Ngaba imiphunga yakho ivakala ngathi igcwele amanzi? (I-Pulmonary Edema) - Masithethe ngale nto!

Ngaba ngamanye amaxesha uziva ngathi unengxaki yokuphefumla? Okanye uziva ngathi isifuba sakho siqinile, okanye ukhohlela i-phlegm kunye ne-foam? Ezi asizompawu zokungazinaki nje. Oku kungaba yimeko apho imiphunga yakho izaliswe ngamanzi, esiwabiza ngokwezonyango ngokuba yi -Pulmonary Edema . Oku kunokuba yingozi kakhulu, ngoko ke kufuneka uncedo lwezonyango ngokukhawuleza. Makhe sithethe ngokunzulu ngale nto namhlanje.

Yintoni i-Pulmonary Edema?

Ngamafutshane, i-Pulmonary Edema kukuqokelelana kolwelo olugqithisileyo, njengamanzi, emiphungeni yakho. Cinga ngayo njengesiponji. Iiponji ezincinci zomoya ezingaphakathi kuzo zifunxa ioksijini egazini xa siphefumla. Kodwa ukuba ezi ponji zomoya zizaliswa ngamanzi, njengesiponji esifakwe emanzini, ubungakanani beoksijini enokungena egazini buyancipha. Kulapho ufumana ubunzima bokuphefumla, ukukhohlela, kunye nokuqina kwesifuba. Oku kunokuba yingozi ebomini, ngoko ke kubalulekile ukufuna unyango ngokukhawuleza.

Yintoni i-High Altitude Pulmonary Edema (HAPE)?

Ngaba wakha wanyuka intaba? Okanye waya kwindawo ephakamileyo ngokukhawuleza? Xa unyuka, abanye abantu banokuba nesifo esibizwa ngokuba yi- High Altitude Pulmonary Edema (HAPE) . Olu luhlobo olubi lwesifo sokuphakama/isifo sentaba. Isizathu esiphambili soku kukuba inqanaba leoksijini emoyeni liyehla njengoko unyuka kwindawo ephezulu.

Xa une -HAPE, ungaziva udiniwe, ubuthathaka, umzimba wakho uneentlungu, kwaye unengxaki yokuphefumla. Usenokuba nokukhohlela kunye nokuqina kwesifuba. Khumbula, i-HAPE yingxaki yezonyango. Ukuba ufumana ezi mpawu, kufuneka uye kwindawo esezantsi ngokukhawuleza kwaye ufumane uncedo lwezonyango.

Yintoni umahluko phakathi kwe-Pulmonary Edema kunye ne-Pneumonia?

Zombini ezi meko zibangela ulwelo oluqokelelanayo emiphungeni. Kodwa unobangela wahlukile. I-pneumonia ibangelwa lusulelo. Olu sulelo lunokubangelwa ziintsholongwane, iibhaktheriya, okanye iifungi. Ezi zinto ziphilayo zibangela ulwelo oluzalisa iingxowa zakho zomoya. Kwelinye icala, i-pulmonary edema ayibangelwa lusulelo, kwaye ulwelo oluqokelelanayo ludla ngokuba lukhuni kancinci kune-pneumonia, kodwa lunamanzi amaninzi.

Yintoni umahluko phakathi kwe-Pulmonary Edema kunye ne-Pleural Effusion?

Oku kunokuba yinto edidayo kancinci. I-Pleural effusion kukuqokelelana kolwelo kwi-pleura, i-membrane encinci ejikeleze imiphunga . I-pleura yingqimba ephakathi kwemiphunga nodonga lwangaphakathi lwesifuba. Ngokwesiqhelo, kukho umaleko omncinci kakhulu wolwelo apho. I-Pleural effusion inokubangelwa ziimeko ezifana ne-pneumonia, ukusilela kwentliziyo okuxineneyo, okanye umhlaza.Inokwenzeka. Ngokungafaniyo ne -Pulmonary Edema , apho ulwelo lungaphandle kwemiphunga, olo lwelo lunokubangela uxinzelelo emiphungeni.

