IHemopneumothorax

-Delile

• Yiziphi izimpawu ze-hemopneumothorax?
• Yini ebangela i-hemopneumothorax?
• I-hemopneumothorax itholakala kanjani?
• Ukwelapha i-hemopneumothorax
• I-Thoracostomy (ukufakwa kweshubhu lesifuba)
• Ukuhlinzwa
• Imithi
• Izinkinga ze-hemopneumothorax
• Umbono

Ukubuka konke

I-Hemopneumothorax iyinhlanganisela yezimo ezimbili zezokwelapha: i-pneumothorax ne-hemothorax. I-Pneumothorax, eyaziwa nangokuthi iphaphu eliwohlokile, yenzeka lapho kunomoya ngaphandle kwephaphu, esikhaleni esiphakathi kwamaphaphu nesifuba. IHemothorax yenzeka lapho kunegazi kuleso sikhala esifanayo. Cishe amaphesenti ama-5 eziguli ezine-pneumothorax ahlangabezana ne-hemothorax ngasikhathi sinye.

I-Hemopneumothorax ivame ukwenzeka ngenxa yesilonda esifubeni, njengokuqhuma kwesibhamu, ukugwaza, noma ubambo oluphukile. Lokhu kubizwa ngokuthi yi-hemopneumothorax ebuhlungu. Ezimweni ezingavamile kakhulu, lesi simo sibangelwa ezinye izimo zezokwelapha, njengomdlavuza wamaphaphu, ukuphazamiseka kokopha, noma isifo samathambo. I-Hemopneumothorax nayo ingenzeka ngokuzenzekelayo ngaphandle kwesizathu esibonakalayo (i-hemopneumothorax ezenzakalelayo).

Ukwelapha i-hemopneumothorax, igazi nomoya kufanele kukhishwe esifubeni kusetshenziswa ithubhu. Kuzodingeka nokuhlinzwa ukulungisa noma yimaphi amanxeba noma ukulimala.

Yiziphi izimpawu ze-hemopneumothorax?

I-Hemopneumothorax iyisimo esiphuthumayo sezokwelapha, ngakho-ke kubalulekile ukubona izimpawu zayo ngokushesha.

Izimpawu zifaka:

• ubuhlungu besifuba obungazelelwe obuba bucayi ngemuva kokukhwehlela noma ukuthatha umoya ojulile
• ukuphefumula okunzima noma okusebenzayo (i-dyspnea)
• ukuphelelwa umoya
• ukuqina kwesifuba
• i-tachycardia (ukushaya kwenhliziyo okusheshayo)
• isikhumba esiphaphathekile noma esiluhlaza okwesibhakabhaka esidalwa ukungabi bikho komoya-mpilo

Ubuhlungu bungavela kuphela ezinhlangothini zombili noma ohlangothini kuphela lapho kwenzeke khona ukuhlukumezeka noma ukulimala.

Yini ebangela i-hemopneumothorax?

I-Hemopneumothorax ivame ukubangelwa ukuhlukumezeka noma ukulimala okulimazayo noma okungena esifubeni.

Lapho udonga lwesifuba lulimele, igazi, umoya, noma kokubili kungangena esikhaleni esincanyana esigcwele uketshezi esizungeze amaphaphu, esibizwa ngokuthi isikhala sobuningi. Ngenxa yalokho, ukusebenza kwamaphaphu kuyaphazamiseka. Amaphaphu awakwazi ukwanda ukuze kungene umoya. Amaphaphu abe esecipha bese ewa.

Izibonelo zokuhlukumezeka noma ukulimala okungadala i-hemopneumothorax zifaka:

• inxeba lokugwazwa
• inxeba lokudutshulwa
• ukubhoboza kusuka embambo ophukile
• uwe kusuka ekuphakameni okuphawulekayo
• ingozi yemoto
• ukulimala ekulweni noma ekuthintaneni nemidlalo (njengebhola)
• isilonda sokubhoboza esivela kwinqubo yezokwelapha, njenge-biopsy noma i-acupuncture

Lapho ukuhlukumezeka noma ukulimala kuyimbangela, lesi simo sibizwa ngokuthi yi-hemopneumothorax esibuhlungu.

Ezimweni ezingavamile, i-hemopneumothorax ingabangelwa izimo ezingezona ezihlukumezayo kufaka phakathi:

• izinkinga zomdlavuza wamaphaphu
• isifo samathambo
• i-hemophilia
• uhlelo lupus erythematosus
• isifo sokuzalwa se-cystic samaphaphu

I-Hemopneumothorax nayo ingenzeka ngokuzenzekelayo ngaphandle kwesizathu esibonakalayo. Noma kunjalo, lokhu akuvamile kakhulu.

I-hemopneumothorax itholakala kanjani?

Uma unokulimala noma ukuhlukumezeka esifubeni sakho, udokotela wakho angalawula i-X-ray yesifuba ukusiza ukubona ukuthi uketshezi noma umoya wakha ngaphakathi kwesifuba sesifuba.

Ezinye izivivinyo zokuxilonga zingenziwa futhi ukuqhubeka nokuhlola uketshezi oluzungeze amaphaphu, isibonelo iskena se-CT esifubeni noma i-ultrasound. I-ultrasound yesifuba izokhombisa inani loketshezi nendawo yalo ngqo.

Ukwelapha i-hemopneumothorax

Ukwelashwa kwe-hemopneumothorax kuhlose ukukhipha umoya negazi esifubeni, ukubuyisela iphaphu ekusebenzeni okujwayelekile, ukuvimbela izinkinga, nokulungisa noma yimaphi amanxeba.

I-Thoracostomy (ukufakwa kweshubhu lesifuba)

Ukwelashwa okuyinhloko kwe-hemopneumothorax kubizwa ngokuthi isifuba sesifuba i-thoracostomy. Le nqubo ifaka ukufaka ipayipi leplastiki elingenalutho phakathi kwezimbambo endaweni ezungeze amaphaphu ukuze kukhishwe umoya negazi. Ishubhu lingaxhunywa emshinini ukuze lisize ngokukhipha amanzi. Ngemuva kokuthi udokotela wakho aqiniseke ukuthi akusekho uketshezi noma umoya odinga ukukhishwa, ithubhu yesifuba izosuswa.

Ukuhlinzwa

Abantu abanesilonda esikhulu noma sokulimala kungenzeka badinge ukuhlinzwa ukuze kulungiswe izicubu ezilimele. Bangase futhi badinge ukumpontshelwa igazi elilodwa noma amaningi uma belahlekelwe igazi eliningi.

Imithi

Ngaphambi kwenqubo ye-thoracostomy, ngokuya ngesizathu sesimo sakho, udokotela wakho angakunikeza nama-antibiotic we-prophylactic ukusiza ukuvimbela ukutheleleka kwamagciwane. Udokotela wakho angakunikeza nemithi yezinhlungu ukusiza nganoma ibuphi ubuhlungu ngaphambi nangemva kokuhlinzwa kwakho.

Izinkinga ze-hemopneumothorax

Izinkinga ze-hemopneumothorax zifaka:

• izifo ezinzima, ezifana ne-pneumonia
• ukushaqeka kokopha
• ukuboshwa kwenhliziyo
• empyema, isimo lapho ubomvu buhlangana khona esikhaleni sobuningi; Impyema ivame ukubangelwa yi-pneumonia
• ukwehluleka ukuphefumula

Ngaphezu kwalokho, abantu abake baba ne-hemopneumothorax basengozini yokuba nesinye isiqephu uma ukuvuleka kwephaphu kungavali ngokuphelele.

Umbono

I-Hemopneumothorax iyisimo esongela impilo futhi idinga ukwelashwa ngokushesha ngombono omuhle kakhulu.

Uma isimo sidalwe ukuhlukumezeka noma ukulimala esifubeni, umbono uzoncika ebucayi bokulimala. Izimo ezizenzakalelayo ze-hemopneumothorax zinesibikezelo esihle kakhulu lapho kukhishwa uketshezi nomoya esifubeni. Kwesinye isifundo esincane, zonke iziguli ezine ezine-hemopneumothorax ezenzakalelayo zalulama ngokuphelele futhi amaphaphu azo akhula ngokugcwele ngemuva kwesiqephu.

Ngokuvamile, i-hemopneumothorax ngeke ibangele noma yiziphi izinkinga zempilo zesikhathi esizayo ngemuva kokuphathwa. Kodwa-ke, kunethuba elincane lokuphinda kwenzeke. Ukusetshenziswa kwamasu amancane angenayo, njenge-thoracostomy nokuhlinzwa okusizwa ngevidiyo, kuholele ekwehliseni izinga lokufa kwabantu nokuphindeka.