Umdlavuza we-Lung noma i-mesothelioma ingase iguqulwe njengobuhlungu behlombe
Abantu abaningi abanomdlavuza wamaphaphu bahlakulela ubuhlungu behlombe ngesikhatsi besifo sabo, futhi ngezinye izikhathi kuyisimpawu sokuqala. Lokho kusho, kubalulekile ukuqaphela ukuthi ubuhlungu behlombe abukona umdlavuza we-lungtale wamaphaphu. Ngaphezu kwalokho, kubantu abanomdlavuza wamaphaphu, ubuhlungu behlombe lungase kube umphumela wesifo sabo noma esikhundleni salokho, ngenxa yezizathu ezithile ezifana ne-arthritis.
Kungani umdlavuza wamaphaphu ngezinye izikhathi ubangela ubuhlungu behlombe, futhi lobu buhlungu buhluke kanjani kwezinye izimbangela zobuhlungu behlombe?
Kungani Kungenzeka Ukugulisa Ingculaza Kubangelwa Ubuhlungu?
Ake siqale ngokukhuluma ngokuthi kungani abantu bezwa ubuhlungu behlombe ngomdlavuza wamaphaphu. Izinhlungu zehlombe ezihlobene nomdlavuza we-Lung zingabangelwa izindlela eziningi ezahlukene.
Ubuhlungu ehlombe lakho bungathunyelwa ubuhlungu (okusho ukuthi ubuhlungu buzwa ehlombe kodwa buvela kwenye indawo emzimbeni). Isibonelo sobuhlungu obukhulunywe ngumdlavuza wamaphaphu yilapho isikhumba sephaphu sibangela ingcindezi emantongeni ohamba eduze kwamaphaphu. Kulesi simo, ubuchopho buhumusha ubuhlungu obuvela ehlombe, kanti empeleni, inzwa iyathukuthela emaphashini.
Ubuhlungu obunamahlombe emdlashini wamaphaphu nakho buhlobene nokusabalalisa komdlavuza wamaphaphu emathanjeni naseduze kwehlombe. Amaphesenti angaba ngu-30 kuya kumaphesenti angu-40 abantu abanomdlavuza wamaphaphu bathuthukisa ama-metastase amathambo (ukusakazeka komdlavuza emathanjeni) ngesikhathi esifanayo ngesikhathi sesifo sabo.
Izicubu ezincane , uhlobo lomdlavuza wamaphaphu, zikhula eduze kwengxenye engenhla yamaphaphu futhi zingahlasela izicubu eduze kwehlombe. Izicubu ezincane zivame ukubangela ubuhlungu ehlombe elidlulisa phansi ingalo. Ngenxa yendawo yabo, lezi zicubu zingenakwenzeka ukuba zibangele izimpawu ezijwayelekile zomdlavuza wamaphaphu njengokukhwehlela okuphikelela, ukukhwehlela igazi nokuphefumula.
Lezi zicubu futhi ngezinye izikhathi kunzima ukuzixilonga, ngoba "zingakwazi ukufihla" kwi-x-ray evamile yesifuba.
I-mesothelioma enesilonda esibuhlungu ingumdlavuza we-pleura-izibungu ezihlanganisa amaphaphu-futhi ngokuvamile zibangelwa ukuvezwa kwe-asbestos emsebenzini. Kwesinye isifundo kutholakale ukuthi amaphesenti ayisishiyagalolunye weziguli ahlakuye ubuhlungu behlombe njengesifo sabo sokuqala se-mesothelioma . Uma ususebenze ekwakhiweni noma wenza umsebenzi wokwakha kabusha ekhaya ekhaya elidala, qiniseka ukuthi uvumele udokotela wakho azi.
Indlela Ubuhlungu Obunzima Ngomdlavuza We-Lung Ezihluke Kwezinye Izimbangela
Ngeshwa, ubuhlungu behlombe buhlobene nomdlavuza wamaphaphu noma i-mesothelioma ingafana kakhulu noma efana nalezi zimo ezifana ne-arthritis. Uma unombuzo nhlobo mayelana nobuhlungu behlombe, kungcono ukuthi uphephe futhi ukhulume nodokotela wakho.
Izimpawu ezingase zibe ngaphezulu mayelana nomdlavuza wamaphaphu, noma kunjalo, zihlanganisa ubuhlungu behlombe obubi nakakhulu ebusuku, ubuhlungu obwenzeka ekuphumuleni, nobuhlungu obungathintwa nanoma yikuphi ukulahlekelwa kokunyakaza ngomsebenzi. Ubuhlungu obunamahlombe bungase kube yinto engeyona i-squelette uma ungakhumbuli noma yikuphi ukulimala noma imisebenzi ongase ube nayo ngaphezulu kwehlombe lakho.
