Ese igituza cyawe cyuzuye amaraso n'umwuka bigatuma ubura umwuka? Ibi bishobora kuba (Hemopneumothorax)!

Ese wigeze wibaza ukuntu imvune yo mu gituza ishobora kuba ikomeye, yaba iturutse ku mpanuka, kugwa, cyangwa ikindi kintu nk'icyo? Hari igihe bishobora kugorana guhumeka nyuma y'ikintu nk'icyo. Ibyo nibyo tugiye kuvugaho uyu munsi, kandi ni indwara ikomeye isaba ubuvuzi bwihuse. Ibi tubyita `(Hemopneumothorax)`. Nubwo izina rishobora gusa nkaho ari rirerure, reka tubikomeze.

Iyi `(Hemopneumothorax)` ni iki?

Mu magambo make, `(Hemopneumothorax)` ni igihe umwanya ukikije ibihaha byawe, twita `(pleural space)`, wuzuyemo amaraso (`(hemothorax)`) n'umwuka (`(pneumothorax)` cyangwa kugwa kw'ibihaha) icyarimwe. Tekereza nk'aho ibihaha byawe bimeze nk'udupira tubiri. Utu dupira turi mu gituza cyawe. Hari umwanya muto hagati y'ibihaha n'urukuta rw'igituza, witwa `(pleural space)`. Ubusanzwe, ibi si ikibazo gikomeye, ariko iyo uyu mwanya wuzuyemo amaraso n'umwuka, ibihaha ntibishobora kuzura neza, bivuze ko bidashobora guhumeka. Ni nko gufata agapira kandi ntikazuzura.

Iyi ndwara ikunze kubaho nyuma y’igikomere gitunguranye kandi gikomeye mu gituza, nko gukora impanuka y’imodoka, kugwa uvuye hejuru, gukomeretswa n’icyuma, cyangwa gukomeretswa n’isasu. Niba ufite ibimenyetso bya hemopneumothorax, ni ngombwa kwihutira gushaka abaganga.

Ese ``(Hemopneumothorax)`` ni indwara ikomeye?

Yego rwose! `(Hemopneumothorax)` ni indwara ikomeye cyane kandi isaba ubuvuzi bwihuse. Kuko, iyo bitavuwe, amaraso n'umwuka bihurira hafi y'ibihaha bishobora gushyira igitutu kinini ku bihaha, bigatuma bidashobora kubyimba na gato. Ibintu bibi cyane bishobora kubaho ni ibi bikurikira:

• Kudashobora guhumeka.
• Kunanirwa k'umutima.
• Ikibabaje ni uko n'urupfu rushobora kubaho.

Bityo rero, niba ufite ibimenyetso nk'ibi, icyiza wakora ni ukujya kwa muganga vuba.

Ese hari ubwoko bwa `(Hemopneumothorax)`?

Hari ubwoko bubiri bw'ingenzi bwa `(Hemopneumothorax)`:

1. Indwara yo mu gatuza iterwa n'ihungabana: Iyi ni yo ndwara ikunze kugaragara cyane. Iterwa n'igikomere gikomeye mu gituza. Ariko, ni gake cyane, ishobora no guterwa n'izindi ndwara nka kanseri y'ibihaha cyangwa rubagimpande.

2. Hemopneumothorax yikora: Ibi bibaho nta mpamvu igaragara. Ibi ni gake cyane.

Iyi ndwara ikunze kugaragara gute?

Hemopneumothorax ni indwara idasanzwe cyane.Hari abantu ibihumbi barwara `(Pneumothorax)` bonyine buri mwaka. Nk’uko abahanga babivuga, `(hemothorax)` (amaraso yuzuye mu bihaha) avuka ku bantu bagera ku bihumbi magana atatu buri mwaka. Ariko, hafi 5% by'abantu bafite `(pneumothorax)` ni bo barwara `(hemothorax)`, ni ukuvuga `(Hemopneumothorax). Rero, bivuze ko ibi ari gake cyane.

Ni ibihe bimenyetso bya `(Hemopneumothorax)`?

