Ingabe isifuba sakho sigcwele igazi nomoya futhi sikwenza uzizwe ucimekile? Lokhu kungaba (Hemopneumothorax)!

Wake wazibuza ukuthi ukulimala esifubeni kungaba kubi kangakanani, kungaba ngenxa yengozi, ukuwa, noma into efanayo? Ngezinye izikhathi kungaba nzima kakhulu ukuphefumula ngemva kwento efana naleyo. Yilokho kanye esizokhuluma ngakho namuhla, futhi kuyisimo esibi esidinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu sikubiza ngokuthi `(Hemopneumothorax)`. Nakuba igama lingase libonakale lide kancane, masiligcine lilula.

Kuyini lokhu `(Hemopneumothorax)`?

Kalula nje, `(Hemopneumothorax)` yilapho isikhala esizungeze amaphaphu akho, esisibiza ngokuthi `(isikhala se-pleural)`, sigcwele igazi (`(hemothorax)`) kanye nomoya (`(pneumothorax)` noma ukuwa kwamaphaphu) ngasikhathi sinye. Cabanga ngakho njengokuthi amaphaphu akho afana namabhaluni amabili. Lawa mabhaluni angaphakathi kwesifuba sakho. Kukhona isikhala esincane phakathi kwamaphaphu nodonga lwesifuba, olubizwa ngokuthi `(isikhala se-pleural)`. Ngokuvamile, lokhu akuyona into enkulu, kodwa uma lesi sikhala sigcwele igazi nomoya, amaphaphu awakwazi ukufutha kahle, okusho ukuthi awakwazi ukuphefumula. Kufana nokubamba ibhaluni futhi ngeke lifutha.

Lesi simo sivame ukwenzeka ngemva kokulimala okungazelelwe, okukhulu esifubeni, njengengozi yemoto, ukuwa usuka endaweni ephakeme, ukugwazwa, noma inxeba lokudutshulwa. Uma unezimpawu ze-hemopneumothorax, kubalulekile ukufuna usizo lwezokwelapha ngokushesha.

Ingabe i-``(Hemopneumothorax)`` iyisimo esibucayi?

Yebo, impela! `(Hemopneumothorax)` yisimo esibi kakhulu futhi sidinga ukunakekelwa kwezokwelapha okusheshayo. Ngoba, uma kungelashwa, igazi nomoya oqoqana emaphashini kungabeka ingcindezi enkulu emaphashini, kuwenze angakwazi ukufutha nhlobo. Izinto ezimbi kakhulu ezingase zenzeke yilezi:

• Ukungakwazi ukuphefumula.
• Ukwehluleka kwenhliziyo.
• Ngeshwa, ngisho nokufa kungenzeka.

Ngakho-ke, uma unezimpawu ezinjengalezi, into engcono kakhulu ongayenza ukuya esibhedlela ngaphandle kokulibala.

Ingabe kunezinhlobo ze-`(Hemopneumothorax)`?

Kunezinhlobo ezimbili eziyinhloko ze-`(Hemopneumothorax)`:

1. I-hemopneumothorax ebuhlungu: Lolu uhlobo oluvame kakhulu. Luvela ngenxa yokulimala okukhulu esifubeni. Kodwa-ke, akuvamile kakhulu, lungabangelwa nezinye izimo ezifana nomdlavuza wamaphaphu noma i-rheumatoid arthritis.

2. I-hemopneumothorax ezenzakalelayo: Lokhu kwenzeka ngaphandle kwesizathu esibonakalayo. Lokhu akuvamile kakhulu.

Sivame kangakanani lesi simo?

I-Hemopneumothorax yisimo esingavamile kakhulu.Kunezinkulungwane zabantu abathola i-`(Pneumothorax)` yodwa minyaka yonke. Ngokusho kochwepheshe, `(hemothorax)` (ukugcwalisa igazi emaphashini) kukhula kubantu abangaba yizinkulungwane ezingamakhulu amathathu minyaka yonke. Kodwa-ke, cishe abantu abangu-5% kuphela abanayo i-`(pneumothorax)` nabo bathola i-`(hemothorax)`, okungukuthi, `(Hemopneumothorax).` Ngakho-ke, lokho kusho ukuthi lokhu kuyinto engavamile.

Ziyini izimpawu ze-`(Hemopneumothorax)`?

