Kodi munapitapo ku chipinda chosamalira odwala kwambiri ( ICU )? Kapena mwina munawonerapo mufilimu, komwe odwala odwala kwambiri amalumikizidwa ku makina kuti awathandize kupuma. Anthu ambiri amachita mantha akaona makinawa, koma kwenikweni ndi chipangizo chofunikira kwambiri chachipatala chomwe chingapulumutse miyoyo yambiri. Timachitcha kuti chopumulira. Chifukwa chake, lero tikambirana zomwe zimachitika ndi chopumulirachi komanso chifukwa chake chikufunika.
Mwachidule, kodi chopumira mpweya n'chiyani?
Mwachidule, makina opumira mpweya ndi makina omwe amakuthandizani kupuma bwino mukavutika kupuma nokha. Amatchedwanso makina opumira mpweya .
Taganizirani mapapu athu ngati mabaluni awiri ang'onoang'ono. Tikapuma, mabaluni awa amadzaza ndi mpweya , ndipo tikapuma, amakokana ndi mpweya woipa , womwe thupi siliufuna. Pa matenda ena aakulu, ngozi, kapena pamene tikuchita opaleshoni yaikulu, thupi lathu silingathenso kuchita bwino kupuma kumeneku lokha. Pamenepo ndi pamene chopumira mpweya chimatithandiza.
Izi makamaka zimachita zinthu ziwiri:
1. Mpweya wochuluka wa okosijeni umapopedwa m'mapapu anu.
2. Zimathandiza kutulutsa mpweya wa carbon dioxide, womwe ndi wovulaza thupi, m'mapapo.
Anthu ambiri amasokoneza chopumira mpweya ndi chopumira mpweya. Koma izi ndi zinthu ziwiri zosiyana. Chopumira mpweya ndi njira yomwe dokotala amalowetsa chubu munjira yanu yopumira mpweya. Chopumira mpweya ndi makina omwe amalumikizidwa ndi chubucho ndikukuthandizani kupuma.
Kodi pali mitundu yosiyanasiyana ya ma ventilator?
Inde, pali mitundu ndi njira zingapo zogwiritsira ntchito ma ventilator kutengera momwe wodwalayo alili. Dokotala wanu adzasankha njira yoyenera kwa inu.
| Makina/mtundu wa chopumulira mpweya | Kufotokozera kosavuta |
|---|---|
| Mpweya wopumira wosalowa | Izi sizikutanthauza kuyika chubu mkati mwa thupi. M'malo mwake, chigoba cha nkhope chimavalidwa mozungulira mutu ndi zingwe, ndipo chopumira chimalumikizidwa nacho. Makina a CPAP ndi BiPAP, omwe amagwiritsidwa ntchito pochiza matenda a mphumu, ndi zitsanzo zabwino za izi. |
| Mpweya Wolowa | Mu izi, chubu chimalowetsedwa mu njira yolowera mpweya. Chubucho chimalowetsedwa kudzera pakamwa (intube) kapena kudzera mu opaleshoni yaying'ono m'khosi (tracheostomy) ndikulumikizidwa ndi chopumira mpweya. |
| Chikwama Chotsitsimutsa cha Manual | Izi zimatchedwanso 'thumba la Ambu'. Likhoza kupopedwa ndi manja kuti lipatse wodwalayo mpweya. Limagwiritsidwa ntchito pazidzidzidzi pamene palibe chopumira mpweya kapena ngati makina alephera. |
Kodi ndi nthawi ziti pamene pakufunika makina opumulira mpweya?
Pali zifukwa zingapo zomwe munthu angafunikire makina opumulira mpweya, kaya kwa kanthawi kochepa kapena kwa nthawi yayitali.
- Pa opaleshoni : Pa opaleshoni yaikulu, mankhwala oletsa kupuma omwe amaperekedwa angapangitse kuti kupuma kwathu kukhale kofooka. Chifukwa chake, chopumira mpweya chimathandiza mpaka titadzuka kuchokera ku opaleshoni yoletsa kupuma.
- Kulephera Kupuma: Ili ndi dzina lomwe limaperekedwa ku vuto lomwe simungathe kupuma nokha. Izi zitha kuchitika mwadzidzidzi, kapena zitha kuyamba pang'onopang'ono chifukwa cha matenda osatha.
- Matenda monga COVID-19: Monga mukukumbukira, panthawi ya mliri wa COVID-19, odwala omwe mapapu awo anawonongeka kwambiri ndi kachilomboka , anadzazidwa ndi madzi, ndipo sanathe kupuma okha anafunika thandizo la mpweya wopumira.
- Matenda ena:
- Kuwonongeka kwa ubongo kapena sitiroko
- Chibayo chachikulu
- Matenda a m'mapapo osatha monga COPD ( Chronic Obstructive Pulmonary Disease )
- ARDS (Acute Respiratory Distress Syndrome) - vuto lomwe mapapo amadzaza ndi madzi
- Matenda oopsa kwambiri (Anaphylaxis)
- Matenda omwe amakhudza mitsempha ndi minofu (monga matenda a Guillain-Barré)
- Chikhalidwe cha kukomoka
Kodi chimachitika ndi chiyani mukalumikizidwa ndi chopumira mpweya?
