ukwelashwa kokuphelelwa umoya kumdlavuza wamaphaphu

Ukwelashwa Kokuphefumula Kumdlavuza Wamaphaphu

Ukuphelelwa umoya, noma ukuphelelwa umoya, kuwuphawu oluvamile nolucindezelayo olutholwa abantu abaningi abanomdlavuza wamaphaphu. Lo mhlahlandlela ophelele uhlola izimbangela, ukuphathwa, kanye nezinketho zokwelashwa ezitholakalayo ukwelashwa kokuphelelwa umoya kumdlavuza wamaphaphu. Ukuqonda izimbangela ezibalulekile kubalulekile ekuphatheni ngempumelelo, futhi sizocubungula izindlela ezahlukahlukene zokudambisa lolu phawu nokwenza ngcono izinga lempilo.

Ukuqonda Izimbangela Zokuphefumula Kumdlavuza Wamaphaphu

Ukukhula Kwe-Tumor kanye Nokucindezela

Ukukhula kwesimila somdlavuza wamaphaphu kungacindezela ngokuqondile imigudu yomoya, kuvimbele ukugeleza komoya futhi kuholele ekuphelelweni umoya. Indawo nosayizi wesimila kuthinta kakhulu ukuqina kwalolu phawu. Kwezinye izimo, isimila singase futhi sihlasele izakhiwo ezizungezile, siqhubekisele phambili ubunzima bokuphefumula.

I-Pleural Effusions

Umdlavuza wamaphaphu ungabangela ukunqwabelana koketshezi esikhaleni se-pleural (indawo ephakathi kwamaphaphu nodonga lwesifuba), isimo esaziwa ngokuthi i-pleural effusion. Lokhu kunqwabelana koketshezi kubeka ingcindezi emaphashini, kunciphise ikhono lawo lokukhula ngokugcwele futhi kubangele ukuphelelwa umoya. Ukwelashwa ngokuvamile kuhilela ukukhipha uketshezi ngenqubo ebizwa ngokuthi i-thoracentesis.

Inyumoniya kanye Nezifo Ezithathelwanayo

Abantu abanomdlavuza wamaphaphu basengozini enkulu yokuba nenyumoniya nezinye izifo zokuphefumula. Lezi zifo zingase ziphazamise ukusebenza kwamaphaphu futhi zenze ukuphefumula kube kubi kakhulu. Ukuxilongwa ngokushesha kanye nokwelashwa kwalezi zifo kubalulekile ekulawuleni ukwelashwa kokuphelelwa umoya kumdlavuza wamaphaphu.

Ezinye Izinto Ezinomthelela

Ezinye izici ezifana ne-anemia, ukukhathazeka, kanye nemiphumela yokwelashwa komdlavuza (njengokwelashwa ngamakhemikhali noma nge-radiotherapy) nakho kungaba nomthelela noma kube kubi kakhulu ukuphelelwa umoya ezigulini ezinomdlavuza wamaphaphu. Ukuhlolwa okuphelele kochwepheshe bezokwelapha kubalulekile ukuze kutholakale zonke izici ezinomthelela.

Izinketho Zokwelashwa Zokuphefumula Kumdlavuza Wamaphaphu

Imithi

Imithi eminingana ingasiza ekulawuleni ukuphefumula. Ama-bronchodilator, njenge-albuterol, aphumuza imigudu yomoya futhi athuthukise ukugeleza komoya. Ama-opioid, njenge-morphine, anganciphisa ukuphefumula ngokunciphisa ukukhathazeka nokuphefumula kancane. Eminye imithi ingase isetshenziselwe ukubhekana nezimo ezikhona njenge-pneumonia noma i-pleural effusions.

Ukwelashwa Ngeoksijini

Ukwelashwa kwe-oksijini okungeziwe kuvame ukunikezwa ukuze kuthuthukiswe amazinga e-oxygen egazini futhi kunciphise ukuphefumula. Umoya-mpilo ungalethwa nge-cannulae yamakhala noma imaski yobuso. Izinga le-oxygen supplementation linqunywa izidingo zomuntu ngamunye futhi liqashwe ngokucophelela.

