Kufema kunonzwika

Ruzha rwemhepo ndiyo mheremhere inogadzirwa nezvimiro zvemapapu panguva yekufema.

Ruzha rwemapapu runonzwika zvakanyanya ne stethoscope. Izvi zvinonzi kurudziro.

Kazhinji kurira kwemapapu kunoitika munzvimbo dzese dzechipfuva, kusanganisira pamusoro pemakoroni uye nechepazasi pembabvu.

Uchishandisa stethoscope, chiremba anogona kunzwa ruzha rwekufema, kuderera kana kusavapo mweya wekufema, uye mweya usina kujairika unonzwika.

Mhere isina kana kuderera inogona kureva:

• Mhepo kana fluid mukati kana mukati memapapu (senge pneumonia, kutadza kwemoyo, uye kunyunyuta kwemufaro)
• Kuwedzera kukura kwechipfuva chemadziro
• Kuwedzera-inflation kwechikamu chemapapu (emphysema inogona kukonzera izvi)
• Yakaderedza kufefetera kwemweya kune chikamu chemapapu

Kune akati wandei marudzi emhando yekufema mhere. Iwo mana akajairika ndeaya:

• Rales. Kudzvanya kudiki, kubvongodza, kana kurira kunonzwika mumapapu. Zvinonzwika kana munhu achifemera mukati (inhales). Ivo vanofungidzirwa kuti zvinoitika kana mhepo ichivhura yakavharwa mweya nzvimbo. Rales inogona zvakare kutsanangurwa seyakanyorova, yakaoma, yakanaka, kana yakaoma.
• Rhonchi. Ruzha rwunofanana nekukosora. Izvo zvinoitika kana mhepo yakavharika kana kuyerera kwemhepo kunova kwakashata kuburikidza neiyo huru nzira yemhepo.
• Stridor. Ruzha-rwakaita senzwi rinonzwika kana munhu afema. Kazhinji zvinokonzerwa nekuvharika kwekufema kwemhepo mumhepo (trachea) kana kumashure kwehuro.
• Kushungurudza. Ruzha rwakakwira kwazvo rwunogadzirwa neyakafefeterwa nemhepo. Kupota uye mamwe manzwi asina kujairika dzimwe nguva anogona kunzwika pasina stethoscope.

Zvinokonzera mweya usina kujairika mhere zvinogona kusanganisira:

• Pachirwere bronchitis
• Asima
• Bronchiectasis
• Chisingaperi bronchitis
• Kuunganidzwa kwemoyo kukundikana
• Emphysema
• Chirwere chemapapu chemukati
• Kuvharwa kwemuviri wekunze kwemhepo
• Chirwere chemabayo
• Pulmonary edema
• Tracheobronchitis

Tsvaga kurapwa kwekukurumidza kana iwe uine:

• Cyanosis (bluish discoloration yeganda)
• Nasal flaring
• Dambudziko rakanyanya kufema kana kufema kwekufema

Bata mupi wako wezvehutano kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge Uchiita kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitsvaga kana kuti wakafema.

Wako mupi achaita bvunzo dzepanyama uye ndokubvunza iwe mibvunzo nezve yako nhoroondo yezvokurapa uye yako kufema.

Mibvunzo inogona kusanganisira:

• Ko mweya wekufema wakatanga riini?
• Yakagara kwenguva yakareba sei?
• Ungatsanangura sei kufema kwako?
• Chii chinoita kuti ive nani kana yakaipa?
• Ndezvipi zvimwe zviratidzo zvaunazvo?

Mupiro anoona mweya usinganzwisisike unonzwika kazhinji. Iwe unogona kutombovaona.

Iyi bvunzo inotevera inogona kuitwa:

• Kuongororwa kwesputum sampuli (sputum tsika, sputum Gram stain)
• Ropa bvunzo (kusanganisira arterial yeropa gasi)
• Chest x-ray
• CT scan yechifuva
• Pulmonary basa bvunzo
• Pulse oximetry

Mapapu anonzwika; Kufema kurira

• Mapapu
• Kufema kunonzwika

Bhora JW, Dhayi JE, Flynn JA, Solomon BS, Stewart RW. Chifuva nemapapu. Mune: Bhora JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Siedel's Nhungamiro kuPhysical Examination. 9th ed. Louis, MO: Elsevier; 2019: chitsiko 14.

Kraft M. Nzira kune murwere ane chirwere chekufema. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 83.