Zviri muropa kunzwa kuremerwa, kunetseka, kana kutya paunonzwa kuti mudiwa ari muIntensive Care Unit (ICU) akaiswa pa 'ventilator'. Kutya uku kunowanzobva pane zvisingazivikanwe. Kutaura chokwadi, muchina uyu chishandiso chakakosha mukurwisa kuponesa hupenyu. KuNirogi Lanka, tinoda kukubatsira kunzwisisa kuti 'ventilator' chii—kana kuti nyanzvi dzezvehutano dzinoti 'Mechanical Ventilation'—uye kuti inoshanda sei, inotsanangurwa nemashoko akareruka uye akajeka.
Zvichitaurwa zviri nyore, chii chinonzi mudziyo wekufema?
Muchina wekufema mweya muchina unotsigira kufema kwako kana usingakwanise kufema zvakanaka uri wega. Funga nezvazvo sekushandisa madondoro pagumbo rakatyoka; sezvinoita madondoro anotsigira uremu hwako kuti akubatsire kufamba, muchina wekufema mweya unobata chikamu kana basa rese rekufema mapapu ako.
Chinonyanya kukosha ndechekuti, mudziyo wekufema hausi mushonga wechirwere. Imhando yekutsigira hupenyu . Unoshanda kudzikamisa mashandiro ekufema kwako ukuwo mamwe marapirwo nemishonga zvichibatsira muviri wako kupora.
Kunyanya, mudziyo wekufema unoita mabasa anotevera:
- Inoendesa okisijeni inodiwa nemuviri wako mumapapu ako.
- Inobatsira kubvisa carbon dioxide yakawandisa, gasi rinorasika, kubva mumuviri wako.
- Inopa kumanikidzwa kunodiwa kuti tumasagi tudiki twemhepo mumapapu ako (alveoli) turambe twakavhurika uye tuchishanda zvakanaka.
Vanachiremba vako vanogona kugadzirisa marongero emuchina zvichienderana nezvaunoda pakurapwa.
Kupinza nhubhu nekufema zvakafanana here?
Kwete. Iyi inyaya inowanzo vhiringidza. Kunyange zvazvo zvichiwanzoitika pamwe chete, maitiro maviri akasiyana.
- Kupinza dumbu muchubhu: Uku ndiko kuvhiyiwa kwechiremba apo anopinza chubhu mumuromo mako opinda muchubhu yemhepo (trachea).
- Kufema Kwemuchina: Izvi zvinoreva chiito chekubatanidza chubhu iyoyo kumuchina wekufema kuti ikubatsire kufema.
Mune mamwe mamiriro ezvinhu, mhepo inogona kufefeterwa nemasiki ekumeso anobatisa zvakasimba, pasina chikonzero chekushandisa chubhu inopinza mweya.
Ndeapi marudzi emhepo inofefetera?
Muchina wekufema unobatsira kufema kwako nekupinza mweya mumapapu ako uchishandisa simba rakanaka. Izvi zvinogona kuitwa nenzira mbiri huru. Tapfupisa izvi pazasi kuti zvive nyore kunzwisisa.
| Rudzi rweKufefetera | Tsananguro Iri Nyore |
|---|---|
| Kufefetera Kwemuchina Kunopinda Munzvimbo Dzepasi | Nzira iyi inosanganisira kuisa chubhu mumhepo yako. Chubhu iyi inopfuudzwa nemumuromo mako (intubation) kana kuburikidza nekuvhiyiwa kudiki mumutsipa (tracheostomy) uye yakabatana nemuchina wekufema. |
| Kufema kusingapindi mhepo | Munzira iyi, chifukidzo chinoiswa zvakanaka pachiso chako uye chakabatanidzwa nemuchina wekufema kuti mweya upinde mumapapu ako. Midziyo yakaita seCPAP kana BiPAP®, inowanzoshandiswa kunyangwe kumba, inowira muchikamu ichi. |
Ndiani anoda rutsigiro kubva kumuchina wekufema?
Muchina wekufema unogona kudiwa kana usingakwanise kufema zvakanaka uri wega. Zvinowanzoitika zvinosanganisira:
- Munguva Yokuvhiyiwa: Mishonga inopedza simba inogona kudzvinyirira kufema kwako. Muchina wekufema unobatsira kuchengetedza kufema kwakachengeteka uye kwakaringana panguva yese yekuvhiyiwa kwako.
- Zvirwere zvemapapu zvakanyanya: Zvirwere zvakaita sepneumonia, COVID-19, Acute Respiratory Distress Syndrome (ARDS), kana zvirwere zvemapapu zvisingaperi zvakaita seCOPD.
- Mamiriro Enjodzi: Kana nzira yako yekufema yakavharika kana kufema kukakundikana nekuda kwekukuvara kana njodzi dzehutano, dzakadai se anaphylaxis yakanyanya.
- Kukuvara Kwehuropi: Matambudziko akadai sestroke kana koma anogona kukanganisa zviratidzo zveuropi zvinoudza mapapu ako kuti afeme.
- Kusawirirana kweMagasi: Kana uine huwandu hune njodzi hwekabhoni dhayokisaidhi (hypercapnia) kana kuti oxygen shoma (hypoxemia) muropa rako.
- Kudzivirira Kufema: Kudzivirira chikafu, mate, kana zvinwiwa kuti zvisapinde mumapapu ako kana wakarara zvakanyanya zvekuti haugone kudzivirira nzira yako yekufema.
Chii chinoitika paunenge uri pamuchina wekufema?
Nekuti unoda kugara uchitariswa, unowanzo tarisirwa muIntensive Care Unit (ICU) nechikwata chevanachiremba, vanamukoti, uye varapi vekufema.
