Kuyini Ukuhamba Nge-Diaphragm Ngenxa Yokulimala Komgogodla? Inhloso, Inqubo & Nemiphumela

Ukuhamba nge-diaphragm kuyithuluzi lezokwelapha elisiza abantu abalimala emgogodleni baphefumule ngokuzimela ngokuvuselela imisipha ye-diaphragm ngezimpawu zikagesi ezithambile. Le teknoloji entsha inganciphisa noma iqede isidingo semishini yokuphefumula ngemishini kubantu abemisipha yabo yokuphefumula ethinteke ngenxa yokulimala kwabo.

Lapho ukulimala komgogodla kwenzeka phezulu entanyeni, kungaphazamisa izimpawu zemizwa ezitshela i-diaphragm yakho ukuthi iqine futhi ikusize uphefumule. Ukuhamba nge-diaphragm empeleni kuthatha lo msebenzi, kuthumela izimpawu zikagesi ezilawulwayo ukwenza i-diaphragm yakho isebenze ngokwemvelo futhi.

Kuyini ukuhamba nge-diaphragm?

Ukuhamba nge-diaphragm kuyisistimu efakelwe ngokuhlinzwa esebenzisa ukuvuselelwa kukagesi ukwenza i-diaphragm yakho iqine futhi ikusize uphefumule. Lesi simiso siqukethe ama-electrode amancane abekwe ngaphezulu noma eduze kwemizwa ye-phrenic, okuyimizwa elawula imisipha yakho ye-diaphragm.

Cabanga ngayo njenge-pacemaker yokuphefumula kwakho. Njengoba nje i-pacemaker yenhliziyo ithumela izimpawu zikagesi ukusiza inhliziyo yakho ishaye njalo, i-diaphragm pacer ithumela izimpawu ukusiza i-diaphragm yakho ihambe phezulu naphansi ukuze idale ukunyakaza kokuphefumula okudingwa umzimba wakho.

Lesi simiso sisebenza ngokudlula endaweni elimele yomgogodla wakho futhi sivuselele ngokuqondile imizwa elawula ukuphefumula. Lokhu kuvumela abantu abebengadinga umoya-mpilo ukuthi baphefumule ngokwemvelo nangokuzimela.

Kungani kwenziwa ukuhamba nge-diaphragm?

Ukuhamba nge-diaphragm kwenziwa ikakhulukazi ukusiza abantu abalimala kakhulu emgogodleni ukuthi bathole ukuzimela okuthile ekuphefumuleni kwabo. Umgomo omkhulu ukunciphisa ukuncika emishinini yokuphefumula, okungathuthukisa kakhulu izinga lempilo futhi kunciphise izinkinga.

Abantu abalimele umgogodla ezingeni le-C3 noma ngaphezulu bavame ukulahlekelwa ikhono lokuphefumula ngokwabo ngoba ukulimala kuphazamisa izindlela zemizwa ezilawula i-diaphragm. Ngaphandle kokungenelela, laba bantu bazodinga ukuthembela kuma-ventilator emishini impilo yabo yonke.

Ngaphandle kokunciphisa ukuncika kuma-ventilator, ukushaya kwe-diaphragm kungasiza ekubuyiseleni amaphethini okukhuluma emvelo, ukuthuthukisa ikhono lakho lokuhogela nokunambitha, nokunciphisa ingozi yokutheleleka ngamathambo okwenzeka njalo ngokusebenzisa ama-ventilator isikhathi eside.

Le nqubo inganikeza nezinzuzo ezingokwengqondo ngokukunika umuzwa omkhulu wokulawula ukuphefumula kwakho nokunciphisa ukukhathazeka okuvame ukuhambisana nokuncika ngokuphelele emishinini.

Iyini inqubo yokushaya i-diaphragm?

