Ukuphefumula okungajwayelekile ngokushesha

Izinga elijwayelekile lokuphefumula komuntu omdala lapho ephumule ukuphefumula okungu-8 kuya ku-16 ngomzuzu. Enganeni, isilinganiso esijwayelekile sifinyelela ekuphefumuleni okungu-44 ngomzuzu.

I-Tachypnea yigama umhlinzeki wakho wezokunakekelwa kwempilo alisebenzisayo ukuchaza ukuphefumula kwakho uma kushesha kakhulu, ikakhulukazi uma ushesha, ukuphefumula okungajulile okuvela kwisifo samaphaphu noma kwenye imbangela yezokwelapha.

Igama elithi hyperventilation livame ukusetshenziswa uma uthatha umoya osheshayo, ojulile. Lokhu kungaba ngenxa yesifo samaphaphu noma ngenxa yokukhathazeka noma ukwethuka. Amagama kwesinye isikhathi asetshenziswa ngokungafani.

Ukuphefumula okungajulile, okusheshayo kunezimbangela eziningi zezokwelapha, kufaka phakathi:

• Isifuba Somoya
• Ukuqina kwegazi emthanjeni osemaphashini
• Ukuchofoza
• Isifo esingapheliyo se-pulmonary disease (COPD) nezinye izifo ezingalapheki zamaphaphu
• Ukwehluleka kwenhliziyo
• Ukutheleleka ezindimeni zomoya ezincane kakhulu zamaphaphu ezinganeni (bronchiolitis)
• I-pneumonia noma okunye ukutheleleka kwamaphaphu
• I-tachypnea yesikhashana yengane esanda kuzalwa
• Ukukhathazeka nokwethuka
• Esinye isifo samaphaphu esibi

Ukuphefumula okusheshayo, okungajulile akufanele kuphathwe ekhaya. Ngokuvamile kubhekwa njengesimo esiphuthumayo sezokwelapha (ngaphandle kokuthi ukukhathazeka kungukuphela kwesizathu).

Uma une-asthma noma i-COPD, sebenzisa imithi yakho ye-inhaler njengoba kuchazwe ngumhlinzeki wakho. Usengadinga ukuhlolwa ngumhlinzeki ngokushesha uma uphefumula ngokushesha okungajulile. Umhlinzeki wakho uzochaza uma kubalulekile ukuya egumbini lezimo eziphuthumayo.

Shayela ku-911 noma inombolo ephuthumayo yendawo, noma uye egumbini lezimo eziphuthumayo uma uphefumula ngokushesha futhi une:

• Umbala oluhlaza okwesibhakabhaka noma ompunga esikhunjeni, kuzipikili, kwizinsini, ezindebeni, noma endaweni ezungeze amehlo (i-cyanosis)
• Ubuhlungu besifuba
• Isifuba esidonsa umoya ngamunye
• Imfiva
• Ukuphefumula kanzima noma okunzima
• Akukaze kube nokuphefumula okusheshayo ngaphambili
• Izimpawu eziya ziba nzima kakhulu

Umhlinzeki uzokwenza ukuhlolwa okuphelele kwenhliziyo yakho, amaphaphu, isisu, nekhanda nentamo.

Izivivinyo ezinga-odwa zifaka:

• I-arterial blood gas kanye ne-pulse oximetry ukuhlola izinga lakho le-oxygen
• I-x-ray yesifuba
• Isikena se-CT esifubeni
• Qedela ukubalwa kwegazi (CBC) kanye namakhemikhali egazi
• I-Electrocardiogram (ECG)
• Ukuphefumula / ukuskena kwamaphaphu akho
• Iphaneli yemethodi ephelele yokuhlola ukulinganisela kwamakhemikhali omzimba kanye ne-metabolism

Ukwelashwa kuzoya ngesizathu esiyinhloko sokuphefumula okusheshayo. Ukwelashwa kungafaka i-oxygen uma izinga lakho le-oxygen liphansi kakhulu. Uma une-asthma noma i-COPD attack, uzothola ukwelashwa ukunqanda ukuhlaselwa.

I-Tachypnea; Ukuphefumula - okusheshayo nokungajulile; Ukuphefumula okusheshayo; Izinga lokuphefumula - liyashesha futhi alijulile

• I-diaphragm
• I-diaphragm namaphaphu
• Uhlelo lokuphefumula

UKraft M. Indlela eya esigulini esinezifo zokuphefumula. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 83.

Izinga lokuphefumula kanye namaphethini okuphefumula angajwayelekile. Ku: McGee S, ed. Ukuxilongwa Komzimba Okusekelwe Ebufakazini. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 19.