Ekituli mu kifuba kijjudde omusaayi? Ka tuyige ku hemothorax!

Wali ofunye ekikonde ekinene mu kifuba, oba akabenje, era amangu ago n’ofuna obuzibu mu kussa, okulumwa mu kifuba, n’okuwulira ng’otya? Bwe kiba bwe kityo, ekiyinza okuvaako omusaayi okukuŋŋaanyizibwa mu kifuba. Leero tugenda kwogera ku mbeera ey’amaanyi bwetyo, naye ng’esobola okujjanjabibwa. Kino kiyitibwa hemothorax mu sayansi w’obusawo.

Mu ngeri ennyangu, hemothorax kye ki?

Lowooza ku kino, amawuggwe go gali munda mu kifuba kyo, nedda? Hemothorax kwe kukuŋŋaanyizibwa kw’omusaayi mu kifo ky’ekibumba, ekifo ekiri wakati w’amawuggwe go n’ekisenge eky’omunda eky’ekifuba kyo. Eno mbeera ya maanyi. Singa omusaayi guno tegujjanjabwa, gujja kweyongera okukuŋŋaanyizibwa era guteeke puleesa nnyingi ku mawuggwe go ag’ebweru. Kino kijja kuziyiza amawuggwe go okufuuwa obulungi, ekitegeeza nti tegajja kusobola kukola bulungi.

Bw’oba ​​olina obubonero bw’okusannyalala naddala ng’olina obuzibu mu kussa oluvannyuma lw’okufuna obuvune mu kifuba, mazima ddala olina okugenda ew’omusawo mu bwangu.

Kino kibaawo kitya? Obukulu bw’ekifo ky’omubiri ekiyitibwa pleural space bwe buliwa?

Okutegeera engeri hemothorax gy’ebaawo, ka tusooke tulabe ekifo ky’omu kifuba kye kikola. Kyangu nnyo. Ekifo ky’amawuggwe kiyamba okutereeza puleesa mu mawuggwe n’okwetooloola amawuggwe nga tussa. Mu budde obutuufu kirimu oluwuzi lw’amazzi olugonvu ennyo oluyitibwa amazzi g’ekibumba. Amazzi gano agayitibwa pleural fluid gayamba ebitundu ebibikka amawuggwe go (ebiyitibwa pleura) n’ekisenge ky’ekifuba eky’omunda okutambula obulungi ng’ossa. Kiba ng’amafuta amatono agafuula ebitundu by’ebyuma okutambula obulungi.

Kale, olw’obuvune mu kifuba, akabenje, okulongoosebwa oba embeera endala ey’obujjanjabi, omusaayi gusobola okuyingira mu kifo ky’omu kifuba ne gutabula n’amazzi g’ekibumba. Wano we wava okuzimba omusaayi (hemothorax).

Embeera eno ya bulijjo etya?

Hemothorax mu butuufu si ya bulijjo nga bw’oyinza okulowooza. Naddala bw’ogeraageranya n’obuvune mu kifuba. Ng’ekyokulabirako, abakugu bagamba nti mu Amerika yokka, abantu kumpi 300,000 be bakwatibwa obulwadde bwa hemothorax buli mwaka. Kale, tusobola okulaba emisango mingi egy’engeri eno ne mu nsi yaffe.

Bubonero ki obulaga obulwadde bwa Hemothorax?

Bw’oba ​​olina obubonero bumu oba obusingawo ku buno, olina okweraliikirira:

• Obuzibu mu kussa (abasawo kino bakiyita ``Dyspnea'')
• Okussa amangu (nga okussa omukka - `(Hyperventilation)`)
• Okukuba kw’omutima
• Obulumi mu kifuba (kino kiyinza okuba obulumi obw’amangu, obw’amaanyi) .
• Puleesa eya wansi (Hypotension) .
• Okuwulira nga tolina mirembe
• Okweraliikirira, ekitegeeza okuwulira okutya okuteetaagisa
• Omusujja (oluusi) .

Mu mbeera enzibu, hemothorax eyinza n’okuviirako okufa. N’olwekyo, kikulu nnyo okuba ng’omanyi obubonero buno.

Biki ebikulu ebivaako obulwadde bwa hemothorax?

