Ingabe isifuba sakho siyagcwala umoya ngesikhathi sokuya esikhathini? (Catamenial Pneumothorax) Ake sifunde ngakho!

Ukuya esikhathini kuvame ukuba isikhathi esinzima kwabanye besifazane bethu. Nakuba sicabanga ukuthi izinto ezifana nobuhlungu besisu nobuhlungu bomhlane zivamile, ngezinye izikhathi phakathi nalesi sikhathi, ubuhlungu besifuba obungavamile kanye nobunzima bokuphefumula bungenzeka. Ngezikhathi ezinjalo, kudingeka siqaphele kancane ngalesi simo esikhethekile esikhuluma ngaso namuhla. Nakuba lokhu kuyesabeka kancane, masikuqonde kalula.

Kuyini lokhu (i-Catamenial Pneumothorax)?

Kalula nje, `(Catamenial Pneumothorax)` ukuqongelela komoya esikhaleni esiphakathi kwamaphaphu akho kanye nolwelwesi lwesifuba sakho, ngesikhathi sokuya esikhathini, noma phakathi nalezo zinsuku. Igama elithi `Catamenial`` lisho ``okuhlobene nokuya esikhathini.`` `Pneumothorax`` lisho ukuthi kukhona umoya esifubeni. Lokhu kuqongelela komoya kungabangela ingcindezi ezungeze amaphaphu, futhi ngezinye izikhathi ingxenye noma wonke amaphaphu angawa. Cabanga ngakho njengebhaluni elilahlekelwe umoya. Kubantu abaningi, lokhu kuthinta iphaphu elingakwesokudla.

Ziyini izimpawu zalesi simo?

Cabanga nje, mngani wakho, ake simbize ngokuthi 'uSamadhi'. USamadhi ubelokhu ezwa ubuhlungu obukhulu esifubeni ngakwesokudla izinsuku ezimbili noma ezintathu ngaphambi kokuba aqale ukuya esikhathini, futhi uzizwa ephelelwa umoya. Wayecabanga ukuthi lokhu kuyinto evamile, mhlawumbe ngenxa yokuzikhandla. Kodwa kwaba yilapho ebona udokotela kuphela lapho athola khona ngalesi simo esibizwa ngokuthi '(Catamenial Pneumothorax)'. Ngakho-ke, uma nawe uzwa lezi zimpawu, kubalulekile ukukhathazeka ngakho:

• Ubuhlungu besifuba: Lolu uphawu oluyinhloko. Lungaba ngokuzumayo, ngokubukhali, ngokugwaza, futhi ngezinye izikhathi ngokugwaza. Lobuhlungu bungase bube bubi kakhulu uma uphefumula noma ukhwehlela.
• Ukuphefumula kanzima: Kungase kuzwakale sengathi awukwazi ukuphefumula, uyacinana, noma isifuba sakho siqinile.
• Ukukhwehlela: Kungase kube nokukhwehlela okubuhlungu nokomile.
• Ukukhwehlela igazi (i-Hemoptysis): Ngezinye izikhathi, igazi elincane lingaphuma ne-phlegm. Lokhu akwenzeki kuwo wonke umuntu.
• Ukwanda kwesilinganiso sokuphefumula noma ukwanda kwesilinganiso senhliziyo.
• Ukushintsha kombala wesikhumba, izindebe, noma izinzipho (i-Cyanosis): Lokhu kuyisibonakaliso esibi kakhulu. Lokhu kwenzeka lapho umzimba ungatholi umoya-mpilo owanele. Uma ubona into efana nale, kufanele ufune iseluleko sezokwelapha ngokushesha.

Lezi zimpawu zivame ukuvela ezinsukwini ezimbalwa ngaphambi kokuba isikhathi sakho sokuya esikhathini siqale (usuku olulodwa noma ezimbili) noma zingakapheli izinsuku ezimbalwa (ngokuvamile amahora angu-72) ngemva kokuqala kwaso.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Eqinisweni, ukuxhumana phakathi komjikelezo wakho wokuya esikhathini namaphaphu akho agcwala umoya kungase kubonakale kungavamile, futhi ngisho nodokotela ngezinye izikhathi bakuthola kunzima ukuthola imbangela eqondile. Kodwa kunezinsolo ezimbalwa eziyinhloko.

