Ingaba isifuba sakho sivakala siqinile? Masifunde nge-pneumomediastinum!

Ngaba wakha waba nentlungu ngequbuliso esifubeni sakho waza wanengxaki yokuphefumla? Okanye wakha wadumba entanyeni okanye ebusweni bakho ngequbuliso? Mhlawumbi imeko esithetha ngayo namhlanje ibizwa ngokuba yi-pneumomediastinum. Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni kanye kanye i-pneumomediastinum?

Ngamafutshane, i-pneumomediastinum kukuqokelelana komoya kwindawo ephakathi kwemiphunga yakho, apho intliziyo yakho ikhoyo. Kwizonyango, esi sithuba sibizwa ngokuba yi-mediastinum. Kufana nebhaluni ezele ngumoya, kwaye kwenzeka xa umoya uvuza kule ndawo ebizwa ngokuba yi-mediastinum.

Ixesha elininzi, oku kwenzeka emva kwengozi, ukugula, okanye utyando. Ngokwalo, le meko, ebizwa ngokuba yi-pneumomediastinum, isenokubonakala ingenabungozi. Nangona kunjalo, unobangela oyintloko ngamanye amaxesha unokuba yingozi. Yiyo loo nto kubalulekile ukuba uqaphele. Abanye abantu bayibiza ngokuba yi-"mediastinal emphysema."

Ngaba kukho iintlobo zezi?

Ewe, kukho iintlobo ezimbini eziphambili:

1. I-Spontaneous Pneumomediastinum (SPM): Kule nto, umoya uqokelelana ngaphandle kwesizathu esicacileyo, ukwenzakala, okanye ukugula. Ngamanye amaxesha, unobangela usenokungafumaneki.

2. I-Pneumomediastinum yesibini: Oku kubangelwa yinto efana nengozi, ukugula, okanye utyando.

Ixhaphake kangakanani i-pneumomediastinum?

Esi asiyongxaki ixhaphakileyo. Ngokutsho kweengcali, i-spontaneous pneumomediastinum (SPM) ichaphazela malunga nomntu omnye kwabangama-25,000 abaphakathi kweminyaka emi-5 nengama-34 ubudala. Eli liqela leminyaka elinokuba ne-SPM.

Ingaba le yimeko engxamisekileyo? Ngaba kufuneka ndixhalabe?

Nantsi into ekufuneka iqondwe kakuhle.

• Ukuba une- spontaneous pneumomediastinum (SPM) , oko kuthetha ukuba yenzeka ngaphandle kwesizathu esicacileyo, ayisoloko iyinto engxamisekileyo.
• Nangona kunjalo, ukuba i-mediastinum yakho igcwele umoya ngenxa yengozi okanye ukugula (uhlobo lwesibini), kufuneka inyangwe ngokukhawuleza.

Okubaluleke kakhulu: Ukuba unentlungu esifubeni kwaye unengxaki yokuphefumla, oko kungaba luphawu lwemeko embi kakhulu nesongela ubomi. Ngoko ke, ukuba ufumana iimpawu ezinjalo, yiya kwicandelo elikufutshane lezonyango ezingxamisekileyo.

Yintoni umahluko phakathi kwe-pneumomediastinum kunye ne-pneumothorax?

Ezi zimbini zinokuba zidida kancinci.

• I-PneumothoraxOku kuthetha ukuba enye yemiphunga yakho iwile. Oku kwenzeka xa umoya uzala phakathi kwemiphunga nodonga lwesifuba. Uxinzelelo lwaloo moya lubangela ukuba imiphunga iwele.
• I-Pneumomediastinum kukuqokelelana komoya kwindawo ephakathi kwemiphunga (i-mediastinum).

Kalula nje, kwi-pneumothorax, umoya ujikeleze imiphunga, kwaye kwi-pneumomediastinum, umoya uphakathi kwemiphunga emibini. Uyayazi?

Zithini iimpawu zoku? Jonga ukuba nawe unazo ezi

Ayingabo bonke abantu abanokuba neempawu, kodwa ezona mpawu zixhaphakileyo zezi:

• Intlungu ebukhali embindini wesifuba okanye kufutshane nethambo lesifuba. Le ntlungu inokusasazeka kwiingalo okanye entanyeni. Le ntlungu inokwanda xa uphefumla okanye uginya. Khawuthelekelele, ngokungathi kukho umntu ocinezela isifuba sakho.
• Ukuqhawukelwa ngumphefumlo.
• I-subcutaneous emphysema yimeko apho amaqamza omoya evakala ngathi angaphantsi kolusu lobuso, entanyeni, okanye esifubeni. Isenokuvakala ngathi kukho iibhola ezincinci phantsi kolusu, kwaye ingenza isandi "esikrwitshayo" xa icinezelwa ngomnwe.
• Ukudumba kwentamo okanye ubuso.
• Utshintsho lwelizwi, umzekelo, ilizwi liyaphakama.

Abanye abantu banokuba ne-pneumomediastinum ngaphandle kwezi mpawu.

Kutheni oku kusenzeka? Zithini izizathu?

