Njengoba kuboniswe nokuvaleka kwemigudu yokuphefumula

Okwamanje, kukhona isigaba sabantu isidumbu isebujameni lapho inqubo ukuphefumula alinikezi ukulethwa oxygen igazi ngokugcwele, ngakho ukuphefumula kuba quickened ukulondoloza ukusebenza evamile umgudu wokuphefumula. Lokhu zokugula libizwa esingamahlalakhona zokuphefumula neziyaluyalu kuhlanganisa negesi lokushintshisana inqubo phakathi imvelo futhi umzimba, hypoxia, ukudluliswa igesi kahle ovela emaphashini emzimbeni amaseli, ushintsho amazinga e-hemoglobin, iziyaluyalu emishinini yokuphefumula yeselula.

Ngakho, nokuvaleka kwemigudu yokuphefumula uvamise kubonakala abantu somoya, inyumoniya futhi Ards.

Kunezinhlobo ezahlukene lesi sifo, futhi bathembele izimpawu izimbangela zezifo kanye nezinga namandla aso. Uma ucabangela yizimbangela lesi sifo kumiswa angawodwa Centrogenic, kwamanyuroni futhi torakodiafragmalnuyu futhi bronchopulmonary nokuvaleka kwemigudu yokuphefumula.

Ngokuvamile, ukwehluleka zokuphefumula ezinhlobo ezimbili eziyinhloko:

1. Parenchymal ukwehluleka izimbangela elingasebenza njengesibuko inyumoniya, edema yamaphaphu futhi Ards. Kulokhu, kukhona ukuthuthukiswa hypoxemia

2. Somuhlwa ukwehluleka, okuyinto umphumela yobuthakathaka imisipha zokuphefumula, ithambo zamehlo esifubeni, kanye nokukhuluphala ngokweqile. Ngakho kukhona hypercapnia.

Umzimba asabela ngayo hypoxemia futhi hypercapnia okungukuthi erythrocytosis, kakhudlwana ivolumu igazi elingenawo umoya, igazi ukugeleza rate ukwanda ezikhulisa izicubu kwezimila nomoya-mpilo umzimba womuntu. Nokho, akubona bonke izimo, nalezi zindlela zokusabela bayakwazi kujwayeleke ukuphefumula.

Lesi sifo kungavuka amafomu amabili:

1. Ifomu acute lesi sifo eba ngokushesha, ebonakaliswa ayephuli hemodynamics futhi buyingozi ekuphileni komuntu.

2. Ifomu ezingamahlalakhona lesi sifo eba isikhathi eside futhi ngezinye izikhathi zingase ukuwohloka.

Uma ucabangela isifo, ezifana esingamahlalakhona zokuphefumula, behlukaniswe isamba idigri ezintathu. Kuye ngezinga lesi sifo ukuthuthukisa zokwelapha yayo.

Ngakho, ukunikeza izimpawu ukwehluleka zokuphefumula can ezifana:

- ukubukeka iphika;

- hypoxemia futhi hypercapnia;

- ngobuthakathaka imisipha zokuphefumula;

- ukuthuthukiswa tachycardia;

- hypotension;

- ukuqwasha nokundindizela;

- umoya esishubile.

Ngokuvamile, ukwelashwa uqhutshwa ukuhluleka oluphelele zokuphefumula, okuyindawo ehlanganisa nokuqedwa izifo emzimbeni womuntu negesi lokushintshisana futhi acid-base balance. ukuphathwa isifo kuhloswe izimbangela yomsuka wawo, kuyilapho engakwazi nokuqeda umuntu udinga ukuphefumula ukwesekwa ngokuhlanganyela yokwelapha. Futhi, odokotela ukuziphatha nokwelashwa ze- bronchi nanoma yimuphi degree of zokuphefumula ukwehluleka. Nakani indawo nesineke. Ngakho, ke kuyadingeka ukudala evumayo nemibandela yakhe ukuhlala Endlini, umuntu othile umswakama nomoya kwengoma.

Ukuze ekwelapheni izifo ezifana nokuvaleka kwemigudu yokuphefumula, analgesics esetshenziswa, imithi ebulala izinzwa, ukwelashwa Pathogenetic namanxusa lingaze.

onalesi sifo zingaba yinzuzo izimbangela zesifo. Esimeni lapho kuba ikhoma zokuphefumula, kungenzeka ukufa. Ezimweni njalo, lesi sifo kuholela ukukhubazeka kanye khona esigabeni sesithathu yentuthuko nokuvaleka kwemigudu yokuphefumula, umuntu kudingeka abe wamaphaphu ukufakelwa noma inhliziyo, ngaphandle kwalokho uyafa. Noma kunjalo, ukuphathwa kuncike hlobo nokuvaleka kwemigudu yokuphefumula, ezakheke namandla aso. Gwema zokuzelapha, ngoba lesi sifo kungaba kudidaniswe nezinye izimo.