Kunena zoona, si chinthu chosangalatsa kwenikweni. Mungamve bwino mukaika chubu pakamwa panu. Koma simudzamva kupweteka kulikonse. Izi zili choncho chifukwa madokotala adzakupatsani mankhwala ochepetsa ululu kuti mukhale omasuka komanso omasuka. Nthawi zina, ngakhale muli maso, simungakhale ozindikira bwino. Ngati vutoli ndi lalikulu, madokotala angasankhe kukugonetsani tulo tofa nato kuti thupi lanu libwererenso msanga.
Ogwira ntchito zachipatala aziyang'anira matenda anu nthawi zonse. Adzayesa zinthu monga kuthamanga kwa magazi anu, kugunda kwa mtima , ndi kuchuluka kwa mpweya m'thupi lanu. Katswiri wothandiza kupuma adzagwiritsanso ntchito chubu choyamwa kuti achotse mamina m'mapapu anu.
Ngati muli ndi chubu mkamwa mwanu, simungathe kulankhula, kudya kapena kumwa. Mudzapatsidwa zakudya zofunika kudzera mu IV (saline) kapena chubu china chomwe chimayikidwa m'mimba mwanu.
Ngati munthu amene mumamudziwa ali ndi makina opumira mpweya...
Ino ndi nthawi yovuta kwa wodwala komanso banja. Ngati wokondedwa wanu ali mumkhalidwe uwu, nazi zina zomwe mungachite kuti muthandize:
- Khalani ndi chiyembekezo: Mphamvu zanu ndi mphamvu yaikulu kwa iye.
- Lankhulani kawirikawiri: Amamva zomwe mukunena. Mawu anu adzamutonthoza.
- Gwiranani manja: Adzamva kukhudza kwanu.
- Thandizani kulankhulana: Ngati ali maso, muthandizeni kulankhulana pogwiritsa ntchito zizindikiro, kulemba, ndi kuloza.
- Bweretsani chinthu chodziwika bwino kuchokera kunyumba: chinthu chomwe adagwiritsa ntchito, monga pilo kapena mkanjo, kuti amve bwino.
Kodi ndi mavuto ati omwe angakhalepo chifukwa cha makina opumira mpweya?
Ngakhale kuti chopumira mpweya ndi chipangizo chopulumutsa moyo, chingayambitsenso mavuto ena. Madokotala ndi anamwino nthawi zonse amadziwa zoopsazi ndipo amachitapo kanthu kuti apewe.
| Mavuto | Kodi chingachitike n’chiyani? |
|---|---|
| Matenda | Majeremusi amatha kulowa m'mapapo kudzera mu chubu chopumira ndikuyambitsa chibayo. Izi zimatchedwa chibayo chogwirizana ndi mpweya (VAP) . |
| Kuwonongeka kwa Mapapo | Ngati mpweya woipa kapena mpweya woipa womwe umaperekedwa ndi makina opumira mpweya ukuwonjezeka, ukhoza kuwononga mapapo ofooka. Izi zingayambitse mapapo kugwa (pneumothorax) kapena madzi ochulukirapo m'mapapo (pulmonary edema). |
| Zoopsa zina | Kukhala pamalo omwewo kwa nthawi yayitali kungayambitse zilonda zogona komanso magazi kuundana . Komanso, mukabwerera ku chidziwitso, mungamve kusokonezeka pang'ono (delirium) komanso kukumbukira molakwika. Pakhozanso kusintha mawu anu mutachotsa chubu. |
Kodi mumadzichotsa bwanji mu makina opumira mpweya?
Izi sizinthu zomwe zimachitika nthawi imodzi. Madokotala akatsimikiza kuti mutha kupuma bwino nokha, pang'onopang'ono amachepetsa thandizo kuchokera ku chopumira mpweya ndipo pamapeto pake amachotsa chubu. Timatcha njira iyi 'kuyamwa' .
Ndizachilendo kumva kupweteka pakhosi ndi mawu okweza pambuyo poti chubu chachotsedwa. Anthu ena angamvenso kusokonezeka pang'ono komanso kufooka mwakuthupi. Zonsezi zidzasintha pang'onopang'ono pakapita nthawi.
Kumbukirani, nthawi yochira imasiyana malinga ndi munthu. Kawirikawiri amati tsiku lililonse pa makina opumira, zimatenga osachepera sabata imodzi kuti munthu achire mokwanira. Choncho ndikofunikira kwambiri kukhala woleza mtima.
Uthenga Wopita Nawo Kunyumba
- Chopumira mpweya si chinthu choopera, ndi chipangizo chofunikira kwambiri chachipatala chomwe chimathandiza kupulumutsa miyoyo.
- Amagwiritsidwa ntchito pothandiza mapapo pamene wodwala sangathe kupuma yekha.
- Ngakhale simungathe kulankhula kapena kudya muli ndi chubu mkamwa mwanu, nthawi zambiri simumva kupweteka kulikonse.
- Ngakhale kuti mavuto ena angachitike, dokotala wanu ndi gulu lanu lachipatala nthawi zonse amakhala maso pa mavutowo.
- Zimatenga nthawi kuti munthu achire bwino atachotsedwa mu makina opumira mpweya. Izi ndi zachilendo, choncho khalani oleza mtima ndipo pitirizani ndi chithandizo chanu.
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