Wakamboenda kuchipatara chevarwere vane chirwere chepfungwa ( ICU ) here? Kana kuti pamwe wakambozviona mufirimu, apo varwere vanorwara zvakanyanya vanosungirirwa pamuchina wekubatsira kufema. Vanhu vazhinji vanotya pavanoona muchina uyu, asi chaizvoizvo mudziyo wekurapa unokosha zvikuru unogona kuponesa hupenyu hwakawanda. Tinoudaidza kuti mudziyo wekufema. Saka, nhasi tichataura nezvezvinoitika nemudziyo uyu wekufema uye kuti nei uchidikanwa.
Chii chinonzi mudziyo wekufema, zviri nyore?
Muchidimbu, muchina wekufema (ventilator) muchina unokubatsira kufema kana uchinetseka kufema wega. Unonziwo muchina wekufema wemagetsi .
Funga nezvemapapu edu semabharumu maviri madiki. Patinofema, mabharumu aya anozadzwa neokisijeni , uye patinofema, anogumira necarbon dioxide , iyo isingadiwi nemuviri. Mune mamwe mamiriro ehutano akakomba, tsaona, kana patinenge tiri pasi peanesthesia yekuvhiyiwa kukuru, muviri wedu hauchakwanisi kuita maitiro aya ekufema zvakanaka wega. Ndipo panouya muchina wekufema unotibatsira.
Izvi zvinonyanya kuita zvinhu zviviri:
1. Mhepo ine okisijeni yakawanda inopombwa mumapapu ako.
2. Inobatsira kuburitsa mweya wecarbon dioxide, unokuvadza muviri, mumapapu.
Vanhu vazhinji vanovhiringidza mudziyo wekufema nekuisa mweya mukati mechubhu. Asi izvi zvinhu zviviri zvakasiyana. Kuisa mweya mukati mechubhu inzira inoshandiswa nachiremba kuisa chubhu muchubhu yako yekufema. Muchina wekufema ndiwo muchina wakabatana nechubhu iyoyo uye unokubatsira kufema.
Kune mhando dzakasiyana dzemaventilator here?
Ehe, kune mhando dzakasiyana-siyana dzemafekitori anoshandiswa zvichienderana nemamiriro emurwere. Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira.
| Sisitimu/mhando yemufefeteri | Tsananguro iri nyore |
|---|---|
| Kufema Kusingapindiki | Izvi hazvisanganisiri kuisa chubhu mumuviri. Pane kudaro, chifukidzo chechiso chinopfekwa chakatenderedza musoro netambo, uye chinofefetera chinobatanidzwa nacho. Michina yeCPAP neBiPAP, iyo inoshandiswa kurapa sleep apnea, mienzaniso yakanaka yeizvi. |
| Kufema Kunopinda Mukati | Muizvi, chubhu inopinzwa mumhepo. Chubhu iyi inopinzwa nemuromo (intube) kana kuburikidza nekucheka kudiki mumutsipa (tracheostomy) uye inobatanidzwa nemuchina wekufema. |
| Bhegi reKudzorera Simba reMaoko | Izvi zvinonziwo 'Ambu bag'. Inogona kupombwa nemaoko kuti murwere ape mweya. Inoshandiswa kana paine dambudziko kana pasina muchina wekufema kana kuti muchina wacho ukatadza kushanda. |
Mumamiriro ezvinhu api panodiwa mudziyo wekufema?
Pane zvikonzero zvakawanda zvinoita kuti munhu ade muchina wekufema, wenguva pfupi kana wenguva refu.
- Kuvhiyiwa : Pakuvhiyiwa kukuru, mushonga weanesthesia unopiwa unogona kuita kuti kufema kwedu kushaye simba. Saka, mudziyo wekufema unobatsira kusvika tamuka kubva pakuvhiyiwa.
- Kutadza Kufema: Iri izita rinopiwa chirwere chausingakwanise kufema wega. Izvi zvinogona kuitika kamwe kamwe, kana kuti zvinogona kukura zvishoma nezvishoma nekuda kwechirwere chisingaperi.
- Utachiona hwakaita seCOVID-19: Sezvamungayeuka, panguva yedenda reCOVID-19, varwere vane mapapu akakuvadzwa zvakanyanya nehutachiona , vakazadzwa nemvura, uye vaisakwanisa kufema vega vaida rutsigiro rwekufema.
- Zvimwe zvirwere:
- Kukuvara kwehuropi kana sitiroko
- Mabayo akanyanya
- Zvirwere zvemapapu zvinogara kwenguva refu zvakaita seCOPD ( Chronic Obstructive Pulmonary Disease )
- ARDS (Acute Respiratory Distress Syndrome) - chirwere chekuti mapapu anozadzwa nemvura
- Kurwara kwakanyanya (Anaphylaxis)
- Zvirwere zvinokanganisa tsinga netsandanyama (semuenzaniso Guillain-Barré syndrome)
- Nyika yeComa
Chii chinoitika kana wakabatana nemuchina wekufema?
