IHemoptysis: yintoni, izizathu kunye nokwenza

Umxholo

• Izizathu eziphambili zeHemoptysis
• Uxilongo lwenziwa njani
• Unyango lwe-hemoptysis

IHemoptysis ligama lenzululwazi elinikwa ukukhwehlela okunegazi, elihlala lihambelana notshintsho lwe-pulmonary, njengesifo sephepha, i-bronchitis engapheliyo, ukubola kwemiphunga kunye nomhlaza wemiphunga, umzekelo, onokuthi ukhokelele ekuphulukaneni kwegazi okukhulu ngomlomo, ke kubalulekile yiya esibhedlele kwangoko ukuze unyango luqale kwaye iingxaki zithintelwe.

I-Hemoptysis ithathelwa ingqalelo xa ukopha kuvela kwimiphunga kunye nokulahleka kwe-100 ukuya ngaphezulu kwe-500 mL yegazi kubonwa kwiiyure ezingama-24, nangona kunjalo eli xabiso lingahluka ngokogqirha onoxanduva. Inani legazi elilahlekileyo lithathwa njengelinzulu xa linokubeka ubomi bomntu emngciphekweni ngenxa yothintelo lomoya ngokuqokelela kwegazi.

Izizathu eziphambili zeHemoptysis

I-Hemoptysis inokuba luphawu lwezifo ezininzi, kodwa ihlala inxulumene notshintsho, olunosulelo okanye olubi kwimiphunga, okanye imithambo yegazi efikelela kweli lungu kunye nokukhuthaza ukunkcenkceshela, ezona ziphambili zezi:

• Isifo sephepha;
• Ukukrala kwemiphunga;
• I-bronchitis engapheliyo;
• Ukubethelwa kwemiphunga;
• Umhlaza wemiphunga kunye nemastastase yemiphunga;
• IBronchiectasis;
• Isifo sika-Behçet kunye ne-Wegener's granulomatosis, ezizizifo ezibonakaliswa kukudumba kwemithambo yegazi emzimbeni wonke.

Ukukhohlela igazi kunokubakho njengesiphumo seenkqubo zokuchonga okanye zonyango ezingafunekiyo ezinokubangela ukonakala kumphezulu wokuphefumla, njengomlomo, impumlo okanye umqala, kwaye zinokuvela nakwindlela yesisu, nangona kunjalo xa ihemoptysis ivela kwezi zimbini iimeko, ibizwa ngokuba yi-pseudo hemoptysis.

Yazi ezinye izizathu zokukhohlela kwegazi.

Uxilongo lwenziwa njani

Ukuchongwa kwehemoptysis kwenziwa ikakhulu ngokuvavanya iimpawu ezichaziweyo kunye nembali yeklinikhi yomntu. Ke, ukuba umntu unokukhohlela kwegazi ngaphezulu kweveki e-1, ukwehla kwesisindo ngaphandle kwesizathu, umkhuhlane omkhulu, utshintsho ekuphefumlweni kunye / okanye iintlungu zesifuba, kuyacetyiswa ukuba uye esibhedlele kwangoko ukuya kuvavanyo olunokuchonga Unobangela weempawu.

Ugqirha uhlala ecebisa ukwenziwa kovavanyo lwe-imaging, ezinje ngesifuba x-reyi kunye nekhompyuter ye-tomography ukuze kuvavanywe imiphunga kwaye kuchonge naziphi na iimpawu ezibonisa ukopha ezinokubusongela ubomi bomntu. Ukongeza, kuvavanywa iimvavanyo zaselebhu, njengokuxinana kunye nokubalwa kwegazi ukukhangela ubungakanani kunye neempawu zokujikeleza kweeseli zegazi.

Ukuxilongwa kwe-hemoptysis kwenziwa nge-bronchoscopy, kuvavanyo apho kufakwa khona ityhubhu encinci enee-microcamera ezifakwe esiphelweni sayo emlonyeni okanye empumlweni kwaye inyukele emiphungeni, ivumela ugqirha ukuba agcine yonke imiphunga kunye nokuphefumla. phecana kwaye uchonge indawo eyophayo. Qonda ukuba yenziwe njani i-bronchoscopy.

Unyango lwe-hemoptysis

Unyango lwe-hemoptysis lwenziwa ngokwesizathu kunye nenani legazi elilahlekileyo, ngenjongo yokulawula ukopha kunye nokugcina isiguli sizinzile. Ke, i-bronchoscopy okanye i-arteriography inokucetyiswa kwaye, ngokuxhomekeke kubukhali, ukuhanjiswa kwegazi kunye neeplatelets kungabonakaliswa.

Xa ukopha kungalawuleki, nasemva kokuba kuthathwe amanyathelo okulawula, inkqubo yotyando iyaboniswa, njengokufakwa komthambo wobushushu, umzekelo, apho ugqirha, ngoncedo lwetyhubhu encinci eguqukayo kunye nekhamera encinci kwincam, inokuchonga indawo kunye nokuyeka ukopha.

Ngokwesizathu se-hemoptysis, ugqirha usenokucebisa ngezinye iindlela zonyango, ezinje ngokusetyenziswa kweyeza lokubulala iintsholongwane, kwimeko yokuba ukopha kungenxa yosulelo, ii-anticoagulants, iziyobisi ezichasayo okanye, ukuba kungenxa yomhlaza womhlaza wemiphunga, ube ngumqondiso we-chemotherapy.