Niba ufite `(Hemopneumothorax)`, ushobora kugira kimwe cyangwa byinshi muri ibi bimenyetso:

• Kubabara mu gituza: Iki ni cyo kimenyetso nyamukuru. Bishobora kuba ububabare butunguranye kandi bukabije.
• Guhumeka bigoranye: Biruhije cyane, cyane cyane iyo ugerageza guhumeka cyane.
• Guhumeka vuba (hyperventilation): Ushobora kumva uhumeka vuba cyane.
• Guhumeka nabi (dyspnea): Kumva utabasha guhumeka.
• Umunaniro: Ushobora kumva unaniwe cyane ku buryo ntacyo ushobora gukora.
• Umutima utera cyane (tachycardia): Umuvuduko w'umutima ushobora kwiyongera.
• Guhangayika no kutagira ituze: Ni ibisanzwe ko ibyo bibazo biherekezwa n'ubwoba no kutagira ituze.

Tekereza, niba waguye mu buryo butunguranye cyangwa ukagira impanuka, hanyuma igituza cyawe kikakubabaza kandi bikakugora guhumeka, ntubyirengagize.

Ni izihe mpamvu za `(Hemopneumothorax)`?

Nkuko twabiganiriyeho mbere, impamvu ikunze gutera indwara ya hemopneumothorax iteye impagarara ni ugukubitwa ku gituza cyangwa ikintu gisunika igituza. Urugero:

• Imvune mu mikino: Cyane cyane iyo ukina imikino ikomeye. Tekereza umupira w'amaguru, hockey, lacrosse, guterura ibiremereye, guterana iteramakofe, gukirana, na karate.
• Impanuka z'ibinyabiziga.
• Kugwa (cyane cyane uturutse hejuru).
• Ibikomere: Bishobora guterwa n'icyuma, irashe, cyangwa rimwe na rimwe mu gihe cyo kubagwa nk'isuzuma ry'umubiri (ibi bibaho gake cyane).

Hari izindi mpamvu zishobora kubaho, ariko ntizikunze kugaragara cyane:

• Kanseri y'ibihaha (`(Kanseri y'ibihaha)`).
• Indwara ya rubagimpande (`(rubagimpande)`).
• Kubagwa igifu, harimo no kubagwa umutima.
• Indwara yo kuvura amaraso.
• Mesothelioma ya Pleural (Ubu ni ubwoko bwa kanseri iboneka muri pleura).

Ni gake cyane, "Hemopneumothorax yikora" ishobora kubaho nta mpamvu igaragara.

Ni izihe ngorane zishobora guterwa na `(Hemopneumothorax)`?

Iyo iyi ndwara idavuwe vuba, hashobora kubaho izindi ngorane. Izi zirimo:

• Kugorwa no guhumeka cyangwa kunanirwa guhumeka wenyine (kunanirwa guhumeka).
• Guhagarara k'umutima.
• Indwara zo mu bihaha:Urugero, `(empyema)` (amashyira yuzuza pleura) cyangwa `(pneumonia)`.
• Inkovu ku gice cy'umubiri cyangwa igice cy'ibihaha.

Nanone, hari amahirwe yo kongera kurwara `(Hemopneumothorax)`.

Ni gute wasuzuma `(Hemopneumothorax)`?

Iyo ugiye kwa muganga, umuganga azabanza kugusuzuma. Azatega amatwi ibihaha byawe akoresheje stethoscope (`(auscultation)`). Hanyuma, azagutegeka ibizamini byihariye byo gufata amashusho kugira ngo yemeze ikibazo kandi arebe neza aho amaraso n'umwuka byakusanyirijwe.

Ni ubuhe bwoko bw'ibizamini bikorwa?

Muganga ashobora gutumiza ibizamini nk'ibi bikurikira:

• X-ray yo mu gituza: Ibi bifasha kumenya ibikomere cyangwa indwara zifitanye isano n'ibihaha.
• Scan ya CT (cyangwa scan ya Computed Tomography): Iyi scan ishobora gufata ishusho y'ibihaha byawe mu buryo bwa 3D. Ishobora kwerekana ibintu byinshi kurusha X-ray.
• Ultrasound: Ibi bifasha kumenya ingano y'amaraso n'umwuka byibumbiye hafi y'ibihaha n'aho biherereye.

