Kuyini Ukuhlolwa Kokuhogela? Impendulo yezinkinga zakho zokuphefumula!

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuphefumula? Noma ingabe udokotela wakho ukutshelile ukuthi udinga ukuhlola ukusebenza kwe-diaphragm yakho? Ngaleso sikhathi, ungase ucelwe ukuthi wenze 'ukuhlolwa kokuhogela'. Ngakho-ke, ake sixoxe ngalokhu kalula nangokunembile, akunjalo?

Kuyini ngempela ukuhlolwa kokuhogela?

Kalula nje, lokhu ukuhlolwa kwe-X-ray. Ukuze kube sobala kakhudlwana, kubizwa nangokuthi i-chest fluoroscopy . Lokhu kuhlolwa kubheka ukuthi i-diaphragm yakho, umsipha omkhulu ophakathi kwesifuba sakho nesisu okusiza ukuphefumula, isebenza kahle kangakanani. Izithombe ze-X-ray zibonisa ukuthi i-diaphragm ihamba kanjani uma uphefumula ungena futhi uphuma. Lokhu kungasiza ekunqumeni ukuthi i-diaphragm ibuthakathaka noma ikhubazekile.

Kungani sidinga ukwenza ukuhlolwa kokuhogela?

Udokotela uvame ukukuyalela lokhu kuhlolwa uma unesifo abacabanga ukuthi singathinta imizwa elawula ukuphefumula kwakho. Cabanga, isibonelo, ngezimo ezinjengalezi:

• I-Amyotrophic Lateral Sclerosis (ALS)
• I-Chronic Inflammatory Demyelinating Polyneuropathy (CIPD)
• I-Dermatyositis
• I-Guillain-Barré syndrome
• Isifo sikaLambert-Eaton
• I-Multiple Sclerosis (MS)
• Ukungasebenzi Kwemisipha
• I-Myasthenia Gravis
• Isifo sePompe
• I-Post-polio syndrome
• Ukulimala komgogodla

Ngaphezu kwalezi zifo, lokhu kuhlolwa kuyasetshenziswa futhi uma uphefumula kanzima (i-dyspnea) ngendlela engachazeki, noma ukuhlola ukuthi i-diaphragm yakho ihamba kanjani ngaphambi noma ngemva kokuhlinzwa.

Lolu vivinyo lokuhogela lusebenza kanjani?

Kulula kakhulu. Ngesikhathi sokuhlolwa, ikhamera ye-X-ray izokubuka uphefumula uphuma ungena. Bazokutshela ukuthi wenze lokhu:

• Phefumula kancane futhi ngendlela evamile.
• Phefumula kakhulu.
• Khipha wonke umoya.
• Phefumula kakhulu nangokushesha ngekhala lakho (njengokungathi uhogela okuthile - yingakho kubizwa ngokuthi ukuhlolwa 'kokuhogela'! ).

Manje bheka, uma i-diaphragm yakho isebenza kahle, uma uphefumula, izodonsa phansi, okungukuthi, iye esiswini sakho, bese ithamba. Uma uphefumula, izobuya ibukeke njenge-arch. Kodwa-ke, uma, uma uphefumula, i-diaphragm isazoqhubeka ikhuphuke futhi ibukeke njenge-arch (ephakanyisiwe), khona-ke kungase kube khona okungahambi kahle nge-diaphragm noma nge-phrenic nerve esiza i-diaphragm ukuthi isebenze.

Ngizilungiselela kanjani lesi sivivinyo?

Nansi ingxenye engcono kakhulu. Akukho okukhethekile okudingeka ukwenze ukuze ulungiselele lolu vivinyo lokuhogela. Kumelwe nje ube ojwayelekile. Kulula kakhulu, akunjalo?

Kwenzekani ngesikhathi sokuhlolwa? Yini engingayilindela?

Nakhu okwenzekayo uma wenza ukuhlolwa kokuhogela, noma i-fluoroscopy yesifuba:

• Okokuqala, umsizi wezokwelapha uzokusiza ukuthi ume phambi kwekhamera ye-X-ray. Uma unenkinga yokuma, bazokubeka esihlalweni noma bakulalise etafuleni elithambeke kancane. Bazokufaka imichilo ezingalo nasemilenzeni ukuze bakuvimbele ukuthi ungasheleli, futhi bazokunikeza nendawo yokuphumula izinyawo zakho . Ungakhathazeki, lokhu kungenxa yokuphepha kwakho.
• Ngemuva kwalokho, bazokutshela ukuthi uphefumule ngezindlela ezahlukene (isibonelo, ngokuvamile, ngokujulile, ukhiphe umoya, bese uphefumula kakhulu ngekhala lakho). Kufanele uzame ukwenza njengoba bekutshela . Lokhu kubaluleke kakhulu ukuze imiphumela ibe nokunemba.
• Bathatha izithombe ze-X-ray kulo lonke lolu vivinyo.

Akukho okufanele ukwesabe, lokhu kulula kakhulu futhi akubuhlungu.

Kuthatha isikhathi esingakanani ukuhlolwa kokuhogela?

Lokhu kuhlolwa kokuhogela kuvame ukuthatha imizuzu eyi-15 ukuqeda , futhi kusheshe kuphele kunalokho ongase ukucabange.

Ingabe zikhona izingozi zalolu vivinyo? Ingabe zikhona yini imiphumela emibi?

Eqinisweni, azikho imiphumela emibi emikhulu evela ekuhlolweni kokuhogela. I-X-ray ikubeka engcupheni encane kakhulu yemisebe. Kodwa iphansi kakhulu, njengokuthola i-X-ray yesifuba. Udokotela wakho uzolinganisa izinzuzo zokwenza lokhu kuhlolwa nenani elincane lengozi yemisebe.

Ngakho-ke akukho okufanele ukhathazeke ngakho. Odokotela bahlala bezama ukwenza okungcono kakhulu kuwe.

Umbiko ojwayelekile wokuhlolwa kokuhogela ubukeka kanjani?

Imiphumela yokuhlolwa kokuhogela ibuya 'ilungile' noma 'ingalungile'. Ake sibone ukuthi kuyini lokho.

• Ukuhlolwa kokuhogela okuhle kusho ukuthi izithombe zibonisa ukuthi i-diaphragm yakho iphakeme uma uphefumula. Lokhu kungasho ukuthi ingxenye noma yonke i-diaphragm yakho ikhubazekile.
• Okuvamile, okungukuthi, ukuhlolwa kokuhogela okungekuhle.Umbiko ukhombisa ukuthi i-diaphragm yakho isebenza kahle, njengoba kufanele ibe njalo. Lokho kusho ukuthi i-diaphragm iyehla kahle uma uphefumula.

Ngizokwazi nini ukwazi imiphumela yalolu vivinyo?

Ngezinye izikhathi, udokotela wakho uzokwazi ukukutshela imiphumela ngokushesha ngemva kokuhlolwa . Noma, udokotela we-radiologist - udokotela ochwepheshe ekuxilongeni izifo esebenzisa izithombe ezifana ne-X-ray - uzobheka izithombe zakho bese ethumela imiphumela kudokotela wakho. Lokhu kungathatha izinsuku ezimbalwa. Ungakhathazeki ngalokho.

Uma imiphumela ingajwayelekile, kuzokwenzekani ngokulandelayo?

Cabanga ukuthi ukuhlolwa kwakho kokuhogela kuqondile. Udokotela wakho uzokhuluma nawe futhi akuchazele ukuthi kuthinta kanjani isimo sakho. Ngezinye izikhathi, imiphumela yokuhlolwa kokuhogela inganikeza 'ama-positive angamanga' . Lokhu kusho ukuthi i-diaphragm ingase iphakame ngesikhathi sokuhlolwa, kodwa imizwa ingase ingasebenzi ngempela. Noma inganikeza 'ama-negative angamanga' . Lokhu kusho ukuthi i-diaphragm ingase ibonakale isebenza kahle, kodwa kungase kube khona okungahambi kahle ngemizwa.

Ngakho-ke, udokotela wakho ngeke acabangele imiphumela yokuhlolwa kokuhogela kuphela, kodwa futhi nemiphumela yezinye izivivinyo, izimpawu zakho, nakho konke okunye okufanele ukunqume ukuthi yini ozoyenza ngokulandelayo. Ngakho-ke, ungenzi izinqumo ngokusekelwe embikweni owodwa nje.

Kufanele ngishayele nini udokotela wami ucingo?

Uma unemibuzo mayelana nalolu vivinyo noma imiphumela yalo, ungangabazi ukukhuluma nodokotela wakho . Ungesabi ukubuza, "Dokotela, angiqondi, ungaphinde uchaze lokho?" Lelo yilungelo lakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuhlolwa kokuhogela kuyisilingo esisheshayo, esingangenisi uketshezi esinganikeza udokotela wakho ulwazi oluningi mayelana nendlela izinzwa nemisipha ekusiza ukuphefumula esebenza ngayo.

• Lokhu kuzokusiza ukuphatha noma yisiphi isifo noma ukugula ongase ube nakho.
• Lokhu kungasiza ekuboneni ubunzima bokuphefumula noma izinkinga nge-diaphragm kusenesikhathi , okwandisa amathuba okwelashwa nokulawulwa kwesifo.

Ngakho-ke, ungesabi ukubuza imibuzo mayelana nokuthi kungani udokotela enza lokhu kuhlolwa nokuthi imiphumela isho ukuthini. Kubalulekile ukuhlala unolwazi ngempilo yakho. Ukuba nobuhlobo obuhle nodokotela wakho kungasiza kakhulu ekukusizeni uzizwe ungcono.

Ukuhlolwa kokuhogela , i-fluoroscopy yesifuba, i-diaphragm, ukuphefumula, ukuhlolwa kwe-X-ray, izifo zemizwa, ubunzima bokuphefumula