Ingabe wena noma othile omaziyo wake watshelwa udokotela ngokufakelwa amaphaphu? Noma uke wezwa ngakho kodwa ungaqiniseki ukuthi kuyini? Ukufakelwa amaphaphu kuyindlela enkulu yokuhlinzwa. Kuyaqondakala ukuthi ungase ube nemibuzo eminingi, ukukhathazeka, kanye nokukhathazeka ngakho. Ngakho-ke namuhla, ake sikuchazele ngendlela elula neqondakalayo, njengokungathi ukhuluma nomngane oseduze.
Kalula nje, kuyini ukufakelwa kwamaphaphu?
Ukufakelwa amaphaphu inqubo yokuhlinzwa lapho elinye noma womabili amaphaphu akho agulayo, angasebenzi kahle, noma onakele esuswa khona bese kufakwa elinye noma amaphaphu aphilile avela kumnikeli. Ngokuvamile, amaphaphu anikelwa ngale ndlela avela kumuntu oshonile.
Odokotela bavame ukuncoma lolu hlobo lokuhlinzwa kumuntu onesifo samaphaphu esibi kakhulu esingenakwelashwa nganoma yimuphi omunye umuthi noma ukwelashwa.
Yiziphi izinhlobo eziyinhloko zokufakelwa kwamaphaphu?
Kunezinhlobo ezintathu eziyinhloko zokufakelwa amaphaphu. Ake sibheke ukuthi ziyini.
| Uhlobo lokufakelwa | Kuchazwe kalula |
|---|---|
| Ukufakelwa amaphaphu okukodwa | Ukususa elinye lamaphaphu akho amabili anesifo bese ulifaka elinye elinempilo elinikelwe esikhundleni salo. |
| Ukufakelwa amaphaphu kabili | Ukususa amaphaphu akho womabili anesifo bese uwafaka amaphaphu amabili anempilo anikelwe esikhundleni sawo. |
| Ukufakelwa inhliziyo namaphaphu | Ukususa kokubili inhliziyo namaphaphu akho agulayo bese ufaka inhliziyo namaphaphu anempilo anikelwe esikhundleni sawo. |
Ubani ofanelekela ukufakelwa amaphaphu?
Lokhu akuyona indlela yokuhlinzwa wonke umuntu angayenza. Kunezici eziningana ezicatshangelwayo ukuze kunqunywe ukuthi ungumuntu ofanele yini kulokhu kuhlinzwa.
Into ebaluleke kakhulu ukuthi ngemva kwalokhu kuhlinzwa, kunemithi okuzodingeka uyithathe impilo yakho yonke. Kuzodingeka futhi wenze izinguquko ezinkulu endleleni yokuphila. Kubaluleke kakhulu lapha ukwazi ukuthi ungakwazi yini ukuzilungiselela ngokwengqondo nangokomzimba konke lokhu.
Ngokuvamile, ungumuntu ofanelekela lokhu kuhlinzwa uma uhlangabezana nalezi zidingo ezilandelayo:
- Unesifo noma isimo esibucayi esivimbela amaphaphu akho ukuthi asebenze kahle.
- Isifo sakho samaphaphu asikaqedwa yinoma yimuphi omunye umuthi noma ukwelashwa.
- Odokotela banqume ukuthi uma ungakwenzi lokhu kuhlinzwa, isikhathi sakho sokuphila sinqunyelwe onyakeni owodwa kuya kwemithathu.
- Awunawo umdlavuza wamaphaphu.
- Awusebenzisi imikhiqizo kagwayi (njengokubhema).
- Ungathatha imithi yokucindezela amasosha omzimba.
Yiziphi izinhlobo zezimo lokhu kuhlinzwa okwenziwa ngazo?
Ukufakelwa amaphaphu kunganconywa ezimweni eziningi, okuhlanganisa nezimo ezilandelayo:
- I-Bronchiectasis
- Isifo samaphaphu esingamahlalakhona (i-COPD)
- Umonakalo omkhulu wamaphaphu obangelwe yi-COVID-19
- I-Cystic fibrosis (CF)
- Isifo samaphaphu angaphakathi (ILD)
- Umfutho wegazi ophezulu wamaphaphu
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuba ufakwe amaphaphu, uzohlolwa ngokucophelela nangokuningiliziwe. Lokhu kubizwa ngokuthi ukuhlolwa kwangaphambi kokufakelwa . Lesi yisinyathelo sokuqala sokunquma ukuthi lokhu kuhlinzwa kuyindlela engcono kakhulu yokwelapha. Umxhumanisi wokufakelwa oqeqeshwe ngokukhethekile uzoqoqa lonke ulwazi lwakho lwezokwelapha.
