Kulephera kupuma kokwanira

Kuperewera kwa oxygen m'thupi kapena hypoxia imaonedwa kuti ndi chiwopsezo, chomwe chimapangitsa kuti munthu afe. Kulephera kupuma kwapadera kumayambitsa zochitika zosiyanasiyana, koma nthawi zonse kumafuna thandizo lachipatala.

Zimayambitsa zovuta kupuma

Chizoloŵezi chodziwika kawirikawiri chimayamba chifukwa cha zotsatirazi:

• kuphulika kwa nthiti ndi kuvulala kwina mu chifuwa;
• kuwonongeka kwa dongosolo la kupuma;
• Kusokonezeka kwa kayendedwe ka mantha komwe kumayambitsa ntchito yopuma;
• hemo- ndi pneumothorax;
• matenda ndi kuwonongeka kwa ubongo;
• chibayo;
• mpweya;
• kuchepetsa komwe kumagwira ntchito kumapapo;
• Matenda a magazi m'magazi ang'onoang'ono;
• thromboembolism ya mitsempha ya pulmonary ;
• kuledzera kwa mankhwala;
• kuphwanya ufulu woyendetsa ndege;
• mphutsi yamoto;
• chiwopsezo cha typhoid;
• zikwapu;
• malingaliro;
• tetanasi;
• kyphoscoliosis;
• botulism.

Komanso, matenda othetsera kupweteka kwambiri amawoneka pamene zinthu zakunja, mwachitsanzo, madzi (akumira), ndi matupi amalowa mu lumen ya tsamba lopuma.

Zizindikiro za kupuma kovuta

Zizindikiro za matenda odwala matendawa ndi awa:

• chithandizo;
• Chisangalalo, mwamsanga m'malo mwa kuchedwa kwa zochita;
• mpweya wochepa ;
• tachycardia;
• sintha mtundu wa khungu kuti ukhale wofiira ndi wofiira;
• kutaya chidziwitso;
• kugawidwa koopsa kwa thukuta;
• kuyesetsa kuchita ntchito yopuma, kuphatikizapo minofu yothandizira mu njira iyi;
• matenda oopsa, kenako hypotension;
• mchira;
• kutupa kwa phula;
• kukhuta, tachypnea;
• kuvomereza kwa odwala ku malo okakamizidwa a thupi (atakhala, kupumula manja).

Ndikofunika kuzindikira kuti chizindikiro chotsiriza chomwe chimasonyeza kuti chimalekanitsa matenda omwe amalingalira kuchokera ku mayiko ena omwe ali ndi zizindikiro zofanana, mwachitsanzo, kukwanira.

Kusamala kwadzidzidzi kwa kuchepa kwapachiyambi kovuta

Choyamba muyenera kuyitana gulu la madokotala, kufotokozera mwatsatanetsatane zizindikiro za matenda ndi mkhalidwe wa thanzi la wozunzidwa. Pa chipatala chisanachitike, chithandizo choyamba cholephera kupuma ndiko:

1. Sakanizani mabatani pa zovala kapena kuchotsani kwa wodwalayo ngati akuphwanya thupi.
2. Perekani wogwidwayo malo osakanikirana, kunyamula mmwamba pang'ono ndi kuika pambali pake.
3. Sambani mkamwa ndi ntchentche ndi chala chokulumikizidwa mu bandage wosabala kapena kerchief yoyera.
4. Ngati n'kotheka, kumasula uchimo wamkati pogwiritsa ntchito peyala yapadera kapena chipangizo chofanana.
5. Ngati pali lilime lakunjenjemera, pamapeto pake musasunthire khosi la munthuyo, sungani nsagwada kumbuyo ndikukankhira lilime mpaka mano ochepa.
6. Samalani kuti mulandire mpweya wabwino.

Kuchiza kwa kupweteka kwapachiyambi kovuta

Pambuyo popita kuchipatala, madokotala amachita zinthu ngati izi:

1. Kutsekera mwadzidzidzi kwa tsamba la kupuma.
2. Kukonzekera kwa makina a chifuwa.
3. Kusamba ndi kusinkhasinkha kwa trachea (mu milandu yovuta).
4. Kutsegula m'matope, mankhwala a alkaline, decongestants ndi mankhwala osokoneza bongo.
5. Mtsinje wa Postural.
6. Kutulutsidwa kwa magulu ang'onoang'ono a magazi kutuluka ndi kuyambitsa njira zothetsera strophanthin, euphyllin, prednisolone, lasix kapena corglicon.
7. Oxygenotherapy pogwiritsa ntchito mpweya wa maskiti, catheter kapena mahema.
8. Kukonzekera kwa matenda opatsirana pogwiritsa ntchito cocarboxylase, kusakaniza mafupa, njira ya vitamini B6, Panangin, sodium bicarbonate.