Kwenziwa kanjani ukufakelwa kwamaphaphu futhi lapho kudingeka

-Delile

• Lapho kunesidingo
• Lapho ukufakelwa kabusha kunganconyiwe
• Ukufakelwa kwenziwa kanjani
• Kwenzekani ngesikhathi sokuhlinzwa
• Ngabe ukululama kokufakelwa kanjani

Ukufakelwa kwamaphaphu kunguhlobo lokwelashwa okuhlinzwa lapho iphaphu eligulayo lifakwa esikhundleni selinempilo, imvamisa livela kumnikeli ofile. Yize le ndlela ingakhuphula izinga lempilo futhi yelaphe ezinye izinkinga ezinkulu njenge-cystic fibrosis noma i-sarcoidosis, nayo ingadala izinkinga eziningi, ngakho-ke, isetshenziswa kuphela uma ezinye izindlela zokwelapha zingasebenzi.

Njengoba iphaphu elifakelwe kabusha liqukethe izicubu zangaphandle, imvamisa kuyadingeka ukuthatha imishanguzo yokuvikela umzimba impilo yakho yonke. Lawa makhambi, anciphisa amathuba amaseli wokuzivikela omzimba azama ukulwa nezicubu zangaphandle zamaphaphu, egwema ukwenqatshwa kokufakelwa.

Lapho kunesidingo

Ukufakelwa kwamaphaphu kuvame ukukhonjiswa ezimweni ezibucayi kakhulu, lapho iphaphu lithinteka kakhulu futhi, ngakho-ke, alikwazi ukuletha inani elidingekayo lomoya-mpilo. Ezinye zezifo ezivame ukudinga ukufakelwa zifaka:

• I-cystic fibrosis;
• I-Sarcoidosis;
• I-pulmonary fibrosis;
• Umfutho wegazi ophakeme wamaphaphu;
• I-Lymphangioleiomyomatosis;
• I-bronchiectasis enamandla;
• I-COPD enamandla.

Ngaphezu kokufakelwa kwamaphaphu, abantu abaningi futhi babe nezinkinga zenhliziyo ezihambisanayo, futhi kulezi zimo, kungadingeka ukuthi kube nokufakelwa kwenhliziyo kanye namaphaphu noma kungekudala ngemuva kwalokho, ukuqinisekisa ukwenziwa ngcono kwezimpawu.

Isikhathi esiningi, lezi zifo zingelashwa ngezindlela ezilula nezingahlaseli, njengamaphilisi noma izinto zokuphefumula, kepha uma lezi zindlela zingasakhiqizi umphumela oyifunayo, ukufakelwa kabusha kungaba yindlela ekhonjiswe ngudokotela.

Lapho ukufakelwa kabusha kunganconyiwe

Yize ukufakelwa kungenziwa cishe kubo bonke abantu abanezifo eziya ziba zimbi, kuyaphikiswa kwezinye izimo, ikakhulukazi uma kukhona ukutheleleka okusebenzayo, umlando womdlavuza noma isifo esibi sezinso. Ngaphezu kwalokho, uma umuntu engazimisele ukwenza ushintsho lwendlela aphila ngayo edingekayo ukulwa nalesi sifo, ukufakelwa kabusha kungaphikiswa.

Ukufakelwa kwenziwa kanjani

Inqubo yokufakelwa kabusha iqala isikhathi eside ngaphambi kokuhlinzwa, ngokuhlolwa kwezokwelapha ukuthola ukuthi ngabe kukhona yini okuthile okuvimbela ukufakelwa futhi kuhlolwe ubungozi bokwaliwa kwephaphu elisha. Ngemuva kwalokhu kuhlolwa, futhi uma kukhethiwe, kubalulekile ukuba sohlwini lokulinda umnikeli ohambisanayo esikhungweni sokufakelwa, njenge-InCor, ngokwesibonelo.

Lokhu kulinda kungathatha kusuka emavikini ambalwa kuye ezinyangeni ezimbalwa ngokuya ngezimpawu ezithile zomuntu, ezinjengohlobo lwegazi, usayizi wesitho nobukhulu besifo, isibonelo. Lapho umuntu onikelayo etholakala, isibhedlela sixhumana nomuntu odinga umnikelo ukuthi aye esibhedlela emahoreni ambalwa ayohlinzwa. Ngakho-ke, kungakuhle ukuthi uhlale unepotimende lezingubo ezilungele ukusetshenziswa esibhedlela.

Esibhedlela, kuyadingeka ukwenza ukuhlolwa okusha ukuqinisekisa ukuthi ukuhlinzeka kuzoba yimpumelelo bese kuqala ukuhlinzwa kokufakelwa kabusha.

Kwenzekani ngesikhathi sokuhlinzwa

Ukuhlinzwa kokufakelwa kwamaphaphu kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kungahlala amahora angama-X. Ngalesi sikhathi, udokotela ohlinzayo ususa iphaphu eligulayo, asike ukuze ahlukanise imithambo yegazi kanye nomgudu wokuphefumula ophuma ephashini, ngemuva kwalokho kubekwe iphaphu elisha futhi izitsha, kanye nomoya, kuxhunywe ku isitho esisha futhi.

Njengoba kungukuhlinzwa okubanzi kakhulu, kwezinye izimo, kungadingeka ukuxhuma umuntu emshinini ongena esikhundleni samaphaphu nenhliziyo, kepha ngemuva kokuhlinzwa, inhliziyo namaphaphu kuzophinda kusebenze ngaphandle kosizo.

Ngabe ukululama kokufakelwa kanjani

Ukubuyiselwa esimweni sokufakelwa kwamaphaphu ngokuvamile kuthatha amasonto ayi-1 kuye kwayi-3, kuya ngomzimba womuntu ngamunye. Ngemuva nje kokuhlinzwa, kuyadingeka ukuthi uhlale e-ICU, ngoba kuyadingeka ukusebenzisa umshini wokuphefumula osizayo ukusiza iphaphu elisha ukuthi liphefumule kahle. Kodwa-ke, njengoba izinsuku zihamba, umshini uya ungadingeki futhi ukuvalelwa emsebenzini kungadlulela kolunye uhlangothi lwesibhedlela, ngakho-ke asikho isidingo sokuqhubeka e-ICU.

Ngesikhathi sonke sokulaliswa, imishanguzo izonikezwa ngqo emthanjeni, ukunciphisa izinhlungu, amathuba okwenqatshwa futhi kunciphise nengozi yokuthola ukutheleleka, kepha ngemuva kokukhishwa, le mithi ingaphuzwa ngendlela yamaphilisi, kuze kube inqubo yokutakula isiqediwe. Imithi yokuvikela umzimba kuphela okufanele igcinwe impilo yonke.

Ngemuva kokukhishwa, kuyadingeka ukwenza ama-aphoyintimenti ambalwa ne-pulmonologist ukuqinisekisa ukuthi ukululama kuhamba kahle, ikakhulukazi ezinyangeni ezintathu zokuqala. Kulezi zingxoxo, kungadingeka ukwenza izivivinyo eziningana, njengokuhlolwa kwegazi, ama-X-ray noma ama-electrocardiograms.