Kukundikana Kufema

Zvemukati

• Pfupiso
• Chii chinonzi kutadza kufema?
• Chii chinokonzera kutadza kufema?
• Ndezvipi zviratidzo zvekutadza kufema?
• Kutadza kufema kunoonekwa sei?
• Ndeapi marapirwo ekufema kutadza?

Pfupiso

Chii chinonzi kutadza kufema?

Kukundikana kwekufema mamiriro ezvinhu umo ropa rako risina oxygen yakakwana kana rine rakawandisa kabhoni dhayokisaidhi. Dzimwe nguva unogona kuve nematambudziko ese ari maviri.

Paunofema, mapapu ako anotora mweya weokisijeni. Oxygen inoenda muropa rako, iyo inoitakura kunhengo dzako. Nhengo dzako, senge moyo wako nehuropi, dzinoda iyi oxygen-yakazara ropa kuti ishande zvakanaka.

Chimwe chikamu chekufema kubvisa kabhoni dhayokisaidhi kubva muropa nekuchifemera kunze. Kuva ne carbon dioxide yakawandisa muropa rako kunogona kukuvadza nhengo dzako.

Chii chinokonzera kutadza kufema?

Mamiriro ezvinhu anokanganisa kufema kwako anogona kukonzera kutadza kufema. Aya mamiriro anogona kukanganisa mhasuru, tsinga, mapfupa, kana zvinyama zvinotsigira kufema. Kana izvo zvinogona kukanganisa mapapu zvakananga. Aya mamiriro anosanganisira

• Zvirwere zvinokanganisa mapapu, senge COPD (chisingaperi obstructive pulmonary chirwere), cystic fibrosis, pneumonia, pulmonary embolism, uye COVID-19
• Mamiriro ezvinhu anokanganisa tsinga nemhasuru zvinodzora kufema, senge amyotrophic lateral sclerosis (ALS), tsandanyama dystrophy, kukuvara kwemuzongoza, uye sitiroko
• Zvinetso nemuzongoza, senge scoliosis (curve mumuzongoza). Zvinogona kukanganisa mapfupa uye mhasuru dzinoshandiswa pakufema.
• Kukuvadza kumatishu uye mbabvu dzakakomberedza mapapu. Kukuvara kuchifuva kunogona kukonzera kukuvara uku.
• Zvinodhaka kana doro kuwandisa
• Kukuvara kwemweya, senge kubva mukufema utsi (kubva pamoto) kana utsi hunokuvadza

Ndezvipi zviratidzo zvekutadza kufema?

Zviratidzo zvekutadza kufema zvinoenderana nechikonzero uye nematanho eoksijeni uye kabhoni dhayokisaidhi muropa rako.

Iyo yakaderera oxygen mwero muropa inogona kukonzera kupfupika kwemweya uye mweya nzara (kunzwa kwekuti iwe haugone kufema mumhepo yakakwana). Ganda rako, miromo, uye nzara dzinogona zvakare kuve neruvara rweblue. Iyo yakakwira kabhoni dhayokisaidhi inogona kukonzera kukurumidza kufema uye kuvhiringidzika.

Vamwe vanhu vane kutadza kufema vanogona kuve vakarara zvakanyanya kana kurasikirwa neruzivo. Ivo zvakare vanogona kunge vaine arrhythmia (isina kujairika kurova kwemoyo). Iwe unogona kuve nezviratidzo izvi kana uropi hwako nemoyo zvisiri kuwana oxygen yakakwana.

Kutadza kufema kunoonekwa sei?

Anopa hutano hwako anozoongorora kufema kutadza kunobva pa

• Nhoroondo yako yekurapa
• Kuongorora kwepanyama, uko kunowanzo sanganisira
• Kuteerera kumapapu ako kuti utarise ruzha rusina kujairika
• Kuteerera kumoyo wako kutarisa arrhythmia
• Kutsvaga bhuruu ruvara paganda rako, miromo, uye nzara
• Kuongorora bvunzo, senge
• Pulse oximetry, idiki sensor inoshandisa mwenje kuyera kuti yakawanda sei oxygen iri muropa rako. Iyo sensor inoenda panoperera munwe wako kana panzeve yako.
• Arterial yeropa gasi bvunzo, bvunzo inoyera oxygen uye carbon dioxide mazinga muropa rako. Muenzaniso weropa unotorwa kubva mutsinga, kazhinji muchanza chako.

Paunenge uchinge waonekwa uine kutadza kufema, wako anopa anozotsvaga chiri kukonzera. Miedzo yeiyi inowanzo sanganisira chest x-ray. Kana mupi wako achifunga kuti iwe unogona kunge uine arrhythmia nekuda kwekutadza kufema, unogona kunge uine EKG (electrocardiogram). Uyu muedzo wakapusa, usingarwadzi unoona uye unorekodha chiitiko chemagetsi emoyo wako.

Ndeapi marapirwo ekufema kutadza?

Kurapa kwekutadza kufema kunoenderana

• Kunyangwe iri yakaoma (pfupi-pfupi) kana isingagumi (ichienderera)
• Zvakaoma sei
• Chii chiri kukonzeresa

Kukundikana kwakanyanya kwekufema kunogona kuve kwekukurumidzira kwekurapa. Unogona kuda kurapwa muchipatara chevanotarisirwa zvakanyanya pachipatara. Kukundikana kusingaperi kwekufema kunogona kurapwa kumba. Asi kana yako isingaperi yekufema kutadza kwakanyanya, ungangoda kurapwa mune yakareba-kwenguva yekuchengetedza nzvimbo.

Chimwe chezvinangwa zvikuru zvekurapa kutora okisijeni kumapapu ako uye nedzimwe nhengo uye kubvisa kabhoni dhayokisaidhi kubva mumuviri wako. Chimwe chinangwa ndechekurapa chinokonzera mamiriro acho. Mishonga inogona kusanganisira

• Oxygen kurapa, kuburikidza nekanora kanora (maviri madiki epurasitiki machubhu anoenda mumhino dzako) kana kuburikidza nemask inokwana pamusoro pemhino nemuromo.
• Tracheostomy, gomba rakagadzirwa nekuvhiya rinopinda nepamberi pemutsipa wako uye mupombi yako yemhepo. Chubhu yekufema, inonziwo tracheostomy, kana traki chubhu, inoiswa mugomba kuti ikubatsire kufema.
• Ventilator, muchina wekufema unovhuvhuta mweya mumapapu ako. Inotakurawo carbon dioxide kubva mumapapu ako.
• Dzimwe nzira dzekufema, senge noninvasive yakanaka kumanikidza kufefetedza mweya (NPPV), iyo inoshandisa yakaderera mweya kumanikidza kuchengetedza yako nzira yemhepo yakavhurika iwe uchirara. Kumwe kurapwa imubhedha wakasarudzika unodedera nekumberi, kukubatsira kufemera mukati nekunze.
• Fluids, kazhinji kuburikidza ne intravenous (IV), kugadzirisa kuyerera kweropa mumuviri wako wese. Vanopawo chikafu.
• Mishonga yekusanzwa
• Kurapa kwechikonzero chekutadza kufema. Aya marapirwo anogona kusanganisira mishonga nemaitiro.

Kana iwe uine kutadza kufema, ona wako mupi wezvehutano kuti urambe uchirapwa. Wako mupi anogona kupa zano rekugadzirisa pulmonary.

Kana yako yekufema kukundikana isingaperi, ita shuwa kuti iwe unoziva riini uye kupi kuti uwane rubatsiro rwezviratidzo zvako. Unoda rubatsiro rwechimbichimbi kana uine zviratidzo zvakakomba, senge dambudziko rekubata mweya wako kana kutaura. Iwe unofanirwa kufonera mupiki wako kana iwe ukaona kuti zviratidzo zvako zviri kuwedzera kana kana iwe uine zviratidzo nezviratidzo zvitsva.

Kugara nekutadza kufema kunogona kukonzera kutya, kushushikana, kushushikana, uye kushushikana. Kutaura kurapa, mishonga, uye mapoka ekutsigira anogona kukubatsira kuti unzwe zvirinani.

NIH: National Mwoyo, Mapapu, uye Ropa Institute