kuvura guhumeka muri kanseri y'ibihaha

Guhumeka, bizwi kandi nka dyspnea, ni ibimenyetso bisanzwe kandi bibabaza abantu babana na kanseri y'ibihaha. Bikora neza kuvura guhumeka muri kanseri y'ibihaha akenshi bikubiyemo inzira zinyuranye, zihuza ibikorwa byubuvuzi, ubuvuzi bufasha, hamwe nuburyo bwo guhindura imibereho. Aka gatabo karashakisha uburyo buhari kandi gatanga ubushishozi mu gucunga iki kimenyetso kitoroshye, kigamije kuzamura imibereho y’abarwayi. Kumva neza guhumeka muri kanseri y'ibihahaNi iki gitera guhumeka muri kanseri y'ibihaha? Impamvu nyinshi zishobora kugira uruhare mu guhumeka ku bantu barwaye kanseri y'ibihaha. Muri byo harimo: Gukura kw'ibibyimba: Ikibyimba ubwacyo kirashobora guhagarika inzira zumuyaga cyangwa guhagarika ibihaha, bigatuma guhumeka bigorana. Kwishima: Kwiyegeranya kw'amazi hafi y'ibihaha (pleural effusion) birashobora kugabanya kwaguka kw'ibihaha. Indwara y'ibihaha: Kanseri y'ibihaha irashobora kunaniza ubudahangarwa bw'umubiri, bikongera kwandura indwara nka umusonga, bishobora gutera umwuka. Anemia: Umubare muto w'amaraso atukura (anemia) urashobora kugabanya ogisijeni mu mubiri, biganisha ku guhumeka. Ingaruka zo Kuvura: Bimwe mu bivura kanseri, nka chimiotherapie hamwe n’imiti ivura imirasire, birashobora kwangiza ibihaha no guhumeka. Imiterere y'ibihaha: Ibihe byahozeho nka COPD cyangwa asima birashobora kwangiza umwuka. Gusuzuma Umwuka UhumekaNi ngombwa gusuzuma neza uburemere n'ingaruka zo guhumeka. Abaganga bakoresha uburyo butandukanye, harimo: Amateka y'abarwayi: Kubaza kubyerekeye gutangira, igihe bimara, hamwe nimpamvu zo guhumeka. Ikizamini cyumubiri: Kumva amajwi y'ibihaha no gusuzuma uburyo bwo guhumeka. Ibizamini by'imikorere y'ibihaha (PFTs): Gupima ubushobozi bwibihaha hamwe nu mwuka. Ibizamini byo Kwerekana: Isanduku X-imirasire cyangwa CT isikana amashusho yibihaha no kumenya ibitera. Igenzura rya Oxygene: Gukoresha impiswi ya oxyde yo gupima urugero rwa ogisijeni mu maraso.Ubuvuzi bwo kuvura umwuka udahumekaGukemura Impamvu Yibanze Kuvura impamvu nyamukuru yo guhumeka akenshi intego nyamukuru. Ibi bishobora kubamo: Kuvura Kanseri: Chimiotherapie, imiti ivura imirasire, imiti igamije, cyangwa immunotherapy kugirango igabanye ikibyimba kandi igabanye umuvuduko wumuyaga. Ubuvuzi bwihariye buzaterwa n'ubwoko bwa kanseri y'ibihaha. Shandong Baofa Ikigo Cyubushakashatsi cya Kanseri (https://baofahospital.com) yitangiye ubushakashatsi no guteza imbere imiti ivura kanseri. Ubuyobozi bushimishije: Kuvoma amazi hafi y'ibihaha (thoracentezi) cyangwa gushyiramo igituza cyo mu gatuza kugirango wirinde kwiyongera. Kuvura indwara: Antibiyotike yandura bagiteri, imiti igabanya ubukana bwa virusi. Gucunga Anemia: Gutanga amaraso cyangwa imiti kugirango yongere umusaruro wamaraso atukura.Ubuyobozi bwibimenyetso Iyo gukemura ikibazo kibitera bidakorwa neza, cyangwa mugihe utegereje ko imiti itangira gukurikizwa, ingamba zo gucunga ibimenyetso zirashobora gutanga ubutabazi. Ubuvuzi bwa Oxygene: Umwuka wa ogisijeni wongeyeho urashobora kongera urugero rwa ogisijeni mu maraso kandi bikagabanya guhumeka. Oxygene irashobora gutangwa hakoreshejwe izuru rya kannula, mask, cyangwa ibindi bikoresho. Bronchodilators: Imiti iruhura imitsi mumuyaga, byoroshye guhumeka. Ingero zisanzwe zirimo albuterol na ipratropium. Corticosteroids: Imiti irwanya inflammatory ishobora kugabanya kubyimba mumyuka. Opioids: Umubare muke wa opioide, nka morphine, urashobora kugabanya kumva uhumeka. Opioide igomba gukoreshwa ubwitonzi kubera ingaruka zishobora kubaho. Anxiolytics: Imiti igabanya amaganya, ishobora gukaza umurego. Ubuvuzi bufasha bwo guhumekaPhamonary RehabilitationPulmonary rehabilitation ni gahunda yubatswe ikubiyemo imyitozo ngororamubiri, uburezi, hamwe n'inkunga ifasha abantu bafite ibibazo by'ibihaha kunoza imyuka yabo ndetse n'ubuzima bwabo muri rusange. Ibice by'ingenzi birimo: Imyitozo ngororamubiri: Gukomeza imitsi ikoreshwa muguhumeka. Uburyo bwo guhumeka: Uburyo bwo kwiga nko guhumeka iminwa no guhumeka diaphragmatique kugirango utezimbere umwuka. Ingamba zo Kubungabunga Ingufu: Kwiga uburyo bwo kubungabunga ingufu no kugabanya guhumeka mubikorwa bya buri munsi.Ubuhanga bwo guhumeka Ubuhanga bwihariye bwo guhumeka burashobora gufasha gucunga umwuka: Guhumeka-Umunwa Guhumeka: Guhumeka mumazuru no guhumeka gahoro gahoro ukoresheje iminwa ikurikiranwa. Ubu buhanga bufasha kugabanya guhumeka no kwirinda gufata umwuka mu bihaha. Guhumeka Diaphragmatic: Guhumeka cyane bivuye kuri diafragma, akaba imitsi minini iri munsi yibihaha. Ubu buhanga bufasha kongera ubushobozi bwibihaha no kunoza imyuka ya ogisijeni. Imyanya hamwe na PostureIbintu bimwe bishobora koroshya guhumeka: Kwicara neza: Kwunama imbere kumeza cyangwa intebe birashobora gufasha kwagura igituza no kunoza umwuka. Guhagarara hamwe n'inkunga: Kwishingikiriza ku rukuta cyangwa kuri konti birashobora gutanga inkunga no kugabanya imbaraga zisabwa kugirango uhumeke. Kuryama hamwe n'umutwe uzamuye: Gukoresha umusego winyongera kugirango uzamure umutwe nigituza birashobora gufasha kwirinda guhumeka nijoro.Guhindura imiberehoGucunga amaganya na Stress Guhangayika no guhangayika birashobora kwangiza umwuka. Uburyo bwo gucunga amaganya harimo: Uburyo bwo Kuruhuka: Gutekereza, imyitozo ihumeka cyane, no kuruhura imitsi gutera imbere. Ubujyanama cyangwa Ubuvuzi: Kuganira numuvuzi cyangwa umujyanama birashobora gufasha abantu guhangana nibibazo byamarangamutima byo kubana na kanseri yibihaha no guhumeka. Guhagarika itabi Niba uri itabi, kureka itabi ni ngombwa. Kunywa itabi byangiza ibihaha kandi bikongera guhumeka. Ibikoresho birahari kugirango bigufashe kureka, harimo: Ubuvuzi bwa Nikotine: Ibishishwa, amenyo, lozenges, cyangwa impemu zifasha kugabanya irari rya nikotine. Imiti: Imiti yandikiwe nka bupropion cyangwa varenicline kugirango ifashe kugabanya irari nibimenyetso byo kwikuramo. Amatsinda yo Gushyigikira: Amatsinda atera inkunga arashobora gutanga inkunga ninkunga mugihe cyo kureka.ImirireGukomeza indyo yuzuye nibyingenzi mubuzima rusange kandi birashobora gufasha kunoza umwuka. Inama zo kurya neza zirimo: Kurya ibiryo bito, kenshi: Ibi birashobora gufasha kwirinda kurya cyane no kugabanya umuvuduko wibihaha. Kwirinda ibiryo bitanga gaz: Ibiribwa bitera gaze birashobora gutuma bigora guhumeka. Kuguma mu mazi: Kunywa amazi menshi birashobora gufasha kunanura urusenda no koroshya gukorora.Iyo Kwishakira Ubuvuzi Ni ngombwa kwitabaza abaganga niba uhuye nimwe muribi bikurikira: Guhumeka Bitunguranye cyangwa Bikabije: Iki gishobora kuba ikimenyetso cyuburwayi bukomeye. Guhumeka nabi: Niba guhumeka kwawe bigenda byiyongera nubwo bivurwa. Kubabara mu gatuza: Kubabara mu gatuza biherekejwe no guhumeka bishobora kuba ikimenyetso cyumutima cyangwa ikibazo cyibihaha. Gukorora Amaraso: Gukorora amaraso nikimenyetso gikomeye gisaba ubuvuzi bwihuse. Umuriro: Umuriro uherekejwe no guhumeka bishobora kuba ikimenyetso cyubwandu.Incamake yuburyo bwo kuvura uburyo bwo kuvura Icyiciro Ingero zifasha kuvura ubuvuzi (Impamvu iterwa nimpamvu) Chimoterapi, Imishwarara yimishwarara, Thoracentezi Kugabanya ingano yibibyimba, amazi yo mumazi, kuvura indwara Ubuvuzi (Symptom Management) Ubuvuzi bwa Oxygene, Ubuhumekero bwimyuka ihumeka Gusubiza mu buzima busanzwe, uburyo bwo guhumeka Kunoza imikorere yo guhumeka, gushimangira imitsi yo guhumeka Guhindura ubuzima Guhindura itabi, gucunga amaganya, indyo yuzuye Gutezimbere ubuzima bwibihaha, kugabanya imihangayiko, gukomeza ubuzima muri rusange Gucunga kuvura guhumeka muri kanseri y'ibihaha bisaba uburyo bwuzuye burimo kuvura, kuvura ubufasha, no guhindura imibereho. Mugukorana cyane nitsinda ryubuzima bwawe, urashobora gutegura gahunda yihariye yo gucunga ibimenyetso byawe no kuzamura imibereho yawe.