Uma une-`(Hemopneumothorax)`, ungase ube nesinye noma ngaphezulu salezi zimpawu:

• Ubuhlungu besifuba: Lolu uphawu oluyinhloko. Kungaba ubuhlungu obungazelelwe, obubukhali.
• Ubunzima bokuphefumula: Kuzwakala kunzima kakhulu, ikakhulukazi uma uzama ukuphefumula ngokujulile.
• Ukuphefumula okusheshayo (ukuphefumula ngokweqile): Ungase uzizwe sengathi uphefumula ngokushesha okukhulu.
• Ukuphelelwa umoya (ukuphelelwa umoya): Umuzwa wokungakwazi ukuphefumula.
• Ukukhathala, ukukhathala: Ungase uzizwe ukhathele kakhulu kangangokuthi awukwazi ukwenza lutho.
• Ukushaya kwenhliziyo okusheshayo (i-tachycardia): Isilinganiso senhliziyo singase sikhuphuke.
• Ukukhathazeka nokungahlaliseki: Kuvamile ukuthi ukwesaba nokungahlaliseki kuhambisane nalokhu kungakhululeki.

Cabanga nje, uma uwile ngokuzumayo noma waba nengozi, bese isifuba sakho sibuhlungu futhi ukuthola kunzima ukuphefumula, ungakushayi indiva lokho.

Yiziphi izimbangela ze-`(Hemopneumothorax)`?

Njengoba sesixoxile ngaphambili, imbangela evame kakhulu ye-hemopneumothorax ebuhlungu ukushaywa esifubeni noma into esunduza esifubeni. Isibonelo:

• Ukulimala kwezemidlalo: Ikakhulukazi uma udlala imidlalo enomthelela omkhulu. Cabanga ngebhola, i-hockey, i-lacrosse, ukuphakamisa izinsimbi, isibhakela, ukubambana, kanye ne-karate.
• Izingozi zezimoto.
• Ukuwa (ikakhulukazi kusukela phezulu).
• Amanxeba okubhoboza: Kungabangelwa ummese, ukudubulana, noma ngezinye izikhathi ngesikhathi senqubo yezokwelapha njenge-biopsy (lokhu akuvamile kakhulu).

Kungase kube nezinye izizathu, kodwa azivamile kangako:

• Umdlavuza wamaphaphu (`(Umdlavuza wamaphaphu)`).
• I-rheumatoid arthritis (`(i-rheumatoid arthritis)`).
• Ukuhlinzwa kwesifuba, okuhlanganisa nokuhlinzwa kwenhliziyo.
• Inkinga yokujiya kwegazi.
• I-Pleural mesothelioma (Lolu uhlobo lomdlavuza oluvela ku-pleura).

Akuvamile kakhulu ukuthi i-hemopneumothorax eyenzeka ngokungazelelwe ingenzeki ngaphandle kwesizathu esibonakalayo.

Yiziphi izinkinga ezingaba khona ze-`(Hemopneumothorax)`?

Uma lesi simo singelashwa ngokushesha, kungase kube nezinye izinkinga. Lezi zinkinga zifaka:

• Ubunzima bokuphefumula noma ukungakwazi ukuphefumula wedwa (ukwehluleka kokuphefumula).
• Ukuboshwa kwenhliziyo.
• Ukutheleleka kwamaphaphu:Isibonelo, `(empyema)` (ubomvu obugcwalisa i-pleura) noma `(i-pneumonia)`.
• Ukusha kwezicubu ze-pleural noma izicubu zamaphaphu.

Futhi, kukhona ithuba lokuphinda kwenzeke kwe-`(Hemopneumothorax)`.

Ungayithola kanjani i-`(Hemopneumothorax)`?

Uma uya esibhedlela, udokotela uzokuhlola kuqala. Uzolalela amaphaphu akho nge-stethoscope (`(auscultation)`). Ngemuva kwalokho, uzoyala ukuhlolwa okukhethekile kwezithombe ukuqinisekisa isimo futhi abone kahle ukuthi igazi nomoya kuqoqene kuphi.

Hlobo luni lokuhlolwa okwenziwayo?

Udokotela angase acele ukuhlolwa okufana nalokhu:

• I-X-ray yesifuba: Lokhu kusiza ukuhlonza noma yikuphi ukulimala noma izimo ezihlobene namaphaphu.
• I-CT scan (noma i-Computed Tomography scan): Lokhu kungathatha isithombe samaphaphu akho esinobukhulu obuthathu (3D). Kungabonisa imininingwane eminingi kune-X-ray.
• I-Ultrasound: Lokhu kusiza ukuthola ukuthi lingakanani igazi nomoya okuqongeleleke emaphashini nokuthi litholakala kuphi.