Lokhu kufaka phakathi izivivinyo ezifana nalezi:
- Ukuhlola impilo yakho iyonke.
- Umlando womndeni wesifo.
- Imininingwane mayelana nemithi oyiphuzayo, ikakhulukazi imithi yokunciphisa igazi.
- Imibiko yakamuva ye-CT scan kanye ne-X-ray yesifuba.
- Ukuhlolwa kwegazi.
- Ukuthayipha izicubu - Lokhu kuhlola ukuthi izicubu zomzimba wakho ziyahambisana yini nezicubu zomnikeli.
- Ukuhlolwa kokusebenza kwamaphaphu.
- Ukuhlolwa kwenhliziyo (ECG, Echocardiogram, Cardiac catheterization).
- Ukuhlolwa kobuningi bamathambo (i-DEXA scan).
Ngemva kwazo zonke lezi zivivinyo, ithimba lakho lokufakelwa izitho lizohlangana, libukeze yonke le mibiko, bese lenza isinqumo sokugcina mayelana nokuthi ungumuntu ofanele yini lo kuhlinzwa. Uma benquma ukuthi ufanelekile, igama lakho lizongezwa ohlwini.Uzofakwa ohlwini lukazwelonke lokulinda ukufakelwa amaphaphu.
Kwenzekani uma usohlwini lokulinda?
Kungase kudingeke ulinde izinyanga, ngisho neminyaka, ukuze kutholakale iphaphu elifanele. Ngoba nakuba kunabantu abaningi abadinga lokhu kuhlinzwa, kunenani elincane lamaphaphu atholakalayo ukuze anikelwe. Ngakho-ke, kunezinto ezimbalwa ongazenza:
- Izinguquko endleleni yokuphila: Kufanele uyeke ngokuphelele ukuphuza utshwala. Kufanele ugcine isisindo somzimba wakho siphilile.
- Ukuzivocavoca: Kunikezwa uhlelo lokuzivocavoca ukuze uhlale usesimweni esihle kakhulu somzimba.
- Ama-aphoyintimenti: Kufanele uhlangane nethimba lakho lezokwelapha njalo ezinyangeni ezimbili kuya kwezintathu ukuze uhlole impilo yakho.
- Ukulungiselela: Iphaphu elifanele lingatholakala nganoma yisiphi isikhathi, ngakho-ke kubalulekile ukuba nohlelo lokuhamba ukuze ufike esibhedlela. Kungumqondo omuhle futhi ukuba nesikhwama esilungisiwe esinezingubo ezidingekayo, izinto zokugeza, nezinye izinto.
Kwenzekani ngesikhathi sokuhlinzwa
Lokhu kuwumsebenzi obucayi othatha amahora amaningi. Ukufakelwa amaphaphu okukodwa kungathatha cishe amahora angu-4-8, kanti ukufakelwa amaphaphu amabili kungathatha cishe amahora angu-6-12.
1. Okokuqala, uzonikezwa i-anesthesia ngokuphelele. Ngakho-ke ngeke uzwe noma yimuphi umuzwa noma ubuhlungu ngesikhathi sokuhlinzwa.
2. Uzoxhunywa emshinini wokuphefumula (i-mechanical ventilator) . Lo mshini uzokuphefumula ngesikhathi sokuhlinzwa.
3. Kungase kudingeke usebenzise umshini okhethekile obizwa ngokuthi i-ECMO (extracorporeal membrane oxygenation) ukuze uqondise igazi enhliziyweni nasemaphashini akho.
4. Udokotela ohlinzayo uzokwenza i-incision esifubeni sakho endaweni efanele bese esusa iphaphu eligulayo noma womabili amaphaphu.
5. Ngemuva kwalokho, iphaphu elinempilo elinikelwe liyabekwa endaweni yalo, bese imithambo yegazi kanye nemigudu yokuphefumula kuxhunyaniswa kabusha ngobunono.
