ukwelashwa kokuphelelwa umoya ngezindleko zomdlavuza wamaphaphu

Ukwelashwa Kokuphefumula Kumdlavuza Wamaphaphu: Izindleko Nokucatshangelwa

Ukuphefumula, noma i-dyspnea, kuwuphawu oluvamile futhi olucindezelayo kumdlavuza wamaphaphu. Ukuqonda izimbangela, izindlela zokwelapha, kanye nezindleko ezihambisanayo kubalulekile ezigulini nasemindenini yazo. Lo mhlahlandlela ophelele uhlola izindlela ezahlukahlukene zokulawula ukuphefumula komdlavuza wamaphaphu, okubandakanya imithi, izindlela zokwelapha, nokunakekelwa okusekelayo, kuyilapho kubhekwana nezici zezezimali ezihilelekile.

Ukuqonda Ukuphefumula Ngomdlavuza Wamaphaphu

Izinkinga ze-Dyspnea

Ukuphelelwa umoya kumdlavuza wamaphaphu kungabangelwa izici eziningana, okuhlanganisa ukukhula kwesimila okuvimbela imigudu yokuphefumula, ukunqwabelana koketshezi emaphashini (i-pleural effusion), izifo zamaphaphu (inyumoniya), i-anemia, nokukhathazeka. Ubunzima bokuphelelwa umoya buyahlukahluka kuye ngesiteji nohlobo lomdlavuza, kanye nempilo yomuntu iyonke.

Ukuxilonga Imbangela

Ukuxilongwa okunembile kuyisinyathelo sokuqala esisebenzayo ukwelashwa kokuphelelwa umoya kumdlavuza wamaphaphu. Odokotela bazohlola umlando wezokwelashwa okuphelele, ukuhlolwa ngokomzimba, nokuhlolwa kwezithombe njenge-X-ray yesifuba kanye ne-CT scans ukuze bakhombe imbangela eyinhloko ye-dyspnea. Ukuhlola okwengeziwe, njengokuhlolwa kwegazi ne-bronchoscopy, kungase kudingeke ukuze kuhlolwe ngokuphelele. Ukuxilongwa kusenesikhathi kuyisihluthulelo sokuphathwa ngempumelelo kwalolu phawu olucindezelayo. Ukubonisana nongoti ezikhungweni ezifana ne I-Shandong Baofa Cancer Research Institute inganikeza ukunakekelwa okuphelele.

Izinketho Zokwelashwa Zokuphefumula

Imithi

Imithi ehlukahlukene ingasiza ekunciphiseni ukuphefumula. Ama-bronchodilator aphumuza imigudu yokuphefumula, enze ukuphefumula kube lula. Ama-opioid anganciphisa ukuphefumula ngokuphazamisa umbono wobuchopho ngobunzima bokuphefumula. I-Diuretics ingasiza ekususeni uketshezi okweqile, ukunciphisa ukucindezela emaphashini. Ukukhethwa kwemithi kuncike kumbangela kanye nobukhulu be-dyspnea. Udokotela wakho uzocabangela ngokucophelela izidingo zakho zomuntu ngamunye lapho enikeza imithi.

Ukwelashwa Ngeoksijini

I-oxygen eyengeziwe ingathuthukisa kakhulu ukunethezeka kokuphefumula ezigulini ezinamazinga aphansi komoyampilo wegazi. Ukwelashwa ngeoksijini kungenziwa ekhaya ngokusebenzisa ama-cannula akhala noma imaski yobuso, ukuthuthukisa izinga lokuphila. Izindleko zokwelashwa komoyampilo ziyahlukahluka kuye ngohlobo lwemishini kanye nobude besikhathi sokwelashwa. Kubalulekile ukuxoxa ngalokhu nomhlinzeki wakho wezempilo.

Ezinye Izindlela Zokwelapha

Ukwelashwa ngemisebe kungase kusetshenziselwe ukunciphisa izimila ezivimba imigudu yokuphefumula. I-Pleurodesis, inqubo yokuvala isikhala se-pleural, ingavimbela ukunqwabelana koketshezi. Kwezinye izimo, ukuhlinzwa kungase kube inketho yokukhipha izimila noma ukukhipha uketshezi. Ukwelashwa ngakunye kunezindleko zako ezihlotshaniswayo, futhi ukutholakala komshwalense kuyehluka. Ingxoxo enemininingwane nodokotela wakho we-oncologist izokusiza uqonde izinketho nemithelela yezezimali ehambisanayo.

Ukunakekela Okusekelayo

Ukunakekelwa okusekelayo kudlala indima ebalulekile ekulawuleni ukuphefumula. Lokhu kuhlanganisa ukuvuselelwa kwamaphaphu, okubandakanya ukuvivinya umzimba nokufundisa ukuthuthukisa ukuphefumula namandla. Amaqembu ezeluleko nezesekayo angasiza iziguli ukuthi zibhekane nomthelela ongokomzwelo wokuxilongwa kwazo futhi zithuthukise inhlalakahle yonke. Lezi zinsizakalo zingathuthukisa ikhwalithi yempilo futhi zisize ukunciphisa umthelela wezezimali wesifo.

Ukucatshangelwa Kwezindleko Zokwelashwa Kokuphefumula

Izindleko ze ukwelashwa kokuphelelwa umoya kumdlavuza wamaphaphu kuyehluka kakhulu kuye ngezinto ezimbalwa: uhlobo nezinga lokwelashwa okudingekayo, indawo yezinsizakalo zezokwelapha (ezizimele uma ziqhathaniswa nezindawo zomphakathi), ukuhlinzekwa komshwalense, kanye nezimo zomuntu ngamunye zesiguli. Xhumana nomhlinzeki wakho womshwalense ukuze uqonde ukumbozwa kwakho ngezinketho ezahlukene zokwelapha. I-Shandong Baofa Cancer Research Institute inikeza ukunakekelwa okuphelele ngenkathi kubhekwa isici sezezimali sokwelashwa.

Ukwehlukaniswa Kwezindleko (Isibonelo Esibonisayo)

Ithebula elilandelayo linikeza isibonelo esinesithombe sezindleko ezingaba khona. Izindleko zangempela zizohluka kuye ngezimo ngazinye. Lolu akulona uhlu oluphelele, futhi ukubonisana nomhlinzeki wakho wokunakekelwa kwezempilo kanye nenkampani yomshwalense kuyadingeka.

Izinsiza Zosizo Lwezezimali

Izinhlangano eziningi zinikeza izinhlelo zokusiza ngezezimali ukusiza iziguli ukuphatha izindleko ezihlobene nokwelashwa komdlavuza. Lezi zinsiza zingahlinzeka ngezibonelelo, uxhaso, noma usizo lokuzulazula ngomshwalense. Xhumana nesikhungo sangakini somdlavuza noma umhlinzeki wezempilo ukuze uhlole izindlela ezingase zibe khona zokuthola usizo lwezezimali.

Umshwana wokuzihlangula: Lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo. Izilinganiso zezindleko zingumfanekiso futhi zingahluka kakhulu.