Iphathwa kanjani i-`(Hemopneumothorax)`?

Into eyinhloko ekwelapheni i-hemopneumothorax ukususa igazi nomoya esikhaleni se-pleural.

Okokuqala, udokotela wakho angakunika umoya-mpilo (`(Ukwelashwa nge-oxygen)`) ukuze akusize uphefumule. Uma isimo sakho sibi kakhulu, ungase ufake umoya-mpilo (`mechanical ventilation)`. Lokhu kusho ukuthi uma ungakwazi ukuphefumula wedwa, umshini uzokuphefumula.

Kuye ngokuthi i-hemopneumothorax ibucayi kangakanani, udokotela angase:

• Sebenzisa inaliti encane kakhulu ('inaliti yokufuthwa') ukuze ukhiphe igazi nomoya.
• Noma, ipayipi elikhulu kancane (“ipayipi lesifuba” noma “i-thoracostomy”) lifakwa ngezimbambo zakho liye esikhaleni se-pleural, bese igazi nomoya kukhishwa ngalo. Uma igazi nomoya sekususiwe, inaliti noma ipayipi liyasuswa.

Kodwa-ke, uma isikhala se-pleural siqhubeka nokugcwala igazi nomoya, udokotela ohlinzayo uzokwenza i-incision encane esifubeni sakho (i-thoracotomy) futhi elaphe izicubu ezonakele. Uma ulahlekelwe igazi eliningi, ungase udinge nokumpontshelwa igazi.

Ngemva kokwelashwa, udokotela uzokunikeza imithi yokulwa namagciwane ukuvimbela ukutheleleka kanye nemithi yokwelapha izinhlungu ukunciphisa ubuhlungu kuze kube yilapho kuphola.

Ingabe ikhona imiphumela emibi yokwelashwa?

Njenganoma yiluphi ukwelashwa kwezokwelapha, kunezingozi ezithile ezihilelekile ekwelapheni i-hemopneumothorax:

• Ubuhlungu.
• Ukopha.
• Ukutheleleka kwamaphaphu.
• Ukuvuvukala kwamaphaphu (ukunqwabelana koketshezi emaphashini).

Udokotela uzokutshela okwengeziwe ngalezi zinto.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

LokhuKuya ngokuthi imbangela ye-hemopneumothorax ibangelwa yini kanye nohlobo lokwelashwa olutholile.

Cishe uzohlala esibhedlela izinsuku ezimbalwa ngemva kokufakwa kwepayipi lesifuba noma ngemva kokuhlinzwa. I-Hemopneumothorax noma okunye ukulimala kwesifuba kungathatha amasonto noma ngisho nezinyanga ukuphulukiswa. Udokotela wakho uzokunikeza umbono wokuthi kuzothatha isikhathi esingakanani ukululama, kuye ngesimo sakho.

Yini ongayilindela uma uba nesifo se-`(Hemopneumothorax)`?

I-Hemopneumothorax yisimo esibucayi esidinga ukunakekelwa kwezokwelapha ngokushesha. Kungase kudingeke uhlale esibhedlela izinsuku ezimbalwa noma ngaphezulu ukuze ubone ukuthi ululama kahle yini. Kodwa-ke, uma lesi simo sitholakale kahle futhi selashwa ngokushesha, amathuba okululama mahle kakhulu.

Kodwa-ke, kunethuba elincane lokuthi `(Hemopneumothorax)` izophinde ivele. Ngakho-ke, kungcono ukuhlala uxhumana nodokotela njalo futhi uqaphe amaphaphu akho.

Ngizokwazi nini ukubuyela emsebenzini nasesikoleni?

Uma une-hemopneumothorax, kuye ngokuthi imbangela nokuthi ululama ngokushesha kangakanani, ungase ungakwazi ukuya esikoleni, emsebenzini, noma kweminye imisebenzi okwesikhashana. Udokotela wakho uzokutshela ukuthi ungabuyela nini emisebenzini evamile.

Ingabe `(Hemopneumothorax)` ingavinjelwa?

