Ukusilela Ukuphefumla

Umxholo

• Isishwankathelo
• Yintoni ukusilela kokuphefumla?
• Yintoni ebangela ukusilela kokuphefumla?
• Ziintoni iimpawu zokusilela kokuphefumla?
• Kufunyaniswa njani ukusilela kokuphefumla?
• Zithini unyango ngenxa yokusilela kokuphefumla?

Isishwankathelo

Yintoni ukusilela kokuphefumla?

Ukungaphumeleli kokuphefumula yimeko apho igazi lakho lingenayo i-oksijini eyaneleyo okanye i-carbon dioxide eninzi. Ngamanye amaxesha unokuba nazo zombini iingxaki.

Xa uphefumla, imiphunga yakho ithatha ioksijini. Ioksijini idlulela egazini lakho, eliyise kumalungu akho. Amalungu akho, anje ngentliziyo nengqondo, ayalidinga eli gazi lityebileyo ukuze asebenze kakuhle.

Enye into ephefumlayo kukususa icarbon dioxide egazini uyikhuphe. Ukuba necarbon dioxide eninzi egazini lakho kunokwenzakalisa amalungu akho.

Yintoni ebangela ukusilela kokuphefumla?

Iimeko ezichaphazela ukuphefumla kwakho kunokubangela ukusilela kokuphefumla. Ezi meko zinokuchaphazela izihlunu, imithambo-luvo, amathambo, okanye izicwili ezixhasa ukuphefumla. Okanye zinokuchaphazela ngqo imiphunga. Ezi meko zibandakanya

• Izifo ezichaphazela imiphunga, ezinje ngeCOPD (isifo esinganyangekiyo semiphunga), i-cystic fibrosis, inyumoniya, ukubola kwemiphunga kunye ne-COVID-19
• Iimeko ezichaphazela iimbilini kunye nezihlunu ezilawula ukuphefumla, ezifana ne-amyotrophic lateral sclerosis (ALS), i-muscular dystrophy, ukulimala kwentambo yomgogodla kunye nokubetha
• Iingxaki zomqolo, ezinje nge-scoliosis (ijika egreyini). Banokuchaphazela amathambo kunye nezihlunu ezisetyenziselwa ukuphefumla.
• Ukonakala kwezicubu kunye neembambo ezijikeleze imiphunga. Ukulimala esifubeni kunokubangela lo monakalo.
• Ukugqithisa iziyobisi okanye utywala
• Ukulimala kwe-inhalation, njengokubhema umsi (ukusuka emlilweni) okanye umsi onobungozi

Ziintoni iimpawu zokusilela kokuphefumla?

Iimpawu zokusilela kokuphefumla zixhomekeke kwisizathu kunye namanqanaba eoksijini kunye necarbon dioxide egazini lakho.

Inqanaba eliphantsi leoksijini egazini linokubangela ukuphefumla okufutshane kunye nendlala yomoya (imvakalelo yokuba awukwazi ukuphefumla umoya owaneleyo). Ulusu lwakho, imilebe, kunye neenzipho zeminwe zinokuba nombala oluhlaza okwesibhakabhaka. Umgangatho ophezulu wekharbon diokside unokubangela ukuphefumla ngokukhawuleza kunye nokudideka.

Abanye abantu abanokuphefumula ukuphefumla banokulala okanye balahlekelwe yintliziyo. Banokuba ne-arrhythmia (ukubetha kwentliziyo ngokungaqhelekanga). Unokuba nazo ezi mpawu ukuba ingqondo nentliziyo yakho ayifumani oksijini yaneleyo.

Kufunyaniswa njani ukusilela kokuphefumla?

Umboneleli wakho wezempilo uya kufumanisa ukungaphumeleli kokuphefumla ngokusekwe

• Imbali yakho yonyango
• Uvavanyo lomzimba, oluhlala lubandakanya
• Ukumamela imiphunga yakho ukujonga izandi ezingaqhelekanga
• Ukumamela intliziyo yakho ukukhangela i-arrhythmia
• Ukukhangela umbala oluhlaza okwesibhakabhaka kulusu lwakho, imilebe, kunye neenzipho
• Uvavanyo lokuchonga, njenge
• I-oximetry ye-pulse, inzwa encinci esebenzisa ukukhanya ukulinganisa ubungakanani beoksijini egazini lakho. Inzwa iya esiphelweni somnwe wakho okanye endlebeni yakho.
• Uvavanyo lwearterial yegazi, uvavanyo olulinganisa ioksijini kunye necarbon dioxide egazini lakho. Isampulu yegazi ithathwa kwimithambo, ngesiqhelo esihlahleni sakho.

