Tose takambosangana nedambudziko rekuti chimwe chinhu chatinodya kana kunwa "chinofamba nenzira isiriyo" uye chinonamira pahuro. Kana izvozvo zvikaitika, tinofanira kukosora, misodzi ichiyerera mumaziso edu. Kazhinji, hazvinetsi kana chabuda. Asi funga nezvazvo, chii chinoitika kana chimwe chinhu chinonamira pahuro pedu, chingave chikafu, mvura shoma, kana donhwe remate, chikasaenda mudumbu medu, asi chichienda kumapapu edu kuburikidza nemhepo? Ndizvo zvinoita kuti chimwe chinhu chisingafanirwe kupinda mumapapu chipinde mumapapu uye chikonzere hutachiona hwebhakitiriya, hwatinodaidza kuti `(Aspiration Pneumonia)`.
Zvichitaurwa zviri nyore, chii chinonzi Aspiration Pneumonia?
Chibayo chemapapu chinokonzerwa nemabhakitiriya. Chinoitika kana chimwe chinhu chisiri mweya watinofema - chakadai sechikafu, chinwiwa, mate, acid yemudumbu, kurutsa, kana chinhu chidiki-diki chinopinda mumhepo yedu.
Fungidzira kuti pane nzira mbiri dziri pahuro pedu. Imwe i "esophagus" inotakura chikafu nechinwiwa kuenda mudumbu. Imwe i "windpipe" inotakura mweya watinofema mumapapu. Kazhinji, patinomedza chimwe chinhu, windpipe iyi inovhara nekaburi kadiki. Saka chikafu nechinwiwa zvinoenda zvakananga mudumbu. Asi dzimwe nguva, kana maitiro aya asingashande nemazvo, chinhu "chakaipa" chinoitika.
Chinhu chinotyisa ndechekuti, vamwe vanhu havatombozivi kuti pane chiri kupinda mumapapu avo seizvi. Tinozvidaidza kuti "chinyararire." Izvi zvinoreva kuti zvinoitika pasina kukosora kana kudzipwa. Zvadaro zvinotora mazuva, pamwe mavhiki, zviratidzo zvepneumonia zvisati zvaonekwa.
Ndezvipi zviratidzo zvechirwere ichi?
Pneumonia yekufema inogona kusakonzera zviratidzo ipapo ipapo, asi unogona kuona zviratidzo izvi mukati memazuva mashoma.
| Chiratidzo | Tsananguro |
|---|---|
| Kupindwa nechando | Chiratidzo chekutanga chehutachiona mumuviri. Chinogonawo kuperekedzwa nekurwadziwa kwetsandanyama. |
| Kutadza kufema zvakanaka (Dyspnea) | Kufema kunoita sekunge kwakaoma uye kunodzipa mweya. Panogona kunge paine ruzha rwekuti "whooshing" runobva muchipfuva paunenge uchifema. |
| Kukosora | Kukosora kunounza manyoka. Dzimwe nguva manyoka aya anogona kusviba neropa kana manyoka . Manyoka anogona kuva egirini, eyero, kana shava. |
| Kurwadziwa kwechipfuva | Unogona kunzwa kurwadziwa kwakanyanya muchipfuva chako kana uchifema mweya wakadzika kana kukosora. |
| Mweya unonhuwa | Kufema kwakashata kunogona kukonzerwa nekukura kwemabhakitiriya mumapapu. |
| Kuneta zvakanyanya | Unganzwa kuneta zvakanyanya uye hope muviri wako uchirwisa hutachiona. |
Sei izvi zvichiitika? Ndiani ari panjodzi huru?
