I-asthma yisifo esicasulayo kakhulu futhi esiphazamisa impilo yansuku zonke, yilabo kuphela abasihluphayo abaziyo. Ukuphefumula njalo, ukuzizwa sengathi isifuba sabo sinciphile, ukungakwazi ukuya ndawo ngaphandle kwe-inhaler yabo... Izinto ezinjengalezi zenza kube nzima ukwenza imisebenzi yabo yansuku zonke kahle, akunjalo? Lokhu kuyacindezela kakhulu kulabo abangakwazi ukulawula i-asthma yabo ngisho nangemva kokusebenzisa umuthi onikezwe udokotela kanye ne-inhaler yabo kahle. Ngakho-ke, namuhla sizokhuluma ngendlela ekhethekile, yesimanje yokwelapha engasiza abantu abane-asthma enzima kangaka. Leyo yi -Bronchial Thermoplasty .
Kalula nje, iyini i-Bronchial Thermoplasty?
Kulungile, ake sikubeke kalula lokhu. Cabanga ukuthi kukhona ungqimba oluncane lwemisipha oluzungeze umphimbo womoya (siwubiza ngokuthi i-trachea) ngaphakathi kwamaphaphu akho. Kumuntu one-asthma, lo msipha uyafinyela ngokungadingekile, okungukuthi, uyaqina. Bese lowo mbhobho womoya uba mncane. Njengoba nje uma ucindezela ipayipi lamanzi, kuba nzima ukugeleza, lapho i-bronchi iba mncane, kuba nzima ukuphefumula. Uma sine-asthma, yilokho okusenza siphefumule futhi isifuba sethu siqine.
I-Bronchial Thermoplasty iyindlela yokwelapha esebenzisa ukushisa okulawulwayo kulezi misipha eqinile, ejiyile, okusiza ukuyiphumuza. Ukuze kube sobala, lokhu kuvame ukwenziwa udokotela wamaphaphu. Usebenzisa ipayipi elincane ukuze angene emigudwini yakho yomoya futhi afake ukushisa emisipheni. Uma le misipha ikhululekile, ayikwazi ukufinyela ngokuqinile njengoba yayivame ukwenza. Lokhu kuvula imigudu yomoya, okwenza kube lula ukuphefumula.
Into ebalulekile ukuthi lokhu akulona ikhambi le-asthma. Kodwa-ke, kunganciphisa kakhulu ubukhulu bezimpawu ze-asthma kanye nokuvama kokuhlaselwa yi-asthma.
Ubani ofanele lolu hlobo lokwelashwa?
Lokhu akulona ukwelashwa kwabo bonke abaguli be-asthma. I-Bronchial Thermoplasty ivame ukunconywa kubantu abane -asthma enzima abangakwazi ukuyilawula ngemithi ejwayelekile.
Ake sibheke ukuthi kusho ukuthini "isifo sofuba esibi kakhulu" ngale ndlela.
| Isimo | Incazelo elula |
|---|---|
| Akulawulwa ukwelashwa okujwayelekile | Uma izimpawu zakho ze-asthma (ukuphefumula kanzima, ukukhwehlela, ukuqina kwesifuba) ziqhubeka naphezu kokusebenzisa ama-inhaler akho anikezwe umthamo ophezulu, imithi yomlomo, noma imijovo ekhethekile (i-biologics). |
| Umthelela kwikhwalithi yempilo | Uma i-asthma yakho iphazamisa imisebenzi yakho yansuku zonke, ukulala, umsebenzi, kanye nokuzivocavoca. |
| Ukuhlaselwa njalo kwe-asthma | Uma uhlangabezana nokuhlaselwa yi-asthma njalo futhi kunzima ukuphefumula kunokujwayelekile. |
| Ukulaliswa esibhedlela | Uma i-asthma yakho iba nzima, okusho ukuthi unobunzima bokuphefumula futhi udinga ukulaliswa esibhedlela ukuze uthole ukwelashwa. |
Uma unesifo esifanayo, ungaxoxa nodokotela wakho ngokwelashwa kwe-Bronchial Thermoplasty bese unquma ukuthi kulungile yini kuwe.
Uzilungiselela kanjani ngaphambi kokwelashwa?
Uma wena nodokotela wakho seninqume ukuthola lokhu kwelashwa, kukhona ukulungiselela okuthile okuhilelekile. Udokotela ngokuvamile uzoninika imiyalelo efana nale:
- Uzocelwa ukuthi ungadli noma uphuze lutho okungenani amahora ayisishiyagalombili ngaphambi kokwelashwa.
- Uzocelwa ukuthi uthathe iphilisi le-steroid (isib. i-prednisolone) izinsuku ezimbili kuya kwezintathu ngaphambi kokwelashwa. Lokhu kwenzelwa ukulawula ukuvuvukala kanye nezimpawu ezingase zenzeke ngemva kokwelashwa.
- Njengoba ukwelashwa kwenziwa ngaphansi kwe-anesthesia, ngeke ukwazi ukushayela ngemuva kokwelashwa. Ngakho-ke, uzocelwa ukuthi uhlele ukuthi othile akuyise ekhaya kusenesikhathi .
Kwenzekani ngesikhathi sokwelashwa?
Okwenzekayo ngosuku lokwelashwa lokhu kuhlelekile kakhulu.
1. Okokuqala, uzonikezwa i-anesthesia ngemithambo ukuze ungezwa ubuhlungu noma ukungakhululeki. Ngakho-ke, uzolala phakathi nokwelashwa.
2. Ngemuva kwalokho, udokotela usebenzisa i-bronchoscope.Elinye, ipayipi elincane, eliguquguqukayo elinekhamera enamathiselwe, lidluliselwa emlonyeni wakho liye emigudwini yomoya yamaphaphu akho.
3. Kufakwa enye idivayisi ekhethekile ngaleli payipi bese iletha ukushisa okulawulwayo (`amandla e-radiofrequency`) ezindaweni lapho kukhona khona imisipha ejiyile. Lokhu kushisa kubangela ukuba imisipha ibe mincane.
4. Ngemva kokwelapha zonke izindawo ezidingekayo, udokotela ususa ngokucophelela i-bronchoscope.
Lonke lolu hlelo luvame ukuthatha imizuzu engama-45 kanye nehora .
Ngemva kokwelashwa kanye nohlelo lonke lokwelashwa
Ngemva kokuphela kokwelashwa, uzoqashwa odokotela nabahlengikazi amahora ambalwa uze uvuke ekuhlinzweni kwe-anesthesia. Uma izimpawu zakho ze-asthma ziba zimbi kakhulu noma uhlangabezana neminye imiphumela emibi, kungadingeka uhlale esibhedlela ngalobo busuku.
Into ebaluleke kakhulu ukuthi lokhu kwelashwa akwenziwa kanye. Ukuze welaphe zonke izindawo zamaphaphu, kuzodingeka uye emihlanganweni emithathu yokwelashwa .
- Ingxenye engezansi yephaphu lesokudla iphathwa ngesikhathi esisodwa.
- Kwesinye iseshini, ingxenye engezansi yephaphu lesobunxele izokwelashwa.
- Esigabeni sesithathu, izingxenye ezingenhla zamaphaphu womabili ziyaphathwa.
Kukhona igebe okungenani lamasonto amathathu phakathi kwalezi zikhathi.
Yiziphi izinzuzo, izingozi, kanye nemiphumela emibi yalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, i-Bronchial Thermoplasty inezinzuzo zayo kanye nezingozi ezithile kanye nemiphumela emibi. Kubalulekile ukuqonda kahle lokhu.
| Izinzuzo | Izingozi Nemiphumela Engemihle |
|---|---|
| Ukwehla kobunzima kanye nokuvama kwezimpawu ze-asthma. | Ukwanda kwesikhashana kwezimpawu (ukukhwehlela, ukuphefumula kanzima, ubuhlungu besifuba) izinsuku ezimbalwa ngemva kokwelashwa (lokhu kuvame ukuphela phakathi nesonto). |
| Ukwehla kwezinga lokuhlaselwa yi-asthma. | Ingozi encane yokulaliswa esibhedlela ngenxa yezimpawu ezinzima. |
| Ukuthuthukisa ikhwalithi yokuphila. | Ingozi yokutheleleka emaphashini. |
| Ucwaningo lukhombisile ukuthi imiphumela emihle ihlala okungenani iminyaka eyi-10. | Akuvamile kakhulu ukuba kube nengozi yezimo ezifana nokuwa kwengxenye yamaphaphu (`atelectasis`) noma ukwanda kwemigudu yokuphefumula (`bronchiectasis`). |
Isikhathi sokubona udokotela nokuya esibhedlela ngokushesha
Ngemva kokwelashwa, kubalulekile ukwazi umehluko phakathi kokungakhululeki okuvamile, okulindelekile kanye nezimo ezibucayi ezidinga ukunakekelwa okuphuthumayo.
| Izimo okufanele uzinake | |
|---|---|
| Khuluma nodokotela wakho: | |
| Khuluma nganoma yimiphi imibuzo noma ukukhathazeka okuvamile ongase ube nakho ngaphambi noma ngemva kokwelashwa. Isibonelo, "Dokotela, ngikhwehlela kancane, ingabe lokho kuvamile?" | |
| Yiya eMnyangweni Wezimo Eziphuthumayo (i-ETU) oseduze ngokushesha: | |
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I-asthma ingaba yisimo esisongela impilo. Ikakhulukazi uma i-asthma yakho ivame ukuqubuka, ungase uphuthelwe ezinye zezinto ezijabulisa kakhulu empilweni. I-Bronchial Thermoplasty akuyona ikhambi elifanele wonke umuntu. Kodwa-ke, uma unomuzwa wokuthi i-asthma yakho ithinta kakhulu impilo yakho, ngisho nangemva kokuthatha imithi oyinikezwe udokotela, kungcono ukukhuluma nodokotela wakho ukuze nixoxe ngokuthi lokhu kwelashwa noma ezinye izindlela zokwelapha zikulungele yini.
Umlayezo Wokuya Nawe Ekhaya
- I-Bronchial Thermoplasty iyindlela yokwelapha ekhethekile ye -asthma enzima engenakukwazi ukulawulwa ngokwelashwa okuvamile.
- Lokhu kushisa imisipha ejiyile ezungeze imigudu yomoya futhi kuyenze ibe mincane, okwenza ukuphefumula kube lula.
- Lokhu akuqedwa ngeseshini eyodwa, kodwa kuqukethe imihlangano yokwelapha emithathu ehlukaniswe cishe amasonto amathathu.
- Lokhu akulona ikhambi le-asthma, kodwa kunganciphisa kakhulu izimpawu kanye nokuvela kokuhlaselwa yi -asthma.
- Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile kanye nemiphumela emibi yesikhashana.
- Kufanele nakanjani uxoxe ngalokhu kwelashwa nodokotela wakho wezifo zamaphaphu noma udokotela wakho ukuze uthole ukuthi kulungile yini kuwe.
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