Yini engadala ukushoda komoya-mpilo

-Delile

• 1. Ukuphakama
• 2. Izifo zamaphaphu
• 3. Izinguquko egazini
• 4. Ukujikeleza kwegazi okungalungile
• 5. Ukudakwa
• 6. I-hypoxia engakazalwa
• 7. Izimbangela zengqondo
• 8. Isimo Sezulu
• Ziyini izimpawu
• Okufanele ukwenze lapho kungekho umoya-mpilo

Ukushoda komoya-mpilo, ongaziwa nangokuthi yi-hypoxia, kuqukethe ukwehlisa ukunikezwa komoya-mpilo ezicutshini emzimbeni wonke. Ukuntuleka komoya-mpilo osegazini, okungabizwa nangokuthi yi-hypoxemia, kuyisimo esibi kakhulu, esingadala ukulimala kwezicubu okunamandla futhi, ngenxa yalokho, nengozi yokufa.

Ubuchopho yisitho esithinteke kakhulu kulesi simo, njengoba amaseli aso angafa cishe emizuzwini emihlanu ngenxa yokushoda komoya-mpilo. Ngakho-ke, noma nini lapho kutholakala izimpawu zokushoda komoya-mpilo, njengokuphefumula okuncane, ukudideka kwengqondo, isiyezi, ukuquleka, ikhoma noma iminwe e-purplish, kubalulekile ukuya egumbini lezimo eziphuthumayo ngokushesha okukhulu.

Ukubona ukuntuleka komoya-mpilo, udokotela angakhomba izimpawu ngokuhlolwa ngokomzimba nokuhlolwa kwe-oda, okufana ne-pulse oximetry noma amagesi egazi emithanjeni, ngokwesibonelo, angakhomba ukuminyana komoya-mpilo egazini. Thola okuningi mayelana nokuhlolwa okuqinisekisa ukungabi khona komoya-mpilo.

Ukuntuleka komoya-mpilo egazini nasezicutshini kungaba nezimbangela ezahlukahlukene, kufaka phakathi:

1. Ukuphakama

Kuvela lapho inani lomoya-mpilo osemoyeni ophefumulayo linganele, okuvame ukwenzeka ezindaweni ezinamazinga aphezulu ngaphezu kwamamitha ayi-3 000, ngoba ukude kakhulu nolwandle, kwehlisa ukuminyana komoya-mpilo emoyeni.

Lesi simo saziwa njenge-hypobaric hypoxia futhi singaholela ezinkingeni ezithile, njenge-edema engeyona ye-cardiogenic pulmonary edema, i-cerebral edema, ukuphelelwa amandla kwamanzi kanye ne-hypothermia.

2. Izifo zamaphaphu

Izinguquko emaphashini ezibangelwa izifo ezifana ne-asthma, i-emphysema, i-pneumonia noma i-acute lung edema, ngokwesibonelo, yenza kube nzima nge-oxygen ukungena egazini ngezingqimba zayo, kunciphise inani le-oxygen emzimbeni.

Kukhona nezinye izinhlobo zezimo ezivimbela ukuphefumula, njengokungenxa yezifo zemizwa noma ikhoma, lapho amaphaphu engakwazi ukwenza umsebenzi wawo ngokufanele.

3. Izinguquko egazini

I-anemia, ebangelwa ukuntuleka kwensimbi noma amavithamini, ukopha, noma ukuphazamiseka kofuzo njenge-sickle cell anemia kungadala ukungabi khona komoya-mpilo emzimbeni, noma ngabe ukuphefumula kusebenza ngokujwayelekile.

Lokhu kungenxa yokuthi ama-anemias adala inani elinganele le-hemoglobin, okuyi-protein ekhona kumaseli abomvu egazi abhekele ukuthwala umoya-mpilo obanjwe emaphashini bese uwuletha ezicutshini zomzimba.

4. Ukujikeleza kwegazi okungalungile

Kwenzeka lapho inani lomoya-mpilo lanele egazini, kodwa-ke, igazi alikwazi ukufinyelela kwizicubu zomzimba, ngenxa yokuvinjelwa, njengoba kwenzeka ku-infarction, noma lapho ukusakazwa kwegazi kubuthakathaka, kubangelwa ukwehluleka kwenhliziyo, isibonelo. isibonelo.

