Izimpawu zamanzi ezinkulu zamaphaphu, izimbangela nendlela yokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yini engadala amanzi emaphashini
• Yelashwa kanjani

Amanzi asemaphashini ayinkinga yezempilo eyaziwa ngokwesayensi njenge-pulmonary edema, eyenzeka lapho i-pulmonary alveoli igcwele uketshezi, ngenxa yezinye izifo ezingalashwa kahle, njengokuhluleka kwenhliziyo noma izifo zokuphefumula, isibonelo.

Njengoba uketshezi oludlulele emaphashini lwenza ukuphefumula kube nzima futhi kunciphise ukungena komoya-mpilo emzimbeni, amanzi amaphaphu angabeka impilo engozini, ngakho-ke kungakuhle ukuthi uye ngokushesha egumbini labezimo eziphuthumayo lapho izimpawu ezifana nokuphefumula, ukuphefumula noma ukuphikelela ekhwehlela igazi.

Amanzi asemaphashini ayelapheka, kodwa-ke, ukwelashwa kufanele kuqalwe ngokushesha okukhulu ukuvimbela amazinga e-oxygen emzimbeni ukuthi awe phansi kakhulu futhi abeke impilo engcupheni. Qonda ukuthi amanzi aphathwa kanjani emaphashini.

Izimpawu eziyinhloko

Ngokuya ngesizathu se-edema ye-pulmonary, izimpawu zingavela ngokuhamba kwesikhathi noma zivele ngokuzumayo. Ezinye zezimpawu ezivame kakhulu zifaka:

• Ubunzima bokuphefumula, obubi lapho ulele;
• Ukuzwa ukuminyana noma ukuminza;
• Ukudonsa ngamandla lapho uphefumula;
• Ukukhwehlela ngokukhipha okungaqukatha igazi;
• Ubuhlungu obukhulu besifuba;
• Ukukhathala okulula kakhulu;
• Ukuvuvukala kwemilenze noma izinyawo.

Lapho kuvela ezingaphezu kwesisodwa salezi zimpawu, kungakuhle ukuthi ushayele usizo lwezokwelapha, ushayele abayi-192, noma uye ngokushesha emnyangweni ophuthumayo wesibhedlela, ukuze kwenziwe i-X-ray yesifuba, uqinisekise ukuxilongwa bese uqala ngokushesha ukwelashwa, ngakho-ke ukugwema izinkinga ezinkulu ezingadala ukufa.

Ungakuqinisekisa kanjani ukuxilongwa

Ezimweni eziningi, ukuqinisekisa ukutholakala kwe-edema yamaphaphu, udokotela uhlaziya izimpawu nezimpawu, kanye nomlando wezifo zangaphambilini, njenge-hypertension, isifo sikashukela noma i-infarction. Ukuhlolwa komzimba kubaluleke kakhulu ukufika lapho kutholakala khona ukuxilongwa, futhi phakathi nalokhu kuhlolwa udokotela kufanele ahlaziye isifuba, afune ukuvuvukala emilenzeni futhi ahlole umfutho wegazi.

Ngaphezu kwalokho, kusengadingeka ukwenza i-X-ray, i-electrocardiogram noma i-echocardiography, ukuchaza imbangela yamanzi ephashini.

Yini engadala amanzi emaphashini

Izimo ezivame kakhulu zamanzi emaphashini zenzeka lapho kunesifo senhliziyo, esifana nesifo senhliziyo, ukwehluleka kwenhliziyo noma umfutho wegazi ophakeme, njengoba inhliziyo ingayeka ukusebenza kahle, idale ukuqoqwa kwegazi emaphashini futhi likwenze kube nzima ukuze kungene umoya.

Kodwa-ke, kunezinye izimo ezingadala ukuqoqwa koketshezi njenge:

• Isifo sabantu abadala sokuphefumula;
• Khuphukela phezulu ngaphezu kwamamitha ayi-2400, njengokuqwala intaba;
• Izinkinga zesistimu yezinzwa, njengokuhlukumezeka ekhanda, ukopha okungaphansi kwesisu noma ukuquleka;
• Izifo ezibangelwa amagciwane emaphashini;
• Ukuhogela intuthu;
• Cishe ukuminza, ikakhulukazi lapho amanzi ehogela.

Inkinga yamanzi emaphashini ivame kakhulu kubantu asebekhulile, ngoba banezinguquko eziningi kwezempilo, kodwa kungenzeka nakwabantu abasha noma ngisho nasezinganeni ezinezifo zenhliziyo ezizalwe nayo.

Funda kabanzi ngezimbangela zale nkinga.

Yelashwa kanjani

Ukwelashwa kwamanzi emaphashini kufanele kwenziwe ngenkathi usesibhedlela futhi kuvame ukuqala ngokuphathwa komoya-mpilo ngokusebenzisa imaski ukukhulula izimpawu ezinjengobunzima bokuphefumula, umuzwa wokuminza nokuphefumula. Ngaphezu kwalokho, amanye amakhambi angasetshenziswa ukuqeda uketshezi oluningi njenge:

• Amakhambi we-diuretic, njenge-furosemide: kusiza ukuqeda uketshezi oluningi emzimbeni ngomchamo;
• Izixazululo Zenhliziyo, njenge-nitroglycerin: iqeda ingcindezi emithanjeni yenhliziyo, ithuthukise ukusebenza kwayo futhi ivimbele ukuqoqwa kwegazi emaphashini;
• I-Morphine: isetshenziselwa ukuqeda umuzwa wokuphefumula kanzima noma ubuhlungu besifuba obukhulu;
• Izixazululo Zokucindezela Kwegazi Eliphezulu, ngokuphendula ngokushesha, njenge-nitroglycerin: anciphisa umfutho wegazi, enza lula umsebenzi wenhliziyo futhi avimbele ukuqoqwa koketshezi.

Ngenxa yethonya lezidakamizwa ukuqeda uketshezi oluningi, udokotela angancoma ukuthi kusetshenziswe iphenyi yesinye ukukala inani lomchamo okhishwayo ngemuva kokusebenzisa isisu. Bona ukuthi unganakekela kanjani kahle ishubhu lesinye ukuvikela ukutheleleka.

Ngaphezu kokwelashwa kwe-edema ye-pulmonary, kubaluleke kakhulu ukuthola imbangela bese uqala ukwelashwa okufanele, ukuze uvimbele inkinga ukuthi ingaphindeki.