Ukungaphumeleli kokuphefumula kwenzeka xa imiphunga yakho ihluleka ukwenza umsebenzi wayo odlula i-oksijini kwindawo yakho yegazi kunye nokususa i-carbon dioxide. Ingaba yinkxalabo yesifo esingapheliyo seplmonal lung (COPD).
Izitho zakho, izihlunu kunye nezinye izicubu zidinga i- oxygen . Imiphunga yakho ixanduva lokuzisa i-oksijeni emzimbeni wakho, apho ithathwa ngamaseli akho abomvu kwaye uyathunyelwa apho kuyadingeka khona.
Okwangoku, i-carbon dioxide - igesi yerhasi eveliswa ngamaseli njengoko isebenzisa i-oksijeni-isuka kwigazi lakho kwaye ibuyele emiphakeni yakho, apho uyikhupha khona. Le nkqubo yonke ibizwa ngokuba yi-exchange exchange.
Ukuhluleka ukuphefumula, ukutshintshiselwa kwegesi akusebenzi ngendlela okumele kusebenze ngayo, kwaye iiseli zomzimba wakho ziqala ukuva ubunzima be-oksijeni, i-carbon dioxide, okanye zombini. I-carbon dioxide kakhulu inokuphazamisa ukulinganisela kwe-acid-base emzimbeni, oko ngokwayo kunokukhokelela ekuphelelweni kokuphefumula.
Ukungaphumeleli ngokukhawuleza ukuphefumula kuyingozi yonyango. Ukuba wena okanye umntu osondeleyo kuwe akaphefumli, fowuni 911.
Izizathu zokusilela ukuphefumula
Imiqathango echaphazela ukukwazi ukuphefumula ngokufanelekileyo ingabangela ukuhluleka kokuphefumula. Ezinye izizathu ezinokubangela imeko zibandakanya:
- Ukukhutshwa kwamanzi
- Ukulimala kwentloko
- Pneumonia
- Isifuba
- COPD
- Izidakamizwa, kuquka i-narcotics (njenge-morphine okanye i-Vicodin) kunye ne-benzodiazepines, ngakumbi xa ixutywe notywala.
- Kukhulula kunene
- Stroke
- Ukugqithiswa kwepulmonary
- I-Amyotrophic lateral sclerosis (ALS)
Umqathango awudingi ukuchaphazela imiphunga ngokuthe ngqo ukuze kubangelwe ukuphefumula okuphefumulayo. Umzekelo, ukubetha, i-ALS kunye neziyobisi / utshwala ukudlula zonke izinto ezinokuthi zichaphazele ukulawulwa kwenkqubo yakho yeentlanzi phezu kwemizwa kunye nemihlunu ekwazi ukulawula ukuphefumla kwakho.
Izibonakaliso zokungaphumeleli kokuphefumula
Isibonakaliso sokuqala sokungaphumeleli kokuphefumula ongaqaphela ukuphefumula okufutshane - uya kuziva ngathi awukwazi ukuthatha umoya ophefumlelweyo okanye ufumane umoya owaneleyo emiphakeni yakho. Unokuqala ukuphefumula ngokukhawuleza.
Ezinye iimpawu ezinokuthi ziquka:
- Ukudideka
- Ndiziva ndidiniwe okanye ndithintekile
- I-Lethargy (awuyi kuba namandla)
- Ukulala
- I-bluish tinge kwesikhumba sakho
Ukuba iimpawu zakho zokungaphumeleli ngokuphefumula zikhula ngokukhawuleza, kufuneka uziqwalasele ngokukhawuleza zonyango kwaye ufune uncedo ngokukhawuleza. Ukuba ugqirha wakho akuxelele ukuba unesifo esingapheliyo sokuphefumula ngenxa yeCOPD okanye enye imeko engapheliyo, unokufumana unyango ekhaya okanye kwiziko lokunakekelwa kwexesha elide.
Ukuchonga nokuPhatha imeko yakho
Ukuba ugqirha ugxeka ukungaphumeleli kokuphefumula, unokuyalela imivavanyo emininzi ukuze uhlolisise. Ezi ziquka:
- I-xst ray
- CT yesifuba
- Igazi legazi liye linyuka (ABGs)
- Ukuhlola iLebhu yegazi kunye nezinye izifo zomzimba
Xa ukungaphumeleli kokuphefumula kuqinisekisiweyo, unyango lwakho lungaquka oku kulandelayo, kuxhomekeke kwisizathu sakho semeko:
- Iibronchodilators , i-steroids kunye nemithi enokuthi i-antibiotics
- Ukungena kwe-Noninvasive-ventilation positive (CPAP okanye BiPAP )
- Oxygen unyango
- Umphefumli okanye umsizi wokuphefumula wemaski ongenayo
Xa imeko yakho igxilile, ugqirha uya kuthetha nawe malunga neendlela zakho zokhathalela ixesha elide kunye nokuxela. Amathuba akho okubuyisela aya kuxhomekeka kwizinto ezibangele ukuhluleka ukuphefumula kwindawo yokuqala, ukuba kukubi kangakanani, ukuphulukiswa kwangoko kwinqanaba lezempilo.
Ukubhema kubangela ezininzi izifo zamaphaphu ezikhokelela ekupheleleni ukuphefumula. Ngoko ke, ukuba ubhema, kufuneka ushiye ngokukhawuleza. Ukulahlekelwa isisindo kunokunceda ukunqanda ukungaphumeleli kokuphefumula, ngokunjalo.
Imithombo:
I-Heart Heart, i-Lung ne-Blood Institute. Yintoni Ebangelwa Ukungaphumeleli Ukuphefumula? ishiti yeenyani.
I-Heart Heart, i-Lung ne-Blood Institute. Kuyintoni ukuhluleka kokuphefumula? ishiti yeenyani.
I-Smeltzer, S., Bare, B. Iincwadi zeNcwadi zoLondolozo lwezonyango. Lippincott. 1996.
ILayibrari yeSizwe ka-US yamayeza. Ishidi lokungaphumeleli lokuphefumula.