Kodi kugona chagada ndi chiyani? Kodi kugona chagada kungapulumutse moyo? (Kugona chagada)

Kodi mudamvapo madokotala akunena kuti, "Tidzapereka chithandizo kwa wodwala" pamene m'modzi mwa achibale anu kapena abwenzi ali mu ICU (chipinda chosamalira odwala kwambiri)? Kapena mungakumbukire mawu oti 'kuperekera chithandizo' omwe amagwiritsidwa ntchito pafupipafupi panthawi ya mliri wa COVID-19. Ngakhale izi zitha kukhala zatsopano kwa ambiri, kwenikweni ndi njira yofunika kwambiri komanso yakale yomwe madokotala amagwiritsa ntchito kupulumutsa miyoyo ya odwala omwe ali ndi vuto lalikulu la kupuma. Chifukwa chake, lero tikambirana zonsezi m'njira yosavuta, m'njira yomwe mungamvetse.

Mwachidule, 'Kuyang'ana' n'chiyani?

Kuwerama ndi chinthu chosavuta kwambiri. Ndi kutembenuza wodwala amene ali pabedi kukhala wogona movutikira. Zili ngati kutembenuza ndi mimba kuti tigone. Koma izi sizinthu zomwe timachita mosasamala, ndi chinthu chomwe chimachitidwa mosamala komanso mwadala ndi ogwira ntchito zachipatala kuchipatala.

Izi nthawi zambiri zimachitika kwa odwala omwe ali ndi vuto lalikulu la kupuma , makamaka omwe amapuma ndi makina. Izi zimawonjezera kuchuluka kwa mpweya womwe umafika m'thupi la wodwalayo.

Ngakhale kuti idatchuka panthawi ya mliri wa COVID-19, izi si zachilendo. Madokotala akhala akugwiritsa ntchito njira imeneyi kwa zaka zambiri. Kafukufuku wasonyeza kuti kufalikira msanga kwa odwala omwe ali ndi matenda oopsa opuma omwe ali ndi makina opumulirako kumatha kuchepetsa kwambiri imfa .

Kodi njira imeneyi imagwiritsidwa ntchito pa matenda amtundu wanji?

Njira yochepetsera mpweya imagwiritsidwa ntchito makamaka pothandiza odwala omwe ali ndi matenda oopsa a kupuma komwe thupi silikupeza mpweya wokwanira (hypoxia). Matenda ofala kwambiri ndi Acute Respiratory Distress Syndrome (ARDS).

Mwachidule, ARDS ndi kusonkhana kwa madzi m'matumba ang'onoang'ono a mpweya mkati mwa mapapo athu, alveoli. Taganizirani izi ngati siponji yomwe imayamwa madzi ndikutseka mipata. Matumba a mpweya awa akadzaza ndi madzi, palibe malo oti mpweya upume. Uwu ndi vuto lalikulu kwambiri. ARDS imatha kuchitika ngati matenda oopsa monga chibayo ndi COVID-19.

N’chifukwa chiyani mpweya wabwino umachepa mukatembenuza mimba yanu?

Ichi ndiye chinthu chofunikira kwambiri. Kodi mpweya umawonjezeka bwanji mukatembenuza mimba yanu? Pali zifukwa ziwiri zazikulu zomwe zimapangitsa izi. Chifukwa chake ndi chakuti thupi lathu silili lofanana.

1. Kuchepetsa kulemera ndi kupanikizika m'mapapo (Kupuma bwino)

Chifukwa cha mawonekedwe a thupi lathu, tili ndi minofu yambiri ya m'mapapo kumbuyo kwathu kuposa pachifuwa chathu.Tikagona chagada, kulemera kwa mtima wathu ndi ziwalo zina za m'mimba kumagwera mwachindunji pamwamba pa mapapo athu. Komanso, m'mikhalidwe monga ARDS, madzi omwe amasonkhana m'mapapo amaikanso mphamvu pa matumba a mpweya omwe ali kunja chifukwa cha mphamvu yokoka. Izi zimachepetsa mphamvu ya mapapo yodzaza ndi mpweya.

Komabe, wodwalayo akayang'aniridwa ndi mimba yake (malo okhazikika), kulemera kwa mtima ndi ziwalo zina sikugwera pa mapapo, koma pa mafupa a pachifuwa. Komanso, madzi m'mapapo amasonkhana m'dera laling'ono la mapapo akutsogolo. Izi zimamasula dera lalikulu la mapapo kumbuyo. Kenako , mpweya ukhoza kulowa bwino m'derali, zomwe zimathandiza kuti mapapo azitha kukula mpaka kufika pamlingo woyenera.

2. Kuwongolera bwino kusinthana kwa mpweya m'mapapo

Mu matenda monga ARDS, pali kusiyana pakati pa kuchuluka kwa mpweya wolowa m'mapapo (mpweya wopuma) ndi kuchuluka kwa mpweya womwe umalowa m'magazi (kutuluka kwa magazi). Mwa munthu wathanzi, njira ziwirizi zimayendetsedwa bwino.

Mulimonse momwe tilili, kumbuyo kwa mapapo athu kumalandira magazi ambiri kuposa kutsogolo. Tsopano tangoganizirani zomwe zimachitika wodwala akamatsogozedwa m'mimba mwake.

• Malinga ndi mfundo yoyamba, zipinda zakunja za mapapo zimatseguka bwino ndipo zimadzaza ndi mpweya.
• Chachiwiri n’chakuti mbali ya kumbuyo yomwe imadzaza ndi mpweya ilinso ndi magazi abwino kwambiri.

Mwachidule, komwe kuli mpweya wambiri, kuyenda kwa magazi kumakhala bwino. Zili ngati kutumiza katundu komwe akuyenera kukhala. Izi zimapangitsa kuti kupuma kukhale kogwira mtima kwambiri.

Kodi wodwala amene ali m'chipatala 'amadwala bwanji'?

Ichi ndi chinthu chomwe chimakonzedwa bwino komanso chochitidwa mosamala kwambiri. Sikuti mumangosintha munthu nthawi imodzi. Zimakhudza gulu la madokotala, anamwino, ndi akatswiri ochiritsa matenda opuma omwe amagwira ntchito limodzi. Izi ndi zomwe zimachitika nthawi zambiri:

• Choyamba, machubu ndi mawaya onse olumikizidwa ndi wodwalayo (monga machubu a saline, machubu opumira mpweya, mawaya a ECG) amakonzedwa mosamala kuti asamasuke kapena kusokonekera.
• Katswiri wothandiza kupuma amagwira bwino chubu cha endotracheal m'mutu ndi pakamwa pa wodwalayo.
• Kenako gulu lonselo limakonzekeretsa wodwalayo poika pepala pansi pa wodwalayo, kuyika mapilo ndi pepala lina pamwamba pa wodwalayo.
• Kenako, aliyense pamodzi, nthawi imodzi, malinga ndi chizindikiro chokhazikitsidwa, wodwalayo amatembenuzidwa mbali imodzi ya bedi, kenako mbali inayo.
• Pakadali pano, tikuyang'ananso kuti mapaipi ndi mawaya onse ali pamalo awo.
• Pomaliza, wodwalayo amatembenuzidwa kwathunthu pamimba pake ndikuyikidwa bwino pamapilo omwe adayikidwa kale. Mapilo amayikidwanso pamutu ndi pakhosi kuti apange malo omasuka.

Izi zimatha kusiyana pang'ono kuchokera kuchipatala kupita kuchipatala, ndipo nthawi zina zida zapadera zimagwiritsidwa ntchito pa izi.

Kodi ndiyenera kusunga chonchi kwa nthawi yayitali bwanji?

Mpweya wa okosijeni wa odwala ena umayamba kukwera pakatha ola limodzi lokha. Komabe, kuti atsimikizire kuti zinthu zikuyenda bwino kwa nthawi yayitali, madokotala nthawi zambiri amamusunga wodwalayo ali m'malo opumira kwa maola 12 mpaka 18. Ngati thanzi la wodwalayo lasintha, amamusunga wodwalayo m'malo amenewa kwa maola osachepera 16 patsiku, kenako n’kubwerera m'malo opumira kwa nthawi yotsalayo.

Kodi zoopsa ndi ubwino wa kusanthula ndi ziti?

Monga njira ina iliyonse yachipatala, kuyeretsa kumakhala ndi zoopsa zina, koma ubwino wake ndi woposa zoopsa zimenezo.

Kodi 'Kudzuka' ndi chiyani?

Mwina munamvapo izi. Kudzuka ndi njira yophunzitsira wodwala wodziwa bwino yemwe sali wolumikizidwa ndi makina opumira kuti adzitembenuzire m'mimba mwake. Izi zimachitika pazochitika zosaopsa kwambiri, ndi cholinga choletsa kufunikira kwa makina opumira.

Koma izi ndi zofunika kwambiri. Si chinthu chomwe mungachite nokha. Muyenera kuchita izi pokhapokha ngati dokotala wanu wafufuza bwino za matenda a wodwalayo ndipo walangiza kuti muchite zimenezo. Ngakhale zili choncho, ogwira ntchito zachipatala adzakuthandizani kuphunzira momwe mungasinthire bwino malo amenewo.

Kuona wokondedwa wanu kuchipatala, makamaka chipinda chosamalira odwala kwambiri, ali mu mkhalidwe wovuta kwambiri ndi chinthu choopsa komanso chovutitsa maganizo. Ndi mawaya onse, machubu, ndi makina olira, zimatha kukhala zovuta kwambiri. Sitingamvetse zina mwa zinthu zomwe madokotala amachita. Kulira ndi chimodzi mwa zida zofunika kwambiri zomwe madokotala amagwiritsa ntchito populumutsa moyo wa wodwala. Ngakhale kuti si chithandizo chilichonse chomwe chimagwira ntchito 100%, kafukufuku wasonyeza kuti kulalira ndi njira yabwino yopulumutsira miyoyo ya odwala omwe ali ndi matenda oopsa a kupuma ndikuwathandiza kuti achire mwachangu.