Wakamboona mumwe munhu ari muchikamu chevarwere vane chirwere chepfungwa (ICU) akabatana nemuchina kuti umubatsire kufema here? Kana kuti wakamboona mwana mudiki akaunzwa kuchipatara aine asthma yakanyanya achipiwa mushonga kuburikidza nebulizer? Muzviitiko zvakadaro, pane nyanzvi yehutano yakawana kudzidziswa kwakakosha mukubatsira mapapu edu uye maitiro ekufema. Nhasi tichataura nezvenyanzvi iyoyo. Iyoyo inyanzvi yekurapa kufema, kana sezvavanotaura muchirungu, 'Respiratory Therapist' (RT).
Ndiani uyu Murapi wezvekufema?
Muchidimbu, chiremba wekufema inyanzvi yehutano ine kudzidziswa kwakakosha kunobatsira kuongorora, kurapa, uye kugadzirisa matambudziko ane chekuita nemapapu ako nehurongwa hwekufema.
Funga nezvazvo nenzira iyi. Kana uine chirwere chemwoyo, kune chiremba wemwoyo. Kana uine dambudziko reitsvo, kune chiremba wetsinga. Saizvozvowo, chiremba wekufema munhu ane ruzivo rwakadzama nekudzidziswa muhurongwa hwekufema, kureva mapapu edu netrachea.
Chinhu chakakosha ndechekuti, vanhu ava havasi vanachiremba. Asi vanoshanda pamwe chete navanachiremba, vanamukoti, nevamwe vashandi vehutano kuti vakupei nzira yakanakisisa yekurapa. Kutaura chokwadi, inyanzvi dzezvekufema.
Ungasangana nevanhu ava muwadhi yechipatara, muyuniti inochengeterwa varwere vakawanda (ICU), muyuniti inorapwa nekukurumidza (ETU), kiriniki inorapwa kunze kwechipatara, kana dzimwe nguva pavanouya kumba kwako kuzorapwa.
Chii chaizvo chinoitwa nenyanzvi yekufema?
Basa revanhu ava rakakura kwazvo. Zvavanoita zvinosiyana zvichienderana nemamiriro emurwere. Ngatitarisei zvinhu zvikuru zvavanoita.
| Basa | Zvakatsanangurwa zviri nyore |
|---|---|
| Kuedzwa kweMashandiro eMapupa | Miedzo yakakosha inoyera kuti mapapu ako ari kushanda zvakanaka sei uye kuti mweya wakawanda sei waunogona kupinda nekubuda nawo. Izvi zvakakosha zvikuru pakuongorora zvirwere zvakaita seasthma. |
| Kurapa Okisijeni | Kupa okisijeni kuvarwere vane okisijeni shoma muropa uye kugara vachitarisa huwandu hwayo. |
| Kufema kwemuchina | Kushandisa mafefeteria, kuagadzirisa kuti aenderane nezvinodiwa nemurwere, uye kutarisa mamiriro emurwere ibasa rakaoma uye rine mutoro. |
| Kutarisira Nzira Dzemhepo | Kana paine dambudziko, kana nzira yekufema yemurwere yakavharwa, tora matanho anodiwa kuti uivhurezve. Semuenzaniso, kubatsira chiremba nezvinhu zvakaita sekuisa chubhu (intube). |
| Kubviswa kweMatehwe | Kubatsira varwere vane phlegm mumapapu avo kuti vaibudise vachishandisa nzira dzakakosha nemichina. Izvi zvinosanganisira zvinhu zvakaita sekudzvanya chipfuva. |
| Kupa mushonga | Vanoendesa mishonga kunhengo dzekufema, kunyanya kuburikidza nemidziyo yekufema neyekufemesa, muchiyero chakakodzera, uye vanodzidzisawo varwere mashandisirwo emushonga wekufema nemazvo. |
| Dzidzo yevarwere uye kugadziriswa | Vanhu vane zvirwere zvisingaperi zvakaita seCOPD neasthma vanodzidziswa mararamiro ekurarama nechirwere ichi, maitiro ekuita maekisesaizi ekufema, uye maitiro ekugadzirisa chirwere ichi. |
Vanhu ava vanobatsirwa nezvirwere zverudzii?
Sezvineiwo nechirwere chipi zvacho chinokanganisa kufema, rubatsiro rwechiremba wezvekufema runogona kudiwa. Heano mamwe acho.
- Asima:Kudzidzisa varwere veasthma mashandisirwo emainhaler nemazvo uye kupa mishonga yakaita senebulizers kana paine chirwere chakakomba.
- Chirwere Chisingaperi Chekuvharira Mapupa (COPD): Ichi chirwere chinowanzoitika kune vanosvuta. Varwere ava vanodzidziswa maekisesaizi ekufema, oxygen therapy, uye maitiro ekugadzirisa chirwere ichi.
- Pneumonia: Kana paine pneumonia yakanyanya, ipai murwere okisijeni, batanidzai nemuchina wekufema kana zvichidikanwa, uye batsirai kubvisa madzihwa.
