Ingaba isifuba sakho sizala ngumoya ngexesha lokuya esikhathini? (Catamenial Pneumothorax) Masifunde ngayo!

Ukuya exesheni kudla ngokuba lixesha elinzima kwabanye abafazi bethu. Nangona sicinga ukuba izinto ezifana neentlungu zesisu kunye neentlungu zomqolo ziqhelekile, ngamanye amaxesha ngeli xesha, iintlungu zesifuba ezingaqhelekanga kunye nobunzima bokuphefumla zinokwenzeka. Ngamaxesha anjalo, kufuneka silumke kancinci ngale meko ikhethekileyo sithetha ngayo namhlanje. Nangona oku kuyoyikisa kancinci, masiyiqonde ngokulula.

Yintoni le (iCatamenial Pneumothorax)?

Ngamafutshane, `(Catamenial Pneumothorax)` kukuqokelelana komoya kwindawo ephakathi kwemiphunga yakho kunye nolwelo lwesifuba sakho, ngexesha lokuya esikhathini, okanye ngaloo mihla. Igama elithi `Catamenial`` lithetha ``okunxulumene nokuya exesheni.`` `Pneumothorax`` lithetha ukuba kukho umoya esifubeni. Oku kuqokelelana komoya kunokubangela uxinzelelo olujikeleze imiphunga, kwaye ngamanye amaxesha inxalenye okanye yonke imiphunga inokuwa. Cinga ngayo njengebhaluni elahlekelwe ngumoya. Kubantu abaninzi, oku kuchaphazela imiphunga ekunene.

Zithini iimpawu zale meko?

Khawuthelekelele, mhlobo wakho, masimbize ngokuba ngu-'Samadhi'. USamadhi ebenentlungu enzulu esifubeni kwicala lasekunene kangangeentsuku ezimbini okanye ezintathu ngaphambi kokuba aqale ukuya exesheni, kwaye uziva ephelelwa ngumphefumlo. Wayecinga ukuba oku kuqhelekile, mhlawumbi ngenxa yokuzibhokoxa. Kodwa kwaba kuphela xa ebona ugqirha apho wafumanisa ngale meko ibizwa ngokuba yi-'(Catamenial Pneumothorax)'. Ngoko ke, ukuba nawe uhlangabezana nezi mpawu, kubalulekile ukuba ukhathazeke ngayo:

• Intlungu yesifuba: Olu luphawu oluphambili. Inokuba ngequbuliso, ibukhali, ihlaba, kwaye ngamanye amaxesha ihlaba. Le ntlungu inokuba mandundu xa uphefumla okanye ukhohlela.
• Ukuphefumla nzima: Kungavakala ngathi awukwazi ukuphefumla, uyafuthaniseka, okanye isifuba sakho siqinile.
• Ukukhwehlela: Kunokubakho ukukhwehlela okubuhlungu nokomileyo.
• Ukukhohlela igazi (iHemoptysis): Ngamanye amaxesha, igazi elincinci linokuphuma kunye ne-phlegm. Oku akwenzeki kuwo wonke umntu.
• Ukwanda kwesantya sokuphefumla okanye ukunyuka kwesantya sentliziyo.
• Ukutshintsha kombala oluhlaza okwesibhakabhaka kolusu, imilebe, okanye iinzipho (iCyanosis): Olu luphawu olubi kakhulu. Oku kwenzeka xa umzimba ungafumani ioksijini eyaneleyo. Ukuba uqaphela into efana nale, kufuneka ufune ingcebiso kagqirha ngoko nangoko.

Ezi mpawu zihlala zibonakala kwiintsuku ezimbalwa ngaphambi kokuba ixesha lakho liqale (usuku olunye okanye ezimbini) okanye kwiintsuku ezimbalwa (ngesiqhelo iiyure ezingama-72) emva kokuba liqalile.

Kutheni oku kusenzeka? Zithini izizathu?

