Umngane okhathalela ukuphefumula kwakho: Ake sifunde ngoDokotela Wezokwelapha Ophefumulayo!

Akunakuphikwa ukuthi ukuphefumula kubaluleke kangakanani empilweni yethu, akunjalo? Kodwa ngezinye izikhathi, ngenxa yezifo ezingalindelekile, izingozi , noma ukuhlinzwa, amaphaphu ethu kanye nenqubo yokuphefumula kungabhekana nezinkinga ezahlukahlukene. Yilapho sidinga khona usizo lomuntu okhethekile. Lowo ngumelaphi wokuphefumula , noma njengoba sisho ngesiNgisi, "uMelaphi Wokuphefumula". Namuhla, ake sixoxe ngokuthi bangobani laba bantu nokuthi bangasisiza kanjani.

Ubani uMeluleki Wezokwelapha Eziphefumulayo? Ingabe bangodokotela?

Manje ungase uzibuze, "Ungubani lo chwepheshe wokuphefumula? Ingabe nabo bangodokotela?" Empeleni, abahlinzeki bokuphefumula ababona odokotela. Kodwa-ke, bayiqembu elibaluleke kakhulu labantu abasebenza njengeqembu nodokotela, abahlengikazi, nabanye ochwepheshe bezempilo. Kalula nje, indima yabo eyinhloko ukuxilonga nokwelapha izinkinga zamaphaphu akho nokuphefumula, futhi bakusize uphile kahle nalezo zimo. Basiza ekubuyiseleni noma ekugcineni ukusebenza kwamaphaphu akho.

Yini ngempela eyenziwa yi-respirator?

Abelaphi bokuphefumula basiza abantu babo bonke ubudala, kusukela ezinsaneni kuya kwasebekhulile, abanezinkinga zokuphefumula. Kunezizathu eziningana zokuthi kungani lobu bunzima bungase buvele:

• Izifo zamaphaphu: Izifo ezifana ne-asthma, i-pneumonia , kanye ne-COPD.
• Izingozi: Izinto ezifana nokulimala esifubeni.
• Ukuhlinzwa: Uma ubhekene nobunzima bokuphefumula ngemva kokuhlinzwa okukhulu.

Bazokufundisa ngesifo sakho samaphaphu futhi bakusize ukuthi ululame ngokushesha. Ungakuthola lokhu kwelashwa usesibhedlela, emtholampilo, noma ngezinye izikhathi usekhaya. Cabanga nje, ngezinye izikhathi kungase kube nezinkinga ezithinta amaphaphu esingazazi nhlobo. Ngaleso sikhathi, laba ngabantu abazibhekayo futhi benze okudingekayo.

Yiziphi ezinye zezindlela zokwelapha kanye nokuhlolwa abakwenzayo?

Ezinye zezinto ezenziwa abelaphi bokuphefumula zingase zibonakale ziyinkimbinkimbi kuwe, kodwa konke kumayelana nokwenza ukuphefumula kwakho kube lula nokukusiza uzizwe ungcono. Ake sibheke ezinye zezinto abazenzayo:

• Ukuhlolwa Kokusebenza Kwamaphaphu: Lokhu kulinganisa izinto eziningi, njengokuthi amaphaphu akho asebenza kahle kangakanani, ukuthi ungawuthatha umoya ongakanani ngokuphefumula okukodwa, nokuthi ungawukhipha ngokushesha kangakanani. Lokhu kufana "nokuhlolwa kokufaneleka" kwamaphaphu akho.
• Ukwelashwa Nge-Oxygen :Abanye abantu banezinga eliphansi lomoya-mpilo egazini labo. Ngemuva kwalokho badinga ukunikezwa umoya-mpilo owengeziwe. Laba ngabantu abanquma inani eliqondile lomoya-mpilo bese bekunika lona.
• Ukuhlola amazinga omoya-mpilo egazini: Umsebenzi wabo ukuhlola njalo inani lomoya-mpilo egazini lakho.
• Umoya Wokuphefumula Osebenza Ngomshini: Laba bantu basiza abantu abanenkinga yokuphefumula futhi abangakwazi ukuphefumula bodwa ngokusebenzisa umshini. Kungenzeka ukuthi uke wabona iziguli ezisezindlini zokunakekelwa okujulile (ICU) zixhunywe kumishini enjalo. Le mishini ilawulwa futhi inakekelwa abelaphi bokuphefumula.
• Ukuphathwa Kwendlela Yomoya : Uma kukhona ukuvinjelwa noma ukuvinjelwa kwendlela yomoya, kungumsebenzi wabo ukuyisusa nokwenza kube lula ukuphefumula.
• Ukususa i-mucus/sputum: Uma i-mucus inamathele emaphashini, basebenzisa amasu akhethekile, ngezinye izikhathi amathuluzi amancane, ukuze bayisuse.
• Ukunikeza imithi (ikakhulukazi imithi yokuphefumula): Uma usebenzisa i-inhaler, izokufundisa ukuthi uyisebenzisa kanjani ngendlela efanele kanye nangemithi.
• Ukufakwa kwepayipi : Kwezinye izimo eziphuthumayo, ipayipi elincane lingadinga ukufakwa ngqo epayipini lomoya, kungaba ngomlomo noma ekhaleni, ukuze kusizwe umuntu aphefumule. Nakuba lokhu kuyinkimbinkimbi kancane, kungaba yinto ebalulekile ukusindisa impilo.
• Ukuhlola nokuqapha ukuphefumula: Bazohlala beqapha izinto ezifana nendlela ophefumula ngayo, izinga layo, kanye nokujula kwayo.
• Usizo lwe-Bronchoscopy: Lokhu kuhilela ukudlulisa ipayipi elincane elinekhamera exhunywe emaphashini ukuze kuhlolwe ingaphakathi. Umsebenzi wabo futhi ukusiza udokotela ngesikhathi sokuhlolwa okunjalo.
• Ukusiza Ekuthuthweni Kokunakekelwa Okubucayi (i-CCT): Abelaphi bokuphefumula bayadingeka nalapho behambisa iziguli ezigula kakhulu, njengase-ambulensini noma endizeni enophephela emhlane.

