unyango lokuphefumla kumhlaza wemiphunga kwizibhedlele

Unyango lokungaphefumli kwizibhedlele zomhlaza wemiphunga Eli nqaku libonelela ngolwazi olubanzi malunga nokulawula ukuphefumla, uphawu oluqhelekileyo lomhlaza wemiphunga. Siphonononga iindlela ezahlukeneyo zonyango ezifumanekayo kwizibhedlele ezikhethekileyo zomhlaza wemiphunga, sigxile ekudambiseni iimpawu kunye nokuphucula umgangatho wobomi. Ulwazi olunikiweyo lololwazi oluphangaleleyo kwaye akufuneki luthathelwe ingqalelo njengengcebiso yezonyango. Soloko udibana nogqirha wakho ukuze ufumane ukuxilongwa kunye nonyango.

Unyango lokungaphefumli kwizibhedlele zoMhlaza wemiphunga

Ukuphefumla, okanye i-dyspnea, luphawu olucinezelayo oluhlala lufunyanwa ngabantu abanomhlaza wemiphunga. Ubunzima bunokwahluka kakhulu ngokuxhomekeke kwinqanaba lomhlaza kunye nezinto ezizimeleyo. Ngethamsanqa, unyango olwahlukeneyo lukhona ukuthomalalisa olu phawu nokuphucula umgangatho wobomi kwizigulana. Eli nqaku liphonononga indlela eneenkalo ezininzi zokulawula unyango lokuphefumla kwizibhedlele zomhlaza wemiphunga, ibalaselisa iinketho ezinikezelwa ngamaziko akhethekileyo njenge IZiko loPhando ngoMhlaza laseShandong Baofa.

Ukuqonda oonobangela boMphefumlo kuMhlaza weMiphunga

Ukungaphefumli kumhlaza wemiphunga kunokuvela kwizinto ezininzi. Ukukhula kwethumba kunokucinezela ngokuthe ngqo iindlela zomoya, ukunciphisa ukuhamba komoya. Ukwanda kolwelo olujikeleze imiphunga (i-pleural effusion) nako kunokuthintela ukwanda kwemiphunga. Ezinye izinto ezifak’ isandla ziquka i-metastasis (ukusasazeka komhlaza) kwimiphunga, usulelo kunye ne-anemia. Ukuxilongwa ngokuchanekileyo kubalulekile ukufumanisa unobangela kunye nokulungelelanisa iindlela ezifanelekileyo zonyango.

IiNdlela zoNyango lokuNgaphefumli kuMhlaza weMiphunga

Amayeza

Amayeza amaninzi anokulawula ngokufanelekileyo ukuphefumla. Iibronchodilators ziphumza iindlela zomoya, ziphucula ukuhamba komoya. I-Diuretics inceda ukunciphisa ukwakheka kwamanzi, ukunciphisa uxinzelelo kwimiphunga. I-opioids, ngelixa isetyenziswa ngononophelo ngenxa yeziphumo ebezingalindelekanga, inokubonelela ngesiqabu ekuphefumleni kakhulu. Amayeza athile kunye nethamo limiselwa ngokusekelwe kwiimfuno zomntu kunye nesimo sempilo. Soloko udibana nengcali yezonyango phambi kokuba uqale nawaphi na amayeza amatsha.

Unyango ngeoksijini

Unyango olongezelelweyo lweoksijini luqhele ukusetyenziswa ukuphucula amanqanaba eoksijini egazini, ngakumbi kwizigulana ezinegazi eliphantsi le-oxygen saturation. Ioksijini inokulawulwa ngeenkanula zempumlo okanye iimaski, inika isiqabu ngokukhawuleza ekuphefumleni. Ubungakanani beoksijini eyongezelelweyo emiselweyo iya kwahluka ngokuxhomekeke kwiimfuno ezithile zesigulana.

Unyango ngemitha

Kwezinye iimeko, unyango lweradiation lunokusetyenziselwa ukunciphisa amathumba acinezela iindlela zomoya, ngaloo ndlela kuphuculwe ukuphefumla. Le ndlela ijongene ngqo nonobangela wokuphefumla kwiimeko ezithile. Ukusebenza kunye nokufaneleka konyango lweradiation kuxhomekeke kwindawo kunye nobukhulu bethumba.

Utyando

Ungenelelo lotyando lunokuthathelwa ingqalelo kwiinkqubo ezifana ne-pleurodesis (ukususwa kwe-pleural fluid) okanye ukususa amathumba abangela ukuvaleka kwendlela yomoya. Isigqibo sokuqhubeka nokuhlinzwa senziwa kwimeko-nge-case, kuthathelwa ingqalelo impilo yonke yesigulane kunye nesigaba somhlaza. Ezi nkqubo zenziwa ngokwesiqhelo kwiingcali unyango lokuphefumla kwizibhedlele zomhlaza wemiphunga namaqela otyando anamava.

Ukhathalelo lwePalliative

Ukhathalelo lwePalliative ludlala indima ebalulekileyo ekulawuleni ukuphefumla, kugxininise ekukhululekeni kweempawu kunye nokuphucula umgangatho wobomi. Le ndlela yokwenza izinto ezininzi ibandakanya ukulawulwa kweentlungu, inkxaso yeemvakalelo, kunye nokujongana nezinye iimpawu zomzimba. Ukhathalelo lwePalliative lujolise ekongezeni intuthuzelo kunye nokuphucula impilo-ntle yesigulana.

Ukukhetha isibhedlele somhlaza wemiphunga

Ukukhetha isibhedlele esifanelekileyo somhlaza wemiphunga kubalulekile ekufumaneni okusebenzayo unyango lokuphefumla kunye nokhathalelo olubanzi lomhlaza. Qwalasela izinto ezifana nobuchule besibhedlele ekunyangeni umhlaza wemiphunga, amandla aso obuchwepheshe, kunye nokufumaneka kweenkonzo ezikhethekileyo ezifana nokhathalelo lokuthomalalisa. Isibhedlele esineqela leengcali ze-oncologists, i-pulmonologists, iingcali zokuphefumla, kunye neengcali zokunakekelwa kwe-palliative zinika indlela epheleleyo kunye nokulungelelaniswa.

Itheyibhile: Ukuthelekisa uKhetho loNyango lokuphefumla

Khumbula, olu lwazi lulwazi ngokubanzi kwaye akufuneki luthathelwe ingqalelo njengengcebiso yezonyango. Soloko udibana nogqirha wakho okanye igcisa lezempilo ukuze uxilongwe kunye nonyango lokuphefumla okanye nayiphi na enye inkxalabo yezempilo. Ulwazi olunikelwe apha aluthathi indawo yeengcebiso zonyango zobungcali. Ngalo lonke ixesha ufune iingcebiso kugqirha wakho okanye omnye umboneleli wezempilo oqeqeshiweyo ngayo nayiphi na imibuzo onokuba nayo malunga nemeko yonyango. Ungaze utyeshele iingcebiso zobugqirha okanye ulibazise ukulifuna ngenxa yento oyifundileyo kule webhusayithi.