Owulidde ku mawuggwe agaagudde? (Pneumothorax/Collapsed Lung) Ka twogere ku nsonga eno!

Wali owuliddeko ng’amawuggwe gagwa mu bwangu? Oluusi kiyinza okukukaluubirira okussa ne kireeta obulumi mu kifuba. Kino kye tuyita “pneumothorax” oba “collapsed lung ” mu ngeri y’obusawo. Mu butuufu si kya bulijjo nga bw’oyinza okulowooza. Kale, kikulu okukimanya ku kino. Ka twogere ku nsonga eno mu bujjuvu era mu ngeri ennyangu leero, nedda?

Obulwadde bw’ekifuba kye ki? Mu ngeri ennyangu...

Mu ngeri ennyangu, pneumothorax kwe kukuŋŋaanyizibwa kw’empewo mu kifo ekiri wakati w’amawuggwe go n’ekisenge ky’ekifuba kyo (ekiyitibwa “pleural space”) . Lowooza ku mawuggwe go nga bbaatule. Ekifo ky’ekibumba (pleural space) kye kifo ekitono wakati wa bbaatule n’ekibokisi ekikwata bbaatule. Mu budde obwabulijjo, mu kifo kino temuli mpewo nnyingi. Kyokka, singa ekifo kino eky’omu kibumba (pleural space) mu ngeri emu oba endala kijjula empewo, empewo enyigiriza ku mawuggwe. Kiba ng’okufuuwa bbaatule n’ogifulumya omukka. Kino kiyinza okuvaako amawuggwe okugwa ddala oba ekitundu. Abantu abamu era kino bakiyita “amawuggwe agafumitiddwa.”

Ekikulu nti obulwadde bw'ekifuba oluusi buyinza okuba obw'amangu mu by'obujjanjabi . Bw’oba ​​owulira ng’amawuggwe go gagwa, olina okugenda mu kitongole ky’abalwadde ab’amangu mu ddwaaliro erikuli okumpi amangu ddala nga bwe kisoboka.

Waliwo ebika by’obulwadde bw’ekifuba?

Yee, waliwo ebika bibiri ebikulu eby’obulwadde bw’ekifuba: Spontaneous ne Traumatic . Ka tulabe bino bye biruwa.

1. Obulwadde bw’ekifuba obw’okwekolako

Kino kibaawo ng’amawuggwe gagudde mu ngeri ey’okwekolako nga tewali buvune oba bulabe bwonna. Waliwo n’ebika ebitonotono ebya kino:

• Primary spontaneous pneumothorax: Mu kino, tewali bulwadde oba mbeera yonna evuddeko amawuggwe okugwa. Oluusi obusawo bw’empewo obutono obutali bwa bulijjo (blebs ) mu mawuggwe busobola okukutuka era empewo n’eyingira mu kifo ky’amawuggwe. Kino kisinga kubaawo mu bavubuka abawanvu, abagonvu.
• Secondary spontaneous pneumothorax: Kino kibaawo olw’obulwadde bw’amawuggwe . Okugeza endwadde z’amawuggwe ezimu ziyinza okuleetera ebitundu by’amawuggwe okuzibikira, ne bikola ensawo eziringa bbaatule (bullae) eziyinza okukutuka.

2. Obulwadde bw’ekifuba obulumwa

Nga erinnya bwe liraga, kino kibaawo olw’obuvune oba obujjanjabi.

• EbisagoObulwadde bw’ekifuba obuva ku buvune: Embeera eno eyinza okubaawo olw’obuvune mu kifuba, gamba ng’olubavu olumenyese mu kabenje k’emmotoka, amawuggwe agafumitiddwa oba ekiwundu ekifumitiddwa.
• Iatrogenic pneumothorax: Oluusi, mu kiseera ky’obujjanjabi, gamba ng’okutwala akatundu akatono ak’amawuggwe okukeberebwa ( a lung biopsy ) oba okuyingiza ttanka mu musuwa omunene mu bulago (layini y’emisuwa egy’omu makkati), amawuggwe gayinza okulumwa mu butali bugenderevu.