Ukwelapha Ngemisebe

Ezimweni lapho isimila sibangela ukucindezelwa komzila womoya, ukwelashwa ngemisebe kungase kusetshenziselwe ukunciphisa isimila futhi kuthuthukiswe ukugeleza komoya. Le ndlela ingasiza ekudambiseni ukuphefumula, kodwa izinzuzo zingase zingabi ngokushesha.

Ukuhlinzwa

Ukungenelela kokuhlinzwa, okufana ne-lobectomy (ukususwa kwe-lung lobe) noma i-pneumonectomy (ukususwa kwephaphu lonke), kungase kucatshangelwe ezimweni ezikhethiwe ukuze kukhishwe isimila esivimba imigudu yokuphefumula futhi kukhulule ukuphefumula. Nokho, lokhu kuvame ukuncika empilweni yesiguli iyonke kanye nesigaba somdlavuza.

I-Palliative Care

Ukunakekelwa kwe-Palliative kudlala indima ebalulekile ekulawuleni ukuphefumula kumdlavuza wamaphaphu othuthukile. Igxile ekuthuthukiseni izinga lempilo ngokubhekana nezimpawu, ukunikeza ukusekelwa ngokomzwelo, nokuqinisekisa induduzo. Amathimba okunakekelwa kwe-Palliative asebenza ngokubambisana nama-oncologists nabanye ochwepheshe ukuze bakhe uhlelo lomuntu ngamunye lokulawula ukuphefumula nezinye izimpawu ngempumelelo.

Ukulawula Ukuphefumula Ekhaya

Ngaphezu kokwelashwa, amasu amaningana angasiza ukuphatha ukuphefumula ekhaya:

• Zijwayeze amasu okuphumuza njengokuvivinya ukuphefumula okujulile nokuzindla.
• Gcina ukuma okunethezekile; gwema ukuqamba amanga uma kukhuphula ukuphefumula.
• Yenza umsebenzi womzimba omnene njengoba kubekezelelwe.
• Gwema ukubhema nokuchayeka ezintweni ezicasulayo.
• Xhumana nethimba lakho lokunakekelwa kwezempilo ukuze uthole izeluleko eziqondene nawe kanye nokwesekwa.

Ukuthola Ukusekelwa Nolunye Ulwazi

Ukuphila nomdlavuza wamaphaphu nokulawula ukuphelelwa umoya kungaba yinselele. Kubalulekile ukufuna ukwesekwa kochwepheshe bezempilo kanye namaqembu okusekela. Ungathintana nodokotela wakho noma uchwepheshe wokunakekelwa kwe-palliative ukuze uthole isiqondiso esiqondene nawe. Izinhlangano eziningi zinikeza ukwesekwa nezinsiza kubantu abathintwe umdlavuza wamaphaphu. Ukuze uthole ulwazi olwengeziwe ngokwelashwa nokusekelwa komdlavuza wamaphaphu, ungase ufise ukubonana nezinsiza ezitholakala ezinhlanganweni ezinedumela elihle njenge-American Lung Association noma i-National Cancer Institute.

Ukuze uthole ukunakekelwa komdlavuza okuthuthukile nokuphelele, okuhlanganisa nokuphathwa kokuphelelwa umoya okuhambisana nomdlavuza wamaphaphu, cabanga ngokufuna ukubonisana nochwepheshe kwabezempilo. I-Shandong Baofa Cancer Research Institute. Banikeza indlela ehlukahlukene yokunakekelwa komdlavuza, okuhloswe ngayo ukuhlinzeka ngemiphumela engcono kakhulu ezigulini zabo. Lokhu kubandakanya ithimba elizinikele eligxile ekunakekelweni kwe-palliative kanye nokulawulwa kwezimpawu.