Sonke sike saba nokuhlangenwe nakho kokuthile esikudlayo noma esikuphuzayo “okuhamba ngendlela engafanele” bese kubhajwa emphinjeni wethu. Uma lokho kwenzeka, kufanele sikukhwehlele, izinyembezi zigeleza emehlweni ethu. Esikhathini esiningi, akuyona inkinga uma kuphuma. Kodwa cabanga ngakho, kwenzekani uma into ebhajwa emphinjeni wethu, kungaba ukudla, amanzi amancane, noma ithonsi lamathe, ingahambi iye esiswini sethu, kodwa iye emaphashini ethu ngemigudu yomoya? Yileyo ndlela into okungafanele ingene emaphashini ingena ngayo emaphashini futhi ibangele ukutheleleka ngamagciwane, okuyilokho esikubiza ngokuthi `(Aspiration Pneumonia)`.
Kalula nje, iyini i-Aspiration Pneumonia?
I-pneumonia yokuphefumula iwukutheleleka kwamagciwane emaphashini ethu. Kwenzeka lapho into ehlukile ngaphandle komoya esiwuphefumulayo - njengokudla, isiphuzo, amathe, i-asidi yesisu, ukuhlanza, noma ngisho nento encane kakhulu yangaphandle - ingena emigudwini yethu yokuphefumula.
Ake sithi kunezindlela ezimbili emphinjeni wethu. Enye "yi-esophagus" ethatha ukudla neziphuzo ziye esiswini. Enye "yi-windpipe" ethatha umoya esiwuphefumulayo uye emaphashini. Ngokuvamile, uma sigwinya okuthile, lo mbhobho womoya uvala nge-flap encane. Ngakho ukudla neziphuzo kuya ngqo esiswini. Kodwa ngezinye izikhathi, lapho le nqubo ingasebenzi kahle, kwenzeka into "engalungile".
Into eyesabekayo ukuthi, abanye abantu abaqapheli ngisho nokuthi kukhona okungena emaphashini abo kanje. Lokhu sikubiza ngokuthi "ukufisa okuthula." Lokho kusho ukuthi kwenzeka ngaphandle kokukhwehlela noma ukuminyana. Bese kuba yizinsuku, mhlawumbe amasonto, ngaphambi kokuba kuvele izimpawu ze-pneumonia.
Ziyini izimpawu zalesi simo?
I-pneumonia yokuphefumula ingase ingazibangeli izimpawu ngokushesha, kodwa ungase ube nalezi zimpawu ezinsukwini ezimbalwa.
| Isibonakaliso | Incazelo |
|---|---|
| Imfiva | Uphawu lokuqala lokutheleleka emzimbeni. Lungaphinde luhambisane nemisipha ebuhlungu. |
| Ubunzima bokuphefumula (i-Dyspnea) | Ukuphefumula kuzwakala kunzima futhi kucinanisa. Kungase kube nomsindo "wokuklewula" ovela esifubeni lapho uphefumula. |
| Ukukhwehlela | Ukukhwehlela okuveza ulwelwesi. Ngezinye izikhathi lolwelwesi lungathinta igazi noma ubomvu . Ulwelwesi lungaba luhlaza, luphuzi, noma lube nsundu. |
| Ubuhlungu besifuba | Ungase uzwe ubuhlungu obukhulu esifubeni sakho uma uphefumula kakhulu noma ukhwehlela. |
| Umoya omubi | Umoya omubi ungabangelwa ukukhula kwamagciwane emaphashini. |
| Ukukhathala ngokweqile | Ungase uzizwe ukhathele kakhulu futhi ulele njengoba umzimba wakho ulwa nokutheleleka. |
Kungani lokhu kwenzeka? Ubani osengozini enkulu?
