Isifo sesifuba sisifo esicaphukisayo nesiphazamisa ubomi bemihla ngemihla, ngabo banesifo saso kuphela abaziyo. Ukuphefumla rhoqo, ukuziva ngathi isifuba sabo sixinene, ukungakwazi ukuya naphi na ngaphandle kwe-inhaler yabo... Izinto ezinje zenza kube nzima ukwenza imisebenzi yabo yemihla ngemihla ngokufanelekileyo, akunjalo? Oku kubaxinzelela ngakumbi abo bangakwaziyo ukulawula isifuba sabo nasemva kokusebenzisa amayeza anikwe ngugqirha kunye ne-inhaler yabo ngokufanelekileyo. Ngoko ke, namhlanje siza kuthetha ngendlela ekhethekileyo, yanamhlanje yonyango enokunceda abantu abane-asthma enzima kangaka. Loo yiBronchial Thermoplasty .
Ngamafutshane, yintoni iBronchial Thermoplasty?
Kulungile, masiyibeke ngokulula le nto. Khawucinge ukuba kukho umaleko omncinci wemisipha ejikeleze umbhobho womoya (siwubiza ngokuba yi-trachea) ngaphakathi kwemiphunga yakho. Kumntu one-asthma, lo msipha uyancipha ngokungeyomfuneko, oko kukuthi, uyaqina. Emva koko loo mbhobho womoya uba mxinwa. Njengokuba xa ucinezela umbhobho wamanzi, kuba nzima ukuhamba, xa i-bronchi iba mxinwa, kuba nzima ukuphefumla. Xa sine-asthma, yiloo nto esenza siphefumle kwaye isifuba sethu siqine.
I-Bronchial Thermoplasty lunyango olusebenzisa ubushushu obulawulwayo kwezi zihlunu ziqinileyo nezityebileyo, olunceda ekuphumzeni. Ngokuchanekileyo, oku kudla ngokwenziwa yingcali yezifo zamaphaphu. Usebenzisa umbhobho omncinci ukungena kwiindlela zakho zomoya aze afake ubushushu kwiimisipha. Xa ezi zihlunu zikhululekile, azikwazi ukufinyela ngokuqinileyo njengoko bezisenza ngaphambili. Oku kuvula iindlela zomoya, okwenza kube lula ukuphefumla.
Into ebalulekileyo kukuba oku akuyonyango lwe-asthma. Nangona kunjalo, kunokunciphisa kakhulu ubukhali beempawu ze-asthma kunye nokuxhaphaka kokuhlaselwa yi-asthma.
Ngubani ofanelekileyo kolu nyango?
Olu asilonyango lwabo bonke abantu abane-asthma. I-Bronchial Thermoplasty idla ngokucetyiswa kubantu abane -asthma enzima abangakwaziyo ukuyilawula ngonyango oluqhelekileyo.
Makhe sijonge ukuba kuthetha ukuthini "isifo sombefu esiqatha" ngale ndlela.
| Imeko | Ingcaciso elula |
|---|---|
| Ayilawulwa ziindlela zonyango eziqhelekileyo | Ukuba iimpawu zakho zesifuba (ukuphefumla kancinci, ukukhohlela, ukuqina kwesifuba) ziyaqhubeka nangona usebenzisa ii-inhaler zakho ezimiselweyo ezinedosi ephezulu, amayeza okusela, okanye iinaliti ezikhethekileyo (i-biologics). |
| Impembelelo kumgangatho wobomi | Ukuba isifo sakho sesifuba siphazamisana rhoqo nemisebenzi yakho yemihla ngemihla, ukulala, umsebenzi, kunye nokuzilolonga. |
| Ukuhlaselwa rhoqo yi-asthma | Ukuba ufumana ukuhlaselwa sisifo sesifuba rhoqo kwaye kunzima ukuphefumla kunesiqhelo. |
| Ukufuneka ulaliswe esibhedlele | Ukuba isifo sakho sesifuba siba sibi kakhulu, oko kuthetha ukuba unobunzima bokuphefumla kwaye kufuneka ulaliswe esibhedlele ukuze ufumane unyango. |
Ukuba unesifo esifanayo, ungaxoxa nogqirha wakho ngonyango lweBronchial Thermoplasty uze ugqibe ukuba lukulungele na.
Ulungiselela njani ngaphambi konyango?
Nje ukuba wena nogqirha wakho nigqibe ekubeni nifumane olu nyango, kukho amalungiselelo athile afunekayo. Ugqirha uya kukunika imiyalelo efana nale:
- Uza kucelwa ukuba ungatyi okanye ungaseli nto ubuncinane iiyure ezisibhozo ngaphambi konyango.
- Uza kucelwa ukuba uthathe ipilisi ye-steroid (umz. i-prednisolone) iintsuku ezimbini ukuya kwezintathu ngaphambi konyango. Oku kwenzelwa ukulawula ukudumba kunye neempawu ezinokubakho emva konyango.
- Ekubeni unyango lwenziwa phantsi kwe-anesthesia, awuyi kukwazi ukuqhuba imoto emva konyango. Ngoko ke, uya kucelwa ukuba ulungiselele ukuba umntu akuse ekhaya kwangethuba .
Kwenzeka ntoni ngexesha lonyango?
Okwenzekayo ngomhla wolu nyango kucwangcisiwe kakhulu.
1. Okokuqala, uza kunikwa i-anesthesia ngemithambo ukuze ungabi nantlungu okanye ukungonwabi. Ngoko ke, uza kube ulele lonke unyango.
