Indlela Yokuqaphela Izimpawu Zezifo Zomdlavuza We-Lung

1 -

Kufanele Ubize nini 911 nge-Cancer Lung?

Ungase uzibuze ukuthi kufanele ubize 911 uma unomdlavuza wamaphaphu . Ngemuva kwalokho, uma ubheka uhlu olujwayelekile lwezizathu zokubiza i-ambulensi, eziningi ziyizimpawu abantu abanomdlavuza wamaphaphu abhekana nazo zonke izinsuku.

Wena udokotela kungenzeka ukuthi uxoxe ngezimo ze-oncology ezingaholela ekuphuthumeni, kepha esimweni esibucayi, kungasiza ukubuka izimpawu ezithile, kunokuba usebenzise uhlu lwamathuba okuxilonga. Lesi sihloko sibhala ezinye zezimpawu okufanele ziholele wena noma othandekayo ukuba abize u-911. Khumbula ukuthi esimweni esiphuthumayo, isikhathi sibalulekile. Ngokuvamile kungcono ukubiza u-911 kuqala, bese uvumela ithimba lokuphendula eliphuthumayo ukuthi lithintane nodokotela wakho. (Noma kunjalo, buza lo mbuzo ngaphambi kokuba ube nesimo esiphuthumayo.)

Abantu abaningi bayanqikaza ukubiza 911. Abafuni ucingo lwabo libe "i-alamu yamanga" futhi bazizwe njenge-hypochondriac. Kungenzeka bangathandi ukuphazamisa izimo eziphuthumayo uma bengayiqiniseki ukuthi izimpawu zabo ziyingozi. Awunzima muntu ngokubiza 911. Ithimba lempendulo eliphuthumayo livukile futhi lilinde ucingo, futhi i-oncologist yakho ngokuqinisekile izofuna ukuthi ubize u-911 uma ukhathazekile.

Zibuze: "Kuyini into ebi kunazo zonke engenzeka?" Uma ufonela futhi wonke umuntu uphila kahle, uhlala ekhaya noma uya ekhaya uma izimpawu zakho zingabhekwa njengokuphuthumayo ekamelweni eliphuthumayo. Uma ungabizi futhi izibonakaliso zakho zisongela ukuphila? Kusho okwanele.

Mhlawumbe isibonakaliso esinokwethenjelwa kakhulu sokuthi udinga ukunakekelwa okuphuthumayo, ukuzwa kwakho kwamathumbu. Uma ngabe kukhona okuhlukile futhi okusabisayo, shayela. I-intuition ikhuluma ngokuzwakalayo, futhi nguwe kuphela owaziyo ukuthi uzizwa kanjani evamile emzimbeni wakho-noma cha. Nazi amathiphu ambalwa okuthi ungabiza kanjani 911 ngempumelelo .

2 -

Kunzima Ukuphuza

Abantu abaningi abanekhanda lomaphaphu banenkinga yokuphefumula, ngakho-ke ungazi kanjani ukuthi izimpawu zakho ziphuthumayo?

Uma uzizwa ukwesaba ngokuphefumula kwakho, kufanele ubize u-911. Uma ukuzama ukuphefumula kuba sekukhathala, izimpawu zakho kungenzeka ukuthi zibi kakhulu. Izimpawu ezifana nokuqala okungazelelwe kokushintsha ngokuzumayo ekuphefumuleni, noma ukukhishwa kwe-bluish kwesikhumba sakho nezindebe (i- cyanosis ,) kuyisizathu sokubiza. Ukuqiniswa kwemisipha yentamo ngenkathi ukuphefumula (okubizwa ngokuthi "ukusetshenziswa kwemisipha yokufinyelela) kuvusa ithuba lokuthi izimpawu zakho ziyingozi.

Uma ungaqiniseki ukuthi ukuphefumula kwakho kubi kangakanani, funa othile abhale futhi alobe inombolo yokuphefumula oyithatha ngomzuzu ngamunye. Izinga lokuphefumula elivamile liphefumula ngamaminithi angu-20 ngomzuzu noma ngaphansi, kanti izinga lokuphefumula okungaphezu kuka-24 lingabonisa isimo esibi kakhulu. Izinga lokuphefumula libizwa ngokuthi uphawu olubhaliwe olungafuni. futhi kubaluleke kakhulu ekubikezeni izenzakalo zezokwelapha ezinkulu. Eqinisweni, ucwaningo lwamuva luye lwabona ukuthi ukwanda kwezinga lokuphefumula kwakuyisandulela esingcono kakhulu sokuthi ngubani ozinzile futhi hhayi enyunithi yokunakekelwa okujulile, kunokuba ngabe ingcindezi yegazi noma izinga lenhliziyo .

Njengoba kuphawuliwe ekuqaleni kwalesi sihloko, kholosa ugulane wakho. Ngisho noma izinga lakho lokuphefumula livamile futhi isikhumba sakho siyingqimba, ukuzwa okuphefumulayo , ikakhulukazi uma kubangela ukuba ukhathazeke, kufanele kuhlolwe ngokushesha.

3 -

Ukushaya igazi

Ukuphuza igazi , okungaphezu kwepuniji lezipuni kuyisimo esiphuthumayo sezokwelapha . Kungase kungabonakali njengegazi eliningi, kodwa khumbula ukuthi ukukhwehlela i-100 cc yegazi, noma i- 1/3 yenkezo yegazi (ebizwa ngokuthi i-hemoptysis enkulu) ibhekwa njengesimo esiphuthumayo esongela ukuphila ngesilinganiso sokufa (ukufa) ngamaphesenti angaphezu kwangu-30.

Inkinga yukuthi ukuphuma kwamanzi kule ndawo kungabangela ngokushesha ukuvimbela umoya (ukungakwazi ukuthola umoya emaphashini) ukufisa (ukuphefumula igazi emaphashini) nokuwa kwegazi okukhulu kwegazi. Ukuhlwanyela imali encane kunale, ngenxa yezimbangela ngomdlavuza wamaphaphu, kungaba yingozi kakhulu ngokushesha. Isibonelo, kubantu abangenamdlavuza wamaphaphu, kunezizathu eziningi zokukhwehlela igazi. Noma kunjalo ngomdlavuza wamaphaphu, lokhu kuvame ukubangelwa yisisu esakhula sibe yindawo ebalulekile, noma amaplatelet aphansi ngenxa ye-chemotherapy .

Ungalindi. Shayela u-911.

4 -

Ubuhlungu besifuba

Ubuhlungu besifuba, noma yini ezwa sengathi " ubuhlungu be-lung " bungaba yiphuthumayo kubantu abanomdlavuza wamaphaphu. Akukhona nje ukuthi kunezimbangela eziningi ezibangelwa ubuhlungu besifuba ezihlobene nomdlavuza wamaphaphu nemithi yomdlavuza, kodwa abantu abanomdlavuza bangaba nezifo zenhliziyo. Kulula ukukhohlwa phakathi kwelashwa abantu abanomdlavuza wamaphaphu ababhekana nokukhathazeka okufanayo kwezokwelapha njengabantu abangenayo umdlavuza wamaphaphu uma kuziwa ezinhliziyweni, futhi ukwelashwa okuningi ngomdlavuza kungakwandisa le ngozi.

Ukuhlukunyezwa kwesifuba esisuka ngokuzumayo kuyisizathu sokubiza 911, futhi ngokungafani nemiyalo eyanikezwa abantu abangenayo umdlavuza ukubuka ubuhlungu obukhulu, ubuhlungu obunzima, ubuhlungu obunzima bungaba bubi kakhulu kubantu abanomdlavuza.

5 -

Shintsha Ngokungazelelwe esimweni sengqondo

Ukushintsha okungazelelwe kwesimo sengqondo kungaba yiphutha kubantu abaphila nomdlavuza wamaphaphu. Kunezimbangela eziningi ezingabangela ukudideka , kufaka phakathi i- hypercalcemia ye-malignancy , kodwa into ebalulekile ayiqapheli imbangela, kodwa ilungele ukubiza 911 uma umuntu edidekile ngempela.

Izimpawu zingabandakanya ukuhlelwa , ukuhlukumezeka, noma yini ongayichaza njengokudideka, noma "ukuyeka" njengoba ingane isho. Kunemibuzo eminye yezimo eziphuthumayo ezivame ukubuza ukunquma ukuthi isiguli sididekile: Ngingayitshela kanjani ukuthi umuntu udidekile?

6 -

Ukuphelelwa amandla noma ukukhululeka okukhulu

Ukulahlekelwa kokuqonda (syncope) noma umuzwa onjengawe ungase ulahlekelwe ukwazi, kuyisizathu sokubiza 911 ngomdlavuza wamaphaphu. Kunezinkinga eziningi zomdlavuza wamaphaphu ezibandakanya izinhlelo eziningana zomzimba ezingabangela lesi sibonakaliso, kodwa into ebalulekile ukuthola ukwelashwa ngokushesha ngangokunokwenzeka.

Umndeni wakho nabangani kufanele baqaphele ukuthi bazobiza nini 911 uma ungakwazi ukuwazisa - njengalesi simo. Yabelana nabathandekayo bakho lolu hlu lwezimpawu eziphakamisa isimo esiphuthumayo futhi sibe nohlu lwe-diagnostic yakho, imithi, kanye nokwelashwa okwenziwe kahle, uma kwenzeka omunye umuntu efuna ukukhuluma ngawe. Ungacabangi iziguli eziphuthumayo noma ngisho nesibhedlela, uzothola lolu lwazi.

Hlola lezi zimpawu nezimpawu ozothola amandla futhi ubuke lezi zimpawu:

• Ukuphunga
• Ukudideka
• Ukwehla okungazelelwe lapho uzwa
• Ukuzwa komhubhe umbono
• I-nausea
• Ukuqhuma, futhi
• Ukuthuthumela

Uma uzizwa uphelile, qaphelani ilungu lomndeni ukuthi libize 911, futhi ungene endaweni ongeke ulimele ngayo uma ulahlekelwa ukwazi. Ngokuvamile kunconywa ukuba uhlale phansi nekhanda lakho phakathi kwamadolo akho, kodwa lokhu kungaba yingozi njengokuwa kwesitulo kungabangela ukulimala. Ungalindi ukubona ukuthi izimpawu zakho zidlula yini, noma ngabe ukholelwa ukuthi kukhona isizathu esihle sezimpawu zakho.

7 -

Ubuso, Umgogodla, noma Ulimi Lokuvuvukala

Ukuphazamiseka kwe-Anaphylactic , uhlobo olubi kunazo zonke lokubhekana nokucindezeleka okuvame ukuhambisana nokucindezeleka okukhulu kwegazi, kuyisimo esiphuthumayo kubantu abanomdlavuza wamaphaphu. Njengoba kunezinhlobo eziningi zemithi abantu abaningi abakhona lapho belashwa umdlavuza wamaphaphu-eziningi zazo zingabangela ukusabela okweqile-noma yisiphi isibonakaliso sokwemvelo esiyingozi okufanele siyilalele. Uhlobo oluthile lwe-reaction alergic olubizwa nge- angioedema lungenzeka kubantu abasebenzisa izidakamizwa ze-chemotherapy ezifana ne-Taxol (paclitaxel) Lokhu kuvame ukubangela ukuvuvukala okukhulu kobuso, ikakhulukazi isikhumba esizungezile amehlo nolimi. Ngombili lezi zimo, abantu bangase bahlakulele ngokujulile, bebuhlungu , bebuthakathaka, futhi ekugcineni bangazi lutho.

I-vena cava syndrome ephakeme kakhulu ingaba yisimo esiphuthumayo sezokwelapha kubantu abanomdlavuza wamaphaphu. Ngalesi syndrome, ukucindezela ezakhiweni eziseduze ukusuka emzimbeni oseduze nenhla yamaphaphu kungabangela umuzwa wokugcwala ekhanda, emithanjeni yentamo ehlanjululwayo, nokuvuvukala kwesifuba.

8 -

Ukwehluleka Kwemigqa Yomlenze / Ubuningi noma Ukulahlekelwa Ukulawula Amathumba / Isikhwama

Ukucindezeleka kwentambo yomgogodla (SCC) ngenxa yomdlavuza wamaphaphu osakazekele emthanjeni , kungaholela esiphuthumayo sezokwelapha-noma okungenani, isimo lapho ukwelashwa okusheshayo kungasiza ukulondoloza umsebenzi. Izimpawu ze-SCC zivame ukuqala ngobuhlungu ngemuva noma entanyeni,

Ubuthakathaka obunzima noma ukuphazamiseka komkhawulo (noma kokubili) nokulahlekelwa isilonda noma ukulawula isisu ngenxa ye-SCC kubizwa ngokuthi "i- cauda equina syndrome ." Lesi yisimo esiphuthumayo esiyingozi okufanele sikhuthaze ukubiza 911.

Kunezindlela eziningana lapho ukucindezelwa kwentambo yomgogodla kungase kwenzeke kubantu abanomdlavuza wamaphaphu, kodwa into ebalulekile ukwazi ukuthi lokhu kuyiphuthumayo. Ngisho nasezikhondweni ezinezinga eliphansi lokusinda, ukwelashwa okuphuthumayo ukwelashwa kungakwazi ukulondoloza umsebenzi.

9 -

Fever

Umkhuhlane ungaba yisidingo esiphuthumayo sezokwelapha ngomdlavuza wamaphaphu, kodwa izinga lokushisa lapho lesi siba khona esiphuthumayo lizohluka phakathi kwabantu, futhi yiziphi izinyathelo zokwelapha ezinikezwayo.

Sibheka lokhu njengesimo esiphuthumayo, ngoba naphezu kokuba ne-antibiotics emihle, unyaka ngamunye kunabantu abasinda emdlalweni abangenzi lutho ku-ER ngesikhathi sokulwa namagciwane.

Izinga lika-101 F (noma i-100.5 F) livame ukubalulwa njengezinga okungenani lokubiza udokotela wakho, kodwa lokhu kuzohluka wonke umuntu. Ukwelashwa okunjenge- chemotherapy yomdlavuza wamaphaphu , kunganciphisa ikhono lomzimba ukulwa nokutheleleka , kanye nemithi elwa namagciwane eyosetshenziswa kakhulu kwabanye abantu, kungenzeka ukuthi ayisebenzise; ungalokothi usebenzise i-prescription endala yama-antibiotic onayo.

I-Sepsis ne-septic syckrome yizibonelo ezicacile zezimo eziphuthumayo abantu abanomdlavuza wamaphaphu okufanele babize 911. Ngaphezu komkhuhlane, abantu bavame ukuba nezinye izimpawu, ezifana nobukhulu bokukhanya, ukushaya kwenhliziyo okusheshayo, ukudideka nokuthuthumela. Kubalulekile ukuqaphela ukuthi abanye abantu abane-sepsis, esikhundleni sokuba nomkhuhlane, banokushisa komzimba okuphansi (hypothermia.)

Xoxa nodokotela wakho mayelana nokuthi ukushisa kwakho "isixwayiso" kufanele kube nini ngaphambi kwesikhathi. Uma uphethwe ngamakhemikhali, yiba nokuqapha okwengeziwe ngomkhuhlane. Ngisho noma inani lakho legazi elimhlophe livamile noma elivamile, kucatshangwa ukuthi, kwezinye izimo, amangqamuzana egazi omhlophe esinayo angase asebenze kahle ngesikhathi samakhemikhali.

10 -

Ukwaziswa Ngezaziso Ezizayo noma "Ukuqonda Okuyisithupha"

Kunzima ukuchaza isizathu sokubiza 911, umane nje umqondo wakho onembile wokuthi kukhona okumbi okwenzeka kuwe. Kungaba inhlanganisela yezimpawu ozizwayo, noma ukwesaba ngokujulile okwenzeka emzimbeni wakho. Thembeka isisindo sakho. Kukhona okuningi esingakuqondi emithi, kepha imizimba yethu ithola izindlela zokusitshela uma sisesidingo esikhulu sosizo.

Umqondo wokubhujiswa uye wahlolisiswa empilweni, kanti lolu cwaningo lubonisa ukuthi umuzwa wengozi ezayo ejwayelekile kubantu ngaphambi kokuhlaselwa yinhliziyo, ngaphambi kokuwa okukhulu kwegazi, futhi ngaphambi kokuwa

11 -

Ukulungiselela Isimo Esiphuthumayo

Njengoba nje abantu behlela isiphepho, kuyasiza ukuhlela.ukuphuthumayo kwezokwelapha. Njengenhlekelele yemvelo, abantu abaningi abacabangi ngokucacile njengoba bevame ukukwenza.

Yenza izinombolo zocingo zilungele, futhi eduze kwefoni uma usola ukuthi izimpawu zakho ziyashintsha nganoma iyiphi indlela

Hlela ukuthi ubuhlungu obungathanda ukuhamba ngaphambi kwesikhathi . Isibonelo, ingabe uhlose ukwelashwa noma kunalokho, ukwandisa ikhwalithi ethile yokuphila. Uma usuqedile iziqondiso ezenzakalelayo qinisekisa ukuthi lezi zikhona. Ezweni elihle, isibhedlela kufanele sibe nawo wonke amarekhodi adingekayo. Noma kunjalo, kunezikhathi lapho-ngenxa yokungena okukhulu kweziguli-othile uzodluliselwa kwesinye isibhedlela.

Yiba nohlu lwabaxhumana nomndeni endaweni elula Omunye wesifazane onomdlavuza wamaphaphu wagcina isikhwama esincane "sokulala" esinezinto ezibalulekile ezifana nolwazi lokuxhumana. Uthi akuzange kumzwele, ngoba wayenze into efanayo lapho ekhulelwe, ekwazi ukuthi lapho umsebenzi uqala, kungenzeka ukuthi akhohlwe izinto eziningi ezibalulekile.

