Ngaba ngamanye amaxesha uziva ngathi izinga lakho lokuphefumla linyuke ngequbuliso? Okanye wakha woyika xa ubona umntwana wakho ephefumla ngokukhawuleza? Kwizonyango, esi sifo sibizwa ngokuba yiTachypnea. Oku ngamanye amaxesha kunokuba yinto eqhelekileyo, kwaye ngamanye amaxesha kunokuba luphawu lwesifo esithile. Ngoko ke, ngaphandle kokuchitha ixesha, makhe sifunde ngakumbi ngayo namhlanje.
Yintoni i-tachypnea ngokulula?
Ngamafutshane, i-tachypnea kukuphefumla okukhawulezayo nokunganzulu. Kuqhelekile ukuphefumla ngokukhawuleza xa uzilolonga, njengokubaleka okanye ukunyuka izinyuko. Kodwa i-tachypnea kuxa izinga lakho lokuphefumla linyuka nokuba uphumle, ngaphandle kokuzilolonga.
Le meko inokwenzeka kwiintsana nakubantu abadala. Ixhaphake kakhulu kwiintsana ezizelwe ngaphambi kwexesha nakubantu abadala abanezifo zokuphefumla ezifana ne-asthma kunye ne-COPD.
Ngamanye amaxesha oku kuphefumla ngokukhawuleza kuyaphela emva kwexesha elithile. Siyibiza ngokuba yi-'transient tachypnea'. Oku kuqheleke kakhulu kwiintsana ezisandul' ukuzalwa.
Ndingazi njani ukuba ndiphefumla ngokukhawuleza kakhulu?
Ungakuvavanya oku ekhaya. Ngelixa uphumle, jonga iwotshi uze ubale amaxesha ophefumla ngawo ngomzuzu omnye.
- Umntu omdala: Umntu omdala osempilweni uhlala ephefumla izihlandlo ezili -12 ukuya kwezingama-25 ngomzuzu xa ephumle (ngaphandle kokuzilolonga). Ukuba izinga lokuphefumla kwakho lingaphezulu kwezihlandlo ezingama-25 ngomzuzu xa ephumle, kusenokwenzeka ukuba yi-tachypnea.
- Usana Olusandul’ Ukuzalwa: Kuqhelekile ukuba umntwana osandul’ ukuzalwa aphefumle phakathi kwamaxesha angama-40 nama-60 ngomzuzu. Ukuba izinga lomntwana lidlula ama-60 ngomzuzu, isenokuba yimeko ebizwa ngokuba yi-"transient tachypnea yosana olusandul’ ukuzalwa" kwaye kufuneka ibonwe ngugqirha.
Zeziphi iimpawu ezibonakala kule meko?
I-Tachypnea ingahamba nezinye iimpawu ezininzi, ezinye zazo ezinokuba ziimpawu zengxamiseko.
| Uphawu | Ingcaciso elula |
|---|---|
| Ubunzima bokuphefumla | Kuvakala ngathi kufuneka ulwe nzima ukuphefumla. |
| Iintlungu zesifuba | Ukuqina kwesifuba kunye nentlungu xa uphefumla. |
| Ukuziva ngathi awukwazi ukuphefumla ngokwaneleyo | Andikwazi ukuphefumla nzulu, ndiziva ndiphelelwa ngumphefumlo. |
| Ukutshintsha kombala wesikhumba, imilebe, okanye iinzipho okwesibhakabhaka/ngwevu | Uphawu oluyingozi oluvela xa umzimba ungafumani ioksijini eyaneleyo. |
Eyona nto ibalulekileyo: Ukuba wena okanye umntwana wakho ninengxaki yokuphefumla, iintlungu zesifuba , okanye ulusu oluluhlaza okwesibhakabhaka/ongwevu , le yingxamiseko yezonyango. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele esikufutshane (ETU) ngaphandle kokulibazisa.
Zithini izizathu ze-tachypnea?
Kusenokuba nezizathu ezahlukeneyo zoku.
Izizathu eziqhelekileyo phakathi kwabantu abadala nabantwana
- Iimpendulo ze-allergic: Ukudumba kweendlela zomoya xa kukho i-allergies ezinzima.
- Ixhala okanye ukuphazamiseka koloyiko: Ukuphefumla kuyakhawuleza xa uloyiko noxinzelelo lusanda.
- Isifuba: Ukuxinana kwendlela yokuphefumla.
- Amahlwili egazi: Ihlwili legazi, ingakumbi kwimithambo yegazi ekhokelela emiphungeni (pulmonary embolism).
- Ityhefu ye-carbon monoxide: Ukuphefumla umsi.
- I-COPD (Isifo esingapheliyo sokuvaleka kwemiphunga): Umonakalo wexesha elide emiphungeni obangelwa zizinto ezifana nokutshaya.
- I-ketoacidosis yeswekile: Yimeko eyingozi ebangelwa sisifo seswekile esingalawulekiyo, esibangela ukuba igazi libe ne-asidi.
- I-Pneumonia: Usulelo lwemiphunga.
- I-Sepsis: Usulelo olunzima oluye lwasasazeka emzimbeni wonke.
Izizathu ezikhethekileyo zeentsana ezisandul' ukuzalwa
Xa umntwana esesibelekweni, imiphunga yakhe izaliswe lulwelo. Xa umntwana ezelwe, iihomoni zibangela ukuba olu lwelo luhlale kwaye imiphunga izaliswe ngumoya. Ngamanye amaxesha, ingakumbi kwiintsana ezizelwe ngaphambi kwexesha, olu lwelo luyahlala okwethutyana. Emva koko umntwana kufuneka aphefumle ngokukhawuleza ngenxa yolwelo olongezelelweyo olusele emiphungeni. Oku kubizwa ngokuba yi-"transient tachypnea yosana olusandul' ukuzalwa". Le meko idla ngokuphela kwiintsuku ezimbini ukuya kwezintathu.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kwisizathu esiyintloko. Into yokuqala eyenziwa ngugqirha kukufumana unobangela.
- Unyango olukhawulezileyo: Ukuba kukho ubunzima bokuphefumla, kuqala kunikwe ioksijini . Kwiintsana ezincinci, oku kunokunikwa nge-cannula yempumlo okanye imaski yobuso.
- Ukuzilolonga ngokuphefumla: Kubantwana abadala kunye nabantu abadala, zama ukuzola nokuziqhelanisa nokuphefumla nzulu. Ukuphefumla ngempumlo yakho nokuphuma ngomlomo wakho kunceda ekuzaliseni imiphunga yakho.
- Kwiimeko ezinzima: Ukuba imeko imbi kakhulu, kunokufuneka usebenzise umatshini we-CPAP. Okanye, kunokufuneka uqhagamshelwe kwi-ventilator ukuze ikuncede uphefumle.
Ngokuxhomekeke kwisizathu, unyango lungabandakanya:
- Ukuba kukho usulelo, ke amayeza afana nee-antibiotics.
- `I-inhaler` yesifo esifana ne-asthma.
- Ii-anticoagulants zinciphisa igazi kwiingxaki zokuqhekeka kwegazi.
- Ukuba uxinzelelo lubangelwa kukuxhalaba, lunokunyangeka ngonyango lokuziphatha kwengqondo, kwaye ukuba kuyimfuneko, amayeza.
Ngaba le meko ingathintelwa?
Nangona kungengazo zonke izizathu ezinokuthintelwa, kukho izinto onokuzenza ukunciphisa umngcipheko wakho.
- Ziphephe izinto ezibangela ukuba ungabi na-allergies.
- Yandisa amandla omzimba wakho kunye nemiphunga ngokwenza umthambo rhoqo.
- Ziphephe iindawo ezinentuthu kunye nongcoliseko oluphezulu.
- Ukuba usebenzisa izinto ezifana neegesi zegesi kunye nezitovu zomthi ekhaya, kubaluleke kakhulu ukufaka isixhobo sokubona i-carbon monoxide.
- Ukuba unexhala, funa uncedo kwingcali efanelekileyo.
- Ukuba unezinye izifo ezifana nesifo seswekile okanye i-asthma, zilawule ngokufanelekileyo ngokweengcebiso zonyango.
Umyalezo Wokuya Ekhaya
- I-Tachypnea kukuphefumla okukhawulezayo nokunganzulu okwenzeka xa uphumle.
- Ukuba uneempawu ezifana neentlungu esifubeni, ubunzima obukhulu bokuphefumla, okanye ulusu oluluhlaza okwesibhakabhaka/ongwevu, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- Zininzi izizathu zoku. Ngoko ke, ukuba uneempawu, musa ukwenza izigqibo wedwa kwaye ngokuqinisekileyo bonana nogqirha ukuze ufumane unobangela kwaye ufumane unyango olufanelekileyo.
- Ukuba izinga lokuphefumla kosana olusandul’ ukuzalwa lingaphezulu kwezihlandlo ezingama-60 ngomzuzu, musa ukoyika, kodwa cela ingcebiso kugqirha wezingane okufutshane.
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