Imbangela eyinhloko ibhekwa njengesimo esibizwa ngokuthi ``i-Endometriosis``. Lokhu kwenzeka lapho ulwelwesi lwesibeletho sakho lukhula.I-Endometriosis ukukhula kwezicubu okufana nolwelwesi lwesibeletho ngaphandle kwesibeletho, kwezinye izingxenye zomzimba. Isibonelo, uma lesi zicubu sikhula emaphashini akho, i-pleurae (ulwelwesi oluncane oluzungeze amaphaphu) noma i-diaphragm (umsipha ohlukanisa isifuba nesisu), lesi zicubu singaphuma igazi noma siqhume ngesikhathi sokuya esikhathini. Lokhu kungabangela ukuthi umoya uvuza esikhaleni se-pleural esizungeze amaphaphu. Yilapho-ke kuvela khona i-pneumothorax. Uma wazi ngokuqinisekile ukuthi lesi simo sibangelwa i-endometriosis, sibizwa nangokuthi i-endometriotic pneumothorax.

Kodwa-ke, akuwona wonke umuntu one-pneumothorax ye-catamenial one-endometriosis. Ukushintsha kwamazinga ama-hormone kanye nokuvuvukala okwenzeka ngesikhathi sakho sokuya esikhathini kungathinta namaphaphu akho. Ezinye izici ezingaba nomthelela ku-pneumothorax ngesikhathi sokuya esikhathini zifaka:

• Ukwehla kokugeleza kwegazi ngenxa yamakhemikhali abizwa ngokuthi `(Prostaglandins): Lawa ngamakhemikhali asebenza njengama-hormone. Akhiqizwa ngokweqile ngesikhathi sakho sokuya esikhathini. Kucatshangwa ukuthi lawa angabangela ukuthi amaphakethe omoya/amaqhubu emaphashini akho aqhume, okubangela ukuthi umoya uvuza ungene esikhaleni esizungeze amaphaphu akho.
• Umoya odlula ohlelweni lokuzala: Ngezinye izikhathi, umoya ungangena esifubeni usuka esifubeni ngokusebenzisa amaphutha amancane, azalwa nawo ku-diaphragm yakho.

Kwenzekani uma i-Endometriosis isakazekela emaphashini?

Uma une-endometriosis emaphashini akho noma ezakhiweni ezizungezile, ingabangela isimo esibizwa ngokuthi i-Thoracic Endometriosis Syndrome. Ngaphezu kwe-pneumothorax, lezi zinto zingenzeka futhi:

• Igazi ligcwalisa isikhala esizungeze amaphaphu (i-Hemothorax)
• Amaqhubu amaphaphu (izigaxa ezincane emaphashini)
• I-Catamenial hemoptysis (ukukhwehlela igazi ngesikhathi sokuya esikhathini)

Ngezinye izikhathi, noma ngabe awutholakali une-endometriosis, uma uhlangabezana ne-pneumothorax phakathi kokuya esikhathini, kungase kube ngenxa yokukhula kwezicubu ze-endometrial emaphashini noma ku-diaphragm.

Ubani osengozini enkulu yalesi simo?

I-catamenial pneumothorax yisimo esivame ukwenzeka kwabesifazane abaneminyaka ephakathi kuka-30 no-40 abakhipha amaqanda (okungukuthi, abaya esikhathini njalo). Akuvamile, kungenzeka kwabesifazane abasebenzisa izindlela zokuvimbela inzalo zama-hormone noma abakhulelwe. Uma wena noma othile emndenini wakho ene-endometriosis, usengozini enkulu yokuba nalesi simo.

Ingabe lokhu kungabangela izinkinga?

Kwezinye izimo, i-pneumothorax ingaholela ezinkingeni ezinkulu, njengokwehluleka kokuphefumula noma ukwehluleka kwenhliziyo . Nakuba lokhu kungavamile, kubalulekile ukubona udokotela uma unezimpawu ze-pneumothorax.Ngenxa yokuthi lezi zimpawu zingafana nezezinye izimo zezokwelapha ezimbi kakhulu, azipheli nje.

Ukubona kanjani lokhu?

Odokotela bavame ukuxilonga isimo esibizwa ngokuthi "i-Catamenial Pneumothorax" ngokulalela ngokucophelela izimpawu zakho, ukulalela amaphaphu akho, nokusebenzisa izivivinyo ezahlukene zezithombe. Lezi zivivinyo zifaka:

• I-X-ray yesifuba: Lokhu kungahlola ukuthi amaphaphu acindezelwe noma agcwele umoya.
• I-CT scan: Lokhu kungaveza izithombe ezicacile nezinemininingwane eminingi kune-X-ray. Kungahlola ne-endometriosis.
• I-ultrasound yamaphaphu: Lokhu kusiza futhi ekuxilongeni i-pneumothorax.

Ukuze usize udokotela ukuthola imbangela, kungaba usizo uma ungabatshela okulandelayo:

• Ingabe isikhathi sakho sizoqala maduze?
• Ukuthi isikhathi sakho sesiqalile yini muva nje.
• Ukuthi wake waba nalezi zimpawu ngesikhathi sakho sokuya esikhathini ngaphambilini kuyinto ebaluleke kakhulu.

Ngezinye izikhathi, ngaphandle kokuhlinzwa (isibonelo, i-laparoscopy noma i-thoracoscopy) noma i-biopsy, udokotela angase angakwazi ukubona ukuthi imbangela eqondile ye-pneumothorax yi-endometriosis noma okunye.

Yiziphi izindlela zokwelapha lokhu?

Esikhathini esiningi, i-pneumothorax encane izoziphelela ngokwayo. Kodwa-ke, uma izimpawu zakho zinzima noma iphaphu lakho liwohlokile kakhulu, kungadingeka ukuthi ube nenqubo ebizwa ngokuthi i-thoracentesis ukuze kususwe umoya esifubeni sakho, noma ipayipi lesifuba. Lokhu kuvumela iphaphu lakho ukuthi liphinde likhule.

Ukuze uvimbele lesi simo ukuthi singaphinde sivele, udokotela wakho angase akuncome okulandelayo:

• I-thoracoscopy esizwa yividiyo (i-VATS): Lokhu kuhilela ukufaka ikhamera namathuluzi ngokusebenzisa izimbobo ezimbalwa ezincane, okuvumela udokotela ukuthi asuse izicubu ze-endometrial, alungise izimbobo ku-diaphragm, noma avale amasaka omoya (ama-blebs).
• Imithi: Udokotela wakho angase akunike imithi yokulawula amazinga akho ama-hormone, unciphise ukukhula kwe-endometriosis, futhi umise ukukhishwa kwamaqanda. Isibonelo, udokotela wakho angase akunike amaphilisi okuvimbela inzalo, ama-gonadotropin-releasing hormone agonists (ama-GnRH agonists), noma i-danazol.
• I-Pleurodesis: Ngesikhathi sokuhlinzwa, iphaphu lakho linamathela odongeni lwesifuba, kungaba ngokusebenzisa amakhemikhali noma ngokwenza ukusikwa okuncane olwelwesini lwamaphaphu akho (i-pleura). Lokhu kuvimbela iphaphu ukuthi lingawi ngoba akukho ndawo yokuqoqa umoya.
• Ukususwa kwesisu ngokususwa kwe-oophorectomy okubili: Uma zonke ezinye izindlela zokwelapha zingaphumeleli, futhi izimpawu zimbi kakhulu, njengesixazululo sokugcina, kokubili isibeletho nama-ovari kuyasuswa ngokuhlinzwa, kumiswe ngokuphelele ukukhishwa kweqanda kanye nokuya esikhathini.

