Masifunde nge-pleura egubungela imiphunga yakho.

Ngaba wakha waliva igama elithi "pleura"? Usenokuba ulivile eli gama kugqirha wakho, esibhedlele, okanye xa uthetha ngempilo. Liyinxalenye ebaluleke kakhulu yomzimba wethu, ingakumbi inkqubo yokuphefumla. Kodwa abantu abaninzi abazi kangako ngalo. Ngoko ke, namhlanje siza kuthetha ngalo pleura, inkonzo enika umzimba wethu, izifo ezinokubangela, kunye nendlela yokuwugcina usempilweni ngendlela elula kakhulu onokuyiqonda.

Yintoni kanye kanye i-pleura?

Ngamafutshane, i-pleura yakho yi -membrane encinci, egcwele ulwelo egubungela imiphunga yakho, njengesigqubuthelo sencwadi. Ijikeleza imiphunga yakho kwaye iyikhusele. Ikwajikeleza ngaphakathi kodonga lwesifuba sakho (isifuba). Yinxalenye ebalulekileyo yenkqubo yakho yokuphefumla .

Ngoko ke, le pleural membrane isinika yiphi inkonzo?

Umsebenzi oyintloko nobaluleke kakhulu wale pleura kukukhusela imiphunga yakho. Kwakhona, xa siphefumla, imiphunga iyavuthelana ize ikhuphe umoya, akunjalo? Xa oko kusenzeka, yile pleura ethintela imiphunga ukuba ingakhuhli eludongeni lwesifuba. Khawucinge ukuba bekuya kwenzeka ntoni ukuba le pleura ibingekho. Ukuba imiphunga iyaqhubeka nokukhuhliza eludongeni lwesifuba, inokwenzakala kwaye yenzakale. Ngoko ke, le pleura isebenza njengomqamelo kwaye inceda imiphunga ukuba ihambe kakuhle ngaphandle kokuphazanyiswa. Yiyo loo nto sinokuphefumla lula ngaphandle kwentlungu.

Iphi emzimbeni le pleura?

Makhe sijonge ezinye zeendawo apho ipleura yakho ikhoyo:

• Okokuqala, unodonga lwesifuba sakho (udonga lwesifuba), olungaphakathi lwalo luphantse lugqunywe yi-pleura.
• Okulandelayo, le pleura ijikeleza intliziyo yakho. Emva koko, kukho inxalenye ephakathi yesifuba sakho, ebizwa ngokuba yi-mediastinum, kwaye le pleura ikwanceda ekwenzeni iindonga ezisecaleni.
• Okokugqibela, kwaye okona kubaluleke kakhulu, umphezulu wemiphunga yakho yomibini ugqunywe ngokupheleleyo yile pleura, njengeeglavu.

Zeziphi iindawo ezikhoyo kwi-pleura?

I-pleura ayilolwembu olunye. Ineeleya ezimbini eziphambili. Phakathi kwezi leya zimbini kukho indawo encinci engenanto, njengepokotho. Siyibiza ngokuba yindawo ye-pleural . Le ndawo ye-pleural ayisiyonto nje ingenanto. Ngaphakathi kukho umaleko omncinci kakhulu wolwelo obizwa ngokuba yi-pleural fluid . Olu lwelo lubaluleke kakhulu. Kuba, xa uphefumla, lolu lwelo lwe-pleural olunceda ukuba iileya ezimbini ze-pleura zityibilike phezu komnye. Oku kufana nokufaka ioyile kumatshini.

Ngoku makhe sibone ukuba zeziphi ezo layer zimbini ze-pleura:

• I-visceral pleura: Le yi-layer engaphakathi ye-pleura. Igubungela ngqo imiphunga yakho, imithambo yegazi eya kuyo, i-bronchi, kunye nemithambo-luvo. Into ekhethekileyo ngale nto kukuba akukho mithambo-luvo kwi-visceral pleura. Oku kuthetha ukuba awuva ntlungu xa kwenzeka into kule layer.
• I-Parietal pleura: Le yinye i-layer ye-pleura, engaphandle. Inamathele eludongeni lwesifuba sakho, kwimisipha yesifuba, nakwi-diaphragm ephezulu yesifuba sakho. Ngokungafaniyo ne-visceral pleura, ebikhankanyiwe ngaphambili, i-parietal pleura inovelwano kakhulu kwiintlungu. Oku kuthetha ukuba ukuba le layer yonakele okanye idumbile, ungaziva iintlungu eziqatha.

Ziziphi izifo eziqhelekileyo ezinokuchaphazela i-pleura?