Kalula nje, lesi simo singabangelwa yinoma yini engeyona eyamaphaphu. Ngoba amabhaktheriya angangena emaphashini nalezo zinto. Abanye abantu bathambekele kakhulu kulokhu.
| Isigaba sengozi | Kungani besengozini enkulu? |
|---|---|
| Abantu abanenkinga yokugwinya (i-Dysphagia) | Abantu abanezifo zezinzwa ezifana nesifo sohlangothi, ukulimala kobuchopho, kanye nesifo sikaParkinson banenkinga yokugwinya, okungabangela kalula ukudla neziphuzo ukungena endleleni yokuphefumula. |
| Abantu asebekhulile (abangaphezu kweminyaka engama-65 ubudala) | Njengoba sikhula, imisipha ehilelekile ekugwinyeni nasekukhwehleleni iyabuthaka. Amasosha omzimba nawo ayabuthaka, okwenza sibe sengozini enkulu yokutheleleka. |
| Labo abaye bahlinzwa amazinyo noma bahlinzwa amazinyo | Uma ungaphansi kwe-anesthesia, ukusabela okuvikelayo emphinjeni wakho akwenziwa kusebenze, okuvumela amathe noma i-asidi yesisu ukuthi ingene emaphashini akho. |
| Abantu abasebenzisa utshwala noma izidakamizwa | Lokhu kunciphisa ukuqonda futhi kukhubaza ukugwinya kanye nokukhwehlela. |
| Izingane ezincane (ezingaphansi kweminyaka emi-5 ubudala) | Le ngozi iphezulu kakhulu ezinganeni ezifaka amathoyizi amancane emlonyeni wazo bese zidlala ngenkathi zidla. |
| Abantu abanesifo sokuzivikela komzimba esiphansi | Kubantu abanezifo noma abathatha imithi ebuthakathaka amasosha omzimba, ngisho nenani elincane lamagciwane angena emaphashini lingabangela ukutheleleka okukhulu. |
Ukuthola kanjani lokhu, Dokotela?
Uma unezimpawu ze-pneumonia, udokotela wakho uzoqala akubuze ngezimpawu zakho, noma yiziphi ezinye izimo zezokwelapha onazo, ikakhulukazi ubunzima bokugwinya. Ngemuva kwalokho bazolalela isifuba sakho nge-stethoscope ukuhlola noma yimiphi imisindo engavamile emaphashini akho. Lokhu kuhlolwa kungenziwa ukuqinisekisa ukuxilongwa.
- I-X-ray yesifuba: Lokhu kungabonisa ngokucacile izindawo zokutheleleka emaphashini.
- I-CT Scan: Ingaveza izithombe ezicacile nezinemininingwane eminingi kune-X-ray.
- Ukuhlolwa kwegazi: Lokhu kungaqinisekisa ukuthi kukhona yini ukutheleleka emzimbeni.
- Ukuhlolwa kwesikhwehlela: Kungathathwa isampula ye-phlegm emaphashini akho ukuze kutholakale ukuthi hlobo luni lwebhaktheriya olukuyo.
- I-Bronchoscopy: Kulokhu, ipayipi elincane elinekhamera enamathiselwe lidlula ku-trachea liye emaphashini ukuze kubonwe ingaphakathi.
- Izifundo zokugwinya: Ukuhlolwa okwenziwa yisazi sezifo zokukhuluma ukuze kubhekwe ukuthi kwenzekani uma ugwinya ukuze kubonakale ukuthi kunenkinga yini ngenqubo yokugwinya.
Kuphathwa kanjani? Kuzothatha isikhathi esingakanani ukululama?
Njengoba lokhu kuyigciwane elibangelwa amagciwane, ukwelashwa okuyinhloko ama-antibiotic . Kubaluleke kakhulu ukuthatha ama-antibiotic anikezwe udokotela wakho isikhathi sonke.
Kuye ngokuthi isifo sibucayi kangakanani, kungadingeka uhlale esibhedlela ukuze uthole ukwelashwa.
- Uma kunobunzima bokuphefumula , ukwelashwa nge-oxygen kungadingeka.
- Uma isimo sibi kakhulu, ungase uxhunywe emshinini wokuphefumula (umoya wokuphefumula wemishini) ukuze usize ekuphefumuleni.
Ngaphezu kwalokho, kubalulekile ukwelapha imbangela eyinhloko yesifiso.
- Ukwelashwa kokukhuluma kwezinkinga zokugwinya.
- Ukondla ngepayipi kuwukupha ukudla ngepayipi labo abangakwazi ukugwinya.
- Kwezinye izimo, imithi efana ne -ACE inhibitors nayo iyasetshenziswa.
