Isifo semiphunga esibangelwa sisiyobisi

Isifo se-pulmonary esibangelwa sisiyobisi sisifo semiphunga esiveliswa kukusabela okungalunganga kunyango. Iipulmonary zithetha ngemiphunga.

Zininzi iintlobo zokonzakala kwemiphunga kunokubangelwa ngamayeza. Kuhlala kungenakwenzeka ukuqikelela ukuba ngubani oza kuphuhlisa isifo semiphunga kwiyeza.

Iindidi zeengxaki zemiphunga okanye izifo ezinokubangelwa ngamayeza zibandakanya:

• Ukunyanga komzimba - isifuba, i-hypersensitivity pneumonitis, okanye i-eosinophilic pneumonia
• Ukopha kwiipakethi zomoya wemiphunga, ezibizwa ngokuba yi-alveoli (i-alveolar hemorrhage)
• Ukuvuvukala kunye nezicubu ezivuthayo kwiindinyana eziphambili ezihambisa umoya kwimiphunga (i-bronchitis)
• Ukonakala kumathambo emiphunga (i-fibrosis yangaphakathi)
• Iziyobisi ezibangela ukuba amajoni omzimba ahlasele ngempazamo kwaye atshabalalise izicwili zomzimba ezisempilweni, ezinje nge-lupus erythematosus yeziyobisi
• Isifo semiphunga seGranulomatous - uhlobo lokudumba emiphungeni
• Ukudumba kwemiphunga yomoya wemiphunga (i-pneumonitis okanye ukungena)
• I-vasungitis yemiphunga (ukudumba kwemithambo yegazi yemiphunga)
• I-lymph node ukudumba
• Ukudumba kunye nokucaphuka (ukudumba) kwendawo yesifuba phakathi kwemiphunga (mediastinitis)
• Ukwakhiwa okungalunganga kolwelo kwimiphunga (i-pulmonary edema)
• Ukwakheka kolwelo phakathi kwamanqanaba eethishu alungelelanisa imiphunga kunye nesifuba (ukungxola)

Amayeza amaninzi kunye nezinto ziyaziwa ukuba zibangele isifo semiphunga kwabanye abantu. Oku kubandakanya:

• I-Antibiotic, ezinje nge nitrofurantoin kunye nesulfa iziyobisi
• Amayeza entliziyo, afana ne-amiodarone
• Amachiza e-Chemotherapy anjenge-bleomycin, i-cyclophosphamide, kunye ne-methotrexate
• Iziyobisi ezitalatweni

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Isikhohlela esinegazi
• Iintlungu zesifuba
• Khohlela
• Ifiva
• Ukuqhawukelwa ngumphefumlo
• Ukukhawuleza

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye amamele isifuba nemiphunga yakho nge-stethoscope. Ukuphefumla okungaqhelekanga kunokuvakala.

Uvavanyo olunokwenziwa lunokubandakanya:

• Iigesi zegazi
• Uvavanyo lwegazi ukujonga ukungahambi kakuhle komzimba
• Ikhemesti yegazi
• Bronchoscopy
• Gcwalisa ubalo lwegazi ngokwahluka kwegazi
• Isifuba se-CT scan
• I-x-ray yesifuba
• I-Lung biopsy (kwiimeko ezinqabileyo)
• Uvavanyo lomsebenzi wemiphunga
• I-Thoracentesis (ukuba i-pleural effusion effusion ikhona)

Inyathelo lokuqala kukumisa iyeza elibangela ingxaki. Olunye unyango luxhomekeke kwiimpawu zakho ezithile. Umzekelo, unokufuna ioksijini kude kube kuphuculwe isifo semiphunga. Amayeza achasene nokuvuvukala abizwa ngokuba yi-corticosteroids ahlala esetyenziselwa ukubuyisa ngokukhawuleza ukudumba kwemiphunga.

Iziqendu ezibukhali zihlala zihamba ngaphakathi kweeyure ezingama-48 ukuya kwezingama-72 emva kokuba iyeza limisiwe. Iimpawu ezingapheliyo zinokuthatha ixesha elide ukuphucula.

Ezinye izifo zemiphunga ezibangelwa ngamachiza, ezinjenge-pulmonary fibrosis, azinakuze ziphele kwaye zinokuya zisiba mbi, nasemva kokuba iyeza okanye into iyekile kwaye inokukhokelela kwisifo semiphunga kunye nokufa.

Iingxaki ezinokuphuhlisa zibandakanya:

• Ukusasaza i-pulstary pulmonary fibrosis
• Hypoxemia (ioksijini ephantsi yegazi)
• Ukusilela kokuphefumla

Fowunela umnikezeli wakho ukuba uphuhlisa iimpawu zoku kuphazamiseka.

Qaphela nayiphi na into oyenzileyo kwiyeza, ukuze uliphephe iyeza kwixa elizayo. Nxiba isacholo sokulumkisa kwezonyango ukuba uyazi indlela ezisabela ngayo iziyobisi. Hlala kude neziyobisi zasesitalatweni.

Isifo semiphunga esiphakathi kwesiyobisi

• Isifo semiphunga esiphakathi kwabantu abadala- ukukhutshwa

• Inkqubo yokuphefumla

UDulohery MM, Maldonado F, kunye neLimper AH. Isifo semiphunga esibangelwa sisiyobisi. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 71.

I-Kurian ST, i-Walker CM, uChung JH. Izifo zemiphunga ezibangelwa sisiyobisi. Ku: Walker CM, Chung JH, ii-eds. Ukulinganisa kukaMuller kwesifuba. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 65.

UTaylor AC, uVerma N, uSlater R, uMohammed TL. Kubi ukuphefumla: umzobo wesifo se-pulmonary esibangelwa sisiyobisi. I-Curr ye-Probl Digan Radiol. Ngo-2016; 45 (6): 429-432. IINKCUKACHA: 26717864 www.ncbi.nlm.nih.gov/pubmed/26717864.