IPneumomediastinum

IPneumomediastinum ngumoya kwi-mediastinum. I-mediastinum yindawo embindini wesifuba, phakathi kwemiphunga kwaye ijikeleze intliziyo.

I-Pneumomediastinum ayiqhelekanga. Imeko inokubangelwa kukulimala okanye sisifo. Rhoqo, kwenzeka xa umoya uvuza kuyo nayiphi na indawo yemiphunga okanye yomoya kwi-mediastinum.

Ukunyuka koxinzelelo kwimiphunga okanye kwiindlela zomoya kunokubangelwa:

• Ukukhwehlela kakhulu
• Ukuphindaphinda ukuthwala ukunyusa uxinzelelo lwesisu (njengokutyhala ngexesha lokubeleka okanye ukuhamba kwamathumbu)
• Ukuthimla
• Ukuhlanza

Inokwenzeka kwakhona emva:

• Usulelo entanyeni okanye kwiziko lesifuba
• Ukukhawuleza kukhuphuka phezulu, okanye ukuntywila emanzini
• Ukukrazula i-esophagus (ityhubhu edibanisa umlomo nesisu)
• Ukukrazuka kwetreachea (umbhobho womoya)
• Ukusetyenziswa komatshini wokuphefumla (umoya wokuphefumla)
• Ukusetyenziswa kweziyobisi zokuzonwabisa ezingafunekiyo, ezinje ngomya okanye icocaine
• Ugqirha
• Umothuko esifubeni

I-Pneumomediastinum nayo inokwenzeka ngamaphaphu awileyo (pneumothorax) okanye ezinye izifo.

Kungangabikho mpawu. Imeko ihlala ibangela iintlungu esifubeni emva kwethambo lesifuba, elinokuthi lisasazeke liye entanyeni okanye kwiingalo. Intlungu inokuba mandundu xa uthatha umoya okanye uginye.

Ngexesha lovavanyo lomzimba, umboneleli wokhathalelo lwempilo unokuziva amaqamza amancinci omoya phantsi kwesikhumba sesifuba, iingalo, okanye intamo.

Isifuba x-ray okanye CT scan esifubeni singenziwa. Oku kukuqinisekisa ukuba umoya ukwi-mediastinum, kunye nokunceda ukufumanisa umngxunya kwitrachea okanye kumphimbo.

Xa kuvavanywa, ngamanye amaxesha umntu unokubonakala ekhukhumele kakhulu (edumbile) ebusweni nasemehlweni. Oku kunokujongeka kubi kakhulu kunokuba kunjalo.

Rhoqo, akukho lunyango lufunekayo kuba umzimba uya kuwuthatha kancinci kancinci umoya. Ukuphefumla ukuphakama kweoksijini kunokukhawulezisa le nkqubo.

Umboneleli unokufaka ityhubhu yesifuba ukuba unomphunga owileyo. Unokufuna unyango ngenxa yesizathu sengxaki. Umngxunya kwi-trachea okanye kwi-esophagus kufuneka ulungiswe ngotyando.

Imbonakalo ixhomekeke kwisifo okanye kwiziganeko ezibangele i-pneumomediastinum.

Umoya ungakha kwaye ungene kwindawo ejikeleze imiphunga (indawo yokubongoza), ibangele ukuba umphunga uwe.

Kwiimeko ezinqabileyo, umoya unokungena kwindawo phakathi kwentliziyo kunye nengxowa encinci ejikeleze intliziyo. Le meko ibizwa ngokuba yi-pneumopericardium.

Kwezinye iimeko ezinqabileyo, umoya omninzi uyakha embindini wesifuba ukuba utyhale entliziyweni nakwimithambo yegazi emikhulu, ukuze ingasebenzi kakuhle.

Zonke ezi ngxaki zifuna ingqwalaselo engxamisekileyo kuba zisongela ubomi.

Yiya kwigumbi likaxakeka okanye utsalele umnxeba ku-911 okanye inombolo yasekhaya engxamisekileyo ukuba unentlungu esifubeni okanye kunzima ukuphefumla.

I-emphysema yangaphakathi

• Inkqubo yokuphefumla

I-Cheng GS, iVarghese TK, iPaki DR. Pneumomediastinum kunye ne-mediastinitis. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl. 84.

UMcCool FD. Izifo zediaphragm, udonga lwesifuba, i-pleura, kunye ne-mediastinum. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 92.