I-emphysema engaphantsi

I-emphysema engaphantsi kwenzeka xa umoya ungena kwizicubu phantsi kolusu. Oku kuhlala kwenzeka kulusu olugubungele isifuba okanye intamo, kodwa kunokwenzeka nakwezinye iindawo zomzimba.

I-emphysema engaphantsi kwesikhumba inokubonwa njengokuqaqamba kwesikhumba. Xa umboneleli wezempilo evakalelwa (palpates) ulusu, uvelisa imvakalelo engaqhelekanga yokuqhekeka (i-crepitus) njengoko irhasi ityhalwa ngezicwili.

Le yimeko enqabileyo. Xa isenzeka, izizathu ezinokubakho zibandakanya:

• Umphunga owileyo (pneumothorax), uhlala usenzeka ngokuqhekeka kwembambo
• Ukuqhekeka kwethambo ebusweni
• Ukuqhekeka okanye ukukrazula kwindlela yomoya
• Ukuqhekeka okanye ukukrazula kwi-esophagus okanye kwithumbu lesisu

Le meko inokwenzeka ngenxa:

• Umothuko omdaka.
• Ukulimala.
• Ukuphefumla icocaine.
• I-corrosives okanye ukutshiswa kweekhemikhali kwi-esophagus okanye kwi-airway.
• Ukuntywila ngokwenzakala.
• Ukugabha ngenkani (Boerhaave syndrome).
• Umonzakalo ongena nzulu, njengokudutyulwa okanye amanxeba okuhlaba.
• I-Pertussis (ukukhwehlela).
• Iinkqubo ezithile zonyango ezifaka ityhubhu emzimbeni. Oku kubandakanya i-endoscopy (ityhubhu kwi-esophagus kunye nesisu ngomlomo), umgca oyintloko we-venous (i-catheter encinci kwi-vein esondele entliziyweni), i-endotracheal intubation (ityhubhu emqaleni kunye netrachea ngomlomo okanye ngempumlo), kunye ne-bronchoscopy (ityhubhu ungene kwimibhobho ye-bronchial ngomlomo).

Umoya unokufunyanwa phakathi kolusu lolusu ezingalweni nasemilenzeni okanye kwisisu emva kosulelo oluthile, kubandakanya ukubola kwegesi, okanye emva kokuntywila. (Abatshintshi be-Scuba abane-asthma kunokwenzeka ukuba babenayo le ngxaki kunezinye izinto ezahlukeneyo zokuqubha.)

Uninzi lweemeko ezibangela i-emphysema engaphantsi kwesikhumba zinzima, kwaye kunokwenzeka ukuba sele uphathwa ngumboneleli. Ngamanye amaxesha ukuhlala esibhedlele kuyafuneka. Oku kunokwenzeka ngakumbi ukuba ingxaki ibangelwe lusulelo.

Ukuba uziva ungaphantsi komoya ngokunxulumene nayo nayiphi na kwezi meko zichazwe apha ngasentla, ngakumbi emva koxinzelelo, tsalela umnxeba ku-911 okanye inombolo yakho yeenkonzo zikaxakeka zalapho kwangoko.

SUKUYALELA naluphi na ulwelo. MUSA ukumhambisa umntu ngaphandle kokuba kunyanzelekile ukuba umsuse kwindawo enobungozi. Khusela intamo kunye nomqolo ekonzakaleni ngakumbi xa usenza njalo.

Umboneleli uya kulinganisa kwaye abeke iliso kwiimpawu ezibalulekileyo zomntu, kubandakanya:

• Ukugcwaliswa kweoksijini
• Ubushushu
• Pulse
• Izinga lokuphefumla
• Ifuthe legazi

Iimpawu ziya kunyangwa xa kufuneka njalo. Umntu angafumana:

• Indlela yomoya kunye / okanye nenkxaso yokuphefumla-kubandakanya ioksijini ngokusebenzisa isixhobo sangaphandle sokuhambisa okanye i-endotracheal intubation (ukubekwa kwetyhubhu yokuphefumla ngomlomo okanye impumlo kwindlela yomoya) ngokubekwa kumatshini wokuphefumla (ubomi bokuxhasa umatshini wokuphefumla)
• Uvavanyo lwegazi
• Ityhubhu yesifuba ityhubhu ngesikhumba kunye nezihlunu phakathi kweembambo kwindawo yokubongoza (indawo phakathi kodonga lwesifuba kunye nemiphunga) ukuba kukho ukuwa kwemiphunga
• Iskena se-CAT / CT (ikhompyuter ye-axial tomography okanye umfanekiso ophambili) wesifuba kunye nesisu okanye indawo enomoya ongaphantsi
• I-ECG (i-electrocardiogram okanye ukulandelwa kwentliziyo)
• Ulwelo ngomthambo (IV)
• Amayeza okunyanga iimpawu
• I-X-ray yesifuba kunye nesisu kunye namanye amalungu omzimba anokulimala

Ukuxela kuxhomekeke kwisizathu se-emphysema engaphantsi. Ukuba kunxulunyaniswa noxinzelelo olukhulu, inkqubo okanye usulelo, ubungqongqo bezo meko buya kumisela isiphumo.

I-emphysema yangaphantsi enxulunyaniswa nokudilika kwi-scuba ihlala ingabalulekanga kangako.

Crepitus; Umoya ongama; I-emphysema yethishu; Utyando lwe-emphysema

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