Yintoni i-atelectasis yemiphunga, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu ezinokwenzeka
• Indlela yokuqinisekisa ukuxilongwa
• Yintoni i-cassowary atelectasis
• Unyango lwenziwa njani

I-pulmonary atelectasis sisixhobo sokuphefumla esithintela ukudlula komoya owaneleyo, ngenxa yokuwa kwe-alveoli yemiphunga. Oku kuhlala kwenzeka xa kukho i-cystic fibrosis, amathumba emiphungeni okanye xa imiphunga igcwele ulwelo ngenxa yokubetha ngamandla esifubeni, umzekelo.

Kuxhomekeka ekubeni zingaphi i-alveoli ezichaphazelekileyo, imvakalelo yokuphefumla kancinci inokuba ngaphezulu okanye kancinci kwaye, ke ngoko, unyango lunokuhluka ngokwamandla eempawu.

Nangona kunjalo, kuyo nayiphi na imeko, ukuba i-atelectasis ikrokrelwa, kuyacetyiswa ukuba uye ngokukhawuleza esibhedlele, ukuqinisekisa isifo kwaye uqale unyango olufanelekileyo, kuba ukuba umphunga uyaqhubeka nokuchaphazeleka, kunokuba nengozi yobomi.

Iimpawu ezinokwenzeka

Iimpawu eziqhelekileyo ze-atelectasis zibandakanya:

• Ubunzima bokuphefumla;
• Ukuphefumla ngokukhawuleza nangaphantsi;
• Ukukhohlela okungapheliyo;
• Iintlungu rhoqo esifubeni.

I-Atelectasis idla ngokwenzeka kubantu abasele belaliswe esibhedlele, njengengxaki yemeko yezempilo, nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu kubaluleke kakhulu ukwazisa ugqirha okanye umongikazi ngokukhawuleza.

Indlela yokuqinisekisa ukuxilongwa

Kwimeko ye-atelectasis ekrokrelwayo, ugqirha unokuyalela iimvavanyo ezininzi, ezinje ngesifuba i-X-reyi, i-tomography, i-oximetry kunye ne-bronchoscopy, ukuqinisekisa ubukho be-pulveary alveoli.

Yintoni i-cassowary atelectasis

I-Atelectasis ihlala yenzeka xa indlela yomphunga ithintelwe okanye kukho uxinzelelo olugqithisileyo ngaphandle kwe-alveoli. Ezinye zeengxaki ezinokubangela ezi ntlobo zotshintsho zezi:

• Ukuqokelelwa kweemfihlo kwindawo yokuphefumla;
• Ubukho bento yasemzini kwimiphunga;
• Imivimbo eyomeleleyo esifubeni;
• Ukukrala kwemiphunga;
• Ubukho bencindi emiphungeni;
• Ithumba lomlenze.

Ukongeza, emva kotyando kuqhelekile ukuba i-atelectasis ivele, njengoko ifuthe le-anesthetic linokubangela ukuwa kwe-alveoli ethile. Nangona kunjalo, kwezi meko kusetyenziswa umoya wokuphefumla ukuqinisekisa ukuba umoya ungena kakuhle emiphungeni.

Unyango lwenziwa njani

Unyango lwe-atelectasis lwenziwa ngokwesizathu kunye nokuqina kweempawu, kwaye kwiimeko ezinzima, naluphi na uhlobo lonyango alunakuba yimfuneko. Ukuba iimpawu zinamandla kakhulu, imithambo yokuphefumla ingasetyenziselwa ukuzama ukuvula i-alveoli yemiphunga, njengokukhohlela, ukuthatha nje umoya okanye ukuphefumla ukukhanya kwindawo echaphazelekayo ukukhulula ukuqokelelwa kweemfihlo.

Kwiimeko ezinzima kakhulu, kunokuba yimfuneko ukubhenela kotyando, ukucoca iindlela zomoya okanye nokususa indawo echaphazelekayo yomphunga, ukuvumela ukuba usebenze ngokufanelekileyo kwakhona.

Nanini na xa kukho unobangela obonakalayo we-atelectasis, enjenge-tumor okanye ubukho bolwelo emphungeni, ingxaki kufuneka ihlale inyangwa ukuqinisekisa ukuba i-atelectasis ayiphindi ibuye.