Wake waphawula ukuthi uma ukhwehlela kakhulu, kuphuma igazi elincane elixubene ne-mucus? Kujwayelekile kakhulu ukuzizwa wesaba futhi wethukile uma ubona into efana naleyo. Ungase ucabange, "O, ingabe nginokuthile okungathi sína?" Kodwa empeleni, isikhathi esiningi, lokhu akusikho okufanele ukwesabe. Kodwa-ke, ukwazi kahle ukuthi kuyini lokhu, kungani kwenzeka, nokuthi kufanele sikhathazeke nini ngakho kubaluleke kakhulu ukuze ube nokuthula kwengqondo nempilo .
Kuyini ngempela i-hemoptysis (ukukhwehlela igazi)?
Kalula nje, lokhu kuwukuphuma kwegazi engxenyeni engezansi yohlelo lwakho lokuphefumula, okusho ukuthi emaphashini noma emphinjeni wakho . Leli gazi eliphuma ngokukhwehlela livame ukuba namagwebu futhi libe namaqhubu. Lokhu kungenxa yokuthi liphuma lixubene ne-mucus namathe. Ngezinye izikhathi libukeka lipinki, libomvu kancane, noma linombala wokugqwala. Esikhathini esiningi, lincane kakhulu .
Kodwa, lokhu kuhlukile ekuhlanzeni igazi. Ake sibheke lokho.
Ingabe ukukhwehlela igazi nokuhlanza igazi kuyinto efanayo?
Yebo, lena yindawo lapho abantu abaningi bedideka khona. Lezi zimo ezimbili zihluke ngokuphelele.
- Ukukhwehlela igazi (i-Hemoptysis): Lokhu kuvela endleleni yakho yokuphefumula (amaphaphu, umphimbo). Ngokuvamile kuba inani elincane legwebu, elixutshwe ne-mucus namathe.
- I-Hematemesis: Lokhu kuvela engxenyeni engenhla yesistimu yakho yokugaya ukudla (isisu, amathumbu amancane). Ngokuvamile kuhilela inani elikhulu legazi eliphuma ngesikhathi esisodwa. Lokhu kuvame ukuba uphawu lokopha kwangaphakathi.
Uma uhlanza igazi, kufanele kubhekwe njengesimo esiphuthumayo futhi kufanele ubonane nodokotela ngokushesha . Kungcono ukungalibali.
Ingabe lesi kungaba yisimo esibucayi?
Impendulo yalo mbuzo ithi "yebo, kungenzeka" nokuthi "cha, kungenzeka." Kuncike ngokuphelele esizathwini sakho sokopha kanye nenani legazi.
Izindaba ezinhle ukuthi izimbangela eziningi azizimbi kakhulu futhi zingelashwa futhi zelapheke kalula. Isibonelo, ukukhwehlela okunzima kungabangela ukusikeka okuncane emphinjeni futhi kubangele ukuphuma kwegazi elincane. Kodwa-ke, ngezinye izikhathi lokhu kungaba uphawu lokutheleleka okukhulu noma isimo esibi, njengomdlavuza wamaphaphu. Futhi, ukukhwehlela igazi eliningi ngesikhathi esisodwa kungaba yingozi empilweni.
Khumbula, kungakhathaliseki ukuthi imbangela iyini, udokotela wakho kuphela ongakutshela ukuthi lesi simo sibucayi kangakanani. Ngakho-ke, kuwukuhlakanipha ukufuna iseluleko sezokwelapha kunokuqagela.
Yiziphi izimbangela zokukhwehlela igazi?
Kungaba nezizathu eziningi. Ake sizihlukanise zibe ezivamile nezingavamile. Leli thebula lizokunikeza ukuqonda okungcono.
| Imbangela | Incazelo emfushane |
|---|---|
| Izimbangela ezivamile zivame ukubonakala | |
| I-Bronchitis | Ukutheleleka kwendlela yokuphefumula. Kuvamile ukukhwehlela amafinyila. |
| Inyumoniya | Ukutheleleka okukhulu emaphashini. |
| Isifo sofuba | Ukutheleleka ngamagciwane okuthinta amaphaphu. |
| Ezinye izimbangela ezingaba khona | |
| I-Bronchiectasis | Ukwandiswa okungapheli kwemigudu yomoya emaphashini. |
| I-Pulmonary Embolism | Lesi yisimo esibucayi esidinga ukwelashwa okuphuthumayo. |
| I-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) | Isifo samaphaphu sesikhathi eside, esivame kakhulu kubantu ababhemayo. |
| Umdlavuza Wamaphaphu | Ingozi iphezulu kakhulu kubantu ababhemayo abangaphezu kweminyaka engu-40. |
| Ukwehluleka Kwenhliziyo Okubangelwa Ukuqina Kwenhliziyo | Ukuqongelela koketshezi emaphashini ngenxa yokusebenza kabi kwenhliziyo. |
| Ukusetshenziswa kwemithi yokunciphisa igazi | Abantu abasebenzisa le mithi banamathuba amaningi okopha. |
| Into yangaphandle ibambeke endleleni yokuphefumula | Kuvamile kakhulu ezinganeni ezincane. |
Udokotela uthola kanjani imbangela yalokhu?
Uma uya kudokotela, uzoqala ngokukubuza imibuzo embalwa.
- Lingakanani igazi elilahlekayo?
- Sekuyisikhathi esingakanani lesi simo sikhona?
- Uphuma igazi kangaki ngosuku?
- Lingakanani igazi elixutshwe ne-mucus?
- Uyabhema? Ingabe zikhona ezinye izimpawu?
Ngokusekelwe ezimpendulweni zakho zale mibuzo, udokotela wakho angathola umbono oqondile wembangela. Ngemuva kwalokho, angenza izivivinyo ezithile ukuqinisekisa imbangela, njengokuthi:
- I-X-ray yesifuba: Ukuhlola isimila, uketshezi, noma okunye ukukhubazeka emaphashini.
- Ukuskena kwe-CT esifubeni: Ukubuka okujulile okuthile okubonwe ku-X-ray.
- I-Bronchoscopy: Ukuhlolwa lapho kudluliswa khona ithubhu elincane elifakwe ikhamera emigwaqweni yomoya ukuze kutholakale umthombo wokopha.
- Inani eliphelele legazi (i-CBC): Lihlola ukuthi lingakanani igazi elilahlekile emzimbeni nokuthi ngabe kukhona yini izimpawu zokutheleleka.
- Ukukhuliswa kwe-sputum: Thatha isampula ye-sputum ukuze uhlole izinto ezithathelwanayo ezifana namagciwane namagciwane.
- Ukuhlolwa Kokujiya Kwegazi: Kuhlola noma yiziphi izinkinga ngokujiya kwegazi.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike enanini lokopha kanye nembangela yako.
Uma ukopha kukubi kakhulu:
Uma ulahlekelwa igazi eliningi ngesikhathi esisodwa, uzolaliswa egunjini lokunakekelwa okujulile (ICU) futhi into yokuqala ezokwenziwa ukulawula ukopha. Lokhu kuzobandakanya i-bronchoscopy.Umuntu angenziwa ukususa amahlule egazi noma enze ukwelashwa okubizwa ngokuthi i-Bronchial Artery Embolization , okuvimba umthambo wegazi.
Ukwelashwa ngokwembangela:
Uma ukopha sekulawulwe, noma uma ukopha kuncane, udokotela uzokunikeza ukwelashwa okusekelwe esibangweni.
- Ama-antibiotic: Uma imbangela iwukutheleleka ngamagciwane njenge-pneumonia noma isifo sofuba.
- Ama-Steroids: Uma imbangela kungukuvuvukala.
- Ukuhlinzwa kanye nokwelashwa komdlavuza: Uma imbangela kuyisifo somdlavuza emaphashini.
Ingabe kufanele ngibone udokotela ngokushesha?
Lena yingxenye ebaluleke kakhulu. Kunini lapho kufanele sikubheke lokhu njengesimo esiphuthumayo?
Uma wopha ngaphezu kwezipuni ezimbalwa, noma uma usuchithe isikhathi esingaphezu kwesonto, qiniseka ukuthi ubona udokotela.
Uma uphuma igazi unezimpawu ezilandelayo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
| Qaphela! Uma unalezi zimpawu, iya ku-ETU ngokushesha. | |
|---|---|
| Imfiva | Ubunzima bokuphefumula |
| Ubuhlungu besifuba | Ukwehla kwesisindo ngokuzumayo noma ngokushesha |
| Ukujuluka ebusuku | Isiyezi noma ukuquleka |
| Igazi emchameni noma esitulweni | |
Umlayezo Wokuya Nawe Ekhaya
- Igazi elincane uma ukhwehlela ngokuvamile alibi kakhulu, kodwa ungalishayi indiva.
- Uma ukopha kukhulu kakhulu, noma uma kuqhubeka isikhathi esingaphezu kwesonto, noma uma unezinye izimpawu ezifana nobuhlungu besifuba, ubunzima bokuphefumula, noma umkhuhlane, funa iseluleko sikadokotela ngokushesha.
- Into ebaluleke kakhulu ukuthola imbangela eqondile bese uthola ukwelashwa okufanele ngayo. Ngakho-ke ungesabi ukubona udokotela.
- I-Hemoptysis kanye ne-hematemesis yizimo ezimbili. Ukuhlanza igazi kanye nokukhwehlela igazi kungaba yisimo esiphuthumayo esibucayi kakhulu.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Yisiphi isifo esinqunyelwe amaphilisi e-Nisoldipine (Nisoldipine / Sular)?
Lesi yi-Calcium Channel Blocker (CCB) eyenzelwe ukulawula umfutho wegazi ophakeme. Singesinye samaphilisi omfutho wegazi anamandla kakhulu emhlabeni! Okukhethekile kwalokhu ukuthi sinomthelela ophansi kakhulu esigqini senhliziyo kunamanye amaphilisi (CCB) (Vascular Selectivity). Ngakho-ke, asiyilimazi inhliziyo, kodwa sisebenza ngqo ekuphumzeni imithambo yegazi.
💬 Ukuthatha leli philisi lomfutho wegazi (i-Nisoldipine) kwehlisa kanjani umfutho wegazi?
Ukuze umthambo wegazi ufinyele/ufinyele futhi ingcindezi ikhuphuke, izinhlayiya ze-'Calcium' kumele zingene emisipheni yomthambo wegazi! Lapho nje lo muthi ungena egazini, uvimba/uvala futhi uvale wonke amasango e-calcium (iziteshi ze-calcium zohlobo lwe-L) kulezo mithambo yegazi ngo-100%! Njengoba i-calcium ingangeni, umthambo wegazi awufinyeleli futhi uba mkhulu kakhulu (i-Vasodilation). Bese igazi ligeleza kalula futhi ingcindezi iyehla.
💬 Yimiphi imiphumela emibi ecasulayo yokusebenzisa lo muthi (i-Nisoldipine)? Kungani kuthiwa ungawusebenzisi kanye nokudla/amafutha (ukudla okunamafutha amaningi)?
Inkinga enkulu ukuthi akufanele neze udle 'ukudla okunamafutha amaningi' ngenkathi uthatha leli philisi! Uma wenza kanjalo, ukumuncwa komuthi emzimbeni kungase kwande/kunciphe ngendlela engavamile (Ukwehliswa komuthi okushintshiwe) futhi ingcindezi ingase yehle ekugcineni bese ushona. Eminye imiphumela emibi ecasulayo kakhulu ukuthi lokhu kuzobangela 'ukuvuvukala kwamaqakala/imilenze (i-Peripheral Edema)' kanye nokushaya kwenhliziyo okusheshayo/ukubomvu kobuso (i-Reflex tachycardia/Flushing).
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