6. Ngemva kokuqinisekisa ukuthi igazi nomoya kugeleza kahle ephashini elisha, ukusikwa kuyathungwa ndawonye.
Yiziphi izingozi nezinkinga ngemva kokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezihilelekile. Kubalulekile ukuzazi lezi.
- Izingozi zokuhlinzwa: Izingozi ezivamile zanoma yikuphi ukuhlinzwa, njengokuphuma kwegazi, amahlule egazi, kanye nokutheleleka, zikhona lapha.
- Ukwenqatshwa kokufakelwa amaphaphu: Lena inselele enkulu kunazo zonke. Kalula nje, amasosha omzimba wakho ayaqaphela iphaphu elisanda kufakelwa "njengesitha" bese eqala ukulihlasela. Ukuze uvimbele lokhu, kuzodingeka uthathe imithi yokucindezela amasosha omzimba impilo yakho yonke.
- Ukutheleleka:Ngenxa yemithi yokucindezela amasosha omzimba eshiwo ngenhla, ikhono lomzimba wakho lokulwa nezifo liyancishiswa. Ngakho-ke, kungenzeka kakhulu ukuthi ube nezifo ezahlukahlukene.
Ziyini izimpawu zokwenqatshwa kwamaphaphu?
Kufanele uqaphele kakhulu lezi zimpawu. Uma unazo, yazisa udokotela wakho noma ithimba lokufakelwa izitho ngokushesha.
| Izimpawu eziyisixwayiso zokwenqatshwa | |
|---|---|
| Imfiva | Ukuhlanza kanye nesicanucanu |
| Ukwanda kwesisindo ngokuzumayo | Ubuhlungu bomzimba |
| Ukukhathala ngokweqile | Uhudo (ubuhlungu besisu) |
| Ubuhlungu noma ububele endaweni ezungeze iphaphu elitshaliwe | Ukuvuvukala komzimba |
Isikhathi sokululama kanye nokuphila okuzayo
Ngemva kokuhlinzwa, uzogcinwa egunjini lokunakekelwa okujulile (ICU) izinsuku ezimbalwa, bese udluliselwa egunjini elijwayelekile. Kungathatha amasonto amabili noma ngaphezulu ukubuyela ekhaya ngokugcwele usuka esibhedlela.
Isikhathi sokululama side kakhulu. Kuzodingeka uze esibhedlela njalo ukuze uhlolwe futhi welashwe ezinyangeni zokuqala ezi-3-6. Uzokwazi ukuzivocavoca, ukushayela, nokubuyela emsebenzini ngemva kwezinyanga ezimbalwa, kodwa konke lokhu kuzoncika ekwelulekweni kwethimba lakho lezokwelapha.
Enye yezinzuzo eziyinhloko zalokhu kuhlinzwa ukwanda kwesikhathi sokuphila kanye nekhwalithi yokuphila. Ubunzima bokuphefumula buphelile, futhi uthola amandla okwenza imisebenzi yansuku zonke kanye nokuzivocavoca.
Khumbula, umzimba womuntu wonke uhlukile, ngakho-ke isikhathi sakho sokululama singase sihluke kwesomunye umuntu. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakelwa amaphaphu kuyindlela enkulu yokuhlinzwa eyenziwa izifo ezinkulu zamaphaphu ezingenakuphulukiswa nganoma yiluphi olunye ukwelashwa.
- Kwenziwa uchungechunge lwezivivinyo ezinemininingwane ukuze kutholakale ukuthi uyakufanelekela yini lokhu kuhlinzwa, futhi kuzodingeka ulinde ohlwini lokulinda kuze kube yilapho kutholakala iphaphu elifanayo.
- Ukuze umzimba ungalamukeli iphaphu elisha, imithi yokucindezela amasosha omzimba kumele ithathwe impilo yakho yonke.
- Hlala uqaphele izimpawu zokwenqatshwa kwamaphaphu (umkhuhlane, ukuvuvukala, ukukhathala). Uma unenkinga, xhumana nodokotela wakho ngokushesha.
- Nakuba inqubo yokululama inde, lokhu kuhlinzwa kungathuthukisa kakhulu ikhwalithi yempilo yakho kanye nempilo yakho. Hlala uxhumana ngokukhululekile nethimba lakho lezokwelapha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment