Isifo samaphaphu

Isifo samaphaphu samathambo siyiqembu lezinkinga zamaphaphu ezihlobene nesifo samathambo. Isimo singafaka:

• Ukuvalwa kwemigwaqo yomoya emincane (bronchiolitis obliterans)
• Uketshezi esifubeni (ama-pleural effusions)
• Umfutho wegazi ophezulu emaphashini (umfutho wegazi ophakeme wamaphaphu)
• Izigaxa emaphashini (amaqhuqhuva)
• Ukuqhuma (i-pulmonary fibrosis)

Izinkinga zamaphaphu zivamile ku-rheumatoid arthritis. Imvamisa azibangeli zimpawu.

Isizathu sesifo samaphaphu esihambisana nesifo samathambo asaziwa. Kwesinye isikhathi, imithi esetshenziselwa ukwelapha isifo samathambo, ikakhulukazi i-methotrexate, ingahle iholele kwisifo samaphaphu.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu besifuba
• Khwehlela
• Imfiva
• Ukuphelelwa umoya
• Ubuhlungu obuhlangene, ukuqina, ukuvuvukala
• Amaqhubu esikhumba

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho.

Izimpawu zincike ohlotsheni lwesifo samaphaphu isifo samathambo esidala amaphaphu.

Umhlinzeki angase ezwe imifantu (rales) lapho elalele amaphaphu nge-stethoscope. Noma, kungahle kwehle imisindo yokuphefumula, ukuvunguza, umsindo wokuhlikihla, noma imisindo yokuphefumula ejwayelekile. Lapho ulalele inhliziyo, kungahle kube nemisindo yenhliziyo engajwayelekile.

Ukuhlolwa okulandelayo kungakhombisa izimpawu zesifo samaphaphu samathambo:

• I-x-ray yesifuba
• I-CT scan yesifuba
• I-Echocardiogram (ingakhombisa umfutho wegazi ophakeme wamaphaphu)
• I-Lung biopsy (i-bronchoscopic, isizwa ngevidiyo, noma ivuliwe)
• Ukuhlolwa kwemisebenzi yamaphaphu
• Inaliti efakwe kuketshezi oluzungeze iphaphu (thoracentesis)
• Ukuhlolwa kwegazi nge-rheumatoid arthritis
  

Abantu abaningi abanalesi simo abanazimpawu. Ukwelashwa kuhloselwe izinkinga zezempilo ezibangela inkinga yamaphaphu kanye nezinkinga ezibangelwa ukuphazamiseka. AmaCorticosteroids noma eminye imithi ecindezela amasosha omzimba kwesinye isikhathi ayasiza.

Umphumela uhlobene nokuphazamiseka okuyisisekelo nohlobo nobukhulu besifo samaphaphu. Ezimweni ezimbi kakhulu, ukufakelwa kwamaphaphu kungabhekwa. Lokhu kuvame kakhulu ezimweni ze-bronchiolitis obliterans, pulmonary fibrosis, noma i-pulmonary hypertension.

Isifo samaphaphu samathambo singaholela ku:

• Iphaphu eliwile (pneumothorax)
• Umfutho wegazi ophezulu wamaphaphu

Shayela umhlinzeki wakho khona manjalo uma unesifo samathambo futhi uba nobunzima bokuphefumula obungaqondakali.

Isifo samaphaphu - isifo samathambo; Amaqhuqhuva e-rheumatoid; Isifo samaphaphu

• Isifo samaphaphu esiphakathi - abantu abadala - ukukhipha

• I-Bronchoscopy
• Uhlelo lokuphefumula

ICorte TJ, iDu Bois RM, i-Wells AU. Izifo zezicubu ezixhuma. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 65.

UYunt ZX, uSolomon JJ. Isifo samaphaphu ku-rheumatoid arthritis. IRheum Dis Clin eNyakatho Am. 2015; 41 (2): 225-236. I-PMID: PMC4415514 www.ncbi.nlm.nih.gov/pmc/articles/PMC4415514.