Isimo asthmaticus

Status asthmaticus - imeko lwezidumbu besi sifo, oluvelisa isoyikiso yokwenene ebomini. Iluphawu ebangwa kakhulu ukuhlaselwa sisifo sombefu, nto leyo wayeka yimithi njengesiqhelo iseti (bronchodilators inhalational) kunye ebangela ukuvela kweempawu lokubandezeleka sokuphefumla. Isimo asthmaticus kufuna unyango ngoko nangoko. Kubalulekile ukuqonda bazazi enokubakho ingozi yemeko asthmaticus, ukuqhuba zothintelo yayo ekuqaleni.

Uphawu iimpawu abanesifuba imeko enjalo, njengoko nokungakwazi ukugqiba isindululo phambi kokuphela, ukuphelelwa umoya, ayilwamkeli nokuba baphumle. Kungenzeka ube nemvo ucinezelo esifubeni sakho, imbonakalo sekile eluhlaza ehlabathini imilebe. Kusenokwenzeka ukuba nemvo akangowesiphithiphithi, ixhala, ukungakwazi ukunikela ingqalelo. Ukuququzelela isigulane uphefumla kakhulu abahluza izihlunu entanyeni nesisu. Umntu uqala ukuhlala okanye beme, athi ukufumana indawo entofontofo ukuphefumla. Konke oku uphawu wabonakala kuqala ukuphanza sokuphefumla.

Isimo asthmaticus, ngokungafaniyo isifuba, akufuneki ikhatshwe ukutswina nokukhohlela. Le meko ubangela ngokuma sisilonda esidumbileyoesingaphakathi ebalulekileyo, apho ukunqongophala komoya (kwaye i ukurhogele kwaye iyaphuma) awubonakalisi isahlakalo ukukhohlela okanye ukutswina.

Iimpawu isilumkiso akholisa ukubakho phambi kokuba imbonakalo yemeko asthmaticus. Nangona ngamanye amaxesha kuyenzeka ngokukhawuleza kakhulu uze ijike ibe ukutsarhwa. Ngokutsho kwezinye zophando lwakutshanje, ezi izigulane kakuhle uzikhusele wena nokubhenca zamavumba kusekhaya okanye emsebenzini. Kunqabile ukuba asebenzise incopho flow kwimitha kunye nokuthatha glucocorticoids ukurhogele. steroids wayisezela ke amachiza anti-ukudumba mihla ezisebenza kakhulu ekwehliseni reactions ukudumba kwisiqwenga sokuphefumla.

Izinto ezibangela ubume sombefu akwaziwa.

Kuba lokufunyaniswa "status sombefu," ugqirha kufuneka enze uviwo jikelele apho uchazwa ukusetyenziswa izihlunu abangabancedani ukuba ukuphefumla. Ugqirha kufuneka kwakhona ujonge izinga yakho intliziyo, umyinge yokuphefumla, phambi ukutswina ngelixa ukusezela kunye ukukhupha. Ukongeza, ungasebenzisa ezi mvavanyo umsebenzi owongezelelweyo ukuvavanya ukusebenza kwenkqubo nokuphefumla: a vavanyo oxygenation igazi, ioksijini, flow expiratory incopho. iimviwo ke ziqhutywe kunye nezinye izigqeba: kwisisu ngomlomo, umqala, iphecana eliphezulu nokuphefumla, Isifuba.

Ngelishwa, ukusetyenziswa njengeeinhalers eqhelekileyo engaphenduli ukuphendula isimo somoya. ngokubanzi Unyango kufuneka kwenziwe ngokusebenzisa rhoqo ulwelo, kunye nolawulo parenteral iziyobisi ezifana prednisolone kunye epinephrine. Kwakhona ezifanelekileyo Ulawulo parenteral of terbutaline, nemagnesium sulfate (ukuba baphumle izihlunu ngokuma) kunye inhibitors leukotriene (amachiza anti-ukudumba).

Unyango isimo asthmaticus, nto leyo akaziphenduli ichiza kusetyenziswa somoya, kufuneka kwenziwa esibhedlele, njengoko kufuneka umoya ngomatshini. Emva kokuba ukuhlasela etsolo kwenzeka, oko lifinyele ukusebenza kwemiphunga. Noko ke, imfuneko kuhlala kwisebe unyango olunzulu bungalahleki kwesinomhlwa.

Ukuze imfuneko esibhedlele engxamisekileyo akuzange kwenzeke, kufuneka ngoko nangoko uqale unyango msinyane nje iimpawu zokuqala ezingephi. Xa ubukho besi sifo kufuneka umana usiya rhoqo ngugqirha; uya khangela yokusebenza Ukukhanya yolwamkelo uya kukwabela amachiza eziyimfuneko.