Ebisinga okuvaako embeera eno bwe bubenje obw’amaanyi, obuvune, n’okulongoosebwa mu kifuba. Okugeza, singa ekifuba kikubwa mu kabenje k’emmotoka, singa kigwa okuva waggulu, oba singa ekintu ekisongovu kisibye mu kifuba, embeera eno eyinza okubaawo. Okugatta ku ekyo, waliwo ebintu ebirala ebiwerako ebivaako:

• Obuzibu bw’okuzimba omusaayi (endwadde nga omusaayi teguzimba mangu) .
• Kookolo w’amawuggwe
• Pleural mesothelioma (ekika kya kookolo abeera mu nseke) .
• Okusannyalala kw’amawuggwe (nga omusaayi ogugenda mu kitundu ky’amawuggwe gusaliddwako) .
• Omuli n’okulongoosa ekifuba , okulongoosa omutima.
• Oluusi omusuwa gwonoonebwa nga bayingidde omusuwa oguyitibwa central venous catheter mu musuwa omunene.
• Endwadde z’obuzaale ezikwata ebitundu ebiyunga, gamba nga Ehlers-Danlos syndrome .
• Akafuba (kino nakyo kiyinza okuba ekivaako oluusi) .

Ani asinga okubeera mu bulabe bw’okufuna kino?

Omuntu yenna asobola okufuna obulwadde bwa hemothorax naddala nga waliwo obuvune mu kifuba. Wabula abantu abamu bali mu bulabe obusingako katono:

• Abantu abalongooseddwa ekifuba: Obulabe buno bubaawo oluvannyuma lw’okulongoosebwa kwonna okuzingiramu amawuggwe oba ekifuba, okugeza, okulongoosebwa omutima oguggule oba okusimbuliza amawuggwe.
• Abantu abazannya emizannyo oba emirimu egitera okuleeta obuvune mu kifuba: Abantu abazannya emizannyo ng’omupiira, hockey, okusitula obuzito, ebikonde, eby’okulwana nga karate, n’okumegganyizibwa batera okukubwa emiggo mu kifuba. N’olwekyo, nabo bali mu bulabe bwa maanyi.

Bizibu ki ebirala bino bye biyinza okuleeta?

Obulwadde bw’omusaayi (Hemothorax) era busobola okuleeta ebizibu ebirala mu mubiri. Mu bino mulimu:

• Okukaluubirirwa ennyo mu kussa oba obutasobola kussa ku bubwo (kino kiyitibwa `(Respiratory failure)`)
• Hypovolemic shock : Eno mbeera ya shock eva ku kufiirwa omusaayi mungi okuva mu mubiri.
• Empyema : Kino kikuŋŋaanyizibwa kw’amasira mu kifo ky’omubiri ekiyitibwa pleural space. Kino kiyinza okubaawo singa yinfekisoni ebaawo omusaayi we gukuŋŋaanyizza.
• Enkovu ku bitundu by’amawuggwe oba mu mawuggwe.

Abasawo kino bakizuula batya? (Okuzuula obulwadde)

Omusawo yekka y’asobola okuzuula obulungi obulwadde bwa hemothorax. Okusooka, ajja kukukebera.Agenda kukola okukebera omubiri. Olwo ajja kuwuliriza amawuggwe go ng’akozesa ekyuma ekiwuliriza (auscultation). Olwo ajja kusobola okuzuula amaloboozi gonna agatali ga bulijjo agava mu mawuggwe agakoseddwa. Agenda kulagira n’okukeberebwa okulala okuwerako okukakasa nti alina obulwadde buno.

Biki ebikebera okuzuula obulwadde?

Omusawo ayinza okulagira okukeberebwa nga bino:

• X -ray mu kifuba : Kino kisobola okukebera oba omusaayi gukuŋŋaanyiziddwa mu kifo ky’omu kifuba.
• CT scan : Kino kiyinza okukuwa okulaba obulungi, mu bujjuvu munda mu kifuba. Era esobola okukebera oba tewali musaayi gwonna guzimba oba ebirala byonoonese.
• Thoracentesis : Mu butuufu kino kukebera nga kw’otadde n’okujjanjaba. Empiso ennyimpi ekozesebwa okuggya sampuli y’amazzi okuva mu kifo ky’ekibumba. Kino osobola okukikozesa okukebera oba musaayi oba kirala.

Okay, kati ka tulabe obujjanjabi ki obuliwo ku kino.

Obulwadde bwa Hemothorax bujjanjabwa nga baggyamu omusaayi mu kifo ekiyitibwa pleural space.

Ekisooka, bw’oba ​​olina obuzibu mu kussa, ojja kuweebwa obujjanjabi bwa oxygen. Embeera eno bw’eba ya maanyi, oyinza okwetaaga okuweebwa empewo ey’ebyuma.

