Ingabe Ukufakelwa Emaphaphu Kungayelapha I-cystic Fibrosis?

-Delile

• Ziyini izinzuzo ezingaba khona zokufakelwa kwamaphaphu?
• Yiziphi izingozi ezingaba khona zokufakelwa kwamaphaphu?
• Ngubani okufanelekile ukufakelwa amaphaphu?
• Yini ehilelekile ekufakweni kwamaphaphu?
• Kunjani ukululama?
• Uyini umbono?
• Amathiphu okukhuluma nodokotela wakho

I-cystic fibrosis nokufakelwa kwamaphaphu

ICystic fibrosis yisifo sofuzo esidala ukwakheka kwamafinyila emaphashini akho. Ngokuhamba kwesikhathi, izikhathi eziphindaphindiwe zokuvuvukala nokutheleleka kungadala ukulimala kwamaphaphu unomphela. Njengoba isimo sakho siqhubeka, kuzoba nzima ukuphefumula nokubamba iqhaza emisebenzini oyithandayo.

Ukufakelwa kwamaphaphu kusetshenziselwa ukwelapha i-cystic fibrosis. Ngo-2014, iziguli ezingama-202 ezine-cystic fibrosis e-United States zathola ukufakelwa kwamaphaphu, ngokusho kweCystic Fibrosis Foundation (CFF).

Ukufakelwa kwamaphaphu ngempumelelo kungenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku. Yize kungelona ikhambi le-cystic fibrosis, kungakunika isethi enempilo yamaphaphu. Lokhu kungakuvumela ukuthi wenze imisebenzi eminingi futhi ukwazi ukwandisa impilo yakho.

Kunezinto eziningi okufanele uzicabangele ngaphambi kokufakelwa kwamaphaphu. Qhubeka ufunde ukuze ufunde kabanzi mayelana nezinzuzo ezingaba khona nezingozi zokuhlinzwa kokufakelwa kwamaphaphu.

Ziyini izinzuzo ezingaba khona zokufakelwa kwamaphaphu?

Uma une-cystic fibrosis futhi amaphaphu akho esebenza kabi, ungahle ufaneleke ukufakelwa amaphaphu. Mhlawumbe unenkinga yokuphefumula nokuhlala ngaphandle kwemisebenzi owake wayijabulela.

Ukufakelwa ngempumelelo kwamaphaphu kungathuthukisa ikhwalithi yempilo yakho ngezindlela ezibonakalayo.

Isethi entsha yamaphaphu anempilo izokwenza kube lula ukuphefumula. Lokhu kungakusiza ukuthi ubambe iqhaza kokunye ukuzilibazisa okuthandayo.

Yiziphi izingozi ezingaba khona zokufakelwa kwamaphaphu?

Ukufakelwa kwamaphaphu inqubo eyinkimbinkimbi. Ezinye zezingozi eziyinhloko yilezi:

• Ukwenqatshwa komzimba: Amasosha omzimba wakho aphatha abanikelayo amaphaphu njengabangaphandle futhi azame ukuwaqeda, ngaphandle kokuthi uthathe imishanguzo yokulwa nokuphikiswa. Ngenkathi ukwaliwa komzimba kungenzeka kakhulu ezinyangeni eziyisithupha zokuqala ngemuva kokuhlinzwa kwakho, kuzofanele uphuze imishanguzo yokulwa nokuphikiswa ukucindezela amasosha akho omzimba impilo yakho yonke.
• Ukutheleleka: Imishanguzo yokuncisha uketshezi inciphisa amasosha omzimba wakho, yandisa amathuba akho okuba nezifo.
• Ezinye izifo: Ngenxa yokuthi imishanguzo yokuncisha uketshezi icindezela amasosha akho omzimba, uzoba sengozini yokwanda yomdlavuza, isifo sezinso, nezinye izimo.
• Izinkinga ngemigwaqo yakho yomoya: Kwesinye isikhathi, ukugeleza kwegazi kusuka ezindleleni zakho zomoya kuya kumaphaphu abanikeli bakho kungavinjelwa. Le nkinga engahle izelaphe yodwa, kepha uma kungenjalo, ingelashwa.

Emadodeni, imishanguzo yokulwa nokuphikiswa ingadala ukukhubazeka kokuzalwa ezinganeni zabo. Abesifazane abaye bafakelwa amaphaphu bangaba sengozini yezinkinga ezinkulu ngesikhathi sokukhulelwa.

