Ukuba uye watshelwa ukuba wena okanye othandekayo unayo i-hemothorax, mhlawumbi unokwesaba kakhulu. Yintoni i-hemothorax, zeziphi ezinye zezizathu, kwaye baphathwa njani? Ininzi yexesha i-hemothorax ivela kwindawo apho umntu esesibhedlele, ezifana nokuhlinzwa kwemiphunga, ngesifo sesifo semiphunga, okanye emva kwesifo. Nangona i-hemothorax iqala, kunjalo, kukho ukudideka ekuqaleni kuba kukho ukufana okuninzi kwiimpawu ze-hemothorax kunye nezinye iingxaki zokuphefumula.
Yintoni omele uyayazi njengoko ujamelana nale meko?
Sibanzi
I-hemothorax ichazwa nje ngokuba ukuqoqwa kwegazi phakathi kweembumba ezifaka imiphunga (i- pleura ). Ngokuxhomekeka kweso sizathu, igazi lingavela kwimiphunga, intliziyo, udonga lwesifuba, okanye iimitha ezinkulu zegazi ezikhoyo esifubeni. Kucingelwa ukuba ama-300 000 amacala e-hemothorax ayenzekayo e-United States ngamnye ngonyaka ngenxa yengozi yodwa, kunye nokulimala kwesifuba kubangama-60 ekhulwini kwezigulane ezinobungozi obuninzi.
Izizathu
Kukho ezininzi ezinokubangela i-hemothorax. Ezinye zezi ziquka:
- Ixinzelelo kwi-esifubeni (le yinto ebangela kakhulu i-hemothorax).
- Emphysema.
- Umdlavuza womlenze, i- mesothelioma , kunye neekrecti eziphambili (ukusasazeka) kumphunga.
- Utyando lwe-Chest (ngokuqhelekileyo ukulandela ukuphepha kunye nentliziyo.)
- I-Biopsy yamasipha.
- Izifo ezifana nezifo zesifo sofuba.
- Ukuphazamiseka kokukhupha okubangela ukuvalwa kwexesha elide.
- Ukubambisana kunye nokuphazamisa.
Iimpawu
Iimpawu zinokuba nzima ukuhlukanisa nakwezinye izimo ekuqaleni kwaye zingaquka:
- Ukuphefumula okufutshane.
- Ukuxhalabisa nokungazinzi okukhulu.
- Iimpawu zokutshatyalaliswa njengentliziyo ekhawulezileyo, uxinzelelo lwegazi oluphantsi, oluqhenqileyo, olubandayo, kunye nobuthathaka.
- Intlungu yesifuba esoloko ibukhali yaye ingahluka ngokuma.
UkuHlola nokuVavanya
Umlando oqapheleyo unokwenza izikhokelo kwi-cause kunye nobukho be-hemothorax-njengengxaki yesifuba okanye ukutyunjwa kwesifuba. Kwiphepha elichaphazelekayo, izandi zomphunga zingaphantsi okanye zingekho. I-x-ray yesifuba esifanelekileyo inokukunceda ukuxilonga i-hemothorax, kwaye ukuvavanya okuqhubekayo, njengokuba isifuba CT sinokuqwalaselwa. Xa ithebhu yesikhumba isetyenziswe, umbane uhlolwe ukuba kuqinisekiswe ukuba khona kwegazi kwintlambo yesigxina kwaye ukhangele phambili izizathu ezinokwenzeka.
Ukuvavanywa kwentsholongwane yesikhalazo kunokuba luncedo ngokunjalo. Ukuze le mveliso ihlelwe njenge-hemothorax, i-hematocrit ye-pleural fluid kufuneka ibe yi-50 ekhulwini ye-hematocrit yegazi le-peripheral (igazi lihlolwe ngokuthatha isampuli kwi-vein).
Unyango
Ukwelashwa kokuqala kwe-hemothorax ngokuqhelekileyo kubandakanya ukuzinzisa umntu kwaye ufakele ityhubhu yesifuba ukucoca igazi kunye nomoya oye wakha okanye owakhulayo phakathi kweemfamfucu kwintlambo .
Ngokuqhelekileyo, i-hemothorax yimbangela yokukhathazeka okanye ukungena kwi-esifubeni. Xa kwenzeka ngaphandle kwexinzelelo, kubaluleke kakhulu ukufumanisa nokuphatha isizathu esiyintloko.
Unyango lubandakanya ukufaka ityhubhu yesifuba njengenxalenye ye-thoracostomy encediswe ngevidiyo (into eyenziwa yinto encinci yokuhlinzwa eyenziwa yincinci kunye nokuhlinzwa ngokuqhutywa kwezi ncinane ezinokusetyenziswa kwekhamera.
Kwabanye abantu ukuhlinzwa, i-thoracotomy iyadingeka ukuze ifike kumthombo kunye nokulawula ukuphuma kwamanzi, ngokukodwa ekusetyenzisweni kwe-hemothorax enkulu okanye xa umthombo wokuphuma kwegazi ungaqinisekanga.
Iingxaki
Kwabo bantu abafumana unyango, inani elincinci lishiywe yi- empyema (iqoqo le-pus phakathi kweembrane ezifaka imiphunga) okanye ukukhawulwa kwe-pleura (pleural fibrosis). I-Fibrosis inokubangela iimpawu zokuphefumula kwexesha elide kwabanye abantu.
Nge-empyema, kungenziwa uphando olungakumbi ukuze kususwe i-pus kunye nokuthintela ukusetyenziswa kwamanzi kunye neebhaktheriya ekungeneni esifubeni. Ionyango ze-fibrosis zixhasayo ngokuyinhloko njengoko i-fibrosis idla ngokungafihli.
Oko kwathiwa, unyango olusukela ekuvuseleleni i-pulmonary ukuya ekufundiseni ukuphefumula lunokuba luncedo ekubuyiseleni umgangatho wobomi obunokwenzeka.
Prognosis
Isiphumo se-hemothorax sinqunywe ngamanqanaba okuphuma kwegazi, kunye nesisiseko esiyintloko. Kubantu abagcina i-hemothorax ngenxa yeengxaki zesifuba, i-prognosis jikelele iyinto enhle, kwaye ingcono ukuba i-hemothorax ingaphathwa kakuhle.
> Imithombo:
> Aktas, A. et al. I-Transthoracic biopsy yamandla emiphunga: Izinto ezingezizo zobugcisa ezichaphazela ukuxhamla. Cancer Cancer . 2015. 6 (2): 151-8.
> Broderick, S. Hemothorax: I-Etiology, ukuxilongwa, kunye nokulawula. Iiklinikhi zeeTraphic Surgery . 2013. 23 (1): 89-96.
> Mancini, M et al. Hemothorax. Medscape . Updated 10/15/14.
> Morgan, C., Bashoura, L., Balachndran, D., no A. Saadia. Hemothorax ngokuthe ngqo. Amanqaku e-American Thoracic Society . 2015. 12 (10): 1578-1582.
> Patrini, D. et al. I-Etiology kunye nokulawulwa kwe-haemothorax yangaphandle. Umbhalo Wezifo Zesifo . 2015. 7 (3): 520-6.