Waliwo ebika ebirala ebitongole eby’obulwadde bw’ekifuba:

• Tension pneumothorax: Eno mbeera ya bulabe nnyo era nga yeetaaga okujjanjabibwa amangu . Ekibaawo wano empewo eyingira mu kifo ky’ekibumba, naye nga tewali ngeri yonna gy’eyinza kufuluma. Kiringa vvaalu egenda mu kkubo erimu. Awo puleesa munda mu kifuba yeeyongera nnyo , tekikoma ku kuleetera mawuggwe okwongera okugwa, naye era n’eteeka puleesa ku mutima n’emisuwa eminene . Kino kiyinza okutta omuntu.
• Catamenial pneumothorax: Eno embeera etali ya bulijjo nnyo. Kiyinza okubaawo mu bakyala abalina embeera eyitibwa endometriosis (okukula kw’ebitundu by’omu lubuto ebweru wa nnabaana). Ekitundu kino kisobola okukula mu kifo ky’amawuggwe, okuvaamu omusaayi mu kiseera ky’okugenda mu nsonga, n’okunyigiriza amawuggwe.

Amawuggwe agagwa ga maanyi gatya?

Obuzibu bwa kino businziira ku kivaako n’obungi bw’amawuggwe bwe gagudde. Emisango egimu emitonotono si gya maanyi era giyinza okugonjoolwa ku bwagyo. Naye ezimu naddala tension pneumothorax , mbeera za maanyi ezeetaaga obujjanjabi obw’amangu. Omusawo asobola okukubuulira ddala amawuggwe go ge gagudde n’obujjanjabi obwetaagisa.

Bubonero ki obulaga obulwadde bw’ekifuba?

Amawuggwe bwe gagwa, obubonero nga:

• Obulumi ku ludda olumu olw’ekifuba , naddala ng’ossa.
• Okukolola.
• Okussa amangu .
• Omutima gweyongera.
• Obukoowu, obukoowu.
• Okukaluubirirwa okussa (“okusannyalala”).
• Okukyusa langi y’olususu, emimwa, oba enjala za bbululu ( “cyanosis” ) – Kino kitegeeza nti omubiri tegufuna mukka gwa oxygen gumala.

Bw’oba ​​olina obubonero buno, genda mu ddwaaliro erikuli okumpi mu bwangu.Obujjanjabi obw’amangu buyinza okwetaagisa.

Biki ebivaako obulwadde bw’ekifuba?

Waliwo ebintu bisatu ebikulu ebivaako: embeera z’obujjanjabi ezimu, obuvune, n’ebintu ebimu ebikwata ku bulamu.

Embeera z'obujjanjabi:

• Obulwadde bwa asima
• Obulwadde bw’ekifuba
• COPD (Obulwadde bw’amawuggwe obutawona) .
• Obulwadde bw’emisuwa gya kolagini
• Obulwadde bwa Cystic fibrosis
• Obulwadde bw’okusannyalala
• Obulwadde bw’amawuggwe obuyitibwa Idiopathic pulmonary fibrosis
• Kookolo w’amawuggwe
• Obulwadde bwa lymphangioleiomyomatosis
• Akafuba
• Obulwadde bw’okusannyalala ennyo (ARDS ) .

Ebisago:

• Blunt force trauma ku kifuba.
• Essasi ly’emmundu.
• Ebisago ebiva ku mmundu ensongovu, gamba ng’ekiwundu ekifumitiddwa.
• Obujjanjabi, okugeza, okuzibikira obusimu , okukebera amawuggwe , okuteeka layini y’emisuwa egy’omu makkati , oba okussa empewo mu byuma .

Ensonga z’engeri y’obulamu:

• Okukozesa eddagala naddala ery’okussa.
• Okunywa sigala.
• Enkyukakyuka ennene eza puleesa y’empewo ezibaawo mu kutambula kw’ennyonyi.
• Okubuuka mu mazzi oba okubuuka mu nnyanja ennene.

Ani asinga okubeera mu bulabe bw’embeera eno?

Oyinza okulwala obulwadde bw’ekifuba singa:

• Singa omuntu mu maka go abadde n’obulwadde bwa pneumothorax emabegako (ebyafaayo by’amaka).
• Mu kiseera ky’olubuto.
• Bw’oba ​​n’omubiri omuwanvu, omugonvu naddala ng’oli musajja.
• Bwoba olina endwadde z'ebitundu ebiyunga nga Marfan syndrome .
• Bwoba olina obulwadde bwa endometriosis .

Bizibu ki ebiyinza okuva mu mawuggwe agagwa?

