Ukwehluleka Ukuphefumula

-Delile

• Isifinyezo
• Kuyini ukwehluleka kokuphefumula?
• Yini ebangela ukwehluleka ukuphefumula?
• Ziyini izimpawu zokwehluleka kokuphefumula?
• Kutholakala kanjani ukwehluleka kokuphefumula?
• Yiziphi izindlela zokwelapha ukwehluleka ukuphefumula?

Isifinyezo

Kuyini ukwehluleka kokuphefumula?

Ukwehluleka kokuphefumula yisimo lapho igazi lakho lingenayo i-oxygen eyanele noma line-carbon dioxide eningi kakhulu. Kwesinye isikhathi ungaba nazo zombili izinkinga.

Lapho uphefumula, amaphaphu akho adonsa umoya-mpilo. Umoya-mpilo udlula ungene egazini lakho, okukuyisa ezithweni zakho. Izitho zakho, njengenhliziyo nobuchopho bakho, ziyalidinga leli gazi eligcwele umoya-mpilo ukuze lisebenze kahle.

Enye ingxenye yokuphefumula ukususa i-carbon dioxide egazini bese uyaphefumulela ngaphandle. Ukuba nesikhutha esiningi egazini lakho kungalimaza izitho zakho.

Yini ebangela ukwehluleka ukuphefumula?

Izimo ezithinta ukuphefumula kwakho zingadala ukwehluleka kokuphefumula. Lezi zimo zingathinta imisipha, izinzwa, amathambo, noma izicubu ezisekela ukuphefumula. Noma zingathinta ngqo amaphaphu. Lezi zimo zifaka phakathi

• Izifo ezithinta amaphaphu, njenge-COPD (isifo esingapheliyo sokuphazamiseka kwamaphaphu), i-cystic fibrosis, i-pneumonia, i-pulmonary embolism, ne-COVID-19
• Izimo ezithinta izinzwa nemisipha elawula ukuphefumula, njenge-amyotrophic lateral sclerosis (ALS), i-muscular dystrophy, ukulimala komgogodla nokushaywa unhlangothi
• Izinkinga zomgogodla, njenge-scoliosis (ijika emgogodleni). Zingathinta amathambo nemisipha esetshenziselwa ukuphefumula.
• Ukulimala kwezicubu nezimbambo ezungeze amaphaphu. Ukulimala esifubeni kungadala lo monakalo.
• Ukweqisa izidakamizwa noma utshwala
• Ukulimala kokuphefumula, njengokuphefumula intuthu (kusuka emlilweni) noma intuthu eyingozi

Ziyini izimpawu zokwehluleka kokuphefumula?

Izimpawu zokwehluleka ukuphefumula zincike embangela nasemazingeni e-oxygen ne-carbon dioxide egazini lakho.

Izinga eliphansi le-oxygen egazini lingadala ukuphefumula okuncane kanye nendlala yomoya (umuzwa wokuthi awukwazi ukuphefumula umoya owanele). Isikhumba sakho, izindebe, kanye nezinzipho zeminwe nakho kungaba nombala oluhlaza okwesibhakabhaka. Izinga eliphezulu lesikhutha lingadala ukuphefumula okusheshayo nokudideka.

Abanye abantu abahluleka ukuphefumula bangazunywa ubuthongo kakhulu noma balahlekelwe ukwazi. Futhi bangaba ne-arrhythmia (ukushaya kwenhliziyo okungajwayelekile). Ungaba nalezi zimpawu uma ubuchopho nenhliziyo yakho kungatholi i-oxygen eyanele.

Kutholakala kanjani ukwehluleka kokuphefumula?

Umhlinzeki wakho wezokunakekelwa kwempilo uzohlola ukwehluleka kokuphefumula ngokususelwa ku-

• Umlando wakho wezokwelapha
• Ukuhlolwa komzimba, okuvame ukufaka
• Ukulalela amaphaphu akho ukubheka imisindo engajwayelekile
• Ukulalela inhliziyo yakho ukuhlola i-arrhythmia
• Ufuna umbala oluhlaza okwesibhakabhaka esikhunjeni sakho, ezindebeni, nakumazipho eminwe
• Izivivinyo zokuxilonga, njenge
• I-pulse oximetry, inzwa encane esebenzisa ukukhanya ukukala ukuthi ingakanani i-oksijini esegazini lakho. Inzwa iya ekugcineni komunwe wakho noma endlebeni yakho.
• Ukuhlolwa kwegesi emithanjeni yegazi, isivivinyo esikala amazinga e-oxygen ne-carbon dioxide egazini lakho. Isampuli yegazi ithathwa emthanjeni, imvamisa esihlakaleni sakho.

