Ingabe kuyingozi ukuphefumula intuthu evela emlilweni? (Ukuphefumula Intuthu) Masiqaphele lokhu!

Wake waba seduze nomlilo wazizwa ungakhululekile ngenxa yentuthu evela kuwo? Mhlawumbe kwakuwumlilo ekhishini ekhaya, umlilo emotweni emgwaqweni, umlilo ehlathini, noma lapho othile eshisa indawo yokulahla udoti. Ezimweni ezinjalo, umusi esiwuphefumulayo ungabangela umonakalo omkhulu endleleni yethu yokuphefumula nasemaphashini. Akukhona lokho kuphela, kodwa amanye amakhemikhali anobuthi akulomusi, njenge-`(Carbon Monoxide)` (Carbon Monoxide) kanye ne-`(Cyanide)` (Cyanide), angaba yingozi empilweni uma uphefumula ngobuningi. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Kuyini Ukuhogela Intuthu? Kalula nje...

Kalula nje, ukuhogela intuthu kwenzeka lapho sihogela intuthu eningi. Lokhu kwenzeka kaningi ezindaweni lapho kunomlilo khona. Le ntuthu iqukethe izinhlayiya ezincane ezingabonakali emehlweni, kanye namagesi amaningi anobuthi. Lokhu kungena emakhaleni nasemlonyeni wethu futhi kulimaze uhlelo lokuphefumula.

Cabanga nje, uma kukhona umlilo endlini, intuthu igcwala igumbi. Bese kuba khona umuntu lapho okufanele aphefumule leyo ntuthu. Ngezinye izikhathi, ngisho nentuthu evela emlilweni wehlathi okude ingalimaza amehlo ethu, ikhala, nomphimbo. Ikakhulukazi uma unesifo sokuphefumula sesikhathi eside njenge-`(COPD)` (Isifo Esingapheli Sokuvimbela Amaphaphu) noma i-`(Asthma)` (Isifuba), ngisho nentuthu encane ingaba nzima kuwe.

Uma usemlilweni futhi ucabanga ukuthi kungenzeka ukuthi uhogele intuthu, noma uma unezimpawu zokuhogela intuthu, kubalulekile ukuya esibhedlela noma ufune usizo lwezokwelapha oluphuthumayo ngokushesha.

Kwenzekani uma uphefumula intuthu? Qaphela lezi zimpawu!

Ukuphefumula intuthu kungabangela izimpawu ezahlukahlukene. Ezinye zingabonakala sengathi ziyizinkinga ezincane, kodwa ezinye zingaba yingozi kakhulu. Bona ukuthi lezi zimpawu zizwakala zijwayelekile yini kuwe:

• Ubunzima bokuphefumula: Kuzwakala sengathi isifuba sakho siyacinana, futhi kunzima ukuphefumula.
• Izwi liyahoshozela: Uma likhuluma, izwi liyashintsha futhi libe hoshozela.
• Ubuhlungu besifuba noma ukuqina: Ungase uzizwe sengathi isifuba sakho siyabuhlungu ngaphakathi, noma sengathi kukhona okusicindezelayo.
• Umphimbo obuhlungu: Kuzwakala sengathi umphimbo uyaklwebheka, kuyabuhlungu uma ugwinya.
• Ukukhwehlela: Ungase ube nokukhwehlela okungapheli. Ungase futhi ukhwehlele uketshezi olumnyama.
• Ukuphefumula: Uma uphefumula, wenza umsindo omkhulu, ogudlayo ngaphakathi esifubeni sakho, obizwa ngokuthi "Ukuphefumula." Ngezinye izikhathi, umsindo omkhulu uvela emphinjeni wakho, njengo-"Stridor," okuwuphawu oluyingozi futhi.
• Isiyezi, ikhanda elibuhlungu: Ungase ube nekhanda elibuhlungu kakhulu futhi ungase uzizwe unesizungu.
• Ukudideka: Ungase ungakwazi ukuqonda okwenzekayo, futhi ungase uzizwe uqulekile.
• Ukuquleka: Ungalahlekelwa ingqondo ngokuzumayo bese uwe.
• Ukuquleka: Abanye abantu bangase babe nezimo ezifana nokuquleka.

Cabanga nje, ngezinye izikhathi uma sikhanyisa amagobolondo kakhukhunathi, intuthu evela kuwo ingena emizimbeni yethu, kodwa amehlo ethu ayasha futhi impumulo yethu izwa sengathi ivala umphimbo wethu, akunjalo? Umuntu one-asthma angaba ne-"Asthma Attack". Ngakho-ke qaphela lezi zimpawu.

