Kukundikana kwekupempa kunowanikwa apo mapapu ako akundikana kuita basa rawo kupfuurira okisijeni muropa rako uye kubvisa carbon dioxide. Inogona kunge iri dambudziko rechirwere chisingaperi cheplmmm (COPD).
Nhengo dzako, masumbu uye mamwe masukisi anoda oxygen . Mapapu ako anokonzera kuunza okisijeni mumuviri wako, uko inotorwa nemasero matsvuku eropa uye inotakuriswa kwainodiwa.
Munguva iyi, carbon dioxide - iyo yakasviba gasi inokonzerwa nemasero ako sezvavanoshandisa oxygen-inobva kubva muropa rako uye ichidzokera kumapapu ako, kwaunenge uchiita. Iyi yose inonzi inonzi gas exchange.
Mukukundikana kwekuputika, kushandiswa kwegasi hakushandisi nzira iyo inofanirwa kushanda, uye masero ari mumuviri wako anotanga kutambura nekushayikwa kweokisijeni, yakawandisa carbon dioxide, kana maviri. Kakawanda carbon dioxide inogona kuvhiringidza kuenzanisa kwe-acid-base mumutumbi, iyo pachayo inogona kutungamirira kukundikana kupora.
Kamwe kamwe-kamwe kuputika kuputika ndeyekukurumidzira kwechiremba. Kana iwe kana mumwe munhu ari pedyo newe asingakwanisi kufema, danai 911.
Zvinokonzera Kusakwanisa Kufuridzirwa
Mamiriro ezvinhu anokanganisa kukwanisa kwako kufema zvakakwana kunogona kukonzera kusaputsika kwekupera. Zvimwe zvinoita zvinokonzera mamiriro acho zvinosanganisira:
- Kuvharidzira kwemhepo
- Musoro kukuvara
- Pneumonia
- Asthma
- COPD
- Zvinodhaka, kusanganisira narcotics (kufanana ne morphine kana Vicodin) uye benzodiazepines, kunyanya kana yakavhenganiswa nedoro.
- Kuwedzera kurema
- Stroke
- Pulmonary embolism
- Amyotrophic lateral sclerosis (ALS)
Mamiriro haafaniri hake kuchinja mapapu zvakananga kuitira kuti aite kukanganisa kupora. Semuenzaniso, kurohwa, ALS uye zvinodhaka / doro kudarika zvose zvingaita zvinogona kuchinja hurongwa hwako hwemagetsi huri pamusoro pemitsipa nemisumbu iyo inotungamirira kudzora kufema kwako.
Zviratidzo Zvekukundikana Kwokufuridzira
Chiratidzo chekutanga chekudzikama kwekupemha unogona kuona kuti kupera kwekufema - iwe uchanzwa sokuti iwe haugoni kutora kufema kwakadzika kana kuwana mweya wakakwana mumapapu ako. Unogona kutanga kufema nokukurumidza.
Zvimwe zviratidzo zvinogona kuitika zvinosanganisira:
- Kusanganiswa
- Kunzwa kuneta kana kuneta
- Lethargy (iwe hauzovi nesimba)
- Kurara
- Bluish tinge kune ganda rako
Kana kupera kwako kushaya simba zviratidzo zvinokurumidza kuitika, unofanira kuzviona sechirwere chekutsvaga uye kutsvaka rubatsiro pakarepo. Kana chiremba wako akakuratidza kuti une chirwere chisingaperi chokuputika semugumisiro weCOPD kana chimwe chirwere chisingaperi, unogona kugamuchira kurapa kwayo kumba kana mune imwe nzvimbo yekuchengetedza kwenguva refu.
Kuongorora uye Kurapa Mamiriro Ako
Kana chiremba wako achifungira kukundikana kuputika, anogona kuraira miedzo yakawanda kuitira kuti akuongorore iwe. Izvi zvinogona kusanganisira:
- Chifu x-ray
- CT yebhokisi
- Arterial blood inopes (ABGs) test
- Kuongororwa kwebasa reropa uye zvimwe zvirwere mumuviri
Kamwe kukundikana kwekuporesa kunoratidzwa, mushonga wako unogona kusanganisira zvinotevera, zvichienderana nechinokonzerwa nemamiriro ako:
- Bronchodilators , steroid uye pamwe nemishonga inorwisa mabhakitiriya
- Noninvasive positive-pressure ventilation (CPAP kana BiPAP )
- Oxygen therapy
- Mhepo inoputika kana kuti isiri iyo inopisa mashekiriti emhepo
Kana imwe nguva mamiriro ako akaoma, chiremba wako achakutaurira pamusoro pehutano hwako hwekugara kwenguva refu uye kufungidzira. Maonero ako ekudzikinura achabva pane izvo zvakakonzera kusakundikana kwako kupemha panzvimbo yekutanga, kwakaipa sei, kukurumidza kwawakaitwa sei, uye huwandu hwehutano hwako.
Kusvuta kunokonzera zvirwere zvakawanda zvemapapu zvinotungamirira mukusimba kupora. Saka, kana iwe utsi, iwe unofanira kusiya pakarepo. Kurasikirwa uremu kunogona kubatsira kudzivirira kufema kupera, pamwe.
Sources:
National Heart, Lung uye Blood Institute. Chii Chinokonzera Kukundikana Kwokufuridzira? fact sheet.
National Heart, Lung uye Blood Institute. Chii Chinonzi Kukundikana Kwekuporesa? fact sheet.
Smeltzer, S., Bare, B. Bhuku reBhuku reArape-Surgical Nursing. Lippincott. 1996.
US National Library of Medicine. Kusaporesa Kuporesa chokwadi peji.