unyango unyango lokuphefumla kumhlaza wemiphunga Izibhedlele

Unyango lokungaphefumli kwizibhedlele zomhlaza wemiphunga Eli nqaku libonelela ngolwazi olubanzi malunga nokulawula ukuphefumla (dyspnea), uphawu oluxhaphakileyo nolucinezelayo kumhlaza wemiphunga. Siphonononga iindlela ezahlukeneyo zonyango ezikhoyo kwizibhedlele ezikhethekileyo zomhlaza wemiphunga, sigxile kwiindlela ezisebenzayo kunye nezicwangciso ezisekelwe kubungqina. Oku kubandakanya ukujongana nezizathu ezisisiseko zokuphefumla kunye nokuphucula umgangatho wobomi kwizigulana.

Unyango lokungaphefumli kwizibhedlele zoMhlaza wemiphunga

Ukuphefumla, okanye i-dyspnea, luphawu oluhlala lukhona kunye nolwenzakalisayo olufunyanwa ngabantu abaninzi abafunyaniswa benomhlaza wemiphunga. Ubunzima bokuphefumla bunokwahluka kakhulu ngokuxhomekeke kwinqanaba kunye nohlobo lomhlaza, kunye nobukho bezinye iimeko zonyango eziphantsi. Ngethamsanqa, iindlela ezahlukeneyo zonyango ziyafumaneka ukuthomalalisa olu phawu lukhathazayo nokuphucula umgangatho wobomi kwizigulana. Ukukhetha okulungileyo unyango unyango lokuphefumla kumhlaza wemiphunga Izibhedlele ibalulekile kulawulo olusebenzayo.

Ukuqonda oonobangela boMphefumlo kuMhlaza weMiphunga

Ukungaphefumli kumhlaza wemiphunga kunokuvela kwizinto ezininzi. I-tumor ngokwayo inokuthintela iindlela zomoya, ukunciphisa ukuhamba komoya kwimiphunga. Ukunyuka kolwelo olujikeleze imiphunga (i-pleural effusion) kusenokucinezela imiphunga, nto leyo ekhokelela kukuphelelwa ngumphefumlo. Ngapha koko, umhlaza wemiphunga unokonakalisa izicubu zemiphunga, unciphise amandla awo okutshintshana ngokufanelekileyo ioksijini kunye nekhabhon diokside. Ukongeza kwiziphumo ezithe ngqo zomhlaza, unyango olufana nechemotherapy kunye nonyango lweradiation lunokuba negalelo ekuphefumleni njengeziphumo ebezingalindelekanga.

Iinketho Zonyango Lokungaphefumli

Amayeza

Amayeza amaninzi anokunceda ukulawula ukuphefumla. Iibronchodilators, ezifana ne-albuterol, ziphumza umoya kwaye ziphucule ukuhamba komoya. I-opioids, njenge-morphine, inokunciphisa ukuphefumla ngokuchaphazela imbono yengqondo yoxinzelelo lokuphefumla. I-Diuretics inceda ukunciphisa ukugcwala kolwelo olujikeleze imiphunga, ukukhulula uxinzelelo kunye nokuphucula ukuphefumla. Ukukhethwa kwamayeza kuxhomekeke kunobangela osisiseko wokuphefumla kunye neemfuno zesigulana ngasinye. Kubalulekile ukuba udibane nogqirha wakho okanye i-oncologist ukumisela eyona rejimeni iyeza lifanelekileyo.

Unyango ngeoksijini

Ioksijini eyongezelelweyo inokuphucula kakhulu ukuphefumla kunye nokunciphisa ukuphefumla. Unyango lwe-oksijeni lubandakanya ukuhambisa i-oksijini eyongezelelweyo kwimiphunga, inceda ukunciphisa ukungabikho kwe-oksijeni kunye nokuphucula umsebenzi wokuphefumula jikelele. Oku kunokufezekiswa ngeendlela ezahlukeneyo, ezifana ne-nasal cannulas okanye iimaski ze-oxygen. Inqanaba lokuncedisa i-oksijini lichongwa ngokusekelwe kumanqanaba okugcwala kwe-oxygen yesigulane kunye nesimo seklinikhi jikelele.

Inkxaso yokuphefumla

Kwiimeko ezinzima zokuphefumla, inkxaso yokuphefumula ingafuneka. I-ventilation engekho-invasive (NIV), efana noxinzelelo oluqhubekayo lwe-airway (CPAP) okanye i-bilevel positive airway pressure (BiPAP), inokunceda ukuphucula ukuphefumla ngokugcina uxinzelelo lomoya kunye nokunciphisa umsebenzi wokuphefumula. Kwiimeko ezimandundu, kusenokufuneka umoya wokuphefumla ngoomatshini ukuze kuxhaswe ukuphefumla.

Olunye Unyango

Olunye unyango, olufana nokuvuselelwa kwemiphunga, lunokudlala indima ebalulekileyo ekulawuleni ukuphefumla. Ukuvuselelwa kwemiphunga yinkqubo ye-multidisciplinary equka uqeqesho lokuzilolonga, imfundo, kunye nenkxaso yengqondo yokuphucula umsebenzi wokuphefumula, amandla, kunye nomgangatho wobomi bonke. Le nkqubo ilungiselelwe iimfuno zomntu ngamnye kunye nobuchule besigulane ngasinye. Ngaphaya koko, amacebo afana neendlela zokuphumla kunye nemithambo yokuphefumla inokunceda ukulawula ukuxhalaba kunye nokuphucula intuthuzelo yokuphefumla.

Ukufumana iLungelo Unyango lonyango lokuphefumla kwizibhedlele zomhlaza wemiphunga

Ukukhetha isibhedlele esifanelekileyo kubalulekile kulawulo olusebenzayo lomhlaza wemiphunga kunye neempawu ezinxulumene nokuphefumla. Cinga ngokufuna ukhathalelo esibhedlele kunye neqela elizinikeleyo lokhathalelo lokuthomalalisa, ii-oncologists ezinamava ezigxile kumhlaza wemiphunga, kunye neenkonzo ezibanzi zenkxaso yokuphefumla. Izibhedlele ezisebenza kunyango lomhlaza wemiphunga zihlala zikwazi ukufikelela kwiitekhnoloji zamva nje kunye nemigaqo yonyango yokulawula ukuphefumla ngokufanelekileyo.

Ngokomzekelo, i IZiko loPhando ngoMhlaza laseShandong Baofa ibonelela ngokhathalelo olubanzi nolukhethekileyo kwizigulana ezinomhlaza wemiphunga, kubandakanywa nonyango oluphezulu lonyango lokuphefumla. Ubungcali babo kunye nokuzinikela kwabo kwimpilo-ntle yesigulana kubenza babe sisixhobo esibalulekileyo kwizigulane ezihamba kule meko inzima. Soloko udibana nomboneleli wakho wezempilo ukuze abone eyona ndlela ilungileyo yokwenza kwiimeko zakho ezithile.

Inqaku elibalulekileyo:

Ulwazi olunikwe kweli nqaku lenzelwe iinjongo zolwazi ngokubanzi kuphela kwaye akufanele zithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango. Ukusebenza kwalo naluphi na unyango kunokwahluka ngokuxhomekeke kwisigulane ngasinye kunye neemeko zabo ezithile.