Ukungaphumeleli kokuphefumula kwenzeka uma amaphaphu akho ehluleka ukwenza umsebenzi wabo udlulise oksijeni egazini lakho bese ususa i-carbon dioxide. Kungaba yinkimbinkimbi yesifo esingenasifo se-pulmonary chronic obstructive (COPD).
Izitho zakho, imisipha nezinye izicubu zidinga oksijini . Amapayipi akho anesibopho sokuletha umoya-mpilo emzimbeni wakho, lapho kuthathwa khona amangqamuzana akho abomvu egazi bese uhanjiswa lapho kudingeka khona.
Phakathi naleso sikhathi, i-carbon dioxide - igesi edoti elikhiqizwa amangqamuzana akho njengoba isebenzisa i-oksijeni - isuka egazini lakho bese libuyela emaphashini akho, lapho uyifaka khona. Le nqubo yonke ibizwa ngokuthi i-gas exchange.
Ekuhlulekeni kokuphefumula, ukushintshaniswa kwegesi akusebenzi ngendlela okufanele kusebenze ngayo, futhi amangqamuzana emzimbeni wakho aqala ukuhlupheka ngenxa yokuntuleka kwe-oxygen, i-carbon dioxide kakhulu, noma kokubili. I-carbon dioxide kakhulu ingaphazamisa ibhalansi ye-acid-base emzimbeni, yona ngokwayo ingaholela ekuhlulekeni kokuphefumula.
Ukuhluleka ukuphefumula ngokungazelelwe kuyisimo esiphuthumayo sezokwelapha. Uma wena noma umuntu oseduze nawe angakwazi ukuphefumula, shayela u-911.
Izimbangela Zokuhluleka Ukuphefumula
Izimo ezithinta ikhono lakho lokuphefumula lingabangela ukwehluleka ukuphefumula. Ezinye izimbangela zaleso simo zihlanganisa:
- Ukuvinjelwa kwe-Airway
- Ukulimala kwekhanda
- I-pneumonia
- I-asthma
- I-COPD
- Izidakamizwa, kuhlanganise nezidakamizwa (njenge-morphine noma i-Vicodin) ne-benzodiazepines, ikakhulukazi uma zixubene nophuzo.
- Ukukhuluphala ngokweqile
- Isibungu
- Ukubumbana kwamapulmonary
- I-Amyotrophic lateral sclerosis (ALS)
Isimo akudingeki sithinte amaphaphu ngokuqondile ukuze kubangele ukuhluleka kokuphefumula. Isibonelo, ukulimala, i-ALS kanye nokudlula ngokweqile izidakamizwa / izidakamizwa konke okungenzeka kungathinta ukulawulwa kwesistimu yakho yezinzwa phezu kwemizwa nemisipha okuzolawula ukuphefumula kwakho.
Izimpawu Zokuhluleka Ukuphefumula
Isibonakaliso sokuqala sokuhluleka ukuphefumula ongase ubone ukuphefumula - uzozizwa sengathi awukwazi ukuthatha umoya ojulile noma uthole umoya owanele emaphashini akho. Ungaqala ukuphefumula ngokushesha.
Ezinye izimpawu ezikhona zingabandakanya:
- Ukudideka
- Ukuzwa ukhathele noma ukhathele
- I-Lethargy (ngeke ube namandla)
- Ukulala
- I-bluish tinge isikhumba sakho
Uma izimpawu zakho zokuhluleka zokuphefumula zikhula ngokuzumayo, kufanele uzibheke njengesimo esiphuthumayo sezokwelapha futhi ufune usizo ngokushesha. Uma udokotela wakho ekutshele ukuthi unenkinga yokuphefumula okungapheli ngenxa ye-COPD noma esinye isimo esingapheli, ungathola ukwelashwa ekhaya noma esikhungweni sokunakekelwa isikhathi eside.
Ukuthola nokuphatha isimo sakho
Uma udokotela wakho esolwa ukuhluleka ukuphefumula, angase alawule ukuhlolwa okuningiliziwe ukuze akuthole. Lokhu kungafaka:
- I-x-ray yesifuba
- CT yesifuba
- Igazi lokugaya liyaphazamisa (ABGs) ukuhlolwa
- Ukuhlola i-laboratories yegazi nezinye izikhukhula zomzimba
Uma ukwehluleka ukuphefumula kuqinisekisiwe, ukwelashwa kwakho kungafaka okulandelayo, kuye ngokuthi imbangela yesimo sakho:
- Ama-bronchodilators , ama-steroids kanye nemithi elwa namagciwane
- Ukungahambisani nokucindezela okuhle okungaphephile (CPAP noma i- BiPAP )
- Ukwelashwa kwe-oksijeni
- Umphefumula noma umoya wokuphefumula wemaski ongenayo
Uma isimo sakho sizinzile, udokotela wakho uzokhuluma nawe ngezinketho zakho zokwelashwa zesikhathi eside kanye nokubikezela. Amathemba akho okuzothola ayoxhomeka kulokho okubangele ukuhluleka kokuphefumula endaweni yokuqala, ukuthi kubi kangakanani, ukuthi uphathwa kanjani ngokushesha, nokuthi izinga lakho lonke lezempilo.
Ukubhema kubangela izifo eziningi zamaphaphu eziholela ekuhlulekeni kokuphefumula. Ngakho-ke, uma ubhema, kufanele ushiye ngokushesha. Ukulahlekelwa isisindo kungasiza ekuvimbeleni ukwehluleka ukuphefumula, futhi.
Imithombo:
I-National Heart, i-Lung ne-Blood Institute. Yini Ebangelwa Ukuhluleka Kokuphefumula? i-fact sheet.
I-National Heart, i-Lung ne-Blood Institute. Kuyini ukuhluleka kokuphefumula? i-fact sheet.
Smeltzer, S., Bare, B. Umbhalo Wezincwadi Zokunakekelwa Kwezokwelapha. ULippincott. 1996.
Ilabhulali Kazwelonke Yezokwelapha yase-US. Ishidi lokushiyeka lokuphefumula.