Ukuhlamba igazi, ngokunye okubizwa ngokuba yi-hemoptysis, kunokusongela kakhulu. Kungokudideka ekuqaleni. Ngaba igazi livela ngokwenene kwimiphunga yakho okanye ingaba livela kumphunga, isisu sakho, okanye esiswini sakho? Nangona i-hemoptysis yona mpawu ekhethekileyo yomdlavuza wamaphaphu, ngokuqhelekileyo ngenxa yeso sizathu esinobungozi. Makhe sijonge kwizinto ezinokubangela, yintoni enokwenziwa ukuze uhlolisise ingxaki ephantsi, kunye neendlela zokunonyango.
Siza kuxubusha kwakhona xa ukukhwehlela igazi kungabangela ingxamiseko, kodwa ukukhwehlela ixabiso elincinci legazi lingaba yingozi. Ngokomzekelo, ukukhwehlela okwesithathu kwendebe yegazi kunezinga lokufa malunga neepesenti ezingama-30. Ukuba unqamle i-teaspoon okanye ngaphezulu kwegazi, ungalindeli ukwenza i-aphoyintimenti. Ifowuni 911 ngoku.
Sibanzi
I-Hemoptysis iyakwenzeka xa kuphuma igazi emqaleni, kwi- trachea , okanye kwindlela ehamba phambili okanye encinane emiphakeni (i- bronchi okanye i-bronchioles). Abantu abaninzi bachaza uphawu lwabo njengophalaza i-mucus egazini. Igazi elithanjisiweyo lidla ngokuxutywa kunye ne-phlegm kwaye linokubonakala kakuhle.
Kubalulekile ukwenza ukwahlula phakathi kokukhwehlela igazi kunye negazi elikhutshwa emlonyeni wakho ukusuka kwezinye iindawo zomzimba wakho. "I-Pseudohemoptysis" ibinzana elichaza ukuphalaza igazi elingenayo kwimiphunga yakho okanye kwiibhubhu ze-bronchial. "I-Hematemesis" igama elibhekisela kwigazi elivela kwisisu sakho nesisu (ukuphonsa igazi),
Izizathu
Ukuba ukukhwehlela igazi akuthethi ukuba unomdlavuza wamaphaphu. Kukho iimeko ezininzi ezinokubangela le mpawu-kwaye enye kuphela yale mdlavuza wemiphunga . I-Hemoptysis yimiqondiso kuphela kwipesenti ezisixhenxe kuphela zabantu abaxilongwa ngumhlaza wamaphaphu, kwaye kuthathwa njengempawu ekhethekileyo yokuxilongwa.
Kodwa ekubeni imbonakalo yomdlavuza wamaphaphu ibhetele ngaphambili ukuba ifunyanwe, kubalulekile ukudibana nodokotela wakho ngokukhawuleza.
Izizathu eziqhelekileyo zokukhwehlela igazi zicaphukisa kwi-airways ukusuka ekukhwehleleni okanye isifo. Ezinye izizathu ezinokubangela i-sputum egazini yegazi ziquka:
- Ukuqhaqhazela nokucaphuka kwendlela yokuhamba ekhwehlela ngokuphindaphindiweyo
- Bronchitis
- Bronchiectasis
- Umhlaza wemiphunga
- Pneumonia
- Edema
- Igazi ligalela emiphakeni (i- pulmonary embolus ) -Nokuthi i-pulmonary emboli, abantu bahlala benentlungu, ubomvu, okanye ukuvuvukala kwiimathole zabo ngenxa ye-thrombosis.
- Isifo sofuba-Esi sizathu esona siqhelekileyo sokukhwehlela igazi emhlabeni wonke, kodwa esingaqhelekanga eMelika.
- Ukubutheka komzimba wangaphandle
- Ukuphazamiseka kwezibilini-Ezi zinokuthi zizuze okanye ngenxa yemichiza okanye izongezelelo ezandisa ixesha elithathayo ukuba igazi lakho livale.
Nini Ukufuna Unonophelo Lwezonyango
Ukuhlamba igazi kungakhawuleza kube yimeko engxamisekileyo. Ukukhupha ngaphezulu kweyipuni yepasipuni enye kuthathwa njengongxamiseko lwezonyango . Ukuhlahlela i-100cc yegazi kuphela -3 kuphela yendebe-kuthiwa yi-hemoptysis enkulu kwaye inokufa (izinga lokufa) lama-30 ekhulwini. Ungazami ukuziqhubela okanye uzibe nomnye umntu ekuqhubela esibhedlele-diza 911.
Kufuneka unokubiza 911 ngokukhawuleza ukuba ufumana intlungu yesifuba, ukuphefumula okufutshane, okanye ukukhanya okukhawuleza, nokuba ukhwehlela nje umkhondo wegazi. Ingxaki kukuba ukukhwehlela igazi kunokukhawuleza kubangele ukukhutshwa kwamanzi kunye nokuthanda kwegazi emiphakeni yakho.
Ukuxilongwa
Ukuba ukhwehlela igazi-nokuba yinto encinci nje kuphela-kubalulekile ukwenza i-aphoyintimenti yokubona ugqirha wakho. Ukuba kunokwenzeka, yisela isampula yento oye ukukhwehlela kwixesha lokuqokwa kukagqirha. Ukufaka isampula kwipulasitiki okanye iphepha le-wax lingalondoloza isampuli engcono kunokuyifaka kwiisishu.
Wena ugqirha uza kukubuza imibuzo emininzi ngaphezu kokwenza uvavanyo olwenziwe ngokucophelela.
Ezinye zezi ziquka:
- Kwenzeka kangakanani le nto?
- Kwaqala nini?
- Ngaba kwenzeka xa udla?
- Ungaziphi na igazi?
- Ngaba igazi lalixutywe ne-mucus?
- Ziziphi ezinye iimpawu oye wazifumana? Umzekelo, ukukhwehlela okuqhubekayo , iimpawu zokungabikho komzimba, ukuphefumula okufutshane , ukuphazamiseka , ukuvutha , ukulahleka kwesisindo , okanye ukukhathala.
- Ngaba unayo iipasiti zokukhahla?
- Ngaba wena, okanye uke waphawula?
- Yiyiphi imithi oyithathayo (kubandakanywa nayiphi na isongezelelo semfuyo okanye iyeza-counter-counter-counter)?
- Ziziphi ezinye iimeko zonyango onayo?
- Ngaba kukho nawuphi na osentsapho yakho ene-bronchitis, ukuphazamiseka kwegazi, iingxaki zemiphunga, okanye umhlaza wamaphaphu?
Ngokuxhomekeka kumlinganiselo wegazi okhwehlelayo, ugqirha wakho uya kuqala ukufuna ukuqinisekisa ukuba indlela yakho yokuhamba ihamba ngokufanelekileyo ukukhusela ukuthandwa (ukuphefumla kwimixholo ekhoyo emlonyeni wakho) nokulawula nayiphi na igazi elikhuphayo. Uya kuthi ke uya kuncomela iimvavanyo ukuqonda isizathu. Uvavanyo olunokwenzeka lunokuquka:
- Iimvavanyo zeebhanki ukujonga ukubala kwegazi kwaye zikhangele naziphi na izizathu zokukhupha
- I-x-ray yesifuba ukujonga intsholongwane yanoma yibuphi ubungqina besisu
- I-CT scan yakho esifubeni
- I- bronchoscopy ukujonga iziganeko zangaphandle okanye ukuvavanya indlela yakho yokuhamba nge-tumor (kwi-bronchoscopy, ityhubhu eguquguqukayo ifakwe emlonyeni wakho uze ungene kwi-bronchi yakho)
Kubalulekile ukuba ngummeli wakho kwaye uqhubeke ubuza imibuzo ukuba impendulo ayifumanekanga. Amagciwane angama-lung ahlala ephosiwe kwi-x-rays rhoqo kunye nokuhlola okufunekayo, kubandakanywa ne-CT scan. Ukuba awufumani iimpendulo, cinga ukufumana umbono wesibini.
Unyango
Utyando luya kuxhomekeka kwisizathu sempawu zakho kunye negazi eliye lakhwehlela. Khumbula ukuba xa ukhwehlela igazi kuphela, kwaye nangona ixabiso elincinci, kubaluleke kakhulu ukuba ubone ugqirha wakho ngokukhawuleza.
Ukuba uphala ngegazi, i-CT kaninzi ibonisa ukuhlolwa kwezinto zokuzikhethela ukuhlola ukuphuma kwegazi. Uninzi lwegazi e-airways luvela kwimibhobho ye-bronchial, kunye ne-bronchial artery embolization (ngokuyinhloko ukubeka i-clot kwi-artery) ngokuqhelekileyo unyango olusebenzayo.
Ukuba ugqirha wakho uyakrokra ukuba unomdlavuza wamaphaphu, ungafunda ngakumbi malunga nendlela umhlaza wemiphunga ufunyanwa ngayo , unokulindela ntoni, kunye nemingcipheko yakho engumngcipheko wamaphaphu (iya kudlula ukutshaya kwaye ubuncinane omnye kwabafazi abahlanu ukuvelisa umdlavuza wamaphaphu awuzange utshaye i-cigarette enye).
Musa ukugxotha ithuba lokuba unomdlavuza wamaphaphu ade uhlawulelwe. Umdlavuza womlenze uvela kubantu abangabhemi. Kwenzeka kubantu abadala. Kwaye kufana nokuqhelekileyo kubasetyhini njengamadoda. Ngelishwa, ixesha eliqhelekileyo phakathi kokuqala kweempawu kunye nokuxilongwa komhlaza wamaphaphu iinyanga ezili-12-ixesha apho unyango lunokuthi lwenze umehluko kwisiphumo sesi sifo.
Kwa bantwana
Ukuhlamba igazi kubantwana kubangele ukuba nezizathu ezahlukileyo kuneyona nto ibonisa abantu abadala. Iimbangela eziqhelekileyo zezifo, ezifana ne-pneumonia, bronchitis, nesifo sofuba.
Ingxenye yesithathu yeso sizathu isizathu asikwazi ukuzimisela kwaye uphawu luya ngaphandle ngaphandle kokufumana isizathu. Phantse iipesenti ezithandathu zezingane ezine-hemoptysis ziye zafunyanwa zizifo zesifo senhliziyo kwaye, malunga neepesenti ezine, umhlaza sele ufunyenwe.
ILizwi
Ukuhlamba igazi kungabonakalisa uphawu olusabekayo, njengoko izizathu ezinokubangela ukukrakra kwendlela yokukhwehlela, okanye njengomhlaza njengemiphunga yamaphaphu okanye i-blood clot kwimiphunga. Nangona ixabiso elincinci lokuphuma kumaphaphu lingaba yingozi, ngenxa yengozi yokufunyanwa (kunye ne-asphyxiation). Ukukhupha kuphela isipuni segazi kuthathwa njengongxamiseko lwezonyango.
Ngethuba loyiko, nangona kuphuma igazi elininzi kuninzi enokuyenza. I-brronchial artery embolization ihlala isebenza ngempumelelo kwinto enokuthi ibe yimeko esongela ubomi.
Ngoxa ukukhwehlela igazi kuyimpawu zokuqala kwiipesenti ezi-7 kuphela zamanomdla emiphunga, kubalulekile ukulawula oku kubakho kubantu abadala kungakhathaliseki ukuba kukho umngcipheko. Njengamanye amachiza, ngaphambili umhlaza wemiphunga ufumaneka, uninzi amathuba okunyanga.
> Imithombo:
> Bannister, M, no K. Ah-Bona. Ulawulo olusekelwe kwi-Haemoptysis yi-Otolaryngologists. Umbhalo weLaryngology ne-Otology . 2015. 129 (8): 807-11.
> Simon, D., Aronoff, S., noMn. Del Vecchio. I-Etiologies ye-Hemoptysis kwaBantwana: Uhlolo lokuHlola lwe-171 izigulane. Pulmonology yezilwanyana . 2017. 52 (2): 255-259.
> Yendamuri, S. Massive Airway IHemorrhage. Iiklinikhi zeeTraphic Surgery . 2015. 25 (3): 255-60.