Ingabe amaphaphu akho azizwa sengathi agcwele amanzi? (I-Pulmonary Edema) - Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuphefumula? Noma uzizwa sengathi isifuba sakho siqinile, noma ukhwehlela i-phlegm ne-foam? Lezi akuzona izimpawu okufanele uzishaye indiva nje. Lokhu kungaba yisimo lapho amaphaphu akho egcwele amanzi, esiwabiza ngokwezokwelapha ngokuthi i-Pulmonary Edema . Lokhu kungaba kubi kakhulu, ngakho-ke kudingeka usizo lwezokwelapha ngokushesha. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini i-Pulmonary Edema?

Kalula nje, i-Pulmonary Edema ukunqwabelana koketshezi oluningi, njengamanzi, emaphashini akho. Cabanga ngakho njengesiponji. Ama-air sac amancane angaphakathi kwawo amunca umoya-mpilo egazini lapho siphefumula. Kodwa uma la ma-air sac egcwala ngamanzi, njengesiponji esicwiliswe emanzini, inani lomoya-mpilo elingangena egazini liyancipha. Yilapho-ke uhlangabezana nobunzima bokuphefumula, ukukhwehlela, kanye nokuqina kwesifuba. Lokhu kungaba yingozi empilweni, ngakho-ke kubalulekile ukufuna usizo lwezokwelapha ngokushesha.

Kuyini i-High Altitude Pulmonary Edema (HAPE)?

Wake wakhwela intaba? Noma waya endaweni ephakeme kakhulu ngokushesha? Uma wenza kanjalo, abanye abantu bangaba nesimo esibizwa ngokuthi i- High Altitude Pulmonary Edema (HAPE) . Lolu uhlobo olubi kakhulu lwesifo sokuphakama/isifo sezintaba. Isizathu esiyinhloko salokhu ukuthi izinga lomoya-mpilo emoyeni liyehla njengoba ukhuphuka endaweni ephakeme.

Uma une -HAPE, ungase uzizwe ukhathele, ubuthakathaka, ube nobuhlungu bomzimba, futhi ube nobunzima bokuphefumula. Ungase futhi uzwe ukukhwehlela nokuqina kwesifuba. Khumbula, i-HAPE iyisimo esiphuthumayo sezokwelapha. Uma uzwa lezi zimpawu, kufanele uye endaweni ephansi ngokushesha bese ucela usizo lwezokwelapha.

Uyini umehluko phakathi kwe-Pulmonary Edema ne-Pneumonia?

Zombili lezi zimo zibangela ukwakheka koketshezi emaphashini. Kodwa imbangela ihlukile. I-pneumonia ibangelwa ukutheleleka. Lokhu kutheleleka kungabangelwa amagciwane, amabhaktheriya, noma isikhunta. Lezi zinto eziphilayo zibangela uketshezi ukugcwalisa amasaka akho omoya. Ngakolunye uhlangothi, i-pulmonary edema ayibangelwa ukutheleleka, futhi uketshezi oluqongelelekayo luvame ukuba luncane kakhulu kune-pneumonia, kodwa lunamanzi amaningi.

Uyini umehluko phakathi kwe-Pulmonary Edema kanye ne-Pleural Effusion?

Lokhu kungaba yinto edidayo kancane. I-Pleural effusion ukuqongelela koketshezi ku-pleura, ulwelwesi oluncane oluzungeze amaphaphu . I-pleura iwulwelwesi oluphakathi kwamaphaphu nodonga lwangaphakathi lwesifuba. Ngokuvamile, kukhona ungqimba oluncane kakhulu loketshezi lapho. I-Pleural effusion ingabangelwa izimo ezifana ne-pneumonia, ukwehluleka kwenhliziyo okuhlanganisiwe, noma umdlavuza.Kungaba khona. Ngokungafani ne -Pulmonary Edema , lapho uketshezi lungaphandle kwamaphaphu, lolo ketshezi lungabangela ingcindezi emaphashini.

Kuyini Ukuvuvukala Kwemiphunga Okubangelwa Ukubhukuda?

Lesi simo singase senzeke ngezinye izikhathi kubabhukudi nababhukudi abancintisanayo. Sibizwa nangokuthi (i-Immersion Pulmonary Edema) . Lapho ubhukuda, igazi elivela emilenzeni nasesiswini liyaphambukiswa liye emaphashini. Leli gazi elengeziwe landisa ingcindezi emithanjeni yegazi emaphashini. Bese kuthi uketshezi luphume kulezo ziteshi bese luqoqana emasakeni omoya. Lokhu kungalimaza amaphaphu.

Ziyini izimbangela ze-pulmonary edema?

Izimbangela zoketshezi emaphashini zingahlukaniswa ngezigaba ezimbili eziyinhloko.

1. Izimbangela zenhliziyo

2. Ezinye izimbangela ngaphandle kwesifo senhliziyo (esingabangelwa yinhliziyo)

1. Izimbangela ezihlobene nesifo senhliziyo (i-Cardiogenic Pulmonary Edema)

I-Cardiogenic Pulmonary Edema yisimo lapho uketshezi luqongelela emaphashini ngenxa yenkinga yenhliziyo. Cabanga ngakho njengephampu yamanzi. Uma uhlangothi lwesobunxele lwenhliziyo lungaphampi igazi kahle, igazi liyabhajwa emithanjeni yegazi emaphashini, njengokuminyana kwezimoto. Ukucindezela kuleyo mithambo yegazi kuyanda, kusunduze uketshezi emasakeni omoya.

Inkinga eyinhloko yenhliziyo engabangela uketshezi ukuthi lugcwalise amaphaphu ngale ndlela ukwehluleka kwenhliziyo okubangelwa ukuminyana . Ngaphezu kwalokho, kungabangelwa nayizimo ezifana nalezi:

• Isifo senhliziyo.
• Imisipha yenhliziyo ebuthaka (i-Cardiomyopathy).
• Ukuvuza noma ukuncipha kwama-valve enhliziyo (isifo senhliziyo se-Valvular).
• Umfutho wegazi ophezulu (i-Hypertension).
• Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmia).
• I-Myocarditis (ukuvuvukala kwemisipha yenhliziyo).
• Ukuphuma kwegazi enhliziyweni (ukunqwabelana koketshezi ku-pericardium, ulwelwesi oluzungeze inhliziyo).

2. I-Noncardiogenic Pulmonary Edema (I-Noncardiogenic Pulmonary Edema)

I-Noncardiogenic pulmonary edema yisimo lapho uketshezi luqoqana emaphashini, hhayi ngenxa yenkinga yenhliziyo. Lokhu kwenzeka lapho imithambo yegazi emaphashini ivuvukala noma yonakele. Uketshezi lube seluphuma kuleyo mithambo yegazi bese luqoqana emasakeni omoya.

I-Adult Respiratory Distress Syndrome (ARDS) elinye igama lalesi simo (i-Noncardiogenic Pulmonary Edema) . Inkinga enkulu ku- (ARDS) ukuvuvukala. Lokhu kungabangelwa yi:

• Inyumoniya.
• Ukutheleleka okukhulu (i-Sepsis).
• Ukulimala ngokomzimba (Ukuhlukumezeka).
• I-Pancreatitis.
• Isifo sesibindi.
• Eminye imithi.
• Ukopha noma ukuvuvukala ebuchosheni(Ukuvuvukala kwamaphaphu okubangelwa yi-neurogenic).

Ngaphezu kwalokho, isimo esibizwa ngokuthi i-negative pressure pulmonary edema singavela ngemva kokuvaleka komoya ophezulu. Uma uzama ukuphefumula ngenkathi kukhona lokhu kuvimbeka, imithambo yegazi emaphashini iyalimala futhi uketshezi luyavuza. Lokhu futhi yilokho okwenzekayo ku- High Altitude Pulmonary Edema (HAPE) , esixoxe ngakho ngaphambilini.

Ziyini izimpawu ze-Pulmonary Edema?

Lesi simo singavela ngokuzumayo (esibucayi) noma sikhule kancane kancane ngokuhamba kwesikhathi (esingamahlalakhona).

Ukuvuvukala kwamaphaphu okunamandla

Izimpawu zalokhu zivela ngokuzumayo.

• Ubunzima bokuphefumula (ukuphelelwa umoya) , ikakhulukazi uma uhambahamba noma ugoba.
• Ukuphuma koketshezi olunegazi noma olunegwebu.
• Ukuphefumula kuwumsindo wokukhala kwekhwela lapho uphefumula.
• Umuzwa wobunzima bokuphefumula.
• Ukuzizwa sengathi uyacinana.
• Ukuqina kwesifuba noma ubuhlungu.

Ukuvuvukala kwamaphaphu okungapheli

Izimpawu zifana nezesimo sokuqala ngokuzumayo, kodwa zingase zingabi zimbi kakhulu. Ezinye izimpawu zifaka:

• Ukuvuka ebuthongweni ngenxa yokuzizwa uphelelwa umoya.
• Ubunzima bokuphefumula buyanda uma ulele phansi.
• Ukuvuvukala kwemilenze.
• Ukuzizwa ukhathele kakhulu futhi ukhathele.

I-Pulmonary Edema itholakala kanjani?

Uma ubona udokotela, uzoqala ngokukwenza ukuhlolwa ngokomzimba ukuze ahlole uketshezi emaphashini akho. Uzolalela inhliziyo yakho namaphaphu akho nge-stethoscope. Uzobheka ngqo:

• Ukwenyuka noma ukwehla kwesilinganiso senhliziyo noma umfutho wegazi.
• Ukwanda kwesilinganiso sokuphefumula.
• Imisindo yenhliziyo engavamile.
• Imisindo yokubhonga noma ukuphefumula emaphashini.
• Ukuvuvukala emzimbeni.
• Ukushintsha kombala wesikhumba okumpunga noma okuluhlaza okwesibhakabhaka.

Yiziphi izivivinyo zokuxilonga?

Uma udokotela wakho esola ukuthi unoketshezi emaphashini akho, uzo-oda ukuhlolwa okwengeziwe. Lokhu kufaka phakathi:

• Inani Eliphelele Legazi (i-CBC).
• Amakhemikhali egazi.
• Ukuhlolwa kwe-pulse oximetry ukuhlola amazinga e-oxygen egazini.
• I- X-ray yesifuba ukuze kubonakale ukuthi kukhona yini uketshezi emaphashini.
• I- echocardiogram, i-ultrasound yenhliziyo, yenziwa ukuhlola noma yikuphi ukusebenza kwenhliziyo okungajwayelekile.
• I- Electrocardiogram (EKG) ukuhlola izinkinga zesigqi senhliziyo noma ukuhlaselwa yinhliziyo.
• Ukuhlolwa okubizwa ngokuthi i-cardiac catheterization ukuhlola ukuvaleka kwemithambo yenhliziyo.

Iphathwa kanjani i-Pulmonary Edema?

I-Pulmonary Edema yisimo esibucayi. Uma uhlaselwa yilesi simo ngokuzumayo (ngokushesha),Kudingeka ukwelashwa okusheshayo. Kungase kudingeke ukuthi welashwe eYunithi Yokwelapha Eziphuthumayo (ETU) noma eYunithi Yokunakekela Okujulile (ICU) .

Nazi ezinye izindlela zokwelapha:

• Ukunikeza umoya-mpilo ngamapayipi amancane (amazinyo) abekwe ekhaleni.
• Ukusetshenziswa kwemishini ephefumula umoya emaphashini ngemaski egqokwa ebusweni.
• Ukusetshenziswa kwemishini yokuphefumula noma yokuphefumula ephefumula umoya ngepayipi elifakwe ku-trachea.
• Imithi ekhulisa ukuchama ukuze kususwe uketshezi noma imithi eqinisa inhliziyo.
• Uma ukuvuvukala kwamaphaphu kungabangelwa ukwehluleka kwenhliziyo okubangelwa ukuminyana, eminye imithi efana nama-antibiotic nama-steroid inganikezwa.

Ngingakuvimbela kanjani ukuvuvukala kwamaphaphu?

Uma usengozini enkulu yokuvuvukala kwamaphaphu, ungathatha izinyathelo eziningana ukuze uzinakekele.

• Uma unesifo senhliziyo, thatha imithi yakho njengoba nje udokotela wakho ekuyalele.
• Thola imijovo njalo.
• Bona udokotela wakho njalo, ikakhulukazi uma unenkinga yokuphefumula.
• Yidla ukudla okunempilo nokungenasawoti omningi.
• Ungabhemi.
• Gcina isisindo esinempilo.
• Uma uhlela imisebenzi engabangela ukuvuvukala kwamaphaphu, njengokuhamba ngezinyawo, khuluma nodokotela wakho ngakho.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Ukulimala kwamaphaphu okunamandla kungaba yingozi empilweni. Uma unezinye zalezi zimpawu, shayela u-911 noma uye ekamelweni eliphuthumayo eliseduze ngokushesha:

• Ubunzima obukhulu bokuphefumula.
• Ukuzizwa sengathi uyacinana.
• Ukuphelelwa umoya.
• Ukukhwehlela igazi noma ulwelwesi olunegwebu olunegazi.
• Umsindo wokukhala kwekhwela noma umuzwa wobunzima bokuphefumula.
• Ukushaya kwenhliziyo okusheshayo.
• Ukuzizwa ungakhululekile noma ukhathazekile.
• Ukushintsha kombala wesikhumba okuluhlaza okwesibhakabhaka noma okumpunga.
• Ukujuluka ngokweqile.
• Isiyezi noma ubuthakathaka.

Okubalulekile: I-Pulmonary Edema yisimo esibucayi sezokwelapha. Uma uhlaselwa yilesi simo ngokuzumayo, udinga ukufuna ukwelashwa ngokushesha. Amathuba okululama kulesi simo ancike embangela yesimo, ubukhali besimo, nokuthi ufuna ukwelashwa ngokushesha kangakanani. Uma uthola ukwelashwa ngokushesha, amathuba akho okululama ayanda.

Lesi simo singahlala isikhathi esingakanani? Noma singaholela ekufeni okuzumayo?

Isikhathi ongaphila ngaso nalesi simo sincike embangela yalesi simo nokuthi uthola ukwelashwa ngokushesha kangakanani. Uma une-pneumonia ebukhali, udinga ukwelashwa ngokushesha. Ezimweni ezimbi kakhulu, kungaba yingozi empilweni uma kungelashwa ngokushesha. Ngakho-ke, ukulaliswa esibhedlela kuvame ukudingeka, ikakhulukazi ezimweni eziphuthumayo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, lokho esikhulume ngakho namuhla (i-Pulmonary Edema)Noma ngithemba ukuthi usuyaqonda kangcono isimo esibizwa ngokuthi uketshezi olugcwalisa amaphaphu.

• Lesi yisimo esibucayi: ungamane usishaye indiva. Funa iseluleko sezokwelapha ngokushesha nje lapho ubona izimpawu.
• Kungaba nezizathu eziningi: lokhu kungenzeka ngezinye izizathu, hhayi nje ngesifo senhliziyo.
• Ukwelashwa kusenesikhathi kubaluleke kakhulu: Uma uthola ukwelashwa ngokushesha, amathuba akho okululama ayanda.
• Qaphela izimpawu: Qaphela izinto ezinjengobunzima bokuphefumula, ubuhlungu besifuba, kanye nokukhwehlela igwebu.
• Zama ukugwema: Kubaluleke kakhulu ukulandela indlela yokuphila enempilo.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho. Hlala uphilile!

Ukuvuvukala Kwamaphaphu , Ubunzima bokuphefumula, Isifo senhliziyo, Isifo samaphaphu, i-ARDS, Ukunakekelwa Okuphuthumayo