Yenza isifinyezo sokwelapha ngezinto zakho ukuletha. Uma ngabe i-ambulensi yakho ichithwa, lokhu kungasindisa isikhathi esibalulekile lapho abasebenzi begumbi lokuphuthumayo behlonza odokotela nolwazi lwakho.

Uma izimpawu zifika ngokushesha, shayela u-911 kuqala. Vumela abasebenzi bezokwelapha eziphuthumayo nabasebenzi begumbi lokuphuthumayo esibhedlela benze lo mkhakha ekulandeleni odokotela bakho.

12 -

Izimpawu eziphuthumayo ekupheleni kweLife

Ngeshwa, abantu abaningi baphela esibhedlela ekupheleni kokuphila, ngisho noma bekube yisifiso sabo sokufa ekhaya. Uma lokhu kuyisifiso sakho, xoxani ngezimo ongayibheka ngazo ngokucophelela esibhedlela nabathandekayo bakho, ngaphambi kokuba ubhekane nobunzima (bheka ngezansi.) Kungase kube nezimo ongathanda ngempela ukungena esibhedlela.

Okokuqala, kungasiza ekuchazeni imigomo embalwa. I-DNR isho ukuthi ungahlali. Lokhu kusho ukuthi awufuni abasebenzi basezimo eziphuthumayo ukwenza i- CPR (cindezela inhliziyo yakho noma ushise inhliziyo yakho uma kufanele ube nesigqi senhliziyo engavamile esingaholela ekufeni.) I-DNI isho ukuthi ungazwakali. Lokhu kusho ukuthi ngeke ufune ochwepheshe bezokwelapha eziphuthumayo ukubeka ithubhu evumela umoya wokuphefumula ukuphefumula. Ezimweni eziningi, iziguli zikhetha ukuhleleka kwe-DNR okuhlanganisa kokubili. Kubalulekile ukuqonda lezi zimo ngokucophelela ngaphambi kokuba wenze lezi zizathu ngezizathu ezimbalwa. Ukuboshwa komzimba akusho ukuthi inhliziyo yakho imisiwe. Ngezinye izikhathi ngisho nokuhlaselwa kwenhliziyo encane kungaholela esimweni esingavamile senhliziyo esingase sibulale uma ngaphandle kokuvuselelwa (njengokushaqeka) kunikezwa.

Uma unomyalelo we-DNR noma we-DNI, qiniseka ukuthi unakho ikopi ngesandla, nokuthi umndeni wakho uyazi ngesinqumo sakho. I-CPR ayitholakali ngempumelelo uma umuntu enomdlavuza wokuphela, kodwa kwezinye izifunda, abaphendulayo eziphuthumayo kudingeka benze iCPR noma ngabe i-CPR ikhona.

Ngaphandle kwe-DNR ne-DNI, kubaluleke kakhulu ukukhuluma ngezifiso zakho mayelana nokulaliswa esibhedlela ekupheleni kokuphila. Kunezibonakaliso eziningi ekupheleni kokuphila okungase kudinge ukungenelela ngaphandle kokuvuselela noma ukungena. Isibonelo, ungase ufune ukuba nezimpawu zakho (njengokubuhlungu obukhulu) uphathwe ngisho noma unomyalelo we-DNR / DNI endaweni.

Ngenkathi abantu abaningi beqedela iziqondiso zangaphambili, akukho DNH esemthethweni (musa ukufaka isibhedlela) idokhumenti yomthetho. Ukuze ugweme ukutholakala esibhedlela okungadingekile ekupheleni kokuphila kubalulekile ukuthi iziguli zenze isinqumo kusengaphambili mayelana nokuthi, futhi ngaphansi kweziphi izimo, zizocabangela ukungena esibhedlela. Uma uhlala esibhedlela, ithimba lakho lokubeletha lingakusiza ukuveza izifiso zakho futhi wenze lezi zincumo.

_Imithombo:

_{Cretikos, M., et al. Izinga lokuphefumula: isibonakaliso esibalulekile esinqatshiwe. I-Medical Journal yase-Austalia . 2008. 188 (11): 657-9.}

_{Johns Hopkins Medicine. Ukunciphisa Cord Ukucindezela. Kufinyelele ngo-02/16/16. http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/}

_{Parkes, R. Ukukala kokuphefumula: isibonakaliso esibalulekile esikhohliwe. Umhlengikazi Ophuthumayo . 2011. 19 (2): 12-7.}

_{Izimo Eziphuthumayo Zokuphefumula. (2009). E-Holland-Free Cancer Medicine (9th ed.). Pmph usa.}