Mukapita kwa dokotala, amaika stethoscope pachifuwa ndi kumbuyo kwanu nati, "Pumirani mpweya wozama... pumirani pang'onopang'ono..." Kodi munayamba mwadzifunsapo chifukwa chake amachita zimenezo? Mwachidule, dokotalayo akumvetsera mawu ochokera m'mapapu anu. Mawu awa ali ngati chilankhulo cha mapapu anu. Mawu awa angakuuzeni zambiri zokhudza thanzi la dongosolo lanu lopumira.
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Kodi mawu awa a m'mapapo ndi otani?
Phokoso la m'mapapo, kapena phokoso la kupuma, ndi mawu omwe mumamva mkati mwa njira zanu zopumira (machubu opyapyala omwe amanyamula mpweya mkati mwa mapapo anu) pamene mukupuma ndi kutuluka.
Munthu amene ali ndi mapapo abwino amakhala ndi njira zopumira bwino. Izi zikutanthauza kuti palibe ntchofu yochulukirapo, kutupa, kapena chopinga chilichonse m'mapapo. Kenako mpweya umayenda bwino kwambiri komanso mofewa, kotero umapanga phokoso lofewa kwambiri. Timatcha mawu omveka bwino a mapapo (mawu a vesicular mapapo).
Komabe, chimachitika ndi chiyani ngati njira zopumira izi zadzaza ndi ntchofu, kutupa, kapena kutsekedwa ndi china chake chifukwa cha matenda? Kenako njira yopumira imatsekedwa. Pamenepo ndi pomwe mumayamba kumva mitundu yonse ya mawu achilendo. Zingakhale ngati 'whoosh', 'whoosh', kapena 'whoosh'. Timatcha mawu osazolowereka/obwera m'mapapo .
Chofunika kwambiri ndichakuti dokotala asaganize kuti muli ndi matenda chifukwa choti amva phokoso lachilendo ngati ili. Ndi chizindikiro chofunikira chomwe chimathandiza kupeza matenda. Kuphatikiza pa izi, kupeza matenda olondola kwambiri kumachitika poganizira zizindikiro zina zomwe muli nazo, mbiri yanu yaumoyo, komanso, ngati pakufunika, mayeso ena.
Kodi mitundu ikuluikulu ya mawu osazolowereka m'mapapo ndi iti?
Pali mitundu ingapo ya mawu osazolowereka omwe dokotala amamva. Iliyonse imafotokoza nkhani yosiyana. Tiyeni tiwone mitundu ikuluikulu.
| Mtundu wa Phokoso | Kodi zimenezo zikumveka bwanji? / Kufotokozera kosavuta |
|---|---|
| Rhonchi | Ili ndi phokoso lakuya, lofanana ndi 'kubuula' kofuula. Kunena zoona, phokosoli limapangidwa mpweya ukadutsa m'njira zazikulu zopumira mpweya zikadzaza ndi ntchofu. Phokosoli limatha kutayika kwa kanthawi chifuwa chikatsegulidwa. |
| Kupuma movutikira | Ili ndi phokoso lomwe anthu ambiri amalidziwa bwino. Ndi phokoso lapamwamba, lolira mluzu. Limamveka nthawi zambiri mukamapuma. Phokosoli limachitika pamene njira zopumira mpweya zimakhala zochepa. Phokosoli ndi lodziwika bwino kwa anthu omwe ali ndi mphumu . |
| Stridor | Ilinso ndi phokoso lapamwamba, lolira mluzu. Komabe, nthawi zambiri limamveka popuma mpweya . Phokosoli limamveka ngati pali cholepheretsa pakhosi kapena chapamwamba panjira yolowera mpweya (monga kutupa, chinachake chomangika mkati mwake). Phokosoli limamveka kawirikawiri mwa ana aang'ono omwe ali ndi croup. |
| Mabala / Ma Rales | Ili si phokoso lopitirira. Ndi phokoso losinthasintha, 'kiri kiri', 'chiti chiti'. Lili ngati phokoso lopangidwa mukaphwanya masamba ouma ndi manja anu, kapena mukatulutsa madzi mu udzu. Izi zimamveka pamene njira zazing'ono kwambiri za mpweya m'mapapo zimadzazidwa ndi ntchofu kapena madzi. |
| Kupukuta kwa Pleural | Ili ndi phokoso lovuta komanso lophwanyika. Lili ngati mapepala awiri a sandpaper akukhutchumuka pamodzi. Phokosoli limapangidwa pamene nembanemba ziwiri zomwe zimazungulira mapapu athu, zotchedwa pleura, zimatupa ndikukhutchumuka. Limamveka tikamapuma komanso tikamatuluka mpweya. |
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Pali zinthu zinayi zazikulu zomwe zingayambitse mawu osazolowereka awa:
1. Mafinya odzaza njira yopumira: Ichi ndi chomwe chimayambitsa vutoli kwambiri.
2. Kutupa kwa njira zopumira: Pamene njira zopumira zimatupa chifukwa cha matenda kapena ziwengo, njira zopumira zimachepa.
3. Kutsekeka: Chotupa kapena chinthu chachilendo chomwe chili munjira yodutsa mpweya.
4. Kutuluka kwa madzi m'mapapo: Kutupa kwa nembanemba yozungulira mapapo.
Izi ndi zina mwa matenda omwe amayambitsa matendawa:
- Matenda opatsirana m'mapapo, monga bronchitis kapena croup mwa ana aang'ono.
- Chibayo.
- Mphumu.
- Matenda a m'mapapo osatha (COPD) ndi matenda a kupuma osatha.
- Matenda a cystic fibrosis.
- Matenda a ziwengo.
- Anaphylaxis ndi vuto lalikulu la ziwengo.
- Kutupa kwa mapapo.
- Kulephera kwa mtima.
- Pulmonary embolism (PE) ndi magazi kuundana m'mapapo.
Kodi chimachiritsidwa bwanji?
Chithandizocho chimadalira kwambiri chomwe chimayambitsa phokoso lachilendoli. Dokotala adzayamba wazindikira chomwe chimayambitsa phokosolo kenako n’kupereka chithandizo.
- Kwa matenda monga mphumu: Mankhwala opumira omwe amatsegula njira zopumira ndikuchepetsa kutupa, mwachitsanzo corticosteroids.
- Kwa matenda a bakiteriya (monga chibayo): Mankhwala opha tizilombo toyambitsa matenda.
- Kwa ziwengo zoopsa: Mankhwala monga epinephrine.
- Ngati chotchinga chatsekedwa: Mungafunike opaleshoni kuti muchichotse.
Kodi ndiyenera kupita kwa dokotala liti?
Iyi ndi gawo lofunika kwambiri. Ngati muli ndi nkhawa kapena nkhawa zokhudzana ndi kupuma kwanu, makamaka phokoso lochokera pachifuwa panu, musanyalanyaze. Pitani kwa dokotala wa banja lanu nthawi yomweyo. Iye akhoza kukuyesani ndikukuuzani choti muchite.
Kumbukirani makamaka! Ngati muli ndi zizindikiro monga kupuma movutikira, kupweteka pachifuwa, kapena milomo yabuluu pamodzi ndi phokoso lachilendoli, ndi vuto ladzidzidzi . Ngati zili choncho, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi mwamsanga.
Uthenga Wopita Nawo Kunyumba
- Mapapu abwino amapanga mawu ofewa komanso osalala. Mawu osazolowereka monga 'whooping', 'whooping', ndi 'whooping' amasonyeza vuto la njira yopumira.
- Choyambitsa mawu amenewa chingakhale chilichonse kuyambira chimfine, mphumu, chibayo, mpaka china choopsa kwambiri.
- Dokotala amamvetsera mawu amenewa pogwiritsa ntchito stethoscope kuti apeze zizindikiro zofunika kuti adziwe matendawa molondola.
- Ngati mukumva phokoso lililonse lachilendo pamene mukupuma, makamaka ngati likugwirizana ndi vuto lopuma, musanyalanyaze.
- Ngati mumva phokoso lachilendo komanso kupuma movutikira, ndi vuto ladzidzidzi! Pitani ku Dipatimenti Yothandiza Anthu Odwala Zadzidzidzi (ETU) ya chipatala nthawi yomweyo.
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