IHemopneumothorax

Umxholo

• Ziintoni iimpawu zehemopneumothorax?
• Yintoni ebangela hemopneumothorax?
• I-hemopneumothorax ifunyaniswa njani?
• Ukunyanga ihemopneumothorax
• I-Thoracostomy (ukufakwa kwetyhubhu yesifuba)
• Ugqirha
• Amayeza
• Iingxaki ze-hemopneumothorax
• Imbonakalo

Ushwankathelo

I-Hemopneumothorax yindibaniselwano yeemeko ezimbini zonyango: i-pneumothorax kunye ne-hemothorax. I-Pneumothorax, ekwabizwa ngokuba ngumphunga owileyo, kwenzeka xa kukho umoya ngaphandle komphunga, kwisithuba esiphakathi komphunga nesifuba. IHemothorax yenzeka xa kukho igazi kuloo ndawo inye. Kuphela malunga neepesenti ezi-5 zezigulana ezine-pneumothorax amava e-hemothorax ngaxeshanye.

I-Hemopneumothorax idla ngokubakho ngenxa yenxeba esifubeni, njengokuvela umpu, ukuhlaba, okanye ubambo olophukileyo. Oku kubizwa ngokuba yi-hemopneumothorax. Kwiimeko ezinqabileyo kakhulu, imeko ibangelwa zezinye iimeko zonyango, njengomhlaza wemiphunga, ukuphazamiseka kwegazi, okanye isifo samathambo. I-Hemopneumothorax nayo ingenzeka ngokukhawuleza ngaphandle kwesizathu esibonakalayo (i-hemopneumothorax ngokukhawuleza).

Ukunyanga ihemopneumothorax, igazi kunye nomoya kufuneka ukhutshwe esifubeni usebenzisa ityhubhu. Utyando luya kufuneka nokulungisa nawaphi na amanxeba okanye ukwenzakala.

Ziintoni iimpawu zehemopneumothorax?

I-Hemopneumothorax yongxamiseko kwezonyango, ke kubalulekile ukuba uqaphele iimpawu zayo kwangoko.

Iimpawu zibandakanya:

• iintlungu zesifuba ngesiquphe eziba mandundu emva kokukhohlela okanye ukuphefumla nzulu
• ukuphefumla nzima okanye ukusebenza nzima (dyspnea)
• ukuqhawukelwa ngumphefumlo
• ukuqina kwesifuba
• i-tachycardia (inqanaba lentliziyo elikhawulezayo)
• ulusu olukhanyayo okanye oluhlaza okwesibhakabhaka olubangelwa kukuswela ioksijini

Intlungu inokwenzeka kuphela kumacala omabini okanye kuphela kwicala apho ukwenzakala okanye ukwenzakala kwenzeke khona.

Yintoni ebangela hemopneumothorax?

I-Hemopneumothorax idla ngokubangelwa kukulimala okanye ukulimala okanye ukungena kwintlungu esifubeni.

Xa udonga lwesifuba lwenzakele, igazi, umoya, okanye zombini zinokungena kwisithuba esincinci esine-fluid esijikeleze imiphunga, ebizwa ngokuba yindawo yesicelo. Ngenxa yoko, ukusebenza kwemiphunga kuyaphazamiseka. Imiphunga ayinakho ukwanda ukuze kungene umoya. Imiphunga iyancipha ize iwe.

Imizekelo yengozi okanye yokulimala enokubangela i-hemopneumothorax ibandakanya:

• inxeba lokuhlaba
• inxeba lokudutyulwa
• ukugqojozwa kwimbambo eyaphukileyo
• ukuwa kubude obubalulekileyo
• ingozi yemoto
• ukwenzakala ekulweni okanye kwezonxibelelwano kwezemidlalo (njengebhola ekhatywayo)
• ukubhoboza inxeba kwinkqubo yonyango, enje nge-biopsy okanye i-acupuncture

Xa ukwenzakala okanye ukonzakala kungunobangela, imeko leyo ibizwa ngokuba yi-hemopneumothorax.