Kwenzekani uma uphefumula intuthu eningi?

Kunezindlela ezintathu eziyinhloko zokuthi ukuphefumula intuthu eningi kakhulu kungalimaza imizimba yethu.

1. Ukushisa kwentuthu: Intuthu evela emlilweni ishisa kakhulu. Lokhu kushisa kungashisa umgudu wethu wokuphefumula ophezulu, okusho ikhala lethu, umlomo, nomphimbo. Lokhu kungabangela ukuvuvukala futhi kwenze kube nzima ukuphefumula.

2. Umonakalo wamakhemikhali: Amagesi anobuthi, amakhemikhali ahlukahlukene, kanye nezinhlayiya zentuthu emsini ziya phansi zingene emgudwini wethu wokuphefumula ophansi nasemaphashini, zilimaze amangqamuzana lapho. Angavuvukala futhi avuvuke. Njengenxeba nje.

3. Ukuntuleka komoya-mpilo: Amakhemikhali ayingozi njenge-`(Carbon Monoxide)` entuthwini angena egazini lethu. Ngemuva kwalokho i-`(Oxygen)` esegazini iyayeka ukuthwalwa iye kwezinye izingxenye zomzimba, ikakhulukazi ubuchopho nenhliziyo. Ngaphandle kwe-`(Oxygen)` izitho zethu azikwazi ukusebenza. Yingakho lokhu kuyingozi kakhulu. Ubuthi `(Cyanide)` bubangela nesimo lapho amaseli engakwazi ukusebenzisa i-`(Oxygen)`.

Yiziphi izinkinga eziyingozi ezingabangelwa yilokhu?

Uma ukuhogela intuthu kungelashwa kahle, kungaholela ezinkingeni ezinkulu nezisongela impilo. Nazi ezinye zazo:

• I-Acute Respiratory Distress Syndrome (ARDS): Lolu uhlobo oluphuthumayo nolunzima lokwehluleka kwamaphaphu. Ngokukhethekile, amasaka omoya emaphashini agcwele uketshezi, okuvimbela umoya-mpilo ukuthi ungangeni, futhi okwenza kube nzima ukuphefumula.
• (Ukuphelelwa umoya): Kalula nje, ukuntuleka kwe-`(Oksijini)` emzimbeni kusho ukuminyana.
• (Ukuquleka): Ukungazi lutho isikhathi eside.
• (Ukuhlaselwa Yinhliziyo): Ukuhlaselwa yinhliziyo kungenzeka ngenxa yokuncipha kokugeleza kwegazi enhliziyweni.
• I-Methemoglobinemia: Lesi yisifo esihlobene negazi. Kulokhu, i-hemoglobin egazini lethu ayikwazi ukubopha kahle ``(i-Oxygen)'', ivimbele ukuthi ingafiki ezicutshini.
• I-Pneumonitis: Ukuvuvukala kwamaphaphu, okusho isimo esingabangelwa ukuvuvukala noma ukutheleleka.
• I-Pulmonary Edema: Amanzi aqoqana ezikhwameni zomoya zamaphaphu, okwenza kube nzima ukuthi umoya-mpilo ufinyelele egazini.
• Isifo sohlangothi: Isimo esifana nokukhubazeka singabangelwa ukwehla kokugeleza kwegazi kuya ebuchosheni.

Kuyesabeka ukuzwa lezi zinto, akunjalo? Yingakho kunconywa ukuthi ufune ukwelashwa ngokushesha uma uphefumula intuthu.

Ubani osengozini enkulu?

Eqinisweni, ukuphefumula intuthu akukuhle kunoma ubani. Kodwa abanye abantu banamathuba amaningi okubhekana nezinkinga ezinkulu zempilo ngisho noma bebhema kancane. Lezi yizi:

• Abantu abanezifo zokuphefumula ezifana ne-asthma.
• Abantu abaneSifo Sezinso Esingamahlalakhona (CKD).
• Abantu abanezifo zamaphaphu zesikhathi eside njenge-COPD.
• Abantu abanesifo sikashukela.
• Abantu abanesifo senhliziyo.

Futhi, omama abakhulelwe nezingane ezincane basengozini enkulu. Imiphumela komama abakhulelwe ingathinta nengane. Izingane ezincane nazo zisengozini enkulu ngoba izinhlelo zazo zokuphefumula zisakhula.

Yini okufanele siyenze ukuze sinciphise le ngozi?

Singayinciphisa kanjani ingozi yokuhogela le nsizi? Kulungile, ake sibone.

• Qaphela ikhwalithi yomoya: Ungathola ukuthi kukhona yini intuthu nothuli oluningi emoyeni endaweni yakini kusuka emibikweni yesimo sezulu, noma kwamanye ama-`(Amawebhusayithi)` kanye nama-`(Izinhlelo Zokusebenza)`.
• Hlala endlini ngezinsuku zomoya omubi: Uma ubona ukuthi umoya ugcwele intuthu, hlala endlini ngangokunokwenzeka futhi ugcine amafasitela neminyango ivaliwe. Uma une-"Air Conditioner" ekhaya lakho, yisebenzise. Lokhu "kuzohlunga" umoya ongena endlini ngezinga elithile.
• Sebenzisa `(Isihlungi se-HEPA)`: Ukuze ugcine umoya ekhaya lakho uhlanzekile, kungumqondo omuhle ukusebenzisa `(Isihlanzi Somoya)` esine `(HEPA - High-Efficiency Particulate Air)` (High
• Gqoka i-`(Mask)` (Mask)` enhle: Uma kufanele uphume ngezinhloso ezibalulekile, gqoka i-`(Respirator Mask)` (Breathing Mask) efanelana kahle nobuso bakho, njenge-`(N95)`. Indwangu evamile ye-`(Mask)` ayikwazi ukuvimba ngempumelelo lezi zinhlayiya zentuthu ezincane.

Odokotela bakubona kanjani lokhu?

Uma uya esibhedlela, kungakhathaliseki ukuthi ubanjwe umlilo noma uphefumule intuthu, odokotela bazobuza ngezimpawu zakho futhi bakuhlole. Bangase futhi benze ezinye izivivinyo, ezifana nalezi:

• I-Pulse Oximetry: Idivayisi encane efana ne-clip ibekwa emunweni wakho bese ilinganisa izinga "le-Oxygen" egazini lakho. Lokhu kungabona ngokushesha ukuthi une-"Oxygen" ephansi.
• Ukuhlolwa kwegazi: Hlola izinto ezifana namazinga e-carbon monoxide kanye namazinga e-oxygen egazini.
• I-X-ray yesifuba noma i-CT scan: Ukubona ukuthi kukhona yini umonakalo emaphashini.
• Ukuhlolwa Kokusebenza Kwephaphu: Bona ukuthi amaphaphu akho asebenza kahle kangakanani.
• (Igesi Legazi Le-Arterial - ABG): Lokhu futhi ukuhlolwa kwegazi. Igazi lithathwa emthanjeni osengalweni bese kuhlolwa ibhalansi yegazi ethi `(Oxygen)`, `(Carbon Dioxide)` kanye ne-acid-base.
• (I-Bronchoscopy):Ngezinye izikhathi, kufakwa ipayipi elincane elinekhamera encane (i-bronchoscope) ngekhala noma ngomlomo ukuze kubhekwe ngaphakathi kwemigudu yomoya. Lokhu kuvumela ukubona izinto ezinjengokuvuvukala, ukuvuvukala, kanye nokuvaleka kwemigudu yomoya.

Iyini indlela yokwelapha lokhu?

Uma usesimweni esiphuthumayo eduze komlilo noma uma uphefumula intuthu eningi, into yokuqala okufanele uyenze ukuthola umoya omusha ngokushesha okukhulu. Ngemuva kwalokho kufanele ufune iseluleko sezokwelapha ngokushesha. Ukwelashwa okulandelayo kunganikezwa esibhedlela:

