Kodi munayamba mwakhalapo pafupi ndi moto ndipo simunamve bwino chifukwa cha utsi wochokera mmenemo? Mwina unali moto kukhitchini kunyumba, moto mgalimoto pamsewu, moto m'nkhalango, kapena wina atayatsa dambo la zinyalala. Pazochitika zotere, utsi umene timapuma ukhoza kuwononga kwambiri njira yathu yopumira ndi mapapo. Sikuti zokhazo, komanso mankhwala ena oopsa omwe ali mu utsiwu, monga `(Carbon Monoxide)` (Carbon Monoxide) ndi `(Cyanide)` (Cyanide), akhoza kukhala oopsa ngati atapumidwa kwambiri. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.
Kodi Kupuma Utsi Ndi Chiyani? Mwachidule...
Mwachidule, kupuma utsi ndi pamene timapuma utsi wambiri. Izi zimachitika nthawi zambiri m'malo omwe kuli moto. Utsi uwu uli ndi tinthu ting'onoting'ono tomwe sitingathe kuona ndi maso, komanso mpweya wambiri woopsa. Izi zimalowa m'mphuno ndi pakamwa pathu ndikuwononga njira yopumira.
Tangoganizirani, ngati moto wabuka m'nyumba, utsi umadzaza m'chipindamo. Kenako winawake ayenera kupuma utsi umenewo. Nthawi zina, ngakhale utsi wochokera ku moto wa m'nkhalango womwe uli kutali ungativulaze maso, mphuno, ndi pakhosi. Makamaka ngati muli ndi matenda a kupuma kwa nthawi yayitali monga `(COPD)` (Chronic Obstructive Pulmonary Disease) kapena `(Asthma)` (Asthma), ngakhale utsi pang'ono ukhoza kukhala wovuta kwa inu.
Ngati muli pamoto ndipo mukuganiza kuti mwapuma utsi, kapena ngati muli ndi zizindikiro za kupuma utsi, ndikofunikira kupita kuchipatala kapena kufunafuna chithandizo chadzidzidzi nthawi yomweyo.
Kodi chimachitika ndi chiyani mukapuma utsi? Dziwani zizindikiro izi!
Kupuma utsi kungayambitse zizindikiro zosiyanasiyana. Zina zingawoneke ngati zovuta zazing'ono, koma zina zingakhale zoopsa kwambiri. Onani ngati zizindikiro izi zikumveka zachilendo kwa inu:
- Kuvuta kupuma: Zikumveka ngati chifuwa chanu chikuchepa, ndipo n'kovuta kupuma.
- Mawu amakhala onyodola: Polankhula, mawu amasintha n’kukhala onyodola.
- Kupweteka pachifuwa kapena kukakamira: Mungamve ngati pachifuwa chanu chikupweteka mkati, kapena ngati china chake chikukankhira.
- Kupweteka pakhosi: Kumamveka ngati kukanda pakhosi, kumapweteka mukameza.
- Chifuwa: Mungakhale ndi chifuwa chosatha. Mungathenso kutsokomola ntchofu yakuda.
- Kupuma movutikira: Mukapuma, mumapanga phokoso lalikulu, logwedezeka kuchokera mkati mwa chifuwa chanu, lomwe limatchedwa "Kupuma movutikira." Nthawi zina, phokoso lalikulu limachokera pakhosi panu, monga "Stridor," lomwe ndi chizindikiro choopsa.
- Chizungulire, mutu: Mutha kukhala ndi mutu waukulu komanso mungamve chizungulire.
- Kusokonezeka: Mwina simungathe kumvetsa zomwe zikuchitika, ndipo mungasiye kuzindikira.
- Kukomoka: Mungataye mwadzidzidzi chidziwitso ndikugwa.
- Kugwidwa ndi khunyu: Anthu ena angakumane ndi matenda ofanana ndi khunyu.
Tangoganizani, nthawi zina tikayatsa zipolopolo za kokonati, utsi wochokera m'zipolopolozo umalowa m'thupi mwathu, koma maso athu amatentha ndipo mphuno yathu imamva ngati ikutseka pakhosi pathu, sichoncho? Munthu amene ali ndi mphumu akhoza kukhala ndi "Athma Attack". Choncho dziwani zizindikiro izi.
