Ihe enyemaka mberede: usoro 4 na-ebute ọnwụ site na mmiri mmiri

By Cristiano Antonino On Feb 28, 2023

Ọdachi dị na akụkọ kwa ụbọchị, mmiri na-eri nke ọtụtụ mmadụ nọ n'etiti ha, na-ahụ ndị nnapụta n'ihu agha ma gbaa mbọ ịzọpụta ndụ. Anyị chere na anyị ga-akọwa n'ụzọ zuru ezu akụkụ ahụike ụfọdụ nke ihe na-eme, na-atụ anya na ọ ga-abụ ozi nke ụfọdụ ojiji

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Kedu ihe na-ebute mmiri mmiri?

Iri mmiri na nkà mmụta ọgwụ na-ezo aka n'ụdị nnukwu asphyxia kpatara site n'ibu na-akpata mpụga ahụ, wetara n'eziokwu ahụ bụ na oghere alveolar akpa ume - nke gas na-ejikarị - na-eji nwayọọ nwayọọ na-eji mmiri mmiri (dịka mmiri nnu n'ihe banyere nke a). mmiri na-eri n'oké osimiri ma ọ bụ chlorinated mmiri n'ihe banyere mmiri na-eri na ọdọ mmiri).

Ihe na-akpata ọnwụ na mmiri mmiri bụ hypoxaemia na-eduga na nnukwu hypoxia, nke na-ebute arụ ọrụ adịghị arụ ọrụ karịsịa na ụbụrụ na myocardium na nkwụsị nke mmụọ, nkụda obi ziri ezi na njide obi.

N'otu oge, hypercapnia (mmụba carbon dioxide n'ime ọbara) na metabolic acidosis na-eme.

Hypoxemia na-ebutekwa site na ntinye mmiri n'ime ngụgụ na / ma ọ bụ laryngospasm (mmechi nke epiglottis, nke na-egbochi mmiri kamakwa ikuku ịbanye).

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Akụkụ anọ nke na-ebu amụma ọnwụ site na mmiri iri

Ọnwụ site na mmiri mmiri na-ebute ụzọ anọ ma ọ bụ usoro:

1) Ogbo ma ọ bụ akụkụ nke ihe ijuanya: na-adịru sekọnd ole na ole ma mara ngwa ngwa inhalation, dị ka omimi dị ka o kwere mee, tupu onye ahụ abanye n'okpuru mmiri.

Ọ na-emekwa:

tachypnoea (mmụba iku ume);
tachycardia;
hypotension arterial ('ọbara mgbali elu');
cyanosis (akpụkpọ anụ na-acha anụnụ anụnụ);
miosis (mbelata dayameta anya nke nwa akwụkwọ).

2) Ogbo mgbochi ma ọ bụ oge: na-ewe ihe dị ka nkeji 2 ma bụrụ nke mbụ apnoea, n'oge nke onye ahụ na-egbochi mmiri ịbanye na ngụgụ site n'ikuku ume ma na-ama jijiji mgbe ọ na-agbalị ịmaliteghachi, ọ na-abụkarị site n'ịgbatị aka ha n'elu isi ha na ntụziaka nke elu mmiri.

N'ime oge a, ihe ndị a na-eme nke ọma:

ihe mgbu;
ụjọ;
mmegharị ngwa ngwa n'ịgbalị ịmaliteghachi;
hypercapnia;
ọbara mgbali elu;
nnukwu ntọhapụ nke adrenaline n'ime mgbasa;
tachycardia;
obnubilation nke nsụhọ;
hypoxia nke ụbụrụ ụbụrụ;
mkpụkpu;
mbelata moto reflexes;
mgbanwe mmetụta uche;
ntọhapụ sphincter (enwere ike ịhapụ nsị na/ma ọ bụ mmamịrị n'amaghị ama).

Mgbe isiokwu ahụ na-agwụ n'ikuku na ngụgụ site na iku ume, mmiri na-abanye n'akụkụ ikuku ikuku na-akpata apnea nke mmechi nke epiglottis (laryngospasm), mmeghachi omume e mere iji chebe usoro iku ume site na mmiri mana nke na-egbochikwa ikuku ikuku.

Hypoxia na hypercapnia mechara kpalie akwara akwara ka ịmalite iku ume: nke a na-eduga na mmeghe nke glottis na mberede na ntinye nke oke mmiri n'ime ngụgụ, mgbochi nke mgbanwe gas, mgbanwe nke surfactant, ọdịda alveolar na mmepe. nke atelectasis na shunts.

3) Ogbo ma ọ bụ 'ọnwụ pụtara ìhè': na-ewe ihe dị ka nkeji 2, bụ nke a na-ebelata mgbalị ịmaliteghachi, n'efu, ruo mgbe isiokwu ahụ ga-anọgide na-enweghị isi.

A na-eji nke nta nke nta mara ọkwa a: