Ukuhlehliswa kwe-Intercostal

Ukuhlehliswa kwe-Intercostal kwenzeka lapho imisipha ephakathi kwezimbambo idonsela ngaphakathi. Ukunyakaza kuvame ukuba uphawu lokuthi umuntu unenkinga yokuphefumula.

Ukuhlehliswa kwe-Intercostal kuyisimo esiphuthumayo sezokwelapha.

Udonga lwesifuba sakho luyaguquguquka. Lokhu kukusiza uphefumule ngokwejwayelekile. Izicubu eziqinile ezibizwa ngokuthi uqwanga zinamathisela izimbambo zakho ethanjeni lesifuba (sternum).

Imisipha ye-intercostal yimisipha ephakathi kwezimbambo. Ngesikhathi sokuphefumula, le misipha iyaqina futhi idonse ubambo lwezintambo phezulu. Isifuba sakho siyanda futhi amaphaphu agcwala umoya.

Ukuhlehliswa kwe-Intercostal kungenxa yokuncipha kwengcindezi yomoya ngaphakathi kwesifuba sakho. Lokhu kungenzeka uma umoya ongaphezulu (i-trachea) noma imigwaqo emincane yamaphaphu (i-bronchioles) ivinjwe kancane. Ngenxa yalokho, imisipha ye-intercostal imuncwa ingene ngaphakathi, phakathi kwezimbambo, lapho uphefumula. Lokhu kuyisibonakaliso sendlela evaliwe yomoya. Noma iyiphi inkinga yezempilo ebangela ukuvalwa kwe-airway izodala ukuhlehliswa kwe-intercostal.

Ukuhlehliswa kwe-Intercostal kungabangelwa:

• Ukusabela okweqile komzimba, komzimba wonke okubizwa nge-anaphylaxis
• Isifuba Somoya
• Ukuvuvukala nokwakha amafinyila ezindimeni zomoya ezincane kakhulu emaphashini (i-bronchiolitis)
• Inkinga yokuphefumula nokukhwehlela okukhonkothayo (croup)
• Ukuvuvukala kwezicubu (i-epiglottis) emboza i-windpipe
• Umzimba wangaphandle ku-windpipe
• Inyumoniya
• Inkinga yamaphaphu ezinganeni ezisanda kuzalwa okuthiwa i-respiratory stress syndrome
• Ukuqoqwa kobomvu ezicutshini ezingemuva komphimbo (ithumba le-retropharyngeal)

Funa usizo lwezokwelapha ngokushesha uma kwenzeka kuhoxiswa ama-intercostal. Lokhu kungaba uphawu lwendlela evaliwe yomoya, engasongela impilo ngokushesha.

Futhi funa ukunakekelwa kwezokwelapha uma isikhumba, izindebe, noma izipikili ziba luhlaza okwesibhakabhaka, noma uma umuntu edideka, esozela, noma kunzima ukuphaphama.

Esimeni esiphuthumayo, iqembu lezokunakekelwa kwempilo lizoqala lithathe izinyathelo zokukusiza uphefumule. Ungathola i-oxygen, imithi yokwehlisa ukuvuvukala, nezinye izindlela zokwelashwa.

Lapho ukwazi ukuphefumula kangcono, umhlinzeki wezokunakekelwa kwempilo uzokuhlola bese ekubuza ngomlando wakho wezokwelapha nezimpawu, njenge:

• Yaqala nini inkinga?
• Ingabe kuya ngokuba ngcono, kubi kakhulu, noma ukuhlala kufana?
• Ingabe kwenzeka ngaso sonke isikhathi?
• Ingabe uqaphele noma yini ephawulekayo engahle idale ukuvinjelwa komoya?
• Yiziphi ezinye izimpawu ezikhona, ezifana nombala wesikhumba oluhlaza okwesibhakabhaka, ukuphefumula, umsindo ophakeme lapho uphefumula, ukhwehlela noma umphimbo obuhlungu?
• Ngabe kukhona okuphefumulelwe emoyeni?

Ukuhlolwa okungenziwa kufaka phakathi:

• Imithambo yegazi yegazi
• I-x-ray yesifuba
• Qedela ukubalwa kwegazi (CBC)
• Pulse oximetry ukukala izinga le-oxygen yegazi

Ukuhlehliswa kwemisipha yesifuba

I-Brown CA, Izindonga RM. Indlela yezindiza. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 1.

URodrigues KK, uRoosevelt GE. Ukuvinjelwa okunamandla okuphefumulayo okuphezulu komoya (i-croup, i-epiglottitis, i-laryngitis, ne-tracheitis yebhaktheriya). Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 412.

USharma A. Ukucindezeleka kokuphefumula. Ku: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Ukuxilongwa Okusekelwe kuNelson Pediatric Syndrome-based. IPhiladelphia, PA: Elsevier; 2018: isahluko 3.