Yakanyanya kupora kusakundikana

Izvozvo zvinorehwa kukwana kwe okisijeni mumuviri kana hypoxia inonzi inenge ine ngozi zvikuru, iyo inowanzotungamirira kurufu. Kukanganisika kwakanyanya kunogona kuitika kunopesana nemamiriro ezvinhu akasiyana-siyana, asi nguva dzose inoda rubatsiro rwekurapa mune dzimwe nguva.

Zvinokonzera kuporesa zvakanyanya kusaputsika

Mhedziso inowanzoonekwa yakavapo nekuda kwekuteerera kwekutevera:

• kuputsika kwemabvu uye zvimwe kukuvara kwebhokisi;
• kukanganisa kumapurogiramu ekufema;
• chirwere chepakati pezvinotyisa zvinokonzera kuporesa basa;
• hemo- uye pneumothorax;
• chirwere uye kukuvara kwepfungwa;
• pneumonia;
• pulmonary edema;
• kuderedza munzvimbo yekushanda kwepamapapu;
• chirwere chekuyerera kweropa mumutsara muduku;
• thromboembolism ye pulmonary artery ;
• kunyanya kuderedza zvinodhaka;
• kukanganisa kwemhepo yekufamba;
• bronchial asthma;
• typhoid fever;
• kurohwa;
• poliomyelitis;
• tetanus;
• kyphoscoliosis;
• botulism.

Uyezve, chirwere chekushaya kuputika kwechiremera chinowanikwa apo kune dzimwe nyika, semuenzaniso, mvura (kunyura), uye miviri inopinda mu lumen yeropa rekupumha.

Zviratidzo zvekushaya kuputika kusakundikana

Zviratidzo zvehutachiona hunosanganisira:

• cyanosis;
• kushamiswa nekutya, nekukurumidza kunotsiviwa nekudzivirira kwezvinoitika;
• kupfupika kwemhepo ;
• tachycardia;
• shandura ruvara rweganda kune ruvara rutsvuku uye ruvara;
• kurasikirwa kwekuziva;
• kunyanya kugoverwa kwekutuka;
• kuita shingairo yekuita basa rekupumadza, rinosanganisira mitsipa yebetsero mune izvi;
• kurwara kwepfungwa, uye ipapo hypotension;
• bradyarrhythmia;
• kunyunyuta kwekaroti;
• kunonoka, tachypnea;
• kubvumirwa kwevarwere kuenda kunzvimbo yekumanikidzwa yemuviri (kugara, kuzorora maoko).

Zvakakosha kuziva kuti chiratidzo chekupedzisira chinoratidzwa chinobvumira kusiyanisa chirwere chinotaridzirwa kubva kune dzimwe nyika dzine zviratidzo zvakafanana, somuenzaniso, kufanana kwakanaka.

Emergency care for acute respiratory failure

Kutanga iwe unoda kudana boka rechiremba, kurondedzera zvakadzama zviratidzo zverwere uye hutano hwehutambudzi. Pachirongwa chepachipatara chisati chaitika, rubatsiro rwekutanga kune zvakanyanya kuporesa kukanganisa ndotevera:

1. Unbutton iyo mabhodzi ezvokupfeka kana kuti ibvise kubva kumurwere kana ichikanda muviri.
2. Ipai akakanganisa nzvimbo yakanyanyisa, kusimudza zvishoma musoro wake uye kuisa parutivi rwake.
3. Geza mutsara wemuromo wemasikisi uye kubudiswa neminwe yakaputirwa mubhanhire risina kuchena kana kerchief yakachena.
4. Kana zvichibvira, kusunungura maitiro emasasa achishandisa peari chaiyo kana imwe yakadaro.
5. Kana paine rurimi rwunenge ruchinge rwuripo, fungidzira kuti mushure memunhu wacho, shandisai mutsipa wakaderera mberi uye shandisa rurimi kumutsara wezasi wemeno.
6. Chenjerera kusvika kwepamusoro kune mweya mutsva.

Kurapa kwechiremera chinoputika kupera

Mushure mekurapwa, vanachiremba vanoita mabasa akadaro:

1. Emergency hygiene yechirwere chekupumha.
2. Mechanical stimulation of a cough.
3. Kuchengetedza uye kutaurirana kwetsika (muzviitiko zvakakomba).
4. Inhalation mucolytics, alkaline solutions, decongestants uye mishonga yemadhoni.
5. Postural drainage.
6. Kununura denderedzwa ruduku rekuyerera kweropa nekuiswa kwemasarudzo e strophanthin, euphyllin, prednisolone, lasix kana corglicon.
7. Oxygenotherapy kuburikidza ne oksijeni masikiti, catheter kana tende dzisina.
8. Kugadziriswa kwezvinetso zvemagetsi kuburikidza ne cocarboxylase, maitiro ekugadzirisa mishonga, solution ye vitamini B6, Panangin, sodium bicarbonate.