5. Ukudakwa

Izimo ezinjengobuthi obususelwa ku-carbon monoxide noma ukudakwa yimithi ethile, i-cyanide, utshwala noma izinto ezithinta ingqondo zingavimbela ukuboshwa komoya-mpilo ku-hemoglobin noma kuvimbele ukuthathwa komoya-mpilo ngezicubu, ngakho-ke, kungadala nokushoda komoya-mpilo.

6. I-hypoxia engakazalwa

I-Neoxatal hypoxia yenzeka ngenxa yokushoda kokutholakala komoya-mpilo enganeni nge-placenta yomama, okudala ukucindezeleka kwengane.

Ingabonakala ngaphambi, ngesikhathi noma ngemuva kokubeletha, ngenxa yezinguquko zomama, ezihlobene ne-placenta noma i-fetus, engaba nemiphumela enganeni efana ne-cerebral palsy nokukhubazeka kwengqondo.

7. Izimbangela zengqondo

Abantu abanohlobo oluthile lokuphazamiseka kwengqondo basebenzisa inani elikhulu le-oxygen uma besesimweni sokuxineka, okuholela ekubonakaleni kwezimpawu nezimpawu ezifana nokuphefumula, ukushaya ngamandla nokudideka kwengqondo.

8. Isimo Sezulu

Ezimweni ezimbi kakhulu zemvelo ezibandayo noma ezishisayo, kunesidingo esikhulayo somoya-mpilo ukuze kugcinwe imetabolism yomzimba emisebenzini yayo ejwayelekile, ngokwehla kokubekezelela i-hypoxia.

Ziyini izimpawu

Izimpawu ezikhombisa ukungabi khona komoya-mpilo egazini yilezi:

• Ukuphefumula okufishane;
• Ukuphefumula ngokushesha;
• Ukushaya kancane;
• Ukuthukuthela;
• Isiyezi;
• Umjuluko owedlulele;
• Ukudideka kwengqondo;
• Ubuthakathaka;
• Ukuquleka;
• I-cyanosis, okuyimikhawulo yeminwe noma izindebe ezi-purplish;
• Ngefayela le-.

Kodwa-ke, lapho ukuntuleka komoya-mpilo kutholakala esithweni esisodwa kuphela noma esifundeni somzimba, ukulimala okuqondile kubangelwa kuleso sicubu, esibizwa nge-ischemia noma i-infarction. Ezinye izibonelo zalesi simo ukuphazamiseka kwenhliziyo, amathumbu, amaphaphu noma isifo sohlangothi, isibonelo.

Ngaphezu kwalokho, ukulimala kwezicubu okubangelwa ukuntuleka komoya-mpilo kungaguqulwa, ngemuva kokulungisa le nkinga nokuthola amangqamuzana, noma kunjalo, kwezinye izimo, ukungabi khona komoya-mpilo kubangela ukufa kwezicubu, kubangele i-sequelae ehlala njalo. Thola ukuthi yimaphi ama-sequelae ayinhloko angavela ngemuva kokushaywa unhlangothi.

Okufanele ukwenze lapho kungekho umoya-mpilo

Ukwelashwa kokushoda komoya-mpilo kuvame ukuqala ngokusetshenziswa kwesifonyo somoya-mpilo ukuzama ukulinganisa amazinga egazi lakho, noma kunjalo, lesi simo sizophathwa kuphela ngokuxazululwa kwembangela.

Ngakho-ke, ngokuya ngesizathu, ukwelashwa okukhonjisiwe kukhonjiswa ngudokotela, njengokusebenzisa ama-antibiotic we-pneumonia, i-nebulization ye-asthma, imithi yokwenza ngcono ukusebenza kwamaphaphu noma kwenhliziyo, ukwelashwa kwe-anemia noma ama-antidotes for poisonings, ngokwesibonelo.

Ezimweni ezinzima, ezidalwa ukulimala kobuchopho noma ezingeke zixazululwe ngokushesha, ukusetshenziswa kokuphefumula okwenziwe ngamadivayisi, endaweni ye-ICU kanye nokusetshenziswa kwezidakamizwa, kungadingeka kuze kube yilapho udokotela ekwazi ukuzinzisa amandla okuphefumula. Qonda lapho kudingeka ikhoma.