Ukuntuleka kwe-oksijini emzimbeni okanye i-hypoxia ithathwa njengesimo esiyingozi kakhulu, esoloko iholela ekufeni. Ukungaphumeleli kokuphefumula okunokuthi kunokuvela kwimvelaphi yeziganeko ezahlukahlukeneyo, kodwa kufuna rhoqo ukungenelela ngoncedo lwezonyango.
Izizathu zokungaphumeleli okuphambanisayo
Iimeko eziqhelekileyo ezibonakalayo zivela ngenxa yezi zifo ezilandelayo:
- ukuphuka kwezimbambo nezinye ukulimala esifubeni;
- umonakalo kwinkqubo yokuphefumula;
- ukuphazamiseka kweendlela ezisemgangathweni ezisetyenziselwa ukulawula umsebenzi wokuphefumula;
- i-hemo- ne-pneumothorax;
- izifo kunye nomonakalo wengqondo;
- pneumonia;
- i-edema yepommonari;
- ukunciphisa endaweni yomsebenzi wemiphunga;
- ukuphazamiseka kwegazi kwiingqungquthela encinci;
- i-thromboembolism ye-pulmonary artery ;
- ukugqithisa iziyobisi;
- ukuphulwa kobuchule bomoya;
- i-asthma ye-bronchial;
- umkhuhlane we typhoid;
- ukubetha;
- poliomyelitis;
- tetanus;
- kyphoscoliosis;
- botulism.
Kwakhona, i-syndrome yokuhluleka ukuphefumula iyaphawulwa xa izinto zangaphandle, umzekelo, amanzi (egxobhozo), kunye nemizimba ingena kwi-lumen yendlela yokuphefumula.
Iimpawu zokungaphumeleli okuphefumulayo
Iimpawu zeemeko zempilo ziquka:
- i-cyanosis;
- ukuxhalaba, ngokukhawuleza kufakwe indawo yokulibala;
- ukuphefumula okufutshane ;
- tachycardia;
- utshintshe umbala wesikhumba kwikomvu ebomvu nebomvu;
- ukulahlekelwa kwengqondo;
- isabelo esiphezulu sokukhupha;
- ukwenza iinzame zokwenza umsebenzi wokuphefumula, okubandakanya izihlunu ezincedisayo kule nkqubo;
- i-blood pressure, kunye ne-hypotension;
- bradyarrhythmia;
- ukuvuvukala kwe-larynx;
- ukuxhala, i-tachypnea;
- ukwamkelwa kwezigulane kwindawo yokunyanzeliswa yomzimba (ukuhlala, ukuphumla izandla).
Kubalulekile ukuba uqaphele ukuba uphawu lokugqibela olubonakalisa uphawu luvumela ukuhlula i-pathology enokubaluleka kwamanye amazwe kunye neempawu ezifanayo, umzekelo, ulungelelwano olunobungozi.
Unonophelo olungxamisekileyo ukuhluleka okuphefumulayo
Okokuqala udinga ukubiza iqela loogqirha, uchaza ngokucacileyo iimpawu zokugula kunye nemeko yempilo yexhoba. Kwisigaba esandulela esibhedlele, uncedo lokuqala lokusweleka kokuphefumula lulo lulandelayo:
- Unbutton amaqhosha kwiingubo okanye uyisuse kwisigulane xa ityhila umzimba.
- Nika ixhoba libe yindawo engezantsi, ukuphakamisa intloko kwaye uyibeke ecaleni.
- Hlanza umlomo womlomo we-mucus kunye nokukhupha ngomunwe oboshwe kwintambo ebunjiweyo okanye i-kerchief ecocekileyo.
- Ukuba kunokwenzeka, ukukhulula isono se-nasal ngokusebenzisa ipayili ekhethekileyo okanye ifowuni efanayo.
- Ukuba kukho ulwimi oluthileyo, ngokugqithiseleyo ungaguquli intamo yomntu, gxotha umhlathi osezantsi uze ucindezele ulwimi ukuya kumgca wezinyo ezantsi.
- Qaphela ukufikelela okuphezulu kwomoya otsha.
Unyango lokuhluleka okuphefumulayo
Emva kokubhedlele, oogqirha benza imisebenzi enjalo:
- Ucoceko olungxamisekileyo lwephepha lokuphefumula.
- Ukuvuselela umatshini wokukhwehlela.
- Ukuhlamba kunye nokuthungulwa kwe-trachea (kwiimeko ezinzima).
- I-mucolytics inhalation, izixazululo ze-alkaline, i-decongestants kunye neziyobisi ze-hormonal.
- Lwamanzi.
- Ukukhulula isangqa esincinci sokuhamba kwegazi ngokusungulwa kwezisombululo ze strophanthin, euphyllin, prednisolone, lasix okanye i-corglicon.
- Oxygenotherapy ngokusebenzisa i-oxygen mask, i-catheter okanye intente yomsi.
- Ukulungiswa kweengxaki zokuxiliswa komzimba ngokusebenzisa i-cocarboxylase, imixube ye-polarization, isisombululo se-vitamin B6, iPanangin, i-bicarbonate ye-sodium.