Enyanisweni, unxibelelwano phakathi komjikelo wakho wokuya exesheni kunye nemiphunga yakho egcwele umoya lusenokubonakala lungaqhelekanga, kwaye noogqirha ngamanye amaxesha banobunzima bokufumanisa unobangela ochanekileyo. Kodwa kukho izinto ezimbalwa eziphambili abacinga ukuba ziyenzeka.

Isizathu esiphambili sithathwa njengemeko ebizwa ngokuba yi-"Endometriosis". Oku kwenzeka xa ulwelo lwesibeleko sakho lukhula.I-Endometriosis kukukhula kwezicubu ezifana nolwelo lwesibeleko ngaphandle kwesibeleko, kwezinye iindawo zomzimba. Umzekelo, ukuba ezi zicubu zikhula emiphungeni yakho, kwi-pleurae (i-membrane encinci ejikeleze imiphunga) okanye kwi-diaphragm (umsipha owahlula isifuba nesisu), ezi zicubu zinokopha okanye ziqhekeke ngexesha lokuya exesheni. Oku kunokubangela ukuba umoya uvuza kwindawo ye-pleural ejikeleze imiphunga. Kulapho ke kuvela khona i-pneumothorax. Ukuba uyazi ngokuqinisekileyo ukuba le meko ibangelwa yi-endometriosis, ikwabizwa ngokuba yi-endometriotic pneumothorax.

Nangona kunjalo, ayinguye wonke umntu one-catamenial pneumothorax one-endometriosis. Ukutshintsha kwamanqanaba e-hormone kunye nokuvuvukala okwenzeka ngexesha lokuya esikhathini kunokuchaphazela nemiphunga yakho. Ezinye izinto ezinokubangela i-pneumothorax ngexesha lokuya esikhathini ziquka:

• Ukuncipha kokuhamba kwegazi ngenxa yeekhemikhali ezibizwa ngokuba yi-`(Prostaglandins): Ezi ziikhemikhali ezisebenza njengeehomoni. Zenziwa xa zininzi ngexesha lokuya esikhathini. Kukholelwa ukuba ezi zinokubangela ukuba iipokotho zomoya/igazi ezikwimiphunga yakho ziqhume, nto leyo ebangela ukuba umoya uvuza ungene kwindawo ejikeleze imiphunga yakho.
• Umoya odlula kwinkqubo yokuzala: Ngamanye amaxesha, umoya ungangena kwisifuba usuka kwisisu ngokusebenzisa iziphene ezincinci, ezizalwa nazo kwi-diaphragm yakho.

Kuza kwenzeka ntoni ukuba i-Endometriosis isasazeka iye emiphungeni?

Ukuba une-endometriosis emiphungeni yakho okanye kwizakhiwo ezingqongileyo, inokubangela imeko ebizwa ngokuba yiThoracic Endometriosis Syndrome. Ukongeza kwi-pneumothorax, ezi zinto zinokwenzeka:

• Igazi lizalisa indawo ejikeleze imiphunga (iHemothorax)
• Amaqhuqhuva eempumlo (amaqhuqhuva amancinci emiphungeni)
• I-Catamenial hemoptysis (ukukhwehlela igazi ngexesha lokuya exesheni)

Ngamanye amaxesha, nokuba awufumanisi ukuba une-endometriosis, ukuba ufumana i-pneumothorax phakathi kokuya exesheni, kusenokwenzeka ukuba kungenxa yokukhula kwezicubu ze-endometrial kwimiphunga okanye kwi-diaphragm.

Ngubani osengozini enkulu yokuba nale meko?

I-Catamenial pneumothorax yimeko edla ngokuvela kubafazi abaphakathi kweminyaka engama-30 ukuya kwengama-40 abakhupha amaqanda (oko kukuthi, ukuya exesheni rhoqo). Ayifane yenzeke kubafazi abasebenzisa ucwangciso lokuzala lwehomoni okanye abakhulelweyo. Ukuba wena okanye umntu kusapho lwakho une-endometriosis, usemngciphekweni omkhulu wokufumana le meko.

Ngaba oku kungabangela iingxaki?

Kwezinye iimeko, i-pneumothorax inokukhokelela kwiingxaki ezinkulu, ezinje ngokusilela kokuphefumla okanye ukusilela kwentliziyo . Nangona oku kungaqhelekanga, kubalulekile ukubona ugqirha ukuba uneempawu ze-pneumothorax.Ngenxa yokuba ezi mpawu zinokufana nezezinye izifo ezinzulu, azipheli nje.

Uyibona njani le nto?

Oogqirha badla ngokuxilonga imeko ebizwa ngokuba yi-"Catamenial Pneumothorax" ngokumamela ngenyameko iimpawu zakho, ukumamela imiphunga yakho, nokusebenzisa iimvavanyo ezahlukeneyo zokuthatha imifanekiso. Ezi mvavanyo ziquka:

• I-X-ray yesifuba: Oku kunokujonga ukuba imiphunga icinezelwe okanye igcwele umoya.
• I-CT scan: Oku kunokuvelisa imifanekiso ecacileyo neneenkcukacha ezingaphezulu kune-X-ray. Kunokujonga ne-endometriosis.
• I-ultrasound yemiphunga: Oku kunceda nasekuxilongeni i-pneumothorax.

Ukuze ugqirha afumane unobangela, kuya kuba luncedo ukuba ungabaxelela oku kulandelayo:

• Ingaba ixesha lakho liza kuqala kungekudala?
• Ingaba ixesha lakho liqalile kutshanje.
• Ulwazi olubaluleke kakhulu kukuba ukhe waba nazo ezi mpawu ngexesha lokuya exesheni ngaphambili.

Ngamanye amaxesha, ngaphandle kotyando (umzekelo, i-laparoscopy okanye i-thoracoscopy) okanye i-biopsy, ugqirha usenokungakwazi ukufumanisa ukuba unobangela ochanekileyo we-pneumothorax yi-endometriosis okanye enye into.

Zithini iindlela zonyango zoku?

Uninzi lwexesha, i-pneumothorax encinci iyaphela ngokwayo. Nangona kunjalo, ukuba iimpawu zakho zinzima okanye imiphunga yakho iwile kakhulu, unokufuna inkqubo ebizwa ngokuba yi-thoracentesis ukususa umoya esifubeni sakho, okanye ityhubhu yesifuba. Oku kuvumela imiphunga yakho ukuba ikhule kwakhona.

Ukuthintela ukuba le meko ingaphindi ivele, ugqirha wakho unokucebisa oku kulandelayo:

• I-video-assisted thoracoscopy (VATS): Oku kuquka ukufaka ikhamera kunye nezixhobo ngokusebenzisa imingxunya embalwa emincinci, ukuvumela ugqirha ukuba asuse izicubu ze-endometrial, alungise imingxunya kwi-diaphragm, okanye avale iingxowa zomoya (iiblebs).
• Amayeza: Ugqirha wakho unokukunika amayeza okulawula amanqanaba akho eehomoni, anciphise ukukhula kwe-endometriosis, kwaye ayeke ukukhutshwa kweqanda. Umzekelo, ugqirha wakho unokukunika iipilisi zokulawula ukuzala, ii-gonadotropin-releasing hormone agonists (i-GnRH agonists), okanye i-danazol.
• I-Pleurodesis: Ngexesha lotyando, umphunga wakho unamathele eludongeni lwesifuba, nokuba kukusebenzisa iikhemikhali okanye ngokwenza umngxuma omncinci kulwelo lwemiphunga yakho (i-pleura). Oku kuthintela umphunga ukuba ungawi kuba akukho ndawo yokuqokelela umoya.
• Ukususwa kwesisu ngotyando lwe-oophorectomy olune-bilateral oesophorectomy: Ukuba zonke ezinye iindlela zonyango aziphumeleli, kwaye iimpawu zinzima kakhulu, njengenyathelo lokugqibela, zombini isibeleko kunye nama-ovari ziyasuswa ngotyando, nto leyo eya kumisa ngokupheleleyo ukukhutshwa kwesisu kunye nokuya exesheni.