Kodi chimachitika ndi chiyani ngati mupuma utsi wambiri?
Pali njira zitatu zazikulu zomwe kupuma utsi wambiri kungawonongere matupi athu.
1. Kutentha kwa utsi: Utsi wochokera pamoto ndi wotentha kwambiri. Kutentha kumeneku kumatha kutentha njira yathu yopumira ya m'mwamba, kutanthauza mphuno, pakamwa, ndi pakhosi. Izi zingayambitse kutupa ndikupangitsa kuti zikhale zovuta kupuma.
2. Kuwonongeka kwa mankhwala: Mpweya woopsa, mankhwala osiyanasiyana, ndi tinthu ta utsi mu utsi zimatsikira m'mapapo ndi m'mapapo athu, ndikuwononga maselo omwe ali mmenemo. Kenako amatha kutupa ndi kutupa. Monga bala.
3. Kusowa kwa mpweya: Mankhwala oopsa monga `(Carbon Monoxide)` omwe ali mu utsi amalowa m'magazi mwathu. Kenako `(Oxygen)` yomwe ili m'magazi imasiya kunyamulidwa kupita ku ziwalo zina za thupi, makamaka ubongo ndi mtima. Popanda `(Oxygen)` ziwalo zathu sizingagwire ntchito. Ichi ndichifukwa chake izi ndizoopsa kwambiri. Poizoni `(Cyanide)` imayambitsanso vuto lomwe maselo sangathe kugwiritsa ntchito `(Oxygen)`.
Kodi izi zingayambitse mavuto otani oopsa?
Ngati kupuma utsi sikuthandizidwa bwino, kungayambitse mavuto aakulu komanso oopsa. Nazi zina mwa mavutowa:
- Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS): Uwu ndi mtundu wa kulephera kwadzidzidzi komanso koopsa kwa mapapo. Makamaka, matumba a mpweya m'mapapo amadzaza ndi madzi, zomwe zimalepheretsa mpweya kulowa, ndikupangitsa kuti kupuma kukhale kovuta.
- (Asphyxiation): Mwachidule, kusowa kwa `(Oxygen)` m'thupi kumatanthauza kupuma.
- (Chikomo): Kukhala wosadziwa kanthu kwa nthawi yayitali.
- (Nthenda ya Mtima): Matenda a mtima angachitike chifukwa cha kuchepa kwa magazi kupita kumtima.
- Methemoglobinemia: Iyi ndi matenda okhudzana ndi magazi. Pankhaniyi, hemoglobin m'magazi athu sangathe kumangirira bwino ``(Oxygen)'', zomwe zimalepheretsa kuti isafike m'maselo.
- Chibayo: Kutupa kwa mapapo, kutanthauza vuto lomwe silimachitika chifukwa cha kutupa kapena matenda.
- Kutupa kwa M'mapapo: Madzi amaunjikana m'matumba a mpweya m'mapapo, zomwe zimapangitsa kuti mpweya usamafike m'magazi.
- Stroke: Matenda ofanana ndi kufooka kwa ziwalo angachitike chifukwa cha kuchepa kwa magazi kupita ku ubongo.
N'zoopsa kumva zinthu izi, eti? Ndicho chifukwa chake akulangizidwa kuti mupeze chithandizo nthawi yomweyo ngati mukupuma utsi.
Ndani amene ali pachiwopsezo chachikulu?
Ndipotu, kupuma utsi sikwabwino kwa aliyense. Koma anthu ena amakhala ndi mavuto aakulu azaumoyo ngakhale atakhala ndi utsi wochepa. Izi ndi izi:
- Anthu omwe ali ndi matenda opuma monga mphumu.
- Anthu omwe ali ndi matenda a impso osatha (CKD).
- Anthu omwe ali ndi matenda a m'mapapo a nthawi yayitali monga COPD.
- Anthu omwe ali ndi matenda a shuga.
- Anthu omwe ali ndi matenda a mtima.
Komanso, amayi apakati ndi ana aang'ono ali pachiwopsezo chachikulu. Zotsatira zake pa amayi apakati zimathanso kukhudza mwana. Ana aang'ono nawonso amakhala pachiwopsezo chachikulu chifukwa njira zawo zopumira zikukulabe.
Kodi tiyenera kuchita chiyani kuti tichepetse chiopsezochi?
Kodi tingachepetse bwanji chiopsezo chopuma utsi uwu? Chabwino, tiyeni tiwone.
- Dziwani ubwino wa mpweya: Mutha kudziwa ngati pali utsi ndi fumbi lochuluka mumlengalenga m'dera lanu kuchokera ku malipoti a nyengo, kapena kuchokera ku `(Mawebusayiti)` ndi `(Mapulogalamu)` ena.
- Khalani m'nyumba masiku opuma mpweya woipa: Ngati muwona kuti mpweya uli ndi utsi wambiri, khalani m'nyumba momwe mungathere ndipo sungani mawindo ndi zitseko zotsekedwa. Ngati muli ndi ``Air Conditioner'' m'nyumba mwanu, igwiritseni ntchito. Izi "zidzasefa" mpweya wolowa m'nyumbamo pamlingo winawake.
- Gwiritsani ntchito `(HEPA filter)`: Kuti mpweya m'nyumba mwanu ukhale woyera, ndi bwino kugwiritsa ntchito `(Air purifier)` yomwe ili ndi `(HEPA - High-Efficiency Particulate Air)` (High
- Valani `(Mask)` yabwino (Mask): Ngati muyenera kupita kunja kukachita zinthu zofunika kwambiri, valani `(Mask yopumira mpweya)` (Mask yopumira mpweya) yomwe imakwanira bwino nkhope yanu, monga `(N95)`. Nsalu wamba `(Mask)` siyingatseke bwino tinthu tating'onoting'ono ta utsi.
Kodi madokotala amazindikira bwanji izi?
Mukapita kuchipatala, kaya mwagwidwa ndi moto kapena mwapuma utsi, madokotala adzakufunsani za zizindikiro zanu ndikukuyesani. Akhozanso kuchita mayeso ena, monga:
- Pulse Oximetry: Kachipangizo kakang'ono kooneka ngati chogwirira kamayikidwa pa chala chanu ndipo kamayesa kuchuluka kwa ``Oxygen'' m'magazi mwanu. Izi zingakuthandizeni kudziwa ngati muli ndi ``Oxygen'' yochepa.
- Kuyezetsa magazi: Kuyang'ana zinthu monga kuchuluka kwa carbon monoxide ndi kuchuluka kwa okosijeni m'magazi.
- Kujambula pachifuwa pa X-ray kapena CT scan: Kuti muwone ngati mapapo awonongeka.
- Mayeso a Ntchito ya M'mapapo: Onani momwe mapapu anu akugwirira ntchito.
- (Mpweya wa Magazi Otsekeka - ABG): Uku ndi kuyesanso kwa magazi. Magazi amatengedwa kuchokera m'mitsempha yomwe ili m'dzanja ndipo magazi amaona kuti `(Oxygen)`, `(Carbon Dioxide)` ndi acid-base balance zimayesedwa.
- (Kujambula kwa mafupa):Nthawi zina, chubu chopyapyala chokhala ndi kamera kakang'ono (bronchoscope) chimayikidwa kudzera mu mphuno kapena pakamwa kuti chiyang'ane mkati mwa njira zopumira. Izi zimathandiza kuwona mwachindunji zinthu monga kutupa, kutupa, ndi kutsekeka kwa njira zopumira.
Kodi chithandizo cha izi ndi chiyani?
Ngati mwakumana ndi vuto ladzidzidzi pafupi ndi moto kapena ngati mukupuma utsi wambiri, choyamba muyenera kupita ku mpweya wabwino mwachangu momwe mungathere. Kenako muyenera kufunsa upangiri wa dokotala nthawi yomweyo. Chithandizo chotsatirachi chingaperekedwe kuchipatala:
- Mpweya Wowonjezera: Mpweya umaperekedwa kudzera mu kannula ya m'mphuno kapena chigoba. Nthawi zina zoopsa, chithandizo chapadera chotchedwa Hyperbaric Oxygen Therapy chimagwiritsidwa ntchito. Pachifukwa ichi, wodwalayo amaikidwa m'chipinda chomwe chimapereka mpweya 100% pansi pa kuthamanga kwambiri. Izi zimathandiza kuti minofu ya thupi ilandire mpweya mwachangu, makamaka ngati pali poizoni wa carbon monoxide.
