Okuqukethwe
I-Tachypnea: Incazelo, Izimbangela, Ukwelashwa
I-Tachypnea wukwanda kwezinga lokuphefumula. Kungabangelwa ukwanda kwezidingo zomoya-mpilo, ikakhulukazi ngesikhathi sokuzikhandla komzimba, kepha kwesinye isikhathi kungaba umphumela wenyumoniya, isifo samaphaphu.
Incazelo: yini i-tachypnea?
I-Tachypnea yigama lezokwelapha lokwanda kwezinga lokuphefumula. Kubangela ukuphefumula okusheshayo ngokunyuka kwenani lemijikelezo yokuphefumula (ugqozi nokuphelelwa yisikhathi) ngomzuzu.
Kubantu abadala, ukwanda kwezinga lokuphefumula akujwayelekile uma kudlula imijikelezo engama-20 ngomzuzu.
Ezinganeni ezincane, izinga lokuphefumula liphakeme kunabantu abadala. Ukwanda okungajwayelekile kwezinga lokuphefumula kubonakala lapho kuba:
- imijikelezo engaphezu kwengu-60 ngomzuzu, ezinganeni ezingaphansi kwezinyanga ezimbili;
- imijikelezo engaphezu kwama-50 ngomzuzu, ezinganeni eziphakathi kwezinyanga ezimbili nezingu-2;
- imijikelezo engaphezu kwengu-40 ngomzuzu, ezinganeni ezineminyaka ephakathi kwengu-1 nengu-3 ubudala;
- imijikelezo engaphezu kwengu-30 ngomzuzu, ezinganeni ezineminyaka ephakathi kwengu-3 nengu-5 ubudala;
- imijikelezo engaphezu kwengu-20 ngomzuzu, ezinganeni ezineminyaka engu-5 ubudala.
I-Tachypnea, ukuphefumula okusheshayo, okujulile
I-Tachypnea kwesinye isikhathi ihlotshaniswa ne- ukuphefumula okusheshayo nokujulile ukuyihlukanisa ne-polypnea, echazwa njengokuphefumula okusheshayo nokungajulile. Ngesikhathi se-tachypnea, izinga lokuphefumula liyakhula, okuholela ekwandeni komoya ophefumulayo (inani lomoya ongena emaphashini ngomzuzu). Ngakolunye uhlangothi, i-polypnea ibonakala nge-alveolar hypoventilation ngenxa yokwehla kwevolumu yamaza (ivolumu yomoya ophefumulelwe nophelelwe yisikhathi).
Incazelo: yini izimbangela ze-tachypnea?
I-Tachypnea ingaba nezincazelo eziningana. Izinga lokuphefumula lingakhuphuka ngokuphendula:
- isidingo esengeziwe se-oxygen, ikakhulukazi ngesikhathi somzamo womzimba;
- izifo ezithile, ezinye zazo inyumoniya, izifo zamaphaphu ezingaba nemisuka eminingana.
Amacala we-pneumopathies
I-Tachypnea ingaba yimiphumela ye-pneumopathies ethile:
- the inyumoniya, ukutheleleka okunamandla kokuphefumula kwamaphaphu okuvame ukubangelwa yizinto ezithathelwanayo zemvelaphi yegciwane noma yegciwane;
- the ama-laryngites, ukuvuvukala komphimbo (isitho esisemphinjeni, ngemuva kwepharynx nangaphambi koqhoqhoqho) okunezinhlobo eziningi ezifana ne-subglottic laryngitis engadala i-tachypnea;
- the i-bronchitis, ukuvuvukala kwe-bronchi (izakhiwo zohlelo lokuphefumula) okungabangelwa ukucasuka kwamaphaphu, noma ukutheleleka ngegciwane noma igciwane;
- the ama-bronchiolites, uhlobo lokutheleleka ngegciwane komgudu wokuphefumula ongezansi ongabonakalisa njengezinga lokukhuphuka lokuphefumula;
- theufuba, isifo esingelapheki somgudu wokuphefumula okuhlasela kwaso kuvame ukuhambisana ne-tachypnea.
Ukuziphendukela kwemvelo: iyini ingozi yezinkinga?
I-Tachypnea ivame ukuba yesikhashana. Kodwa-ke, kwezinye izimo, lesi sifo sokuphefumula singaqhubeka futhi sibeke umzimba engcupheni yezinkinga.
Ukwelashwa: ungayilapha kanjani i-tachypnea?
Uma iqhubeka, i-tachypnea ingadinga ukuphathwa okufanele kwezokwelapha. Lokhu kuya ngemvelaphi yesifo sokuphefumula. Isungulwe ngudokotela ojwayelekile noma i-pulmonologist, ukuxilongwa kwenza kube nokwenzeka ukuqondisa ukunakekelwa ku:
- ukwelashwa ngezidakamizwa, ikakhulukazi endabeni yokutheleleka nokuvuvukala kwendlela yokuphefumula;
- umoya omncane wokufakelwa, ezimweni ezinzima kakhulu lapho i-tachnypnea iqhubeka.
Lapho kucatshangelwa umoya omncane wokufakelwa, kungasetshenziswa izixazululo ezimbili:
- ukupholisa kwemishini okungeyona eyokuhlasela, okuqukethe ukufaka isigqoko sokuzivikela noma isifihla-buso sobuso, amakhala noma umlomo womlomo, ukubuyisela ukuphefumula okujwayelekile ezigulini ezine-tachypnea elinganiselayo;
- umoya ongenayo wokufakelwa, equkethe ukwethula ithubhu ye-tracheal intubation, kungaba ngamakhala, ngomlomo, noma ngokuhlinzwa ku-trachea (tracheostomy), ukuze kubuyiswe ukuphefumula okujwayelekile ezigulini ezine-tachypnea enamandla futhi ephikelelayo.