Wake wazizwa ngale ndlela? Uma uphefumula kakhulu, uhleka kakhulu, noma ukhwehlela, ngokuzumayo uzwa ubuhlungu obukhulu, obuhlabayo esifubeni sakho. Lokhu akuvamile, futhi uzizwa wesaba. Lolo hlobo lobuhlungu luwuphawu oluyinhloko lwesimo esizokhuluma ngaso, esibizwa ngokuthi i-Pleurisy.
Kuyini i-Pleurisy?
Kalula nje, i-Pleurisy ukuvuvukala kolwelwesi oluncane oluzungeze amaphaphu ethu kanye nolunye ulwelwesi oluzungeze ingaphakathi lesifuba sethu. Lawa malwelwesi amabili abizwa ngokuthi i-pleura.
Cabanga nje, kunesikhala esincane phakathi kwalezi zimbozo ezimbili, isikhala se-pleural. Ngokuvamile siqukethe inani elincane loketshezi. Njengamafutha enjinini yemoto, lolu ketshezi luvumela izimbozo ezimbili ukuthi zishelele ndawonye kahle ngaphandle kokungqubuzana njengoba amaphaphu ehamba lapho siphefumula.
Kodwa, kwenzekani uma eyodwa noma zombili lezi zimbozo zivuvukala ngesizathu esithile? Esikhundleni sokushelela kahle, lezi zimbozo ezimbili ziqala ukukhuhlana ndawonye. Yilapho-ke lobo buhlungu obungabekezeleleki, obubukhali, nobuhlabayo bufika khona.
Ziyini izimpawu ze-pleurisy?
I-Pleurisy ingaba nezimpawu eziningana. Kodwa uphawu oluyinhloko nolusobala kakhulu ubuhlungu besifuba. Ake sibone ukuthi ziyini lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Uphawu oluyinhloko: Ubuhlungu besifuba |
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| Ezinye izici |
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Okubalulekile: Ubuhlungu besifuba bungabangelwa ezinye izimo ezingathi sína (isib. isifo senhliziyo) ngaphandle kwe-pleurisy. Ngakho-ke, uma uzwa ubuhlungu besifuba obungachazeki, ungalokothi ubushaye indiva.
Yini ebangela i-pleurisy?
I-Pleurisy ingenzeka ngezizathu ezahlukahlukene, hhayi ngesizathu esisodwa kuphela. Ngokuvamile, iyenzeka kumuntu ophilile ngenxa yokutheleleka emaphashini.
- Ukutheleleka: Imbangela evame kakhulu ukutheleleka ngegciwane (isb., igciwane lomkhuhlane) noma amagciwane. Lokhu kuvuvukala kwenzeka lapho ukutheleleka kusakazeka kusuka emaphashini kuya ongqimbeni lwe-pleura.
- Izifo ezihlasela amasosha omzimba: Lokhu kuvuvukala kungabangelwa nezifo ezihlasela amangqamuzana omzimba, njenge-lupus noma i-rheumatoid arthritis.
- Ezinye izifo ezihlobene namaphaphu: Izimo ezifana nomdlavuza wamaphaphu, isifo sofuba, kanye ne-pulmonary embolism.
- Ukulimala esifubeni: I-Pleurisy ingenzeka ngemva kokuhlinzwa esifubeni noma ngenxa yengozi.
- Eminye imithi: Eminye imithi efana ne-Hydralazine ne-Isoniazid nayo ingabangela lokhu.
Ingabe i-pleurisy iyathelelana?
Cha. I-Pleurisy ayithelelani. Kodwa-ke, ezinye izifo ezibangelwa amagciwane noma amabhaktheriya (isib. umkhuhlane, i-pneumonia) ezibangela i-pleurisy zingathelelana.
Dokotela, ukuxilonga kanjani lokhu njenge-pleurisy?
Uma uya kudokotela onesifo esifubeni, uzoqala akubuze ngobuhlungu. Bubuhlungu kuphi, luhlobo luni lobuhlungu, nokuthi yini ebenza bube bubi kakhulu. Ngemuva kwalokho, bazolalela amaphaphu akho nge-stethoscope. Ngezinye izikhathi umuntu one-pleurisy uzozwa umsindo onzima, oqhumayo ovela emaphashini akhe.