Ekiddako, okusinziira ku buzibu bw’omusaayi, abasawo bajja kukola ekimu ku bintu bino:

• Thoracentesis: Empiso ennyimpi eteekebwa wakati w’embavu okuggya omusaayi ogumu mu kifo ky’ennywanto. Kino kikolebwa singa omusaayi guba mutono.
• Okuteekebwa mu kifuba (Thoracostomy): Tubu ennene (chest tube) eyingizibwa okuyita mu mbavu mu kifo ky’omu kifuba okufulumya omusaayi gwonna ogukung’aanyiziddwa. Tubu eno eyinza okwetaaga okulekebwa mu kifo kyayo okumala ennaku eziwera.
• Okusala ekifuba: Oluusi, singa omusaayi gugenda mu maaso wadde nga bateekamu ttanka okufulumya omusaayi, oba singa kiba kyetaagisa okuzuulibwa ekivaako omusaayi n’okujjanjabibwa, omusawo alongoosa ajja kusala mu kifuba, ayingire mu mawuggwe agakoseddwa, n’akola obujjanjabi obwetaagisa.

Bw’oba ​​ofiriddwa omusaayi mungi, era oyinza okwetaaga okuteekebwamu omusaayi.

Buli hemothorax yeetaaga ekyuma ekiyitibwa chest tube?

Nedda. Singa wabaawo omusaayi omutono (`Minor hemothorax`), kiyinza okusoboka okuggyamu omusaayi ogumu nga oyita mu mpiso entono (`Thoracentesis`).

Waliwo akabi konna akali mu bujjanjabi buno?

Yee, nga bwe kiri ku bujjanjabi bwonna, waliwo akabi akali mu kujjanjaba obulwadde bw’omusaayi. Mu bino mulimu:

• Ebizibu ebikwatagana n‟okubudamya (ssinga balongoosebwa).
• Obulumi.
• Okuvaamu omusaayi.
• Yinfekisoni, gamba ng’ekifuba.
• Okuzimba kw’amawuggwe.

Naye teweeraliikiriranga, abasawo bakola kyonna ekisoboka okukendeeza ku bulabe buno.

Ngenda kuwona mangu ntya oluvannyuma lw’okujjanjabibwa?

Ekiseera ky’okuwona kisinziira ku kiki ekyakuleetera okuzimba omusaayi n’obujjanjabi bwe wafuna. Bw’oba ​​oyingidde mu kifuba oba okulongoosebwa, ojja kwetaaga okubeera mu ddwaaliro okumala ennaku ntono. Omusawo ajja kukubuulira by’osuubira mu kiseera ky’okuwona ne ddi lw’osobola okudda mu mirimu gya bulijjo, ku mulimu oba ku ssomero.

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

Obulwadde bwa Hemothorax mbeera ya maanyi era nga yeetaaga okujjanjabibwa mu bwangu. Oyinza okwetaaga okubeera mu ddwaaliro okumala ennaku ntono oba okusingawo. Bw’oba ​​oli mu ddwaaliro, abasawo basobola okukulondoola ne bakuwa omukka gwa oxygen bwe kiba kyetaagisa.

Naye, jjukira nti singa kizuulibwa bulungi era ne kijjanjabwa mangu, abantu abasinga bawona mu bujjuvu awatali buzibu bwonna obw’ekiseera ekiwanvu.

Obulabe buno buyinza butya okukendeezebwa?

Tetusobola kuziyiza bimu ku bivaako obulwadde bwa hemothorax. Wabula tusobola okukola bino wammanga okukendeeza ku bulabe bw’okufuna obulwadde bwa hemothorax okuva mu bubenje oba obuvune mu kifuba:

• Yambala eby’okwekuuma ng’ozannya emizannyo oba emirimu egiyinza okuvaako obuvune mu kifuba.
• Bulijjo yambala omusipi gwo ng’otambulira mu mmotoka.
• Bw’oba ​​ositula ekintu okuva waggulu, tolinnya ku ntebe oba ku mmeeza, kozesa ekyuma ekituukirawo, oba okusaba omuntu akuyambe.
• Bw’oba ​​olina obuzibu okutambula oba ng’oli mu bulabe bwa maanyi obw’okugwa, kozesa omuggo, ekyuma ekitambula oba emiggo.

Nsaanidde kwerabirira ntya nga nteredde?

Nga owona obulwadde bwa hemothorax, kirungi okwewala ebintu ebiyinza okwonoona oba okussa puleesa ku mawuggwe go. Okugeza nga:

• Weewale okunywa sigala.
• Weewale dduyiro ow’amaanyi ng’okusitula ebizito n’okufukamira ebizito.
• Weewale emizannyo gy’okukwatagana okumala akaseera.
• Weewale okukola ebintu nga scuba diving oba deep-sea diving.
• Okutambula mu nnyonyi (kirungi okwebuuza ku musawo ku nsonga eno nakyo).

Ddi lwe nnina okuddamu okulaba omusawo wange?

Kakasa nti ogenda ku ssaawa zonna ez’okugoberera omusawo wo z’alagira. Kino kijja kumusobozesa okulaba oba otereera nga bwe kisuubirwa era n’okukola okukeberebwa okulala (e.g. X-rays) bwe kiba kyetaagisa.