• I-Oxygen Engeziwe: I-Oxygen inikezwa nge-cannula yamakhala noma imaski. Kwezinye izimo ezinzima, kusetshenziswa ukwelashwa okukhethekile okubizwa ngokuthi i-Hyperbaric Oxygen Therapy. Kulokhu, isiguli sifakwa ekamelweni elihlinzeka nge-oxygen engu-100% ngaphansi kwengcindezi ephezulu. Lokhu kuvumela izicubu zomzimba ukuthi zithole i-oxygen ngokushesha, ikakhulukazi ezimweni zobuthi be-carbon monoxide.
• Ama-Bronchodilator: Lena imithi enweba imigudu yomoya. Inganikezwa njenge-inhaler noma nge-nebulizer. Lokhu kwenza kube lula ukuphefumula.
• Imithi ye-Mucolytics: Imithi esiza ekunciphiseni ulwelwesi emaphashini futhi yenze kube lula ukukhipha.
• Ama-anticoagulant: Imithi evimbela ukujiya kwegazi. Lokhu kungadingeka kwezinye izimo zokuhogela intuthu.
• (I-Hydroxocobalamin): Lolu uhlobo lwe-`(Vitamin B12)`. Lunikezwa njengokwelashwa kobuthi be-`(Cyanide)`.
• (I-Methylene Blue): Umuthi okhethekile onikezwa isimo esibizwa ngokuthi "i-Methemoglobinemia".
• (Intubation)` kanye `(Mechanical Ventilation)`: Uma isimo sakho sibi kakhulu kangangokuthi awukwazi ukuphefumula wedwa, odokotela bazofaka ipayipi epayipini lakho lomoya (`(Intubation)`) bese beqala ukuphefumula ngomshini (`(Ventilator)`) (`(Mechanical Ventilation)`).

Yini okufanele ngiyenze uma ngiphefumula intuthu?

Lena yinto ebaluleke kakhulu. Uma usemlilweni, noma uma ucabanga ukuthi uphefumule intuthu eningi, ungacabangi kabili, ungalibali umzuzwana, bese ucela usizo oluphuthumayo lwezokwelapha ngokushesha. Ngisho noma uzizwa uphilile ngaleso sikhathi, umonakalo othile uzobonakala kamuva. Ngakho-ke, kungcono ukubona udokotela bese kwenziwa izivivinyo ezidingekayo. Ukwelashwa kusenesikhathi kungasindisa impilo, ungalokothi ukhohlwe lokho.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Isikhathi esithathayo ukululama kulokhu sincike ebangeni lomonakalo owutholile. Umthelela omncane ungaxazululwa ezinsukwini ezimbalwa. Kodwa-ke, uma amaphaphu akho onakele kakhulu, kungathatha amasonto, noma ngisho nezinyanga, ukululama ngokuphelele. Odokotela bazokugcina esibhedlela uze ukwazi ukuya ekhaya uphephile futhi ululame. Ngesikhathi sokululama kwakho, kufanele uphuze imithi yakho njengoba kuyalelwe udokotela wakho. Kufanele uphumule amaphaphu akho. Kufanele ugweme izindawo ezinentuthu ngokuphelele.

Okokugcina, izinto ezibaluleke kakhulu okudingeka uzikhumbule

Kulungile, ngakho-ke, kulokho esikhulume ngakho, ungakhumbula izinto ezimbalwa ezibalulekile.

Ukuhogela intuthu akufanele kuthathwe kalula. Ungacabangi ukuthi, 'O, kuyinto enkulu ukubona udokotela, ukuze nje ukhwehlele kancane.' Ngoba imiphumela yalokhu ngezinye izikhathi ingaba yingozi.

• Ukuphefumula intuthu evela emlilweni kuyingozi kakhulu. Kungalimaza uhlelo lwakho lokuphefumula kanye nomzimba wakho wonke.
• Ungazinaki izimpawu ezifana nobunzima bokuphefumula, ukukhwehlela, ubuhlungu besifuba, umphimbo obuhlungu, kanye nesiyezi. Lezi kungaba izimpawu eziyisixwayiso.
• Uma usola ngisho nokuncane ukuthi uke wabhema, funa iseluleko sezokwelapha ngokushesha. Ukwelashwa okusheshayo ngeke nje kusindise impilo yakho, kodwa futhi kuvimbele izinkinga zesikhathi eside.
• Qaphela ikhwalithi yomoya. Uma uphuma ngaphandle ngezinsuku lapho kunentuthu noma uthuli oluningi, gqoka imaski yokuzivikela.
• Thatha izinyathelo zokuvimbela izingozi zomlilo ekhaya lakho. Faka izinto zokubona intuthu.

Ukuphepha kwakho kanye nokuphepha komndeni wakho kuyinto ebaluleke kakhulu. Sithemba ukuthi lolu lwazi luzokusiza. Hlala uphilile!

Ukuphefumula Intuthu , Umlilo, Intuthu, Isifo Sokuphefumula, Amaphaphu, Ukwelashwa Okuphuthumayo