo cha pakhosi sichimayendetsedwa, zomwe zimapangitsa kuti malovu kapena asidi m'mimba alowe m'mapapu anu. |
| Anthu omwe amagwiritsa ntchito mowa kapena mankhwala osokoneza bongo | Izi zimachepetsa chikumbumtima ndipo zimalepheretsa kumeza ndi kukokera. |
| Ana aang'ono (osakwana zaka 5) | Chiwopsezochi chimakhala chachikulu makamaka kwa ana omwe amaika zoseweretsa zazing'ono mkamwa mwawo ndikusewera akudya. |
| Anthu omwe ali ndi chitetezo chochepa chamthupi | Kwa anthu omwe ali ndi matenda kapena kumwa mankhwala omwe amafooketsa chitetezo chamthupi, ngakhale mabakiteriya ochepa omwe amalowa m'mapapo angayambitse matenda oopsa. |
Kodi mwapeza bwanji izi, Dokotala?
Ngati muli ndi zizindikiro za chibayo, dokotala wanu adzakufunsani kaye za zizindikiro zanu, matenda ena aliwonse omwe muli nawo, makamaka kuvutika kumeza. Kenako adzamvetsera pachifuwa panu ndi stethoscope kuti awone ngati pali phokoso lililonse losazolowereka m'mapapu anu. Mayesowa angachitike kuti atsimikizire matendawa.
- X-ray ya pachifuwa: Izi zitha kuwonetsa bwino malo omwe ali ndi matenda m'mapapo.
- CT Scan: Imatha kupanga zithunzi zomveka bwino komanso zatsatanetsatane kuposa X-ray.
- Kuyezetsa magazi: Izi zitha kutsimikizira ngati pali matenda m'thupi.
- Kuyesa makoswe: Chitsanzo cha makoswe ochokera m'mapapo anu chingatengedwe kuti mudziwe mtundu wa mabakiteriya omwe ali mmenemo.
- Bronchoscopy: Mu izi, chubu chopyapyala chokhala ndi kamera yolumikizidwa chimadutsa mu trachea kupita m'mapapo kuti chione mkati.
- Kafukufuku wokhudza kumeza: Kuyesa komwe kumachitika ndi katswiri wa za kulankhula kuti aone zomwe zimachitika mukameza kuti aone ngati pali vuto ndi njira yomeza.
Kodi chimachiritsidwa bwanji? Zimatenga nthawi yayitali bwanji kuti munthu achire?
Popeza ichi ndi kachilombo ka bakiteriya, chithandizo chachikulu ndi maantibayotiki . Ndikofunikira kwambiri kumwa maantibayotiki omwe dokotala wanu wakupatsani kwa nthawi yonse.
Kutengera ndi kuopsa kwa matenda, mungafunike kukhala m'chipatala kuti mupeze chithandizo.
- Ngati pali vuto lopuma , chithandizo cha okosijeni chingafunike.
- Ngati vutoli ndi lalikulu kwambiri, mutha kulumikizidwa ndi makina opumira mpweya (makina opumira mpweya) kuti akuthandizeni kupuma.
Kuphatikiza apo, ndikofunikira kuchiza chifukwa chachikulu cha kusuta.
- Chithandizo cha kulankhula chothandiza polimbana ndi mavuto omeza.
- Kudyetsa ana m'chubu ndi kudyetsa chakudya kudzera m'chubu kwa iwo omwe sangathe kumeza.
- Nthawi zina, mankhwala monga ACE inhibitors amagwiritsidwanso ntchito.
Mudzayamba kumva bwino patatha sabata imodzi mutayamba kumwa mankhwala opha majeremusi. Komabe, zingatenge pafupifupi mwezi umodzi kuti kutopa komwe kumachitika chifukwa cha matendawa kuthe ndipo muchiritse bwino.
Chochita pakakhala ngozi?
Ichi ndi chinthu chomwe muyenera kukumbukira. Simuyenera kuchita mantha ndi chilichonse, koma ndikofunikira kudziwa nthawi yoti mukawone dokotala komanso nthawi yoti mukapite kuchipatala chadzidzidzi.