Ngaphezu kwalokho, ukuhlolwa okulandelayo kungenziwa ukuze kuqinisekiswe ngokunembile lesi sifo futhi kutholakale imbangela yaso.
| Ukuhlolwa | Ubonani kulokho? |
|---|---|
| Ukuhlolwa kwegazi | Hlola ukutheleleka noma isifo sokuzivikela komzimba emzimbeni. |
| Ukuhlolwa kwe-ECG (EKG) | Qiniseka ukuthi imbangela yobuhlungu besifuba akusona isifo senhliziyo. |
| Ukuhlolwa kwezithombe (i-X-ray, i-CT, i-Ultrasound) | Thatha izithombe zamaphaphu ukuze uthole ukuthi inkinga iyini. Ungahlola izinto ezifana noketshezi oluzungeze amaphaphu (i-pleural effusion) noma ukutheleleka (i-pneumonia). |
| Ukuhlolwa koketshezi (i-Thoracentesis) | Kusetshenziswa inalithi encane kakhulu, kuthathwa inani elincane loketshezi (amanzi) oluvela emaphashini ukuze kuhlolwe ukutheleleka noma ezinye izimbangela. |
| I-Thoracoscopy | Ikhamera encane ifakwa esifubeni bese ibheka ngqo ukuthi inkinga iyini. |
Yiziphi izindlela zokwelapha i-pleurisy?
Into ebaluleke kakhulu lapho welapha i-pleurisy ukuthola imbangela bese uyelapha. Okwamanje, udokotela wakho uzokunikeza nemithi yokulawula ubuhlungu obuzwayo.
- Ukwelapha imbangela: Uma imbangela kuyigciwane elibangelwa amagciwane, kuzonikezwa ama-antibiotic. Uma imbangela kuyigciwane elibangelwa amagciwane, kuzonikezwa imithi yokulwa namagciwane.
- Ukulawulwa kobuhlungu: Ama-painkiller afana ne-'NSAIDs' (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) noma i-'Corticosteroids' anganikezwa ukunciphisa ubuhlungu nokuvuvukala.
- Ukususwa koketshezi: Uma kunoketshezi oluningi oluzungeze amaphaphu (i-pleural effusion), uketshezi lungasuswa (i-thoracentesis) ukuze kuncishiswe ubuhlungu futhi kube lula ukuphefumula.
Ingabe i-pleurisy iyaphela yodwa?
Yebo, ngezinye izikhathi. Uma imbangela ye-pleurisy iwukutheleleka ngegciwane, i-pleurisy ingase iziphelele njengoba umzimba wakho ulwa negciwane. Kodwa-ke, uma kukhona imbangela eyinhloko, njengomdlavuza noma isifo sokuzivikela komzimba, i-pleurisy ngeke iphele kuze kube yilapho ilashwa kahle.
Yini engingayenza ukuze nginciphise ingozi?
Nakuba i-pleurisy ingenakuvinjelwa ngo-100%, kunezinto eziningana ongazenza ukuze unciphise ingozi yakho.
- Gwema ukubhema ngokuphelele.
- Uma unesinye isimo sezokwelapha, njengesifo sokuzivikela komzimba, thola ukwelashwa okufanele kwaso.
- Geza izandla zakho njalo ngensipho namanzi ukuze uzivikele ekuthelelekeni ngamagciwane namagciwane.
Into ebaluleke kakhulu yile. Uma uzwa ubuhlungu besifuba, ungabunaki. Ubuhlungu besifuba buyisibonakaliso sezimo ezibucayi njengezinye izifo zenhliziyo. Ngakho-ke, uma uzwa ubuhlungu besifuba ngaphandle kwesizathu esibonakalayo, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Pleurisy yisimo esibangelwa ukuvuvukala kolwelwesi oluzungeze amaphaphu.
- Uphawu oluyinhloko ubuhlungu besifuba obuhlabayo obukhula uma uphefumula kakhulu noma ukhwehlela.
- Ukutheleleka, izifo zesimiso sokuzivikela komzimba, kanye nezinye izifo ezihlobene namaphaphu kungabangela lokhu.
- Ukwelashwa kuncike embangela ye-pleurisy. Ukulawula ubuhlungu nakho kuyingxenye ebalulekile yokwelashwa.
- Ungalokothi ungazinaki izinhlungu zesifuba. Uma unezinhlungu zesifuba ezingachazeki, kubalulekile ukufuna usizo lwezokwelapha ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
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