Mapapu oyera am'mapapo, omwe amatchedwanso matenda opumira matenda a syndrome (ARDS), ndi vuto loopsa komanso loopsa lomwe limakhudza mapapu. Chipatala chadzidzidzi cha chipatala chimadziwika ndi gawo lochulukirapo lotupa m'mapapu, zomwe zimapangitsa kuti kupuma komanso kuchepa kwakukulu m'magazi. Munkhani iyi, tidzayang'anitsitsa mbali zosiyanasiyana za chibayo yoyera yam'mapapo, kuphatikiza pazomwe zimayambitsa, zizindikiro, matenda, njira zamankhwala pofufuza zamankhwala.
I. Mawu
Mapu am'mimba oyera, kapena ARDS, ndi vuto lalikulu lomwe limakhudza nthawi yopumira. Imadziwika ndi gawo ladzidzidzi la kulephera koopsa, kupangitsa kuti chikhale chowopsa chamoyo. Kuzindikira zomwe zimayambitsa komanso njira za ARDs ndizofunikira pakuzindikira komanso kuwongolera koyenera.
Ii. Zoyambitsa
A. Kuvulala kwamphamvu
ARDS nthawi zambiri imachitika chifukwa cha kuvulala mwachindunji. Izi zitha kuchitika chifukwa cha zinthu zosiyanasiyana, kuphatikiza:
Chibamonia: mabakiteriya, matenda a ma virus, kapena fungus amatha kuyambitsa kutupa kwa minofu ya m'mapapo, kumapangitsa ards.
Kufuna kwa Zapaka za m'mimba: Kupweteka m'mimba m'mapapu, zomwe zimadziwika kuti zisafike, zimatha kuyambitsa kutupa komanso kuwonongeka.
Pafupi ndi kumira: kulowa m'madzi kumatha kubweretsa kusowa kwa mpweya ndi kuvulala kotsatira.
B. ENARCHCT POPANDA CHOLEKA
Sepsis: matenda opatsirana, makamaka milandu ya sepsis, imatha kuchititsa Ards.
Zowopsa: Zowonongeka monga kuwonongeka kwamagulu kapena zoopsa zamutu nthawi zonse zimatsogolera kuwonongeka kwa mapazi ndi ARDS.
Pancreatitis: kutupa kwakukulu kwa kapamba kumathandizira kukulitsa kwa ARDS.
Iii. Zizindikiro
Zizindikiro za pneumonia zoyera zam'mapapo zimatha kuwonekera mwachangu komanso kuphatikiza:
Kuperewera kwakukulu kwa mpweya: odwala nthawi zambiri amayamba kupuma movutikira.
Kupumira mwachangu: kupuma kowonjezereka ndi chizindikiro chodziwika bwino cha kupuma.
Mitundu yotsika yotsika: hypoxemia, yomwe ikuwonetsedwa ndi milingo yotsika ya oxygen m'magazi, ndi chizindikiro cha ARDS.
Cyanosis: Kusungunuka kwa khungu ndi mucous nembanemba chifukwa cha opusitsa.
Iv. Kufufuza
Kuzindikira mwachangu komanso molondola ndikofunikira pakuyambitsa chithandizo choyenera. Njira zowerengera zimaphatikizapo:
Mbiri yazachipatala ndi mayeso akuthupi: Kumvetsetsa mbiri ya wodwala komanso kuchititsa mayeso mokwanira.
Kafukufuku Wolingalira: Mafupa a X-Rays ndi Onguged Tomography (CT) SPANATE ATHANDIZA KUTI MUZISANGALALA.
Kuyesa Magazi: Kuwunika Magazi, Kuwerengera Kwa Magazi (CBC), ndi mayeso ena a labotale kuti awone kuchuluka kwa mpweya ndikukhazikitsa mikhalidwe ina.
Broncoscopy: Kuwona mwachindunji kwa Airways kuti mumvetsetse ma Lung ndikusonkhanitsa zitsanzo zowunikira.
V. Chithandizo
Kuyang'anira Pneumonia yoyera kumaphatikizapo njira yodziwika bwino yothana ndi zomwe zimapangitsa kuti zigwirizane ndi ntchito yopumira. Kuchiza kuphatikizira:
Kupanga mpweya wabwino: kupereka chopumira kudzera mu makina opangira makina kuti apange mpweya wabwino.
Oxygen mankhwala: Kuwonjezera mpweya kumayendetsedwa kuti ukhale ndi mpweya wabwino m'magazi.
Chithandizo cha zomwe zimayambitsa: kuthana ndi zomwe zimayambitsa ARDS, monga mankhwala ochiritsira matenda kapena kugwiritsa ntchito sepsis.
Corticosteroids: Nthawi zina, Corticosteroids angayambitsidwe kuchepetsa kutupa m'mapapu.
Vi. Kudziwa zamtsogolonchito
Prophes ya odwala omwe ali ndi chibayo yoyera amasiyanasiyana malinga ndi kuchuluka kwa momwe matendawo, chifukwa, ndi nthawi yolowererapo. Kuzindikira koyambirira komanso chithandizo choyenera kumapangitsa mwayi wotha kuchira.
VII. Kupita patsogolo pakufufuza
Kafukufuku wopitilira amayang'ana kwambiri kumvetsetsa kwa mabwalo ndi ma genetic omwe amathandizira kuti akhale ndi akazi. Kuphatikiza apo, kupitidelera kwa njira zamankhwala, monga mankhwala ansangala komanso njira zochirikizira, zikuwoneka kuti zikusintha zotsatira za odwala omwe ali ndi vuto ili.
VIII. Kulepheretsa
Kupewa zoyera zoyera zam'mapapo kumaphatikizapo kuyankhula ndi zinthu zoopsa ndikulimbikitsa kupuma kwa kupuma. Njira zimaphatikizapo:
Katemera: Katemera woletsa kupuma matenda, monga chimfinera ndi chibayo, chimatha kuchepetsa chiopsezo chokhala ndi akazi.
Kuwongolera kutenga kachilomboka: Njira zoyenera zaukhondo ndi matenda ogwiritsira ntchito mu makonda azaumoyo zimatha kulepheretsa kufalikira kwa othandizira opatsirana.
Kuchiza kwa matenda: Chithandizo chake mwachangu cha matenda opatsirana amatha kuchepetsa mwayi wopita ku ma ad.
Pomaliza, chibayo choyera, kapena pachimake kupuma matenda syndrome, ndichikhalidwe chofunikira kwambiri chomwe chimafunikira kuvomerezedwa mwachangu ndi kulowererapo. Kumvetsetsa zomwe zimayambitsa, zizindikiro, komanso zosankha zamankhwala ndizofunikira kuti akakhale akatswiri azaumoyo komanso gulu lonselo. Kafukufuku wopitilira akupereka lonjezo lolonjeza za zotsatira zabwino, ndipo njira zodzitchinjirizi zimayendera gawo lofunikira pakuchepetsa chiopsezo cha ARD. Kukula kwa chidziwitso kumakula ndi kuthamangira pa sayansi ya zamankhwala, zakukula kwa anthu omwe akukumana ndi mitengo yoyera yam'mapapo zikupitilirabe kusintha.
