Ukuboshwa ngokuphefumula kungabikho noma ukuphefumula noma ukuphefumula. Ukuboshwa ngokuphefumula kubonisa ngezindlela ezimbili ezahlukene, njengokungabikho kokuphefumula okuphelele (ukuphefumula) noma ukuphefumula ngokuphelele (ukuphefumula kwe-agonal). Kungakhathaliseki ukuthi isiguli sibonakala sinezinhlanzi ezifubeni esifubeni nasemahlombe, uma kungekho moya ohamba emoyeni (noma nje kancane), usebanjwe ukuphefumula.
I-Apnea
Ukungabi nokuphefumula okuphelele kuyaziwa ngokwemithi njenge-apnea. EsiLatini zanamuhla, i- a "cha" noma "cha" ngenkathi-- pnea kusho ukuphefumula. I-apnea ingaba yesikhashana (okusho ukuthi iza futhi iya) njenge-apnea yokulala. Noma, ingaba unomphela, njengokuphela kokuphila.
Uma isiguli sisaphefumula, kodwa sibhekene nobunzima njengokuphefumula, kwaziwa ngokuthi i-dyspnea (i- dys- njengokuthi " ayifuni ukusebenza" futhi -kuphazamiseka njengokuthi "ukuphefumula").
Agonal Breathing
Amathekisthi ezempilo kanye nabanikezeli bezempilo ngezinye izikhathi babhekisela kuhlobo lokuphefumula okuthiwa i-agonal respirations noma ukuphefumula kwe-agonal. Kungenzeka ukuthi wezwe leli gama futhi wazibuza ukuthi kusho ukuthini. Uhlobo oluthile lwephethini lokuphefumula futhi lingase iphutha ngokuphefumula okwanele esimweni esiphuthumayo.
Ukuphefumula kwama-agonal akuvamile, ukuphefumula okuvame ukubonakala ngesikhathi sokuboshwa komzimba . Ezimweni eziningi, abahlengikazi bazobona izisulu zithatha lokhu kuphefumula okungaphezu kwezingu-10 kuya kwezingu-12 ngomzuzu; yileyo yonke imizuzwana emihlanu kuya kweyisithupha.
Ukuphefumula kwama-agonal akuhlinzeki oksijini okwanele emzimbeni futhi kufanele kubhekwe njengokungafani nokuphefumula nhlobo. Ngezinye izikhathi, le iphethini yokuphefumula ibizwa ngokuthi "ukuphefumula inhlanzi" noma "ukuphefumula kwe-guppy" ngenxa yokufaniswa nenhlanzi emanzini.
Ukwelapha
Ezimweni eziningi, iziguli eziyeka ukuphefumula ngaphandle kokuxwayisa nazo zibhekene nokuboshwa kwenhliziyo futhi kufanele zithole i- CPR .
Ukuboshwa kokuphefumula nakho kungabangelwa i-asthma ekhukhumayo, ukuchoboza, nokuningi. Ezimweni lapho isiguli singaphefumuli noma siphefumula kodwa sine-pulse, kubhekwa sengathi siyasimotshwa esikhundleni sokuphefumula komzimba. Imikhombandlela ye-CPR ka-2015 icela abahlengikazi bezakhiwo ukuthi baphathe izimo zombili ezifanayo: ngokuqala i-CPR.
Esinye sezimbangela ezivame kakhulu zokubopha ukuphefumula ngaphandle kokuboshwa komzimba okubonwa iziguli eziphuthumayo kanye nabanye abahlinzeki bezempilo kusetshenziswa imithi yama-opioid noma izidakamizwa. Kubaluleke kakhulu ukubona ama-overdose opioid ngokushesha futhi wenze ngokufanele. Uma nje isiguli siphathwa ngokushesha, lesi simo sishintshwa kalula nokusetshenziswa kwe-naloxone futhi isiguli singabuyela ngaphandle kwemiphumela ehlala njalo.
Uma i-naloxone ingatholakali isiguli esinokudlula ngaphezulu kwe-opioid, shayela u-911. Ngesikhathi ulinde i-ambulensi, yenza ukuphefumula ukuphefumula isiguli. Ukusindisa ukuphefumula kuzomsiza isiguli ukuba sisinde kuze kube yiloxone lingalawulwa izimo eziphuthumayo.
Kwezinye izindawo, i-naloxone ingatholakala ngodokotela njengesiguli, noma ngezinhlelo zokushintshanisa izinaliti mahhala. I-Naloxone isebenza kuphela ezintweni ze-opioid kanye nemiphumela emibi kuphela eyaziwayo ihlobene nokuguqula imiphumela ye-opioids.
> Umthombo:
> Pham T, Brochard LJ, Slutsky AS. I-Mechanical Ventilation: State of the Art. I-Mayo Clin Proc. 2017 Sep; 92 (9): 1382-1400. i-doi: 10.1016 / j.mayocp.2017.05.004. Buyekeza.