- Chirwere Chekufema Chakanyanya (ARDS): Ichi chirwere chakakomba zvikuru, chinoisa upenyu panjodzi. Mapapu anokuvadzwa zvakanyanya. Ibasa guru kuti varwere ava vapiwe rutsigiro rwekufema rwakakosha kuburikidza nemichina yekufema.
- Cystic Fibrosis: Ichi chirwere chinokonzerwa nemajini. Muizvi, mukanyiwa wakakora unoungana mumapapu. Nzira dzakakosha dzinoshandiswa kubvisa mukanyiwa iwoyo.
- Kushaya Pnea Pakurara: Kudzidzisa varwere vanorega kufema panguva yekurara mashandisiro akanaka michina yakaita seCPAP.
- Kukuvara pachipfuva: Kupa rutsigiro rwekufema kana kufema kusingagoneke nekuda kwekukuvara kwakanyanya pachipfuva.
- Mushure mekuvhiyiwa: Mushure mekuvhiyiwa kukuru, mushonga wekutindivadza unogona kukanganisa mashandiro emapapu. Muzviitiko zvakadaro, zvakakosha kubatsira mapapu kuti apore.
Pamusoro perunyorwa urwu, rubatsiro rwenyanzvi yezvekufema rwakakosha kune chero munhu ane matambudziko ekufema, kubva kuvacheche kusvika kune vakwegura.
Ndirini paunofanira kuona chiremba wekufema?
Kazhinji, haugone kuenda zvakananga kuna chiremba wekufema. Chiremba anokuongorora achaongorora zviratidzo zvako nemigumisiro yebvunzo uye achaona kuti unoda rubatsiro rwechiremba wekufema. Chiremba achakutumira kwaari.
Ndezvipi zviratidzo zvingangoita kuti chiremba akutumire kuna chiremba wekufema?
- Kukosora kunogara kwenguva refu
- Kubuda ropa nemadzihwa
- Kufema (kuridza muridzo kunoita sekuti "cheese-cheese") kana uchifema
- Kuoma kufema, kupfupika kwemweya
- Kunzwa kumanikidzwa kana kumanikidzwa muchipfuva
- Kurwadziwa kwechipfuva
- Kuva nechirwere chisina kujairika pakuongororwa kweX-ray
- Kuongororwa kunoratidza kuti okisijeni muropa yakaderera
Yeuka, kana uine chimwe chezviratidzo izvi kana kupfuura, chinhu chekutanga chaunofanira kuita kuona chiremba wemhuri yako. Usazvirape wega. Chiremba achaita bvunzo dzinodiwa uye achakutumira kunyanzvi dzakakodzera kana zvichidikanwa.
Musiyano uripo pakati pemurapi wekufema nemukoti ndeupi?
Izvi zvinovhiringidza vanhu vazhinji. Sezvo vanhu ava vese vachishanda pamwe chete nevarwere muchipatara, zvinogona kuoma kunzwisisa mutsauko chaiwo.
Musiyano ndeuyu:
- Mukoti: Basa remukoti rakakura kwazvo. Vanonyanya kutarisa hutano hwemurwere. Vanopa mushonga, vanogeza muviri, vanopa murwere chikafu, vanochengeta maronda, uye vanoongorora hutano hwepfungwa dzemurwere. Vane ruzivowo nezvezvirwere zvekufema, asi handizvo zvavanonyanya kuziva.
- Nyanzvi yeKufema: Basa ravo rakanyanya hunyanzvi . Chinangwa chavo chose uye hunyanzvi hwavo huri pamapapu nehurongwa hwekufema. Vanoshandisa michina yakaoma ine chekuita nehurongwa hwekufema, vanoita bvunzo dzakanyanya, uye vanopa kurapwa kwakanangana.
Funga nezvemakanika. Kune makanika anoziva zvishoma nezvese zviri mumotokari. Uye kune mumwe munhu anonyanya kugona injini yemotokari chete. Ndiwo musiyano wacho. Mukoti munhu anotarisira hutano hwemurwere, uye chiremba wekufema munhu anonyanya kugona matambudziko emapapu. Vanhu ava vese vanopa basa rinokosha kumurwere.
Mharidzo Yekuenda Nayo Kumba
- Nyanzvi yezvekufema haisi chiremba, asi inyanzvi yehutano yakakosha ine kudzidziswa kwakakosha mumatambudziko emapapu nekufema.
- Vanoshanda pamwe chete navanachiremba nevakoti kuti vadzivirire hutano hwekufema kwako.
- Basa ravo rakakosha zvikuru muzvirwere zvakaita seasthma, COPD, pneumonia, uye muchikamu chevarwere vanorwara zvakanyanya.
- Kana uine zviratidzo zvakaita sekuoma kufema, kukosora nguva dzose, kana fivha, chinhu chekutanga chaunofanira kuita kunoona chiremba wako.
- Kana chiremba wako akakutumira kuna chiremba wekufema, vachaita zvese zvavanogona kuti vakubatsire kugadzirisa dambudziko rako. Usatya kuvabvunza mibvunzo uye kuudzawo zvinokunetsa.
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