Ukuqhekeka kwetracheal

Ukuqhekeka kwetracheal okanye i-bronchial is a tear or break in the windpipe (trachea) okanye i-bronchial tubes, ezona moya zinkulu zikhokelela kwimiphunga. Inyembezi zinokubakho nakwizicubu ezikombethe womoya.

Ukulimala kunokubangelwa ngu:

• Usulelo
• Izilonda (izilonda) ngenxa yezinto zangaphandle
• Umothuko, onje ngenxeba lokudutyulwa okanye ingozi yemoto

Ukulimala kwitrachea okanye i-bronchi nako kunokwenzeka ngexesha leenkqubo zonyango (umzekelo, i-bronchoscopy kunye nokubekwa kwetyhubhu yokuphefumla). Nangona kunjalo, oku akuqhelekanga kakhulu.

Abantu abanomothuko abaphuhlisa i-tracheal okanye i-bronchial rupture bahlala benokulimala.

Iimpawu zingabandakanya:

• Ukukhohlela igazi
• Amaqamza omoya anokuvakala phantsi kwesikhumba sesifuba, intamo, iingalo, kunye nesiqu (i-subcutaneous emphysema)
• Kunzima ukuphefumla

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Vala ingqalelo iya kuhlawulwa kwiimpawu zokuphuka.

Uvavanyo olunokwenziwa lunokubandakanya:

• Intamo kunye nesifuba se-CT scan
• I-x-ray yesifuba
• Bronchoscopy
• I-CT angiography
• Iilaryngoscopy
• Umahluko we-esophagography kunye ne-esophagoscopy

Abantu abenzakeleyo kuya kufuneka banyangwe ukwenzakala kwabo. Ukulimala kwi-trachea kuhlala kufuna ukulungiswa ngexesha lotyando. Ukulimala kwi-bronchi encinci ngamanye amaxesha kunokunyangwa ngaphandle kotyando. Umphunga owileyo uphathwa ngetyhubhu yesifuba edityaniswe nokutsala, eyandisa iphaphu kwakhona.

Kubantu abaphefumle umzimba wasemzini kwi-airways, i-bronchoscopy ingasetyenziselwa ukukhupha into.

Amayeza okubulala iintsholongwane asetyenziswa kubantu abanesifo kwinxalenye yemiphunga ejikeleze ukwenzakala.

Imbonakalo yokwenzakala ngenxa yomothuko ixhomekeke kubukhali bolunye ukonzakala. Imisebenzi yokulungisa oku kwenzakala ihlala ineziphumo ezilungileyo. Umbono ulungile kubantu abanokuphazamiseka ngenxa yethracheal okanye ye-bronchial ngenxa yezizathu ezinje ngento yangaphandle, ezihlala zineziphumo ezilungileyo.

Kwiinyanga okanye iminyaka emva kokonzakala, ukonakala kwindawo yokwenzakala kunokubangela iingxaki, ezinje ngokunciphisa, ezifuna ezinye iimvavanyo okanye iinkqubo.

Iingxaki ezinkulu emva kotyando lwale meko zibandakanya:

• Usulelo
• Imfuno yexesha elide yomatshini wokuphefumla
• Ukunciphisa iindlela zomoya
• Ukuqhekeka

Nxibelelana nomboneleli wakho ukuba unayo:

• Wayenomonzakalo omkhulu esifubeni
• Wangenisa umzimba welinye ilizwe
• Iimpawu zentsholongwane yesifuba
• Uvakalelo lweebhabhu zomoya phantsi kolusu kunye nengxaki yokuphefumla

Ukuqhekeka kwetracheal mucosa; Ukuqhekeka kweBronchial

• Amaphaphu

UAsensio JA, iTrunkey DD. Ukulimala kwentamo. Ku: Asensio JA, Trunkey DD, ii-eds. Unyango lwangoku loKonzakala kunye noKhathalelo oluBalulekileyo. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; Ngo-2016: 179-185.

UFrew AJ, Doffman SR, Hurt K, Buxton-Thomas R. Isifo sokuphefumla. Ku: Kumar P, Clark M, ii-eds. Kumar kunye noClarke's Clinical Medicine. Umhla we-9. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 24.

UMartin RS, uMeredith JW. Ulawulo lwenzakalo enkulu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 16.