Ingaba isifuba sakho sizaliswa ligazi nomoya kwaye sikwenza ufuthaniseke? Oku kusenokuba yi-(Hemopneumothorax)!

Ngaba wakha wazibuza ukuba ukwenzakala esifubeni kunokuba nzima kangakanani, nokuba kungenxa yengozi, ukuwa, okanye into efanayo? Ngamanye amaxesha kunokuba nzima kakhulu ukuphefumla emva kwento efana naleyo. Yiloo nto kanye esiza kuthetha ngayo namhlanje, kwaye yimeko enzima efuna unyango olukhawulezileyo. Oku sikubiza ngokuba yi-'(Hemopneumothorax)'. Nangona igama lisenokubonakala lide kancinci, masiligcine lilula.

Yintoni le `(Hemopneumothorax)`?

Ngamafutshane, `(Hemopneumothorax)` kuxa indawo ejikeleze imiphunga yakho, esiyibiza ngokuba yi`(pleural space)`, izaliswe ligazi (`(hemothorax)`) kunye nomoya (`(pneumothorax)` okanye ukuwohloka kwemiphunga) ngaxeshanye. Cinga ngayo ngathi imiphunga yakho ifana neebhaluni ezimbini. Ezi bhaluni zingaphakathi kwesifuba sakho. Kukho umsantsa omncinci phakathi kwemiphunga nodonga lwesifuba, olubizwa ngokuba yi`(pleural space)`. Ngokwesiqhelo, oku akuyonto inkulu, kodwa xa lo msantsa uzaliswe ligazi nomoya, imiphunga ayinakuvuvukala ngokufanelekileyo, oko kuthetha ukuba ayinakuphefumla. Kufana nokubamba ibhaluni kwaye ayizuvuvukala.

Le meko idla ngokuvela emva kokwenzakala ngequbuliso, okuqatha esifubeni, njengengozi yemoto, ukuwa kwindawo ephakamileyo, ukugwazwa, okanye inxeba lokudutyulwa. Ukuba uneempawu ze-hemopneumothorax, kubalulekile ukufuna unyango ngokukhawuleza.

Ingaba ``(Hemopneumothorax)`` yimeko embi kakhulu?

Ewe, ngokuqinisekileyo! `(Hemopneumothorax)` yimeko enzulu kakhulu kwaye ifuna unyango olukhawulezileyo. Kuba, ukuba ayinyangwa, igazi nomoya oqokelelana ujikeleze imiphunga unokubeka uxinzelelo olukhulu emiphungeni, nto leyo ebangela ukuba ingakwazi ukufutha kwaphela. Izinto ezimbi kakhulu ezinokwenzeka zezi:

• Ukungakwazi ukuphefumla.
• Ukumelwa yintliziyo.
• Ngelishwa, nokufa kunokwenzeka.

Ngoko ke, ukuba uneempawu ezinje, eyona nto ingcono onokuyenza kukuya esibhedlele ngaphandle kokulibazisa.

Ngaba kukho iintlobo ze-`(Hemopneumothorax)`?

Kukho iintlobo ezimbini eziphambili ze-`(Hemopneumothorax)`:

1. I-hemopneumothorax ebuhlungu: Olu lolona hlobo luxhaphakileyo. Luvela ngenxa yokwenzakala okukhulu esifubeni. Nangona kunjalo, kunqabile kakhulu, lunokubangelwa zezinye iimeko ezifana nomhlaza wemiphunga okanye isifo samathambo esibizwa ngokuba yi-rheumatoid arthritis.

2. I-hemopneumothorax ezenzekelayo: Oku kwenzeka ngaphandle kwesizathu esibonakalayo. Oku kunqabile kakhulu.

Ixhaphake kangakanani le meko?

I-Hemopneumothorax yimeko engaqhelekanga kakhulu.Kukho amawaka abantu abafumana i-`(Pneumothorax)` yodwa minyaka le. Ngokutsho kweengcali, `(hemothorax)` (igazi elizalisa imiphunga) likhula kubantu abamalunga namakhulu amathathu amawaka minyaka le. Nangona kunjalo, malunga ne-5% kuphela yabantu abane-`(pneumothorax)` abafumana i-`(hemothorax)`, oko kukuthi, `(Hemopneumothorax).` Ngoko ke, oko kuthetha ukuba oku kunqabile kancinci.

Zithini iimpawu ze-`(Hemopneumothorax)`?

Ukuba une-`(Hemopneumothorax)`, unokufumana enye okanye ngaphezulu kwezi mpawu:

• Intlungu yesifuba: Olu luphawu oluphambili. Isenokuba yintlungu ebukhali nekhawulezileyo.
• Ubunzima bokuphefumla: Kuvakala kunzima kakhulu, ingakumbi xa uzama ukuphefumla nzulu.
• Ukuphefumla ngokukhawuleza (umoya ophuma ngamandla): Usenokuziva ngathi uphefumla ngokukhawuleza kakhulu.
• Ukuphefumla kancinci (ukuphelelwa ngamandla): Imvakalelo yokungakwazi ukuphefumla.
• Ukudinwa, ukudinwa: Usenokuziva udiniwe kangangokuba awukwazi kwenza nto.
• Ukubetha kwentliziyo ngokukhawuleza (i-tachycardia): Isantya sentliziyo sinokunyuka.
• Ixhala kunye nokungazoli: Kuqhelekile ukuba uloyiko kunye nokungazoli kuhamba nezi ntlungu.

Khawucinge nje, ukuba uwile ngequbuliso okanye wenze ingozi, uze emva koko isifuba sakho sibe buhlungu uze ufumane kunzima ukuphefumla, musa ukuyityeshela loo nto.

Zithini izizathu ze-`(Hemopneumothorax)`?

Njengoko besikhe sathetha ngaphambili, eyona nto ixhaphakileyo ebangela i-hemopneumothorax ebuhlungu kukubetheka esifubeni okanye into etyhala esifubeni. Umzekelo:

• Ukulimala kwezemidlalo: Ingakumbi xa udlala imidlalo echaphazela kakhulu. Cinga ngebhola ekhatywayo, ihoki, ilacrosse, ukuphakamisa iintsimbi, ibhoksi, iwrestling, kunye nekarati.
• Iingozi zezithuthi.
• Ukuwa (ingakumbi ukusuka kwindawo ephakamileyo).
• Amanxeba okubhoboza: Angabangelwa yimela, ukudubulana, okanye ngamanye amaxesha ngexesha lenkqubo yezonyango efana ne-biopsy (oku kunqabile kakhulu).

Kusenokuba nezinye izizathu, kodwa azixhaphakanga kangako:

• Umhlaza wemiphunga (`(Umhlaza wemiphunga)`).
• Isifo samathambo esibizwa ngokuba yi-rheumatoid arthritis (`(isifo samathambo esibizwa ngokuba yi-rheumatoid arthritis)`).
• Utyando lwesifuba, kuquka notyando lwentliziyo.
• Ingxaki yokuqunjelwa kwegazi.
• I-Pleural mesothelioma (Olu luhlobo lomhlaza oluvela kwi-pleura).

Kunqabile kakhulu ukuba i-hemopneumothorax engaqhelekanga ivele ngaphandle kwesizathu esibonakalayo.

Ziziphi iingxaki ezinokubakho ze-`(Hemopneumothorax)`?

Ukuba le meko ayinyangwa ngokukhawuleza, ezinye iingxaki zingavela. Ezi ziquka:

• Ubunzima bokuphefumla okanye ukungakwazi ukuphefumla ngokwakho (ukusilela kokuphefumla).
• Ukubanjwa kwe-cardiac.
• Usulelo lwemiphunga:Umzekelo, `(empyema)` (ubovu obuzalisa ipleura) okanye `(ipneumonia)`.
• Ukuvaleka kwezicubu ze-pleural okanye izicubu zemiphunga.

Kwakhona, kukho ithuba lokuphinda kwenzeke `(Hemopneumothorax)`.

Ungayixilonga njani i-`(Hemopneumothorax)`?

Xa usiya esibhedlele, ugqirha uza kuqala akuhlole. Uza kumamela imiphunga yakho nge-stethoscope (`(auscultation)`). Emva koko, uza kuyalela iimvavanyo ezikhethekileyo zokuthatha imifanekiso ukuqinisekisa imeko kunye nokubona apho igazi nomoya ziqokelele khona.

Luhlobo luni lovavanyo oluqhutywayo?

Ugqirha angayalela iimvavanyo ezifana nezi:

• I-X-ray yesifuba: Oku kunceda ekuchongeni naziphi na iingozi okanye iimeko ezinxulumene nemiphunga.
• I-CT scan (okanye i-Computed Tomography scan): Oku kungathatha umfanekiso wemiphunga yakho onemilinganiselo emithathu (3D). Kungabonisa iinkcukacha ezingaphezulu kune-X-ray.
• I-Ultrasound: Oku kunceda ekufumaneni ukuba lingakanani igazi nomoya oqokeleleneyo ojikeleze imiphunga kunye nendawo ekuyo.

Inyangwa njani i-`(Hemopneumothorax)`?

Eyona nto iphambili ekunyangeni i-hemopneumothorax kukususa igazi nomoya kwindawo ye-pleural.

Okokuqala, ugqirha wakho angakunika ioksijini (`(Unyango lweoksijini)`) ukuze ikuncede uphefumle. Ukuba imeko yakho imbi kakhulu, ungafakwa i-`(umoya womoya)`. Oku kuthetha ukuba ukuba awukwazi ukuphefumla wedwa, umatshini uya kuphefumla.

Ngokuxhomekeke kubukhali be-hemopneumothorax, ugqirha unokuthi:

• Sebenzisa inaliti ecolekileyo kakhulu ('inaliti yokufunxa') ukutsala igazi nomoya.
• Okanye, ityhubhu enkulu kancinci ('ityhubhu yesifuba'' okanye 'ithoracostomy') ifakwa ngeembambo zakho kwindawo yepleural, kwaye igazi nomoya zisuswa ngayo. Nje ukuba igazi nomoya zisusiwe, inaliti okanye ityhubhu iyasuswa.

Nangona kunjalo, ukuba indawo yepleural iqhubeka nokuzaliswa ligazi nomoya, ugqirha uza kwenza umngxuma omncinci esifubeni sakho (i-thoracotomy) aze anyange izicwili ezonakeleyo. Ukuba ulahlekelwe ligazi elininzi, usenokufuna utofelo-gazi.

Emva konyango, ugqirha uya kunika amayeza okubulala iintsholongwane ukuthintela usulelo kunye neentlungu zokunciphisa iintlungu de kuphole.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Njengakwezinye iindlela zonyango, kukho iingozi ezithile ezibandakanyekayo ekunyangeni i-hemopneumothorax:

• Intlungu.
• Ukopha.
• Usulelo lwemiphunga.
• Ukudumba kwamaphaphu (ukuqokelelana kolwelo emiphungeni).

Ugqirha uza kukuxelela okungakumbi ngezi zinto.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

OkuKuxhomekeke kwisizathu se-hemopneumothorax kunye nohlobo lonyango olufumeneyo.

Usenokuhlala esibhedlele iintsuku ezimbalwa emva kokufakwa kwetyhubhu yesifuba okanye emva kotyando. I-Hemopneumothorax okanye ezinye iingozi zesifuba zingathatha iiveki okanye iinyanga ukuphola. Ugqirha wakho uza kukunika umbono wokuba kuza kuthatha ixesha elingakanani ukuphola, kuxhomekeke kwimeko yakho.

Yintoni onokuyilindela ukuba unesifo se-`(Hemopneumothorax)`?

I-Hemopneumothorax yimeko embi kakhulu efuna unyango olukhawulezileyo. Kusenokufuneka uhlale esibhedlele iintsuku ezimbalwa okanye ngaphezulu ukuze ubone ukuba uphila kakuhle na. Nangona kunjalo, ukuba imeko ifunyenwe ngokuchanekileyo kwaye inyangwa ngokukhawuleza, amathuba okuchacha mahle kakhulu.

Nangona kunjalo, kukho ithuba elincinci lokuba `(Hemopneumothorax)` iya kuphinda ivele. Ke ngoko, kungcono ukuhlala unxibelelana nogqirha rhoqo kwaye ujonge imiphunga yakho.

Ndiza kukwazi nini ukubuyela emsebenzini nasesikolweni?

Ukuba une-hemopneumothorax, kuxhomekeke kwisizathu kunye nokuba uphila ngokukhawuleza kangakanani, usenokungakwazi ukuya esikolweni, emsebenzini, okanye kwezinye izinto okwethutyana. Ugqirha wakho uza kukuxelela ukuba ungabuyela nini kwimisebenzi yakho yesiqhelo.

Ngaba i-`(Hemopneumothorax)` ingathintelwa?

Kunzima ukuthintela i-hemopneumothorax ukuba ingenzeki ngenxa yezizathu ezithile. Nangona kunjalo, ukulandela la macebiso kunokunceda ukunciphisa umngcipheko wakho:

• Nxiba izixhobo zokuzikhusela xa udlala imidlalo echaphazela kakhulu umzimba.
• Soloko unxibe ibhanti xa ukhwela imoto.
• Susa izinto ezinokubangela ukuba utyibilike uze uwe ekhayeni lakho, uze uzigcine zicocekile.
• Hamba kancinci uze usebenzise intonga, i-walker, okanye iintonga zokusila ukuze uthintele ukuwa.
• Sebenzisa izixhobo ezifanelekileyo (ezifana neleli, isitulo, okanye isixhobo sokubamba) xa ufikelela phezulu. Ungaze ukhwele ezitulweni okanye etafileni.
• Ukuba uyatshaya, yeka.
• Nciphisa okanye uyeke imisebenzi equka utshintsho olukhulu kuxinzelelo lomoya (njengokubhabha, ukuntywila elwandle olujulileyo).

Ndingazinyamekela njani (emva kwale meko)?

Kubalulekile ukuphepha ukwenza nantoni na enokwenzakalisa okanye ibeke uxinzelelo emiphungeni:

• Ukutshaya.
• Ukuzilolonga okunzima, kuquka nokuphakamisa iintsimbi.
• Nxibelelana nezemidlalo.
• Ukuntywila elwandle olunzulu.
• Ukuhamba ngenqwelo moya (ingakumbi kwizigaba zokuqala, phantsi kwengcebiso kagqirha).

Ufanele uye nini kugqirha?

Emva kokuba ufumene unyango, yiya kugqirha wakho ukuze ufumane amadinga okulandela. Ungaphinda wenze uvavanyo olongezelelweyo ukuze ubone ukuba uyachacha kakuhle na.

Ufanele uye nini kwigumbi likaxakeka (ETU) ?

Ukuba uneempawu ze-`(Hemopneumothorax)` ingakumbi ubunzima bokuphefumla okanye iintlungu eziqatha esifubeni, yiya kwigumbi likaxakeka elikufutshane ngokukhawuleza.Asikuko ukuba ufike emva kwexesha.

Ndingayibuza yiphi imibuzo ugqirha?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho ngale meko:

• "Gqirha, ndingaqiniseka njani ukuba ndine-`(Hemopneumothorax)`?"
• "Ndiyifumene njani le nto?"
• "Inzulu kangakanani le nto?"
• "Ndingenza ntoni ukuthintela into efana nale ukuba ingaphindi yenzeke?"
• "Ugqirha undicebisa ukuba ndinyangwe ngaluphi unyango?"
• "Kuza kundithatha ixesha elingakanani ukuba ndiphile?"
• "Ngaba ndiza kuyidinga ioksijini eyongezelelweyo?"
• "Ngaba kuza kufuneka ndihlale esibhedlele?"
• "Kuza kuthatha ixesha elingakanani ndize ndiphinde ndimbone ugqirha?"

Ngokubuza le mibuzo, ungayiqonda ngcono imeko.

Yintoni umahluko phakathi kwe-`(Pneumothorax)` kunye ne-`(Hemopneumothorax)`?

Kalula nje:

• I-Pneumothorax kuxa indawo yakho ye-pleural izaliswe ngumoya .
• `(Hemopneumothorax)` yindibaniselwano ye `(pneumothorax)` (umoya) kunye ne `(hemothorax)` (igazi). Oko kukuthi, kukho umoya kunye negazi kwindawo ye-pleural.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke ndiyathemba ukuba ngoku unombono ongcono malunga nemeko esithethe ngayo ebizwa ngokuba yi-`(Hemopneumothorax)`.

Le yimeko embi kakhulu efuna unyango olukhawulezileyo. Idla ngokubangelwa kukwenzakala okukhulu esifubeni. Ukuba ufumana iimpawu ezifana nobunzima bokuphefumla kunye nentlungu esifubeni, ngokuqinisekileyo kufuneka uye esibhedlele ngoko nangoko.

Kodwa ungakhathazeki, ukuba uxilongiwe ngokuchanekileyo kwaye unyangwe kwangethuba, ungaphila. Eyona nto ibalulekileyo kukuthatha amanyathelo ngoko nangoko, ungaze uyityeshele iimpawu. Sikunqwenelela impilo entle wena nabantu obathandayo!

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