Wakamboshanyira Intensive Care Unit (ICU) here? Pamwe wakamboiona mufirimu—murwere ari mumamiriro ezvinhu akaoma akabatana nemuchina unovabatsira kufema. Kunyange zvazvo michina iyi ichigona kutaridzika seyakaipa, imidziyo yekurapa inoponesa hupenyu. Tinoidaidza kuti mudziyo uyu imhepo inofema. Ngationgororei zvinoitwa nemhepo inofema uye kuti nei dzimwe nguva ichidikanwa.
Chii chinonzi Ventilator, Zviri Nyore?
Muchidimbu, muchina wekufema (ventilator) muchina unokubatsira kufema kana muviri wako usingakwanise kuzviita wega. Unozivikanwawo semuchina wekufema .
Funga nezvemapapu ako semabharumu maviri akapfava. Paunofema, mabharumu aya anozadzwa neokisijeni uye anokura; paunofema, anobuda mweya, achiburitsa carbon dioxide , iyo muviri wako usingachadi. Munguva yekurwara kwakanyanya, tsaona, kana kuvhiyiwa kukuru kunoda anesthesia , muviri wako unogona kunetseka kuchengetedza maitiro aya. Apa ndipo panopinda muchina wekufema kuti ubatsire.
Inoita mabasa maviri makuru:
1. Inopomba mweya wakapfuma mumapapu ako.
2. Inobatsira mukubvisa tsvina yecarbon dioxide kubva mumapapu ako.
Vanhu vazhinji vanovhiringidza mudziyo wekufema nekuisa mweya mukati mechubhu , asi zvinhu zviviri zvakasiyana. Kuisa mweya mukati mechubhu inzira iyo chiremba anoisa chubhu mumhepo yako. Muchina wekufema ndiwo muchina chaiwo wakabatana nechubhu iyoyo kuti ubatsire kufema.
Kune mhando dzakasiyana dzemaventilator here?
Ehe, kune mhando dzakasiyana dzekufema zvichienderana nemamiriro emurwere. Chikwata chenyu chekurapa ndicho chichasarudza kuti ndeipi nzira yakakodzera zvaunoda.
| Rudzi rweKufefetera | Tsananguro Iri Nyore |
|---|---|
| Kufema Kusingapindiki | Hapana chubhu inopinzwa mumhepo. Pane kudaro, chifukidzo chinopfekwa pamusoro pemhino nemuromo, izvo zvakabatana nemuchina wekufema. Michina yeCPAP neBiPAP inoshandiswa pakurapa sleep apnea mienzaniso yakajairika. |
| Kufema Kunopinda Mukati | Chubhu inoiswa zvakananga mumhepo, kungave nemuromo (intubation) kana nepaburi diki rekuvhiya mumutsipa (tracheostomy), uye inobatanidzwa nemuchina. |
| Manual Resuscitator (Ambu bag) | Kazhinji kanonzi 'Ambu bag,' mudziyo uyu unodzvanywa nemaoko kuti upe mweya. Unoshandiswa panguva dzenjodzi kana kana pasina muchina wekutanga wekufema. |
Muchina wekufema unodiwa riini?
Pane zvikonzero zvakawanda nei murwere angada rutsigiro rwekufema kwenguva pfupi kana kwenguva refu:
- Kuvhiyiwa : Pakuvhiyiwa kukuru, mushonga unoshandiswa pakurapa chirwere chepfungwa unogona kudzvinyirira kufema kwako, saka mudziyo wekufema unoshanda kusvika wamuka.
- Kutadza Kufema: Ichi chirwere apo muviri wako haugone kuchengetedza okisijeni yakakwana kana kubvisa carbon dioxide wega.
- Utachiona hwakaita seCOVID-19: Munguva yedenda iri, varwere vazhinji vakakuvara zvakanyanya mumapapu uye mvura yakaungana vaida mafemendi ekufema.
- Mamwe matambudziko ehutano:
- Kukuvara kwehuropi kana sitiroko
- Mabayo akanyanya
- COPD ( Chirwere Chisingaperi Chekudzivirira Mapupa )
- ARDS (Acute Respiratory Distress Syndrome)
- Kurwara kwakanyanya (Anaphylaxis)
- Zvirwere zvetsinga dzemutsinga (semuenzaniso, Guillain-Barré syndrome)
- Kushaya simba
Chii chinoitika paunenge uri pamudziyo wekufema?
Kutaura chokwadi, hazvisi zvekunyaradza; kuva nechubhu mumuromo kunogona kukushungurudza zvikuru. Zvisinei, hauzonzwi kurwadziwa. Vanachiremba vanokupa mishonga yekunyaradza kuti ugare wakadzikama uye wakasununguka. Dzimwe nguva, kunyangwe wakamuka, unogona kunzwa kusuruvara. Kana mamiriro acho akaoma, timu yezvekurapa inogona kusarudza kukuchengeta wakarara nekuda kwechiremba kuti muviri wako upore.
Vashandi vezvehutano vanokutarisa nguva dzese, vachitarisa BP yako, kurova kwemoyo , uye mwero weokisijeni. Nyanzvi yekufema ichabvisawo tsvina mumapapu ako ichishandisa kusvuta sezvinodiwa.
Nekuda kwechubhu iri muhuro mako, hauzokwanisi kutaura, kudya, kana kunwa. Zvese zvinodiwa zvinovaka muviri zvinopihwa netsinga (IV) kana kuburikidza nechubhu yekudyisa.
Kana munhu waunoda ari pamuchina wekufema...
Iyi inguva inoshungurudza murwere nemhuri yake. Kana mudiwa wako ari mumamiriro ezvinhu akadai, heino nzira yaungamutsigira nayo:
- Ramba uine tariro: Simba rako ndiro sosi huru yesimba kwavari.
- Ramba uchitaura: Vanogona kukunzwa. Inzwi rako rinopa nyaradzo huru.
- Bata ruoko rwavo: Kubata kwako kunovabatsira kunzwa vakasimba.
- Vabatsirei kutaurirana: Kana vakamuka, vabatsirei kutaurirana kuburikidza nemaoko kana kunyora.
- Uya nezvinhu zvako: Chimwe chinhu chavanoziva senge piro yavo yavanoda kana jira rinogona kubatsira kugadzira kunzwa kwekunyaradzwa.
Ndezvipi zvinetso zvinogona kuitika?
Kunyange zvazvo mudziyo wekufema uri chishandiso chinoponesa hupenyu, matambudziko anogona kuitika. Chikwata chako chehutano chakadzidziswa zvakanyanya kutarisa njodzi idzi uye kutora matanho ekudzivirira.
| Dambudziko | Chii chinoitika? |
|---|---|
| Utachiona | Mabhakitiriya anogona kufamba achipinda mumapapu kuburikidza nechubhu, zvichikonzera chirwere chekufema chinobatanidza mapapu (VAP) . |
| Kukuvara Kwemapapu | Kumanikidzwa kwakanyanya kana kuwanda kweokisijeni kunogona kukanganisa mapapu asina simba. Izvi zvinogona kukonzera kudonha kwemapapu (Pneumothorax) kana kuungana kwemvura (Pulmonary Edema). |
| Dzimwe njodzi | Kusafamba kwenguva refu kunogona kukonzera maronda pamubhedha kana kuvharika kweropa . Unogonawo kusangana nematambudziko ekusaziva kana kuyeuka kana wamuka, uye inzwi rako rinogona kunge rava kurira mushure mekunge chubhu yabviswa. |
Murwere anobviswa sei muchina wekufema?
Izvi hazvisi zvinhu zvinongoerekana zvaitika. Kana vanachiremba vako vava nechivimbo chekuti unogona kufema zvakanaka uri wega, vanozoderedza zvishoma nezvishoma rutsigiro rwemuchina kusvika chubhu yabviswa. Maitiro aya anonzi 'kurumura mwana.'
Mushure mekunge chubhu yabviswa, zvakajairika kunzwa kurwadziwa pahuro uye inzwi rinonzwika kurira. Unogonawo kunzwa mhute yepfungwa kana kushaya simba mumuviri. Zviratidzo izvi zvese zvinowanzovandudzika nekufamba kwenguva.
Yeukai kuti maitiro ekupora anosiyana kubva pamunhu nemunhu. Mutemo mukuru ndewekuti pazuva rega rega raunopedza uchishandisa muchina wekufema, zvinogona kutora vhiki kuti unyatsopora. Ndapota iva nemoyo murefu panguva iyi.
Zvinhu Zvinokosha Zvaunofanira Kuziva
- Muchina wekufema hausi wekutya; chishandiso chakakosha chekurapa chinoponesa hupenyu.
- Inoshandiswa kutsigira mapapu kana murwere asingakwanise kufema ari ega.
- Kunyange zvazvo usingakwanise kutaura kana kudya uri muchubhu, nzira iyi hairwadzi nekuda kwekunyaradza.
- Kunyange hazvo paine njodzi, timu yako yezvekurapa inogara ichikutarisa kuti ive nechokwadi chekuti wakachengeteka.
- Kupora mushure mekushandisa muchina wekufema kunotora nguva; iva nemoyo murefu uye tarisa kufambira mberi kwako.
muchina wekufema, chii chinonzi muchina wekufema, muchina wekufema weICU, kuoma kufema, rutsigiro rwekufema, intubation, unit yekutarisira zvakanyanya
