I-White Lung Pneumonia, eyaziwa nangokuthi i-Acute Respiratory Creation Syndrome (ARDS), isimo esinzima nesisongela impilo esithinta amaphaphu. Lesi simo esiphuthumayo sezokwelapha sibonakala ngokuqala okusheshayo kokuvuvukala okubanzi emaphashini, okuholela ebunzimeni ekuphefumuleni nasekunciphiseni okukhulu emazingeni o-oxygen egazini. Kulesi sihloko esiphelele, sizongena ezingxenyeni ezahlukahlukene ze-White Lung Pneumonia, kufaka phakathi izimbangela, izimpawu, ukuxilonga, izinketho zokwelashwa kanye nentuthuko yakamuva ocwaningweni lwezokwelapha.
I. Isingeniso
I-White Lung Pneumonia, noma ama-ards, iyisimo esibucayi esithinta uhlelo lokuphefumula. Kumakwe ngokuqala kokuhluleka okunzima kokuhluleka kokuphefumula, okwenza kube yisimo esiphuthumayo sokwelashwa esisongela impilo. Ukuqonda izimbangela nezinqubo ezingaphansi kwama-ards kubalulekile ukuze uthole ukutholwa kusenesikhathi nokuphathwa okusebenzayo.
II. Izimbangela
A. Ukulimala kwamaphaphu okuqondile
Ama-ards avame ukwenzeka ngenxa yokulimala kwamaphaphu okuqondile. Lokhu kungabangelwa yizici ezahlukahlukene, kufaka phakathi:
I-Pneumonia: Izifo ezingamagciwane, amagciwane, noma izifo zokukhunta zingaholela ekuvuvukeni kwezicubu zamaphaphu, ama-ards aqala.
Isifiso sokuqukethwe kwesisu: Okuqukethwe yisisu okuqukethwe emaphashini, isimo esaziwa ngokuthi isifiso, kungadala ukuvuvukala okukhulu nomonakalo.
Eduze - ukuminza: Ukuhamba kwamanzi kungaholela ekuntuleni komoya-mpilo kanye nokulimala kwamaphaphu okulandelayo.
B. Ukulimala kwamaphaphu okuqondile
I-Sepsis: Ukutheleleka okuhleliwe, ikakhulukazi amacala amakhulu e-Sepsis, kungaholela kuma-ARD.
I-Trauma: Ukulimala okufana nokuqhekeka okuningi noma ukuhlukunyezwa kwekhanda kungaholela ngokungaqondile kumonakalo wamaphaphu nama-ards.
I-Pancreatitis: Ukuvuvukala okukhulu kwama-pancreas kungaba nomthelela ekwakhiweni kwama-ards.
III. Iziko
Izimpawu ze-White Lung Pneumonia zingabonakala ngokushesha futhi zifake:
Ukuphefumula okukhulu komoya: iziguli zivame ukuzwa ukugcwala okungazelelwe kobunzima bokuphefumula.
Ukuphefumula okusheshayo: Izinga lokuphefumula elikhulayo liyisibonakaliso esivamile sokucindezelwa okuphefumula.
Amazinga we-oxygen ephansi: i-hypoxemia, ekhonjiswe ngamazinga we-oxygen aphansi egazini, iyisibonakaliso sama-ards.
I-Cyanosis: Ukudilizwa okumpumputhe kwesikhumba kanye nolwelwesi lwama-mucous ngenxa yokungalingani kwe-oxygenation enganele.
IV. Ukuxilonga
Ukuxilongwa okusheshayo nokunembile kubalulekile ekuqaliseni ukwelashwa okufanele. Izinyathelo zokuxilonga zifaka:
Umlando wezokwelapha kanye nokuhlolwa ngokomzimba: Ukuqonda umlando wezokwelapha wesiguli futhi uhlole kahle ngokomzimba.
Izifundo zokucabanga: I-Chest X-Rays kanye neSkena ehlanganisiwe ye-tomography (CT) Scans asiza ukubona ngeso lengqondo ama-Abnormalities amaphaphu.