Uzoqala ukuzizwa ungcono cishe isonto elilodwa ngemuva kokuqala ama-antibiotic. Kodwa-ke, kungathatha cishe inyanga ukuthi ukukhathala okubangelwa ukutheleleka kuphele futhi ululame ngokugcwele.
Yini okufanele uyenze uma kunesimo esiphuthumayo?
Lokhu kuyinto okufanele uyikhumbule. Akudingeki ukhathazeke ngakho konke, kodwa kubalulekile ukwazi ukuthi uzobona nini udokotela nokuthi uzoya nini egumbini lezimo eziphuthumayo.
Uzobona nini udokotela wakho
Uma uvame ukuzizwa sengathi ukudla noma isiphuzo kubhajwe emphinjeni wakho, noma unenkinga yokugwinya, ungakushayi indiva. Khuluma nodokotela womndeni wakho ngalokhu. Angakudlulisela kuchwepheshe uma kudingeka.
Izimo lapho udinga ukuya esibhedlela ngokushesha
Uma unezimpawu ezifana nobuhlungu obukhulu esifubeni, umkhuhlane ophakeme, kanye nobunzima bokuphefumula obusobala , kuyisimo esiphuthumayo. I-pneumonia yisifo esingaba sibi kakhulu ngokushesha okukhulu. Ngakho-ke iya egumbini lezimo eziphuthumayo esibhedlela (ETU) ngokushesha.
Ingabe lesi simo singavinjelwa?
Yebo, kunezinto eziningana esingazenza ukunciphisa ingozi ye-aspiration pneumonia. Kubaluleke kakhulu ukuzazi lezi zinto, ikakhulukazi uma ungoweqembu elisengozini.
- Ukulawulwa kwezifo eziyisisekelo:Uma unezimo ezifana nobunzima bokugwinya noma isifo se-gastroesophageal reflux (GERD), khuluma nodokotela wakho bese uthola ukwelashwa okufanele.
- Indlela yokudla: Hlala uqonde lapho udla futhi uphuza. Ungalali phansi okungenani imizuzu engama-30 ngemva kokudla.
- Yidla kancane futhi kahle: Hlafuna ukudla kwakho kahle, yidla kancane kancane ngomlomo omncane. Nciphisa ukukhuluma nokumomotheka ngenkathi udla.
- Nciphisa utshwala: Gwema ukuphuza utshwala ngokweqile.
- Gwema ukubhema: Ukubhema kanye nemikhiqizo kagwayi konakalisa izindlela zokuvikela zamaphaphu.
- Impilo yomlomo: Hlanza amazinyo akho kahle futhi uhlolwe umlomo wakho njalo ngudokotela wamazinyo. Uma amabhaktheriya ambalwa emlonyeni wakho, mancane amathuba okuba angene emaphashini akho futhi abangele ukutheleleka.
Ulwazi oluthe xaxa: Umehluko phakathi kwe-'Pneumonia' kanye ne-'Pneumonitis'
Ngezinye izikhathi la magama amabili ayadida. `I-Aspiration Pneumonia` ukutheleleka ngamagciwane okubangelwa yinto engene emaphashini. `I-Aspiration Pneumonitis` ukuvuvukala kwezicubu zamaphaphu okubangelwa yinto efana ne-asidi yesisu engena emaphashini, ngaphandle kokutheleleka. Nakuba izimpawu zazo zombili zifana, ukwelashwa kungase kuhluke.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba kuvamile ukuthi ukudla nokuphuza "kuhambe ngendlela engafanele," ngezinye izikhathi kungaholela ekuthelelekeni okukhulu kwamaphaphu njenge-'Aspiration Pneumonia'.
- Umkhuhlane, ukukhwehlela okune-mucus, ubunzima bokuphefumula, kanye nobuhlungu besifuba yizimpawu eziyinhloko.
- Uma unenkinga yokugwinya engapheli, qiniseka ukuthi ukhuluma nodokotela wakho ngakho. Ungakushayi indiva.
- Uma uba nezimpawu ezinzima njengobuhlungu obukhulu besifuba, umkhuhlane ophakeme, kanye nobunzima bokuphefumula, hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Ukuhlala uqonde, ukudla kancane, ukugcina inhlanzeko yomlomo, nokuthola ukwelashwa okufanele kwezimo ezingaphansi kungasiza ekuvimbeleni lesi simo.
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