Wakambonzwa here nezvemumwe munhu ari muchikamu chevarwere vane chirwere chepfungwa (ICU) ari kunetseka kufema uye akabatanidzwa muchina wekufema? Pamwe zvakamboitika kune mumwe wako. Chikonzero chikuru cheizvi kazhinji chirwere chakakomba chatichataura nezvacho chinonzi ARDS. Zita racho ringanzwika serinotyisa zvishoma, asi usazvidya mwoyo. Tichatsanangura nenzira iri nyore yaunogona kunzwisisa.
Chii chaizvo chinonzi ARDS?
Zvichitaurwa zviri nyore, ARDS kukuvadzwa kwakanyanya kwemapapu ako. Funga nezvemapapu ako sezvidimbu zviviri zvechipanji. Kazhinji, patinofema, masipanji aya anozadzwa nemhepo. Asi muARDS, tusagi twemhepo tudiki turi mukati memapapu aya (tunonzi alveoli) tunotanga kuzara nemvura.
Fungidzira, kana chipanji chikanwa mvura, hapana nzvimbo yekuti mweya upinde mairi. Izvi zvinoitikawo kumapapu. Kana mvura yazara panzvimbo pemhepo, mapapu haakwanise kuzadza nemhepo zvakanaka. Nekuda kweizvozvo, ropa hariwani huwandu hunodiwa hweokisijeni. Mukurapa, tinodana chirwere ichi kuti `(hypoxia)` . Izvi zvine njodzi huru.
Nekuti okisijeni inokosha kuti dzimwe nhengo dzese dziri mumuviri wedu, dzakadai seuropi, moyo, neitsvo, dzishande. Kana okisijeni ikashaikwa, nhengo idzodzo dzinotanga kushanda zvisina kunaka imwe neimwe.
Vanachiremba vanowanzo patsanura ARDS muzvikamu zvitatu - zvishoma, zvine mwero, uye zvakanyanya. Izvi zvinoonekwa nekuenzanisa huwandu hweokisijeni muropa rako nehuwandu hweokisijeni hwaunoda kupa kunze kuti udzorere huwandu ihwohwo padanho rakakodzera.
ARDS inowanzoitika kana mumwe munhu apinda muchipatara nekuda kwechimwe chirwere, kurwara, kana tsaona yakakura. Zvisinei, kana ukava nezviratidzo izvi kunyangwe usina kuchipatara, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.
Ndezvipi zviratidzo zvikuru zvechirwere ichi?
Zviratidzo zveARDS zvinogona kusiyana zvichienderana nechikonzero, kuoma kwechirwere ichi, uye chero chirwere chemwoyo kana mapapu chauinacho. Zvisinei, kune zvimwe zviratidzo zvakajairika.
| Chiratidzo | Tsananguro |
|---|---|
| Kuomerwa zvakanyanya kufema | Zvinonzwa zvakaoma kufema, sekunge uri kudzipwa. |
| Kufema nekukurumidza uye kwakaoma | Huwandu hwekufema hunowedzera. Zvinoda kushanda nesimba kuti ufeme kwega kwega. |
| Kurova kwemoyo | Moyo wangu unonzwa sekunge uri kurova nekukurumidza. |
| Miromo yebhuruu nenzara | Kana mwero weokisijeni muropa waderera zvine njodzi, miromo nenzara zvinotanga kuita bhuruu. Izvi zvinokonzeresa emergency. |
ARDS inowanzo buda mukati memaawa kana mazuva kubva pakaitika chiitiko ichi, uye chirwere ichi chinogona kukura nekukurumidza.
Ndezvipi zvinokonzera ARDS?