Kubalulekile: Olu nyango lugqitywa ngugqirha wakho ngokusekelwe kwimeko yakho yempilo, ubudala, iinjongo zokuzala, kunye nezinye izinto ezininzi. Ngoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho kwaye uxoxe ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo nogqirha wakho.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana iimpawu ezingathandekiyo ezifana nezi (ingakumbi iintlungu zesifuba, ukuphefumla okunzima) ezinxulumene nokuya kwakho exesheni, musa ukuzithatha njengento "exesheni lakho kuphela" kwaye ngokuqinisekileyo thetha nogqirha.

Kunganceda ukubuza ugqirha wakho imibuzo efana nale:

• Ucinga ukuba yintoni ebangela le meko kum?
• Ziziphi iindlela zonyango endinazo? Zithini izinto ezilungileyo nezingalunganga?
• Ukuba kufuneka ndifake umbhobho wesifuba, ndiza kuwugcina ixesha elingakanani ngaphakathi?
• Ngaba kuya kufuneka ndihlale esibhedlele?
• Ndingazinyamekela njani ekhaya? Zeziphi ezinye izinto endingafanele ndizenze?
• Ndingayisebenzisa njani le mithi enikwe ngugqirha? Ngaba inokubangela iziphumo ebezingalindelekanga?

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba uneempawu ze-pneumothorax, ezinje ngeentlungu eziqatha esifubeni, ubunzima bokuphefumla, okanye imilebe eluhlaza okwesibhakabhaka, yiya kwiGumbi loNgxamiseko (ER) ngoko nangoko. Ezi zinokuba ziimpawu zezinye iimeko ezinzulu, kwaye unokufuna unyango olungxamisekileyo. Musa ukuchitha ixesha.

Ndingalindela ntoni kule meko?

I-Catamenial pneumothorax ayisoloko iyingozi ebomini. Nangona kunjalo, ukuba unayo kanye kwaye inganyangwa, kusenokwenzeka ukuba iphinde yenzeke, rhoqo emva kweenyanga ezimbalwa. Yiyo loo nto kubalulekile ukufumana uxilongo olufanelekileyo kunye nonyango. Ungadinga indibaniselwano yonyango (njengotyando kunye namayeza) ukuyilawula.

Ngaba i-`(Catamenial Pneumothorax)` ingathintelwa?

I-Catamenial pneumothorax yimeko enokuphinda ivele rhoqo. Nangona kunjalo, ngokuxhomekeke kwisizathu, utyando (ingakumbi i-VATS), amayeza alawula iihomoni, okanye indibaniselwano yazo zombini inokunceda ukuthintela okanye ukunciphisa ukuphinda kwenzeke kwakhona.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule kweli bali?

Nangona kuqhelekile ukuba ube neengxaki ezithile ngexesha lokuya esikhathini, akuqhelekanga ukuba ube neengxaki zemiphunga. Ngethamsanqa, le meko, ebizwa ngokuba yi-"Catamenial Pneumothorax," ayisongeli ubomi. Kwaye kukho unyango olunokunceda ukuthintela ukuba ingaphindi yenzeke.

Eyona nto ibalulekileyo kukuba ukuba uneempawu ezingapheliyo ezifana neentlungu zesifuba kunye nokuphelelwa ngumphefumlo ngexesha lokuya exesheni, ungayityesheli loo nto kwaye uxelele ugqirha. Emva koko unokufumanisa ukuba le yi-`(Catamenial Pneumothorax)` okanye enye into, aze akunike icebiso elifanelekileyo kunye nonyango. Khumbula, eyona nto ibalulekileyo kukunyamekela impilo yakho kwaye uthethe ngokukhululekileyo ngeengxaki zakho. Ungakhathazeki, kukho izisombululo kuyo yonke into!

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