Yintoni i-Pulmonary Edema ebangelwa kukubhukuda?

Le meko inokwenzeka ngamanye amaxesha kubabhukudi nabantywila abakhuphisanayo. Ikwabizwa ngokuba yi- (Immersion Pulmonary Edema) . Xa untywila, igazi elivela emilenzeni nasesiswini liyaphambukiswa liye emiphungeni. Lo mthamo wegazi owongezelelweyo unyusa uxinzelelo kwimithambo yegazi emiphungeni. Emva koko, ulwelo luphuma kuloo mijelo luze luqokeleleke kwiingxowa zomoya. Oku kungonakalisa imiphunga.

Zithini izizathu zokudumba kwamaphaphu?

Izizathu zolwelo emiphungeni zinokwahlulwa zibe ziindidi ezimbini eziphambili.

1. Izizathu ezibangela isifo sentliziyo

2. Ezinye izizathu ezingezizo izifo zentliziyo (ezingengozo zentliziyo)

1. Izizathu ezinxulumene nesifo sentliziyo (Cardiogenic Pulmonary Edema)

I-Cardiogenic Pulmonary Edema yimeko apho ulwelo luqokelelana emiphungeni ngenxa yengxaki yentliziyo. Yicinge njengepompo yamanzi. Ukuba icala lasekhohlo lentliziyo aliphampi igazi ngokufanelekileyo, igazi liyabhajwa kwimithambo yegazi emiphungeni, njengokuxinana kwezithuthi. Uxinzelelo kuloo mithambo yegazi luyanda, lutyhala ulwelo kwiingxowa zomoya.

Eyona meko yentliziyo iphambili enokubangela ukuba ulwelo luzalise imiphunga ngale ndlela kukusilela kwentliziyo okuxineneyo . Ukongeza, inokubangelwa zizifo ezifana nezi:

• Ukuhlaselwa yintliziyo.
• Imisipha yentliziyo ebuthathaka (iCardiomyopathy).
• Ukuvuza okanye ukuncitshiswa kweevalvu zentliziyo (isifo sentliziyo seValvular).
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia).
• I-Myocarditis (ukudumba kwemisipha yentliziyo).
• Ukuphuma kwamanzi kwintliziyo (ukuqokelelana kolwelo kwi-pericardium, i-membrane ejikeleze intliziyo).

2. Ukudumba kweMiphunga okungengokwasentliziyo (Ukudumba kweMiphunga okungengokwasentliziyo)

I-Noncardiogenic pulmonary edema yimeko apho ulwelo luqokelelana emiphungeni, kungekhona ngenxa yengxaki yentliziyo. Oku kwenzeka xa imithambo yegazi emiphungeni ivuvukala okanye yonakele. Ulwelo luphuma emva koko kuloo mithambo yegazi luze luqokeleleke kwiingxowa zomoya.

I-Adult Respiratory Distress Syndrome (ARDS) lelinye igama lale meko (i-Noncardiogenic Pulmonary Edema) . Ingxaki ephambili kwi- (ARDS) kukudumba. Oku kunokubangelwa zezi zinto zilandelayo:

• Ukukrala kwemiphunga.
• Usulelo oluqatha (iSepsis).
• Ukulimala emzimbeni (Ukwenzakala).
• I-Pancreatitis.
• Isifo sesibindi.
• Amanye amayeza.
• Ukopha okanye ukudumba engqondweni(Ukudumba kwemithambo-luvo yamaphaphu).

Ukongeza, imeko ebizwa ngokuba yi- negative pressure pulmonary edema inokwenzeka emva kokuvaleka kwendlela yomoya ephezulu. Xa uzama ukuphefumla ngelixa kukho oku kuvimbeka, imithambo yegazi emiphungeni yonakele kwaye ulwelo luphuma. Oku kuyenzeka nakwi- High Altitude Pulmonary Edema (HAPE) , esixoxe ngayo ngaphambili.

Zithini iimpawu ze-Pulmonary Edema?

Le meko ingenzeka ngequbuliso (ngokuqatha) okanye ikhule kancinci kancinci ngokuhamba kwexesha (ihlala ixesha elide).

Ukudumba okubukhali kwemiphunga

Iimpawu zoku zivela ngequbuliso.

• Ubunzima bokuphefumla (ukuphelelwa ngamandla) , ingakumbi xa ujikeleza okanye ugoba.
• Ukuphuma komfinya onegazi okanye onamagwebu.
• Ukuphefumla sisandi sokukhala xa uphefumla.
• Ukuziva ngathi kunzima ukuphefumla.
• Ndiziva ngathi uyafuthanisela.
• Ukuqina kwesifuba okanye intlungu.

Ukudumba kwemiphunga okungapheliyo

Iimpawu ziyafana nezo zesifo esiqala ngequbuliso, kodwa zisenokuba zincinci kakhulu. Ezinye iimpawu ziquka:

• Ukuvuka ebuthongweni ngenxa yokuziva ufuthanisekile.
• Ubunzima bokuphefumla buyanda xa ulele phantsi.
• Ukudumba kwemilenze.
• Ndiziva ndidiniwe kakhulu kwaye ndidiniwe.

Ifunyanwa njani i-Pulmonary Edema?

Xa ubona ugqirha, uya kuqala enze uvavanyo lomzimba ukujonga ukuba akukho manzi emiphungeni yakho. Uya kumamela intliziyo yakho nemiphunga yakho nge-stethoscope. Uya kujonga ngokukodwa oku kulandelayo:

• Ukunyuka okanye ukwehla kwesantya sentliziyo okanye uxinzelelo lwegazi.
• Ukwanda kwesantya sokuphefumla.
• Izandi zentliziyo ezingaqhelekanga.
• Izandi zokukrazula okanye ukuphefumla emiphungeni.
• Ukudumba emzimbeni.
• Ukutshintsha kombala wesikhumba okungwevu okanye okuluhlaza okwesibhakabhaka.

Zithini iimvavanyo zokuxilonga?

Ukuba ugqirha wakho ukrokrela ukuba unolwelo emiphungeni yakho, uza kuyalela ezinye iimvavanyo. Ezi ziquka:

• Ubalo lwegazi olupheleleyo (CBC).
• Iikhemikhali zegazi.
• Uvavanyo lwe-pulse oximetry ukujonga amanqanaba eoksijini egazini.
• I -X-ray yesifuba ukuze kubonwe ukuba kukho ulwelo na emiphungeni.
• I- echocardiogram, i-ultrasound yentliziyo, yenziwa ukujonga ukuba akukho nakuphi na ukusebenza kwentliziyo okungaqhelekanga.
• I- Electrocardiogram (EKG) yokujonga iingxaki zesingqisho sentliziyo okanye ukuhlaselwa yintliziyo.
• Uvavanyo olubizwa ngokuba yi -cardiac catheterization ukujonga ukuvaleka kwemithambo yentliziyo.

Iphathwa njani i-Pulmonary Edema?

Ukudumba kweMiphunga yimeko enzima kakhulu. Ukuba uvela nale meko ngequbuliso (ngokukhawulezileyo),Kufuneka unyango olukhawulezileyo. Kusenokufuneka unyangwe kwiYunithi yoNyango oluNgxamisekileyo (ETU) okanye kwiYunithi yoKhathalelo oluNgxamisekileyo (ICU) .

Nazi ezinye iindlela zonyango:

• Ukubonelela ngeoksijini ngeetyhubhu ezincinci (iiphini) ezifakwe empumlweni.
• Ukusetyenziswa koomatshini abavuthela umoya emaphaphu ngemaski enxitywa ebusweni.
• Ukusetyenziswa kwee-ventilators okanye ii-respirators ezivuthela umoya ngetyhubhu efakwe kwi-trachea.
• Amayeza okunyusa umchamo ukususa ulwelo okanye amayeza omeleza intliziyo.
• Ukuba ukudumba kwamaphaphu akubangelwa kukusilela kwentliziyo okuxineneyo, amanye amayeza afana nee-antibiotics kunye nee-steroids anokunikwa.

Ndingakuthintela njani ukudumba kwamaphaphu?

Ukuba usengozini enkulu yokuba ne-pulmonary edema, ungathatha amanyathelo aliqela ukuze uzinyamekele.

• Ukuba unesifo sentliziyo, thatha amayeza akho njengoko ugqirha wakho ekuyalele.
• Fumana ugonyo rhoqo.
• Bona ugqirha wakho rhoqo, ingakumbi ukuba unengxaki yokuphefumla.
• Yitya ukutya okunempilo, okungenatyuwa ingako.
• Musa ukutshaya.
• Gcina ubunzima bakho busempilweni.
• Ukuba uceba imisebenzi enokubangela ukudumba kwemiphunga, njengokuhamba intaba, thetha nogqirha wakho ngayo.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukwenzakala kwemiphunga ngokukhawuleza kunokuba yingozi ebomini. Ukuba unayo nayiphi na kwezi mpawu, fowunela u-911 okanye uye kwigumbi likaxakeka elikufutshane nawe ngoko nangoko:

• Ubunzima obukhulu bokuphefumla.
• Ndiziva ngathi uyafuthanisela.
• Ukuqhawukelwa ngumphefumlo.
• Ukukhohlela igazi okanye umhluzi onegwebu ogcwele igazi.
• Isandi sokukhala okanye ukuziva ngathi kunzima ukuphefumla.
• Ukubetha kwentliziyo ngokukhawuleza.
• Ukuziva ungaphumli okanye uphazamisekile.
• Ukutshintsha kombala wesikhumba okwesibhakabhaka okanye ongwevu.
• Ukubila okugqithisileyo.
• Ukuba nesiyezi okanye ubuthathaka.

Kubalulekile: I-Pulmonary Edema yimeko enzima yezonyango. Ukuba uhlaselwa yile meko ngequbuliso, kufuneka ufune unyango ngokukhawuleza. Amathuba okuchacha kule meko axhomekeke kwisizathu semeko, ubukhali bemeko, kunye nokuba ufuna unyango ngokukhawuleza kangakanani. Okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba akho okuchacha aphezulu.

Ingaba le meko inokuhlala ixesha elingakanani? Okanye ingakhokelela ekufeni ngequbuliso?

Ixesha onokuphila ngalo nale meko lixhomekeke kwisizathu semeko kunye nokuba ufumana unyango ngokukhawuleza kangakanani. Ukuba une-pneumonia ebukhali, udinga unyango ngoko nangoko. Kwiimeko ezinzima, inokuba yingozi ebomini ukuba ayinyangwa ngokukhawuleza. Ke ngoko, ukulaliswa esibhedlele kudla ngokuba yimfuneko, ingakumbi kwiimeko ezingxamisekileyo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, oko sithethe ngako namhlanje (i-Pulmonary Edema)Okanye ndiyathemba ukuba ngoku uyiqonda ngcono imeko ebizwa ngokuba lulwelo oluzalisa imiphunga.

• Le yimeko enzima: sukuyityeshela nje. Funa ingcebiso kagqirha ngokukhawuleza nje ukuba uqaphela iimpawu.
• Zininzi izizathu: oku kunokwenzeka ngenxa yezinye izizathu, kungekuphela nje isifo sentliziyo.
• Unyango lwangethuba lubaluleke kakhulu: Okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba akho okuphila aphezulu.
• Lumka ngeempawu: Lumka izinto ezinje ngobunzima bokuphefumla, iintlungu zesifuba, kunye nokukhohlela okuphuma igwebu.
• Zama ukukuphepha: Kubaluleke kakhulu ukulandela indlela yokuphila enempilo.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho. Hlala usempilweni!

Ukudumba kweMiphunga , Ubunzima bokuphefumla, Isifo sentliziyo, Isifo semiphunga, i-ARDS, Unyango olungxamisekileyo