Isifo semiphunga

Isifo samaphaphu samathambo liqela leengxaki zemiphunga ezinxulumene nesifo samathambo. Le meko inokubandakanya:

• Ukuvalwa kweendlela zomoya ezincinci (i-bronchiolitis obliterans)
• Ulwelo esifubeni (ukungxenga)
• Uxinzelelo lwegazi oluphezulu emiphungeni (uxinzelelo lwegazi)
• Amaqhuma emiphungeni (amaqhuqhuva)
• Ukuqhekeka (pulmonary fibrosis)

Iingxaki zemiphunga ziqhelekile kwi-rheumatoid arthritis. Amaxesha amaninzi azibangeli zimpawu.

Unobangela wesifo semiphunga esihambelana nesifo samathambo asaziwa. Ngamanye amaxesha, amayeza asetyenziselwa ukunyanga i-rheumatoid arthritis, ngakumbi i-methotrexate, inokubangela isifo semiphunga.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Iintlungu zesifuba
• Khohlela
• Ifiva
• Ukuqhawukelwa ngumphefumlo
• Intlungu edibeneyo, ukuqina, ukudumba
• Amaqhuqhuva esikhumba

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho.

Iimpawu zixhomekeke kuhlobo lwesifo semiphunga isifo samathambo esibangela imiphunga.

Umboneleli unokuva ukuqhekeka (rales) xa umamele imiphunga ngestethoscope. Okanye, kunokuncipha ukuphefumla izandi, ukuvutha, isandi sokurabha, okanye izandi zokuphefumla eziqhelekileyo. Xa umamele intliziyo, kunokubakho izandi zentliziyo ezingaqhelekanga.

Ezi mvavanyo zilandelayo zingabonakalisa iimpawu zesifo samathambo:

• I-x-ray yesifuba
• Ukuxilongwa kwe-CT kwesifuba
• I-Echocardiogram (ingabonisa uxinzelelo lwegazi)
• I-Lung biopsy (i-bronchoscopic, incediswa ngevidiyo, okanye ivule)
• Uvavanyo lomsebenzi wemiphunga
• Inaliti efakwe kulwelo olujikeleze imiphunga (thoracentesis)
• Uvavanyo lwegazi kwisifo samathambo
  

Abantu abaninzi abanale meko abanazimpawu. Unyango lujolise kwiingxaki zempilo ezibangela ingxaki yemiphunga kunye neengxaki ezibangelwa kukuphazamiseka. ICorticosteroids okanye amanye amayeza acinezela amajoni omzimba ngamanye amaxesha aluncedo.

Isiphumo sinxulumene nesifo esisisiseko kunye nohlobo kunye nobukrakra besifo semiphunga. Kwiimeko ezinzima, ukufakelwa kwemiphunga kunokuqwalaselwa. Oku kuqheleke kakhulu kwimeko ye-bronchiolitis obliterans, pulmonary fibrosis, okanye pulmonary hypertension.

Isifo semiphunga samathambo sinokukhokelela ku:

• Umphunga owileyo (pneumothorax)
• Uxinzelelo lwegazi

Fowunela umboneleli wakho ngoko nangoko ukuba unesifo samathambo kwaye uhlakulela ubunzima bokuphefumla obungachazwanga.

Isifo semiphunga - isifo samathambo; Maqhuqhuva erheumatoid; Umphunga wamaphaphu

• Isifo semiphunga esiphakathi kwabantu abadala- ukukhutshwa

• Bronchoscopy
• Inkqubo yokuphefumla

ICorte TJ, iDu Bois RM, i Wells AU. Izifo ezinxulumene nezihlunu. 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: isahluko 65.

Uyunt ZX, uSolomon JJ. Isifo semiphunga kwisifo samathambo. Ikliniki yaseRheum Dis eMantla Am. 2015; 41 (2): 225--236. IINKCUKACHA: PMC4415514 www.ncbi.nlm.nih.gov/pmc/articles/PMC4415514.