Kodi chigoba chosabwezeretsa mpweya ichi n'chiyani? (Chigoba chosabwezeretsa mpweya) Tiyeni tiphunzire za ichi chomwe chimapereka mpweya pakagwa ngozi!

Kodi mudawonapo munthu mu ambulansi kapena mchipinda chadzidzidzi (ETU) cha chipatala, yemwe akuvutika kupuma, atavala chigoba pankhope pake, ndipo ali ndi thumba laling'ono lomangiriridwa kuti amupatse mpweya ? Ndicho chomwe nthawi zambiri chimatchedwa Chigoba Chosabwezeretsa Mpweya . Ichi ndi chipangizo chofunikira kwambiri chachipatala chomwe chimagwiritsidwa ntchito kupulumutsa miyoyo pakagwa ngozi. Chifukwa chake, tiyeni tikambirane izi momveka bwino lero.

Mwachidule, kodi chigoba chosabwezeretsa mpweya (NRM) n'chiyani?

Chigoba Chosabwezeretsa Mpweya, kapena NRM monga momwe madokotala amachitcha, ndi chigoba chapadera cha nkhope chomwe chimagwiritsidwa ntchito kupatsa munthu mpweya wambiri mwachangu, nthawi zambiri pakagwa ngozi.

Taganizirani ngati chigoba cha nkhope. Chapangidwa kuti chigwirizane pakamwa ndi mphuno yanu. Chimangiriridwa kumaso kwanu ndi lamba wotambasula womwe umazungulira mutu wanu. Chomangiriridwa ku chigobacho ndi thumba laling'ono, lowonekera bwino lodzaza ndi mpweya. Ichi chimatchedwa 'thumba losungiramo madzi'. Chigobachi chimalumikizidwa ku thanki ya mpweya kudzera mu chubu. Izi nthawi zambiri zimagwiritsidwa ntchito kuchipatala, makamaka ku Emergency Treatment Unit (ETU) kapena mu ambulansi yomwe imatengera wodwala kuchipatala.

Chinthu chachikulu kwambiri pa chigoba ichi ndi ma valve olowera mbali imodzi omwe amalola mpweya kudutsa mbali imodzi yokha . Izi zikutanthauza kuti mukamapuma, mpweya woyera wokha wochokera mu thumba la mpweya umalowa m'thupi lanu, ndipo mpweya womwe mumatulutsa ( carbon dioxide ) subwerera m'thumba, koma umatuluka kudzera mu ma valve ena omwe ali mu chigobacho. Izi zikutanthauza kuti simumapuma mpweya womwe munatulutsa. Komanso, mpweya wochokera kunja sulowa mu chigobacho. Chifukwa chake, mapapu anu amalandira mpweya wambiri womwe susakanikirana ndi chilichonse.

Kodi chigoba ichi chimagwiritsidwa ntchito liti?

Chigoba Chosapumira Mpweya Chimagwiritsidwa ntchito nthawi zambiri ngati mpweya m'magazi mwa munthu uli wochepa kwambiri, koma amathabe kupuma okha . Ichi si chipangizo chomwe chimapumira ngati chopumira mpweya, koma chimawonjezera mpweya wowonjezera mpweya mumpweya womwe mumatenga.

Nazi zitsanzo za zoopsa zotere:

• Kupuma utsi: Tangoganizirani kupulumutsa munthu amene wagwidwa ndi moto m'nyumba. Munthuyo wapuma utsi wambiri, womwe ungawononge mapapo ake ndikupangitsa kuti mpweya m'magazi mwake uchepe kwambiri. Pazochitika zotere, chigoba ichi chimagwiritsidwa ntchito kupereka mpweya mwachangu.
• Kuopsa kwa carbon monoxide(Poizoni wa carbon monoxide): Nthawi zina, galimoto ikayamba kugwira ntchito pamalo opanda mpweya wokwanira, monga pamene jenereta ikugwira ntchito, kupuma mpweya wa carbon monoxide kungayambitse poizoni woopsa. Izi ndi zoopsa kwambiri. Chigoba ichi n'chofunikira kuti mpweya ukhale wambiri m'malo otere.
• Kuvulala m'mapapo: Munthu amene wavulala kwambiri pachifuwa ndi m'mapapo chifukwa cha ngozi yaikulu yagalimoto akhoza kukhala ndi vuto lopuma. Izi zimagwiritsidwanso ntchito pazochitika zimenezo.
• Mutu wa mutu wa cluster: Iyi ndi nkhani yapadera. Uwu ndi mutu woopsa kwambiri komanso wosapiririka. Kafukufuku wina wapeza kuti kupereka mpweya wambiri panthawi ya mutu wamtunduwu kumapereka mpumulo.
• Kuwonjezeka kwa matenda aakulu komanso osatha a kupuma: Ngati munthu amene ali ndi matenda osatha monga COPD ( Chronic Obstructive Pulmonary Disease ) kapena Cystic Fibrosis mwadzidzidzi akumana ndi vuto loipa ndipo akuvutika kupuma , amalowa m'chipatala ndikupatsidwa mpweya kudzera mu chigoba ichi.

