Isimo asthmaticus

Isimo asthmaticus - isimo sokugembula yesifuba somoya, okubeka engcupheni yangempela ekuphileni. Lokhu kusho sekuvele kakhulu somoya kuhlasela, ongenakwenziwa ime evamile izidakamizwa isethi (bronchodilators inhalational) futhi elibangela ukubonakala izimpawu zokucindezeleka zokuphefumula. Isimo asthmaticus kudinga ukuba bathole ukunakekelwa kwezokwelapha ngokushesha. Kubalulekile ukuqonda futhi ukuqaphela kuthikameze isimo asthmaticus, ukuqhuba zokuvimbela umuzi ekuseni.

Isici izimpawu somoya isimo esinjalo, njengoba ukungakwazi ukuqedela isiphakamiso ngaphambi kokuphela, iphika, aluphumeleli ngisho uphumule. Ungase umuzwa kokucindezelwa kwesifuba, ukubukeka iindulungu ezihlaza okwesibhakabhaka emhlabeni izindebe. Kungase futhi kube umuzwa ukudideka, ukukhathazeka, ukungakwazi ukugxilisa ingqondo. Ukuze iwenze ube lula isiguli ukuphefumula kakhulu zingaphazamisi imisipha entanyeni nesisu. Umuntu uqala ukuba nokuhlala noma ukuma, oqhothé ukuthola isikhundla ntofontofo ukuphefumula. Konke lokhu kuyingxenye ukubonakaliswa yokuqala nokuvaleka kwemigudu yokuphefumula.

Isimo asthmaticus, ngokungafani isifuba somoya, angeke ephelezelwa kwesifuba futhi ukhwehlela. Lesi simo esibangela ephawulekayo umgudu lesion, lapho ukuntuleka komoya (nangalowo imuncwe futhi ngamakhala) ebangela kungekho okwenziwe ukhwehlela noma kwesifuba.

izimpawu eziyisixwayiso ngokuvamile kuvele ngaphambi ukubukeka isimo asthmaticus. Nakuba ngezinye izikhathi kuyenzeka ngokushesha okukhulu bese ziphenduka zibe yokungawutholi umoya. Ngokusho ucwaningo yamuva, kulezi ziguli akuzona kahle uzivikele ukuchayeka nomzimba ekhaya noma emsebenzini. Bona uyisebenzise inani eliphakeme ukugeleza imitha nokuthatha glucocorticoids imuncwe. steroid imuncwe kukhona ngemithi yanamuhla eqeda ukuvuvukala ukuthi kuphumelela kakhulu ekunciphiseni ukusabela ukuvuvukala kule ipheshana zokuphefumula.

Izimbangela isimo somoya ayikaziwa.

Ukuze sitholakele "isimo somoya," udokotela kufanele ukuqhuba kokuxilongwa jikelele lapho kuchazwa njengoba ukusetshenziswa imisipha asizayo ukuphefumula. Udokotela kufanele uhlole inhliziyo yakho ishaya ngamandla, Izinga lokuphefumula, khona kwesifuba ngesikhathi ukuhogela futhi exhaling. Ngaphezu kwalokho, ungasebenzisa ezengeziwe umsebenzi ukuhlolwa ukuhlola ukusebenza umgudu wokuphefumula: ukuhlolwa igazi oxygenation, umoya-mpilo, isiqongo ukugeleza expiratory. Luhlolo Khona olwenziwa kanye nezinye izitho: ngalo ingaphakathi ngomlomo, nomphimbo, engenhla ipheshana zokuphefumula, thorax.

Ngeshwa, ukusetshenziswa isifutho ezivamile akasabeli isimo somoya. Ukwelashwa ngokuvamile kufanele kwenziwe ngokusebenzisa ukusetshenziswa njalo aerosols, kanye nokuphathwa parenteral izidakamizwa ezifana prednisolone futhi epinephrine. Futhi efanelekayo ekuphathweni parenteral ka terbutaline, magnesium sulfate (uphumule imisipha umgudu) kanye leukotriene inhibitor (izidakamizwa eqeda ukuvuvukala).

Ukwelashwa isimo asthmaticus, okungadingi aphendule izidakamizwa esetshenziswa somoya, kufanele kwenziwe esibhedlela, njengoba kungadingwa ukupholisa lokukhanda. Emva ukuhlaselwa acute senzeka, kuyehla wamaphaphu function. Nokho, isidingo sokuhlala emnyangweni yokwelapha olunzulu is ithemba.

Ukuze isidingo esibhedlela esiphuthumayo akuzange kwenzeke, kufanele ngokushesha saqala ukwelashwa ngokushesha lapho izimpawu zokuqala zincane. Ephambi kwezinduna somoya kumele bahlolwe njalo udokotela, yena uzohlola ukusebenza ukukhanya kanye reception isabele izidakamizwa kunesidingo.