Into omele uyazi Ngee-Bibasilar Crackles

Umxholo

• Zithini ii-bibasilar crackles?
• Ziziphi iimpawu ezinokuthi zenzeke nge-bibasilar crackles?
• Zithini izizathu zoqhekeko lwe-bibasilar?
• Ukukrala kwemiphunga
• IBronchitis
• Ukudumba kwemiphunga
• Isifo semiphunga esiphakathi
• Izizathu ezongezelelweyo
• Ukuchonga unobangela we-bibasilar crackles
• Ukunyanga unobangela wamaqhekeza ebibasilar
• Olunye ulungiso
• Ziziphi izinto ezinobungozi?
• Yintoni imbono?
• Ukuthintela ukuqhekeka kwe-bibasilar

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Zithini ii-bibasilar crackles?

Ngaba wakha wazibuza ukuba ugqirha umamele ntoni xa ebeka i-stethoscope emqolo wakho akuxelele ukuba uphefumle? Baphulaphule izandi ezingaqhelekanga zemiphunga ezinje ngeebhibasilar crackles, okanye rales. Ezi zandi zibonisa into enzulu eyenzekayo kwimiphunga yakho.

Ukuqhekeka kwee-Bibasilar sisandi esidubulayo okanye esiqhekezayo esivela kwisiseko semiphunga. Ziyakwenzeka xa imiphunga ikhupha okanye ihla. Zihlala zimfutshane, kwaye zinokuchazwa njengezandi ezimanzi okanye ezomileyo. Ulwelo oluninzi kwiindlela zomoya lubangela ezi zandi.

Ziziphi iimpawu ezinokuthi zenzeke nge-bibasilar crackles?

Kuxhomekeka kwisizathu, ii-bibasilar crackles zinokwenzeka nezinye iimpawu. Ezi mpawu zinokubandakanya:

• ukuqhawukelwa ngumphefumlo
• ukudinwa
• iintlungu zesifuba
• imvakalelo yokufuthaniseleka
• ukukhohlela
• umkhuhlane
• ukuvutha
• ukudumba kweenyawo okanye imilenze

Zithini izizathu zoqhekeko lwe-bibasilar?

Iimeko ezininzi zibangela ulwelo olugqithisileyo emiphungeni kwaye zinokukhokelela kwimingxunya ye-bibasilar.

Ukukrala kwemiphunga

I-pneumonia sisifo kwimiphunga yakho. Ingaba kwimiphunga enye okanye yomibini. Usulelo lubangela ukuba iingxowa zomoya kwimiphunga yakho zizaliswe bubofu kwaye zitshise. Oku kubangela ukukhwehlela, ubunzima bokuphefumla, kunye nokuqhekeka. I-pneumonia inokuba nobulali okanye isongele ubomi.

IBronchitis

I-bronchitis yenzeka xa iityhubhu zakho ze-bronchial zivutha. Ezi mibhobho zithwala umoya ziye emiphungeni yakho. Iimpawu zingabandakanya i-bibasilar crackles, ukukhwehlela okunzima okuvelisa i-mucus, kunye nokuvutha.

Iintsholongwane, ezinjengokubanda okanye umkhuhlane, okanye ukuphazamiseka kwemiphunga kudla ngokubangela i-bronchitis ebukhali. I-bronchitis engapheliyo yenzeka xa i-bronchitis ingahambi. Ukutshaya ngoyena nobangela we-bronchitis engapheliyo.

Ukudumba kwemiphunga

I-edema ye-pulmonary inokubangela izandi eziphazamisayo kwimiphunga yakho. Abantu abane-congestive heart failure (CHF) bahlala be-edema yemiphunga. I-CHF yenzeka xa intliziyo ingakwazi ukumpompa igazi ngokufanelekileyo. Oku kukhokelela kugcino lwegazi, olonyusa uxinzelelo lwegazi kwaye lubangele ukuba ulwelo luqokelele kwiingxowa zomoya emiphungeni.

