Ukuqhekeka komgwaqo

Ukuqhekeka komgogodla noma ukuqaqamba komdlandla ukukhala noma ukuqhekeka komoya (i-trachea) noma amashubhu e-bronchial, imigwaqo emikhulu yomoya eholela emaphashini. Isinyembezi singenzeka futhi ezicutshini ezikulayini womoya.

Ukulimala kungabangelwa:

• Izifo
• Izilonda (izilonda) ngenxa yezinto zangaphandle
• Ukuhlukumezeka, njengokulimala kwesibhamu noma ingozi yemoto

Ukulimala ku-trachea noma i-bronchi nakho kungenzeka ngesikhathi sezinqubo zokwelashwa (ngokwesibonelo, i-bronchoscopy nokubekwa kwepayipi lokuphefumula). Noma kunjalo, lokhu akuvamile kakhulu.

Abantu abanokuhlukumezeka abahlakulela ukuqubuka noma ukuqhuma komqubuko ngokuvamile banokunye ukulimala.

Izimpawu zingafaka:

• Akhwehlele igazi
• Amabhamuza omoya angazwakala ngaphansi kwesikhumba sesifuba, intamo, izingalo, nesiqu (i-emphysema engaphansi)
• Kunzima ukuphefumula

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Ukunakekelwa okuseduze kuzokhokhwa ezimpawu zokuqhekeka.

Ukuhlolwa okungenziwa kufaka phakathi:

• Iskena ne-CT scan
• I-x-ray yesifuba
• I-Bronchoscopy
• I-CT angiography
• I-Laryngoscopy
• Qhathanisa i-esophagography ne-esophagoscopy

Abantu abaye bahlukumezeka kuyodingeka ukuthi belashwe ukulimala kwabo. Ukulimala ku-trachea kuvame ukudinga ukulungiswa ngesikhathi sokuhlinzwa. Ukulimala kwe-bronchi encane kwesinye isikhathi kungalashwa ngaphandle kokuhlinzwa. Iphaphu eliwohlokile liphathwa ngeshubhu yesifuba exhunywe ekudonsweni, okunweba iphaphu kabusha.

Kubantu abaphefumule umzimba wangaphandle ku-airways, i-bronchoscopy ingasetshenziselwa ukukhipha into.

Ama-antibiotic asetshenziswa kubantu abanesifo engxenyeni yamaphaphu ezungeze ukulimala.

Umbono wokulimala ngenxa yokuhlukumezeka kuncike ebucayi bokunye ukulimala. Imisebenzi yokulungisa lokhu kulimala kaningi iba nemiphumela emihle. I-Outlook yinhle kubantu abakhubazeke ngenxa yethracheal noma i-bronchial ngenxa yezimbangela ezifana nento yangaphandle, okuvame ukuba nomphumela omuhle.

Ezinyangeni noma eminyakeni ngemuva kokulimala, isikhumba esizeni sokulimala singadala izinkinga, njengokuncipha, okudinga ezinye izivivinyo noma izinqubo.

Izinkinga ezinkulu ngemuva kokuhlinzwa kwalesi simo zifaka:

• Ukutheleleka
• Isidingo sesikhathi eside somshini wokuphefumula
• Ukuncipha kwemizila yomoya
• Kubabaza

Xhumana nomhlinzeki wakho uma une:

• Ngaba nokulimala okukhulu esifubeni
• Uhogele umzimba wangaphandle
• Izimpawu zesifo sesifuba
• Umuzwa wamabhamuza womoya ngaphansi kwesikhumba sakho nenkinga yokuphefumula

I-mucosa ye-tracheal eqhekekile; Ukuqhekeka komqubuko

• Amaphaphu

U-Asensio JA, uTrunkey DD. Ukulimala kwentamo. Ku: Asensio JA, Trunkey DD, ama-eds. Ukwelashwa Kwamanje Kokuhlukumezeka kanye Nokunakekelwa Okubalulekile Kokuhlinzwa. Okwesibili. IPhiladelphia, PA: Elsevier; 2016: 179-185.

UFrew AJ, Doffman SR, Hurt K, Buxton-Thomas R. Isifo sokuphefumula. Ku: Kumar P, Clark M, ama-eds. Imitholampilo kaKumar noClarke. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2017: isahluko 24.

UMartin RS, uMeredith JW. Ukuphathwa kokuhlukumezeka okukhulu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 16.