`(Hemopneumothorax)` ivurwa ite?

Ikintu cy'ingenzi mu kuvura hemopneumothorax ni ugukura amaraso n'umwuka mu mwanya w'amaraso.

Ubwa mbere, umuganga wawe ashobora kuguha umwuka wa ogisijeni (`(Oxygen therapy)`) kugira ngo ufashe guhumeka. Niba indwara yawe ikomeye, ushobora gushyirwaho `(mechanical ventilation)`. Ibi bivuze ko niba udashobora guhumeka wenyine, imashini izaguhumeka.

Bitewe n'uburemere bw'indwara ya hemopneumothorax, muganga ashobora:

• Koresha urushinge rwiza cyane (`urushinge rwo gukurura`) kugira ngo ukure amaraso n'umwuka.
• Cyangwa, umuyoboro munini gato ("umuyoboro w'igituza" cyangwa "thoracostomy") ushyirwa mu mbavu zawe mu mwanya w'imitsi, maze amaraso n'umwuka bikurwamo. Iyo amaraso n'umwuka bimaze gukurwaho, urushinge cyangwa umuyoboro birakurwaho.

Ariko, niba umwanya wo mu gice cy’umuyoboro w’amaraso ukomeje kuzura amaraso n’umwuka, umuganga ubaga azagukata gato mu gituza (gutobora) maze avure ingingo zangiritse. Niba watakaje amaraso menshi, ushobora no gukenera guterwa amaraso.

Nyuma yo kuvurwa, muganga azaguha imiti igabanya ububabare kugira ngo wirinde kwandura indwara ndetse n'imiti igabanya ububabare kugeza igihe ukize.

Ese hari ingaruka mbi zikomoka ku buvuzi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zishobora guterwa no kuvura hemopneumothorax:

• Ububabare.
• Kuva amaraso.
• Indwara y'ibihaha.
• Kubyimba kw'ibihaha (ibinure byiyongera mu bihaha).

Muganga azakubwira byinshi kuri ibi.

Nzakira vuba gute nyuma yo kuvurwa?

IbiBiterwa n'icyateye hemopneumothorax n'ubwoko bw'ubuvuzi wahawe.

Ushobora kumara iminsi mike mu bitaro nyuma yo gushyirwamo umuyoboro w'igituza cyangwa nyuma yo kubagwa. Hemopneumothorax cyangwa izindi mvune zo mu gituza zishobora gufata ibyumweru cyangwa amezi kugira ngo zikire. Muganga wawe azaguha igitekerezo cy'igihe bizatwara kugira ngo ukire, bitewe n'uko umeze.

Ni iki wakwitega uramutse urwaye `(Hemopneumothorax)`?

Hemopneumothorax ni indwara ikomeye isaba ubuvuzi bwihuse. Ushobora gukenera kuguma mu bitaro iminsi mike cyangwa irenga kugira ngo urebe niba ukize neza. Ariko, iyo indwara imenyekanye neza kandi ikavurwa vuba, amahirwe yo gukira aba menshi cyane.

Ariko, hari amahirwe make ko `(Hemopneumothorax)` ishobora kongera kugaruka. Kubwibyo, ni byiza guhora ubonana na muganga kandi ugakomeza gukurikirana ibihaha byawe.

Ni ryari nzashobora gusubira ku kazi no ku ishuri?

Niba ufite hemopneumothorax, bitewe n'impamvu n'uburyo ukira vuba, ushobora kudashobora kujya ku ishuri, ku kazi, cyangwa mu bindi bikorwa igihe runaka. Muganga wawe azakubwira igihe ushobora gusubira mu mirimo isanzwe.

Ese `(Hemopneumothorax)` ishobora kwirindwa?

