Ukuxilongwa kwe-bronchitis eyingozi noma engapheli iqala ngomlando wezokwelapha nokuhlolwa ngokomzimba. I-X-ray esifubeni noma isifuba CT scan inganikeza ulwazi oluwusizo lokuxilonga, ngoba lezi zivivinyo zivumela udokotela wakho ukubona ngeso lengqondo ukubukeka kwamapayipi akho. Ukuhlolwa kwegazi, ukuhlolwa kwemisebenzi ye-pulmonary, ne-bronchoscopy kungasiza ekunqumeni ukuthi unayo yini i-bronchitis. Lezi zivivinyo ezengeziwe ziwusizo kakhulu ekulawuleni ezinye izimbangela zezimpawu zakho, kuhlanganise nezinye izifo zamaphaphu, ukwehluleka kwenhliziyo, noma umdlavuza.
Ukuhlola Ukuhlola / Ukuhlolwa Kwekhaya
Ngokuvamile, kunezibonakaliso ezibonisa ukuthi wena noma ingane yakho kunomkhuhlane ovamile. Kubalulekile ukuzijwayeza ngezimpawu ze-bronchitis ngoba ungumuntu wokuqala ozobona ukuthi ungase ube nesimo. Kufanele uthole ukunakekelwa kwezokwelapha uma unesibonakaliso se-bronchitis esiphundu noma engapheli.
I-bronchitis enempilo futhi engapheli yomibili ibonakala ngukukhwehlela okukhiqizayo, okuwukukhwehlela okuhambisana no-mucous obukhulu. Uma une-bronchitis enesifo esibuhlungu noma esingapheli, ukukhwehlela kwakho kungase kwande kakhulu yizici zemvelo, njengokubhema noma ezinye izinkungu.
I-brronchitis enamandla
Ngaphandle kwezibonakaliso ezivame kokubili i-bronchitis enamandla futhi engapheli, kunezibonakaliso ezicacile kwi-bronchitis enzima. Uma wena noma ingane yakho inomkhuhlane lapho ukukhwehlela kuwuphawu oluvelele khona, noma uma kubanda kubonakala sengathi kuqhubeka isikhathi eside kunokujwayelekile, khona-ke lokhu kungaba yi-bronchitis enzima.
I-brronchitis engapheli
Uma unekhwehlela yansuku zonke, okuhlala okungenani izinyanga ezintathu ezilandelanayo iminyaka emibili noma ngaphezulu, khona-ke kungenzeka ukuthi ubhekene ne-bronchitis engapheli. Qaphela ukuthi uthola yini ukukhathala futhi uma uqala ukuphefumula ngomsebenzi okwenziwe ngokomzimba, ngoba lezi zibonakaliso ze-bronchitis engapheli.
Ama-Labs nezivivinyo
Amakhambi amaningi nezivivinyo angase asekele ukuxilongwa kwe-bronchitis, nakuba ukuhlolwa kokuhlola kuphela okwanele ukuqinisekisa ukuthi une-bronchitis.
Amasiko eSiputum
Isiko sesikhukhula sisetshenziselwa ukuqinisekisa ukuthi kukhona amabhaktheriya ku-sputum yakho, okubonisa ukuthi unesifo sokuphefumula.
Uma une-bronchitis enzima, isiko esihle se-sputum sikhombisa ukuthi ukutheleleka kuyimbangela yezibonakaliso zakho. Uma une-bronchitis engavamile, ujwayele ukutheleleka ngezifo zamaphaphu njalo, ngakho-ke ungaba nesimiso esihle se-sputum ngezikhathi ezithile.
Gcwalisa i-Blood Count
Ukubala okuphelele kwegazi, noma i-CBC, ukuhlolwa kwegazi okujwayelekile okunikeza udokotela wakho ngolwazi olubalulekile mayelana nezinhlobo namanani amangqamuzana egazi emzimbeni wakho. Kungasiza futhi udokotela wakho ukuba anqume ukuthi une-infection, okungenzeka ukuthi une-bronchitis ephawulekayo, kodwa ingenzeka ne-bronchitis engapheli.
I-Oxetry ye-Pulse
I-oximeter ye-pulse yile divayisi encane engalinganisa ukugcwalisa oksijini egazini lakho esikhumbeni sakho. Lokhu kuhlolwa kunganikeza ukufunda ngaphakathi kwamasekhondi ambalwa, futhi kwenziwa ngaphandle kwezinaliti noma izijovo. Izinga elingavamile le-oksijeni elitholakalayo ngokufundwa kwe-pulmatic oximetry liphakamisa ukuthi unezifo eziphambili kakhulu, kuyilapho ukufundwa okujwayelekile kungakwazi ukulawula ukukhishwa kwe-bronchitis.
Ukuhlolwa kokusebenza kwePulmonary
Ukuhlolwa kokusebenza kwamapulmonary (PFT) kusebenzisa i- spirometry ukucacisa ukutholakala kanye nesilinganiso sokuvinjelwa komoya okubangelwa i-bronchitis engapheli. Ukuhlolwa kwe- spirometry kungenziwa ehhovisi likadokotela wakho, esibhedlela, noma emtholampilo wokunakekelwa kwezempilo.
Uma une-bronchitis enzima, ungaba ne-PFTs engavamile, kodwa imiphumela yokuhlolwa kufanele ibuyele evamile ngemva nje kokuphulukisa ekutheleleni. Uma une-bronchitis engapheli, i-PFTs yakho ingahlala ingavamile, noma ibe yimbi kakhulu ngaphandle kokwelashwa.
Igesi leGesi eliPhezulu
Amagesi egazi ase-Arterial (ABGs) ahlolwa yi-laboratory eyenziwa ngegazi ethathwe emthini. Ama-ABG ahlola ukuthi amaphaphu akho ahlinzeka kanjani umoya-mpilo futhi akhiphe i-carbon dioxide emzimbeni wakho.
Ukucabanga
Ucwaningo lokucwaninga luwusizo ngokukhethekile ekuhlolweni kwe-bronchitis ngoba lezi zifundo zinganika udokotela wakho ithuba lokubona izinguquko ezenzeka emaphashini akho. Angakwazi futhi ukuhlola ukuthi izinguquko zenzeka emaphashini, i-bronchi, noma kwezinye izindawo zendlela yokuphefumula.
I-X-Ray yekhanda
I-X-ray yesifuba ayilona ithuluzi elicacile lokuthola i-bronchitis enamandla noma engapheliyo, kepha i-X yakho ye-ray ingabonisa izimpawu zokuvuvukala kwe-bronchi, engasiza ekuqinisekiseni ukuthi uyatholakala yini nge-bronchitis enesifo esibuhlungu noma esingapheliyo. I-X-ray yesifuba iyithuluzi lokuqinisekisa ukutheleleka kwamapayipi njengenhliziyo ye- pneumonia . Isifo se-Chronic obstructive pulmonary (COPD ), sihlanganisa neqembu lezifo ezingenasifo samapulmonary, kuhlanganise ne-bronchitis engapheli. Uma unezimpawu ze-COPD, kungenzeka ukuthi udokotela wakho uzothola i-X-ray esifubeni ukuze abone ngamapayipi akho.
I-Chest CT
Isifuba CT inikeza ukuhlola okubonakalayo kwamapayipi akho, angasiza ekuboneni i-bronchitis futhi angakwazi ukulawula nezinye izimo, ezifana nokutheleleka kwamaphaphu, umuthi we-pulmonary noma umdlavuza wamaphaphu.
I-bronchoscopy
Isivivinyo esingenasidingo esibandakanya ukuqoqwa kwezicubu ngaphakathi nangakuzungezile i-bronchi, lokhu kuhlolwa kunganikeza isampula ukuthi ithimba lakho lezokwelapha lingakwazi ukuhlola ngokubuka ngaphansi kwe-microscope. I-bronchoscopy ingasiza ithimba lakho lezokwelapha libheke ukuthi unesifo sokuvuvukala, ukutheleleka, noma ukuguquka kwezicubu ezihambisana nomdlavuza noma ngaphambi komdlavuza.
Ngokuvamile, i-bronchoscopy yenziwe ngokusekelwe kusiqondiso esivela ekufundweni kwe-imaging, futhi indawo noma izindawo ezikhethiwe ukuqoqwa kwezicubu zithathwa ngokusekelwe ezindaweni ezingavamile ezitholakala kwizifundo zakho zokucabanga.
Ukuhlonza okuhlukile
Kunezimo eziningana ezingaveza izimpawu ezifana ne-bronchitis. Izivivinyo zakho zokuxilonga nomlando wezokwelapha zingasiza ukuhlukanisa phakathi kwe-bronchitis nezinye izimo.
I-pneumonia
I-pneumonia yisifo sofuba, kanti i-bronchitis ivuvukala i-bronchi. I-bronchi yizindiza eziholela emaphashini. Lezi zifo zombili zingabangela isondo nokukhathala, kodwa i-bronchitis enamandla yenza ukukhwehlela kakhudlwana kune-pneumonia, futhi i-bronchitis engapheli ngokuvamile ayikhiqizi umkhuhlane, kuyilapho i-pneumonia yenza. Uma izimpawu zifana kakhulu, noma kunjalo, ukuthi zingabani, i-X-ray yesifuba ingasiza udokotela wakho ukuba anqume ukuthi une-pneumonia noma i-bronchitis.
I-asthma
I-asthma ingabangela ubunzima obukhulu bokuphefumula nokuhamba, okuyinto evame ukwedlula futhi kunzima kakhulu kunenkinga yokuphefumula kanye nokushaywa kwe-bronchitis enomsoco noma engapheliyo. Kodwa-ke, ngenxa yokuthi i-asthma recurs kanye nezibonakaliso ezingapheli ze-bronchitis zibuyele emuva, odokotela bakho bangase badinge ukuhlukanisa lezi zifo ngomlando ophelele wezokwelapha kanye nesifundo somfanekiso wesifuba.
Ukuziphendulela kwe-allergenic
Ukusabela okubangelwa ukwelashwa kungabangela iziqephu eziphuthumayo zokuphefumula. Lokhu kuvamile kakhulu kunokuphefumula okungahle ube nakho nge-bronchitis. Kodwa-ke, ngoba ukwelashwa kwezimo kuhluke kakhulu, odokotela bakho bangadinga ukuhleleka ukuhlolwa kokungaboni kahle uma ukuxilongwa kwakho kungacacile.
Emphysema
I-Emphysema yisimiso lapho i-alveoli, engama-sacs emoyeni wamaphaphu, ethinteka yi-long term disease pulmonary. Ungaba ne-emphysema kanye ne-bronchitis engapheli, futhi bobabili babonakala ngokuphefumula nokukhathala. I-PFTs yakho kanye nokuhlolwa kwama-imaging kungasiza odokotela bakho ukuba banqume ukuthi unayo noma yomibili le mibandela.
Ukungaphumeleli Inhliziyo
Njenge-bronchitis engapheli, ukwehluleka kwenhliziyo kungabangela ukuba ube nokuphefumula nokukhathala nokusebenza ngokomzimba. Kunokungafani okungahlolwa ngudokotela wakho ekuhloleni ngokomzimba ngokulalela inhliziyo yakho nesifuba somsindo nge-stethoscope. Kuvamile ukuhluleka kwenhliziyo kanye ne-bronchitis engavamile ngesikhathi esifanayo, ngakho-ke ithimba lakho lezokwelapha lizosebenza ukunquma ukuthi unayo noma yomibili yale mibandela.
I-Cancer
I-Cancer ingakhipha izimpawu eziningi, kuhlanganise nokukhwehlela, ukuvuthwa nokuphefumula. Uma izimpawu zakho zibonisa ukuthi unomdlavuza, udokotela wakho kungenzeka akhokhe izivivinyo ezengeziwe zokucabangela nokucubungula i-biopsy uma kukhona ukubukeka komdlavuza kunoma yikuphi ukuhlolwa kwakho kwe-imaging.
> Imithombo:
> Di Filippo P, iSpaparrotta A, uPetrosino MI. Isizathu esingaphansi kokukhwehlela okungapheli: I-Protracted Bacterial Bronchitis. U-Ann Thorac Med. 2018 Jan-Mar; 13 (1): 7-13. doi: 10.4103 / atm.ATM_12_17.
> Yıldız T, Dülger S. Isibronksi esingenasimo se-Eosinophilic esingenasimo sezulu.
I-Turk Thorac J. 2018 Jan; 19 (1): 41-45. doi: 10.5152 / TurkThoracJ.2017.17017. I-Epub 2017 Septhemba 27.