Paunoenda kuna chiremba, vanoisa stethoscope pachipfuva chako nekumusana voti, "Fema zvakadzama mukati... fema zvishoma nezvishoma..." Wakambozvibvunza here kuti sei vachiita izvozvo? Chiremba ari kuteerera manzwi ari kubva mumapapu ako. Manzwi aya akafanana nemutauro wemapapu ako. Manzwi aya anogona kukuudza zvakawanda nezvehutano hwemuviri wako wekufema.
Ndezvipi zvinonzwika mumapapu izvi?
Manzwi ekufema, kana kuti manzwi ekufema, ndiwo manzwi aunonzwa mukati menzira dzako dzekufema (machubhu matete anotakura mweya mumapapu ako) paunofema uchipinda nekubuda.
Munhu ane mapapu ane hutano hwakanaka ane nzira dzekufema dzakajeka. Izvi zvinoreva kuti hapana mvura yakawanda, kuzvimba, kana chero chipingamupinyi maari. Ipapo mhepo inofamba zvakanaka uye zvinyoro nyoro, saka inoita ruzha rwakapfava. Tinodana idzi ruzha rwemapapu rwakajairika (vesicular lung sounds).
Zvisinei, chii chinoitika kana nzira idzi dzekufema dzikazara nemate, dzakazvimba, kana kuti dzakavharika nechimwe chinhu nekuda kwechirwere? Ipapo nzira dzekufema dzinovharika. Ndipo paunotanga kunzwa mhando dzese dzemanzwi asinganzwisisike. Zvinogona kunge 'whoosh', 'whoosh', kana 'whoosh'. Tinodaidza idzi ruzha rwemapapu rwusina kujairika/rusingawanzoitika .
Chinhu chakakosha ndechekuti chiremba asazogumisa kuti une chirwere nekuti anonzwa ruzha rusina kujairika rwakadai. Ingori chiratidzo chakakosha chinobatsira pakuongorora chirwere. Pamwe chete neizvi, kuongororwa kwakanyatsojeka kunowanikwa nekufunga nezvezvimwe zviratidzo zvako, nhoroondo yehutano hwako, uye, kana zvichidikanwa, mimwe miedzo.
Ndedzipi mhando huru dzemanzwi asina kujairika emapapu?
Kune mhando dzakasiyana-siyana dzemanzwi aya asingawanzonzwikwa nachiremba. Imwe neimwe inotaura nyaya yayo. Ngatitarisei mhando huru.
| Rudzi rweRuzha | Izvozvo zvinonzwika sei? / Tsananguro yakapfava |
|---|---|
| Rhonchi | Iri inzwi rakadzama, rakaita sere'kugomera'. Kutaura chokwadi, ruzha urwu runobuda kana mhepo inopfuura nemunzira huru dzekufema kana dzazara nemadzihwa. Ruzha urwu runogona kurasika kwenguva yakati kana kukosora kwavhurwa. |
| Kufemereka | Iri izwi rinonzwikwa nevanhu vazhinji. Inzwi rinonzwika zvakanyanya, rinoridza muridzo. Rinowanzonzwika paunoburitsa mweya. Iri izwi rinonzwika kana nzira dzekufema dzave shoma. Iri izwi rinozivikanwa zvikuru nevanhu vane asthma . |
| Stridor | Iri izwi rinonzwikawo zvakanyanya, richiridza muridzo. Zvisinei, rinowanzonzwika kana munhu achifemera mukati . Izwi iri rinonzwika kana paine dambudziko pahuro kana panzira yekufema (semuenzaniso, kuzvimba, kana chimwe chinhu chakanamira mariri). Izwi iri rinowanzonzwika muvana vadiki vane croup. |
| Makorokoto / Mitambo | Iri harisi ruzha runoenderera mberi. Inzwi rinonzwika nguva nenguva, 'kiri kiri', 'chiti chiti'. Rinonzwika seruzha runonzwika paunopwanya mashizha akaoma nemaoko ako, kana paunoburitsa mvura muhuswa. Izvi zvinonzwika kana nzira diki dzekufema mumapapu dzakazara netsvina kana mvura. |
| Kukwesha kwePleural | Iri ruzha rwakaomarara, runopwanya. Rwakaita semapepa maviri ejecha anokweshana. Ruzha urwu runobuda kana mamembrane maviri akakomberedza mapapu edu, anonzi pleura, achizvimba uye achikwizana. Runogona kunzwika patinenge tichifema uye tichiburitsa mweya. |
Sei ruzha urwu rusingawanzoitiki ruchibva muchipfuva?
