Ukurhoxiswa kwe-Intercostal

Ukurhoxiswa kwe-Intercostal kwenzeka xa izihlunu eziphakathi kweembambo zitsalela ngaphakathi. Ukuhamba kuhlala kuluphawu lokuba umntu unengxaki yokuphefumla.

Ukurhoxiswa kwe-Intercostal kungxamisekileyo kwezonyango.

Udonga lwesifuba sakho luyaguquguquka. Oku kukunceda uphefumle ngesiqhelo. Izicubu eziqinileyo ezibizwa ngokuba yintlala zibambelela kwiimbambo zakho kwithambo lesifuba (sternum).

Imisipha ye-intercostal yimisipha phakathi kweembambo. Ngexesha lokuphefumla, ezi zihlunu zihlala ziqinisa kwaye zitsale ubambo. Isifuba sakho siyanda kwaye imiphunga igcwalisa umoya.

Ukurhoxiswa kwe-Intercostal kungenxa yokunciphisa uxinzelelo lomoya ngaphakathi kwesifuba sakho. Oku kunokwenzeka ukuba umoya ophezulu (i-trachea) okanye iindlela ezincinci zomoya (i-bronchioles) zivaliwe. Ngenxa yoko, izihlunu ze-intercostal zifunxelwa ngaphakathi, phakathi kweembambo, xa uphefumla. Olu luphawu lwendlela evaliweyo yomoya. Nayiphi na ingxaki yezempilo ebangela ukuvaleka kwindlela yomoya iya kubangela ukurhoxiswa kwe-intercostal.

Ukurhoxiswa kwe-Intercostal kunokubangelwa:

• Impendulo ebukhali, yomzimba wonke ebizwa ngokuba yi-anaphylaxis
• Isifo sombefu
• Ukudumba kunye nokwakha i-mucus kwezona zincinci zincinci zomoya kwimiphunga (i-bronchiolitis)
• Ingxaki yokuphefumla kunye nokukhwehlela ukukhwehlela (croup)
• Ukudumba kwethishu (epiglottis) egubungela i-windpipe
• Umzimba welinye ilizwe kumbhobho womoya
• Ukukrala kwemiphunga
• Ingxaki yemiphunga kwiintsana ezisandul 'ukuzalwa ebizwa ngokuba sisifo sokuphefumla
• Ukuqokelelwa kobofu kwizicubu zomqolo emva komqala (ithumba eliphindaphindayo)

Funa uncedo lwezonyango kwangoko ukuba ukurhoxiswa kwe-intercostal kwenzeka. Oku kunokuba ngumqondiso wendlela evaliweyo yomoya, enokubasongela ngokukhawuleza ubomi.

Khangela unyango ukuba ulusu, imilebe, okanye iinzipho zijika zaba luhlaza okwesibhakabhaka, okanye ukuba umntu uyabhideka, uyozela, okanye kunzima ukuvuka.

Ngexesha likaxakeka, iqela lokhathalelo lwempilo liza kuqala lithathe amanyathelo okukunceda uphefumle. Unokufumana ioksijini, amayeza okunciphisa ukudumba, kunye nolunye unyango.

Xa ukwazi ukuphefumla bhetele, umboneleli wezempilo uya kukuvavanya kwaye akubuze ngembali yakho yezonyango kunye neempawu, ezinje:

• Iqale nini ingxaki?
• Ngaba kuya kuba ngcono, kubi, okanye kuhlala kunjalo?
• Ngaba kwenzeka ngalo lonke ixesha?
• Ngaba uqaphele nayiphi na into ebalulekileyo enokubangela ukuphazamiseka kwindlela yomoya?
• Zeziphi ezinye iimpawu ezikhoyo, ezinje ngombala wolusu oluhlaza okwesibhakabhaka, ukuvutha, isandi esiphakamileyo xa uphefumla, ukhohlela okanye umqala obuhlungu?
• Ngaba ikhona into ephefumlelweyo kwindlela yomoya?

Uvavanyo olunokwenziwa lunokubandakanya:

• Iigesi zegazi
• I-x-ray yesifuba
• Gcwalisa ubalo lwegazi (CBC)
• Pulse oximetry yokulinganisa inqanaba leoksijini yegazi

Ukurhoxiswa kwezihlunu zesifuba

IBrown CA, iindonga RM. Indlela yomoya. 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 1.

URodrigues KK, uRoosevelt GE. Ukuphazamiseka kwendlela ephezulu yomoya (croup, epiglottitis, laryngitis, kunye ne-bacterial tracheitis). Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 412.

USharma A.Uxinzelelo lokuphefumla. Ku: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, ii-eds. UNelson Pediatric Syndromeom-based Diagnosis. IPhiladelphia, PA: Elsevier; I-2018: isahluko 3.