ARDS haisi chirwere chinongoerekana chaitika chega. Chinoitika nekuda kwechimwe chirwere kana tsaona. Ngatitarisei zvimwe zvezvikonzero zvikuru pazasi.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Sepsis | Ichi ndicho chikonzero chikuru cheARDS. Zvichitaurwa zviri nyore, hutachiona hwakanyanya (semuenzaniso pneumonia ) mumuviri hunova husingadzoreki uye hunopararira mumuviri wese. |
| Kufemera chikafu/mvura mumapapu | Kana chikafu kana chinwiwa kana zviri mudumbu zvikafamba netsaona nemu trachea zvichienda mumapapu, zvinogona kukonzera kukuvara kwakanyanya kwemapapu uye kutungamira kuARDS. |
| Kupa ropa rakawanda | Kana muviri ukapihwa ropa rinodarika mayuniti gumi nemashanu munguva pfupi, pane njodzi yekubatwa neARDS. |
| Utachiona hunokonzera covid19 | Varwere vane hutachiona hwakakomba hweCOVID-19 vanogona kubatwa neARDS. |
| Chipembenene | Nekuda kwekuzvimba kwakanyanya kana kutapukirwa nepancreas. |
| Njodzi dzakakomba kana kupiswa | Kukuvadzwa kwemapapu kana dzimwe nhengo dzemuviri nekuda kwetsaona huru kana kutsva. |
| Kufema utsi hune chepfu | Kukuvadzwa kwemapapu nekuda kwekufema utsi hwemakemikari ane chepfu kana utsi hwakawandisa. |
| Kudhakwa Kwemishonga | Kushandisa zvinodhaka zvakanyanya zvakaita secocaine neheroin. |
| Kunyura mumvura | Kana mvura ichipinda mumapapu inogona kukonzera kukuvara kukuru. |
Ndiani ari panjodzi yakakura?
Vanhu vakatove muchipatara nekuda kwechirwere kana tsaona ndivo vari panjodzi huru yekubatwa neARDS. Zvisinei, havasi vese vari muchipatara vanobatwa nayo. Kune zvimwe zvinhu zvakawanda zvinowedzera njodzi iyi:
- Kuva nemakore anopfuura makumi matanhatu nemashanu ekuberekwa.
- Kusvuta fodya (kusvuta).
- Kupindwa muropa nezvinodhaka kana doro.
- Kuva nechirwere chemapapu chagara chiripo.
Mamwe matambudziko anogona kuitika nekuda kweARDS
ARDS haingokanganisi mapapu chete, inogona kukonzera matambudziko akasiyana-siyana paunenge uri muchipatara uye mushure mekudzokera kumba.
- Kugwamba kweropa: Kugwamba kweropa kunogona kuumbwa mukati metsinga, kunyanya mumakumbo. Tinodaidza izvi kuti ``deep vein thrombosis - DVT``.
- Kudonha kwemapapu: Mapapu akakuvara anogona kuputika (pneumothorax) nekuda kwekumanikidzwa kunoitwa nemuchina wekufema.
- Kupenga: Kupenga.
- Kukundikana kwenhengo dzakawanda: Kukundikana panguva imwe chete kwenhengo dzakadai seuropi, moyo, neitsvo.
- Kushaya simba kwetsandanyama: Tsandanyama dzinoshaya simba nekuda kwekunge dziri pamubhedha kwemazuva akawanda.
- Mavanga mumapapu: Mavanga anogona kuumbwa mapapu paanopora (lung fibrosis).
- Matambudziko epfungwa: Mushure mekusangana nedambudziko rakaipisisa kudaro, mamiriro ezvinhu akadai sepost-traumatic stress disorder (PTSD), kuzvidya mwoyo, uye kuora mwoyo zvinogona kuitika.
Vanachiremba vanoziva sei izvi?
Nekuti zviratidzo zveARDS zvakafanana nezvimwe zvirwere zvemwoyo kana zvemapapu, vanachiremba vanoita bvunzo dzinoverengeka kuti vaone kana iri ARDS.
- X-ray yechipfuva: Kuona kuti mvura yakawanda sei iri mumapapu.
- Kuongororwa kweropa: Yera mwero weokisijeni muropa uye ona kuoma kweARDS.
- Echocardiogram: Kuongororwa kwe ultrasound kuti uone mashandiro emoyo.
- ECG (Electrocardiogram): Ona mashandiro emagetsi emwoyo.