Inqubo yokushaya i-diaphragm ihlanganisa ukubeka ngokuhlinzwa ama-electrode amancane emizweni yakho ye-phrenic, etholakala entanyeni yakho nasesifubeni. Lokhu kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kudinga ukuhlelwa ngokucophelela yithimba lakho lokuhlinza.

Udkt wakho ohlinzayo uzokwenza ukusikeka okuncane ukuze afinyelele emizweni ye-phrenic, eqhuba ukusuka entanyeni yakho yehle iye ku-diaphragm yakho. Ama-electrode abese ebekwa ngokucophelela ukuze aqinisekise ukuthi angakwazi ukukhuthaza ngempumelelo imizwa ngaphandle kokubangela umonakalo ezicutshini eziqhelile.

Zimbili izindlela eziyinhloko odkt abahlinzayo abangazisebenzisa. Eyokuqala ihlanganisa ukubeka ama-electrode ngqo emizweni ye-phrenic endaweni yakho yentamo ngenqubo encane. Indlela yesibili ibeka ama-electrode emsipheni we-diaphragm ngokwawo ngokusebenzisa ukusikeka okuncane esifubeni sakho.

Ngemuva kokuthi ama-electrode esendaweni, izintambo ezincane ziwaxhuma kumamukeli omncane ofakwe ngaphansi kwesikhumba sakho, ngokuvamile endaweni yesifuba sakho. Isithumeli sangaphandle, osigqokayo ngaphandle komzimba wakho, sithumela amasignali omsakazo kumamukeli wangaphakathi ukuze kulawulwe ukuphefumula kwakho.

Inqubo yonke ngokuvamile ithatha amahora angu-2-4, futhi abantu abaningi bangalindela ukuhlala esibhedlela izinsuku eziningana ngenkathi ithimba lezokwelapha liqapha ukululama kwakho futhi liqala inqubo yokulungisa i-diaphragm yakho.

Ungalungiselela kanjani inqubo yakho yokuhamba nge-diaphragm?

Ukulungiselela ukuhamba nge-diaphragm kuhilela izinyathelo eziningana ezibalulekile ukuqinisekisa ukuthi ungumuntu ofanelekayo nokuthi inqubo izophumelela ngangokunokwenzeka. Ithimba lakho lezokwelapha lizokwenza ukuhlolwa okuphelele komsebenzi wakho wokuphefumula nempilo yonke.

Okokuqala, odokotela bakho bazokwenza izivivinyo zokuqinisekisa ukuthi imizwa yakho ye-phrenic ihlanzekile futhi isebenza kahle. Lokhu ngokuvamile kufaka phakathi izifundo zokuqhuba imizwa kanye nezivivinyo zokucabanga ukwenza imephu yendawo eqondile kanye nesimo salezi zinzwa ezibalulekile.

Udokotela wakho wokuphefumula uzosebenza nawe ukuthuthukisa umsebenzi wakho wamaphaphu ngaphambi kokuhlinzwa. Lokhu kungase kuhlanganise ukuzivocavoca ukuphefumula, ukwelashwa kwe-chest percussion, nokuqinisekisa ukuthi amaphaphu akho ahlanzekile kunoma yiziphi izifo noma izimfihlo ezedlulele.

Uzodinga futhi ukuxoxa ngemithi yakho nethimba lakho lezempilo, njengoba eminye ingase idinge ukulungiswa ngaphambi kokuhlinzwa. Odokotela bakho bazohlinzeka ngemiyalelo ethile mayelana nokudla, ukuphuza, nokuthatha imithi emahoreni ahola inqubo yakho.

Ukulungiselela kwengqondo kubaluleke ngokulinganayo. Ithimba lakho lizochaza ngqo ukuthi yini ongayilindela ngesikhathi sokululama nokuthi inqubo yokulungisa isebenza kanjani, ikusize uzizwe uqiniseka futhi ulungiselelwe leli qhuzu elibalulekile.

Ungawafunda kanjani imiphumela yakho yokuhamba nge-diaphragm?

Ukuphumelela ngokuhamba nge-diaphragm kulinganiswa ngokuthi isistimu ikusiza kangakanani ukuthi uphefumule ngokuzimela nokuthi inciphisa kangakanani isidingo sakho sokungenisa umoya ngomshini. Ithimba lakho lezokwelapha lizolandelela izinkomba eziningana ezibalulekile ukuze lihlole ukuthi idivayisi isebenza kahle kangakanani kuwe.

Isilinganiso esibaluleke kakhulu yikhono lakho lokuphefumula ngaphandle komoya wokuphefumula isikhathi eside. Ekuqaleni, ungase ukwazi ukusebenzisa i-pacer isikhathi esifushane kuphela, kodwa ngokuqeqeshwa, abantu abaningi bangagcina bephefumula ngokuzimela amahora angu-12-24 ngosuku.

Odokotela bakho bazobheka amazinga akho omoya-mpilo egazini kanye namazinga e-carbon dioxide ukuqinisekisa ukuthi i-pacing inikeza umoya owanele. Bazophinda balandelele izinga lakho lokuphefumula nokujula kokuphefumula kwakho ukuze ulungise izilungiselelo zedivayisi.

Ukuthuthukiswa kwekhwalithi yenkulumo kungenye inkomba enhle. Abantu abaningi baqaphela ukuthi bangakhuluma ngokucacile nangokwesikhathi eside lapho besebenzisa i-diaphragm pacing uma kuqhathaniswa nomoya wokuphefumula ngomshini, ngoba iphethini yokuphefumula iyimvelo kakhulu.

Ithimba lakho lokunakekelwa kwezempilo lizohlola nokunethezeka kwakho okuphelele namazinga amandla. I-pacing ephumelelayo ivame ukuholela ekhwalithi engcono yokulala, ukuncipha kokukhathala, kanye nomuzwa ongcono wokuba ngcono njengoba umzimba wakho uzivumela kwiphethini yokuphefumula yemvelo.

Ungawathuthukisa kanjani imiphumela yakho ye-diaphragm pacing?

Ukwenza ngcono imiphumela yakho ye-diaphragm pacing kudinga ukubekezela, ukuqeqeshwa okuqhubekayo, nokubambisana okuseduze nethimba lakho lokunakekelwa kwezempilo. Inqubo yokuqinisa imisipha yakho ye-diaphragm ithatha isikhathi, okufana nokwakha noma iyiphi enye imisipha emzimbeni wakho.

Ukuqeqeshwa ngokuvamile kuqala kancane kancane, ngezikhathi ezimfushane zokusetshenziswa kwe-pacing ezikhula kancane kancane emasontweni noma ezinyangeni. Umelaphi wakho wokuphefumula uzokuqondisa ngale nqubo, enweba kancane kancane isikhathi osisebenzisa ngaso i-pacer ngenkathi ubheka ukunethezeka kwakho nokusebenza kahle kokuphefumula.

Ukugcina impilo enhle iyonke kusekela imiphumela engcono ye-pacing. Lokhu kufaka phakathi ukudla ukudla okunomsoco ukusekela ukusebenza kwemisipha, ukuhlala unamanzi kahle, nokulandela inqubo yakho yokunakekelwa kokuphefumula echaziwe ukuze amaphaphu akho ahlale enempilo.

Ukuqokwa okuqhubekayo kubalulekile ekulungiseni izilungiselelo zedivayisi njengoba imisipha yakho ye-diaphragm iqina. Ithimba lakho lezokwelapha lingase lidingeke ukuthi lilungise amandla okukhuthaza, isikhathi, noma izinga lokuphefumula ukuze lithuthukise induduzo yakho nokusebenza kahle kokuphefumula.

Ukuba ngumhlanganyeli oqotho ekunakekelweni kwakho kwenza umehluko omkhulu. Ukufunda ukuqaphela ukuthi izilungiselelo ezihlukene zizizwa kanjani nokuxhumana ngokucacile nethimba lakho mayelana nenduduzo yakho nekhwalithi yokuphefumula kubasiza ukuthi benze izinguquko ezingcono kakhulu kuwe.

