Iimpawu eziphambili zamanzi emiphunga, oonobangela kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Yintoni enokubangela amanzi emiphungeni
• Unyango lwenziwa njani

Amanzi emiphungeni yingxaki yezempilo eyaziwa ngokwenzululwazi njenge-pulmonary edema, eyenzekayo xa i-alveoli yemiphunga izaliswe lulwelo, ngenxa yezinye izifo ezinganyangwa kakuhle, ezinje ngokusilela kwentliziyo okanye usulelo lokuphefumla, umzekelo.

Kuba ulwelo olungaphezulu kwemiphunga lwenza ukuphefumla kube nzima kwaye kunciphise ukungena kweoksijini emzimbeni, amanzi emiphungeni anokusongela ubomi, ke kuyacetyiswa ukuba uye kwigumbi likaxakeka ngokukhawuleza xa iimpawu ezinjengokuphefumla, ukuvutha okanye ukuqhubeka ukhohlela igazi.

Amanzi asemiphungeni ayanyangeka, nangona kunjalo, unyango kufuneka luqalwe ngokukhawuleza ukukhusela amanqanaba eoksijini emzimbeni angawi kakhulu kwaye abeke ubomi emngciphekweni. Qonda ukuba aphathwa njani amanzi emiphungeni.

Iimpawu eziphambili

Ngokuxhomekeke kwisizathu se-edema ye-pulmonary, iimpawu zingabonakala ngokuhamba kwexesha okanye zivele ngokukhawuleza. Ezinye zeempawu eziqhelekileyo zibandakanya:

• Ubunzima bokuphefumla, obubi ngakumbi xa ulele phantsi;
• Ukuziva uphefumla okanye urhaxwa;
• Ukuphefumla ngamandla xa uphefumla;
• Ukukhwehlela ngokukhutshwa okunokuba negazi;
• Intlungu ebuhlungu esifubeni;
• Ukudinwa kulula kakhulu;
• Ukudumba kwemilenze okanye iinyawo.

Xa kubonakala ngaphezulu kwesinye sezi mpawu, kuyacetyiswa ukuba ubize uncedo lwezonyango, ubize i-192, okanye uye kwangoko kwisebe likaxakeka lesibhedlele, ukuze ufumane i-X-ray yesifuba, uqinisekise isifo kwaye uqalise ngokukhawuleza unyango, ukuphepha iingxaki ezinokubangela ukufa.

Indlela yokuqinisekisa ukuxilongwa

Kwiimeko ezininzi, ukuqinisekisa ukuxilongwa kwe-edema yemiphunga, ugqirha uhlalutya iimpawu kunye neempawu, kunye nembali yezifo zangaphambili, ezinje ngoxinzelelo lwegazi, isifo seswekile okanye isifo sephepha. Uvavanyo lomzimba lubaluleke kakhulu ukufika kwisifo, kwaye ngeli xesha loviwo ugqirha kufuneka asuse isifuba, ajonge ukudumba emilenzeni kwaye avavanye uxinzelelo lwegazi.

Ukongeza, kusenokudingeka ukwenza i-X-ray, i-electrocardiogram okanye i-echocardiography, ukuchaza unobangela wamanzi emiphungeni.

Yintoni enokubangela amanzi emiphungeni

Ezona meko zixhaphakileyo zamanzi emiphungeni zenzeka xa kukho isifo sentliziyo, esifana nesifo sentliziyo, ukungaphumeleli kwentliziyo okanye uxinzelelo lwegazi oluphezulu, njengoko intliziyo ingayeka ukusebenza kakuhle, ibangele ukuqokelelana kwegazi emiphungeni nokwenza nzima ukuze kungene umoya.

Nangona kunjalo, kukho ezinye iimeko ezinokubangela ukuqokelelwa kolwelo olunje:

• Uxinzelelo lokuphefumla lwabantu abadala;
• Khwela kubude obungaphezulu kweemitha ezingama-2400, njengokunyuka intaba;
• Iingxaki zenkqubo yemithambo-luvo, enjengokwenzakala entloko, ukopha okungaphantsi kwesisu okanye ukubamba;
• Usulelo olubangelwa ziintsholongwane emiphungeni;
• Ukuphefumla umsi;
• Phantse ukurhaxwa, ngakumbi xa amanzi ephefumlelwe.

Ingxaki yamanzi emiphungeni ixhaphake kakhulu kubantu abadala, kuba baneenguqu ezininzi kwezempilo, kodwa inokwenzeka nakwabantu abancinci okanye nakubantwana abanesifo sentliziyo.

Funda ngakumbi malunga nonobangela bale ngxaki.

Unyango lwenziwa njani

Unyango lwamanzi emiphungeni kufuneka lwenziwe xa usesibhedlele kwaye kuhlala kuqalwa ngokulawulwa kweoksijini ngokusebenzisa imaski ukukhulula iimpawu ezinjengobunzima bokuphefumla, ukuziva urhaxwa kunye nokuhefuzela. Ukongeza, amanye amayeza anokusetyenziselwa ukuphelisa ulwelo olugqithisileyo njenge:

• Unyango lomchamo, njenge furosemide: ukunceda ukuphelisa ulwelo oluninzi emzimbeni ngomchamo;
• Unyango lwentliziyo, njenge nitroglycerin: kunciphisa uxinzelelo kwimithambo yentliziyo, ukuphucula ukusebenza kwayo kunye nokuthintela ukuqokelela kwegazi emiphungeni;
• Imofini: isetyenziselwa ukunciphisa imvakalelo yokuphefumla kakhulu okanye iintlungu zesifuba;
• Unyango oluphezulu lwexinzelelo lwegazi, ngokuphendula ngokukhawuleza, njenge-nitroglycerin: banciphisa uxinzelelo lwegazi, baququzelele umsebenzi wentliziyo kunye nokuthintela ukuqokelelana kolwelo.

Ngenxa yesiphumo samachiza ukuphelisa ulwelo oluninzi, ugqirha unokucebisa ukuba kusetyenziswe iprosta bladder yokulinganisa inani lomchamo osuswe emva kokusebenzisa umchamo. Jonga ukuba ungayinyamekela njani ityhubhu yesinyi ukuthintela usulelo.

Ukongeza kunyango lwe-edema yemiphunga, kubaluleke kakhulu ukufumana unobangela kunye nokuqala unyango olufanelekileyo, ukwenzela ukuthintela ingxaki ekuphindaphindeni.