- Pulse Oximetry: Kuramba uchitarisa huwandu hweokisijeni uchishandisa mudziyo mudiki wakabatanidzwa pamunwe.
- Kuongororwa kweCT: Wana rumwe ruzivo rwakadzama nezvemapapu.
- Kuongororwa kwezvinobuda mukufema: Tsvaga chikonzero chehutachiona.
Inorapwa sei?
Chinangwa chikuru chekurapa kweARDS ndechekuwedzera huwandu hweokisijeni muropa uye kudzivirira dzimwe nhengo dzemuviri kuti dzisashande zvakanaka. Kuti vaite izvi, varwere vanofanira kushandisa michina yekufema uye oxygen therapy .
Kurapwa uku kwose kunoitirwa mukamuri rekutarisirwa zvakanyanya (ICU), pasi pekutarisirwa nguva dzose kwevanachiremba vane hunyanzvi nevashandi vekuchengeta varwere.
Pamusoro pezvo, vanachiremba vanoita zvimwe zvinhu zvakawanda kuti vaderedze matambudziko.
- Mishonga yekunyaradza inopihwa kudzora marwadzo nekusagadzikana.
- Murwere anoshandurwa kuita chinzvimbo chakarerekera pane kumira akatwasuka. Izvi zvinoita kuti okisijeni ifambe zviri nyore ichienda kumapapu.
- Mishonga inodzikisa ropa inopihwa kudzivirira kuumbwa kweropa.
- Mishonga inobvisa mvura mumuviri nemumapapu inopihwa kuti ibvise mvura yakawandisa mumuviri.
- Rapa kana kudzivirira hutachiona kana huripoMishonga inorwisa mabhakitiriya inopiwa.
- Kurapa kwemuviri kunoshandiswa kudzivirira kushaya simba kwetsandanyama.
Zvinotora nguva yakareba sei kuti murwere apore uye kuti ave netariro?
Nguva inotorwa inoenderana nekuoma kwechirwere uye kukurumidza kupora kwemapapu. Kazhinji, zvinogona kutora mwedzi mitanhatu kusvika pagore kuti munhu adzoke pabasa rake remazuva ese mushure meARDS. Zvisinei, vamwe vanhu havapore zvizere.
Mwero wekurarama kweARDS wawedzera zvakanyanya. Kana ukarapwa nekukurumidza, pakati pe55% ne70% unorarama. Zvisinei, mwero uyu unoderera kana kurapwa kukanonoka kana kuti dzimwe nhengo dzemuviri dzikatanga kutadza kushanda.
Kupora rwendo rurefu. Vanhu vazhinji vanokwanisa kufema vega mushure mekubviswa muchina wekufema. Vamwe vanopora zvachose. Vamwe vanogona kunge vaine matambudziko emapapu kwenguva refu. Vachafanira kuramba vachitariswa nachiremba wemapapu.
Yeukai kuti kupedza nguva muchikamu chevarwere vanorwara zvakanyanya inguva yakaoma zvikuru kumurwere nemhuri. Rutsigiro rwemhuri yako neshamwari ruchave rwakakosha zvikuru kwauri parwendo rwako rwekupora.
Mharidzo Yekuenda Nayo Kumba
- ARDS chirwere chakakomba, chinotyisidzira hupenyu chinokonzerwa nemvura inozadza mapapu.
- Ichi hachisi chirwere chinongoerekana chaitika chega; chinowanzo konzerwa nechimwe chirwere, chakadai se sepsis, pneumonia, kana tsaona dzakakomba.
- Zviratidzo zvikuru kufema zvisina kunaka, kufema nekukurumidza, uye oxygen shoma muropa.
- Kurapwa kunoitwa muIntensive Care Unit (ICU) nerubatsiro rwemafekitori neokisijeni.
- Kupora kunogona kutora mwedzi kana gore, uye rwendo rurefu uye rune mwoyo murefu.
- Kana iwe kana mumwe munhu waunoziva ari kusangana nematambudziko makuru ekufema, zvakakosha kuenda kuEmergency Treatment Unit (ETU) yechipatara nekukasika.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga