Uma uya kudokotela, bafaka i-stethoscope esifubeni sakho nasemhlane bese bethi, "Phefumula kakhulu... khipha umoya kancane kancane..." Wake wazibuza ukuthi kungani benza lokho? Kalula nje, udokotela ulalele imisindo evela ngaphakathi kwamaphaphu akho. Le misindo ifana nolimi lwamaphaphu akho. Le misindo ingakutshela okuningi ngempilo yohlelo lwakho lokuphefumula.
Ziyini lezi misindo zamaphaphu?
Imisindo yamaphaphu, noma imisindo yokuphefumula, yimisindo oyizwayo ngaphakathi kwemigudu yakho yomoya (amapayipi amancane athwala umoya ngaphakathi kwamaphaphu akho) njengoba uphefumula ungena futhi uphuma.
Umuntu onamaphaphu aphilile unezindlela zokuphefumula ezicacile. Lokhu kusho ukuthi akukho mucus owengeziwe, ukuvuvukala, noma noma yikuphi ukuvinjelwa kuwo. Bese umoya uhamba kahle kakhulu futhi kancane, ngakho-ke wenza umsindo othambile kakhulu. Lokhu sikubiza ngokuthi imisindo evamile yamaphaphu (imisindo yamaphaphu e-vesicular).
Kodwa-ke, kwenzekani uma le migudu yomoya igcwele umucu, ivuvukele, noma ivinjwe okuthile ngenxa yesimo sempilo? Khona-ke indlela yomoya ivinjiwe. Yilapho uqala ukuzwa zonke izinhlobo zemisindo engavamile. Kungaba njenge-'whoosh', 'whoosh', noma 'whoosh'. Sibiza le misindo yamaphaphu engavamile/eyafika .
Into ebalulekile ukuthi udokotela ngeke aphethe ngokuthi unesifo ngoba nje ezwa umsindo ongavamile kanje. Kuyinkomba ebalulekile kuphela esiza ekuxilongweni. Kanye nalokhu, ukuxilongwa okunembile kakhulu kufinyelelwa ngokucabangela ezinye izimpawu zakho, umlando wakho wezempilo, kanye, uma kudingeka, nezinye izivivinyo.
Yiziphi izinhlobo eziyinhloko zemisindo yamaphaphu engavamile?
Kunezinhlobo eziningana zale misindo engavamile udokotela ayizwayo. Ngayinye ilandisa indaba ehlukile. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo Lomsindo | Kuzwakala kanjani lokho? / Incazelo elula |
|---|---|
| I-Rhonchi | Lona umsindo ojulile, ofana 'nokububula' okuhogelayo. Uma sikhuluma iqiniso, lo msindo wenziwa lapho umoya udlula emigwaqweni emikhulu yomoya lapho igcwele amafinyila. Lo msindo ungalahleka isikhashana lapho ukukhwehlela kuvulwa. |
| Ukuphefumula | Lona umsindo abantu abaningi abawujwayele. Umsindo ophakeme, oshaya ikhwela. Uvame ukuzwakala uma ukhipha umoya. Lo msindo uvela lapho izindlela zokuphefumula ziba zincane. Lo msindo ujwayeleke kakhulu kubantu abane -asthma . |
| I-Stridor | Lona futhi umsindo ophakeme, oshaya ikhwela. Kodwa-ke, uvame ukuzwakala uma uphefumula umoya . Lo msindo uzwakala uma kukhona ukuvinjelwa emphinjeni noma endaweni yomoya engaphezulu (isib. ukuvuvukala, into ethile enamathele kuyo). Lo msindo uvame ukuzwakala ezinganeni ezincane ezine-croup. |
| Ama-crackles / ama-rales | Lona akusiwo umsindo oqhubekayo. Umsindo oqhubekayo, umsindo othi 'kiri kiri', umsindo othi 'chiti chiti'. Ufana nomsindo owenziwa lapho uchoboza amaqabunga omile ngezandla zakho, noma lapho uphuphuzela amanzi ngotshani. Lokhu kuzwakala lapho izindlela zomoya ezincane emaphashini zigcwele umucu noma amanzi. |
| Ukuhlikihla kwe-Pleural | Lona umsindo onzima, ohlabayo. Ufana namaphepha amabili e-sandpaper ehlikihlana ndawonye. Lo msindo wenziwa lapho ama-membrane amabili azungeze amaphaphu ethu, abizwa ngokuthi i-pleura, evuvukala futhi ehlikihlana. Ungazwakala kokubili lapho siphefumula futhi sikhipha umoya. |
Kungani le misindo engavamile ivela esifubeni?
Kunezinto ezine eziyinhloko ezingabangela le misindo engavamile:
1. Amafinyila agcwalisa umgudu wokuphefumula: Lena imbangela evame kakhulu.
2. Ukuvuvukala kwemigudu yomoya: Lapho imigudu yomoya ivuvukala ngenxa yokutheleleka noma ukungezwani komzimba, imigudu yomoya iyancipha.
3. Ukuvimba: Isimila noma into yangaphandle endleleni yokuphefumula.
4. Ukuphuma kwegazi emithanjeni: Ukuvuvukala kolwelwesi oluzungeze amaphaphu.
Lezi ezinye zezifo ezibangela lezi zimo:
- Izifo zokuphefumula, isibonelo i-bronchitis noma i-croup ezinganeni ezincane.
- Inyumoniya.
- Isifuba somoya.
- Isifo samaphaphu esingapheli (i-COPD) yisifo sokuphefumula esingapheli.
- I-cystic fibrosis.
- Ukungezwani komzimba.
- I-Anaphylaxis iwukusabela okukhulu kokungezwani komzimba.
- Ukuvuvukala kwamaphaphu.
- Ukwehluleka kwenhliziyo.
- I-Pulmonary embolism (PE) iwukuqhekeka kwegazi emaphashini.
Iphathwa kanjani?
Ukwelashwa kuncike ngokuphelele embangeni eyisisekelo yalomsindo ongavamile. Udokotela uzoqala ahlole imbangela eqondile bese enikeza ukwelashwa.
- Ezimweni ezifana ne-asthma: Ama-inhalers avula imigudu yokuphefumula futhi anciphise ukuvuvukala, isibonelo ama-corticosteroids.
- Uma unesifo esibangelwa amagciwane (isib. i-pneumonia): Ama-antibiotic.
- Kwabanokungezwani komzimba okukhulu: Imithi efana ne-epinephrine.
- Uma kukhona okuvimbekile: Kungase kudingeke uhlinzwe ukuze kususwe.
Kufanele ngimbone nini udokotela?
Lena yingxenye ebaluleke kakhulu. Uma unenkinga noma ukukhathazeka ngokuphefumula kwakho, ikakhulukazi ngomsindo ovela esifubeni sakho, ungawushayi indiva. Bona udokotela womndeni wakho ngokushesha. Angakuhlola futhi akutshele ukuthi wenzeni.
Khumbula ikakhulukazi! Uma unezimpawu ezifana nobunzima bokuphefumula, ubuhlungu besifuba, noma izindebe eziluhlaza okwesibhakabhaka kanye nalo msindo ongavamile, kuyisimo esiphuthumayo . Esimweni esinjalo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngaphandle kokulibala.
Umlayezo Wokuya Nawe Ekhaya
- Amaphaphu aphilile akhiqiza umsindo othambile nobushelelezi. Imisindo engavamile efana nokuthi 'whooping', 'whooping', kanye 'whooping' ikhombisa inkinga endleleni yokuphefumula.
- Imbangela yale misindo ingaba yinoma yini kusukela kumkhuhlane, i-asthma, i-pneumonia, kuya kokuthile okungathi sína kakhulu.
- Udokotela ulalela le misindo nge-stethoscope ukuze athole izinkomba ezibalulekile zokuxilonga lesi sifo ngokunembile.
- Uma uzwa noma yimiphi imisindo engavamile ngesikhathi uphefumula, ikakhulukazi uma ihambisana nobunzima bokuphefumula, ungayizibi.
- Uma uzwa umsindo ongavamile kanye nobunzima bokuphefumula, kuyisimo esiphuthumayo! Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
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