Ngaba ukufumanisa kunzima ngakumbi ukuphefumla nokuba uhamba ngokukhawuleza okanye unyuka izinyuko? Ngaba uziva ngathi isifuba sakho sigcwele umoya kwaye awusakwazi ukuphefumla? Le yingxaki eqhelekileyo abantu abaninzi abayifumanayo nge -emphysema , uhlobo olubi lwe-COPD (Chronic Obstructive Pulmonary Disease). Kodwa ungakhathazeki, kukho unyango lwanamhlanje olunokukunceda ulawule le meko. Namhlanje, siza kuthetha ngonyango olulodwa olukhethekileyo.
Yintoni i-BLVR? Masiyiqonde ngokulula.
I-BLVR, emele iBronchoscopic Lung Volume Reduction , lunyango oluvumela umoya ovaleleke ngokungeyomfuneko emiphungeni yakho ukuba uphume.
Cinga ngemiphunga yakho njengeebhaluni ezimbini. Kwi-emphysema, umoya ungangena kwezinye iindawo zemiphunga yakho kodwa awukwazi ukuphuma ngokupheleleyo. Iindawo ezonakeleyo emva koko ziyavuthelana, nto leyo enciphisa indawo ekhoyo yokusebenza kweendawo eziphilileyo zemiphunga yakho. Oku kwenza kube nzima ukuphefumla, kwaye uzive udiniwe kwaye uphelelwa ngumphefumlo.
Ngoko ke kolu nyango lwe-BLVR, oogqirha bafaka i -bronchoscope , ityhubhu encinci enekhamera eqhotyoshelweyo, ezantsi emqaleni wakho ize ingene emiphungeni yakho. Emva koko, bafaka uthotho lweevalvu ezincinci eziya kwicala elinye kwiindawo zemiphunga ezikhuliswe ngendlela engaqhelekanga.
Ezi valve zivumela umoya ovalelekileyo ukuba uphume xa ukhupha umoya, kodwa xa uphefumla kwakhona, ziyawuthintela umoya ukuba ungangeni kwiindawo ezonakeleyo.
Ekuhambeni kwexesha, oku kunciphisa ubuninzi bomoya obambeke kwimiphunga yakho, kubangela ukuba imiphunga yakho inciphe kancinci, ize iqalise ukusebenza kakuhle. Oku kuya kunciphisa kakhulu ukuphefumla kwakho okuncinci nokudinwa.
Into ebalulekileyo kukuba i-BLVR ayilonyango lwe-emphysema okanye unyango ololula ubomi. Injongo ephambili kukulawula iimpawu nokuphucula umgangatho wobomi bakho.
Ngubani kanye kanye olu nyango lufanelekileyo kuye?
Unyango lwe-BLVR alulungelanga wonke umntu. Kukho iziqinisekiso ezikhethekileyo zoku. Ugqirha wakho uza kukuhlola ngononophelo ukuze abone ukuba uyahlangabezana na nezi ziqinisekiso.
| Uqwalaselo | Inkcazo |
|---|---|
| Ubudala | Ngokwesiqhelo, kufuneka ube ungaphantsi kweminyaka engama-75 ubudala. |
| Ubunzima beempawu | Ukuphelelwa ngamandla komoya kunye nokudinwa kuyaqhubeka nangona kukho amayeza afanelekileyo kunye nonyango lwemiphunga. |
| Imeko yemiphunga | Imiphunga kufuneka ifuthwe kakhulu kwaye umoya uvaleleke. Kwakhona, umoya akufuneki uhambe ngeendlela ezingaqhelekanga ngaphakathi kwemiphunga (akufuneki kubekho umoya ongenisayo). |
| Ukutshaya | Akufuneki utshaye okwangoku, kwaye kufuneka uyeke ukutshaya ubuncinane iinyanga ezi-4. |
| Iinkqubo zokubuyisela kwimeko yesiqhelo | Kufuneka ukwazi ukuthatha inxaxheba kwiinkqubo zokuvuselela imiphunga ezicwangcisiweyo ngaphambi nasemva konyango. |
Zeziphi iimvavanyo ezenziwayo ngaphambi konyango?
Ukuze afumanise ukuba ungumntu ofanelekileyo na kolu nyango, ugqirha wakho uza kwenza uvavanyo olupheleleyo lomzimba aze acele uvavanyo oluninzi. Ezinye zazo zezi:
- Uvavanyo lwegazi
- I-X-reyi yesifuba
- I-CT scan enesisombululo esiphezulu
- Uvavanyo lomsebenzi wemiphunga
- Uvavanyo lwegesi yegazi lwe-arterial
- Uvavanyo lwe-Echocardiogram olujonga ukusebenza kwentliziyo
- Uvavanyo lokuhamba ngeenyawo lwemizuzu emithandathu - Olu vavanyo lulinganisa ukusebenza kwentliziyo yakho kunye nemiphunga.
Ulungiselela njani unyango?
Ugqirha wakho uza kukunika imiyalelo yendlela yokulungiselela unyango lwakho. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo ukuze unciphise iingxaki.
- Kuphephe ukutya okanye ukusela nantoni na kangangeeyure ezisi-8 ngaphambi konyango (ukuzila ukutya).
- Kusenokufuneka uyeke ukusebenzisa amayeza athile okanye utshintshe ixesha. Thetha nogqirha wakho ngale nto.
- Ekubeni uza kuba sesibhedlele iintsuku ezimbalwa emva konyango, lungiselela kwangaphambili ukuba umntu akuse ekhaya.
Indlela oluqhutywa ngayo unyango kunye neengenelo kunye neengxaki zalo
Olu asilotyando lukhulu. Akukho zisikelo zenziweyo. Ulaliswa ubuthongo. Ugqirha ufaka i-bronchoscope emqaleni wakho, afake malunga neevalvu ezine kwimiphunga eyonakeleyo, aze asuse i-bronchoscope. Lonke olu tyando luthatha imizuzu engama-30 ukuya kwengama-60 kuphela.
| Iingenelo | Iingozi |
|---|---|
| Akukho kusikeka emzimbeni. | Iimpendulo ezinokwenzeka kwi-anesthesia. |
| Ixesha elifutshane lokuchacha. | I-Pneumothorax . |
| Ukwazi ukususa okanye ukutshintsha iivalvu ukuba kuyimfuneko. | Iintsholongwane ezifana ne -pneumonia . |
| Iingxaki ezimbalwa kunezotyando zesintu. | Ukwanda kwe-COPD. |
| Umgangatho wobomi uphucuke kakhulu. | Iingxaki ezinzulu ezifana nokopha, istroke , kunye ne-myocardial infarction (ezidla ngokungaqhelekanga). |
Kwenzeka ntoni emva konyango?
Emva konyango, kuya kufuneka uhlale esibhedlele ubuncinane iintsuku ezi-3. Iqela lezonyango liza kukujonga ngokusondeleyo. Emva kokuba ubuyele ekhaya, uya kucelwa ukuba uqalise inkqubo yokuvuselela imiphunga kwiiveki ezi-4-6. Oku kuya kuba luncedo kakhulu ekulawuleni impilo yakho.
Ndifanele ndimbone nini ugqirha?
Ukuba unemibuzo okanye iinkxalabo ngaphambi okanye emva konyango lwakho, musa ukulibazisa ukuthetha nogqirha wakho. Kwakhona, ukuba ufumana naziphi na zezi mpawu zilandelayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Umkhuhlane ngaphandle kwesizathu.
- Intlungu ebuhlungu esifubeni.
- Ubunzima obukhulu bokuphefumla.
- Ukutshintsha kombala oluhlaza okwesibhakabhaka kolusu, imilebe, okanye iinzipho (iCyanosis) .
Akukho nyango lwe-emphysema, kodwa unyango olufana ne-BLVR lunokukunceda uphefumle lula kwaye uphile kamnandi. Thetha nogqirha wakho ukuze agqibe ukuba olu lolona nyango lufanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-BLVR lunyango lwanamhlanje, olungangenisi ntsholongwane kwi-emphysema enzima.
- Nangona oku kungasinyangi esi sifo, kuphucula kakhulu umgangatho wobomi ngokwenza ukuphefumla kube lula.
- Olu nyango alufanelekanga kuye wonke umntu kwaye lufuna iziqinisekiso ezikhethekileyo.
- Njengakwezinye iindlela zonyango, kukho iingozi ezithile, kodwa ziphantsi kunezotyando lwesintu.
- Xoxa nogqirha wakho wezifo zokuphefumla ukuba olu nyango lukulungele na kwaye zeziphi izibonelelo kunye neengxaki zalo.
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