I-Pneumomediastinum idla ngokubangelwa kukonakala kwelungu okanye isakhiwo esingaphakathi emzimbeni wakho, okubangela ukuba umoya uvuza ungene kwi-mediastinum. Imizekelo yoku ibandakanya:

• Umbhobho wakho womoya (i-trachea) okanye i-bronchi (i-bronchi)
• I-Alveoli (iingxowa zomoya ezincinci emiphungeni)
• Umbhobho osuka emqaleni uye esiswini, oko kukuthi, i-esophagus (`Esophagus`)
• Amathumbu

Umoya uvuza kwi-mediastinum usuka kwindawo efana nale.

I-spontaneous pneumomediastinum (SPM) inokubangelwa nayiyo nayiphi na into enyusa uxinzelelo ngequbuliso esifubeni sakho (nangona oku kunqabile). Ngamanye amaxesha, oogqirha abakwazi ukufumana unobangela konke konke.

Ezinye izizathu ezithile zinokuba zezi:

• Ukulimala okukhulu esifubeni , njengengozi yemoto.
• Utyando.
• Iingxowa zomoya ezincinci (i-alveoli) ezikwimiphunga ziyaqhuma.
• Ukugqobhoka okanye ukukrazuka kwindlela yomoya okanye yokugaya ukutya (Indlela yesisu okanye indlela ye-GI).
• Usulelo olubangelwa ziintsholongwane, imingxunya, okanye iintsholongwane.
• Izinto ezinyusa uxinzelelo lwesifuba ngequbuliso, ezifana nokukhohlela, ukuthimla, okanye ukuhlanza . Khawucinge nje, abanye abantu banokudibana nale meko xa bekhohlela kakhulu.
• Ukuzihluza xa usiya kwindlu yangasese.
• Ukutyhala ngexesha lokubeleka.
• Ukuphefumla iziyobisi ezifana ne-cocaine okanye i-marijuana.
• Ukudayiva emanzini.
• Umoya woomatshini.

Ngubani osengozini enkulu yokuhlaselwa yile meko?

Usenokuba sengozini enkulu yokuhlaselwa yile meko ukuba:

• Ukuba ungumtshayi.
• Ukuba unezifo zemiphunga ezifana ne-asthma okanye i-COPD (iSifo esingapheliyo seMiphunga).
• Ukuba usebenzisa iziyobisi zokuzonwabisa eziphefumlwayo.
• Ukuba usandul’ ukwenziwa utyando esiswini, entanyeni, okanye esifubeni.
• Ukuba usandul' ukuzala umntwana.

Ngaba i-pneumomediastinum ingabangela iingxaki?

Iingxaki ezibangelwa yile meko azixhaphakanga kakhulu, kodwa zinokuba yingozi ebomini kwaye zifuna unyango olukhawulezileyo. Ezi ngxaki ziquka:

• Umoya oqokelelweyo unokubangela uxinzelelo olujikeleze imiphunga kwaye ubangele ukuba umphunga omnye udilike (i-pneumothorax).
• Umoya ungahamba ukusuka kwi-mediastinum uye kwindawo ephakathi kwe-pericardium nentliziyo. Oku kubizwa ngokuba yi -pneumopericardium .
• Ukuba umoya omninzi kakhulu uqokelelana, unokubeka uxinzelelo kwizakhiwo ezingaphakathi esifubeni, njengentliziyo kunye nemithambo yegazi emikhulu. Ukuba oku kuyenzeka, zisenokungasebenzi kakuhle.

Ugqirha uyixilonga njani le nto? (Uxilongo)

Ugqirha udla ngokuxilonga i-pneumomediastinum nge-X-ray yesifuba okanye i-CT scan (i-Computed Tomography scan), ethatha imifanekiso yangaphakathi kwesifuba.

Xa ugqirha emamele intliziyo yakho nemiphunga nge-stethoscope, ukuba uva isandi "esiqhekekayo" kwisingqisho sentliziyo yakho ebethayo, oko kukwabonisa ukuba kukho umoya kwi-mediastinum (uphawu lukaHamman). Emva koko, kuyalelwa iimvavanyo ezifana ne-X-ray kunye ne-CT scans.

Zithini iindlela zonyango zoku?

Iindaba ezimnandi zezokuba uninzi lweemeko ze-pneumomediastinum azidingi naluphi na unyango oluthile. Ngaphandle kokuba inzima, umzimba wakho uya kuzicoca kancinci kancinci ngokwawo. Unyango lweoksijini lunokunceda ekukhawuleziseni inkqubo.

Nangona kunjalo, ukuba unenye ingxaki yempilo engabonakaliyo (umz., usulelo, umonakalo kwilungu langaphakathi), ugqirha wakho uya kunyanga loo meko.