Uma usutholwe ukuthi wehlulekile ukuphefumula, umhlinzeki wakho uzobheka ukuthi kubangelwa yini. Ukuhlolwa kwalokhu kuvame ukufaka i-x-ray yesifuba. Uma umhlinzeki wakho ecabanga ukuthi ungaba ne-arrhythmia ngenxa yokwehluleka kokuphefumula, ungahle ube ne-EKG (electrocardiogram). Lokhu ukuhlolwa okulula, okungenabuhlungu okuthola nokuqopha umsebenzi kagesi wenhliziyo yakho.

Yiziphi izindlela zokwelapha ukwehluleka ukuphefumula?

Ukwelashwa kokuhluleka ukuphefumula kuncike

• Noma ngabe kubi (okwesikhashana) noma okungapheli (kuyaqhubeka)
• Kunzima kangakanani
• Kubangelwa yini

Ukwehluleka okukhulu kokuphefumula kungaba yisimo esiphuthumayo sezokwelapha. Ungadinga ukwelashwa egumbini labagula kakhulu esibhedlela. Ukwehluleka kokuphefumula okungapheli kungalashwa ekhaya. Kodwa uma ukwehluleka kwakho ukuphefumula okungapheli kunzima, ungadinga ukwelashwa esikhungweni sokunakekelwa kwesikhathi eside.

Enye yezinhloso eziyinhloko zokwelashwa ukuthola i-oxygen emaphashini akho nakwezinye izitho futhi ususe isikhutha emzimbeni wakho. Enye inhloso ukuphatha imbangela yalesi simo. Ukwelashwa kungafaka

• Ukwelashwa kwe-oxygen, ngokusebenzisa i-cannula yamakhala (amashubhu amabili amancane epulasitiki angena emakhaleni akho) noma ngesifihla esifanelana nekhala nomlomo wakho
• I-Tracheostomy, umgodi owenziwe ngokuhlinzwa odlula ngaphambili entanyeni yakho uye kupayipi lakho lomoya. Ishubhu lokuphefumula, elibizwa nangokuthi i-tracheostomy, noma i-trach tube, lifakwa emgodini ukuze likusize uphefumule.
• Umshini wokuphefumula, umshini wokuphefumula ofaka umoya emaphashini akho. Iphinde ikhiphe isikhutha emaphashini akho.
• Ezinye izindlela zokuphefumula, njengokungeniswa komoya okucindezelayo okungavumelekile (i-NPPV), esebenzisa umfutho womoya omncane ukugcina imigwaqo yakho ivulekile ngenkathi ulele. Okunye ukwelashwa umbhede okhethekile ogeleza uye emuva naphambili, ukukusiza uphefumulele ngaphakathi nangaphandle.
• Uketshezi, imvamisa ngokusebenzisa umjovo (IV), ukwenza ngcono ukugeleza kwegazi emzimbeni wakho wonke. Ziphinde zinikeze umsoco.
• Imithi ngokungahambi kahle
• Ukwelashwa kwesizathu sokwehluleka kokuphefumula. Lezi zindlela zokwelashwa zingafaka imithi nezinqubo.

Uma uhluleka ukuphefumula, bheka umhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ukunakekelwa okuqhubekayo kwezokwelapha. Umhlinzeki wakho angaphakamisa ukuvuselelwa kwamaphaphu.

Uma ukwehluleka kwakho ukuphefumula kungapheli, qiniseka ukuthi uyazi ukuthi ungaluthola nini futhi kuphi usizo lwezimpawu zakho. Udinga ukunakekelwa okuphuthumayo uma unezimpawu ezinzima, njengenkinga yokubamba umoya wakho noma ukukhuluma. Kufanele ushayele umhlinzeki wakho uma ubona ukuthi izimpawu zakho ziya ngokuya ziba zimbi noma unezimpawu nezimpawu ezintsha.

Ukuphila ngokwehluleka ukuphefumula kungadala ukwesaba, ukukhathazeka, ukudangala, kanye nengcindezi. Ukwelashwa kokukhuluma, imishanguzo, namaqembu okusekela kungakusiza uzizwe ungcono.

I-NIH: I-National Heart, Lung, ne-Blood Institute