Ukuphefumlelwa kwepneumonia kungabangela inkxalabo enzulu yecroke . I-pneumonia yentsholongwane iyintsholongwane yemiphunga okanye i-bronchi eyenzekayo xa umntu efumana ummatha, ukutya okanye umbane kwimiphophu okanye kwi-bronchi- apho ezi zinto azikho. Ezi zinto zingena kwimiphaphu ngenxa yokuba abanye abasindileyo behlaselwa bubuthakathaka bemisipha yokugwinya ngenxa yesibetho, okwenza bakwazi ukukhahlela.
Oku kubangela ukutyekela kokutya okanye utywala ukuba 'wehla ipayipi engafanelekanga.'
Yintoni i-aspiration Pneumonia?
I-pneumonia yintsholongwane yamaphaphu. Ukuphefumlelwa kwepneumonia yintsholongwane yamaphaphu eyaqala ngokuba into eyayifanele ihlawule emqaleni, yangena kwimiphunga esikhundleni sayo, yabangela intsholongwane kwimiphunga. Xa izinto ezifana nokutya okanye ukungena kwamanzi kwimiphunga kunye nokusuleleka, usulelo olusukela ekuthiwa yi-aspiration pneumonia. Ukuphefumlelwa kwepneumonia kunokubangela umkhuhlane, ukukhwehlela, nokuphefumla. Kwaye, ngenxa yokuba sisifo, kubangela iimpawu eziqhelekileyo zezifo zomzimba, ezifana nokukhathala jikelele, ukulahleka kwamandla kwaye rhoqo, ukulahleka kwesidlo kunye nokulahleka kwesisindo. Ezinye iingxaki ezinokuthi ziphuhlise ngexesha okanye kungekudala emva kwesiganeko sesiphono se-pneumonia zibandakanya i-blood clots kunye ne-bedsores ekubeni 'uhlale embhedeni' nge-pneumonia.
Xa umntu osindayo esichengeni sisifo sifana nesifo sokuphefumula, ukusuleleka kukubangela ukuba utyhutyana kweempawu ze-stroke zenzeke ngokukhawuleza ngenxa yokuba umntu osindileyo esichengeni isifo asikwazi ukusebenza kakuhle xa esesifo.
Ngamanye amaxesha, emva kokuphulukana kwinqanaba le-aspiration pneumonia, umntu osindileyo esilondazo unokufumana ukuphazamiseka kwexesha elide leempawu zokuphazamiseka komzimba kunye nokuhla kweyonke imisebenzi ye-neurological. Kwiimeko ezinzima, i-aspiration pneumonia ingaba negalelo kwenye inxeba.
Ngubani Ofumana Olu hlobo Lwe-Pneumonia?
Ingxaki yokugwinya emva kwesigxina yinkalo enkulu yengozi yokuphambuka kwepneumonia.
Abaninzi abasindileyo baxakeka okanye bagxininise ekutya nasekuphuzeni xa besidla okanye besela. Abanye abasindileyo basenokuhlala bethebe xa bethetha, ukuphumla ngokuphumla, okanye ukulala.
Kukho izinto ezinobungozi ezimbalwa ezenza kube lula ukuba usindiswe ngengozi ukuze uhlakulele impumoniya emva kwesifo. Abasindileyo besihlwele abasakhulayo banokukwazi ukuhlakulela ukuphefumlelwa kwepneumonia kunokuba abasindileyo baswele. Kwakhona, abantu abane-stroke echaphazela ecaleni lesobunxele bengqondo baxhomekeke ku-aspiration pneumonia kunabantu abanochoko oluchaphazela kwicala lasekunene kwengqondo. Kukho ulwahlulo oluninzi lwengxelo phakathi kwesilonda esisekunene kunye nesilonda esisekhohlo, kwaye kubonakala ukuba umngcipheko we-aspiration pneumonia ungenye yezo ntlukwano.
Abasindileyo beSproke kunye nokuPhelelwa kwePneumonia
I-pneumonia yokuphefumula iyakuchukumisa umntu osindileyo kwisifo esithile emva kweso siphene. Ukuba iimisipha ezilawula ukugwinya zihlala zibuthathaka kwiinyanga okanye kwiminyaka emva kokuphazamiseka, kukho umngcipheko wokuba i-aspiration pneumonia ingenzeka.
Thintelo
I-pneumonia ye-aspiration iyinkxalabo eyaziwayo yesifo, kwaye ingaba yintsholongwane enzima ukuyifumana. Ngoko kubalulekile ukuba uqaphele umngcipheko kwaye uthathe amanyathelo afanelekileyo ukuze uzame ukuzikhusela ekubeni unomnqweno wokuba nompumoniya.
Emva kokuphazamiseka, unokunikezelwa ukuthunyelwa 'kwentetho nokugwinya.' Abaninzi abasindileyo bacinga ukuba kunzima kakhulu ukuthetha kunye nokunyanyiswa kokuqeshwa, kwaye uyibuyisele okanye uyiqhekeze ngokupheleleyo. Nangona kunjalo, nangona ungaboni ingxaki ecacileyo ngentetho yakho, kubalulekile ukuba uqinisekise ukuba uqhubeka nenkulumo yakho kwaye ugxininise ukuvavanya ngenxa yokuba unokufumanisa iingxaki ezifihlakeleyo onokuba nazo kunye nezihlunu zakho zokugwinya okanye ugxothe ukulungelelanisa , nokuba awuzange uyiqaphele.
Kwaye, indlela ebaluleke ngakumbi yokuthintela ukufunwa kwepneumonia kukufumana intetho kunye nokugonywa ngonyango, kuba oku kubandakanya ukuzilolonga okujoliswe kukujolisa oku kunokukunceda ukulungelelanisa ukuba ugxininise ukhuseleko olungakumbi ngelixa udla.
Ukuba nezihlunu ezinzima zokugwinya zikwabalulekile ukukunceda ukuba ugweme ukufuna ukunyusa. Ekuhambeni kwexesha, ukuthetha nokugwinya unyango lomzimba yindlela efanelekileyo kakhulu ongayisebenzisa ukuze uzikhusele ekubeni unomdla wokuba nomphunga emva kokuphazamiseka.
> Imithombo:
> Ubudlelwane phakathi kweDysphagia, iiNational Institutes of Health Stroke Score Scale, kunye ne-Predictors ye-Pneumonia emva kweSkemikic Stroke, uRiiroiro PW, Cola PC, i-Gatto AR, da Silva RG, i-Luvizutto GJ, i-Braga GP, i-Schelp AO, i-Arruda Henry MA, i-Bazan R , I-Journal ye-Stroke ne-Cerebrovascular Disease, Septemba 2015
> I-Cerebral infarction kwi-hemisphere ekhohlo edibanisa ne-right hemisphere yandisa umngcipheko we-aspiration pneumonia, Yamamoto K, Koh H, Shimada H, Takeuchi J, Yamakawa Y, Kawamura M, Miki T, Osaka City Medical Journal, Disemba 2014
> Uvavanyo lokuqhubela phambili lokuqeqeshwa komzimba ukuphucula ukukhwehlela komzimba nokunciphisa iziganeko ze-pneumonia ngokuphazamiseka okukhulu: isifundo somgaqo-nkqubo we-trial trials engapheliyo, i-Kulnik ST, i-Rafferty GF, i-Birring SS, i-Moxham J, i-Kalra L, iilingo, uEpreli 2014