Kune zvinhu zvikuru zvina zvinogona kukonzera ruzha urwu rusina kujairika:
1. Madzihwa anozadza nzira yekufema: Ichi ndicho chikonzero chinowanzoitika.
2. Kuzvimba kwenzira dzekufema: Kana nzira dzekufema dzichizvimba nekuda kwehutachiona kana allergies, nzira dzekufema dzinoita shoma.
3. Kuvharika: Bundu kana chinhu chekunze chiri mumhepo.
4. Kubuda kweropa mumapapu: Kuzvimba kweganda rakakomberedza mapapu.
Izvi ndizvo zvimwe zvezvirwere zvinokonzera zvirwere izvi:
- Zvirwere zvekufema, semuenzaniso bronchitis kana croup muvana vadiki.
- Chirwere chemabayo.
- Asima.
- Chirwere chemapapu chinogara kwenguva refu (COPD) chirwere chekufema chisingaperi.
- Kuora kwetsinga (cystic fibrosis).
- Kurwara.
- Anaphylaxis chirwere chinokonzerwa ne allergic reaction yakanyanya.
- Kuzvimba kwemapapu.
- Kukundikana kwemoyo.
- Pulmonary embolism (PE) iganda reropa mumapapu.
Inorapwa sei?
Kurapwa kunoenderana zvachose nechikonzero cheruzha urwu rusina kujairika. Chiremba anotanga aongorora chikonzero chaicho uye ozonyora mushonga.
- Kune zvirwere zvakaita seasthma: Zvinofema zvinovhura nzira dzekufema uye zvinoderedza kuzvimba, semuenzaniso corticosteroids.
- Kune hutachiona hwebhakitiriya (semuenzaniso pneumonia): Mishonga inorwisa mabhakitiriya.
- Kune allergies dzakakomba: Mishonga yakaita se epinephrine.
- Kana paine chinhu chakavharika: Ungangoda kuvhiyiwa kuti chibviswe.
Ndinofanira kuona chiremba rini?
Ichi ndicho chikamu chakakosha. Kana uine zvinokunetsa kana zvinokunetsa nezvekufema kwako, kunyanya nezveruzha rwunobva pachipfuva chako, usazviregeredza. Enda kuna chiremba wemhuri yako nekukasika. Iye anogona kukuongorora uye kukuudza zvekuita.
Zvikuru yeuka! Kana uine zviratidzo zvakaita sekuoma kufema, kurwadziwa pachipfuva, kana miromo yebhuruu pamwe chete neruzha urwu rusina kujairika, idambudziko . Kana zvakadaro, enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Mapapu ane hutano anogadzira ruzha rwakapfava uye rwakatsetseka. Manzwi asina kujairika akadai sekuti 'whooping', 'whooping', uye 'whooping' anoratidza dambudziko rekufema.
- Chikonzero cheruzha urwu chinogona kunge chiri chero chinhu kubva padzihwa, asthma, pneumonia, kusvika kune chimwe chinhu chakakomba.
- Chiremba anoteerera manzwi aya achishandisa stethoscope kuti awane zviratidzo zvakakosha kuti anyatsoongorora chirwere chacho.
- Kana ukanzwa ruzha rusina kujairika paunenge uchifema, kunyanya kana rwuchiperekedzwa nekuoma kwekufema, usaruregerere.
- Kana ukanzwa ruzha rusingawanzoitiki pamwe nekunetseka kufema, idambudziko! Enda kuchipatara cheEmergency Department (ETU) nekukasika.
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