Ngubani okufanelekile ukufakelwa amaphaphu?

Akuwona wonke umuntu ofanele ukufakelwa amaphaphu. Udokotela wakho kuzodingeka ahlole amathuba ozozuza kuwo futhi akwazi ukunamathela kuhlelo lwakho lokwelashwa. Kungathatha amasonto ukuhlola icala lakho futhi kunqunywe ukuthi ngabe ufanele yini ukubhaliswa.

Le nqubo ingafaka:

• Ukuhlolwa komzimba, kufaka phakathi izivivinyo zokuhlola imisebenzi yakho yamaphaphu, yenhliziyo, neyezinso. Lokhu kungasiza udokotela wakho ukuthi ahlole isidingo sakho sokufakelwa kwamaphaphu, kanye nengozi yakho yezinkinga ezingaba khona.
• Ukuhlolwa kwengqondo, kufaka phakathi ukubonisana nosonhlalakahle noma owelapha. Udokotela wakho, usonhlalonhle, noma umelaphi angafuna ukuhlangana nabanye babangani bakho namalungu omndeni wakho ukuze aqiniseke ukuthi unohlelo lokusekelwa oluhle kanye namandla okuphatha ukunakekelwa kwakho kwangemva kokuhlinzwa.
• Ukuhlolwa kwezezimali ukuhlola ukumbozwa kwakho kwezokwelapha futhi kukusize unqume ukuthi uzokhokha kanjani izindleko ezingaphandle kwephaketheni, kokubili esikhathini esifushane nesikhathi eside.

Uma udokotela wakho enquma ukuthi ungumuntu ozobhapathizwa kahle, uzofakwa ohlwini lokufakelwa kwamaphaphu. Uzofundiswa ukuthi ungakulungiselela kanjani ukuhlinzwa kwakho. Ungathola ucingo lokuthi amaphaphu abanikeli ayatholakala nganoma yisiphi isikhathi.

Amaphaphu abanikeli aqhamuka kubantu abasanda kushona. Zisetshenziswa kuphela lapho zitholakala ziphilile.

Yini ehilelekile ekufakweni kwamaphaphu?

Ukwenza ukufakelwa kwamaphaphu okuphindwe kabili, iqembu lakho lokuhlinzeka cishe lizokwenza ukusikeka okuvundlile ngaphansi kwamabele akho. Bazosusa amaphaphu akho alimele bese befaka amaphaphu abanikeli esikhundleni sabo. Bazoxhuma imithambo yegazi nemigwaqo yomoya phakathi komzimba wakho namaphaphu akho anikelayo. Kwezinye izimo, bangasebenzisa umshini wokudlula wenhliziyo namaphaphu ukugcina umoya-mpilo ugeleza emzimbeni wakho phakathi nale nqubo.

Ithimba lakho lokuhlinza lizovala isifuba sakho lisebenzisa iziqu noma ukudla okuyisisekelo. Bazogqoka isilonda sakho sokusikwa, bashiye amashubhu ambalwa ukuze kuvunyelwe uketshezi. La mashubhu awesikhashana. Uzophinde ufake ithubhu yokuphefumula uze ukwazi ukuphefumula ngaphandle kwayo.

Ngokushesha ngemuva kokuhlinzwa kwakho, uzobhekwa ukuphefumula, isigqi senhliziyo, umfutho wegazi, namazinga e-oxygen. Lapho konke kusebenza ngendlela egculisayo, uzokhishwa ekunakekelweni okunamandla. Uzoqhubeka nokubhekelwa eduze njengoba ululama. Uzohlolwa igazi ngezikhathi ezithile ukuze ufunde ukuthi amaphaphu akho, izinso, nesibindi kusebenza kahle kangakanani.

Ukuhlala kwakho esibhedlela cishe kuzohlala isonto noma amabili, kuya ngokuthi usebenza kahle kangakanani. Ngaphambi kokuthi ukhishwe, iqembu lakho lokuhlinza kufanele likunikeze izinkomba zokuthi ungakunakekela kanjani ukusika kwakho futhi likhuthaze ukubuyiswa kwakho ekhaya.

Kunjani ukululama?

Ukufakelwa kwamaphaphu kungukuhlinzwa okukhulu. Kungathatha izinyanga ukuthola ngokugcwele kuyo.

Ithimba lakho lokuhlinza kufanele linikeze imiyalo ephelele yokunakekelwa kwakho ekhaya. Isibonelo, kufanele bakufundise ukuthi ungagcina kanjani imbobo yakho ihlanzekile futhi yomile kuze kususwe umthungo wakho. Kufanele futhi zikufundise ukuthi ungazibona kanjani izimpawu zokutheleleka.

Uzoba sengozini eyengeziwe yokutheleleka ngenxa yemithi yokulwa nokuphikiswa okudingeka uyithathe ngokulandela ukufakelwa kwamaphaphu. Uma unezinye zalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• umkhuhlane ka-100.4 ° F noma ngaphezulu
• uketshezi oluvuza okusikeni sakho
• ubuhlungu obukhulayo endaweni yakho yokusika
• ukuphelelwa umoya noma ukuphefumula kanzima

Kungase kudingeke ukuthi uvakashele udokotela kaningi ngonyaka olandelayo wokuhlinzwa kokufakelwa kwamaphaphu. Udokotela wakho angalawula izivivinyo ukuqapha ukutakula kwakho, njenge:

• ukuhlolwa kwegazi
• izivivinyo zomsebenzi wamaphaphu
• X-ray esifubeni
• i-bronchoscopy, ukuhlolwa kwemigwaqo yakho yomoya usebenzisa ithubhu ende ezacile

Uma ukufakelwa kwakho kwamaphaphu kuphumelela, uzoba nesethi entsha yamaphaphu asebenza kangcono kunamaphaphu akho amadala, kepha usazoba ne-cystic fibrosis. Lokho kusho ukuthi uzodinga ukuqhubeka nohlelo lwakho lokwelashwa kwe-cystic fibrosis futhi uvakashele udokotela wakho njalo.

Uyini umbono?

Umbono wakho uzoncika eminyakeni yakho nokuthi umzimba wakho ulungela kanjani ukufakelwa amaphaphu.

E-United States, abantu abangaphezu kwamaphesenti angama-80 abane-cystic fibrosis abafakelwa amaphaphu bayaphila ngemuva konyaka kulandela inqubo yabo, kubika i-CFF. Abangaphezu kwesigamu basinda ngaphezu kweminyaka emihlanu.

Ucwaningo lwaseCanada olushicilelwe ngo-2015 ku-Journal of Heart and Lung Transplantation lwathola ukuthi iminyaka emihlanu yokusinda kweziguli ze-cystic fibrosis kulandela ukufakelwa kwamaphaphu yayingamaphesenti angama-67. Amaphesenti angama-50 aphila iminyaka eyi-10 noma ngaphezulu.

Ukufakelwa ngempumelelo kwamaphaphu kungashintsha impilo yakho ngokunciphisa izimpawu zakho nokukuvumela ukuthi usebenze kakhulu.

Amathiphu okukhuluma nodokotela wakho

Uma ucabangela ukufakelwa kwamaphaphu, cela udokotela wakho ukuthi ngabe zonke ezinye izinketho zihlolwe kuqala. Bacele ukuthi bakusize uqonde izinzuzo ezingaba khona nezingozi zokufakelwa kabusha. Buza ukuthi yini ongayilindela uma ungakhethi ukufakelwa kabusha.

Lapho uzizwa ukhululekile ngombono wokufakelwa kwamaphaphu, sekuyisikhathi sokufunda kabanzi mayelana nalokho okuzayo. Uma usuhlwini lokufakelwa kabusha, kuzodingeka ukuthi ulungele ukuthola ucingo lokuthi amaphaphu wakho abanikeli afikile, noma ngabe kufika nini.

Nayi imibuzo embalwa ukuze uqale ingxoxo nodokotela wakho:

• Yini engidinga ukuyazi futhi ngiyenze ngenkathi ngisohlwini lokulinda?
• Yimaphi amalungiselelo okufanele ngiwenzele lapho amaphaphu etholakala?
• Ngubani ozokwakha iqembu lokufakelwa kwamaphaphu futhi yini amava abo?
• Kufanele ngilindele ukuhlala isikhathi esingakanani esibhedlela ngemuva kokuhlinzwa?
• Yimiphi imishanguzo engizoyidinga ukuyithatha kulandela ukuhlinzwa?
• Ngemuva kokuhlinzwa, yiziphi izimpawu ezisho ukuthi ngidinga ukubona udokotela?
• Ngizodinga ukulandelela kangaki futhi yikuphi ukuhlolwa okuzohileleka?
• Ukululama kuzoba njani futhi yini umbono wami wesikhathi eside?

Vumela izimpendulo zikadokotela wakho zikuqondise emibuzweni ejulile.