Yiziphi izici eziyingozi zezinkinga zokuhamba kwe-diaphragm?

Ngenkathi ukuhamba kwe-diaphragm kuvamile ukuthi kuphephile, izici ezithile zingakhuphula ingozi yezinkinga noma zithinte ukuthi isistimu isebenza kahle kangakanani kuwe. Ukuqonda lezi zici kusiza ithimba lakho lezokwelapha ukuthi lihlele indlela engcono kakhulu yesimo sakho.

Isici esiyingozi esibaluleke kakhulu ukulimala kwemizwa ye-phrenic ngokwayo. Uma ukulimala kwakho komgogodla noma ezinye izimo zilimaze le mizwa, isistimu yokuhamba kancane ingase ingasebenzi kahle. Yingakho ukuhlolwa kwemizwa okujulile kubalulekile ngaphambi kwenqubo.

Nazi izici eziyingozi eziyinhloko ithimba lakho lezokwelapha elizozihlola:

• Ubude besikhathi sokusebenzisa umoya-mpilo - ukusetshenziswa komoya-mpilo isikhathi eside kunganciphisa imisipha ye-diaphragm
• Ubudala ngesikhathi sokulimala - iziguli ezincane zivame ukuba namandla angcono okuzilungisa
• Isimo sempilo esiphelele nokuba khona kwezinye izimo zezokwelapha
• Impilo yamaphaphu nomlando wokutheleleka ngamaphaphu
• Ukuhlinzwa kwesifuba noma intamo kwangaphambilini okungase kuthinte ukusebenza kwemizwa
• Imithi ethile engathinta ukusebenza kwemizwa noma imisipha

Izindaba ezinhle ukuthi eziningi zalezi zici eziyingozi zingalawulwa noma zithuthukiswe ngokulungiselela okufanele nokunakekelwa. Ithimba lakho lezokwelapha lizosebenza nawe ukuze lithuthukise impilo yakho ngaphambi kwenqubo futhi linciphise izinkinga ezingaba khona.

Ziyini izinkinga ezingaba khona zokuhamba kwe-diaphragm?

Njenganoma iyiphi inqubo yokuhlinzwa, ukuhamba kwe-diaphragm kungaba nezinkinga, nakuba izinkinga ezingathi sína zingavamile uma inqubo yenziwa ngamaqembu anolwazi. Izinkinga eziningi ziyalawuleka futhi azivimbeli uhlelo ekusebenzeni ngempumelelo.

Izinkinga ezivame kakhulu zihlobene nenqubo yokuhlinzwa ngokwayo. Lokhu kungase kuhlanganise ubuhlungu besikhashana noma ukungakhululeki ezindaweni zokuhlinza, ukuphuma kwegazi okuncane, noma ukutheleleka ezindaweni zokuhlinza. Ithimba lakho lezokwelapha lizokuqapha ngokucophelela futhi linikeze ukwelashwa okufanele uma kwenzeka noma yiziphi zalezi zinkinga.

Abanye abantu bahlangabezana nezinkinga zobuchwepheshe ngedivayisi ngokwayo. Ama-electrode angase ashintshe isikhundla ngokuhamba kwesikhathi, okudinga ukulungiswa noma ukushintshwa. Izinto zangaphakathi zokwamukela noma izinto zokuthumela zangaphandle zingase zingasebenzi ngezikhathi ezithile, nakuba amadivayisi anamuhla ethembeke kakhulu.

Izinkinga ezingavamile kodwa ezingathi sína zingahlanganisa ukulimala kwezicubu ezingomakhelwane ngesikhathi sokuhlinzwa, njengokulimala kwemithambo yegazi noma ezinye izinzwa endaweni. Ezimweni ezingavamile, imithambo ye-phrenic ngokwayo ingase ilimale ngesikhathi sokubekwa kwe-electrode, okungase kuthinte ukusebenza kahle kohlelo.

Abanye abantu bakhula ukubekezelela ukukhuthazwa kukagesi ngokuhamba kwesikhathi, okusho ukuthi imisipha ye-diaphragm iba ngaphansi kokuphendula amasignali. Lokhu akwenzeki kuwo wonke umuntu, futhi uma kwenzeka, ukulungisa izilungiselelo zokukhuthaza kuvame ukuxazulula le nkinga.

Kubalulekile ukukhumbula ukuthi ngenkathi lezi zinkinga zenzeka, iningi labantu abathola ukuhamba kwe-diaphragm bathola izinzuzo ezinkulu ngezinkinga ezincane. Ithimba lakho lezokwelapha lizoxoxa ngephrofayili yakho yengozi ethile futhi likuqaphe ngokucophelela kuyo yonke inqubo.

Kufanele ngibone nini udokotela ngezinkinga zokuhamba kwe-diaphragm?

Kufanele uthinte ithimba lakho lezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izinguquko ezingazelelwe ekuphefumuleni kwakho noma uma uhlelo lwakho lokuhamba nge-diaphragm lungabonakali lusebenza kahle. Ukunaka ngokushesha izinkinga kungavimbela izinkinga futhi kuqinisekise ukuphepha kwakho.

Shayela udokotela wakho ngokushesha uma uqaphela izimpawu zokutheleleka ezindaweni zokuhlinzwa, njengokubomvu okwandayo, ukufudumala, ukuvuvukala, noma ukukhipha amanzi. Umkhuhlane, ama-chills, noma ukuzizwa ungaphilile ngemuva kwenqubo kufanele futhi kuqhubeke nokunaka kwezokwelapha ngokushesha.

Ushintsho endleleni yakho yokuphefumula noma ukusebenza kahle nakho kuyizimpawu ezibalulekile zokuxwayisa. Uma ngokuzumayo ungasakwazi ukubekezelela ukuhamba kahle njengakuqala, noma uma unenkinga yokuphefumula ngisho nangohlelo olusebenzayo, ungalindi ukufuna usizo.

Izinkinga zobuchwepheshe ngedivayisi zidinga ukunakekelwa ngokushesha futhi. Uma i-transmitter yakho yangaphandle ingasebenzi kahle, umamukeli wangaphakathi ubonakala eshintshile, noma uhlangabezana nemizwa engavamile noma ubuhlungu ngokuvuselelwa, thintana nethimba lakho lezokwelapha ngokushesha.

Ukuqokwa okulandelayo njalo kubalulekile ngisho nalapho konke kubonakala kuhamba kahle. Ithimba lakho lezokwelapha lidinga ukuqapha inqubekela phambili yakho, lilungise izilungiselelo njengoba kudingeka, futhi libambe noma yiziphi izinkinga ezingaba khona ekuqaleni ngaphambi kokuba zibe zinkulu.

Imibuzo evame ukubuzwa mayelana nokuhamba nge-diaphragm

Q1: Ingabe ukuhamba nge-diaphragm kuphephile kuwo wonke amazinga okulimala komgogodla?

Ukuhamba nge-diaphragm kusebenza kahle kubantu abanolimala omkhulu womgogodla, ngokuvamile ezingeni le-C3 noma ngaphezulu, lapho ukulimala kuthinte izimpawu zemizwa ezilawula ukuphefumula. Isidingo esibalulekile ukuthi imizwa yakho ye-phrenic, elawula imisipha ye-diaphragm, kufanele ibe yintsha futhi isebenze.

Abantu abanolimala omncane womgogodla ngokuvamile abadingi ukuhamba nge-diaphragm ngoba imisipha yabo yokuphefumula ngokuvamile ayithinteki. Ithimba lakho lezokwelapha lizokwenza izivivinyo ezithile ukuze linqume ukuthi imizwa yakho ye-phrenic iphilile ngokwanele ukuze inqubo iphumelele.