Okubalulekile: Konke lokhu kwenziwa ngaphansi kwesiqondiso nokuphathwa udokotela wakho. Uchwepheshe wezokwelapha uyingxenye ebalulekile yeqembu lezokwelapha.

Yiziphi izimo ezivamile ezelashwa abelaphi bokuphefumula?

Kunezimo eziningi abazelaphayo. Nazi ezinye zazo:

• I-Acute Respiratory Distress Syndrome (ARDS)
• Ukwehluleka okukhulu kokuphefumula
• I-asthma - Lesi yisifo cishe sonke esisaziyo.
• I-Bronchiolitis - yenzeka ikakhulukazi ezinganeni ezincane.
• I-Bronchitis
• Isifo Sokuvimbela Amaphaphu Esingapheli (i-COPD) - Sivame kakhulu kubantu ababhemayo.
• I-Cystic Fibrosis
• Umdlavuza wamaphaphu
• Inyumoniya
• Izinkinga zokuphefumula ezihlobene nokulala, njenge-sleep apnea (ukuhona kanye nokuphelelwa umoya ngesikhathi sokulala)
• Ukungakwazi ukuphefumula wedwa ngenxa yokulimala esifubeni.
• Ziphinde zisize abantu abanezifo zezinzwa ezifana ne-Amyotrophic Lateral Sclerosis (ALS) abanenkinga yokuphefumula.

Umuntu uba kanjani uchwepheshe wezokwelapha ukuphefumula?

Lokhu kubalulekile futhi ukuthi ukwazi. Ukuze ube ngumelaphi wokuphefumula:

• Kumelwe uqedele iziqu ze-'Associate' zeminyaka emibili noma iziqu ze-'Bachelor' zeminyaka emine ezihlobene nalesi sihloko.
• Ngemuva kwalokho udinga ukuphumelela ukuhlolwa kwe-"Registered Respiratory Therapist - RRT" ezingeni likazwelonke.
• Futhi, udinga ukuthola ilayisensi edingekayo ukuze usebenze kulelo zwe noma esifundazweni.

Ukufunda kulo mkhakha kuyinselele kancane. Kufanele ube muhle ezifundweni ezifana nezibalo nesayensi. Kufanele ufunde kanzima futhi wenze kahle ekujikelezweni kwezokwelapha. Phakathi nalokhu kujikeleza kwezokwelapha, bafunda umsebenzi ngaphansi kwabelaphi bokuphefumula abanolwazi.

Kufanele ngimbone nini udokotela wezifo zokuphefumula?

Udokotela wakho uvame ukukudlulisela kudokotela wezifo zokuphefumula uma unezimpawu zokuphefumula noma zamaphaphu. Izimpawu zifaka:

• Ukukhwehlela (ikakhulukazi ukukhwehlela okuqhubekayo)
• Ukukhwehlela igazi noma amafinyila
• Ukuphefumula (umsindo ozwakala sengathi uvela esifubeni lapho uphefumula)
• Ubunzima bokuphefumula (i-Dyspnea)
• Ukuzwa ukuqina nokucindezeleka esifubeni
• Ubuhlungu besifuba
• Ukuphazamiseka kwe-X-ray yesifuba
• Ukwehla kwamazinga omoya-mpilo egazini

Uma unesifo esifana nalesi, kungcono ukubona udokotela bese uthola iseluleko.

Kwenzekani uma uhlangana nodokotela wezifo zokuphefumula okokuqala?

Uma uqala ukubona udokotela wezokwelapha izifo zokuphefumula, ngokuvamile uzokwenza lezi zinto:

• Ngizobheka wonke amarekhodi akho amadala ezokwelapha .
• Uzobuzwa ngezimpawu zakho.
• Wenza ukuhlolwa ngokomzimba (njengokulalela amaphaphu).
• Izinga le-oxygen egazini lakho liyalinganiswa.
• Udokotela wakho uzochaza ukwelashwa okunikezwe wena.
• Uzonikezwa lolo hlobo lokwelashwa futhi impendulo yakho kulo izoqashwa.

Akukho okufanele ukwesabe. Balapha ukuzokusiza. Ungababuza noma yimiphi imibuzo noma ukukhathazeka onakho.

Uyini umehluko phakathi kochwepheshe bezokwelapha izifo zokuphefumula kanye nomhlengikazi?

Lokhu kuyinkinga nakubantu abaningi. Abelaphi bokuphefumula ngabantu abaqeqeshwe ngokukhethekile ezifweni zokuphefumula kanye nezamaphaphu. Ukugxila kwabo konke kuleyo ndawo.

Abahlengikazi nabo bayiqembu elibaluleke kakhulu ohlelweni lwezempilo. Benza imisebenzi eminingi yezokwelapha evamile (isib. ukuhlola izimpawu ezibalulekile, ukunikeza imithi, nokunakekela amanxeba). Abahlengikazi bangagxila nasezifweni zamaphaphu, kodwa abelaphi bokuphefumula bangochwepheshe kulo mkhakha. Bobabili, banikeza ukunakekelwa okungcono kakhulu kwesiguli.

Izinzuzo kanye nokungalungi komsebenzi wokwelapha ukuphefumula

Mhlawumbe wena, noma othile omaziyo, unesifiso kulo msebenzi. Ngakho ake sixoxe ngawo kancane.

Izinzuzo:

• Ukuba nomthelela omuhle empilweni yabanye: Ukusiza umuntu ukuba aphefumule ngokukhululeka kuyinto enhle kakhulu.
• Amathuba emisebenzi maningi: Njengoba lo mkhakha uthuthuka, kulula ukuthola imisebenzi.
• Ukuthuthuka emsebenzini: Ungaphishekela iziqu eziphakeme futhi uphishekele izikhundla zokuphatha, ukufundisa, noma ucwaningo.
• Amandla okusebenza amashifu ahlukahlukene: Isikhathi esigcwele kanye nesikhathi esingesisodwa.

Okubi:

• Isikhathi esidingekayo semfundo: Kumelwe uqede okungenani iziqu zeminyaka emibili.
• Izivivinyo Zokuthola Amalayisense Nokuqinisekiswa Kabusha: Kumelwe uphumelele izivivinyo zokuthola amalayisense ukuze usebenze, futhi kufanele uvuselele lawo malayisense njalo eminyakeni embalwa.
• Amahora okusebenza anganda: Kungase kudingeke usebenze amahora angu-8-13 ngosuku.
• Kungaba nzima ngokomzimba: Kungadingeka ukuma cishe usuku lonke nokuhambisa iziguli.
• Ukusebenza ebusuku, ngezimpelasonto, kanye namaholide: Lokhu kuvamile uma usebenza ezibhedlela.

Njenganoma yimuphi umsebenzi, lo unezinzuzo nezingozi zawo. Kodwa-ke, kungaba ukukhetha okuhle kumuntu ofuna ukusiza abanye futhi ofuna umsebenzi ozinzile.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, manje cishe uyaqonda ukuthi i-Respiratory Therapist inguchwepheshe wezempilo obaluleke kakhulu onakekela amaphaphu akho, ukuphefumula kwakho, futhi akusize ngezinkinga ezihlobene.

Uma unezimpawu ezifana nobunzima bokuphefumula, ubuhlungu besifuba, noma ukukhwehlela okuqhubekayo, ungakuzibi bese ubona udokotela. Ungadinga usizo lochwepheshe bezokwelapha ukuphefumula.

Bakhona ukukusiza, ukwenza impilo yakho ibe lula. Ngakho-ke, uma uhlangana nomuntu onjalo, ungesabi ukukhuluma naye ngezinkinga zakho. Bazokwenza konke okusemandleni abo ukukunikeza ukwelashwa okungcono kakhulu futhi bakusize uphathe isimo sakho.

Umeluleki wokuphefumula, amaphaphu, ukuphefumula, i-asthma, i-COPD, i-pneumonia, isisebenzi sezempilo