Okubalulekile: Lezi zindlela zokwelapha zinqunywa udokotela wakho ngokusekelwe esimweni sakho sezokwelapha, iminyaka, imigomo yokuzala, nezinye izici eziningi. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho futhi uxoxe nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho nodokotela wakho.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nezimpawu ezingakhululekile njengalezi (ikakhulukazi ubuhlungu besifuba, ukuphelelwa umoya) ezihambisana nokuya esikhathini kwakho, ungamane nje ucabange ukuthi “ukuya esikhathini kwakho nje” futhi nakanjani ukhulume nodokotela.

Kungaba usizo ukubuza udokotela wakho imibuzo efana nale:

• Ucabanga ukuthi yini ebangela lesi simo kimi?
• Yiziphi izindlela zokwelapha enginazo? Yiziphi izinzuzo nezingozi?
• Uma kufanele ngifake ipayipi lesifuba, kuzothatha isikhathi esingakanani ukuthi ngiligcine?
• Ingabe kuzodingeka ngihlale esibhedlela?
• Ngingazinakekela kanjani ekhaya? Yiziphi ezinye izinto okungafanele ngizenze?
• Ngingayisebenzisa kanjani le mithi enikezwe udokotela? Ingabe ingabangela imiphumela emibi?

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma unezimpawu ze-pneumothorax, njengobuhlungu obukhulu besifuba, ubunzima bokuphefumula, noma izindebe eziluhlaza okwesibhakabhaka, iya eGumbini Lezimo Eziphuthumayo (ER) ngokushesha. Lezi zingaba izimpawu zezinye izimo ezibucayi, futhi ungadinga ukwelashwa okuphuthumayo. Ungachithi isikhathi.

Yini engingayilindela ngalesi simo?

I-catamenial pneumothorax ngokuvamile ayisona isimo esisongela ukuphila. Kodwa-ke, uma uyithola kanye futhi ingelashwa, kungenzeka ukuthi iphinde yenzeke, ngokuvamile njalo ezinyangeni ezimbalwa. Yingakho kubalulekile ukuthola ukuxilongwa okufanele kanye nokwelashwa. Ungadinga inhlanganisela yezindlela zokwelapha (njengokuhlinzwa kanye nemithi) ukuze uyilawule.

Ingabe i-`(Catamenial Pneumothorax)` ingavinjelwa?

I-catamenial pneumothorax yisimo esingaphinde sivele njalo. Kodwa-ke, kuye ngokuthi imbangela ikuphi, ukuhlinzwa (ikakhulukazi i-VATS), imithi elawula ama-hormone, noma inhlanganisela yakho kokubili kungasiza ekuvimbeleni noma ekunciphiseni ukuphinda kwenzeke.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele sizikhumbule kule ndaba?

Nakuba kujwayelekile ukuzwa ukungakhululeki ngesikhathi sokuya esikhathini, akuvamile ukuba nezinkinga zamaphaphu. Ngenhlanhla, lesi simo, esibizwa ngokuthi "i-Catamenial Pneumothorax," ngokuvamile asisongeli impilo. Futhi kunezindlela zokwelapha ezingasiza ekuvimbeleni ukuthi siphinde senzeke.

Into ebaluleke kakhulu ukuthi uma unezimpawu eziqhubekayo njengobuhlungu besifuba kanye nokuphelelwa umoya ngesikhathi sokuya esikhathini, ungakuzibi bese utshela udokotela. Ngemuva kwalokho angathola ukuthi lokhu kuyi-`(Catamenial Pneumothorax)` noma okunye, futhi akunike iseluleko nokwelashwa okufanele kakhulu. Khumbula, into ebaluleke kakhulu ukunakekela impilo yakho nokukhuluma ngokukhululekile ngezinkinga zakho. Ungakhathazeki, kunezixazululo zakho konke!

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