Ukwehla igazi, okungaziwa ngokuthi i-hemoptysis, kungasabisa kakhulu. Kungase kube nokudideka ekuqaleni. Ingabe igazi livela ngempela emaphashini akho noma kungenzeka ukuthi livela emakhaleni, ku- oophagus , noma kusuka esiswini sakho? Nakuba i-hemoptysis iyimpawu ecacile kunazo zonke zomdlavuza wamaphaphu, ngokuvamile kuvame ngenxa yesibindi esiyingozi. Ake sibheke izimbangela ezikhona, yini engenziwa ukuze sihlolisise inkinga engaphansi, kanye nezinketho zokwelashwa ezingenzeka.
Sizoxoxa futhi lapho ukukhwehlela igazi kungaba yiphuthumayo, kodwa ukukhwehlela ngisho namanani amancane egazi kungaba yingozi. Isibonelo, ukukhwehlela ingxenye yesithathu yendebe yegazi kunenani labantu abafa ngamaphesenti angama-30. Uma usuqede isipuni noma ngaphezulu kwegazi, ungalindi ukwenza i-aphoyintimenti. Shayela u-911 manje.
Sibutsetelo
I-Hemoptysis ingenzeka uma iphuma emphinjeni, i- trachea , noma emoyeni omkhulu noma omncane wamaphaphu (i- bronchi noma i-bronchioles). Abantu abaningi bachaza uphawu lwabo njengokuthi bahlambalaza i-mucus egazini. Igazi elikhukhulayo livame ukuxubana ne-phlegm futhi lingabonakala ngokubukeka.
Kubalulekile ukwenza umehluko phakathi kokukhwehlela igazi negazi elikhuliswe emlonyeni wakho kusuka kwezinye izifunda zomzimba wakho. "I-Pseudohemoptysis" yigama elichaza ukuphalaza igazi okungaveli kumaphaphu akho noma amashubhu e-bronchial. "I-Hematemesis" yigama elibhekisela egazini elivela esiteshini sakho nesisu (ukuphonsa igazi),
Izimbangela
Uma ukhwehlela igazi akusho ukuthi unomdlavuza wamaphaphu. Kunezimo eziningi ezingabangela lesi sibonakaliso-futhi eyodwa kuphela yale mdlavuza wamaphaphu . I-Hemoptysis yiyona kuphela uphawu emaphesenti ayisikhombisa kuphela abantu abathintekayo abanomdlavuza wamaphaphu, futhi kubhekwe njengento ecacile kakhulu yokuthola ukuxilongwa.
Kodwa njengoba isimo sengqondo somdlavuza wamaphaphu singcono ngaphambili kokutholakala, kubalulekile ukubonana nodokotela wakho ngokushesha.
Izimbangela ezivame kakhulu zokukhwehlela igazi zithukuthela emoyeni kusuka ekukhwehleleni noma ekutheleleni. Ezinye izimbangela ezikhona ze-sputum enegazi ehlanganisa:
- Ukuvuvukala nokucasuka kwezindiza ezivela ekukhwehleleni okuphindaphindiwe
- I-brronchitis
- Bronchiectasis
- Umdlavuza we-Lung
- I-pneumonia
- I-edema yepulmonary
- Ama-blood clots emaphashini ( okuhlanganiswa kwamapulmasi ) -Ngokuthi imithini yomswakama iyabonakala, abantu bavame ukuzwa ubuhlungu, ubomvu, noma ukuvuvukala emathole abo ngenxa ye-thrombosis ejulile ye-vein.
- Isifo sofuba-Lesi yisizathu esivame kakhulu sokukhwehlela igazi emhlabeni wonke, kodwa okungajwayelekile kakhulu e-United States.
- Ukubutheka komzimba wangaphandle
- Ukuphazamiseka kwezibilini-Lokhu kungenziwa njengefa noma ngenxa yemithi noma izithako ezandisa ukwedlula isikhathi esithathayo ukuze igazi lakho livale.
