I-Hemoptysis yigama lezokwelapha lokukhwehlela igazi. Lokhu kungafaka nje inani elincane legazi ku-sputum yakho noma igazi eliqondile elivela emphefumulweni noma amaphaphu. Ukuze afanelekele njenge-hemoptysis igazi kumele lizimisele ukuthi livela empilweni yokuphefumula kunokuba umlomo, isisu, isisu , noma indlela yokuphumula. I-hemoptysis enkulu iyigama elingasetshenziswa ukuchaza ukukhwehlela igazi elikhulu elingase lisongele impilo.
Yini Ebangelwa Hemoptysis?
Kunezimbangela eziningi ze-hemoptysis. Ezinye izimbangela zihlanganisa izifo noma ezinye izifo, ngezinye izikhathi i-hemoptysis ingabangelwa ukuhlolwa kwezokwelapha noma izinqubo ezifana ne- bronchoscopy . Izimbangela ezaziwayo ze-hemoptysis zihlanganisa:
- isifiso sokudla noma ezinye izinto emaphashini
- i-clot yegazi emaphashini (embolism pulmonary embolism)
- uketshezi emaphashini (i-pulmonary edema)
- ukutheleleka kwamaphaphu kuhlanganise ne-pneumonia (ejwayelekile kakhulu)
- i-cystic fibrosis
- i- bronchitis enzima (evamile)
- i-bronchitis engapheli (kuhlanganise ne-bronchitis engapheli ebangelwa ukubhema ugwayi)
- isifo sofuba
- umdlavuza wamaphaphu
- i-systemic lupus erythematosis
- i-pulmonary hypertension (engavamile)
- ukuhlukumezeka esifubeni noma emaphashini okuthinta imithwalo yegazi yamaphaphu noma iphefumula
- i-vasculitis (ukuvuvukala kwemithambo yegazi emaphashini noma endleleni yokuphefumula)
- i-bronchiectasis (isimo lapho ubuqotho be-airways bukhubazekile ngenxa yokutheleleka kwangaphambilini noma ukulimala emoyeni)
Inani elincane le-sputum elibhekene negazi lingabuye lenzeke lapho umhlane we-throat ushukukuthelelwa ukukhwehlela okuvamile noma okubudlova. Izimbangela ezivame kakhulu ze-hemoptysis ezinganeni ziphethwe yizifo ezithinta ukuphefumula futhi zihlanganisa into yangaphandle emaphashini.
Ukuthola i-Hemoptysis
Njengoba kukhonjisiwe ngaphambili, i-hemoptysis yeqiniso ingukuthi igazi elivela emaphepheni okuphefumula noma amaphaphu, kufanele lihlukaniswe negazi elivela emlonyeni noma emphinjeni kodwa livela emigwaqweni yokuhamba, isisu noma isisu.
Ngaphandle kwe-sputum encane kakhulu yegazi ngemuva kwezinqubo ezithile zezokwelapha noma ukukhwehlela okubi, i-hemoptysis kufanele ihlale ihlolwe udokotela. Udokotela wakho uzokubuza mayelana nezimpawu zakho nomlando wezokwelapha kanye nokuqhuba ukuhlolwa ngokomzimba. Ezinye zezi zivivinyo ezilandelayo ze-laboratory noma izinqubo zezokwelapha zingase zibe usizo ekuboneni imbangela ye-hemoptysis:
- ukuhlolwa kwe-sputum
- i-bronchoscopy
- i-chest x-rays
- CT scan of the amaphaphu
- ukuhlolwa kwegazi (ukunquma ukuthi ingakanani igazi elahlekile noma uma kunezinkinga ezingezansi ezingahle zenze umuntu angene kalula ukuphuma kwegazi)
Ukwelapha i-Hemoptysis
I-hemoptysis enkulu yizokwelapha eziphuthumayo. Kufanele ubize u-911 noma uhambe ekamelweni eliphuthumayo noma kunini lapho ukhwehlela ngaphezu kwe-isipuni noma amabili wegazi, noma uma ukhwehlela igazi futhi unezimpawu ezifana nobunzima bokuphefumula, isizungu , ukuzwa okukhanyayo, umbala ohlaza okwesibhakabhaka izindebe, noma ubuhlungu besifuba.
Ukwelapha i-hemoptysis kuncike ekubambeni imbangela. Isibonelo, i-pneumonia ingaphathwa ngokuhlanganisa ama-antibiotics, ukuphumula, noma ezimweni ezinzima esibhedlela. I-sputum enegazi ewumphumela wokukhwehlela okunodlame ingaphathwa ekhaya ngemithi yokucindezela nokukhwehlela.
I-sputum enegazi ewumphumela wenqubo yezokwelapha efana ne-bronchoscopy ne-biopsy ingabuye ihlolwe ekhaya futhi kufanele ixazululwe yodwa. Ezinye izimbangela ze-hemoptysis, ezifana nomdlavuza zingadinga ukwelashwa okubanzi.
Imithombo:
I-American Family Physician. I-Hemoptysis: Ukuxilongwa Nokuphathwa. Kufinyelelwe: Februwari 27, 2015 kusuka ku-http: //www.aafp.org/afp/2005/1001/p1253.html
I-Medline Plus. Ukushaya igazi. Kufinyelelwe: Februwari 27, 2015 kusuka ku-https: //www.nlm.nih.gov/medlineplus/ency/article/003073.htm
I-National Heart Lung ne-Blood Institute. Kuyini iBronchiectasis? Kufinyelelwe: Februwari 28, 2015 kusuka ku-http: //www.nhlbi.nih.gov/health/health-topics/topics/brn