Ukuphuma kwamapulmonary ukuphuma kwegazi elikhulu endaweni yangaphaphama. Ngokuvamile igazi lifika kwifomu evamile yamanzi, kodwa kwezinye izimo kunamanzi omzimba we-phlegm. Lesi yisimo esiyingozi kakhulu, ngoba singabangela ukuvinjelwa komonakalo kanye nokukhubazeka kwe-airway patency.
Izimbangela zegazi elimangalisa
Izizathu ezenza ukuthi kwenzeke ukubola kwamaphamitha kuningi. Ezingaphezu kuka-65% ekubukeni kwalesi simo, isifo sofuba samaphaphu sinecala. Futhi kukhona isisu se-pulmonaire ku:
- i-bronchitis;
- i-pneumonia engapheliyo;
- i-bronchiectasis;
- i-absrecy noma i-abscess yamaphutha;
- i-pneumosclerosis.
Ngokuvamile izimbangela zokugaya okunjalo yizilonda zamapayipi ezinonya, izilonda ezinamaphilisi, i-pneumoconiosis kanye nokungenelela kokuhlinzeka nge-bronchi namaphaphu. Kungabangela ukuvela kwalesi simo nokulimala okukhulu kwesifuba, njengokuhlukana kwezimbambo.
Ngaphezu kwezifo zesimiso sokuphefumula, ukubola kwesimonyo kungenziwa ngezifo zemithanjeni yegazi nenhliziyo: nge mitral stenosis, infarction myocardial noma umfutho wegazi ophezulu.
Izimpawu zamaphaza emaphazamisi
Ngokuvamile, ukuphazima kwamaphamitha kuqala nge-hemoptysis. Ukubola kungaba nomshukela obomvu noma obomvu obomvu, kungenzeka ukuthi igazi nekhala. Igazi kulokhu lingaba lukhuni, futhi i-coagulation ngeke ivele.
Izimpawu ze-hemorrhage ye-pulmonary zihlanganisa ukubukeka komkhuhlane owomile oqhubekayo owomile kanye nomzwelo wokugubha noma ukukhahlela emphinjeni. Isiguli singase futhi sibe nalokhu:
- ukuzwa okuvuthayo esifubeni (ngokuvamile eseceleni kwesilonda);
- i-adynamia;
- ubude obuqine kakhulu buso;
- ukunciphisa ukucindezelwa kwegazi;
- ukujuluka okubandayo;
- i-tachycardia ;
- isiyezi.
Ukuvame ukuphefumula kwamaphamitha ukuvame ukuphefumula, ukuphuza, ukuhlanza.
Usizo lokuqala lwe-pulmary hemorrhage
Lapho ukuphuma kwesimonyo kwenzeka, isiguli sidinga ukwelashwa okuphuthumayo nokwelashwa. Kodwa, uma ubhekene nesisulu, ngaphambi kokuba kufika odokotela ngu:
- Nikeza ukuthula okuphelele ngokomzimba.
- Susa izingubo ezenza ukuphefumula kunzima.
- Msize athathe isikhundla sokuhlala (okungcono nge-slope ohlangothini oluthintekile ukuze igazi lingangeni emaphashini enempilo).
- Faka isicelo se-compress ebandayo esifubeni sesiguli.
Usizo lwe-pulmary hemorrhage akumele lube ngokomzimba kuphela, kodwa futhi lube nengqondo. Zama ukunciphisa isiguli. Ukucindezeleka ngokweqile ngokomzwelo kungathuthukisa isimo.
Akuvumelekile kulesi simo ukukhuluma okuningi nokuthutha, ukudla noma ukuphuza amanzi nganoma yiluphi uhlobo. Ngesikhathi sosizo lokuqala lwe-pulmary hemorrhage, umuntu akufanele athathe ibhashi elishisayo noma ishawa, ufake amathini, amastadi lwesinaphi noma ezinye izingcindezi ezishisayo, ikakhulukazi endaweni yesifuba.
Ukwelashwa kwegazi lokumaphazamisa
Phatha ukulimaza kwamaphalenda kuphela esibhedlela. Isiguli kufanele ngaso sonke isikhathi sibe se-semi-sitting noma indawo yamanga.
Ukwelashwa kwesimiso semfucumfucu kufanele kuhlale kusekelwe ekuqedeni ukuphuma kwegazi kuphela, kodwa futhi nezimbangela zokubonakala kwayo. Uma ukubukeka kwalesi simo kuholele ukutheleleka, sebenzisa ama-antibacterial and anthelmintic agents, futhi uma imbangela isifo, umzimba wangaphandle noma i-aneurysm , isusiwe.