Nje ukuba ufumaneke ukuba usilele ukuphefumla, umboneleli wakho uya kujonga into ebangela oko. Uvavanyo loku luhlala lubandakanya i-x-ray yesifuba. Ukuba umboneleli wakho ucinga ukuba unayo i-arrhythmia ngenxa yokusilela kokuphefumla, unokuba ne-EKG (electrocardiogram). Olu luvavanyo olulula, olungenabuhlungu olufumanisa kwaye lurekhode imisebenzi yombane wentliziyo yakho.

Zithini unyango ngenxa yokusilela kokuphefumla?

Unyango lokungaphumeleli kokuphefumla luxhomekeke

• Nokuba inzima (ixesha elifutshane) okanye ingapheliyo (iyaqhubeka)
• Inzima kangakanani
• Ibangelwa yintoni

Ukungaphumeleli okuphefumulayo kunokuba yimeko engxamisekileyo kwezonyango. Unokufuna unyango kwigumbi lokunyamekela esibhedlele. Ukungaphumeleli kokuphefumla okungapheliyo kunokunyangwa ekhaya. Kodwa ukuba ukungaphumeleli okungapheliyo kokuphefumla kunzima, unokufuna unyango kwiziko lokunyamekela ixesha elide.

Enye yeenjongo eziphambili zonyango kukufumana ioksijini kwimiphunga yakho nakwamanye amalungu kunye nokususa ikharbon diokside emzimbeni wakho. Enye injongo kukunyanga unobangela wale meko. Unyango lunokubandakanya

• Unyango lweoksijini, nge-nasal cannula (iityhubhu ezimbini ezincinci zeplastiki eziya empumlweni) okanye ngesigqubuthelo esingena empumlweni nasemlonyeni
• I-Tracheostomy, umngxunya owenziwe ngotyando ohamba ngaphambili entanyeni yakho nakwiphepha lakho lomoya. Umbhobho wokuphefumla, obizwa ngokuba yitracheostomy, okanye ityhubhu yetraki, ibekwa emngxunyeni ukukunceda uphefumle.
• Isixhobo somoya, umatshini wokuphefumla ovuthela umoya kwimiphunga yakho. Ikwakhupha nekhabhon dayoksayidi kwimiphunga yakho.
• Olunye unyango lokuphefumla, njengomoya ongafunekiyo woxinzelelo (NPPV), osebenzisa uxinzelelo lomoya olucekeceke ukugcina iindlela zakho zomoya zivulekile ngelixa ulele. Olunye unyango ibhedi ekhethekileyo egungqa ngapha nangapha, ukukunceda uphefumle ngaphakathi nangaphandle.
• Ulwelo, rhoqo nge-intravenous (IV), ukuphucula ukuhamba kwegazi emzimbeni wakho wonke. Banikezela ngesondlo.
• Amayeza yokungonwabi
• Unyango lwezizathu zokuphulukana nokuphefumla. Olu nyango lunokubandakanya amayeza kunye neenkqubo.

Ukuba uyasilela ekuphefumuleni, jonga umboneleli wakho wokhathalelo lwempilo ngononophelo oluqhubekayo lonyango. Umboneleli wakho unokucebisa ukubuyisela imeko yesiqhelo kwimiphunga.

Ukuba ukungaphumeleli kokuphefumla kungapheliyo, qiniseka ukuba uyazi nini kwaye phi ukufumana uncedo kwiimpawu zakho. Udinga ukhathalelo olungxamisekileyo ukuba uneempawu ezinzima, ezinje ngengxaki yokubamba umphefumlo wakho okanye ukuthetha. Kuya kufuneka ubize umnikezeli wakho ukuba uqaphela ukuba iimpawu zakho ziya zisiba mandundu okanye ukuba uneempawu ezintsha.

Ukuphila ngokusilela ekuphefumuleni kunokubangela uloyiko, unxunguphalo, uxinzelelo noxinzelelo. Ukuthetha ngonyango, amayeza kunye namaqela enkxaso anokukunceda uzive ungcono.

I-NIH: Intliziyo yeSizwe, iMiphunga kunye neZiko leGazi