Unyango ukuba ulaliswe esibhedlele:

Ngamanye amaxesha ugqirha wakho angakugcina esibhedlele ukuze ujongwe okanye ufumane unyango kangangeentsuku ezingama-24 nangaphezulu. Ngeli xesha, unokufumana unyango olufana nolu:

• Unyango lweoksijini: Ukuphefumla ioksijini eyongezelelweyo kunceda umzimba ukuba ufunxe umoya ngokukhawuleza.
• Amayeza: Amayeza anjengee-painkillers kunye ne-cough de umzimba ufunxe umoya owongezelelweyo anikwa ukulawula iimpawu.
• Ukufunxwa ngenaliti: Le yinkqubo engaqhelekanga kakhulu . Kuphela xa umoya uqokelelene kangangokuba ubeka uxinzelelo olukhulu kwizakhiwo ezingaphakathi emzimbeni, apho ugqirha angafaka inaliti yokususa umoya, okanye afake umbhobho omncinci (i-drain).

Ngaba i-pneumomediastinum ingabulala?

I-Pneumomediastinum ngokwayo ayibulali. Nangona kunjalo, ngamanye amaxesha inokubangelwa zezinye iimeko zempilo ezinzulu nezisongela ubomi. Ugqirha wakho uza kufumana unobangela wokwanda komoya aze awunyange ukuba kuyimfuneko.

Ngaba zikho iindlela zokuthintela oku ukuba kungenzeki?

Ngenxa yokuba esi sisifo esingaqhelekanga kwaye abaphandi abasaziqondi ngokupheleleyo zonke izizathu kunye nezinto ezibangela umngcipheko, akukho ndlela zithile zokusithintela. Ukungatshayi nokungasebenzisi izinto zokuphefumla kunokunceda ukunciphisa umngcipheko wakho.

Kuza kuthatha ixesha elingakanani ukuphiliswa?

• Abantu abane -spontaneous pneumomediastinum (SPM) bahlala esibhedlele kangangeentsuku ezintathu, kodwa ngamanye amaxesha kufuneka bahlale iveki okanye nangaphezulu.
• Abantu abafumana i-pneumomediastinum ngenxa yesizathu esingundoqo (uhlobo lwesibini) banokufuna ukuhlala esibhedlele ukuya kuthi ga kwiiveki ezimbalwa, kuxhomekeke ekubeni imeko engundoqo ingakanani na.

Ngaba oku kunganyangwa ngokupheleleyo?

• I-spontaneous pneumomediastinum (SPM) idla ngokuziphelela ngaphandle konyango. Ngaphandle kokuba kukho imeko yempilo engabonakaliyo, umngcipheko wokuphinda ubuye uphantsi.
• Iimeko zempilo ezibangela oku ngamanye amaxesha zinokunyangwa.

Ngoko ke, ikamva liphethe ntoni? (Imbono)

Ikamva lakho lixhomekeke kwinto ebangele ukuba umoya uqokeleleke kwi-mediastinum yakho.

• Abantu abane- spontaneous pneumomediastinum (SPM) bayachacha ngokupheleleyo, kwaye ukuphinda kwesi sifo kunqabile kakhulu.
• Ukuba une -pneumomediastinum yesibini , ukuchacha kwakho kuya kuxhomekeka kubukhali bemeko yakho engaphantsi. Ngamanye amaxesha, iimeko ezingaphantsi ezibangela i-pneumomediastinum zinokubulala.

Ufanele ufune nini ingcebiso kagqirha?

Ukuba ufumana ukungakhululeki esifubeni, ukudumba kobuso, okanye utshintsho olukhawulezileyo kwilizwi lakho, ingakumbi ukuba usandul’ utyando okanye ubelethe, qiniseka ukuba ubona ugqirha.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unale mpawu , funa ingcebiso kagqirha ngoko nangoko, okanye uye kwigumbi likaxakeka lesibhedlele esikufutshane:

• Iintlungu zesifuba.
• Ubunzima bokuphefumla.
• Ukudumba okukhulu kobuso okanye entanyeni.
• Ukutyhafa/ukutyhafa.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Xa ubona ugqirha, kuya kuba luncedo kuwe ukubuza le mibuzo:

• Yintoni ebangela le meko kum?
• Ingxaki yam inzulu kangakanani?
• Indlela yokunyanga unobangela?
• Ziziphi iindlela zonyango endinazo?
• Kuza kuthatha ixesha elingakanani ukuba ndiphile?
• Ndingenza ntoni ukuthintela oku ukuba kungenzeki kwakhona?

Umyalezo Wokuya Ekhaya

I-spontaneous pneumomediastinum (SPM) ayisiyongxaki kangako, kodwa kunokufuneka uhlale esibhedlele iintsuku ezimbalwa. Nangona kunjalo, i-secondary pneumomediastinum, eyenzeka emva kokugula okanye ingozi, ifuna unyango olukhawulezileyo lwesizathu esiyintloko. Ugqirha wakho uza kukuxelela okungakumbi ngemeko yakho ethile. Eyona nto ibalulekileyo kukuhlala uzolile, unike ingqalelo kwiimpawu zakho, kwaye ufune iingcebiso zonyango ukuba kuyimfuneko.

I- Pneumomediastinum, umoya esifubeni, imiphunga, ubunzima bokuphefumla, iintlungu zesifuba, i-mediastinum, i-pneumothorax