Kwiimeko ezininzi, ukukhwehlela ngumqondiso wokuba kukho umzimba ongekho emzimbeni wokuphefumula-i-sputum, i-particle dust, ama-microorganms, njl. Kwaye, njengommiselo, uphawu olunjalo lubonwa njengobonakaliso bebanda okanye izifo zenkqubo yokuphefumula. Kodwa ngaba uyazi ukuba kukho ukukhohlela komzimba, okungafani nakwezinye iintlobo zokukhwehlela, kodwa unemvelaphi eyahluke ngokupheleleyo?
Yintoni eyenza intliziyo ikhuphe?
Ukukhwehlela kwentliziyo kukukhohlela komsuka womoya, ezinxulumene nezifo zesimo senhliziyo. Ngokunjalo, kungabonakaliswa kwezi zifo ezilandelayo:
- Ukungaphumeleli kwentliziyo (isisigxina, esingapheliyo);
- ukuphulwa kwintsimbi ye-valve;
- isifo senhliziyo;
- i-myocardial infarction;
- pericarditis;
- isicic heart disease, njl
Ukuvela komkhuhlane kunye nokuhluleka kwentliziyo kunye nezinye izifo zesistim se-cardiovascular has a mechanical development mechanism, izigaba eziphambili zazo zilandelayo:
- Iinkqubo ze-pathological kwi-ventricle engasekhohlo yentliziyo zikhokelela ekunciphiseni kwintsebenziswano, kwaye ngenxa yoko igazi eliphuma kwimifuno ye-pulmonary ayikwazi ukuphambuka kwi-aorta. Isiphumo salokhu kunyuka kwengcinezelo kwingqungquthela encinci yokuhambisa (emiphakeni).
- Ngenxa yokunciphisa ukuhamba kwegazi emiphakeni, ukunyuka kwengcinezelo yenyuka, izicubu zithwele i-oxygen.
- Igazi elihlala emiphakeni lenza ukuvuvukala kwembrane ekhulayo, ukucaphuka kwama-receptors kwi-alveoli kunye nomkhuhlane we-reflex. Kwixesha elizayo, uphuhliso lwe-pulema ye-pulmiti yeyure enye okanye enye.
Ngaloo ndlela, imbangela enkulu yentliziyo yokukhwehlela kukugqithiswa kwegazi kwimiphunga, ekhokelela ekucaseni isikhungo sokukhwehlela.
Indlela yokunquma intliziyo yokukhwehlela?
Iimpawu zentliziyo yokukhwehlela zifana kakhulu nokubonakalisa ukukhwehlela ngezifo zokuphefumula, kwaye ngamanye amaxesha kunzima ukuzimisela. Ukukhwehlela komzimba kungabonakaliswa ziimpawu ezilandelayo:
- ukukhwehlela owomileyo, ukukhubaza;
- Ukuhlaselwa kwexesha elide kunye nokukhwehlela kwentliziyo kunye nobunzima bokuphefumla;
- ukwanda ukukhwehlela kwisimo esifanelekileyo, ukunyanzelisa isigulane ukuma, kunye nobusuku - ukuvuka ukuxhatshazwa;
- ukubonakala kwe-sputum okanye igazi ngokukhwehlela (kwiimeko ezinzima).
Umkhwehlela we-cardia uhamba kunye nezinye iimpawu ezibonisa izifo zesimo senhliziyo:
- intlungu entliziyweni;
- ukuphefumula okufutshane;
- ntliziyo;
- i-cyanosis;
- ukuvuvukala;
- ukuvuvukala kwemvini yomlomo wesibeleko;
- ukuphelelwa amandla , njl
Ukuxilongwa kunye nokunyangwa kwengqondo yomkhuhlane
Unyango alukho ukukhwehlela ngokwawo, kodwa ukukhubazeka okubangele ukuphuhliswa kwayo. Okokuqala, kufuneka ixilongwe ngokucacileyo ukuba kusetyenziswe ukuxilongwa ngokuchanekileyo. Njengomthetho, amayeza anqunywe, angabandakanya ukusetyenziswa kwezi zi yobisi:
- i-diuretics (ukususa umthamo emzimbeni nokunciphisa umthwalo kwinkqubo yejikelezayo);
- ii-vasodilators (vasodilators);
- iziyobisi ezichasene nefuthe le-anesthetic.
Ukuba ukukhwehlela kuhamba kunye ne-hemoptysis, isheke liqhutyelwa ukufumana indawo ye-bacillus yokuphuma kwamanzi kunye ne-sputum, enokukwazi ukuchonga i-siderophages- "iiseli zentliziyo yeziphene".
Ngethuba lokunyanga, izigulane kufuneka zihlale zihambelana nezi ngcebiso ezilandelayo eziphathelene nokuphila:
- Hlela indlela yokuphumla kunye nokulala.
- Ukuyeka ukusela nokutshaya.
- Ukuhambelana nokutya okunengqiqo.
- Ukunciphisa ukutyiwa kweetyuwa.
- Gwema iimeko ezixinzelelekileyo.
- Ukuzibandakanya rhoqo umzimba.