Kodi munayamba mwawonapo munthu amene ali mu chipinda chosamalira odwala kwambiri (ICU) atalumikizidwa ndi makina kuti amuthandize kupuma? Kapena munayamba mwawonapo mwana wamng'ono amene anabweretsedwa kuchipatala ali ndi mphumu yayikulu akupatsidwa mankhwala kudzera mu nebulizer? Pazochitika zotere, pali katswiri wazaumoyo yemwe waphunzitsidwa mwapadera pothandiza mapapo athu ndi njira yopumira. Lero tikambirana za katswiri ameneyo. Ameneyo ndi katswiri wothandiza kupuma, kapena monga momwe amanenera mu Chingerezi, 'Respiratory Therapist' (RT).
Kodi katswiri wa za kupuma uyu ndi ndani?
Mwachidule, katswiri wothandiza kupuma ndi katswiri wa zaumoyo yemwe ali ndi maphunziro apadera omwe amathandiza kuzindikira, kuchiza, ndi kuthana ndi mavuto okhudzana ndi mapapu anu ndi dongosolo lanu la kupuma.
Taganizirani izi motere. Ngati muli ndi vuto la mtima, pali dokotala wa mtima. Ngati muli ndi vuto la impso, palinso dokotala wa matenda a nephropathy. Mofananamo, katswiri wothandiza kupuma ndi munthu amene ali ndi chidziwitso chakuya komanso maphunziro okhudza kupuma, kutanthauza mapapu athu ndi trachea.
Chofunika ndichakuti, anthu awa si madokotala. Koma amagwira ntchito limodzi ndi madokotala, anamwino, ndi akatswiri ena azaumoyo kuti akupatseni njira yabwino kwambiri yothandizira. Kunena zoona, iwo ndi akatswiri a ziwalo zopumira.
Mungakumane ndi anthu awa m'chipinda chachipatala, chipinda chosamalira odwala kwambiri (ICU), chipinda chothandizira odwala mwadzidzidzi (ETU), chipatala chakunja kwa odwala, kapena nthawi zina akabwera kunyumba kwanu kudzalandira chithandizo.
Kodi katswiri wothandiza kupuma amachita chiyani kwenikweni?
Udindo wa anthu awa ndi waukulu kwambiri. Zimene amachita zimasiyana malinga ndi momwe wodwalayo alili. Tiyeni tiwone zinthu zazikulu zomwe amachita.
| Ntchito | Kufotokoza mwachidule |
|---|---|
| Kuyesa kwa Ntchito ya M'mapapo | Mayeso apadera omwe amayesa momwe mapapu anu akugwirira ntchito komanso kuchuluka kwa mpweya womwe mungalowe ndi kutuluka. Izi ndizofunikira kwambiri pozindikira matenda monga mphumu. |
| Chithandizo cha Mpweya | Kupereka mpweya kwa odwala omwe ali ndi mpweya wochepa m'magazi komanso kuyang'anira nthawi zonse kuchuluka kwa mpweya m'magazi. |
| Mpweya wopumira wa makina | Kugwiritsa ntchito makina opumira mpweya, kuwasintha kuti agwirizane ndi zosowa za wodwalayo, komanso kuyang'anira momwe wodwalayo alili ndi ntchito zovuta komanso zodalirika. |
| Kasamalidwe ka Ndege | Pakagwa ngozi, ngati njira yolowera mpweya ya wodwala yatsekedwa, tengani njira zofunikira kuti mutsegulenso. Mwachitsanzo, kuthandiza dokotala ndi zinthu monga kulowetsa chubu (intube). |
| Kuchotsa Mafinya | Kuthandiza odwala omwe ali ndi ziphuphu m'mapapo mwawo kuti azitulutsa pogwiritsa ntchito njira zapadera komanso zida zina. Izi zikuphatikizapo zinthu monga kukanikiza pachifuwa. |
| Kupereka mankhwala | Amapereka mankhwala ku ziwalo zopumira, makamaka kudzera mu inhalers ndi nebulizers, mu mlingo woyenera, ndipo amaphunzitsanso odwala momwe angagwiritsire ntchito inhaler moyenera. |
| Maphunziro ndi kukonzanso odwala | Anthu omwe ali ndi matenda osatha monga COPD ndi mphumu amaphunzitsidwa momwe angakhalire ndi matendawa, momwe angachitire masewera olimbitsa thupi opumira, komanso momwe angathanirane ndi matendawa. |
Kodi anthuwa amalandira thandizo la matenda amtundu wanji?
Monga momwe zimakhalira ndi matenda ena aliwonse omwe amakhudza kupuma, thandizo la katswiri wothandiza kupuma lingafunike. Nazi zina mwa izo.
- Mphumu:Kuphunzitsa odwala mphumu momwe angagwiritsire ntchito bwino mankhwala opumira komanso kupereka mankhwala monga nebulizers ngati atadwala kwambiri.
- Matenda Osatha a M'mapapo Oletsa Kutsekeka (COPD): Uwu ndi matenda ofala pakati pa osuta fodya. Odwalawa amaphunzitsidwa masewera olimbitsa thupi opumira, mpweya wabwino, komanso momwe angathanirane ndi matendawa.
- Chibayo: Pakakhala chibayo chachikulu, perekani mpweya kwa wodwalayo, lumikizani ndi chopumira ngati pakufunika kutero, ndipo thandizani kuchotsa mamina.
- Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS): Uwu ndi matenda oopsa kwambiri, omwe amaika moyo pachiswe. Mapapu amawonongeka kwambiri. Ndi ntchito yaikulu kuti odwalawa apatsidwe thandizo lapadera lothandizira kupuma kudzera mu makina opumira.
- Cystic Fibrosis: Iyi ndi matenda a majini. Pachifukwa ichi, ntchofu yokhuthala imaunjikana m'mapapo. Njira zapadera zimagwiritsidwa ntchito pochotsa ntchofuyo.
- Kulephera Kupuma Movutikira: Kuphunzitsa odwala omwe amasiya kupuma akagona momwe angagwiritsire ntchito bwino makina monga CPAP.
- Kuvulala pachifuwa: Kupereka chithandizo cha kupuma pamene kupuma sikungatheke chifukwa cha kuvulala kwakukulu pachifuwa.
- Pambuyo pa opaleshoni: Pambuyo pa opaleshoni yaikulu, mankhwala oletsa kupweteka amatha kusokoneza ntchito ya mapapo. Pazochitika zotere, ndikofunikira kuthandiza mapapo kuti achire.
Kuwonjezera pa mndandandawu, ntchito za katswiri wothandiza kupuma ndizofunikira kwa aliyense amene ali ndi vuto la kupuma, kuyambira makanda obadwa kumene mpaka okalamba.
Kodi ndi liti pamene muyenera kupita kwa katswiri wa kupuma?
Kawirikawiri, simungapite mwachindunji kwa katswiri wothandiza kupuma. Dokotala amene amakuyesani adzawunikanso zizindikiro zanu ndi zotsatira za mayeso ndikusankha kuti mukufuna thandizo la katswiri wothandiza kupuma. Kenako dokotalayo adzakutumizirani kwa iwo.
Ndi zizindikiro ziti zomwe zingachititse dokotala kukutumizani kwa katswiri wothandiza kupuma?
- Chifuwa chosalekeza
- Kutuluka magazi ndi ntchofu
- Kupuma movutikira (kumveka ngati "tchizi-tchizi")
- Kuvuta kupuma, kupuma movutikira
- Kumva kupsinjika kapena kupanikizika pachifuwa
- Kupweteka pachifuwa
- Kukhala ndi vuto pa X-ray
- Mayeso amatsimikizira kuti mpweya m'magazi uli wochepa
Kumbukirani, ngati muli ndi chimodzi mwa zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuwonana ndi dokotala wa banja lanu. Musamadzipatse mankhwala. Dokotalayo adzachita mayeso ofunikira ndikukutumizani kwa akatswiri oyenerera ngati pakufunika kutero.
Kodi kusiyana pakati pa katswiri wothandiza kupuma ndi namwino ndi kotani?
Ichi ndi chinthu chomwe anthu ambiri amasokonezeka nacho. Popeza anthu onsewa amagwira ntchito limodzi ndi odwala kuchipatala, zimakhala zovuta kumvetsetsa kusiyana kwenikweni.
Kusiyana kwake ndi uku:
- Namwino: Udindo wa namwino ndi waukulu kwambiri. Amayang'ana kwambiri thanzi la wodwala. Amapereka mankhwala, kutsuka thupi, kudyetsa wodwalayo, kusamalira mabala, ndikuyang'ana thanzi la wodwalayo m'maganizo. Amakhalanso ndi chidziwitso chokhudza matenda opuma, koma si ntchito yawo yaukadaulo.
- Katswiri Wothandiza Kupuma: Udindo wawo ndi wapadera kwambiri. Cholinga chawo chachikulu ndi luso lawo lonse ndi pa mapapo ndi dongosolo lopumira. Amagwiritsa ntchito zida zovuta zokhudzana ndi dongosolo lopumira, amachita mayeso apadera, komanso amapereka chithandizo cholunjika.
Ganizirani za makanika. Pali makanika wamba amene amadziwa pang'ono chilichonse m'galimoto. Kenako palinso wina amene amadziwa bwino injini ya galimotoyo. Kusiyana kwake ndiko. Namwino ndi munthu amene amasamalira thanzi la wodwalayo, ndipo katswiri wothandiza kupuma ndi munthu amene amadziwa bwino mavuto a m'mapapo. Anthu onsewa amapereka chithandizo chamtengo wapatali kwa wodwalayo.
Uthenga Wopita Nawo Kunyumba
- Katswiri Wothandiza Anthu Opuma Si dokotala, koma katswiri wofunikira pa zaumoyo yemwe ali ndi maphunziro apadera pa mavuto a m'mapapo ndi kupuma.
- Amagwira ntchito limodzi ndi madokotala ndi anamwino kuti ateteze thanzi lanu la kupuma.
- Utumiki wawo ndi wofunika kwambiri pa matenda monga mphumu, COPD, chibayo, komanso m'chipinda chosamalira odwala kwambiri.
- Ngati muli ndi zizindikiro monga kupuma movutikira, chifuwa chosatha, kapena malungo, chinthu choyamba chomwe muyenera kuchita ndikuonana ndi dokotala wanu.
- Ngati dokotala wanu akutumizani kwa katswiri wothandiza kupuma, adzachita zonse zomwe angathe kuti akuthandizeni kukonza vuto lanu. Musaope kuwafunsa mafunso ndikuwauza nkhawa zanu.
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