Ngelishwa, le pleura inokuchaphazeleka zizifo ezahlukeneyo kunye neengxaki. Makhe sijonge ezinye zazo:

• I-Pleurisy: Mhlawumbi ukhe wayiva le nto. Ngamafutshane, kukudumba kwe-pleura yakho. Njengokuba xa sinomonzakalo kwindawo ethile emzimbeni wethu, i-pleura inokudumba ngale ndlela. Emva koko, xa siphefumla okanye sikhwehlela, sinokuziva intlungu ebukhali esifubeni sethu.
• Ukuphuma kwegazi kwi-Pleural: Kulapho indawo ye-pleural ebesithethe ngayo ngaphambili inolwelo oluninzi lwe-pleural, oko kuthetha ukuba iqokelelana ngaphezu kokuba kufanele. Xa oku kusenzeka, imiphunga ayinayo indawo eyaneleyo yokufutha ngokufanelekileyo, nto leyo enokubangela ubunzima bokuphefumla.
• I-Hemothorax: "I-Hemo" ithetha igazi. Oku kwenzeka xa igazi liqokelelana kwindawo ye-pleural. Oku kwenzeka emva kokwenzakala okukhulu esifubeni. Umzekelo, ingozi yemoto, ukuwa kwindawo ephakamileyo, okanye inxeba lokuhlatywa. Xa eli gazi liqokelelana, libeka uxinzelelo olukhulu emiphungeni, nto leyo eyenza kube nzima kakhulu ukuphefumla.
• I-Pneumothorax: Igama elithi "Pneumo" lithetha umoya. Oku kulapho umoya ungena kwindawo ye-pleural uze ubeke uxinzelelo emaphaphu. Oku kunokwenzeka nasemva kwengozi. Nangona kunjalo, ngamanye amaxesha kunokwenzeka ngaphandle kwesizathu, ingakumbi ukuba ungumtshayi. Kukwayingozi nakubantu abahamba rhoqo kwiinqwelomoya okanye abajongene notshintsho olukhulu kuxinzelelo lomoya, njengokuntywila kwi-scuba.
• I-Hemopneumothorax: Le yindibaniselwano ye-hemothorax kunye ne-pneumothorax ekhankanyiweyo ngaphambili. Oku kuthetha ukuba igazi nomoya zingena kwindawo ye-pleural ngaxeshanye . Oku kwenzeka emva kwengozi enkulu.
• I-mesothelioma ye-Pleural:Le yimeko embi kakhulu. Luhlobo lomhlaza oluqala kwiiseli ze-pleura. Idla ngokunxulunyaniswa nokuchatshazelwa zizinto ezifana ne-asbestos.

Kwenzeka ntoni ukuba i-pleura yonakele?

Ukuba kukho umonakalo kwi-pleura, unokuziva ngeendlela ezahlukeneyo. Ngokwesiqhelo, unokuziva intlungu ebukhali nehlabayo esifubeni sakho . Le ntlungu inokuba mandundu xa uphefumla ngendlela eqhelekileyo, uphefumla nzulu, okanye ukhohlela okanye uhleka. Usenokuziva ngathi awukwazi ukuphefumla kakuhle, okanye unokuziva uphelelwa ngumoya (imeko ebizwa ngokuba yi-dyspnea) .

Eyona nto ibangela olu hlobo lomonakalo kukwenzakala esifubeni sakho. Umzekelo, kunokubangelwa kukuwela, ukungqubana ngexesha lokudlala imidlalo, ingozi yemoto, okanye inxeba lokuhlatywa esifubeni, njengenxeba lokuhlatywa okanye inxeba lokudutyulwa.

Oku kubaluleke kakhulu: Ukuba uneempawu zokuphuma kwegazi okukhulu kwe-pleural, oko kukuthi, iintlungu zesifuba ezinzima kunye nobunzima obukhulu bokuphefumla, kufuneka utsalele umnxeba ku-1990 (i-ambulensi) ngoko nangoko okanye inombolo yakho yongxamiseko yasekuhlaleni kwaye uye esibhedlele ngaphandle kokulibazisa.

Zeziphi iimvavanyo ezenziwayo ukuze kuchongwe ngokuchanekileyo imeko yempilo ye-pleura?

Ukuba ugqirha ucinga ukuba unengxaki ye-pleural, banokwenza iimvavanyo ezininzi ukuze bayixilonge:

• Uvavanyo lokufota: Olu luvavanyo lokuqala oluqhutywayo. Olu vavanyo lunokubandakanya i-X-ray yesifuba, i-CT scan, okanye i-ultrasound . Olu vavanyo lunokukhangela izinto ezifana nolwelo okanye umoya okwimiphunga, i-pleura, kunye nendawo ye-pleural.
• I-Thoracentesis: Olu lutyando oluncinci. Kule nkqubo, ugqirha ufaka inaliti encinci kakhulu kwindawo ye-pleural ephakathi kweembambo zakho ezimbini aze athathe isampuli yolwelo lwe-pleural. Emva koko isampuli ithunyelwa kwilabhoratri ukuze ivavanywe usulelo kunye neeseli zomhlaza.
• I-Thoracoscopy: Olu lolunye uvavanyo olukhethekileyo. Kolu vavanyo, ugqirha ufaka ityhubhu encinci, eguquguqukayo enokukhanya okuncinci kunye nekhamera kwelinye icala ngokusebenzisa umngxuma omncinci esifubeni ukuze ajonge ngqo kwindawo ye-pleural kunye nomphezulu wemiphunga. Ukuba kuyimfuneko, isampuli yezicubu (i-biopsy) ingathathwa ngeli xesha.

