Ingabe isikhumba sakho sizizwa sengathi sigcwele umoya? Ake sifunde nge-Subcutaneous Emphysema!

Wake waphawula ukuthi ngezinye izikhathi, ngemva kokuhlinzwa noma ukulimala okuncane, isikhumba sabanye abantu sizwakala njengebhamuza elincane uma usithinta? Noma uma ucindezela izindawo ezithile ngesandla sakho, uzwa umsindo ongajwayelekile ofana 'nekati lekati'? Yilokho esizokhuluma ngakho namuhla. Nakuba lokhu kuyinto entsha ukukuzwa, kufanelekile ukukwazi.

Kuyini lokhu kugcwaliswa komoya ngaphansi kwesikhumba? (I-Subcutaneous Emphysema)

Kalula nje, i-`(Subcutaneous Emphysema)` yilapho umoya ubhajwa khona ongqimbeni olujulile lwesikhumba sethu, ungqimba lwe-`(subcutaneous)` ngaphansi kwesikhumba. Empeleni lesi yisimo esingavamile. Kodwa singaba nezimbangela eziningana. Singabangelwa izifo ezithile, ukulimala, noma izingozi ezincane ngesikhathi sokuhlinzwa.

Manje ungase uzibuze ukuthi kuyinto enkulu yini ukuba nomoya ngaphansi kwesikhumba sakho ngaso sonke isikhathi. Eqinisweni, kuvamile ukuthi umoya omncane uqoqeke ngaphansi kwesikhumba sakho ngemva kokuhlinzwa okuthile, ikakhulukazi ukuhlinzwa kwe-laparoscopic. Kodwa isikhathi esiningi, lowo moya oqoqekile umuncwa umzimba bese unyamalala wodwa, ngaphandle kokubangela izimpawu ezinkulu. Kodwa-ke, kwezinye izimo, lesi simo esibizwa ngokuthi ``Subcutaneous Emphysema`` singaba uphawu lwenye inkinga yezempilo eyisisekelo.

Lolu hlobo lokuvuvuka luvame ukubonakala ebusweni, entanyeni, noma esifubeni , kodwa lungenzeka noma kuphi emzimbeni.

Lesi simo asivamile kakhulu. Kuthiwa sithinta iphesenti elincane labantu abavamile, cishe u-2%. Ngokusho kocwaningo olulodwa, isilinganiso seminyaka yalabo abatholakale benaso sineminyaka engaba ngu-53 ubudala, kanti cishe u-70% wabo ngamadoda.

Ziyini izimpawu? Sikubona kanjani lokhu?

Kunezimpawu ezimbili eziyinhloko ezibonakala kulesi simo:

• Ukuvuvukala kwesikhumba endaweni ethintekile: Kungase kube nokuvuvukala okufana neqhubu elincane. Ngezinye izikhathi odokotela bakubiza lokhu ngokuthi `(i-Edema)`.
• Umsindo ongajwayelekile uma ucindezela isikhumba: Njengoba ngishilo ngaphambili, uma ucindezela indawo evuvukele ngesandla sakho, uzwa umsindo 'oqhekekayo', njengeqabunga elomile elichotshozwayo noma i-bubble wrap echotshozwayo. Odokotela bakubiza lokhu ngokuthi `(Crepitus)`. Lesi yisici esihlukile kakhulu salesi simo.

Ngaphezu kwalezi zimpawu ezimbili eziyinhloko, kungase kube nezinye izimpawu eziningana:

• Ubunzima bokuphefumula
• Ubunzima bokugwinya ukudla (okubizwa nangokuthi "i-Dysphagia")
• Umphimbo obuhlungu
• Ubuhlungu bentamo
• Ukuvuvukala, njengokungathi kugcwele igesi

Kungani lokhu kwenzeka? Yiziphi izizathu?

Kunezimbangela eziningana ezingaba khona ze-'Subcutaneous Emphysema'. Ake sibone ukuthi ziyini:

• I-Barotrauma: Cabanga nje, umuntu obhukuda nge-scuba ngokuzumayo uhlangabezana noshintsho olukhulu ekucindezelweni komoya , kungakhathaliseki ukuthi kwenzeka lapho ekhuphuka endizeni noma ecwila ekujuleni kwamanzi. Kungaba ngenxa yoshintsho olunjalo olusheshayo ekucindezelweni.
• I-Pneumothorax: Ngezinye izikhathi, uma kukhona umonakalo emaphashini, umoya uyavuza bese uqoqana esifubeni. Bese, lowo moya ubeka ingcindezi emaphashini bese amaphaphu eqala ukuwohloka. Leso yisimo esibizwa ngokuthi i-Pneumothorax. Lesi futhi siyimbangela enkulu ye-Subcutaneous Emphysema.
• Ukutheleleka: Lesi simo singabangelwa nayizifo ezinzima, ikakhulukazi ezinye izifo ezibangelwa amagciwane ezinzima, njenge-necrotizing fasciitis.
• Ukulimala: Kungabangelwa futhi ukulimala esifubeni, ebusweni, noma emaphashini ekhanda lethu.
• Izingozi ngesikhathi sokwelashwa noma ukuhlinzwa: Ngezinye izikhathi, umoya ungaqongelela ngaphansi kwesikhumba ngale ndlela ngenxa yezingozi ezincane, njengokungasebenzi kahle kwedivayisi yezokwelapha noma lapho idivayisi ifakwa emzimbeni (isb., ukufakwa kwepayipi - ukufakwa kwepayipi endaweni yomoya kumuntu onenkinga yokuphefumula).

Kunezinye izimo zezokwelapha ezithile ezingaholela kulesi simo:

• Uma umoya wesikhwama osetshenziswa ukunikeza ukuphefumula okwenziwe ngesikhathi se-CPR ungasetshenziswanga kahle.
• Uma kufakwa ipayipi lokudla ukuze kutholakale ukudla.
• Ukubhoboka kwamathumbu kuyizimbobo ohlelweni lokugaya ukudla.
• Ukungasebenzi kahle kwemishini yokungenisa umoya.

Akuvamile kakhulu ukuthi lesi simo (i-Subcutaneous Emphysema) sivele ngaphandle kwesizathu esibonakalayo.

Ingabe lokhu kungabangela ezinye izinkinga?

Yebo, kwezinye izimo ezinzima, i-`(Subcutaneous Emphysema)` ingabangela izinkinga ezahlukahlukene. Ezinye zazo yilezi:

• Ukuwa kwamaphaphu (i-Pneumothorax) (lokhu kungaba imbangela kanye nenkinga)
• `I-Compartment syndrome` (lokhu kwenzeka lapho ingcindezi endaweni ethile ikhuphuka futhi ukugeleza kwegazi kuvimbekile)
• Uma une-pacemaker, ingaphazamisa ukusebenza kwayo.
• Ukuncipha kokunikezwa kwegazi ebuchosheni.
• Izinkinga zesistimu yokuphefumula.
• Ukucindezelwa komphimbo (okusho ukuthi into ethile emapayipini ethu e-bronchial iyacindezelwa futhi ivaleke).

Okubalulekile: Uma lesi simo (i-Subcutaneous Emphysema) sibangelwa ukutheleleka, singaholela ezinkingeni ezinkulu kakhulu, ngisho nezisongela ukuphila. Isibonelo:

* I-Acute respiratory distress syndrome (ARDS)

*I-Coma

* Ukuphambana kwengqondo

* Ukwehluleka kwezinso

* Ukufa kwezicubu `(Necrosis)`

* I-Sepsis (ukutheleleka okukhulu okusakazeka emzimbeni wonke)

Yingakho kuthiwa uma unokungabaza, noma ngabe kuyinto encane nje, kufanele ubonane nodokotela.

Odokotela bakuthola kanjani lokhu?

Udokotela kuzodingeka enze izivivinyo eziningana ukuze anqume ukuthi unayo yini i-``(Subcutaneous Emphysema)``. Ake sibheke ukuthi yiziphi lezo zivivinyo:

• I-Bronchoscopy: Lokhu kuhilela ukudlulisa ipayipi elincane elifakwe ikhamera phansi ku-trachea ukuze kuhlolwe noma yiziphi izinkinga ngamaphaphu kanye nemigudu yomoya.
• I-CT scan (i-Computed Tomography scan): Lokhu kufana ne-X-ray, kodwa ikhompyutha isebenzisa ama-X-ray amaningi ukudala izithombe ezicacile nezinemininingwane zezinto ezingaphakathi emizimbeni yethu, njengamathambo nezicubu.
• Ukuskena nge-ultrasound: Lokhu kusebenzisa amaza omsindo avame kakhulu ukuthatha izithombe zangaphakathi lomzimba.
• Ama-X-ray: Sebenzisa imisebe ukuthatha izithombe zezinto ezinjengamathambo nezicubu zethu ngendlela enobukhulu obubili.

Uhlobo lokuhlolwa oludingayo luzoncika ekutheni uvuvukele kuphi nokuthi udokotela wakho ucabanga ukuthi kungabangela izimpawu zakho.

Yiziphi izindlela zokwelapha lokhu?

Uma welapha i-`(Subcutaneous Emphysema)`, into ebaluleke kakhulu ukuthola nokwelapha imbangela eyisisekelo. Uma udokotela wakho eqala ukwelapha imbangela, izimpawu zakho kufanele zithuthuke zingakapheli izinsuku eziyi-10 kuya kweziyi-14.

Ngokuvamile, ezimweni ezingembi kangako, odokotela basebenzisa ama-oxygen concentrators. Lawa madivayisi asivumela ukuthi siphefumule cishe i-oxygen emsulwa engu-95%. Lokhu kusho ukuthi imizimba yethu ithola i-oxygen eyengeziwe, okusiza umoya ovaleleke ngaphansi kwesikhumba ukuthi umunceke ngokushesha.

Ngezinye izikhathi, udokotela kungadingeka enze izinto ezinjengalezi ukuze asuse noma yimuphi umoya owengeziwe ovalelekile:

• Ipayipi lesifuba (i-Thoracostomy)
• Sisika izimbobo ezimbili ezincane ngaphansi kwamathambo e-clavicle emahlombe ethu.
• Ukusebenzisa izinaliti, ama-catheter (amashubhu amancane anezimbobo), noma ukusikwa okuncane ukususa umoya kwezinye izingxenye zomzimba.

Kodwa-ke, uma isimo sibi kakhulu, kungase kudingeke ukuhlinzwa. Ngaphandle kwalokho, odokotela bangafaka amapayipi amancane (amapayipi okudonsa amanzi) ukuze kuphume umoya omningi.

Ingabe kukhona engingakwenza ukuze nginciphise ukungakhululeki kwami?

I-subcutaneous emphysema ayihlali ibangela izimpawu ezibuhlungu. Kodwa uma uzwa ubuhlungu noma ukungakhululeki, udokotela wakho angase akuncome okulandelayo:

• Imithi yokunciphisa ubuhlungu
• I-binder yesisu (lokhu kungasiza ekunciphiseni ukuvuvukala nokungakhululeki)
• Umoya-mpilo ogxilile (njengoba kushiwo ngaphambili, ukusiza ngokuphefumula)

Kuthatha isikhathi esingakanani ukuphulukiswa kulokhu?

Iningi labantu liyalulama zingakapheli izinsuku eziyi-10 kuya kweziyi-14 zokwelashwa. Ngokusho kocwaningo oluthile, isikhathi esimaphakathi sokululama, ngisho nasezimweni ezimbi kakhulu, sasicishe sibe yizinsuku eziyi-16. Ngakho-ke,Uma uthola ukwelashwa okufanele, ungalulama ngokushesha.

Iyini inhloso yalesi simo? (Indlela yokubuka)

Ngokwelashwa, isimo sengqondo ngokuvamile siba sihle. Lokho kusho ukuthi kunethuba elihle lokululama. Kodwa isikhathi sibaluleke kakhulu lapha. Uma usheshe ubona udokotela, kulapho ungashesha khona ukunciphisa izimpawu zakho futhi unciphise nengozi yezinkinga ezinkulu.

Lesi simo sizohlala isikhathi esingakanani?

Ngokwelashwa, iningi labantu abane-"Subcutaneous Emphysema" liyalulama zingakapheli amasonto amabili.

Ingabe ikhona indlela yokuvimbela lokhu?

Esikhathini esiningi, i-`(Subcutaneous Emphysema)` yenzeka ngezizathu ezingaphezu kwamandla ethu. Lokho kusho into efana nengozi noma ukuhlinzwa. Ngakho-ke akukho lutho ongakwenza ukuvimbela ukuthi kungenzeki. Akulona iphutha lakho. Uma uba nanoma yiziphi izimpawu, into engcono kakhulu ongayenza ukukhuluma nodokotela ngokushesha. Udokotela uzobe esenquma ukuthi udinga ukwelashwa yini, futhi uma kunjalo, uhlobo luni.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, xhumana nodokotela ngokushesha:

• Ukuvuvukala kwesikhumba ngaphandle kwesizathu.
• Uma uzwa umsindo 'wokukhala' uma ucindezela isikhumba esithintekile.
• Ukuqunjelwa.
• Uma kunzima ukuphefumula noma ukugwinya okuthile.
• Uma unezinhlungu entanyeni noma umphimbo obuhlungu.

Akukuhle ukulibala ngesikhathi esinjengalesi. Kubalulekile ukuthola ukwelashwa ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma kutholakale ukuthi une-"Subcutaneous Emphysema", ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Yini ebangela lesi simo kimi?
• Ingabe lokhu kuzoziphilisa ngokwakho?
• Ingabe ngidinga ukwelashwa? Uma kunjalo, hlobo luni lokwelashwa?
• Ingabe kuzodingeka ngihlale esibhedlela?
• Ngizokwazi nini ukubuyela emsebenzini noma esikoleni?

Kubaluleke kakhulu ukubuza le mibuzo nokuqonda kahle isimo sakho.

Ingabe lokhu "i-Subcutaneous Emphysema" kuyisimo esiphuthumayo?

I-subcutaneous emphysema akuyona njalo isimo esiphuthumayo noma esisongela impilo. Kodwa-ke, kungakhathaliseki ukuthi isimo sakho sinjani, kubalulekile ukufuna ukwelashwa ngokushesha. Iningi labantu abanalesi simo banezimpawu ezincane kuphela. Kodwa-ke, abanye abantu bangaba nezinkinga ezinkulu. Uma unezimpawu ezikhathazayo - isibonelo, isikhumba sakho sibukeka sivuvukele futhi sikhukhumele, noma uzwa lowo msindo 'wokukhala' - kufanele ubone udokotela ngokushesha.

Ukulimala noma ukuhlinzwa sekuvele kuyinkinga. Ngaphezu kwalokho, uma kuvela inkinga, ungase uzizwe sengathi awusoze wakwazi ukubuyela esimweni esijwayelekile. I-subcutaneous emphysema iyisimo esingavamile. Kodwa-ke, uma kwenzeka, kubalulekile ukufuna usizo lwezokwelapha ngokushesha. Uma ingelashwa, i-subcutaneous emphysema ingaholela ezinkingeni ezengeziwe - futhi mhlawumbe ezingathi sína kakhulu.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho, ``(Subcutaneous Emphysema)''. Into ebaluleke kakhulu ukungesabi uma ubona lezi zimpawu, kodwa ukubona udokotela ngokushesha.

Khumbula:

* Nakuba ukunqwabelana komoya ngaphansi kwesikhumba kuyinto engavamile, kungabangelwa izinkinga ezithile zempilo.

* Izimpawu eziyinhloko ukuvuvukala kwesikhumba kanye nomsindo 'wokuklewula' uma uthintwa.

* Uma uthola imbangela futhi uyelapha, ungalulama ngokushesha.

* Uma ungabaza, funa iseluleko sezokwelapha ngokushesha.

Ngikufisela impilo enhle wena nomndeni wakho!

I- Subcutaneous Emphysema, ukugcwaliswa komoya kwesikhumba, umoya ngaphansi kwesikhumba, ukuvuvukala, i-crepitus, ubunzima bokuphefumula, izinkinga zamaphaphu