Wonke umuntu uyasaba kancane uma ezwa igama elithi ukuhlinzwa kwesifuba, akunjalo? Lokhu kwesaba kuyafaneleka ngoba isifuba siqukethe izitho ezibalulekile njengenhliziyo namaphaphu. Abantu abaningi bacabanga ukuthi lokhu kukhawulelwe ekuhlinzweni kwenhliziyo. Kodwa "Ukuhlinzwa Kwesifuba" kuyisihloko esibanzi kakhulu kunalokho. Ngakho-ke, ngaphandle kokuchitha isikhathi, ake sixoxe ngalokhu ngokuningiliziwe.
Kuyini ukuhlinzwa kwesifuba?
Kalula nje, noma yikuphi ukuhlinzwa okwenziwa ngaphakathi kwesifuba sakho (isifuba) kuwela kulesi sigaba. Yebo, inhliziyo iyisitho esibaluleke kakhulu esifubeni, kodwa lokhu kuhlinzwa akugcini enhliziyweni. Cabanga nje, ukuhlinzwa okwenziwa kwezinye izitho eziningi ezibalulekile esifubeni sakho kuwela kulesi sigaba.
Ngokwesibonelo:
- Umphimbo: Ipayipi elithwala ukudla esikudlayo liye esiswini.
- I-Trachea: Umphimbo womoya oyinhloko esiphefumula ngawo.
- I-Diaphragm: Imisipha ehlukanisa isifuba nesisu futhi esiza ekuphefumuleni.
- Udonga lwesifuba: Izimbambo, i-sternum (ithambo eliphakathi lesifuba), kanye nemisipha ezungezile.
- I-Mediastinum: Isikhala esiphakathi kwamaphaphu esiqukethe izinto ezifana nenhliziyo, imithambo yegazi emikhulu, kanye ne-trachea.
Yiziphi izindlela zokuhlinzwa?
Odokotela bangenza lokhu kuhlinzwa ngezindlela ezimbili eziyinhloko.
1. Ukuhlinzwa Okuvulekile: Kulokhu, ukuhlinzwa kwenziwa ngokusikwa okukhulu.
2. Ukuhlinzwa Okungangeni Kakhulu: Lena yindlela yesimanje evame kakhulu esetshenziswa namuhla. Lapha, odokotela abahlinzayo benza izimbobo eziningana ezincane bese befaka ikhamera encane esifubeni ngazo. Izithombe ezivela kukhamera zibukwa kusikrini, futhi amathuluzi amancane kakhulu afakwa ngezinye izimbobo ezincane ukuze kwenziwe ukuhlinzwa.
- Uma kwenziwa esifubeni, lokhu kubizwa ngokuthi i-VATS (Video-Assisted Thoracoscopic Surgery) .
- Uma kwenziwa esiswini, le ndlela ibizwa ngokuthi ukuhlinzwa kwe-laparoscopic .
- Ngezinye izikhathi lawa makhamera nemishini kusetshenziswa ngosizo lwerobhothi. Kodwa khumbula, irobhothi lilawulwa ngokuphelele ngudokotela.
Yiziphi izifo eziphathwa ngokuhlinzwa kwesifuba?
Lokhu kuhlinzwa kwelapha izimo ezahlukahlukene ezenzeka esifubeni kanye nasesiswini esingaphezulu. Ake sibheke ukuthi ziyini.
| Isimo | Incazelo elula |
|---|---|
| Ukuvuvukala kwemithambo yegazi (ama-Aneurysms) | Imithambo yegazi emikhulu iba buthakathaka futhi ivuvukale njengebhaluni. |
| Isifo senhliziyo | Isifo senhliziyo esizalwa naso, izinkinga zesigqi senhliziyo, izinkinga zamavalvu enhliziyo, kanye nokuhlinzwa kwenhliziyo (CABG) . |
| Ukufakelwa inhliziyo noma amaphaphu | Ukufakelwa isitho esinempilo ukuze kuthathelwe indawo inhliziyo noma iphaphu elingasebenzi kahle. |
| Umdlavuza wamaphaphu kanye nezimila | Ukususwa kwezimila ezinomdlavuza noma ezivamile emaphashini (Lobectomy) . |
| Ubunzima bokugwinya (i-Dysphagia) | Ubunzima bokugwinya ukudla ngenxa yezinkinga emhubheni. |
| Isifo se-gastroesophageal reflux (GERD) | Ubuhlungu besifuba obubangelwa yi-asidi yesisu ephuma emphinjeni. |
| I-Hiatal Hernias | Ingxenye yesisu ingena esifubeni nge-diaphragm. |
Ingabe lokhu kuhlinzwa kuyingozi ngempela?
Yebo, ukuhlinzwa okuningi kwesifuba kuyingozi kakhulu. Ngoba inhliziyo namaphaphu kuyizinto ezimbili ezibaluleke kakhulu emzimbeni wethu. Abanye abantu kufanele bahlinzwe ngendlela eyinkimbinkimbi ukuze kulungiswe izinkinga eziningana zenhliziyo ngesikhathi esisodwa. Abanye kungadingeka bahlinzwe ngendlela yokusikwa okuncane.
Kodwa ungakhathazeki. Ithimba lezokwelapha elikwelaphayo lihlala lizama ukukunikeza umphumela omuhle kakhulu. Basebenza njengeqembu futhi bakunakekela kahle.
Ulungiselela kanjani ukuhlinzwa?
Kunezinto eziningana okudingeka uzilungiselele ngaphambi kokuhlinzwa.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo (ngisho naleyo oyinikezwe udokotela kanye naleyo oyithenga ngaphandle kwencwadi kadokotela evela ekhemisi).
- Udokotela wakho angase akucele ukuthi uyeke ukuthatha imithi ethile ezinsukwini ezimbalwa ngaphambi kokuhlinzwa kwakho. Ungayeki ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.
- Yeka ukubhema okungenani inyanga ngaphambi kokuhlinzwa, ikakhulukazi uma kungukuhlinzwa kwamaphaphu. Uma ungabhemi inyanga yonke ngemva kokuhlinzwa, unganciphisa ingozi yezinkinga ngesikhathi sokuphola kwenxeba ngesigamu.
- Yeka ukudla nokuphuza ubusuku obandulela ukuhlinzwa, noma njengoba uqondiswe udokotela wakho.
- Yenza uhlelo lokululama kwakho. Hlela ukuthi othile abuye ekhaya akusize izinsuku ezimbalwa. Kungumqondo omuhle futhi ukulungiselela ukudla okumbalwa kusenesikhathi bese ukukugcina efrijini.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzophinde uqaphe ngenkathi useYunithi Yokunakekelwa Okujulile (ICU) noma Igumbi Lokululama.
- Ipayipi lokuphefumula elasetshenziswa ukukusiza ukuphefumula lizosuswa.
- Kuzobekwa imisele yesifuba ukuze kukhishwe uketshezi esifubeni. Kuzobekwa ne-catheter ukuze kukhishwe umchamo.
- Uma isimo sakho sithuthuka, uzodluliselwa egunjini elijwayelekile.
- Kubaluleke kakhulu ukuhambahamba egumbini ngosizo nokwenza izivivinyo zokuphefumula ngokushesha okukhulu. Lokhu kuzosiza kakhulu amaphaphu ukuthi aphinde asebenze kahle.
- Uma usuyifezile imigomo udokotela ayilindele, ungaya ekhaya. Lokhu ngokuvamile kungathatha izinsuku ezi-3 kuya kweziyi-10, kuye ngohlobo lokuhlinzwa.
Ake sifunde futhi ngezingozi kanye nesikhathi sokululama.
Izingozi ezingaba khona
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
- Izifo, ikakhulukazi izifo zamaphaphu ezifana ne-pneumonia.
- Ukuwa kwamaphaphu.
- Amahlule egazi.
- Ukucindezeleka.
- Ukuphazamiseka kwenhliziyo.
- Ukuvuvukala kwamaphaphu.
Isikhathi sokuphulukiswa
Lokhu kuncike ngokuphelele ohlotsheni lokuhlinzwa okwenzile. Uma ube nomsikeko omncane, ungase ukwazi ukuya ekhaya ezinsukwini ezingu-3-4. Kodwa-ke, kungathatha inyanga noma ngaphezulu ukuze ululame ngokugcwele.
Kuye ngohlobo lokuhlinzwa,Ngeke ukwazi ukushayela cishe inyanga yonke. Udokotela ukweluleka nokuthi ugweme ukuphakamisa izinto ezisindayo cishe amasonto ayisithupha.
Kufanele ubonane nini nodokotela?
Kubaluleke kakhulu: Uma unezinye zalezi zimpawu lapho ufika ekhaya ngemva kokuhlinzwa, bona udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Ubuhlungu obukhulu besifuba
- Ubunzima bokuphefumula
- Ukopha noma ubomvu obuphuma ngenxa yokusikeka
- Imfiva
- Ukuvuvukala, ukubomvu kwamanxeba
Ukuhlinzwa kwebele akuyona inqubo elula, kodwa ukwazi ulwazi olufanele ngakho kuzosiza kakhulu ekunciphiseni ukwesaba kwakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesifuba kubhekisela ekuhlinzeni okwenziwa hhayi enhliziyweni nasemaphashini kuphela, kodwa nakwezinye izitho esifubeni, njenge-esophagus kanye ne-trachea.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngokucophelela ngaphambi kokuhlinzwa, ikakhulukazi izinto ezifana nokuyeka ukubhema.
- Ukuze ululame ngokushesha ngemva kokuhlinzwa, kufanele nakanjani wenze izinto ezifana nokuhamba nokuzivocavoca ukuphefumula njengoba kuqondiswe udokotela wakho.
- Uma ubuyela ekhaya ngemva kokuhlinzwa, qaphela izimpawu ezifana nobuhlungu besifuba, ukuphelelwa umoya, kanye nomkhuhlane. Uma kwenzeka noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo noma ukukhathazeka mayelana nokuhlinzwa, ungangabazi ukuxoxa ngakho nodokotela wakho.
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