Uyiphatha njani i-pleural effusion?

Unyango lwe-pleurisy luxhomekeke kwimeko onayo kunye nokuba inzima kangakanani. Akukho nyango lufanayo. Unyango oluqhelekileyo luquka:

• Ukuba i-pleura ichaphazeleka sisifo , amayeza okubulala iintsholongwane okanye amanye amayeza anokumiselwa.Ukupha. Kwakhona, amayeza anikwa ukunciphisa iimpawu ezifana neentlungu kunye nobunzima bokuphefumla.
• Ukuba kukho ubunzima bokuphefumla , unyango lweoksijini luyabonelelwa.
• Ukuba ulwelo oluninzi okanye umoya uqokelelene kwindawo yepleural, ungasuswa ngetyhubhu (ityhubhu yesifuba).
• Kwezinye iimeko ezinzima, ingakumbi xa kukho ukopha, umoya oqokelelene rhoqo, okanye umhlaza , utyando lunokufuneka.
• Abo baphefumla kancinci banokudityaniswa nomatshini wokungenisa umoya , umatshini onceda ekuphefumleni.
• Ukunyanga imeko efana ne-pleural mesothelioma, unyango oluthile lomhlaza olufana nonyango lwemitha, i-chemotherapy, okanye i-immunotherapy luyafuneka.

Ndingayigcina njani ipleura yam isempilweni kwaye isempilweni?

Kukho intetho ethi, "Kungcono ukuthintela isifo kunokuba uhlaselwe siso emva koko." Ngoko ke, nazi izinto ezilula onokuzenza ukunciphisa umngcipheko wokonakala kwe-pleura yakho:

• Yeka ukusebenzisa iimveliso zecuba ngokupheleleyo. Oko kuthetha ukuba ngokuqinisekileyo kuphephe ukutshaya nokutshaya umsi. Ukutshaya kuyingozi kakhulu kwimiphunga nakwi-pleura.
• Soloko unxibe ibhande lakho lesihlalo ngokufanelekileyo nanini na xa usemotweni, nokuba umgama omfutshane. Oku kuya kunceda ukunciphisa umngcipheko wokwenzakala esifubeni kwingozi yemoto.
• Ukuba udlala imidlalo efana neragbi okanye iboxing, nxiba i-padding efanelekileyo.
• Nciphisa imisebenzi equka utshintsho olukhulu kuxinzelelo lomoya, njengokubhabha rhoqo kunye nokuntywila nge-scuba, kangangoko kunokwenzeka. Ngaphandle koko, landela iinkqubo zokhuseleko kuloo misebenzi.
• Usulelo lweentsholongwane kunye neentsholongwane lunokubangela iingxaki zepleural. Ngoko ke, hlamba izandla zakho kakuhle ngesepha namanzi, ingakumbi ngaphambi kokutya nasemva kokusebenzisa indlu yangasese.
• Kuphephe ukudibana ne -asbestos . Ingafumaneka kwizakhiwo ezindala nakwezinye iiphahla. Yimbangela enkulu ye-pleural mesothelioma, umhlaza.

Ndiyathemba ukuba ngoku unombono olungileyo nge-pleura. I-pleura yakho ngumsebenzi othuleyo wenkqubo yakho yokuphefumla. Igcina imiphunga yakho ingagudlani nodonga lwesifuba sakho, okwenza kube lula kwaye kube lula kuwe ukuphefumla. Ukuba unemeko echaphazela i-pleura yakho, ngokuqinisekileyo uya kuyiva - ungaziva uphelelwa ngumphefumlo, kwaye isifuba sakho sinokuba buhlungu xa uphefumla. Ukuba udlala umdlalo ochaphazela kakhulu, okanye ukuba ucinga ukuba usemngciphekweni wokwenzakala kwi-pleura, qiniseka ukuba uthetha nogqirha wakho malunga nendlela yokugcina i-pleura yakho iphilile kwaye uthintele ukwenzakala.

Ngoko ke, yintoni eyona nto ibalulekileyo esinokuyifunda kweli bali?

Ngamafutshane, i-pleura yakho ifana nomkhuseli kunye nomhlobo osenyongweni wemiphunga yakho. Idlala indima ebalulekileyo ekuncedeni imiphunga yakho isebenze kakuhle kwaye ingenabuhlungu. Ngoko ke, luxanduva lwakho ukugcina le pleura ixabisekileyo isempilweni.

Eyona nto ingcono onokuyenza kwi-pleura yakho kukuphepha ngokupheleleyo ukutshaya, ukuthatha amanyathelo okuzikhusela kwiingozi, kwaye ufune iingcebiso zonyango ngaphandle kokulibazisa ukuba ufumana ubunzima bokuphefumla okanye iintlungu zesifuba ezingaqhelekanga.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

I- Pleura, imiphunga, inkqubo yokuphefumla, ulwelo lwe-pleural, i-pneumothorax, i-pleurisy, iintlungu zesifuba