Ukubanjwa ngokuphefumula kukungabikho okanye ukuphefumula. Ukubanjwa kokuphefumula kubonisa ngezindlela ezimbini ezahlukeneyo, nokuba kungabikho kokuphefumula okupheleleyo (i-apnea) okanye ukuphefumula okungapheliyo (ukuphefumula kwe-agonal). Kungakhathaliseki ukuba isigulane sibonakala sineentshukumo zesifuba sakhe esifubeni nasemahlombe, ukuba akukho moya ohamba ngomoya (okanye nje encinci), ngoko-ke uyabanjwa.
Apnea
Ukuphefumula okupheleleyo kuyaziwa ngemithi njenge-apnea. Ngeli xesha lesiLatini, i- "ithetha" okanye "hayi" ngexesha- ixesha lithetha ukuphefumula. I-Apnea ingaba yintsuku (ithetha ukuba iza kwaye ihamba) njenge-apnea yokulala. Okanye, inokuhlala isigxina, njengokuphela kobomi.
Ukuba isigulane sisaphefumula, kodwa sijamelana nobunzima obufana nokuphefumula okufutshane , kwaziwa ngokuba yi-dyspnea ( dys- " ekungasebenzi " kunye -pnea "ekuphefumla").
Agonal Breathing
Iicatshulwa zonyango kunye nababoneleli ngempilo ngamanye amaxesha babhekisela kuhlobo lokuphefumula olubizwa ngokuba yi-agonal breathing or breathing. Usenokuba ulivile eli thuba waza wazibuza ukuba kuthetha ukuthini. Uhlobo oluthile lomzekelo wokuphefumula kwaye unokuphutha ngokuphefumula ngokwaneleyo kwimeko engxamisekileyo.
Ukuphefumula kwama-agonal akungaqhelekanga, ukuphefumula kudla ngokubonakala ngexesha lokubanjwa kwentliziyo . Kwiimeko ezininzi, abahlangulayo baya kubona amaxhoba athatha ukuphefumula okungaphezulu kwama-10 ukuya kuma-12 ngamaxesha ngomzuzu; enye enye imizuzu emihlanu ukuya ezintandathu.
Ukuphefumula kwama-agonal akuboneleli ngokwaneleyo i-oksijini emzimbeni kwaye kufuneka kuthatyathwe njengento engaphefumliyo. Ngamanye amaxesha, iphethini yokuphefumula ibizwa ngokuba "ukuphefumula iintlanzi" okanye "ukuphefumla inkunzi" ngenxa yokufana nentlanzi ephuma emanzini.
Unyango
Kwiimeko ezininzi, izigulane eziye zashiya ukuphefumula ngaphandle kwesixwayiso nazo ziphethwe yintliziyo yokubanjwa kwaye kufuneka zifumane iCPR .
Ukubanjwa kokuphefumula kungabangelwa sisifo se-asthma esiqhekezayo, ukukhahlela, kunye nokunye. Kwiimeko apho isigulane singaphefumliyo okanye siphefumula kodwa sine-pulse, ubhekwa njengokubanjwa ngokuphefumula kunokubanjwa kwentliziyo. Izikhokelo zeCPR zika- 2015 zibiza ukuba abahlanguli bezithuthi baphathe iimeko ezifanayo: ngokuqala iCPR.
Esinye sezizathu eziqhelekileyo zokubanjelwa ukuphefumula ngaphandle kokubanjelwa kwintliziyo kubonwe ngabasemagqirha kunye nabanye ababoneleli ngezezempilo kukusetyenziswa kweyeza opioid okanye izidakamizwa. Kubaluleke kakhulu ukuchonga ama-opioid overdoses ngokukhawuleza kwaye wenze ngokufanelekileyo. Ngethuba nje isigulane siphathwe ngokukhawuleza, le meko iguqulwa kalula kunye nokusetyenziswa kwe-naloxone kwaye isiguli sinokubuyisa ngaphandle kwemiphumo engapheliyo.
Ukuba i-naloxone ayifumaneki kwisigulane esinokugqithisa i-opioid, fowuni 911. Ngesikhathi ulinde i-ambulensi, yenza ukuphefumula kwesigulane. Ukuhlangula ukuphefumula kuya kunceda isigulane siphile kude kube yi-naloxone inokulawulwa yi-paramedics.
Kweminye imimandla, i-naloxone inokufunyanwa ngogqirha njengesigulane, okanye ngokusebenzisa iinkqubo zokutshintshisa iinaliti mahhala. I-Naloxone isebenza kuphela kwizinto ze-opioid kunye nemiphumela yecala eyaziwayo kuphela ehlobene nokuguqula umphumo we-opioids.
> Umthombo:
> Pham T, Brochard LJ, Slutsky AS. Ukunyusa umoya: I-State of Art. IMayo Clin Proc. 2017 Sep; 92 (9): 1382-1400. i-doi: 10.1016 / j.mayocp.2017.05.004. Uhlolo.