Wadde ng’emisango egisinga egy’okugwa kw’amawuggwe giwona awatali buzibu, abantu abamu bayinza okufuna ebizibu eby’amaanyi. Mu bino mulimu:

• Okuddamu okugaziwa okuzimba amawuggwe .
• Amawuggwe okwonooneka oba okukwatibwa yinfekisoni nga bajjanjabwa.
• Okulemererwa okussa .
• Omutima okulemererwa (Omutima okulemererwa).

Obulwadde bw’ekifuba buzuulibwa butya?

Abasawo batera okuzuula kino nga bawuliriza amawuggwe go era nga bakozesa ebikebera ebifaananyi nga X-ray z’ekifuba , CT scans ( computed tomography scans ), oba lung ultrasound . Oluusi bayinza n’okukola okukebera “omukka gw’omusaayi ogw’emisuwa” okukebera omukka gwa oxygen ne carbon dioxide mu musaayi gwo.

Omusawo ajja kukubuuza ku mbeera z’amawuggwe go era akukebere omubiri. Ebika ebimu, gamba nga tension pneumothorax, bisobola okuzuulibwa okusinziira ku bubonero bwokka.

Obulwadde bw’ekifuba bujjanjabwa butya?

Obujjanjabi bw’ofuna bujja kusinziira ku kivaako ekifuba, obunene n’obuzibu bw’ekifuba. Obujjanjabi buno buyinza okuli:

• Okwetegereza: Singa ekifuba kyo kiba kitono, omusawo ajja kukutunuulira, ng’anoonya obuzibu bwonna ku mutima oba mu kussa, era ajja kukusaba okuddayo okulambula.
• Obujjanjabi bwa oxygen.
• Thoracentesis: Kino kizingiramu okuyingiza empiso ey’ekiseera wakati w’embavu eziri ku ludda lw’ekifuba okuggyamu empewo ekuŋŋaanyiziddwa mu kifuba.
• Okufulumya amazzi mu kifuba: Bw’oba ​​olina ekifuba ekinene, omusawo ajja kuteeka ttanka ( chest tube ) mu kifuba kyo okukendeeza ku mpewo mu kifo ky’omu kifuba. Puleesa y’empewo bw’ekendeera, amawuggwe gasobola okuddamu okufuuwa ne gawona. Tubu eno eyinza okulekebwa mu kifo kyayo okumala ennaku eziwera oba okusingawo.
• Chemical pleurodesis: Okusobola okuziyiza amawuggwe okuddamu okugwa, omusawo ayinza okukola enkola eyitibwa pleurodesis . Mu nkola eno, omusawo asala akatundu akatono mu kifuba n’ayingizaamu ttanka. Oluvannyuma, nga bakozesa eddagala (nga doxycycline oba talcum powder) , amawuggwe gayungibwa ku kifuba. Kino kimalawo ekifo eky’enjawulo.

Abantu abamu bayinza okwetaaga okulongoosebwa okuddaabiriza amawuggwe gaabwe agaayonoonese ne gawona. Okulongoosebwa kuyinza okwetaagisa mu mbeera zino wammanga:

• Singa empewo yeeyongera okukulukuta okuva mu ttanka y’ekifuba.
• Singa amawuggwe tegafuuwa ne bwe bamala okuyingizibwamu ekituli ky’ekifuba.
• Singa amawuggwe gakonziba enfunda eziwera.
• Singa wabaawo obulwadde bw’ekifuba mu mawuggwe gombi.
• Singa amawuggwe gafuna ebisago eby’amaanyi.

Obulwadde bw’ekifuba busobola okuziyizibwa?

Ebintu bino osobola okubikola okukendeeza ku bulabe bw’amawuggwe okugwa:

• Tonywa ssigala. Kino kye kintu ekisinga obukulu.
• Weewale oba okussa ekkomo ku mirimu egirimu enkyukakyuka ennene mu puleesa y’empewo (nga okubuuka mu nnyanja ennene, okutambula mu nnyonyi). Bw’oba ​​okola ebintu bino, goberera amagezi g’omusawo.
• Bw’oba ​​olina endwadde z’amawuggwe, laba omusawo buli kiseera okuzirondoola.

Kyokka bw’oba ​​olina embeera z’obujjanjabi ezimu oba ng’olina ebyafaayo by’amaka g’ekifuba, kiyinza obutasoboka kubuziyiza.

