I-asthma, i-brronchitis, i-Pneumonia, i-Pleuritis
Phakathi kwezinkinga eziningi ezingezona zomzimba ezingaveza ubuhlungu besifuba kukhona izinkinga ezihlukahlukene ezihambisana namaphaphu. Izinkinga eziningana ze-pulmonary zingakhipha - ngaphezu kwamanye izimpawu - ubuhlungu obukhulu obufubeni. Lokhu kuhlanganisa ukuphazamiseka kwemimoya efana ne- asthma noma i- bronchitis , ukutheleleka noma ukuvuvukala kwamapayipi ngokwabo ( isibhamu ), noma ukuvuvukala kwendwangu yamaphaphu (okubizwa ngokuthi pleuritis noma pleurisy ).
Ngenhlanhla, lapho ubuhlungu besifuba bubangelwa isimo se-pulmonary, ngokuvamile akulona nzima kakhulu kudokotela ukuba enze ukuxilongwa okulungile. Ngakho lolu hlobo lwesifo sekhanda aluvame ukudideka ngosizi lwesifuba ngenxa ye- angina noma i- infarction ye-myocardial .
Kuyafaneleka ukukhumbula engqondweni ukuthi inhliziyo ayiyona into ebalulekile kuphela esifubeni. Noma iyiphi yalezi zimo zamapulmeri yizinkinga ezinkulu zezokwelapha ezidinga udokotela.
Ukunganakwa kwesibeletho Kusuka ku-Asthma
I-asthma yisifo esingelapheki lapho umoya womoya uhlala uvutha noma ucasulwa, okwenza ukuba imisipha yomoya iqhubekele, eholele ekuvimbeleni umoya. "Ukuhlasela" kwe-asthma kungabangelwa ukuvezwa kwezimo ezivuthayo, ukuvezwa emoyeni abandayo, ukuzivocavoca - noma ngokuvamile, okungenalutho okungaziwa. Ngesikhathi sokuhlaselwa, izindiza zomoya ziyancipha, futhi kuba nzima ukuxosha umoya emaphashini.
Ngaphandle kokuphefumula okukhulu, ukugubha nokukhwehlela, isifo se-asthma singase sibe nesifo esibucayi esifubeni, noma ubuhlungu besifuba.
Lokhu kuqina kwesifuba okubangelwa sisifo se-asthma kubangelwa umzamo omkhulu we-muscular okudingekayo ukuxosha umoya ngezindiza ezinqamule, okungabangela ukukhathala nokucindezeleka kwemisipha.
Njengoba nje nanoma yimiphi imisipha yamathambo, imisipha yesifuba ibuhlungu uma isetshenziswe ngokweqile.
Uma isiqephu se-asthma siphethwe ngendlela efanele, ukuqina kwesifuba kuyaqeda - nakuba kungase kuhlale ukuhlaselwa kwesibindi ngosuku noma ezimbili.
Lezi zifo ezinzima zokuhlaselwa yisifo se-asthma zinganciphisa kakhulu noma zisuswe ngokunakekelwa okwanele .
Ukunganaki kwesibeletho Kusuka eBronchitis
Njengesifo se-asthma, i-bronchitis nayo yinkinga ekhonjelwa ukuvinjelwa kwemimoya yezindiza, nakuba i-bronchitis isithintela ngenxa yokuvuvukala nokuvuvukala kwendwangu yokuhamba kwemimoya kanye nokuqoqwa kwe-mucus, kunokuba kube nokucindezelwa kwemisipha. (Abantu abane-bronchitis engapheli, noma kunjalo, kaningi futhi banesici se-asthma.)
I-brronchitis ingaba yisimo esiyingozi (ngokuvamile esivame ukuhambisana nesifo), noma singase singaguli - uhlobo lwe-chronic obstructive pulmonary disease.
Ngenxa yokuthi kuyinkinga yokuvinjelwa kwe-airway, ukukhathazeka esifubeni okuhambisana ne-bronchitis kuyafana kakhulu nokubangelwa yisifo se-asthma.
Ubuhlungu be-Chest From Pneumonia
I-pneumonia ukuvuvukala kwezicubu zamaphaphu ngokwayo, ngokuvamile okubangelwa ukutheleleka. I-pneumonia ingaveza ubuhlungu besifuba. Ubuhlungu buvame ukubangelwa ukuhlukunyezwa kwemisipha ekukhwehleleni ngokweqile, noma ngokuvuvukala okuhambisanayo kwendwangu yamaphaphu (pleurisy).
Ubuhlungu be-Chest kusuka ku-Pleurisy
I-Pleurisy (noma i-pleuritis) ukuvuvukala kwendwangu yamaphaphu. Kungabangelwa izimo eziningana ezifaka ukutheleleka kwegciwane noma igciwane; izifo ezizenzekelayo njenge- lupus noma i- rheumatoid arthritis ; imithi kuhlanganise neprocainamide, i-hydrazine ne-isoniazid; i-pneumothorax ; ukuhlinzwa kwesifuba; nomdlavuza.
Ubuhlungu obubangelwa yi-pleurisy ngokuvamile buyisici. Ngenxa yokuthi uhlaka lwamapayipi lucasuliwe, noma yini elula amaphaphu emaphaphu kubangela ubuhlungu. Lokho "noma yini" kuhlanganisa ukuphefumula.
Ngakho "ubuhlungu be-pleuritic" ubuhlungu besifuba esibangelwa ukuthatha umoya, ukukhwehlela noma ukuhambisa isifuba.
Ubuhlungu bungasendaweni eyodwa endaweni yesifuba (noma ehlombe), noma kungenziwa jikelele.
Ubuhlungu be-pleuritic ngezinye izikhathi bufana nokubuhlungu kwe- pericarditis , futhi ngempela ngezifo ezizimele ( kufaka phakathi i-Dressler's syndrome ), abantu bangakwazi ukuthuthukisa kokubili i-pericarditis ne-pleurisy (isimo esibizwa nge-pleuropericarditis).
Uma ukuvuvukala kwesibindi kuphethwe ngokufanele, ubuhlungu obukhulu buxazulula.
Izwi elivela
Ubuhlungu besifuba noma ukungahambi kahle okubangelwa izinkinga zamapulmeri ngokuvamile kubonakala okwanele ukuba kungadideki odokotela ngezinhlungu zesifo senhliziyo.
Kodwa noma iyiphi yalezi zimo zamaphaphu yilezi zinkinga ezibalulekile zezokwelapha okudingeka zihlolwe futhi ziphathwe udokotela.
> Imithombo:
> Bösner S, Becker A, Haasenritter J, et al. Ubunzima be-Chest In Care Primary: I-Epidemiology Ne-Pre-Work-Up Probabilities. I-Eur J Gen Pract 2009; 15: 141.
> Isu Lomhlaba Wonke Lokuthola Ukuxilongwa, Ukuphathwa, Nokuvimbela Izifo Eziphuthumayo Zokuvimbela Izifo: Ukuhlaziywa ngo-2011. I-Global Initiative ye-Chronic Acstructive Lung Disease (GOLD). www.goldcopd.org (Kufinyelelwe ngoSeptember 10, 2012).
> Uhlelo Lwezemfundo Nokuvimbela I-Asthma National: Umbiko Wezinhlangano Zomhloli Iii: Izikhombandlela Zokuqapha Nokuphathwa Kwe-Asthma. UBethesda, MD: iNational Heart, Lung, ne-Blood Institute, 2007. (I-NIH ishicilelo 08-4051) www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm (Kufinyelelwe ngoDisemba 04, 2014).
> Verdon F, Herzig L, uBurnand B, et al. Ubuhlungu be-Chest In practice Practice Daily: Occurrence, Causes And Management. I-Swiss Med Wkly 2008; 138: 340.