Ukukhohlela igazi

Ukukhohlela igazi kukuphalaza igazi okanye umchamo wegazi osuka kwimiphunga nomqala (indlela yokuphefumla).

IHemoptysis ligama lonyango lokukhohlela igazi eliphuma kumatshini wokuphefumla.

Ukukhohlela igazi akufani nokopha emlonyeni, emqaleni, okanye kwithumbu.

Igazi eliza nokukhohlela lihlala likhangeleka ngathi lixubene nomoya kunye neencindi. Idla ngokubomvu ngokuqaqambileyo, nangona isenokuba nombala ombi. Ngamanye amaxesha i-mucus iqulethe kuphela imigca yegazi.

Imbonakalo ixhomekeke kwinto ebangela ingxaki. Uninzi lwabantu luqhuba kakuhle ngonyango ukunyanga iimpawu kunye nezifo ezisisiseko. Abantu abane-hemoptysis enzima banokufa.

Iimeko ezininzi, izifo, kunye neemvavanyo zonyango zinokukwenza ukuba ukhohlele igazi. Oku kubandakanya:

• Igazi elixineneyo emiphungeni
• Ukuphefumla ukutya okanye ezinye izinto kwimiphunga (i-pulmonary aspiration)
• Bronchoscopy kunye biopsy
• IBronchiectasis
• IBronchitis
• Umhlaza wemiphunga
• Icystic fibrosis
• Ukudumba kwemithambo yegazi emiphungeni (vasculitis)
• Ukwenzakala kwimithambo yemiphunga
• Ukucaphuka komqala ekukhohleleni ngamandla (inani elincinci legazi)
• I-pneumonia okanye olunye usulelo lwemiphunga
• Ukudumba kwemiphunga
• Inkqubo ye lupus erythematosus
• Isifo sephepha
• Igazi elincinci kakhulu (ukusuka kumayeza acoca igazi, amaxesha amaninzi aphezulu kunamanqanaba acetyiswayo)

Amayeza ayeke ukukhohlela (a suppressants suppressants) anokunceda ukuba ingxaki ivela kukukhohlela okunzima. La mayeza anokukhokelela kuthintelo lomoya, ke jonga umboneleli wakho wezempilo ngaphambi kokuba uwasebenzise.

Gcina umkhondo wokuba ukhwehlela igazi ixesha elingakanani, kwaye lingakanani igazi elixutywe kunye nefinyisi. Fowunela umboneleli wakho nangaliphi na ixesha xa ukhohlela igazi, nokuba awunazo ezinye iimpawu.

Fumana uncedo lwezonyango kwangoko ukuba ukhohlela igazi kwaye une:

• Isikhohlela esivelisa ngaphezulu kweetispuni zegazi
• Igazi kumchamo wakho okanye ilindle
• Iintlungu zesifuba
• Ukuba nesiyezi
• Ifiva
• Ubumhlophe
• Ukuphefumla kakhulu

Ngexesha likaxakeka, umboneleli wakho uya kukunika unyango ukulawula imeko yakho. Umboneleli uya kuthi akubuze imibuzo malunga nokukhohlela kwakho, njenge:

• Ungakanani igazi okhohlela ngalo? Ngaba ukhohlela izixa ezikhulu zegazi ngexesha?
• Ngaba unayo i-mucus (i-phlegm) egazini?
• Kukangaphi ulikhohlela igazi kwaye kwenzeka kangaphi?
• Kude kube nini ingxaki iqhubeka? Ngaba iba mbi ngamanye amaxesha njengasebusuku?
• Zeziphi ezinye iimpawu onazo?

Umboneleli uya kwenza uvavanyo olupheleleyo lomzimba kwaye ajonge isifuba kunye nemiphunga. Uvavanyo olunokwenziwa lunokubandakanya:

• I-Bronchoscopy, uvavanyo ukujonga iindlela zomoya
• Isifuba se-CT scan
• I-x-ray yesifuba
• Gcwalisa ubalo lwegazi
• I-biopsy yemiphunga
• Iskena semiphunga
• I-arteriografi yePulmonary
• Inkcubeko yesikhohlela kunye ne-smear
• Vavanya ukubona ukuba igazi lijiye ngesiqhelo, njenge-PT okanye i-PTT

IHemoptysis; Ukutshiza igazi; Isikhohlela esinegazi

UBrown CA. IHemoptysis. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 21.

Swartz MH. Isifuba. Ku: Swartz MH, ed. Incwadi yesicatshulwa yokuchongwa komzimba. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 10.