
Ukuthola Impumuzo Ekuphepheni Ukuphefumula Kumdlavuza Wamaphaphu: Umhlahlandlela Weziguli E-ChinaUkuthola ukwelashwa okuphumelelayo kokuphelelwa umoya (dyspnea) kumdlavuza wamaphaphu kubalulekile ukuze kuthuthukiswe izinga lempilo. Lo mhlahlandlela uhlinzeka ngolwazi lokuqonda izimbangela, ukulawula izimpawu, kanye nokuhlola izindlela zokwelapha ezitholakala e-China kubantu abanenkinga yokuphefumula ehlobene nomdlavuza wamaphaphu. Sizohlanganisa izindlela ezehlukene, sigcizelele ukubaluleka kokufuna iseluleko sochwepheshe bezokwelapha.
Ukuphelelwa umoya kuwuphawu oluvamile olutholwa abantu abanomdlavuza wamaphaphu, oluba nomthelela omkhulu ezimpilweni zabo zansuku zonke. Ukuqonda izimbangela zalolu phawu kuyisinyathelo sokuqala sokuphatha ngempumelelo. Lokhu kungase kubangelwa izici eziningana, okuhlanganisa isimila ngokwaso esivimbela imigudu yokuphefumula, ukunqwabelana koketshezi emaphashini (i-pleural effusion), noma ukusabalala komdlavuza kwezinye izingxenye zomzimba okuthinta ukusebenza kokuphefumula. Ukwengeza, ukwelashwa okufana ne-chemotherapy noma ukwelapha ngemisebe kwesinye isikhathi kungaba nomthelela ekuphelelweni umoya njengomphumela oseceleni.
Izimila zamaphaphu zingavimba imigudu yokuphefumula ngokomzimba, okuholela ekuphefumuleni kanzima. Ubukhulu nendawo yesimila buthinta ngokuqondile ubunzima bokuphelelwa umoya. Izinketho zokwelapha zivame ukugxila ekubhekaneni nesithiyo, noma ngokuhlinzwa, ukwelashwa ngemisebe, noma izinqubo ezihlasela kancane ezifana ne-bronchoscopy.
Ukunqwabelana koketshezi esikhaleni se-pleural (indawo ephakathi kwamaphaphu nodonga lwesifuba) kungenye imbangela evame Ukwelashwa kwaseShayina kokuphelelwa umoya kumdlavuza wamaphaphu eduze kwami. Lolu ketshezi lungacindezela amaphaphu, lunciphise ikhono lawo lokukhula futhi luvimbele ukugeleza komoya. Ukwelashwa ngokuvamile kuhilela ukukhipha uketshezi ngenqubo ebizwa ngokuthi i-thoracentesis.
Uma umdlavuza wamaphaphu usabalala (umetastasize) uye kwezinye izitho, ikakhulukazi ubuchopho noma umgogodla, ungaphazamisa ukulawula kokuphefumula kwesimiso sezinzwa, okunomthelela ekuphelelweni umoya. Ukuphatha isifo se-metastatic kudinga indlela ebanzi, ngokuvamile ehlanganisa ukwelapha okuhlosiwe noma ukunakekelwa kwe-palliative.
Ukuphatha Ukwelashwa kwaseShayina kokuphelelwa umoya kumdlavuza wamaphaphu eduze kwami idinga isu elinezici eziningi elihambisana nesimo esithile somuntu. Izinketho zokwelapha zingabandakanya:
Imithi idlala indima ebalulekile ekudambiseni ukuphefumula. Ama-bronchodilator asiza ukuvula imigudu yokuphefumula, kuyilapho ukwelapha komoyampilo kugcwalisa umoya-mpilo womzimba. Eminye imithi ingase isetshenziselwe ukuphatha ubuhlungu, ukukhathazeka, nezinye izimpawu ezihambisanayo.
Ukwelashwa ngemisebe kunganciphisa izimila ezivimbela imigudu yokuphefumula, kwehlise ukuphefumula. Lokhu kwelashwa kuvame ukuqondiswa ukuze kuncishiswe imiphumela engemihle.
Kwezinye izimo, ukuhlinzwa ukususa isimila noma izicubu zamaphaphu ezithintekile kungase kube inketho. Lokhu ngokuvamile kucatshangelwa iziguli ezinesifo sendawo kanye nempilo enhle iyonke.
Ukunakekelwa kwe-Palliative kugxile ekuthuthukiseni izinga lempilo ngokulawula izimpawu kanye nokunikeza ukusekelwa ngokomzwelo nangokomoya. Le ndlela ibalulekile ezigabeni ezithuthukile zomdlavuza wamaphaphu, inikeza induduzo nokukhululeka.
Ukuthola ukunakekelwa kwezokwelapha okungcono kakhulu Ukwelashwa kwaseShayina kokuphelelwa umoya kumdlavuza wamaphaphu eduze kwami kudinga ukucatshangelwa ngokucophelela. Izinto ezinjengokusondela, ubungcweti bochwepheshe, nezinsiza ezitholakalayo zonke kufanele zicatshangelwe. Kunconywa kakhulu ukuthi uthintane nodokotela wakho we-oncologist ukuze wenze uhlelo lokwelapha lomuntu siqu.
Ukuze uthole ukunakekelwa okuphelele komdlavuza e-China, cabanga ukuhlola izikhungo ezinedumela elihle elinamayunithi akhethekile omdlavuza wamaphaphu. Lezi zikhungo zivame ukunikeza amakhono athuthukile okuxilonga kanye nezinhlobonhlobo zezinketho zokwelapha.
Khumbula ukuthi ngaso sonke isikhathi uxhumane nodokotela wakho noma umhlinzeki wezempilo ngaphambi kokwenza noma yiziphi izinqumo mayelana nempilo noma ukwelashwa kwakho. Lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha.
| Inketho Yokwelapha | Incazelo | Izinzuzo | Amaphutha Angenzeka |
|---|---|---|---|
| Ukwelashwa Ngeoksijini | I-oxygen eyengeziwe ukuze uthuthukise ukuphefumula | Amazinga e-oxygen engeziwe, ukuphefumula okuthuthukisiwe | Kungase kudinge okokusebenza, imiphumela emibi engaba khona |
| Ama-bronchodilators | Imithi yokuphumuza umoya | Ukugeleza komoya okuthuthukisiwe, ukuphefumula okulula | Imiphumela engemihle engaba khona, ayisebenzi kuzo zonke izimbangela |
| Ukwelapha Ngemisebe | Imisebe eqondiwe ukuze ishwabane izimila | Usayizi wesimila esincishisiwe, ukuphefumula okuthuthukisiwe | Imiphumela engemihle engaba khona, ayizifanele zonke iziguli |
Ukuze uthole ulwazi olwengeziwe ngokunakekelwa komdlavuza kanye nezinketho zokwelapha, ungafisa ukuvakashela I-Shandong Baofa Cancer Research Institute. Banikeza ukunakekelwa okuphelele komdlavuza futhi bangakwazi ukukusiza ekufuneni kwakho Ukwelashwa kwaseShayina kokuphelelwa umoya kumdlavuza wamaphaphu eduze kwami.
Umshwana wokuzihlangula: Lolu lwazi luhloselwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
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