
Ukuphefumula, noma i-dyspnea, kuwuphawu oluvamile nolucindezelayo lomdlavuza wamaphaphu. Lesi sihloko sihlola izindlela zokwelapha ezahlukahlukene zokulawula ukuphefumula kumdlavuza wamaphaphu, kugxilwe ezindleleni ezingabizi kakhulu futhi kubhekwe izidingo zesiguli ngasinye. Sizohlola kokubili ukungenelela kwezokwelapha kanye namasu okunakekelwa okusekela ukusiza ukunciphisa lesi sibonakaliso esiyinselele.
Ukuphelelwa umoya kumdlavuza wamaphaphu kungabangelwa izici eziningana, okuhlanganisa ukukhula kwesimila okuvimbela imigudu yokuphefumula, ukunqwabelana koketshezi emaphashini (i-pleural effusion), kanye nomonakalo wamaphaphu ongaphansi. Ubunzima buyahluka kakhulu kuye ngesigaba somdlavuza, izinga lokubandakanyeka kwamaphaphu, kanye nempilo yomuntu iyonke. Ukuphatha okuphumelelayo kudinga ukuqonda okuphelele kwembangela ewumsuka.
Nakuba izindleko zokwelashwa zingahluka kakhulu kuye ngendawo kanye nokufakwa komshwalense, ukungenelela okuningana kwezokwelapha kungalawula ngempumelelo ukuphefumula. Ngokuvamile lezi zihlose ukubhekana nembangela ewumsuka. Isibonelo, i-pleural effusion ingelashwa nge-thoracentesis (ukukhipha uketshezi oluphuma emaphashini), inqubo okuthi, nakuba idinga ubuchwepheshe bezokwelapha, ingaba nezindleko eziphansi uma iqhathaniswa nezinye izindlela zokwelapha ezithuthukisiwe. Ngokufanayo, ukwelapha ngemisebe kungase kusetshenziselwe ukunciphisa amathumba avimbela imigudu yomoya, nakuba izindleko zizoncika ohlelweni lokwelapha kanye nezinga lemisebe edingekayo. Hlala uthintana nodokotela wakho we-oncologist ukuze nixoxe ngenketho efanelekile futhi engabizi kakhulu ngesimo sakho esithile.
Ukunakekelwa okusekelayo kudlala indima ebalulekile ekulawuleni ukuphefumula. Lezi zindlela zivame ukuhlinzeka ngokukhululeka okukhulu ngezindleko eziphansi kunokungenelela kwezokwelapha okuyinkimbinkimbi. Zihlanganisa:
Ukushintsha indlela yokuphila nakho kungaba nomthelela ekulawuleni ukuphefumula. Lezi zinguquko, ngokuvamile ezingabizi noma mahhala, zingafaka:
Indlela elungile yokuphatha Ukwelashwa okushibhile kokuphelelwa umoya ngezindleko zomdlavuza wamaphaphu kuncike kakhulu ezimweni zomuntu ngamunye, ukuqina kokuphefumula, kanye nempilo yonke yesiguli. Udokotela wakho we-oncologist kanye nethimba lezinhlaka eziningi bazosebenzisana ukuze bakhe uhlelo lokwelapha lomuntu siqu olubhekana nezidingo zakho ezithile kanye nemikhawulo yesabelomali.
Ukubhekana nomdlavuza wamaphaphu nezimpawu zawo kungaba inselele. Ungangabazi ukuthola usizo lomndeni, abangani, amaqembu okusekela, noma ochwepheshe bezokunakekelwa kwempilo. Khumbula, kunezinsiza ezitholakalayo zokukusiza ukuthi uzulazule kulolu hambo.
Umshwana wokuzihlangula: Lesi sihloko sinikeza ulwazi olujwayelekile futhi akufanele kubhekwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo, okuhlanganisa umdlavuza wamaphaphu kanye nokuphelelwa umoya. Izindleko zezinketho zokwelashwa zingahluka kuye ngendawo, ukutholakala komshwalense, nezimo ngazinye.
| Inketho Yokwelapha | Izindleko Ezingenzeka | Izinzuzo | Ukubi |
|---|---|---|---|
| Ukwelashwa Ngeoksijini | Okuguquguqukayo, kuya ngobude besikhathi namathuluzi | Ukunethezeka kokuphefumula okuthuthukisiwe | Idinga okokusebenza, angeke ibhekane nembangela ewumsuka |
| Imithi | Kuyaguquguquka, kuncike emuthini nasesikalini | Ingadambisa izimpawu, ingabizi kakhulu | Imiphumela engemihle engaba khona, ingase ingasebenzi kuwo wonke umuntu |
| Ukuphefumula Ukuzivocavoca | Izindleko eziphansi, ngokuvamile zimahhala | Ithuthukisa ukulawula ukuphefumula, akukho miphumela emibi | Kudinga ukuzijwayeza nokuzibophezela, kungase kunganele ezimweni ezinzima |
Ukuze uthole ulwazi olwengeziwe noma ukuhlola ukunakekelwa okuphelele komdlavuza, sicela uvakashele I-Shandong Baofa Cancer Research Institute.
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