Umbuzo 2: Ingabe ukuhamba nge-diaphragm kungathatha indawo ye-ventilator ngokuphelele?

Abantu abaningi bangakwazi ukunciphisa ukuncika kwabo ku-ventilator kakhulu ngokuhamba nge-diaphragm, futhi abanye bangaphefumula ngokuzimela iningi noma lonke usuku. Kodwa-ke, lokhu kuyahluka kumuntu nomuntu ngokuya ngezinto ezinjengempilo yonke, ukuthi basebenzise isikhathi esingakanani i-ventilator, nokuthi imisipha yabo ye-diaphragm isabela kanjani ekulungisweni.

Abantu abaningi baqala ngezikhathi ezimfushane zokusebenzisa ukuhamba futhi kancane kancane bakhe ukukhuthazela kwabo emasontweni noma ezinyangeni. Ithimba lakho lezokwelapha lizoqinisekisa njalo ukuthi unokungenisa umoya okusekelayo okutholakalayo ngenkathi wakha ukubekezelela kwakho ukuhamba.

Umbuzo 3: Kuthatha isikhathi esingakanani ukubona imiphumela evela ekuhambeni nge-diaphragm?

Imiphumela yokuqala ingabonakala ezinsukwini ngemuva kwenqubo, kodwa ukuthuthuka okukhulu kuvamile ukuthatha amasonto kuya ezinyangeni njengoba imisipha yakho ye-diaphragm iqina futhi isabela kakhulu ekukhuthazweni kukagesi. Inqubo yokulungisa iyancipha futhi idinga ukubekezela.

Abanye abantu baqaphela ukuthuthuka kwekhwalithi yenkulumo kanye nokunethezeka okuphelele ngokushesha, ngenkathi ikhono lokuphefumula ngokuzimela isikhathi eside lithuthuka kancane. Umelaphi wakho wokuphefumula uzokuqondisa kule nqubo ngesivinini esiphephile nesinethezekile kuwe.

Umbuzo 4: Kwenzekani uma uhlelo lokuhamba nge-diaphragm luhluleka?

Izinhlelo zokuhamba nge-diaphragm zanamuhla zenzelwe ngokucabangela ukuphepha, futhi uzohlala unokungenisa umoya okusekelayo okutholakalayo. Izingxenye zangaphandle zinezinhlelo zokusekela ibhethri, futhi uzoqeqeshwa ukuthi ubone lapho uhlelo lungasebenzi kahle.

Uma kunenkinga yezobuchwepheshe ngedivayisi, ithimba lakho lezokwelapha lingayixazulula ngokushesha ngokulungisa izilungiselelo noma ukufaka esikhundleni sezingxenye zangaphandle. Ukuhluleka okukhulu kwezingxenye zangaphakathi akuvamile kodwa kungabhekwana nakho ngokuhlinzwa okwengeziwe uma kunesidingo.

Umbuzo 5: Ngingahamba nohlelo lokuhamba nge-diaphragm?

Yebo, ungahamba nesistimu yokuhamba nge-diaphragm, nakuba idinga ukuhlela nokulungiselela okuthile. Uzodinga ukuthwala imibhalo mayelana nedivayisi yakho yezokwelapha ukuze uthole ukuvunyelwa ezikhumulweni zezindiza, futhi kufanele uhlale uhamba nemishini yokusekela kanye nemithombo yamandla.

Ithimba lakho lezokwelapha lizokunikeza imiyalelo enemininingwane yokuhamba, okuhlanganisa nendlela yokuphatha idivayisi ngesikhathi sezindiza nokuthi yini okufanele uyenze uma uhlangabezana nezinkinga ngenkathi ungekho ekhaya. Abantu abaningi abanezinhlelo zokuhamba nge-diaphragm bahamba ngempumelelo futhi bajabulele inkululeko enkulu kunaleyo abangaba nayo ngama-ventilator esintu.