Okufanele Ukwazi Nge-Bibasilar Crackles

-Delile

• Ayini ama-bibasilar crackles?
• Yiziphi izimpawu ezingenzeka ngama-bibasilar crackles?
• Ziyini izimbangela zama-bibasilar crackles?
• Inyumoniya
• I-bronchitis
• I-edema yamaphaphu
• Isifo samaphaphu esiphakathi
• Izimbangela ezengeziwe
• Ukuhlonza imbangela yama-bibasilar crackles
• Ukwelapha imbangela yama-bibasilar crackles
• Amanye amakhambi
• Yiziphi izinto eziyingozi?
• Uyini umbono?
• Ukuvimbela ukuqhekeka kwe-bibasilar

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ayini ama-bibasilar crackles?

Wake wazibuza ukuthi udokotela wakho ulalele ini lapho ebeka i-stethoscope emhlane wakho futhi ethi phefumula? Balalele imisindo yamaphaphu engajwayelekile njengama-bibasilar crackles, noma ama-rales. Le misindo ikhombisa ukuthi kunokuthile okubucayi okwenzekayo emaphashini akho.

Ama-Bibasilar crackles angumsindo oqhumayo noma oqhephukayo ovela phansi kwamaphaphu. Zingahle zenzeke lapho amaphaphu efutha noma ehlisa.Imvamisa zifushane, futhi zingachazwa njengezwakala zimanzi noma zomile. Uketshezi oluningi ezindleleni zomoya kubanga le misindo.

Yiziphi izimpawu ezingenzeka ngama-bibasilar crackles?

Ngokuya ngesizathu, ama-bibasilar crackles angenzeka ngezinye izimpawu. Lezi zimpawu zingafaka:

• ukuphelelwa umoya
• ukukhathala
• ubuhlungu besifuba
• ukuzwa ukufuthwa
• ukukhwehlela
• umkhuhlane
• isifuba
• ukuvuvukala kwezinyawo noma imilenze

Ziyini izimbangela zama-bibasilar crackles?

Izimo eziningi zidala uketshezi oluningi emaphashini futhi kungaholela ekuqhekekeni kwe-bibasilar.

Inyumoniya

I-pneumonia ukutheleleka emaphashini akho. Kungaba kuphaphu elilodwa noma womabili. Ukutheleleka kubangela ukuthi izikhwama zomoya emaphashini akho zigcwale ubomvu futhi zivuthe. Lokhu kubangela ukukhwehlela, ukuphefumula kanzima, nokuqhekeka. I-pneumonia ingaba mnene noma isongele impilo.

I-bronchitis

I-bronchitis yenzeka lapho amashubhu akho e-bronchial evutha. La mashubhu ahambisa umoya emaphashini akho. Izimpawu zingabandakanya ama-bibasilar crackles, ukukhwehlela okunzima okuletha amafinyila, nokuhefuzela.

Amagciwane, afana nomkhuhlane noma umkhuhlane, noma amaphaphu okucasula emaphashini ngokuvamile abangela i-bronchitis ebukhali. I-bronchitis engapheli yenzeka lapho i-bronchitis ingapheli. Ukubhema kuyimbangela eyinhloko ye-bronchitis engapheli.

I-edema yamaphaphu

I-edema ye-pulmonary ingadala imisindo yokuqhuma emaphashini akho. Abantu abane-congestive heart failure (CHF) bavame ukuba ne-pulmonary edema. I-CHF yenzeka lapho inhliziyo ingakwazi ukumpompa igazi ngempumelelo. Lokhu kubangela ukugcinwa kwegazi, okwandisa umfutho wegazi futhi kubangele uketshezi ukuqoqa emasakeni emoyeni emaphashini.

Ezinye izimbangela ezingezona zenhliziyo ze-edema yamaphaphu yilezi:

• ukulimala kwamaphaphu
• izindawo eziphakeme kakhulu
• ukutheleleka ngegciwane
• ukuhogela intuthu
• eduze nokuminza

Isifo samaphaphu esiphakathi

I-interstitium isicubu kanye nendawo ezungeze amasaka omoya amaphaphu. Noma yisiphi isifo samaphaphu esithinta le ndawo saziwa ngokuthi yisifo samaphaphu esiphakathi. Kungabangelwa:

• ukuvezwa emsebenzini noma kwemvelo, njenge-asbestos, ukubhema, noma uthuli lwamalahle
• ukwelashwa ngamakhemikhali
• imisebe
• ezinye izimo zezokwelapha
• ama-antibiotic athile

Isifo samaphaphu esiphakathi nendawo ngokuvamile sibangela ukuqhekeka kwe-bibasilar.

Izimbangela ezengeziwe

Yize kungenjalo njengokujwayelekile, ama-bibasilar crackles nawo angaba khona uma unesifo esingelapheki se-pulmonary disease (COPD) noma i-asthma.

I-A ikhombisile ukuthi ama-crackles amaphaphu angahle ahlobene nobudala kwezinye iziguli zenhliziyo ezinemithambo yegazi. Yize kudingeka olunye ucwaningo, ucwaningo luthole ukuthi ngemuva kweminyaka engama-45, ukuvela kwama-crackles kuphindeke kathathu njalo eminyakeni eyishumi.

Ukuhlonza imbangela yama-bibasilar crackles

Udokotela wakho usebenzisa i-stethoscope ekulalela uphefumula futhi ulalele ama-bibasilar crackles. AmaCrackles enza umsindo ofanayo wokuhlikihla izinwele zakho phakathi kweminwe yakho, eduze kwendlebe yakho. Ezimweni ezinzima, ama-crackles angazwakala ngaphandle kwe-stethoscope.

Uma une-bibasilar crackles, udokotela wakho uzothatha umlando wakho wezokwelapha futhi mhlawumbe ahlele izivivinyo zokuxilonga ukuze afune imbangela. Lezi zivivinyo zingafaka:

• i-X-ray yesifuba noma i-CT scan esifubeni ukubuka amaphaphu akho
• ukuhlolwa kwegazi ukuhlola ukutheleleka
• ukuhlolwa kwesikhwehlela ukusiza ukuthola imbangela yokutheleleka
• ishayela i-oximetry ukukala izinga le-oxygen yakho yegazi
• i-electrocardiogram noma i-echocardiogram ukuhlola ukungahambi kahle kwenhliziyo

Ukwelapha imbangela yama-bibasilar crackles

Ukususa ama-crackles kudinga ukwelapha imbangela yabo. Odokotela bavame ukuphatha i-pneumonia yebhaktheriya ne-bronchitis ngama-antibiotic. Ukutheleleka kwamaphaphu ngamagciwane kuvame ukuqhuba inkambo yawo, kepha udokotela wakho angakuwelapha ngemithi elwa namagciwane. Noma yikuphi ukutheleleka kwamaphaphu, kufanele uthole ukuphumula okuningi, uhlale unamanzi amaningi, futhi ugweme ukucasula kwamaphaphu.

Uma ama-crackles engenxa yesimo samaphaphu esingapheli, kuzodingeka wenze izinguquko kwendlela yokuphila ukusiza ukulawula izimpawu zakho. Uma ubhema, yeka. Uma othile ekhaya lakho ebhema, bacele ukuthi bayeke noma baphikelele ukuthi bayabhema ngaphandle. Kufanele futhi uzame ukugwema ukucasula kwamaphaphu njengothuli nesikhunta.

Ezinye izindlela zokwelapha izifo ezingapheli zamaphaphu zingafaka:

• i-steroids ephefumulelwe ukunciphisa ukuvuvukala kwomoya
• bronchodilators ukuze uphumule futhi uvule izindlela zakho zomoya
• ukwelashwa komoya-mpilo ukukusiza uphefumule kangcono
• ukuvuselelwa kwamaphaphu kukusiza ukuthi uhlale usebenza

Uma unesifo samaphaphu, qeda ukuthatha imithi yakho, noma ngabe uzizwa ungcono. Uma ungakwenzi, ingozi yakho yokuthola elinye igciwane iyanda.

Ukuhlinzwa kungaba yindlela kubantu abanezifo ezithuthukile zamaphaphu ezingalawulwa yimithi noma ezinye izindlela zokwelapha. Ukuhlinzwa kungasetshenziselwa ukususa ukutheleleka noma ukwanda koketshezi, noma ukususa iphaphu ngokuphelele. Ukufakelwa kwamaphaphu kuyindlela yokugcina kwabanye abantu.

Amanye amakhambi

Njengoba zingabangelwa yisimo esibi, akufanele uziphathele ama-bibasilar crackles noma yiziphi izimpawu zamaphaphu uwedwa. Kufanele uxhumane nodokotela wakho ukuthola isincomo esifanele sokuthola ukuxilongwa nokwelashwa.

Uma udokotela wakho ekuxilonga ngesifo samaphaphu ngenxa yomkhuhlane noma umkhuhlane, la makhambi asekhaya angakusiza uzizwe ungcono:

• i-humidifier yokufaka umswakama emoyeni nokuqeda ukukhwehlela
• itiye elishisayo nelamula, uju, nedeshi lesinamoni ukusiza ukukhulula ukukhwehlela nokulwa nokutheleleka
• umusi eshaweni eshisayo noma etendeni le-steam ukusiza ukukhulula i-phlegm
• ukudla okunempilo ukukhulisa amasosha akho omzimba

Imithi ethengiswayo ingasiza ekunciphiseni izimpawu ezifana nokukhwehlela nomkhuhlane. Lokhu kufaka phakathi ibuprofen (Advil) ne-acetaminophen (iTylenol). Ungasebenzisa isicindezeli sokukhwehlela uma ungakhwehleli amafinyila.

Yiziphi izinto eziyingozi?

Izici ezinobungozi bama-bibasilar crackles zixhomeke embangela yazo. Ngokuvamile, izinto eziningana zikubeka engcupheni yezinkinga zamaphaphu:

• ukubhema
• ukuba nomlando womndeni wesifo samaphaphu
• ukuba nendawo yokusebenza okukuvezela amaphaphu angacasuli
• ukuvezwa njalo kubhaktheriya noma amagciwane

Ingozi yakho yesifo samaphaphu esingapheli iyanda njengoba ukhula. Ingozi yakho yesifo samaphaphu esiphakathi ingakhuphuka uma uvezwa yimisebe yesifuba noma imishanguzo yamakhemikhali.

Uyini umbono?

Lapho i-pneumonia noma i-bronchitis iyimbangela yokuqhekeka kwakho kwe-bibasilar futhi ubona udokotela wakho kusenesikhathi, umbono wakho muhle futhi isimo siyelapheka. Uma ulinda isikhathi eside ukuthola ukwelashwa, ukutheleleka kwakho kungaba kubi kakhulu futhi kube kubi kakhulu. I-pneumonia engalashiwe ingasongela impilo.

Ezinye izimbangela zokuqhekeka, njenge-edema yamaphaphu kanye nesifo samaphaphu esiphakathi, kungadinga ukwelashwa isikhathi eside nokulaliswa esibhedlela kwesinye isikhathi. Lezi zimo zivame ukulawulwa futhi zinciphiswe ngemithi nokushintsha kwendlela yokuphila.

Kubalulekile futhi ukubhekana nezimbangela zalesi sifo. Lapho uqala ukwelashwa kusenesikhathi, umbono wakho uba ngcono. Xhumana nodokotela wakho lapho uthola izimpawu zokuqala zokutheleleka kwamaphaphu noma isifo samaphaphu.

Ukuvimbela ukuqhekeka kwe-bibasilar

Landela lawa macebiso ukukhuthaza impilo yamaphaphu futhi usize ukuvimbela ama-bibasilar crackles:

• Ungabhemi.
• Nciphisa ukuvezwa kwakho kubuthi bezemvelo nobasemsebenzini.
• Uma kufanele usebenze endaweni enobuthi, vala umlomo wakho nekhala ngesifihla-buso.
• Vikela ukutheleleka ngokugeza izandla njalo.
• Gwema izixuku phakathi nenkathi ebandayo neyomkhuhlane.
• Thola umuthi wokugomela i-pneumonia.
• Thola umuthi wokugomela umkhuhlane.
• Vocavoca umzimba njalo.