- Mankhwala ochepetsa mpweya m'mapapo: Awa ndi mankhwala omwe amakulitsa njira zopumira. Angaperekedwe ngati chopumira kapena kudzera mu nebulizer. Izi zimapangitsa kuti kupuma kukhale kosavuta.
- Mankhwala Ochepetsa Mafinya: Mankhwala omwe amathandiza kuchepetsa mafinya m'mapapo ndikupangitsa kuti zikhale zosavuta kutulutsa.
- Mankhwala Oletsa Kuundana kwa Magazi: Mankhwala omwe amaletsa magazi kuundana. Izi zingafunike nthawi zina pamene munthu akupuma utsi.
- (Hydroxocobalamin): Uwu ndi mtundu wa `(Vitamini B12)`. Umaperekedwa ngati mankhwala a poizoni wa `(Cyanide)`.
- (Methylene Blue): Mankhwala apadera omwe amaperekedwa pa matenda otchedwa ``Methemoglobinemia''.
- (Intubation)` ndi `(Mechanical Ventilation)`: Ngati vuto lanu ndi lalikulu kwambiri moti simungathe kupuma nokha, madokotala adzaika chubu mu windpipe yanu (`(Intubation)`) ndikuyamba kupuma ndi makina (`(Ventilator)`) (`(Mechanical Ventilation)`).
Ndiyenera kuchita chiyani ndikapuma utsi?
Ichi ndi chinthu chofunika kwambiri. Ngati muli pamoto, kapena ngati mukuganiza kuti mwapuma utsi wambiri, musaganize kawiri, musachedwe kaye, ndipo pitani kuchipatala mwamsanga. Ngakhale mutakhala bwino panthawiyo, kuwonongeka kwina kudzaonekera pambuyo pake. Chifukwa chake, ndi bwino kupita kwa dokotala ndikupeza mayeso ofunikira. Chithandizo choyambirira chingapulumutse moyo, musaiwale zimenezo.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Nthawi yomwe imatenga kuti muchiritsidwe izi imadalira kukula kwa kuwonongeka komwe mwakumana nako. Kuwonongeka pang'ono nthawi zambiri kumatha kuthetsedwa m'masiku ochepa. Komabe, ngati mapapu anu awonongeka kwambiri, zingatenge milungu, kapena miyezi, kuti muchiritsidwe kwathunthu. Madokotala adzakusungani kuchipatala mpaka mutabwerera kunyumba bwino ndikuchira. Mukachira, muyenera kumwa mankhwala anu monga momwe dokotala wanu wanenera. Muyenera kupumitsa mapapu anu. Muyenera kupewa malo osuta kwathunthu.
Pomaliza, zinthu zofunika kwambiri zomwe muyenera kukumbukira
Chabwino, kuchokera pa zomwe takambiranazi, mutha kukumbukira zinthu zingapo zofunika.
Kupuma utsi sikuyenera kuonedwa mopepuka. Musaganize kuti, 'O, ndi nkhani yaikulu kupita kwa dokotala, kungofuna kutsokomola pang'ono.' Chifukwa zotsatira zake nthawi zina zimatha kupha.
- Kupuma utsi wochokera pamoto ndi koopsa kwambiri. Kungawononge dongosolo lanu la kupuma komanso thupi lanu lonse.
- Musanyalanyaze zizindikiro monga kupuma movutikira, kukhosomola, kupweteka pachifuwa, kupweteka pakhosi, ndi chizungulire. Izi zitha kukhala zizindikiro zochenjeza.
- Ngati mukukayikira ngakhale pang'ono kuti mwakhala mukusuta fodya, funsani upangiri wa dokotala nthawi yomweyo. Chithandizo chachangu sichingopulumutsa moyo wanu wokha, komanso chingakutetezeni ku mavuto a nthawi yayitali.
- Samalani ndi mpweya wabwino. Ngati mutuluka panja masiku omwe muli utsi wambiri kapena fumbi, valani chigoba choteteza.
- Chitanipo kanthu kuti mupewe ngozi zamoto m'nyumba mwanu. Ikani zida zodziwira utsi.
Chitetezo chanu ndi chitetezo cha banja lanu ndicho chinthu chofunika kwambiri. Tikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!
Kupuma Utsi, Moto, Utsi, Matenda Opumira, Mapapo, Chithandizo Chadzidzidzi











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