2. Emva koko, ugqirha usebenzisa i-bronchoscope.Enye, ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelweyo, idluliselwa emlonyeni wakho iye kwimiphunga yakho.
3. Esinye isixhobo esikhethekileyo sifakwa ngale tube kwaye sihambisa ubushushu obulawulwayo (`amandla e-radiofrequency`) kwiindawo apho kukho izihlunu ezityebileyo. Olu bushushu bubangela ukuba izihlunu zibe buthathaka.
4. Emva kokunyanga zonke iindawo ezifunekayo, ugqirha ususa i-bronchoscope ngononophelo.
Le nkqubo yonke idla ngokuthatha imizuzu engama-45 ukuya kwiyure .
Emva konyango kunye nonyango lonke
Emva kokuba unyango luphelile, uza kujongwa ngoogqirha kunye nabongikazi kangangeeyure ezimbalwa ude uvuke emva kokusebenzisa i-anesthesia. Ukuba iimpawu zakho zesifuba ziyanda okanye ufumana ezinye iziphumo ebezingalindelekanga, kunokufuneka uhlale esibhedlele ngobo busuku.
Eyona nto ibalulekileyo kukuba olu nyango lungenziwa ngexesha elinye. Ukuze unyange zonke iindawo zemiphunga, kuya kufuneka uye kwiiseshoni zonyango ezintathu .
- Inxalenye esezantsi yomphunga wasekunene inyangwa ngexesha elinye.
- Kwiseshoni enye, inxalenye esezantsi yomphunga wasekhohlo iya kunyangwa.
- Kwiseshoni yesithathu, iindawo eziphezulu zemiphunga yomibini ziyanyangwa.
Kukho isithuba seeveki ezintathu ubuncinane phakathi kwezi seshoni.
Zithini iingenelo, iingozi, kunye nemiphumo emibi yolu nyango?
Njengakwezinye iindlela zonyango, iBronchial Thermoplasty ineengenelo zayo kunye neengozi ezithile kunye nemiphumo emibi. Kubalulekile ukuba nokuqonda okucacileyo kwezi zinto.
| Iinzuzo | Iingozi kunye nemiphumo emibi |
|---|---|
| Ukunciphisa ubukhali kunye nokuphindaphindeka kweempawu zesifuba. | Ukwanda okwethutyana kweempawu (ukukhwehlela, ukuphefumla, iintlungu zesifuba) kangangeentsuku ezimbalwa emva konyango (ezi zihlala ziphela kwiveki). |
| Ukwehla kwenani lokuhlaselwa sisifo sesifuba. | Umngcipheko omncinci wokulaliswa esibhedlele ngenxa yeempawu eziqatha. |
| Ukuphucula umgangatho wobomi. | Ingozi yokosulelwa yimiphunga. |
| Uphando lubonise ukuba iziphumo ezilungileyo zihlala ubuncinane iminyaka eli-10. | Kunqabile kakhulu ukuba kubekho umngcipheko weemeko ezinje ngokuwa kwenxalenye yomphunga (`atelectasis`) okanye ukwanda kweendlela zomoya (`bronchiectasis`). |
Ixesha lokubona ugqirha nokuya esibhedlele ngoko nangoko
Emva konyango, kubalulekile ukwazi umahluko phakathi kokungonwabi okuqhelekileyo, okulindelekileyo kunye neemeko ezinzulu ezifuna ingqalelo ekhawulezileyo.
| Iimeko ekufuneka ziqwalaselwe | |
|---|---|
| Thetha nogqirha wakho: | |
| Thetha ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo onokuba nazo ngaphambi okanye emva konyango. Umzekelo, "Gqirha, ndikhwehlela kancinci, ingaba kuqhelekile oko?" | |
| Yiya kwiSebe leeNgxamiseko (i-ETU) elikufutshane ngoko nangoko: | |
|
Isifo sombefu sinokuba yimeko esongela ubomi. Ingakumbi ukuba isifo sakho sombefu sihlala sivutha, ungaphoswa zezinye zezinto ezimnandi ebomini. I-Bronchial Thermoplasty ayisosisombululo esifanelekileyo kuzo zonke. Nangona kunjalo, ukuba uvakalelwa kukuba isifo sakho sombefu sichaphazela ubomi bakho kakhulu, nokuba sele usele amayeza owayalelweyo, kungcono ukuthetha nogqirha wakho ukuze uxoxe ngokuba olu nyango okanye olunye unyango lufanelekile na kuwe.
Umyalezo Wokuya Ekhaya
- I-Bronchial Thermoplasty lunyango olukhethekileyo lwe -asthma enzima olungenakulawulwa ngonyango oluqhelekileyo.
- Oku kufudumeza izihlunu ezijiyileyo ezijikeleze iindlela zomoya kwaye kuzenze zibe ncinci, okwenza ukuphefumla kube lula.
- Oku akugqityezelwanga kwiseshoni enye, kodwa kuqulathe iiseshoni zonyango ezintathu ezihlukaniswe malunga neeveki ezintathu.
- Nangona oku kungekuko unyango lwe-asthma, kunokunciphisa kakhulu iimpawu kunye nokuvela kokuhlaselwa yi -asthma.
- Njengakwezinye iinkqubo zonyango, kukho iingozi ezithile kunye nemiphumo emibi yexeshana.
- Ngokuqinisekileyo kufuneka uxoxe ngolu nyango nogqirha wakho wezifo zamaphaphu okanye ugqirha wakho ukuze ubone ukuba lukulungele na.
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