Kutaura chokwadi, hazvisi zvekunyaradza zvakanyanya. Unganzwa kusagadzikana kana uine chubhu mumuromo mako. Asi hauzonzwi kurwadziwa. Izvi zvinodaro nekuti vanachiremba vanokupa mishonga yekunyaradza kuti ugare wakasununguka uye wakasununguka. Dzimwe nguva, kunyangwe wakamuka, ungasaziva zvizere. Kana mamiriro acho akaoma, vanachiremba vanogona kusarudza kukukotsira zvakakwana kuti muviri wako upore nekukurumidza.
Vashandi vezvehutano vachagara vachitarisa mamiriro ako ezvinhu. Vacharamba vachiyera zvinhu zvakaita seBP yako, kurova kwemoyo , uye mwero weokisijeni. Nyanzvi yekufema ichashandisawo chubhu yekukweva mvura kubvisa madzihwa mumapapu ako.
Kana uine chubhu mumuromo mako, hauzokwanisi kutaura kana kudya kana kunwa. Uchapihwa chikafu chakakosha kuburikidza ne IV (saline) kana imwe chubhu yakaiswa mudumbu mako.
Kana mumwe munhu waunoziva ari pamuchina wekufema...
Iyi inguva yakaoma kumurwere nemhuri. Kana mudiwa wako ari mumamiriro ezvinhu akadai, hezvino zvimwe zvaunogona kuita kuti ubatsire:
- Ramba uine tariro: Simba rako isimba guru kwaari.
- Taura kakawanda: Anogona kukunzwa. Inzwi rako richamunyaradza.
- Bata maoko: Achanzwa kubatwa kwako.
- Batsirai pakutaurirana: Kana akamuka, mubatsirei kutaurirana nezviratidzo, kunyora, uye kunongedzera.
- Uya nechimwe chinhu chaanoziva kubva kumba: chimwe chinhu chaakashandisa, senge piro kana jasi, kuti anzwe akasununguka.
Ndezvipi zvinetso zvinogona kuitika pamuchina wekufema?
Kunyangwe mudziyo wekufema uri mudziyo unoponesa hupenyu, unogona zvakare kukonzera mamwe matambudziko. Vanachiremba nevashandi vekuchengeta varwere vanogara vachiziva nezvenjodzi idzi uye vanotora matanho anodiwa ekudzivirira.
| Dambudziko | Chii chingaitika? |
|---|---|
| Utachiona | Utachiona hunogona kupinda mumapapu kuburikidza nechubhu yekufema uye hunokonzera pneumonia. Izvi zvinonzi ventilator-associated pneumonia (VAP) . |
| Kukuvara Kwemapapu | Kana kumanikidzwa kana huwandu hweokisijeni hunobva mumhepo inopinda mumuviri hukawedzera, zvinogona kukuvadza mapapu asina simba. Izvi zvinogona kukonzera kudonha kwemapapu (pneumothorax) kana kuungana kwemvura mumapapu (pulmonary edema). |
| Dzimwe njodzi | Kuva panzvimbo imwe chete kwenguva yakareba kunogona kukonzera maronda pamubhedha uye kuvharika kweropa . Zvakare, mushure mekudzokerwa mupfungwa, unogona kunzwa kuvhiringidzika zvishoma (delirium) uye kusakwanisa kuyeuka zvakanaka. Panogonawo kuchinja inzwi rako mushure mekunge chubhu yabviswa. |
Unozvibvisa sei kubva muchina wekufema?
Izvi hazvisi zvinhu zvinoitika panguva imwe chete. Kana vanachiremba vava nechokwadi chekuti unogona kufema zvakanaka uri wega, vanozoderedza zvishoma nezvishoma rutsigiro rwemuchina wekufema uye pakupedzisira vanobvisa chubhu. Tinodana maitiro aya kuti 'kurumura' .
Zvakajairika kutanga kunzwa pahuro panorwadza uye inzwi rakashoshoma mushure mekunge chubhu yabviswa. Vamwe vanhu vanogonawo kunzwa kuvhiringidzika uye kushaya simba mumuviri. Zvese izvi zvichavandudzika zvishoma nezvishoma nekufamba kwenguva.
Yeukai, nguva yekupora inosiyana kubva pamunhu nemunhu. Zvinowanzotaurwa kuti pazuva rega rega uchishandisa muchina wekufema, zvinotora kanenge vhiki kuti munhu apore zvizere. Saka zvakakosha kuti uve nemoyo murefu.
Mharidzo Yekuenda Nayo Kumba
- Muchina wekufema hausi wekutya, muchina wekurapa unokosha unobatsira kuponesa hupenyu.
- Inoshandiswa kubatsira mapapu kana murwere asingakwanise kufema ega.
- Kunyangwe usingakwanise kutaura kana kudya uine chubhu mumuromo mako, kazhinji haunzwi kurwadziwa.
- Kunyange zvazvo mamwe matambudziko angangoitika, chiremba wako nechikwata chekurapa vanogara vakangwarira nezvazvo.
- Zvinotora nguva kuti munhu apore zvizere mushure mekubviswa muchina wekufema. Izvi zvakajairika, saka iva nemoyo murefu uye ramba uchirapwa.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga