Ingabe Ubuhlungu Bamahlombe Buphawu Lomdlavuza Womaphaphu?

-Delile

• Ezinye izimpawu zomdlavuza wamaphaphu
• Yini enye ebangela ubuhlungu behlombe?
• Udokotela wakho uzobubona kanjani ubuhlungu behlombe?
• Utholakala kanjani umdlavuza wamaphaphu?
• Yiziphi izindlela zokwelapha ezivamile zomdlavuza wamaphaphu?
• Yini ongayenza ukuphatha ubuhlungu behlombe?
• Umbono

Ukubuka konke

Ungahle uhlanganise nobuhlungu behlombe nokulimala emzimbeni. Ubuhlungu behlombe futhi bungaba uphawu lomdlavuza wamaphaphu, futhi kungaba uphawu lokuqala lwayo.

Umdlavuza wamaphaphu ungadala ubuhlungu behlombe ngezindlela ezihlukile. Ukukhula komdlavuza engxenyeni ephezulu yamaphaphu ebizwa nge-Pancoast's tumor kungancipha izinzwa ezithile ezinikezela:

• emahlombe
• izingalo
• umgogodla
• ikhanda

Lokhu kungadala iqoqo lezimpawu ezibizwa nge-Horner's syndrome. Izimpawu ze-Horner's syndrome zifaka:

• ubuhlungu obukhulu behlombe, okungenye yezimpawu ezivame kakhulu
• ubuthakathaka kwelinye ijwabu leso
• kuncishiswe usayizi womfundi esweni elilodwa
• ukujuluka okunciphile ohlangothini oluthintekile lobuso

Ubuhlungu behlombe bungabakhona futhi ngenxa yesimila esisemaphashini esisabalala siye emathanjeni nxazonke ehlombe noma emgogodleni. Uma isimila esisemaphashini sikhulu, singacindezela kwezinye izakhiwo eziseduze futhi sifake isandla ezinhlungwini zehlombe. Lokhu kubizwa ngokuthi umphumela omkhulu.

Obunye ubuhlungu behlombe benzeka lapho isimila sifaka ingcindezi emgudwini we-phrenic emaphashini. Ingqondo ikutolika lokhu njengokuvela ehlombe yize inzwa isemaphashini. Lokhu kwaziwa ngokuthi "ubuhlungu obubhekisiwe."

Ubuhlungu behlombe bomdlavuza wamaphaphu bufana ncamashi nezinye izinhlobo zobuhlungu behlombe. Kungaba nzima ukuthola imbangela yobuhlungu behlombe lakho. Uma usanda kuwa noma ulimaze ihlombe lakho ngandlela thile, umdlavuza wamaphaphu akunakwenzeka ukuthi uyimbangela yobuhlungu behlombe lakho. Umdlavuza wamaphaphu kungaba imbangela yobuhlungu bakho, ikakhulukazi uma ubhema nobuhlungu bakho:

• kwenzeka ngesikhathi sokuphumula
• ayihlotshaniswa nanoma yimuphi umsebenzi okhandlayo ohilela ihlombe
• kwenzeka ebusuku
• ayizixazululi ngemuva kwamasonto ambalwa

Umdlavuza wamaphaphu uvame ukubangela nobuhlungu besifuba. Kwesinye isikhathi, lobu buhlungu besifuba buwumphumela wokukhwehlela okunamandla nokude. Kwezinye izimo, ubuhlungu besifo somdlavuza wamaphaphu kungumphumela wesimila esikhulu esicindezela kwezinye izakhiwo noma esikhula sibe udonga lwesifuba nezimbambo. Izimila emaphashini zingacindezela nasemithanjeni yegazi nakuma-lymph node. Lokho kudala ukwanda koketshezi olwelwesi lwamaphaphu, futhi kungadala ubuhlungu noma ukuphefumula okuncane.

Ezinye izimpawu zomdlavuza wamaphaphu

Izimpawu zomdlavuza wamaphaphu kunzima ukuzikhomba. Ngezinye izikhathi kungathatha izinyanga noma ngisho neminyaka ukuthi izibonakaliso ze-telltale zikhule.

Izimpawu eziningi zomdlavuza wamaphaphu zenzeka esifubeni. Kubandakanya:

• ukuphefumula okuncane, noma i-dyspnea
• umsindo onokhahlo, nehele ngokuphefumula ngakunye, noma nge-stridor
• ukuphikelela, ukukhwehlela okukhulu
• izinkinga ezingapheli zamaphaphu kufaka phakathi i-pneumonia ne-bronchitis
• ukukhwehlela igazi, phlegm, noma amafinyila
• ubuhlungu besifuba noma beqolo
• izinguquko ezwini, njengokuhhahazela
• ukushintsha kombala noma ivolumu yesikhwehlela, okuyinhlanganisela yamathe nesicucu

Ukungakhululeki emaphashini nasesifubeni kungenzeka futhi ngenxa yezinkinga zokuphefumula ezifana ne-bronchitis ne-emphysema.

Ezigabeni ezithuthuke kakhulu zomdlavuza wamaphaphu, umdlavuza wokuqala ungasakazekela kwezinye izingxenye zomzimba. Lokhu kufaka phakathi:

• isibindi
• amathambo
• ama-lymph node
• ubuchopho
• isimiso sezinzwa
• izindlala ze-adrenal

Ezinye izimpawu zomdlavuza wamaphaphu zifaka:

• ukukhathala
• ukukhathala
• ukuncipha komzimba
• ukumosha imisipha, noma i-cachexia
• amahlule egazi
• ukopha ngokweqile
• ukuvuvukala kobuso nentamo
• ukuphuka kwamathambo
• ikhanda
• ubuhlungu emathanjeni nasemalungeni
• izingqinamba zezinzwa, njengokulahleka kwememori nokungahambi kahle

Yini enye ebangela ubuhlungu behlombe?

Uma unezinhlungu zamahlombe, kungenzeka ukuthi awunawo umdlavuza wamaphaphu. Izimo zezempilo ezahlukahlukene zibangela ubuhlungu behlombe kufaka phakathi:

• ukulimala okuncane
• ukuma kabi lapho uhleli noma umile
• ihlombe elifriziwe
• ingalo ephukile yokhololo ophukile
• ukuphazamiseka kwekhefu le-rotator
• i-tendonitis
• i-osteoarthritis
• ihlombe elihlukanisiwe
• izinkinga ngokuhlangana kwe-acromioclavicular
• i-bursitis
• i-thyroid engasebenzi ngokweqile, noma i-hyperthyroidism

Udokotela wakho uzobubona kanjani ubuhlungu behlombe?

Uma uzwa ubuhlungu behlombe, udokotela wakho kungenzeka enze ukuhlolwa kwehlombe. Lokhu kuzosiza ekutholeni umthombo wezinhlungu zakho. Ngokwengeziwe, udokotela wakho uzobuyekeza ezinye izimpawu zakho ukubeka imiphumela yokuhlolwa kumongo futhi aqonde kangcono isithombe sonke.

Utholakala kanjani umdlavuza wamaphaphu?

Udokotela wakho uzoqala abukeze izimpawu zakho. Okulandelayo, uma becabanga ukuthi umdlavuza wamaphaphu kungenzeka, kungenzeka basebenzise inqubo yokuhlola efana ne-CT noma i-positron emission tomography scan ukuthola isithombe sangaphakathi samaphaphu akho. Lokhu kunikeza isithombe esicacile sanoma yikuphi ukukhula okungenzeka kube nomdlavuza.

Uma besasola umdlavuza wamaphaphu kulandela ukuhlolwa kwakho, bangacela ukuthatha isiqeshana esincane sezicubu emaphashini ukuze basihlolisise kumaseli womdlavuza. Lokhu kubizwa ngokuthi yi-biopsy.

Odokotela bangenza ama-lung biopsies ngezindlela ezimbili ezihlukene. Bangadlulisa inaliti esikhunjeni baye emaphashini akho futhi basuse inani elincane lezicubu. Lokhu kubizwa ngokuthi yi-needle biopsy. Ngaphandle kwalokho, odokotela bakho bangasebenzisa i-bronchoscopy ukwenza i-biopsy. Kulokhu, udokotela wakho ufaka ithubhu elincane elinokukhanya okunamathiselwe emakhaleni akho noma emlonyeni nasemaphashini akho ukuze kususwe isampula elincane lezicubu.

Uma bethola amangqamuzana omdlavuza, udokotela wakho angaqhuba ukuhlolwa kofuzo. Lokhu kungasiza udokotela wakho ukuthi anjani uhlobo lomdlavuza wamaphaphu onawo futhi mhlawumbe akhombe izimbangela eziyimbangela, njengokuguquka kwezakhi zofuzo. Iphinde iqondise ukuthi yini ukwelashwa okuphumelela kakhulu.

Yiziphi izindlela zokwelapha ezivamile zomdlavuza wamaphaphu?

Uma unomdlavuza wamaphaphu, udokotela wakho angasebenzisa izindlela ezahlukahlukene zokwelapha, kufaka phakathi:

• ukuhlinzwa
• ukwelashwa ngamakhemikhali
• imisebe
• izidakamizwa ezihlosiwe
• i-immunotherapy

Odokotela bavame ukusebenzisa izindlela ezingaphezu kweyodwa ukwelapha umdlavuza wamaphaphu. Isibonelo, bangase banikeze ukwelashwa ngamakhemikhali noma ngemisebe ukuze kuncishiswe isimila ngaphambi kokuhlinzwa. Bangazama futhi indlela ehlukile uma enye ingasebenzi. Ezinye zalezi zindlela zokwelapha zinemiphumela engemihle. Ungakwazi ukuphatha imiphumela emibi ngokuhlela okufanelekile nangemfundo.

Yini ongayenza ukuphatha ubuhlungu behlombe?

Ungakwazi ukuphatha kahle ubuhlungu behlombe uma ubhekana nomsuka wayo oyimbangela. Uma udokotela wakho ekuxilonga ngomdlavuza wamaphaphu, kubalulekile ukuthola ukwelashwa okungcono kakhulu okutholakalayo.

Uma ubuhlungu bakho behlombe bungabangelwa umdlavuza wamaphaphu, kubalulekile ukuthola imbangela. Lokhu kuzosiza udokotela wakho aqhamuke nohlelo lokwelashwa.Isibonelo, bangancoma ukwelashwa ngokomzimba uma unezinhlungu zehlombe ngenxa ye-tendonitis. Uma unezinhlungu zamahlombe ngenxa yesifo sikashukela, udokotela wakho angancoma inhlanganisela yemithi yokwehlisa ushukela kanye nokudla okune-carbohydrate ephansi.

Ungazama ukwelashwa kwasekhaya ngenkathi ulinde ukubona udokotela wakho:

• Gwema ukusebenzisa ihlombe lakho elimele.
• Zama uqweqwe lwehlombe lakho imizuzu eyi-15 kuye kwengama-20 ngesikhathi. Lokhu kungasiza ukunciphisa ubuhlungu nokuvuvukala.
• Zama ukugoqa ihlombe lakho ngebhandeshi eliqinile. Ukusebenzisa ukucindezela kungakusiza ukuthi ugweme ukusebenzisa ngokweqile ihlombe lakho.
• Phakamisa ihlombe lakho ngaphezu kwenhliziyo yakho ngangokunokwenzeka. Ungasebenzisa imicamelo ukukusiza ngalokhu.

Umbono

Izinhlobo eziningi zobuhlungu behlombe akuzona izimpawu zomdlavuza wamaphaphu. Ezinye izimbangela kungenzeka zibandakanya i-tendonitis, isifo sikashukela, nokuma okungalungile. Ubuhlungu behlombe kuyisimpawu esivame ukunganakwa somdlavuza wamaphaphu, noma kunjalo. Uma uzwa ubuhlungu behlombe futhi unezinye izimpawu zomdlavuza wamaphaphu noma usengozini enkulu yalokho, ungalibali ukubona udokotela wakho. Ukuxilongwa kusenesikhathi kuyisihluthulelo sokuthola ukwelashwa okuphumelelayo komdlavuza wamaphaphu.