Ingabe ukuthola kunzima ukuphefumula ngisho noma uhamba ngokushesha noma ukhuphuka izitebhisi? Ingabe uzizwa sengathi isifuba sakho sigcwele umoya futhi awusakwazi ukuphefumula? Lena inkinga evamile abantu abaningi ababhekana nayo nge -emphysema , uhlobo olubi lwe-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu). Kodwa ungakhathazeki, kunezindlela zokwelapha zesimanje ezingakusiza ukuphatha lesi simo. Namuhla, sizokhuluma ngenye yezindlela zokwelapha ezikhethekile kangaka.
Kuyini i-BLVR? Ake sikuqonde kalula.
I-BLVR, emele i -Bronchoscopic Lung Volume Reduction , iyindlela yokwelapha, kalula nje, evumela umoya ovaleleke emaphashini akho ukuba uphume.
Cabanga ngamaphaphu akho njengamabhaluni amabili. Ku-emphysema, umoya ungangena kwezinye izingxenye zamaphaphu akho kodwa awukwazi ukuphuma ngokuphelele. Izingxenye ezonakele zibe sezikhukhuma, okunciphisa isikhala esitholakalayo ukuze izingxenye ezinempilo zamaphaphu akho zisebenze. Lokhu kwenza kube nzima ukuphefumula, futhi uzizwa ukhathele futhi uphelelwa umoya.
Ngakho-ke kulolu hlobo lokwelashwa lwe-BLVR, odokotela bafaka i- bronchoscope , ipayipi elincane elinekhamera enamathiselwe, phansi emphinjeni wakho bese lingena emaphashini akho. Bese, bafaka uchungechunge lwama -valve amancane ahamba ngendlela eyodwa ezindaweni zamaphaphu ezikhuliswe ngendlela engavamile.
Lawa ma-valve avumela umoya ovalelekile ukuba uphume uma ukhipha umoya, kodwa uma uphefumula futhi, ayavimba umoya ukuthi ungangeni ezindaweni ezonakele.
Ngokuhamba kwesikhathi, lokhu kunciphisa inani lomoya ovaleleke emaphashini akho, kubangele ukuthi amaphaphu akho anciphe kancane, bese eqala ukusebenza kahle kakhulu. Lokhu kuzonciphisa kakhulu ukuphelelwa umoya nokukhathala kwakho.
Into ebalulekile ukuthi i-BLVR ayilona ikhambi le-emphysema noma ukwelashwa okwandisa impilo. Umgomo oyinhloko ukulawula izimpawu nokuthuthukisa ikhwalithi yokuphila kwakho.
Ubani ngempela lokwelashwa okufanelekelayo?
Ukwelashwa nge-BLVR akulona olwawo wonke umuntu. Kuneziqu ezikhethekile zalokhu. Udokotela wakho uzokuxilonga ngokucophelela ukuze abone ukuthi uyahlangabezana yini nalezi ziqu.
| Ukucabangela | Incazelo |
|---|---|
| Ubudala | Ngokuvamile, kufanele ube ngaphansi kweminyaka engama-75 ubudala. |
| Ubunzima bezimpawu | Ukuphefumula kanzima kanye nokukhathala kuyaqhubeka naphezu kwemithi efanele kanye nokuvuselelwa kwamaphaphu. |
| Isimo samaphaphu | Amaphaphu kufanele agcwale umoya kakhulu futhi umoya uvaleleke. Futhi, umoya akufanele uhambe ngezindlela ezingavamile emaphashini (akufanele kube nokungena komoya okubambekayo). |
| Ukubhema | Akufanele ubheme njengamanje, futhi kufanele uyeke ukubhema okungenani izinyanga ezine. |
| Izinhlelo zokuvuselela | Kumelwe ukwazi ukuhlanganyela ezinhlelweni zokuvuselela amaphaphu ezihleliwe ngaphambi nangemva kokwelashwa. |
Yiziphi izivivinyo ezenziwa ngaphambi kokwelashwa?
Ukuze anqume ukuthi ungumuntu ofanele yini ukuthola lokhu kwelashwa, udokotela wakho uzokwenza ukuhlolwa okuphelele ngokomzimba futhi ahlele ukuhlolwa okuningana. Ezinye zazo yilezi:
- Ukuhlolwa kwegazi
- I-X-ray yesifuba
- I-CT scan enekhwalithi ephezulu
- Ukuhlolwa kokusebenza kwamaphaphu
- Ukuhlolwa kwegesi yegazi le-arterial
- Ukuhlolwa kwe-Echocardiogram okuhlola ukusebenza kwenhliziyo
- Ukuhlolwa kokuhamba ngezinyawo kwemizuzu eyisithupha - Lokhu kulinganisa ukusebenza kwenhliziyo namaphaphu akho.
Ulungiselela kanjani ukwelashwa?
Udokotela wakho uzokunikeza imiyalelo yokuthi ungalungiselela kanjani ukwelashwa kwakho. Kubaluleke kakhulu ukulandela le miyalelo ngqo ukuze unciphise izinkinga.
- Gwema ukudla noma ukuphuza noma yini amahora angu-8 ngaphambi kokwelashwa (ukuzila ukudla).
- Kungase kudingeke uyeke ukuthatha imithi ethile noma ushintshe isikhathi. Khuluma nodokotela wakho ngalokhu.
- Njengoba uzobe usesibhedlela izinsuku ezimbalwa ngemva kokwelashwa, hlela kusengaphambili ukuthi othile akuyise ekhaya.
Indlela yokwelapha eyenziwa ngayo kanye nezinzuzo kanye nokungalungi kwayo
Lokhu akuyona inqubo enkulu. Akukho ukusikwa okwenziwe. Ulaliswa i-anesthesia (udokotela ufaka i-bronchoscope emphinjeni wakho, afake ama-valve angaba ngu-4 ephashini elonakele, bese esusa i-bronchoscope. Yonke inqubo ithatha imizuzu engama-30 kuya kwengama-60 kuphela.
| Izinzuzo | Izingozi |
|---|---|
| Akukho ukusikeka emzimbeni. | Ukusabela okungenzeka ku-anesthesia. |
| Isikhathi esifushane sokululama. | I-Pneumothorax . |
| Ikhono lokususa noma lokufaka ama-valve esikhundleni sawo uma kudingeka. | Izifo ezifana ne -pneumonia . |
| Izinkinga ezimbalwa kunezokuhlinzwa okuvamile. | Ukwanda kwe-COPD. |
| Izinga lempilo lithuthuke kakhulu. | Izinkinga ezinkulu ezifana nokopha, isifo sohlangothi , kanye nokuhlaselwa yinhliziyo (ngokuvamile okungajwayelekile). |
Kwenzekani ngemva kokwelashwa?
Ngemva kokwelashwa, kuzodingeka uhlale esibhedlela okungenani izinsuku ezintathu. Ithimba lezokwelapha lizokuqapha eduze. Ngemva kokubuyela ekhaya, uzocelwa ukuthi uqale uhlelo lokuvuselela amaphaphu zingakapheli amasonto amane kuya kwayisithupha. Lokhu kuzosiza kakhulu ekuphatheni impilo yakho.
Kufanele ngimbone nini udokotela?
Uma unemibuzo noma ukukhathazeka ngaphambi noma ngemva kokwelashwa kwakho, ungalibali ukukhuluma nodokotela wakho. Futhi, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Umkhuhlane ngaphandle kwesizathu.
- Ubuhlungu obukhulu esifubeni.
- Ubunzima obukhulu bokuphefumula.
- Ukushintsha kombala wesikhumba, izindebe, noma izinzipho (i-Cyanosis) .
Akukho ukwelashwa kwe-emphysema, kodwa ukwelashwa okufana ne-BLVR kungakusiza ukuthi uphefumule kalula futhi uphile ngokunethezeka. Khuluma nodokotela wakho ukuze unqume ukuthi lokhu kuyindlela efanele yokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- I-BLVR iyindlela yesimanje, engadingi ukungenelela kwe-emphysema enzima.
- Nakuba lokhu kungelaphi lesi sifo, kuthuthukisa kakhulu ikhwalithi yokuphila ngokwenza ukuphefumula kube lula.
- Lokhu kwelashwa akufanele wonke umuntu futhi kudinga iziqu ezikhethekile.
- Njengazo zonke izindlela zokwelapha, kunezingozi ezithile, kodwa ziphansi kunokuhlinzwa kwendabuko.
- Xoxa nochwepheshe wakho wokuphefumula ukuthi ngabe lokhu kwelashwa kulungile yini kuwe nokuthi yiziphi izinzuzo nezinkinga zako.
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