Zvichitaurwa zviri nyore, chirwere ichi chinogona kukonzerwa nechero chinhu chisiri mumapapu. Nekuti mabhakitiriya anogona kupinda mumapapu nezvinhu izvozvo. Vamwe vanhu vanowanzobatwa neizvi.
| Chikamu chenjodzi | Sei vari panjodzi huru? |
|---|---|
| Vanhu vane dambudziko rekumedza (Dysphagia) | Vanhu vane zvirwere zvetsinga zvakaita sestroke, kukuvara kweuropi, uye chirwere cheParkinson vane dambudziko rekumedza, izvo zvinogona kukonzera kuti chikafu nechinwiwa zvipinde mumhepo. |
| Vanhu vakwegura (vanopfuura makore makumi matanhatu nemashanu) | Sezvatinokura, tsandanyama dzinoshandiswa pakumedza nekukosora dzinopera simba. Masoja emuviri anoramba achipera simba, zvichiita kuti tive nyore kubatwa nezvirwere. |
| Avo vakambovhiyiwa mazino kana kuti vakambobatwa nechirwere chekushaya simba | Kana uri pasi peanesthesia, dziviriro yehuro yako haishande, zvichiita kuti mate kana acid yemudumbu ipinde mumapapu ako. |
| Vanhu vanoshandisa doro kana zvinodhaka | Izvi zvinoderedza kuziva uye zvinokanganisa kugadzika kwemuviri pakumedza nekukosora. |
| Vana vadiki (vari pasi pemakore mashanu) | Njodzi iyi yakanyanya kukwira kuvana vanoisa matoyi madiki mumuromo mavo votamba vachidya. |
| Vanhu vane dziviriro shoma yemuviri | Kune vanhu vane zvirwere kana vanotora mishonga inopedza simba rekudzivirira muviri, kunyangwe huwandu hushoma hwebhakitiriya hunopinda mumapapu hunogona kukonzera hutachiona hwakakomba. |
Unoona sei izvi, Chiremba?
Kana uine zviratidzo zvepneumonia, chiremba wako achatanga nekukubvunza nezvezviratidzo zvako, chero zvimwe zvirwere zvaunazvo, kunyanya kunetseka kumedza. Zvadaro vachateerera chipfuva chako ne stethoscope kuti vaone kana paine ruzha rusina kujairika mumapapu ako. Miedzo iyi inogona kuitwa kuti isimbise chirwere chacho.
- X-ray yechipfuva: Izvi zvinogona kuratidza pachena nzvimbo dzine hutachiona mumapapu.
- CT Scan: Inogona kuburitsa mifananidzo yakajeka uye ine ruzivo rwakadzama kupfuura X-rays.
- Kuongororwa kweropa: Izvi zvinogona kusimbisa kana paine hutachiona mumuviri.
- Kuongororwa kwemapute: Muenzaniso wepute kubva mumapapu ako unogona kutorwa kuti uone kuti rudzii rwebhakitiriya rurimo.
- Bronchoscopy: Muizvi, chubhu tete ine kamera yakabatanidzwa inopfuudzwa nepamusana petrachea ichipinda mumapapu kuti ione zviri mukati.
- Zvidzidzo zvekumedza: Bvunzo inoitwa nenyanzvi yekutaura kuti ione kana paine dambudziko nekumedza.
Inorapwa sei? Zvinotora nguva yakareba sei kuti ipore?
Sezvo chirwere ichi chiri hutachiona hwebhakitiriya, mushonga mukuru mishonga inorwisa mabhakitiriya . Zvakakosha zvikuru kutora mishonga inorwisa mabhakitiriya yakanyorerwa nachiremba wako kwenguva yese.
Zvichienderana nekuoma kwechirwere, ungangoda kugara muchipatara kuti urapwe.
- Kana paine dambudziko rekufema , kurapwa neokisijeni kunogona kudiwa.
- Kana dambudziko racho rakanyanya kuipa, unogona kubatanidzwa nemuchina wekufema (mechanical ventilation) kuti ubatsire kufema.
Uye zvakare, zvakakosha kurapa chikonzero chikuru chechirwere ichi.
- Kurapa kwekutaura kwematambudziko ekumedza.
- Kudyisa vanhu nechubhu zvinoreva kupa chikafu kune avo vasingagoni kumedza kuburikidza nechubhu .
- Mune zvimwe zviitiko, mishonga yakaita seACE inhibitors inoshandiswawo.
Uchatanga kunzwa zviri nani mushure mevhiki imwe chete watanga mushonga wemishonga inorwisa mabhakitiriya. Zvisinei, zvinogona kutora mwedzi mumwe chete kuti kuneta kunokonzerwa nehutachiona kupere uye kuti unyatsopora.
Chii chekuita kana paine emergency?
Ichi chinhu chaunofanira kurangarira. Haufanire kutya zvinhu zvese, asi zvakakosha kuziva nguva yekuona chiremba uye nguva yekuenda kuchipatara.
Nguva yekuona chiremba wako
Kana uchigara uchinzwa sekuti chikafu kana chinwiwa zvakanamira pahuro pako, kana kuti zvichikuomera kumedza, usazviregeredza. Taura nachiremba wemhuri yako nezvenyaya iyi. Anogona kukutumira kuna chiremba kana zvichidikanwa.
Mamiriro ezvinhu apo unofanira kuenda kuchipatara nekukasika
Kana uine zviratidzo zvakaita sekurwadziwa pachipfuva, fivha yakanyanya, uye kuoma kufema zviri pachena , idambudziko re emergency. Pneumonia chirwere chinogona kukura nekukurumidza. Saka enda kuchipatara nekukurumidza.
Mamiriro ezvinhu aya anogona kudzivirirwa here?
Ehe, pane zvinhu zvakati wandei zvatingaita kuderedza njodzi ye aspiration pneumonia. Zvakakosha kuziva izvi, kunyanya kana uri weboka rine vanhu vane njodzi.
- Kudzora zvirwere zviri pasi:Kana uine zvirwere zvakaita sekuoma kumedza kana chirwere chegastroesophageal reflux (GERD), taura nachiremba wako kuti uwane kurapwa kwakakodzera.
- Kugara zvakanaka pakudya: Gara wakatwasuka paunenge uchidya uye uchinwa. Usarara pasi kwemaminitsi makumi matatu mushure mekudya.
- Idya zvishoma nezvishoma uye zvakakwana: Tsanga chikafu chako zvakanaka, idya zvishoma nezvishoma nemuromo mudiki. Deredza kutaura uye kunyemwerera paunenge uchidya.
- Deredza doro: Dzivisa kunwa doro zvakanyanya.
- Dzivisa kusvuta: Kusvuta nefodya zvinokanganisa mashandiro ekudzivirira mapapu.
- Hutano hwemuromo: Shamba mazino ako zvakanaka uye gara uchiongororwa muromo wako nachiremba wemazino. Kana mabhakitiriya ari mashoma mumuromo mako, mikana yekuti apinde mumapapu ako ishoma uye inokonzera hutachiona.
Ruzivo rushoma: Musiyano uripo pakati pe'Pneumonia' ne'Pneumonitis'
Dzimwe nguva mazwi maviri aya anovhiringika. `Aspiration Pneumonia` chirwere chebhakitiriya chinokonzerwa nechimwe chinhu chapinda mumapapu. `Aspiration Pneumonitis` kungori kuzvimba kwenyama yemapapu kunokonzerwa nechimwe chinhu chakaita seacid yemudumbu chinopinda mumapapu, pasina hutachiona. Kunyange zvazvo zviratidzo zvezvose zvakafanana, marapirwo acho anogona kunge akasiyana.
Mharidzo Yekuenda Nayo Kumba
- Kunyangwe zvakajairika kuti chikafu nechinwiwa "zviende nenzira isiriyo," dzimwe nguva zvinogona kutungamira kuhutachiona hwakakomba hwemapapu senge 'Aspiration Pneumonia'.
- Fivha, kukosora nemadzihwa, kufema zvakaoma, uye kurwadziwa pachipfuva ndizvo zviratidzo zvikuru.
- Kana uchiramba uchinetseka nekumedza, iva nechokwadi chekutaura nachiremba wako nezvazvo. Usazviregeredza.
- Kana ukaona zviratidzo zvakakomba zvakaita sekurwadziwa pachipfuva, fivha yakanyanya, uye kuoma kufema, enda kuchipatara nekukurumidza.
- Kugara wakatwasuka, kudya zvishoma nezvishoma, kuchengetedza hutsanana hwemuromo, uye kuwana kurapwa kwakakodzera kwezvirwere zviri pasi pako zvinogona kubatsira kudzivirira chirwere ichi.
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