Ezinye zezinto ezingezizo zenhliziyo ze-edema ye-pulmonary yile:

• ukwenzakala kwemiphunga
• iindawo eziphakamileyo
• usulelo lwentsholongwane
• inhalation yomsi
• kufutshane nokuntywila

Isifo semiphunga esiphakathi

I-interstitium sisihlunu kunye nendawo ejikeleze iisaka zomoya zemiphunga. Nasiphi na isifo semiphunga esichaphazela le ndawo saziwa ngokuba sisifo semiphunga esiphakathi. Ingabangelwa ngu:

• ukubonakaliswa emsebenzini okanye kokusingqongileyo, njenge-asbestos, ukutshaya, okanye uthuli lwamalahle
• ichemotherapy
• imitha
• ezinye iimeko zonyango
• amayeza okubulala iintsholongwane

Isifo semiphunga esiqhelekileyo sidla ngokubangela ukuqhekeka kwebibasilar.

Izizathu ezongezelelweyo

Nangona kungenjalo njengesiqhelo, ii-crackles ze-bibasilar zinokubakho ukuba unesifo esingapheliyo sesifo se-pulmonary (COPD) okanye i-asthma.

A yabonisa ukuba ukutyhoboza kwemiphunga kunokunxulumana nobudala kwezinye izigulana ezinesifo sentliziyo. Nangona uphando oluthe kratya luyafuneka, uphononongo lufumanise ukuba emva kweminyaka engama-45, ukubakho kwamaqhekeza kuphindaphindwe kathathu kwiminyaka eli-10.

Ukuchonga unobangela we-bibasilar crackles

Ugqirha wakho usebenzisa i-stethoscope ekumamela uphefumla kwaye umamele ii-bibasilar crackles. Crackles yenza isandi esifanayo sokurabha iinwele zakho phakathi kweminwe yakho, kufutshane nendlebe yakho. Kwiimeko ezinzima, amaqhekeza anokuviwa ngaphandle kwe-stethoscope.

Ukuba une-bibasilar crackles, ugqirha wakho uya kuthatha imbali yakho yezonyango kwaye mhlawumbi ayalele iimvavanyo zokuqonda ukuba zikhangela unobangela. Olu vavanyo lunokubandakanya:

• i-X-ray yesifuba okanye iskena se-CT esifubeni ukujonga imiphunga
• uvavanyo lwegazi ukukhangela usuleleko
• Uvavanyo lwesikhohlela ukunceda ukufumana unobangela wosulelo
• ukubetha i-oximetry ukulinganisa inqanaba leoksijini yegazi lakho
• i-electrocardiogram okanye i-echocardiogram ukukhangela izitenxo zentliziyo

Ukunyanga unobangela wamaqhekeza ebibasilar

Ukulahla amaqhekeza kufuna ukunyanga unobangela wabo. Oogqirha bahlala bephatha i-pneumonia yebacteria kunye ne-bronchitis ngamayeza okubulala iintsholongwane. Usulelo lwemiphunga lwentsholongwane kufuneka lusebenze, kodwa ugqirha wakho angayinyanga ngamayeza antiviral. Ngalo naluphi na usulelo lwemiphunga, kuya kufuneka ufumane ukuphumla okuninzi, uhlale unamanzi amaninzi, kwaye uphephe ukuphazamiseka kwemiphunga.

Ukuba ii-crackles zibangelwa yimeko engapheliyo yemiphunga, kuya kufuneka wenze utshintsho kwindlela yokuphila ukuze uncede ukulawula iimpawu zakho. Ukuba uyatshaya, yeka. Ukuba umntu ekhaya uyatshaya, bacele ukuba bayeke okanye banyanzelise ukuba batshaye ngaphandle. Kuya kufuneka uzame ukunqanda ukuphazamiseka kwemiphunga njengothuli kunye nokubumba.

Olunye unyango lwezifo ezingapheliyo zamaphaphu lunokubandakanya:

• i-inhaled steroids yokunciphisa ukuvuvukala komoya
• ii-bronchodilators zokuphumla kunye nokuvula iindlela zakho zomoya
• Unyango lweoksijini ukukunceda uphefumle ngcono
• ukuvuselelwa kwimeko yesiqhelo yemiphunga ukukunceda uhlale udlamkile

Ukuba unentsholongwane yemiphunga, gqiba ukuthatha amayeza akho, nokuba uziva ungcono. Ukuba awukwenzi oko, umngcipheko wokufumana olunye usulelo uyanda.

Ugqirha lunokukhetha kubantu abanezifo zemiphunga eziphambili ezingalawulwa ngamayeza okanye ezinye iindlela zonyango. Utyando lunokusetyenziselwa ukususa usulelo okanye ulwakhiwo lwamanzi, okanye ukususa umphunga ngokupheleleyo. Ukufakelwa kwemiphunga yindlela yokugqibela kwabanye abantu.

Olunye ulungiso

Kuba zisenokubangelwa yimeko enzulu, akufuneki uphathe ii-bibasilar crackles okanye naziphi na iimpawu zemiphunga ngokwakho. Kuya kufuneka unxibelelane nogqirha wakho ukuze ufumane uxilongo olufanelekileyo kunye nengcebiso yonyango.

Ukuba ugqirha wakho ukuxilonga ngesifo semiphunga ngenxa yokubanda okanye umkhuhlane, la mayeza asekhaya anokukunceda uzive ungcono:

• i-humidifier yokubeka ukufuma emoyeni kunye nokuphelisa ukukhohlela
• iti eshushu enelamuni, ubusi, kunye nedash yesinamoni ukunceda ukunciphisa ukukhwehlela kunye nokulwa nosulelo
• umphunga kwishawari eshushu okanye intente yomphunga ukunceda ukukhulula i-phlegm
• ukutya okusempilweni ukomeleza amajoni akho omzimba

Amayeza e-counter-counter anokunceda ekunciphiseni iimpawu ezifana nokukhwehlela kunye nomkhuhlane. Oku kubandakanya ibuprofen (Advil) kunye ne-acetaminophen (iTylenol). Ungasebenzisa isithinteli sokukhohlela ukuba awukhohleli i-mucus.

Ziziphi izinto ezinobungozi?

Imiba yomngcipheko wokuqhekeka kwe-bibasilar ixhomekeke kwisizathu sayo. Ngokubanzi, izinto ezininzi zikubeka emngciphekweni weengxaki zemiphunga:

• ukutshaya
• ukuba nembali yosapho yesifo semiphunga
• ukuba nendawo yokusebenzela ekubeka esichengeni semiphunga
• ukubonakaliswa rhoqo kwiibhaktheriya okanye kwiintsholongwane

Umngcipheko wesifo esingapheliyo semiphunga ukwanda njengoko uneminyaka yobudala. Umngcipheko wesifo sangaphakathi semiphunga sinokunyuka ukuba uye wachaphazeleka kwimitha yesifuba okanye kwiziyobisi zamachiza.

Yintoni imbono?

Xa i-pneumonia okanye i-bronchitis ingunobangela wokuqhekeka kwe-bibasilar kwaye ubona ugqirha wakho kwangoko, umbono wakho ulungile kwaye imeko ihlala inyangeka. Okukhona ulinde ukuba ufumane unyango, kokukhona usulelo luya kuba qatha kwaye lube mandundu. Inyumoniya enganyangekiyo inokusongela ubomi.

Abanye oonobangela bokuqhekeka, njenge-pulmonary edema kunye nezifo zangaphakathi zemiphunga, kunokufuna unyango lwexesha elide kunye nokulaliswa esibhedlele ngaxa lithile. Ezi meko zihlala zilawulwa kwaye zincitshiswa ngamayeza kunye notshintsho kwindlela yokuphila.

Kwakhona kubalulekile ukujongana nezizathu zesifo. Okukhona uqala unyango kwangoko, kokukhona imeko yakho ibhetele. Nxibelelana nogqirha wakho kwiimpawu zokuqala zosulelo lwemiphunga okanye isifo semiphunga.

Ukuthintela ukuqhekeka kwe-bibasilar

Landela ezi ngcebiso ukukhuthaza impilo yemiphunga kwaye uncede ukukhusela i-bibasilar crackles:

• Musa ukutshaya.
• Nciphisa ukubonakaliswa kwakho kwityhefu yendalo kunye neyasemsebenzini.
• Ukuba kufuneka usebenze kwindawo enetyhefu, vala umlomo wakho kunye nempumlo ngesigqumathelo.
• Thintela usulelo ngokuhlamba izandla rhoqo.
• Gwema izihlwele ngexesha lokubanda kunye nomkhuhlane.
• Fumana isitofu sokuthintela inyumoniya.
• Fumana isitofu sokugonya umkhuhlane.
• Zilolonge rhoqo.