Kwiimeko ezinqabileyo, i-hemopneumothorax inokubangelwa ziimeko ezingezizo ezothusayo kubandakanya:

• iingxaki zomhlaza wemiphunga
• irheumatoid Arthritis
• haemophilia
• inkqubo lupus erythematosus
• isifo esivelayo somhlaza wemiphunga

I-Hemopneumothorax nayo ingenzeka ngokuzenzekelayo ngaphandle kwesizathu esibonakalayo. Nangona kunjalo, oku akuqhelekanga kakhulu.

I-hemopneumothorax ifunyaniswa njani?

Ukuba wenzakele okanye wenzakele esifubeni, ugqirha unokuyalela i-X-ray yesifuba ukukunceda ubone ukuba ulwelo okanye umoya uyakhiwa na ngaphakathi kwisifuba.

Olunye uvavanyo lokuqonda isifo lunokwenziwa ukuze kuqhubeke ukuvavanywa kolwelo olujikeleze imiphunga, umzekelo isifuba se-CT scan okanye i-ultrasound. I-ultrasound yesifuba iya kubonisa ubungakanani bolwelo kunye nendawo echanekileyo.

Ukunyanga ihemopneumothorax

Unyango lwe-hemopneumothorax lujolise ekufunxeni umoya negazi esifubeni, ukubuyisela umphunga ekusebenzeni kwesiqhelo, ukuthintela iingxaki kunye nokulungisa nawaphi na amanxeba.

I-Thoracostomy (ukufakwa kwetyhubhu yesifuba)

Unyango oluphambili lwe-hemopneumothorax lubizwa ngokuba sisifuba se-thoracostomy. Le nkqubo ibandakanya ukubeka ityhubhu eplastikhi engenanto phakathi kweembambo kwindawo ejikeleze imiphunga ukuze kukhuphe umoya negazi. Ityhubhu inokudityaniswa kumatshini ukunceda umsele. Emva kokuba ugqirha wakho eqinisekile ukuba akusekho manzi okanye umoya ofuna ukukhutshwa, ityhubhu yesifuba iya kususwa.

Ugqirha

Abantu abanenxeba okanye ukonzakala okukhulu baya kufuna utyando ukuze kulungiswe izicwili ezonakeleyo. Basenokufuna utofelo-gazi olunye okanye nangaphezulu ukuba balahlekelwe ligazi elininzi.

Amayeza

Ngaphambi kwenkqubo ye-thoracostomy, kuxhomekeke kwisizathu semeko yakho, ugqirha wakho unokukunika i-prophylactic antibiotics ukunceda ukuthintela usulelo lwebacteria. Ugqirha wakho unokuyalela amayeza entlungu ukunceda nakweyiphi na intlungu ngaphambi nasemva kotyando.

Iingxaki ze-hemopneumothorax

Iingxaki ze-hemopneumothorax zibandakanya:

• izifo ezinzulu, ezifana ne-pneumonia
• ukothuka okukopha
• ukubanjwa kwe-cardiac
• empyema, imeko apho ubofu buqokelelana kwindawo yeplato; Impyema idla ngokubangelwa yinyumoniya
• ukusilela ekuphefumuleni

Ukongeza, abantu abaye bafumana i-hemopneumothorax basemngciphekweni wokuba nesinye isiqendu ukuba ukuvulwa komphunga kungavali ngokupheleleyo.

Imbonakalo

I-Hemopneumothorax yimeko esongela ubomi kwaye kufuneka inyangwe kwangoko ngeyona mbono intle.

Ukuba imeko ibangelwe kukulimala okanye ukwenzakala esifubeni, umbono uya kuxhomekeka kubuzaza bokwenzakala. Iimeko ezizenzekelayo ze-hemopneumothorax zine-prognosis efanelekileyo xa kususwa ulwelo nomoya esifubeni. Kwisifundo esinye esincinci, zonke izigulana ezine-hemopneumothorax ezizenzekelayo zifunyenwe ngokupheleleyo kwaye imiphunga yazo yandile ngokupheleleyo emva kwesiqendu.

Ngokubanzi, i-hemopneumothorax ayizukubangela naziphi na iingxaki zempilo emva kokuba inyangwe. Nangona kunjalo, kukho ithuba elincinci lokuphinda kwenzeke kwakhona. Ukusetyenziswa kweendlela ezincinci zokungena, ezinje nge-thoracostomy kunye noqhaqho oluncediswa ngevidiyo, kukhokelele ekunciphiseni ukubhubha kunye nokuphindaphinda amaxabiso.