Kunzima ukuvimbela i-hemopneumothorax ukuthi ingenzeki ngezizathu ezithile. Kodwa-ke, ukulandela lawa macebiso kungasiza ekunciphiseni ingozi yakho:

• Gqoka izingubo zokuzivikela uma udlala imidlalo ethinta kakhulu.
• Gqoka ibhande lesihlalo njalo uma ugibele imoto.
• Susa izinto ezingabangela ukuthi ushelele futhi uwe ekhaya lakho bese uzigcina zicocekile.
• Hamba kancane kancane bese usebenzisa induku, i-walker, noma izinduku zokubambelela ukuze uvimbele ukuwa.
• Sebenzisa imishini efanele (njengeladi, isitulo, noma ithuluzi lokubamba) uma ufinyelela phezulu. Ungalokothi ukhwele ezihlalweni noma ematafuleni.
• Uma ubhema, yeka.
• Nciphisa noma uyeke imisebenzi ehilela izinguquko ezinkulu ekucindezelweni komoya (njengokundiza, ukuntywila olwandle olujulile).

Ngizinakekela kanjani (ngemuva kwalesi simo)?

Kubalulekile ukugwema ukwenza noma yini engalimaza noma icindezele amaphaphu:

• Ukubhema.
• Ukuzivocavoca okunzima, okuhlanganisa nokuphakamisa izinsimbi.
• Xhumana nezemidlalo.
• Ukuntywila olwandle olujulile.
• Ukuhamba ngendiza (ikakhulukazi ezigabeni zokuqala, ngaphansi kweseluleko sezokwelapha).

Kufanele ubonane nini nodokotela?

Ngemva kokwelashwa, iya kudokotela wakho ukuze uthole ama-aphoyintimenti okulandelela. Ungase futhi wenze ezinye izivivinyo ukuze ubone ukuthi uyalulama kahle yini.

Kufanele uye nini egumbini lezimo eziphuthumayo (ETU) ?

Uma unezimpawu ze-`(Hemopneumothorax)` ikakhulukazi ubunzima bokuphefumula noma ubuhlungu obukhulu esifubeni, iya ekamelweni eliphuthumayo eliseduze ngokushesha okukhulu.Lokhu akuyona into okufanele uphuze ukuyenza.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Nansi eminye imibuzo ongayibuza udokotela wakho ngalesi simo:

• "Dokotela, ngingaqiniseka kanjani ukuthi ngine-`(Hemopneumothorax)`?"
• "Ngikuthole kanjani lokhu?"
• "Kubaluleke kangakanani lokhu?"
• "Yini okufanele ngiyenze ukuze ngivimbele into efana nale ukuthi ingaphinde yenzeke?"
• "Udokotela ungincoma yiphi indlela yokwelapha?"
• "Kuzongithatha isikhathi esingakanani ukuba ngilulame?"
• "Ingabe ngizodinga umoya-mpilo owengeziwe?"
• "Ingabe kuzomele ngihlale esibhedlela?"
• "Kuzothatha isikhathi esingakanani ngaphambi kokuba ngiphinde ngibonane nodokotela?"

Ngokubuza le mibuzo, ungaqonda kangcono isimo.

Uyini umehluko phakathi kwe-`(Pneumothorax)` kanye ne-`(Hemopneumothorax)`?

Kalula nje:

• I-Pneumothorax yilapho isikhala sakho se-pleural sigcwele umoya .
• `(Hemopneumothorax)` iyinhlanganisela `(pneumothorax)` (umoya) kanye `(hemothorax)` (igazi). Okusho ukuthi, kukhona kokubili umoya kanye negazi esikhaleni se-pleural.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usunombono ongcono ngesimo esikhulume ngaso esibizwa ngokuthi `(Hemopneumothorax)`.

Lesi yisimo esibi kakhulu esidinga ukunakekelwa kwezokwelapha ngokushesha. Ngokuvamile sibangelwa ukulimala okukhulu esifubeni. Uma uhlangabezana nezimpawu ezifana nobunzima bokuphefumula kanye nobuhlungu esifubeni, kufanele nakanjani uye esibhedlela ngokushesha.

Kodwa ungakhathazeki, uma utholakale kahle futhi welashwa kusenesikhathi, ungalulama. Into ebaluleke kakhulu ukuthatha isinyathelo ngokushesha, ungazinaki izimpawu. Ngikufisela impilo enhle wena nabathandekayo bakho!

I- Hemopneumothorax, i-Pneumothorax, i-Hemothorax, Ubuhlungu besifuba, Ubunzima bokuphefumula, Amaphaphu, Izingozi