Kutarisa
Unogona kuona michina yakati wandei yakasungirirwa pauri. Iyi inogara ichitarisa BP yako, kurova kwemoyo, kufema, uye oxygen saturation. Uchawanawo maX-ray epachipfuva uye kuongororwa kweropa nguva dzose.
Kubvisa
Kuti nzira yekufema igare yakachena, timu yako yevanamukoti inowanzo shandisa chubhu diki (catheter) kubvisa madzihwa akawandisa. Izvi zvinogona kukonzera kuti ukwanise kukosora. Kunyange zvazvo izvi zvingaita sezvisingafadzi kune vadikanwi, zvakakosha kuti nzira yako yekufema igare yakachena uye kudzivirira hutachiona.
Mishonga, Kudya Kunovaka Muviri, uye Utsanana
Mimwe mishonga inogona kuendeswa zvakananga kumapapu ako kuburikidza nechubhu yekufema (yakaiswa mumhepo). Sezvo usingakwanise kudya, uchawana chikafu chemvura kuburikidza nechubhu ye nasogastric (chubhu inopfuudzwa nemumhino kuenda mudumbu). Mvura inodiwa inopihwa netsinga.
Wakamuka here?
Chinangwa chedu ndechekukuchengetedza wakasununguka, wakadzikama, uye wakangwarira sezvinobvira. Zvisinei, zvichienderana nemamiriro ako ezvinhu, tingangoda kukuchengetedza uri mumamiriro ekuzorora zvakanyanya kuti muviri wako uwane zororo rinodiwa kuti upore. Dzimwe nguva, kudzivirira kukuvara netsaona - sekuburitsa chubhu yako yekufema - tingangoda kudzora maoko ako zvinyoro-nyoro. Izvi zvinoitirwa kuchengetedzeka kwako chete.
Ndezvipi zvakanakira uye njodzi dzacho?
Sezvinoita chero nzira dzekurapa, kushandisa mhepo yekufema kune mabhenefiti pamwe nenjodzi dzayo.
| Mabhenefiti | Njodzi |
|---|---|
| Zvinobvisa simba rekufema, zvichiita kuti muviri wako ushandise simba rawo pakurwisa hutachiona uye kuporesa. | Mabhakitiriya anogona kufamba nemuchubhu yekufema achipinda mumapapu, zvichikonzera hutachiona hwakadai sepneumonia inokonzerwa neventilator. |
| Inoita kuti muviri wako unzwe wakasununguka uye inobvisa carbon dioxide yakawandisa. | Kumanikidzwa kunodiwa kuti mapapu azvimbe kunogona, mune dzimwe nguva, kukonzera kukuvara kwemapapu kunokonzerwa nekumanikidzwa. |
| Inochengetedza tumasagi tudiki twemhepo (alveoli) mumapapu ako takavhurika uye tichishanda. | Mhepo inogona kudonha ichipinda munzvimbo yakatenderedza mapapu, zvichiita kuti iparare (Pneumothorax). |
| Inochengetedza nzira yekufema yakachengeteka uye yakavhurika nguva dzese. | Zvinogona kukanganisa mashandiro emoyo uye kukanganisa BP yako. |
Mune zvimwe zviitiko zvakakomba zvehutano, murwere anogona kurasikirwa nekugona kufema ari ega. Uyezve, kuisa murwere asina tariro yekupora pamuchina wekufema kunogona kurebesa nguva yekufa. Mumamiriro ezvinhu akaoma kudaro, zvakakosha kuti muve nehurukuro yakasununguka nachiremba wenyu kuti muite sarudzo yakanakisisa kune waunoda.
Murwere anobviswa sei muchina wekufema?
Kana mamiriro emudiwa wako achinja uye vanachiremba vasimbisa kuti vagadzirira kufema vega, maitiro e "kurumura" anotanga. Tinoderedza zvishoma nezvishoma rutsigiro rwemuchina kuti tione kana murwere achigona kufema zvakanaka. Kana zvese zvikafamba zvakanaka, chubhu ye endotracheal (ET) inobviswa zvakachengeteka.
Ndapota cherechedzai kuti zvakajairika kuti murwere anzwe kurwadziwa pahuro kana inzwi rakashoshoma kwemazuva mashoma mushure mekunge chubhu yabviswa.
Zvinhu Zvinokosha Zvinofanira Kucherechedzwa kubva kuNirogi Lanka
- Kufefetera nemagetsi hakusi mushonga wechirwere; inzira inotsigira hupenyu inobatsira kufema uku muviri uchipora.
- Hapana chikonzero chekuvhunduka. Mudiwa wako ari kutariswa zvakanyanya nechikwata chenyanzvi dziri muIntensive Care Unit (ICU).
- Sezvinoitwa chero nzira ipi zvayo yekurapa, kune njodzi, asi timu yedu yezvekurapa yakazvipira kudzikisa padanho rega rega.
- Kana muine mibvunzo kana zvinokunetsai, ndapota taurai pachena nachiremba wenyu. Varipo kuti vakutsanangurirei zvese.
- Chekupedzisira, tinokurudzira munhu wese kuti ataure zvaanoda maererano nekurapwa nemhuri yake achiri mutano, kuitira kuti zvamunoda zvizivikanwe kana paine dambudziko guru rehutano.
Muchina wekufema, mhepo yemuchina, rutsigiro rwehupenyu, ICU, imba yekuchengetedza varwere zvakanyanya, kufema, intubation, tracheostomy, ARDS, pneumonia, kufema kushushikana, kutarisirwa kwekukurumidzira