Nini Ukufuna Ukunakekelwa Kwezempilo
Ukuphuza igazi kungashesha kube yisimo esiphuthumayo. Ukuphuza ngaphezu kweyodwa ithisipuni yegazi kuthathwa njengesimo esiphuthumayo sezokwelapha . Ukukhuphula i-100cc yegazi kuphela 1/3 yendebe-kubizwa ngokuthi i-hemoptysis enkulu futhi kunezinga lokufa (amaphesenti angu-30). Ungazami ukushayela noma ukube omunye umuntu akushayele esibhedlela-shayela 911.
Kufanele ubize u-911 ngokushesha uma uzwa ubuhlungu besifuba, ukuphefumula, noma ikhanda eliphansi, ngisho noma ukhwehlela umkhondo wegazi kuphela. Inkinga yukuthi ukukhwehlela igazi kungabangela ngokushesha ukuvinjelwa kwamanzi nomfutho wegazi emaphashini akho.
Ukuxilongwa
Uma ukhwehlela igazi-ngisho nenani elincane nje kanye-kubalulekile ukwenza i-aphoyintimenti ukuze ubone udokotela wakho. Uma kunokwenzeka, ulethe isampula salokho okukhwehlela kuze kube sesikhundleni sikadokotela wakho. Ukufaka isampula ekugubungeni kweplastiki noma iphepha le-wax kungalondoloza isampula kangcono kunokuyifaka emathangeni.
Wena udokotela uzokubuza imibuzo embalwa ngaphezu kokuhlola ngokucophelela ngokomzimba.
Ezinye zazo zihlanganisa:
- Kwenzeke isikhathi esingakanani lokhu?
- Kwaqala nini?
- Ingabe kwenzeka ngenkathi udla?
- Ulahleka kangakanani igazi?
- Ingabe igazi lixutshwe ne-mucus?
- Yiziphi ezinye izimpawu ozibonayo? Isibonelo, ukukhwehlela okuphikisanayo , izimpawu zokungezwani, ukuphefumula , ukuthuthumela , ukuvutha , ukulahlekelwa isisindo esingenakuchazwa , noma ukukhathala.
- Uke waba nazo iziqephu zokukhahla?
- Ingabe wena, noma uke wabhekana?
- Imiphi imithi oyithathayo (kubandakanya noma yimaphi ama-herbal supplements noma imithi engaphezu kwe-counter)?
- Yiziphi ezinye izimo zezokwelapha onakho?
- Kunomuntu ohlala emndenini wakho owayene-bronchitis, ukuphazamiseka kwegazi, izinkinga zamaphaphu, noma umdlavuza wamaphaphu?
Ngokuya ngesilinganiso segazi okhwehlelayo, udokotela wakho uzoqala ukuqiniseka ukuqinisekisa ukuthi umoya wakho ulungile ukuvimbela isifiso (ukuphefumula kokuqukethwe okukhona emlonyeni wakho) nokulawula noma yikuphi ukuphuma okusebenzayo. Uzobe esetusa ukuhlolwa ukucacisa imbangela. Ukuhlolwa okungenzeka kungabandakanya:
- Ukuhlolwa kwebhu ukuhlola inani legazi lakho bese ubheka noma yisiphi isizathu sokuphuma kwegazi
- I-x-ray yesifuba sokubheka ukutheleleka kwanoma yibuphi ubufakazi besifo
- I-CT scan yesifuba sakho
- I- bronchoscopy ukuhlola izidumbu zangaphandle noma ukuhlola indlela yakho yokuhamba emoyeni (nge-bronchoscopy, ithubhu eguquguqukayo ifakwa emlonyeni wakho bese ungena ku-bronchi yakho)
Kubalulekile ukuba ngummeli wakho futhi uqhubeke ebuza imibuzo uma impendulo ingatholakali. Amagciwane angama-lung avame ukulahlekelwa ngama-x-rays avamile esifubeni futhi kudingeka kuhlolwe ukuhlolwa, kufaka phakathi isifo se-CT scan. Uma ungatholi izimpendulo, cabanga ukuthola imibono yesibili.
Ukwelapha
Ukwelashwa kuzoxhomeka esibangele izimpawu zakho kanye nenani legazi oye lakhwehlela. Khumbula ukuthi uma ukhwehlela igazi kuphela, futhi noma ngabe liyingcosana, kusabalulekile kakhulu ukubona udokotela wakho ngokushesha.
Uma uphepha ngokweqile, i-CT scan ngokuvamile ivivinyo lokuzihlola lokuzikhethela ukuhlola ukuphuma kwegazi. Ukuphuma kwamanzi amaningi emoyeni kuvela emithanjeni ye-bronchial, futhi ukukhishwa kwamathambo okushisa (ngokuyisisekelo ukubeka i-clot in the artery) ngokuvamile kuyindlela yokwelapha ephumelelayo.
Uma udokotela wakho esolisayo ukuthi unomdlavuza wamaphaphu, ungafunda kabanzi mayelana nokuthi umtholampilo wamaphaphu utholakala kanjani , ukuthi yini ongayilindela, nokuthi kungenzeka yini ukuthi ingozi yomdlavuza wamaphaphu (kungenzeka ukuthi udlula kude nokubhema okungenani oyedwa kwabahlanu abafazi ukuthuthukisa umdlavuza wamaphaphu akuzange upheze ugwayi owodwa).
Ungavumeli ithuba lokuba nomdlavuza wamaphaphu kuze kube yilapho ukuxilongwa kukhishwe. Umdlavuza we-Lung kwenzeka kubantu abangabhemi. Kwenzeka kubantu abadala. Futhi cishe kujwayelekile kubantu besifazane njengamadoda. Ngeshwa, isikhathi esivamile phakathi kokuqala kwezimpawu nokuxilongwa komdlavuza wamaphaphu izinyanga ezingu-12-isikhathi lapho ukwelashwa kungenza umehluko emiphumeleni yesifo.
Ezinganeni
Ukuhlanza igazi ezinganeni kubangelwa ukuthi kube nezimbangela ezihlukile kunomfanekiso ofanayo kubantu abadala. Izimbangela ezivame kakhulu izifo, njenge-pneumonia, i-bronchitis, nesifo sofuba.
Cishe ingxenye yesithathu yaleso sizathu asikwazi ukunqunywa futhi uphawu luya ngaphandle ngaphandle kokuthola isizathu. Emaphesenti ayisithupha kwezingane ezine-hemoptysis zitholakale zinezifo zenhliziyo ezingaphansi, kanti cishe ezingamaphesenti amane, umdlavuza utholwe ukuthi uyimbangela.
Izwi elivela
Ukwehla igazi kungaba uphawu olwesabekayo, ngoba izimbangela zingase zibe mnene njengokucasula umoya okuvela ekukhwehleleni, noma njengomdlavuza omnene njengemaphaphu noma i-clot igazi emaphashini. Ngisho namanani amancane okuphuma emaphashini angaba yingozi, ngenxa yobungozi bokufisa (kanye nokuphefumula). Ukuphuza kuphela isipuni segazi kuthathwa njengesimo esiphuthumayo sezokwelapha.
Nakuba besabisa, ngisho nokuphuma kwegazi okusebenzayo kuningi okungenziwa. I-bronchial artery embolization ngokuvamile iphumelela kakhulu kulokho okungahle kube yinto esongela ukuphila.
Ngenkathi ukukhwehlela igazi kuyisibonakaliso sokuqala ngamaphesenti angu-7 kuphela egazi lamaphaphu, kubalulekile ukukhipha lokhu kungenzeka kubantu abadala ngaphandle kwezinkinga eziyingozi. Njengamanye amagciwane, ngaphambili umdlavuza wemaphaphu utholakala, ukwandisa amathuba okuthola ukwelashwa.
> Imithombo:
> Bannister, M., no K. Ah-See. Ukuphathwa Okusekelwe Ebufakazi BeHemoptysis Otolaryngologists. I-Journal yeLaryngology ne-Otology . 2015. 129 (8): 807-11.
> Simon, D., Aronoff, S., noMn. Del Vecchio. Etiologies of Hemoptysis Kwazingane: Ukubuyekezwa Okuhlelekile of 171 Iziguli. Pulmonology yezingane . 2017. 52 (2): 255-259.
> Yendamuri, S. Massive Airway Hemorrhage. Imitholampilo yezokwelapha . 2015. 25 (3): 255-60.