Kiki ky’osuubira singa oba olina obulwadde bw’ekifuba?

Bw’oba ​​olina amawuggwe agagudde, oyinza okwetaaga okubeera mu ddwaaliro okumala ennaku ntono oba okusingawo okusobola okujjanjabibwa n’okwetegereza. Olwo omusawo asobola okulondoola embeera yo n’akuwa omukka gwa oxygen bwe kiba kyetaagisa.

Amawuggwe gatwala bbanga ki okuwona?

Emirundi egisinga amawuggwe gasobola okuwona mu nnaku ntono okutuuka ku wiiki bbiri. Omubiri gwo gujja kuddamu okunyiga empewo ey’enjawulo ekuŋŋaanyiziddwa okwetooloola amawuggwe, ne gaddamu okufuuwa.

Amawuggwe gasobola okuwona ddala?

Abantu abasinga bawona embeera eno nga tebalina bujjanjabi bwa maanyi. Kyokka waliwo omukisa nti kijja kuddamu. Kale, yogerako n’omusawo wo ku mikisa gy’okuddamu okulwala n’eky’okukola singa obubonero buzzeemu.

Obulwadde bw’ekifuba (pneumothorax) butiisa obulamu?

Emisango egimu egy’obulwadde bw’ekifuba giyinza okutta omuntu. N’olwekyo, totwalangako mawuggwe agagudde ng’ekintu ekitono. Bulijjo genda mu basawo.

Nze nneerabirira ntya?

Bw’omala okuva mu ddwaaliro, kikulu nnyo okwerabirira ng’omusawo bw’akugamba. Bayinza okukugamba wummula, okussa ekkomo oba okuyimiriza emirimu egimu. Okugeza nga:

• Okunywa sigala.
• Ennyonyi.
• Okubuuka mu mazzi mu nnyanja ennene.

Bw’omala okudda eka, kakasa nti ogenda ew’omusawo ku buli lunaku lwe wategese.

Ddi lwe nnina okulaba omusawo wange?

Laba omusawo singa obubonero bwo buddamu oba bweyongera. Bw’oba ​​wali ofunye obulwadde bw’ekifuba emabegako, oba mu bulabe bw’okufuna obulwadde obulala.

Ddi lwe nnina okugenda mu kitongole ky’abalwadde ab’amangu (ETU)?

Bw’oba ​​olina obubonero bw’amawuggwe agagudde (gamba ng’okulumwa mu kifuba, okukaluubirirwa okussa), genda mu kisenge ky’abalwadde ab’amangu amangu ddala. Oyinza okwetaaga obujjanjabi obw’amangu.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Kiyinza okuba eky’omugaso okubuuza omusawo wo ebibuuzo nga bino:

• Kiki ekivaako amawuggwe gange okukendeera?
• Waliwo kye nsobola okukola okutangira amawuggwe okuddamu okukendeera?
• Bujjanjabi ki bwe nnina?
• Bwemba nnina okuteekebwamu ekituli mu kifuba, kinaasigala mu bbanga ki?
• Nja kwetaaga omukka gwa oxygen ogw’okugatta?
• Nnaaba nnina okusigala mu ddwaaliro?
• Obulabirizi bwa ngeri ki bwe nja okwetaaga oluvannyuma lw’okujjanjabibwa?
• Obulabirizi bwa ngeri ki bwe nja okwetaaga nga mmaze okuva mu ddwaaliro oba mu ddwaaliro?
• Kiki kye sisaanidde kukola nga mmaze okujjanjabibwa?

N’ekisembayo, jjukira (Obubaka bw’Okutwala Awaka) .

Emirundi egisinga, obulwadde bw’ekifuba busobola okuwona nga tolina bujjanjabi butono. Naye,Amawuggwe gonna agagwa olina okutwalibwa ng’embeera ey’amangu ey’obujjanjabi okutuusa lw’onoomanya ebisingawo ku nsonga eno. Bw’oba ​​olina obubonero bw’okugwa kw’amawuggwe, gamba ng’okulumwa mu kifuba oba okukaluubirirwa okussa, genda mangu ew’omusawo. Omusawo asobola okukusalawo obujjanjabi obusinga obulungi. Tosattira naye era tolwawo. Ekisinga obukulu kwe kukola amangu.