Ukufakelwa kwemiphunga kwenziwa njani kwaye xa kufuneka njalo

Umxholo

• Xa kunyanzelekile
• Xa ukufakelwa kungacetyiswa
• Ukufakelwa kwakhona kwenziwa njani
• Kwenzeka ntoni ngexesha lotyando
• Kunjani kwakhona ukufakelwa

Ukufakelwa kwemiphunga luhlobo lonyango olwenziwa ngonyango apho imiphunga egulayo ithathelwa indawo yenye esempilweni, ihlala ivela kulowo unikelekileyo ofileyo. Nangona obu buchule bunokuphucula umgangatho wobomi kwaye bunyange nezinye iingxaki ezinje ngecystic fibrosis okanye i-sarcoidosis, inokubangela iingxaki ezininzi kwaye, ke, isetyenziswa kuphela xa ezinye iindlela zonyango zingasebenzi.

Kuba imiphunga efakelweyo inezicubu zangaphandle, kuhlala kunyanzelekile ukuba uthathe iziyobisi ze-immunosuppressive ubomi. La machiza, anciphisa amathuba okuba iiseli zokhuselo zomzimba zizame ukulwa nezihlunu zamaphaphu zangaphandle, kuthintelwe ukwaliwa ukufakelwa.

Xa kunyanzelekile

Ukufakelwa kwemiphunga kudla ngokuboniswa kwiimeko ezinobuzaza, xa umphunga uchaphazeleka kakhulu kwaye, ngenxa yoko, ungakwazi ukubonelela ngesixa esifunekayo seoksijini. Ezinye zezifo ezihlala zifuna ukufakelwa zibandakanya:

• Icystic fibrosis;
• Sarcoidosis;
• Fibrosis pulmonary;
• Uxinzelelo lwegazi pulmonary;
• Lymphangioleiomyomatosis;
• Bronchiectasis enzima;
• I-COPD enzima.

Ukongeza ukufakelwa kwemiphunga, abantu abaninzi banokunxulumana neengxaki zentliziyo, kwaye kwezi meko, kunokuba yimfuneko ukufakelwa kwentliziyo kunye nomphunga okanye kungekudala emva koko, ukuqinisekisa ukuphucula iimpawu.

Uninzi lwexesha, ezi zifo zinokunyangwa ngokunyanga okulula nokungangenisi kangako, njengeepilisi okanye izixhobo zokuphefumla, kodwa xa ezi ndlela zingasasebenzi, ukufakelwa komzimba kunokuba yinto eboniswe ngugqirha.

Xa ukufakelwa kungacetyiswa

Nangona ukufakelwa kungenziwa phantse kubo bonke abantu abanezifo eziya zisiba mbi, kuyaphikiswa kwezinye iimeko, ngakumbi ukuba kukho usulelo olusebenzayo, imbali yomhlaza okanye isifo sesifo sezintso. Ukongeza, ukuba umntu akazimiselanga ukwenza utshintsho kwindlela yokuphila ukuze alwe nesi sifo, ukufakelwa kwakhona kungangqinelani.

Ukufakelwa kwakhona kwenziwa njani

Inkqubo yokufakelwa komzimba iqala kudala ngaphambi kotyando, kuvavanyo lonyango ukubona ukuba ngaba ikhona into ethintela ukufakelwa kunye nokuvavanya umngcipheko wokwaliwa komphunga omtsha. Emva kolu vavanyo, kwaye ukuba lukhethiwe, kubalulekile ukuba kuluhlu lokulinda lomnikeli ofanelekileyo kwiziko lokufakelwa, njenge-InCor, umzekelo.

Oku kulinda kungathatha ukusuka kwiiveki ezimbalwa ukuya kwiinyanga ezininzi ngokweempawu ezithile zobuqu, ezinje ngohlobo lwegazi, ubungakanani besitho kunye nokuba qatha kwesi sifo, umzekelo. Xa umntu onikelayo efunyenwe, isibhedlele sinxibelelana nomntu odinga umnikelo wokuya esibhedlele ngeyure ezimbalwa kwaye enze utyando. Ke kuyacetyiswa ukuba usoloko unetyesi yeempahla ezilungele ukusetyenziswa esibhedlele.

Esibhedlele, kunyanzelekile ukuba kwenziwe uvavanyo olutsha ukuqinisekisa ukuba utyando luya kuba yimpumelelo kwaye emva koko kuqalwe ngoqhaqho.

Kwenzeka ntoni ngexesha lotyando

Utyando lokufakwa kwemiphunga lwenziwa phantsi kweanesthesia ngokubanzi kwaye inokuhlala ukuya kuthi ga kwiiyure ze-X. Ngeli xesha, ugqirha wotyando ususa umphunga onesifo, esenza ukusika ukwahlula imithambo yegazi kunye nendlela yokuphefumla ephuma emiphungeni, emva koko umphunga omtsha ubekwe endaweni kwaye iinqanawa, kunye nendlela yomoya, zidityaniswe ilungu elitsha kwakhona.

Kuba luluqhaqho olunzulu kakhulu, kwezinye iimeko, kunokuba yimfuneko ukudibanisa umntu kumatshini othatha indawo yemiphunga nentliziyo, kodwa emva kotyando, intliziyo kunye nemiphunga ziya kusebenza kwakhona ngaphandle koncedo.

Kunjani kwakhona ukufakelwa

Ukuchacha ekubuyiseleni umphunga ngokufuthi kuthatha iiveki ezi-1 ukuya kwezi-3, kuxhomekeka emzimbeni womntu ngamnye. Kanye emva kotyando, kufuneka uhlale e-ICU, njengoko kufanelekile ukusebenzisa isixhobo sokuphefumla ukunceda umphunga omtsha ukuba uphefumle ngokuchanekileyo. Nangona kunjalo, njengokuba iintsuku zihamba, umatshini uya esiba yimfuneko encinci kwaye uqeqesho luya kwelinye iphiko lesibhedlele, ke akukho mfuneko yokuqhubeka kwi-ICU.

Ngexesha lokulaliswa lonke esibhedlele, amayeza aya kwenziwa ngqo emthanjeni, ukunciphisa iintlungu, amathuba okwaliwa kunye nokunciphisa umngcipheko wokuba nosulelo, kodwa emva kokukhutshwa, la mayeza anokuthathwa ngendlela yeepilisi, de kube inkqubo yokubuyisela kwimeko yesiqhelo igqityiwe. Kuphela ziyobisi ezichasene nomzimba kufuneka zigcinwe ubomi.

Emva kokukhutshwa, kufuneka wenze amadinga aliqela kunye ne-pulmonologist ukuqinisekisa ukuba ukubuyela kwimeko yesiqhelo kuhamba kakuhle, ngakumbi kwiinyanga ezintathu zokuqala. Koku kudibana, kunokuba yimfuneko ukwenza iimvavanyo ezininzi, ezinje ngegazi, iiX-reyi okanye ii-electrocardiograms.