Biragoye kwirinda hemopneumothorax kubera impamvu zimwe na zimwe. Ariko gukurikiza izi nama bishobora kugufasha kugabanya ibyago byo kurwara:

• Ambara ibikoresho byo kwirinda mu gihe ukina siporo ikomeye.
• Buri gihe wambara umukandara w'imodoka iyo uri mu modoka.
• Kuraho ibintu bishobora gutuma unyerera ukagwa uvuye mu rugo rwawe kandi ubikomeze ku isuku.
• Genda buhoro buhoro kandi ukoreshe inkoni, icyuma gifasha kugenda, cyangwa inkoni kugira ngo wirinde kugwa.
• Koresha ibikoresho bikwiye (nk'urwego, intebe, cyangwa igikoresho cyo gufata) igihe ugeze hejuru. Ntuzigere uzamuka ku ntebe cyangwa ku meza.
• Niba unywa itabi, rireke.
• Gabanya cyangwa uhagarike ibikorwa birimo impinduka nini mu muvuduko w'ikirere (nk'indege, koga mu mazi menshi).

Nitwara nte (nyuma y'iki kibazo)?

Ni ngombwa kwirinda gukora ikintu icyo ari cyo cyose cyakwangiza cyangwa kigashyira igitutu ku bihaha:

• Kunywa itabi.
• Imyitozo ngororamubiri isaba imbaraga nyinshi, harimo no guterura ibiremereye.
• Vugana na siporo.
• Kwibira mu nyanja nini cyane.
• Ingendo zo mu kirere (cyane cyane mu ntangiriro, ku nama za muganga).

Ni ryari ukwiye kujya kwa muganga?

Umaze kuvurwa, jya kwa muganga wawe kugira ngo agukurikirane. Ushobora kandi gukorerwa ibindi bipimo kugira ngo urebe niba uri gukira neza.

Ni ryari ugomba kujya mu cyumba cy’ubutabazi bw’ibanze (ETU) ?

Niba ufite ibimenyetso bya `(Hemopneumothorax)` cyane cyane kugorwa no guhumeka cyangwa ububabare bukomeye mu gatuza, jya mu cyumba cy’ubutabazi bw’ibanze kiri hafi yawe vuba bishoboka.Iki si ikintu cyo gutinda.

Ni ibihe bibazo ngomba kubaza muganga?

Dore ibibazo bimwe na bimwe ushobora kubaza muganga wawe kuri iyi ndwara:

• "Muganga, namenya nte ko mfite `(Hemopneumothorax)`?"
• "Nabibonye nte?"
• "Ibi ni bikomeye gute?"
• "Nkore iki kugira ngo ngire icyo kintu nk'iki kitazongera kubaho?"
• "Ni ubuhe buryo muganga yangiriye inama yo kuvura?"
• "Bizantwara igihe kingana iki kugira ngo ngire gukira?"
• "Ese nkeneye ogisijeni y'inyongera?"
• "Ese nzagomba kuguma mu bitaro?"
• "Hasigaye igihe kingana iki ngo nongere kubonana na muganga?"

Ubajije ibi bibazo, ushobora gusobanukirwa neza uko ibintu bimeze.

Ni irihe tandukaniro riri hagati ya `(Pneumothorax)` na `(Hemopneumothorax)`?

Mu magambo make:

• Pneumothorax ni igihe umwanya wawe w'impyiko wuzuyemo umwuka .
• `(Hemopneumothorax)` ni uruvange rwa `(pneumothorax)` (umwuka) na `(hemothorax)` (amaraso). Ni ukuvuga ko hari umwuka n'amaraso mu mwanya wa pleural.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, rero ndizera ko ubu ufite igitekerezo cyiza ku ndwara twavuze yitwa `(Hemopneumothorax)`.

Iyi ni indwara ikomeye cyane isaba ubuvuzi bwihuse. Akenshi iterwa n'igikomere gikomeye mu gituza. Niba ugize ibimenyetso nko kugorwa no guhumeka no kubabara mu gituza, ugomba guhita ujya kwa muganga.

Ariko ntugahangayike, iyo umenye neza kandi ukavurwa hakiri kare, ushobora gukira. Icy'ingenzi ni uguhita ugira icyo ukora, utirengagije ibimenyetso. Twifurije ubuzima bwiza wowe n'abakunzi bawe!

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