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

Bw’ofuna obuzibu mu kussa mu bwangu oba ng’ofuna obulumi mu kifuba obutagumiikiriza, genda mu kisenge eky’amangu amangu ddala nga bwe kisoboka. Tomala biseera.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Osobola okubuuza omusawo ebibuuzo nga:

• Omanya otya oba nnina obulwadde bwa hemothorax?
• Obulwadde bwa hemothorax bwange bwa maanyi butya?
• Waliwo kye nsobola okukola okutangira kino obutaddamu kubaawo?
• Bujjanjabi ki bw’oteesa?
• Kintwalira bbanga ki okuwona?
• Nnaa kwetaaga omukka gwa oxygen ogw’enjawulo?
• Nnaaba nnina okusigala mu ddwaaliro?

Obulwadde bwa Hemothorax Buli mu Kabi eri Obulamu?

Kisinziira ku buzibu bw’omusaayi gwo n’ebbanga lye kitwala okuyimiriza omusaayi. Emisango emitonotono egy’omusaayi mu kifuba gisobola okuwona awatali bulabe bwonna oba obuzibu bwonna. Wabula abalwadde ba hemothorax ab’amaanyi bayinza okutta omuntu singa tebajjanjabwa mangu.

Njawulo ki eriwo wakati wa Hemothorax ne Pneumothorax?

Tobuzaabuza byombi.

• Hemothorax kwe kukuŋŋaanyizibwa kw’omusaayi mu kifo ky’omubiri ekiyitibwa pleural space.
• Pneumothorax mbeera empewo gy’eyingira mu kifo ky’amawuggwe n’eteeka puleesa ku mawuggwe, ekigaviirako okugwa ddala oba ekitundu. Kino era kitera okuyitibwa "amawuggwe agagwa".

Hemothorax mawuggwe agagudde?

Nedda, Hemothorax n’okugwa kw’amawuggwe mbeera bbiri ez’enjawulo. Erinnya eddala eriyitibwa okugwa kw’amawuggwe ye pneumothorax. Kyokka n’ekizimba ky’omusaayi (hemothorax) kisobola okuleeta puleesa ku mawuggwe ne gagwa.

Njawulo ki eriwo wakati wa Hemothorax ne Pleural Effusion?

• Pleural effusion kwe kukuŋŋaanyizibwa kw’amazzi agasukkiridde mu kifo ky’ennywanto. Mu budde obwabulijjo, omuntu omukulu alina mililita 5-10 (ebijiiko nga 1-2) eby’amazzi gano ku ludda olumu olw’ekifo ky’ekibumba. Singa omuwendo guno gweyongera, guyitibwa pleural effusion.
• Hemothorax kwe kukuŋŋaanyizibwa kw’omusaayi mu kifo ky’omubiri ekiyitibwa pleural space.

Mu ngeri ennyangu, hemothorax kika kya kufulumya omusaayi mu kibumba, naye kizingiramu omusaayi.

Bw’oba ​​olina obubonero obukwatagana n’okulumwa mu kifuba oba okukaluubirirwa okussa, genda mangu omusawo amagezi.Omusawo asobola okuzuula obulwadde bwa hemothorax, n’azuula ekivaako, n’akuwa obujjanjabi obusinga okukola obulungi.

## Ekisembayo, ebintu by'olina okujjukira (Obubaka bwa Take-Home)

Well, twogedde nnyo ku Hemothorax leero. Mu kumaliriza, bino bye bintu ebikulu by’olina okujjukira:

• Hemothorax kwe kukuŋŋaanyizibwa kw’omusaayi mu kisenge ekyetoolodde amawuggwe.
• Ebisinga okuvaako kino bwe bubenje, obuvune, n’okulongoosebwa mu kifuba.
• Obubonero ng’okukaluubirirwa okussa, okulumwa mu kifuba, n’omutima okukuba amangu .
• Eno eyinza okuba embeera ey’amaanyi, n’olwekyo bw’oba ​​olina obubonero, olina okugenda ew’omusawo mu bwangu.
• Obujjanjabi buzingiramu okuteekebwamu omusaayi, omukka gwa oxygen, era oboolyawo n’okulongoosebwa .
• Singa ojjanjabwa mangu, osobola okuwona ddala.
• Obulabe buno busobola okukendeezebwa nga weekuuma obubenje.

Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, tolwawo kubuuza musawo wo oba nnansi wo. Sigala nga oli mulamu bulungi!

` Hemothorax, omusaayi okujjula mu kifuba, ekifo ky’omu kifuba, okukaluubirirwa okussa, okulumwa mu kifuba, ekifuba, obulwadde bw’okussa