Isifo semiphunga esingapheliyo

Isifo semiphunga esingapheliyo, esifinyeziweyo njenge-COPD, sisifo semiphunga esithi ngokuthe ngcembe sibeke esichengeni ubomi, sibangela ubunzima bokuphefumla (ekuqaleni busebenza nzima) kwaye sibe mandundu ngokulula kwaye sibangele izifo ezimandundu.Inokukhula ibe sisifo sentliziyo ye-pulmonary kunye nokusilela kokuphefumla.Ijenali yezonyango egunyazisiweyo yamazwe ngamazwe "I-Lancet" okokuqala yathi inani lezigulana ezinezifo ezingapheliyo zemiphunga kwilizwe lam malunga ne-100 yezigidi, kwaye ibe sisifo esinganyangekiyo "kwizinga elifanayo" njengoxinzelelo lwegazi kunye nesifo sikashukela.

Umbutho wezeMpilo weHlabathi ubonisa ukuba akukho nyango lwezifo ezingapheliyo zemiphunga, kodwa unyango lunokuphelisa iimpawu, luphucule umgangatho wobomi kunye nokunciphisa umngcipheko wokufa.

Iimpawu zesifo semiphunga esingapheliyo kukuwohloka ngokuthe ngcembe kunye nobunzima bokuphefumla ixesha elide xa usebenzisa amandla, nto leyo ekhokelela ekuphefumleni xa uphumle.Esi sifo sihlala sixilongwa kwaye sinokubeka ubomi esichengeni.

Ukungena komoya okungena-invasive kunye ne-ventilator yasekhaya

Njengoko isifo sisiya siba sibi, izigulane ezininzi ziya kuba ne-hypoxemia.I-Hypoxemia ngoyena nobangela we-pulmonary hypertension kunye nesifo sentliziyo yemiphunga.Ikwangunobangela obalulekileyo wokuphazamiseka kwemetabolism kunye nokungasebenzi kakuhle kwamalungu.Unyango lwexesha elide lwe-oksijini yasekhaya kunye ne-non-invasive ventilation kunye ne-ventilator inokuphucula iimpawu ze-hypoxia kunye nokulawula iimpawu zezigulane ze-COPD.Indlela ebalulekileyo yokuphuhliswa kwesifo.

Ukungena komoya okungahlaseliyo kubhekiselele kuxinzelelo olulungileyo lokungena komoya apho i-ventilator iqhagamshelwe kwisigulana ngomlomo okanye imaski yeempumlo.Umatshini unikezela ukuhamba komoya ocinezelekileyo ukuvula indlela yomoya evaliweyo, ukwandisa i-alveolar ventilation, kunye nokunciphisa umsebenzi wokuphefumla, ngaphandle kwesidingo sokuseka i-airway yokufakelwa.

Isifo se-chronic obstructive pulmonary disease sinokuthiwa sisifo esingaguqukiyo esingaguqukiyo.Kulawulo lonyango lwentsapho, unyango lwezonyango luyimfuneko, kwaye intsebenziswano ye-ventilatory ye-double-level non-invasive ventilator ibaluleke ngokulinganayo.Ukusetyenziswa kwe-bi-level non-invasive ventilator kunokunciphisa ukugcinwa kwe-carbon dioxide ngelixa uhlangabezana neemfuno zokubonelela nge-oksijini yesigulane, kwaye unefuthe elihle lokukhusela kwimiphunga yesigulane, intliziyo kunye nezinye izicubu kunye nezitho;ngexesha elifanayo, linciphisa ixesha lokuhlaselwa kwesigulane kwaye linciphisa ngokungathanga ngqo esibhedlele.Inani lamaxesha kunye neendleko zonyango ezinkulu ziphucula umgangatho wobomi bezigulane.