Nthawi yoti mukaonane ndi dokotala wanu
Ngati nthawi zambiri mumamva ngati chakudya kapena chakumwa chatsekedwa pakhosi panu, kapena mukuvutika kumeza, musachinyalanyaze. Lankhulani ndi dokotala wa banja lanu za izi. Iye akhoza kukutumizani kwa katswiri ngati pakufunika kutero.
Nthawi zina pamene mukufunika kupita kuchipatala nthawi yomweyo
Ngati muli ndi zizindikiro monga kupweteka kwambiri pachifuwa, kutentha thupi kwambiri, komanso kuvutika kupuma , ndi vuto ladzidzidzi. Chibayo ndi matenda omwe amatha kukulirakulira mwachangu. Choncho pitani kuchipatala mwamsanga.
Kodi vutoli lingapewedwe?
Inde, pali zinthu zingapo zomwe tingachite kuti tichepetse chiopsezo cha chibayo cha aspiration. Ndikofunikira kwambiri kudziwa izi, makamaka ngati muli m'gulu la anthu omwe ali pachiwopsezo.
- Kulamulira matenda oyamba:Ngati muli ndi matenda monga kuvutika kumeza kapena matenda a gastroesophageal reflux (GERD), lankhulani ndi dokotala wanu ndipo mupeze chithandizo choyenera.
- Kaimidwe ka kudya: Khalani molunjika mukamadya ndi kumwa. Musagone pansi kwa mphindi zosachepera 30 mutadya.
- Idyani pang'onopang'ono komanso mokwanira: Tafunani chakudya chanu bwino, idyani pang'onopang'ono ndi kamwa kakang'ono. Chepetsani kulankhula ndi kumwetulira mukudya.
- Chepetsani kumwa mowa: Pewani kumwa mowa mopitirira muyeso.
- Pewani kusuta: Kusuta fodya ndi zinthu zopangidwa ndi fodya zimawononga njira zotetezera mapapo.
- Thanzi la pakamwa: Tsukani mano anu bwino ndipo fufuzani pakamwa panu nthawi zonse ndi dokotala wa mano. Mabakiteriya akachepa mkamwa mwanu, mwayi woti alowe m'mapapo mwanu ndi kuyambitsa matenda ndi wochepa.
Chidziwitso chowonjezera pang'ono: Kusiyana pakati pa `Chibayo` ndi `Chibayo`
Nthawi zina mawu awiriwa amasokonezeka. `Aspiration Pneumonia` ndi matenda a bakiteriya omwe amayamba chifukwa cha chinthu chomwe chalowa m'mapapo. `Aspiration Pneumonitis` ndi kutupa kwa minofu ya m'mapapo komwe kumachitika chifukwa cha chinthu chonga asidi m'mimba chomwe chimalowa m'mapapo, popanda matenda. Ngakhale kuti zizindikiro za zonsezi ndi zofanana, mankhwala ake akhoza kukhala osiyana.
Uthenga Wopita Nawo Kunyumba
- Ngakhale kuti nthawi zambiri chakudya ndi zakumwa "zimapita molakwika," nthawi zina zimatha kuyambitsa matenda aakulu a m'mapapo monga `Aspiration Pneumonia`.
- Malungo, chifuwa chodzaza ndi ntchofu, kupuma movutikira, ndi kupweteka pachifuwa ndi zizindikiro zazikulu.
- Ngati mukuvutika kumeza, onetsetsani kuti mwalankhula ndi dokotala wanu za vutoli. Musanyalanyaze.
- Ngati mukupeza zizindikiro zoopsa monga kupweteka pachifuwa, kutentha thupi kwambiri, komanso kupuma movutikira, pitani ku Dipatimenti Yothandiza Anthu Odwala Zadzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Kukhala pansi molunjika, kudya pang'onopang'ono, kusunga ukhondo wa pakamwa, ndi kupeza chithandizo choyenera cha matenda omwe amabwera chifukwa cha matendawa kungathandize kupewa vutoli.
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