Ukuhlolwa kwegazi: Ukuhlola amagesi egazi, okuphelele kwegazi (i-CBC), nezinye izivivinyo zelebhu zokuhlola amazinga we-oksijini futhi kukhiphe ezinye izimo.
I-BronChoscopy: Ukubuka okuqondile kwemigwaqo yomoya ukuhlola umsebenzi wamaphaphu futhi uqoqe amasampula wokuhlaziywa.
V. Ukwelashwa
Ukuphatha i-White Lung Pneumonia kubandakanya indlela ye-multidisciplinary okuhloswe ngayo ukubhekana nembangela yokuphefumula nokusekela umsebenzi wokuphefumula. Izinhlobo zokwelashwa zifaka:
Ukuphefumula kwemishini: Ukunikeza ukwesekwa kokuphefumula ngomoya omncane wokuqinisekisa umoya okwanele.
I-O Oksijini I-Therapy: I-O Okygen Engezelelwe ilawulwa ukuze kugcinwe amazinga we-oksijini afanele egazini.
Ukwelashwa kwezimbangela eziyisisekelo: Ukubhekana nembangela ethile yama-ards, njengokuphatha izifo noma ukuphatha i-Sepsis.
Ama-corticosteroids: Kwezinye izimo, ama-corticosteroids angabekwa ukunciphisa ukuvuvukala emaphashini.
VI. Ukubikezela kukadokotela ngokuhamba kwesifo
I-Prognosis yeziguli ezinamaphaphu we-White Lum Pneumonia iyahlukahluka ngokuya ngobukhulu besimo, imbangela eyisisekelo, kanye nesikhathi sokungenelela. Ukuxilongwa kusenesikhathi nokwelashwa okufanele kuthuthukisa kakhulu amathuba okululama.
VII. Ukuthuthuka ocwaningweni
Ucwaningo oluqhubekayo lugxile ekuqondeni izimo ze-molecular nezakhi zofuzo ezibangela ama-ards. Ngaphezu kwalokho, intuthuko kumasu wokwelashwa, njengomuthi owenziwe ngezifiso nezindlela zokwelapha ezihlosiwe, ziyahlolisiswa ukwenza ngcono imiphumela yeziguli ngalesi simo esinzima.
VIII. Ukuvimbela
Ukuvimbela i-White Lung Pneumonia kubandakanya ukubhekana nezici zobungozi kanye nokukhuthaza impilo yokuphefumula. Amasu afaka phakathi:
Ukugoma: Imijovo yokungenisa izifo ezivikelekile zokuphefumula, njengokuthi umkhuhlane kanye ne-pneumonia, kunganciphisa ubungozi bokuthuthukisa ama-ards.
Ukulawulwa kokutheleleka: Ukuhlanzeka okufanele kanye nokulawulwa kokutheleleka kwezilungiselelo zokunakekelwa kwempilo kungavimba ukusakazeka kwabahlinzeki abathathelwanayo.
Ukwelashwa kusenesikhathi kwezifo: Ukwelashwa okusheshayo kwezifo zokuphefumula kunganciphisa amathuba ezinkinga eziholela kuma-ards.
Ekuphetheni, i-White Lung Pneumonia, noma i-Acute Respiratory Crevery Syndrome, yisimo esibucayi sokwelashwa esidinga ukuqashelwa okusheshayo nokungenelela. Ukuqonda izimbangela, izimpawu, nezinketho zokwelashwa kubalulekile ukuze abaxhasi bezokunakekelwa kwempilo kanye nomphakathi jikelele ngokufanayo. Ucwaningo oluqhubekayo lunesithembiso semiphumela ethuthukisiwe, nezinyathelo zokuvimbela zidlala indima ebalulekile ekunciphiseni ubungozi be-ARDS. Njengoba ukuqwashisa kukhula kanye ne-Medical Science inqubekela phambili, ukuqondiswa kwe-prebodos kwabantu ababhekene namaphaphu amhlophe abhekene nokuthuthuka.