Ubuhlungu obunamahlombe bunamathuba amaningi okuba uphawu lomdlavuza wamaphaphu uma unezinye izimpawu zomdlavuza wamaphaphu , njengokuphefumula (lokhu kungaba mnene futhi kube nomsebenzi kuphela,) ukukhwehlela okuqhubekayo, ukuqhuma, ukuphazamiseka, ukukhwehlela igazi, ukukhathala, noma uma ulahlekelwa isisindo ngaphandle kwesizathu.
Khumbula ukuthi izimpawu zomdlavuza wamaphaphu kwabesifazane kanye nezimpawu zomdlavuza wamaphaphu kwabangewona abokubhema ngokuvamile zivame kakhulu kunabamadoda-futhi ngezinye izikhathi ezingacacile kakhulu, njengokungapheli kancane kokuphefumula komsebenzi kanye nokukhathala. Abantu abaningi baxosha izimpawu zokuqala zomdlavuza wamaphaphu njengenguquko ehlobene nobudala ekusebenziseni ukubekezelela umzimba, ukuzuza isisindo noma ukuhlala ngokweqile.
Izinketho zokwelapha
Ukwelashwa kobuhlungu behlombe obuhlobene nomdlavuza wamaphaphu kuzoxhomeka ekubangela imbangela yobuhlungu bakho.
Uma ubuhlungu bubhekiswa ubuhlungu obucindezelayo emanzini emaphashini, ukwelashwa okunciphisa isisu ngaphakathi kwamaphaphu kuyinhloso esemqoka.
Izinketho zingabandakanya ukuhlinzwa noma imisebe yendawo, noma ukwelashwa kwe-systemic nge-chemotherapy, izidakamizwa ezithintekayo, noma i-immunotherapy.
Uma isisu sikhula eduze nenhla yamaphaphu, ukuhlinzwa ukukhipha isisu noma ukwelapha i-tumor nge-radiation kunganciphisa izimpawu.
Uma ubuhlungu buhlobene ne- metastases yamathambo , ukwelashwa nge-radiation therapy noma ama-agent-modifying agents kunganciphisa izimpawu ngokuphawulekayo.
Izwi elivela
Uma uzwa ubuhlungu behlombe, ungesabi. Ithuba lokuthi ubuhlungu behlombe buhlobene nomdlavuza wamaphaphu ngokuvamile luyingcosana. Uma ungenayo incazelo yezinhlungu zakho, noma kunjalo, kubalulekile ukubona udokotela wakho. Ubuhlungu yindlela indlela imizimba yethu isitshela ngayo into engalungile.
Ngaphezu komdlavuza wamaphaphu, kunezinye izimo zezokwelapha ezingathí sina ezingaba nezibonakaliso zobuhlungu behlombe ekuqaleni. Uma ungakhumbuli ukulimala futhi ungazange usebenzise ingalo yakho ngokweqile esikhathini esedlule, ungaqiniseka ukuthi ukhuluma nodokotela wakho noma ngabe izimpawu zakho zibonakala ziphuthumayo.
Uma ungenayo incazelo ecacile yezibonakaliso zakho ngisho nangemva kokubona udokotela wakho, cabanga ukuthola umbono wesibili. Ngesikhathi ubuhlungu be-shoulder beyona isifo esivamile somdlavuza wamaphaphu, abanye abantu baye bathola umdlavuza wabo ekuqaleni kokulalela imizimba yabo futhi babhekene nezimpawu zabo. Yiba ummeli wakho siqu ekunakekeleni kwezempilo. Akekho okhuthazwa kakhulu kunokuthi uqinisekise ukuthi izimpawu zakho zichazwe futhi ziphathwa ngendlela efanele.
> Imithombo:
> Lorkowski, J. et al. Izikhalazo ze-Shouder njengezibonakaliso ezingavamile kuqala ze-mesothelioma engamanga. Ukuthuthukiswa KweMithi Yezobuchwepheshe Nokuzivocavoca . 2015. 852: 5-10.
> Marulli, G., Battistella, L., Mammana, M., Calabresse, F., no F. Rea. Ama-Tumor Sulcus Amathumba (I-Pancoast Tumors). Ama-Annal of Medicational Medicine . 2016. 4 (12): 239.
> Panagopoulos, N. et al. Izicubu ezihamba phambili: izici nokuhlolwa kwangaphambili. I-Journal ye-Thoracic Disease . 2014. I-Suppl 1: S108-15.
> Sayeed, A., Alshamrani, F., Amrayn, A., no-A. Alharbi. Kufanele Ubuhlungu Bokubhema Kungaba yi-Life Changer. Imibiko ye-BMJ Case . 2017 Juni 13: 2017.pii: bcr-2017-220969.