Ingabe ngezinye izikhathi uzizwa uphelelwa umoya, noma uzizwa ukhathele kakhulu ngisho nalapho wenza into encane, njengokukhuphuka izitebhisi? Mhlawumbe udokotela wakho ukhulumile nawe ngokwelashwa nge-oxygen. Kuyini ngempela ukwelashwa nge-oxygen? Kwenzani? Ingabe kuyinto okufanele uyesabe? Ake sixoxe ngakho konke lokhu kalula nangendlela enobungane namuhla.
Kalula nje, kuyini ukwelashwa nge-oxygen?
Ukwelashwa nge-oxygen kuyindlela yokusiza umuntu onesifo samaphaphu noma ezinye izinkinga zokuphefumula ukuthi athole inani lomoya-mpilo elidingwa umzimba wakhe. Lona umoya-mpilo owengeziwe esiwunikezayo ngaphezu komoya esivame ukuwuphefumula. Okusho ukuthi, uma ungakwazi ukuthola inani lomoya-mpilo umzimba wakho owudingayo ukuze usebenze ngokuphefumula kuphela, umoya-mpilo unikezwa uvela ngaphandle.
Ubani odinga lokhu kwelashwa?
Uma unesinye noma ngaphezulu kwalezi zimo ezilandelayo, udokotela wakho angase akuncome lokhu kwelashwa.
- Izimo ezifana ne-asthma, i-bronchitis, noma i-emphysema
- Isifo Sokuvinjelwa Kwamaphaphu Esingamahlalakhona (i-COPD)
- Izinkinga ngemuva kokutheleleka nge-COVID-19
- I-Cystic Fibrosis
- Ukwehluleka Kwenhliziyo
- Umdlavuza wamaphaphu noma ezinye izinhlobo zomdlavuza
- Inyumoniya
- I-Pulmonary Fibrosis
- Ukuphefumula komoya ngesikhathi sokulala
Ngaphezu kwalokho, abaqwali bezintaba noma labo abaya ezindaweni eziphakeme ngezinye izikhathi bangase badinge umoya-mpilo owengeziwe, njengoba izinga lomoya-mpilo emoyeni lehla ngokuphakama okwandayo.
Kwenzekani ngempela ngokwelashwa nge-oxygen?
Cabanga ngemizimba yethu njengemoto, kanti umoya-mpilo ufana nophethiloli (uphethiloli/udizili) owudingayo. Njengoba nje imoto idinga uphethiloli ukuze isebenze, umoya-mpilo ubalulekile ukuze izitho zomzimba, izicubu, namaseli omzimba wethu asebenze kahle.
Uma siphefumula ngamakhala noma ngomlomo, umoya ungena emaphashini ethu. Lo moya uqukethe cishe u-20% womoya-mpilo. Amaphaphu ahlunga umoya-mpilo ovela kulo moya bese ewufaka egazini. Igazi libe selithwala lo moya-mpilo kuwo wonke umzimba.
Kodwa-ke, uma unesifo samaphaphu, le nqubo ayisebenzi kahle. Lokho kusho ukuthi umzimba wakho awutholi umoya-mpilo owanele egazini lakho. Lesi simo sibizwa ngokuthi i-hypoxemia . Uma lokhu kuqhubeka, kungalimaza izitho zomzimba wakho, kuphazamise ukusebenza kwazo, futhi ngezinye izikhathi ngisho nokukubulala. Ukwelashwa nge-oxygen kusebenza ukulungisa lokhu kuntuleka.
Liyini izinga le-oxygen elinempilo futhi lilinganiswa kanjani?
Ukugcwala komoya-mpilo egazini lomuntu ophilile kufanele kube ngu-95% noma ngaphezulu . Odokotela bavame ukunquma ukwelashwa komoya-mpilo uma izinga lomoya-mpilo lehla ngaphansi kuka-88% .
Kunezindlela eziningana zokuhlola amazinga akho e-oxygen.
| Indlela yokuhlola | Incazelo |
|---|---|
| I-Pulse Oximeter | Cishe usuyibonile le nto. Yidivayisi encane enamathela emunweni wakho. Ingalinganisa amazinga e-oxygen egazini lakho ngaphandle kobuhlungu. Manje usungayithenga le divayisi ngisho nasemakhemisi. |
| Ukuhlolwa kwe-Arterial Blood Gas (ABG) | Lokhu kuhilela ukuthatha isampula yegazi elincane emthanjeni osengalweni bese ulinganisa inani lomoya-mpilo kanye ne-carbon dioxide okuyo. Lokhu ukuhlolwa okunganikeza ulwazi olunembile kakhulu mayelana nokusebenza kwamaphaphu. |
| Ukuhlolwa Komsebenzi Wamaphaphu | Ukuhlolwa okufana ne-spirometry kulinganisa ukuthi ungakwazi yini ukuphefumula kahle ngaphakathi nangaphandle. |
Yiziphi izimpawu zokuntuleka komoya-mpilo emzimbeni?
Ungase ungabi nomuzwa wokuthi amazinga akho omoya-mpilo aphansi ngaso sonke isikhathi. Kodwa-ke, uma kuvela izimpawu, zingase zihlanganise:
- Ubunzima bokuphefumula
- Ukushintsha kombala wesikhumba, izindebe, nezinzipho kube luhlaza okwesibhakabhaka
- Ukukhathala ngokweqile okungavamile
- Ikhanda elibuhlungu kakhulu
- Ukukhwehlela noma ukuqina kwesifuba
- Ukwanda kwesilinganiso senhliziyo
- Ukuzizwa udidekile
Yiziphi izindlela zokuletha i-oxygen?
Ukwelashwa nge-oxygen kunganikezwa ngezindlela ezahlukene. Udokotela wakho uzonquma indlela efaneleke kakhulu ngokusekelwe ezidingweni zakho.
- Amasilinda e-Oxygen (Igesi Ecindezelwe): Lawa avame kakhulu esiwabonayo. I-Oxygen igcinwa ngaphansi kwengcindezi ephezulu kusilinda sensimbi. Uma lawa ephela, kufanele uwagcwalise kabusha noma uthenge isilinda esisha.
- I-oksijini Ewuketshezi: I-oksijini igcinwa njengoketshezi olubandayo kakhulu. Uma i-oksijini ikhishwa kulokhu, iphenduka igesi esingayiphefumula. Ngokuvamile lezi zincane kunezilinda.
- Ama-Oxygen Concentrator: Lena idivayisi esebenza ngogesi noma ngebhethri. Ithatha umoya ozungezile, isuse i-nitrogen kuwo, bese iwugxilisa emoyeni ukuze ikunike umoya-mpilo. Inzuzo yalokhu ukuthi awuphelelwa umoya-mpilo. Kukhona ngisho namamodeli amancane ongazisebenzisa ngenkathi usohambweni.
Umoya-mpilo ungathunyelwa emzimbeni ngethubhu elincane elibekwe ekhaleni (i-cannula yekhala) , imaski yobuso , noma ithubhu elifakwe ngokuhlinzwa epayipini lomoya (ithubhu le-tracheotomy) .
Ukuphepha kubaluleke kakhulu! Qiniseka ukuthi uyawakhumbula la maphuzu
I-oksijini akuyona igesi evuthayo. Kodwa-ke, emlilweni, i-oksijini isiza umlilo ukuthi usabalale ngokushesha okukhulu nangobudlova. Ngakho-ke, kufanele kuqashelwe kakhulu lapho kusetshenziswa i-oksijini.
- Ukubhema akuvunyelwe ngokuphelele: Ungalokothi ubheme eduze kwesilinda se-oxygen. Hlala okungenani amamitha angu-5 kude nanoma yimaphi amalangabi avulekile, njengezitofu, amakhandlela, noma izitofu.
- Gcina isilinda ngokuphephile: Gcina njalo isilinda se-oxygen simile, usincike noma usibophe entweni ethile ukuze singawi. Ungalokothi usigingqise phansi. Uma isilinda siwa noma sonakele, ingcindezi engaphakathi ingabangela ukuthi siqhume.
- Gcina endaweni enomoya omuhle: Amasilinda e-oxygen kufanele agcinwe endaweni enomoya omuhle.
- Gcina kude nokushisa: Gcina okungenani amamitha angu-2.5 kude nezinto ezikhipha ukushisa, njengezifudumezi nezinto zikagesi.
- Gcina izinto ezivuthayo kude: Ungasebenzisi izifutho ze-aerosol, uketshezi lokuhlanza, noma amafutha (njenge-petroleum jelly) eduze nomoya-mpilo.
- Qaphela izingubo zakho: Kuphephile ukusebenzisa izingubo zikakotini kanye nezinto zokulala kunezindwangu ezifana noboya ne-nylon, ezingakhiqiza ugesi ongashintshi.
- Gcina isicisha-mlilo eduze: Hlala ugcina isicisha-mlilo eduze futhi wazi ukuthi sisetshenziswa kanjani.
Kunini lapho udinga ukukhuluma nodokotela?
Uma uthola ukwelashwa nge-oxygen, shayela udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezilandelayo:
- Ubuhlungu besifuba
- Ukudideka noma ukulahlekelwa yinkumbulo
- Isiyezi
- Ubunzima obukhulu bokuphefumula
- Isicanucanu nokuhlanza
- Ikhanda elibuhlungu kakhulu
Kwenzekani uma uthatha umoya-mpilo ngokungadingekile?
Lokhu kubaluleke kakhulu. I-oxygen iyisidakamizwa esinikezwa ngudokotela. Ungalokothi usebenzise i-oxygen ngaphandle kweseluleko sikadokotela. Uma uthola i-oxygen eningi kunalokho umzimba wakho okudingayo, kungabangela ukuthi ukuphefumula kwakho kanye nokushaya kwenhliziyo kwehle kube amazinga ayingozi.
Lesi simo sibizwa ngokuthi ubuthi be-oxygen . Izimpawu zingafaka phakathi ubuhlungu besifuba, ubunzima bokuphefumula, isiyezi, kanye nezinkinga zokubona. Ngakho-ke, sebenzisa i-oxygen kuphela njengoba uqondiswe udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa nge-oxygen kuyindlela yokwelapha enikeza umzimba umoya-mpilo owudingayo, okuletha impumuzo enkulu ekuphileni kulabo abanezifo zamaphaphu.
- Lona umuthi onikezwa udokotela kuphela. Ungalokothi uwusebenzise ngaphandle kweseluleko sikadokotela.
- Uma usebenzisa umoya-mpilo, ukuphepha kuyinto yokuqala . Ikakhulukazi, gwema amalangabi nokubhema.
- Ukwelashwa nge-oxygen kungakusiza ukuthi uzizwe ukhathele kancane, ube matasa kakhulu, futhi ulale kangcono.
- Uma kuvela izimpawu ezingavamile, yazisa udokotela wakho ngokushesha.
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