Kodi pali kusiyana kotani pakati pa chigoba chosabwezeretsa mpweya ndi mitundu ina ya chigoba cha okosijeni?

Mwina mwawonapo mitundu ina ya zophimba mpweya m'zipatala. Mitundu iwiri ikuluikulu ndi Non-Rebreather Mask ndi Partial Rebreather Mask. Kusiyana kwakukulu pakati pa ziwirizi ndi kuchuluka kwa mpweya womwe mumapumanso.

Tiyeni tiwone tebulo ili kuti tifotokoze bwino izi.

Kodi FIO2 ndi chiyani?

Mawu akuti FIO2 (Gawo la Mpweya Wouziridwa) angakhale atsopano kwa inu. Mwachidule, amatanthauza "chiwerengero cha mpweya mumlengalenga womwe timapuma." Mpweya womwe timapuma nthawi zambiri uli ndi pafupifupi 21% ya mpweya. Chigoba Chosabwezeretsa Mpweya chingawonjezere kuchuluka kumeneku kufika pa 90%. Zimenezi zikusonyeza mphamvu ya chipangizochi.

Kodi ubwino ndi kuipa koopsa kwambiri kwa izi ndi kotani?

Ubwino

Ubwino waukulu komanso wokhawo wa chigoba ichi ndi wakuti chimatha kupereka mpweya wambiri kwa wodwala mwachangu . Luso limeneli nthawi zambiri limakhala lofunika kwambiri populumutsa moyo wa munthu amene mpweya wake m'magazi mwake watsika kwambiri.

Zoyipa ndi Zoopsa

Choopsa chachikulu komanso chachikulu kwambiri chogwiritsa ntchito chigoba chosapumira ndi kupuma movutikira .

Pachifukwa ichi, wodwala amene wavala chigoba chosabwezeretsa mpweya ayenera kuyang'aniridwa mosamala kwambiri ndi dokotala kapena namwino, omwe nthawi zonse amawunika kuchuluka kwa mpweya m'thanki.

Kodi chigoba ichi sichingagwiritsidwe ntchito kunyumba?

Ayi ndithu. Chigoba Chosabwezeretsa Mpweya si chipangizo chogwiritsidwa ntchito kunyumba. Chifukwa cha zoopsa zazikulu zomwe zatchulidwa pamwambapa, chimagwiritsidwa ntchito m'zipatala, m'zipinda zadzidzidzi, komanso moyang'aniridwa mwachindunji ndi ogwira ntchito zachipatala.

Ngati inu kapena wina m'banja mwanu mukufunika chithandizo cha okosijeni kunyumba chifukwa cha matenda osatha a kupuma, pali zipangizo zina zotetezeka zomwe zingagwiritsidwe ntchito. Mwachitsanzo, kannula ya m'mphuno (chipangizo chokhala ndi machubu awiri ang'onoang'ono omwe amalowetsedwa m'mphuno). Ngakhale kuti imapereka mpweya wochepa, ndi yotetezeka kugwiritsa ntchito kunyumba kuti mugwiritse ntchito kwa nthawi yayitali. Mutha kulankhula ndi dokotala wanu za izi ndikusankha njira yochizira yomwe ikuyenererani.

Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?

Ngati inu kapena munthu amene mumamudziwa akuvutika kupuma ndipo ali ndi chimodzi mwa zizindikiro zotsatirazi, pitani ku chipatala chapafupi cha Emergency Department (ETU) mwamsanga.

• Milomo imasintha mtundu wake kukhala wobiriwira kapena wabuluu.
• Kupuma mofulumira kwambiri kapena kuvutika kupuma.
• Kutupa kwa mphuno popuma.
• Kumva phokoso la 'kuimba mluzu', kupuma movutikira, kapena phokoso lina losazolowereka popuma.

Izi zitha kukhala zizindikiro zochenjeza kuti thupi silikupeza mpweya wokwanira, choncho musanyalanyaze.