Ubugabaniro bw'umubiri w'amahaha

Ubugabaniro bw'umubiri w'amahaha bukoreshwa mu gufasha bamwe mu bantu barwaye igicurane gikabije, ubwoko bwa indwara zifunga umwuka (COPD), guhumeka byoroshye. Ni ingenzi cyane ko itsinda ry'inzobere mu byiciro byinshi rimenya kandi rigaharanira abantu bashobora kungukira kuri ubu buvuzi. Bamwe mu bantu bashobora kuba batakwiriye kubagwa muri ubu buryo.

Mu gihe cy’ubuganga bwo kugabanya umubare w’ibihaha, umuganga w’abaganga b’amabere — uzwi kandi nka muganga w’amabere — akuraho hafi 20% kugeza kuri 35% y’imiterere y’ibihaha irwaye kugira ngo asigaye akore neza. Ibi bituma diafragumu — umusuli ugabanya igituza cyawe n’igice cy’inda — ikomera kandi ikaruhuka neza kandi ku buryo buhamye. Ibi bituma uhumeka byoroshye. Kugira ngo umenye niba ushobora kungukirwa no kugabanya umubare w’ibihaha, muganga wawe ashobora kugutekerezaho: Ibipimo n’isuzuma, birimo ibizamini by’umutima wawe n’imikorere y’ibihaha, ibizamini byo gukora imyitozo, hamwe na CT scan y’ibihaha byawe, kugira ngo umenye aho emphysema iri n’uburemere bwayo. Gahunda yo kuvugurura ubuzima bw’ibihaha, gahunda ifasha abantu kwita ku buzima bwabo binyuze mu kunoza uko bakora ku mubiri no mu bwenge.

Ibiro byo kugabanya umubare w'ibihaha birimo: Guhura na pneumonia. Gukora umuvuduko w'amaraso. Kukeneye gukoresha imashini yo guhumeka iminsi irenga ibiri. Kugira ikibazo cyo gutakaza umwuka. Iyo habaye ikibazo cyo gutakaza umwuka, umuyoboro wo mu gituza ukura umwuka mu mubiri wawe. Ibibazo byinshi byo gutakaza umwuka bikira mu cyumweru kimwe. Ibiro bike bishobora kubaho birimo kwandura kw'ibikomere, umuvuduko w'umutima utari mwiza, gufatwa n'indwara y'umutima no gupfa. Ku bantu batagize ikibazo cyo gukora imyitozo ngororamubiri kandi icyemezo cyabo kitari mu gice cyo hejuru cy'ibihaha, kubaga kugabanya umubare w'ibihaha ntibyarushijeho kunoza imikorere, kandi igihe cyo kubaho cyagabanutse. Niba ibikomere by'ibihaha byawe biri bibi cyane, kubaga kugabanya umubare w'ibihaha bishobora kuba atari amahitamo. Ubundi buryo nk'ubuvuzi bwa valve ya endobronchial bushobora kuba amahitamo. Ibipapu bya endobronchial ni ibipapu byimurwa byerekeza ku ruhande rumwe bituma umwuka ufunze ucika mu gice cyarwaye cy'ibihaha. Ibi bigabanya ubunini bw'igice cyarwaye. Ibyo bituma umwuka uhumeka ukwirakwira mu bindi bice by'ibihaha bikora neza. Ibi bigufasha guhumeka neza kandi bigabanya guhumeka nabi. Mu gihe ibihaha byangiritse bitashobora gukira, ubugororangingo bw'ibihaha bushobora kugenzurwa.

Mbere y'uko bagukorera igikorwa cyo kugabanya umubare w'amahaha, umutima wawe n'amahaha bishobora gupimwa kugira ngo barebe uko bikora. Ushobora kandi gukora ibizamini byo gukora imyitozo ngororamubiri, ndetse no gukora isuzumwa ry'amahaha hakoreshejwe amashusho. Ushobora kwitabira gahunda yo kuvugurura ubushobozi bw'amahaha, gahunda ifasha abantu kunoza uko bakora ku mubiri no mu bwenge.

Mbere y'uko ukora igikorwa cyo kugabanya umubyibuho w'ibihaha, ushobora kubonwa na muganga w'inzobere mu bijyanye n'ibihaha-witwa pulmonologue-ndetse n'umuganga w'inzobere mu kubaga amabere, witwa umuganga w'abaganga. Ushobora kuba ukeneye gukora CT y'ibihaha byawe na ECG kugira ngo wandike ibimenyetso by'amashanyarazi mu mutima. Ushobora kandi kugira ibizamini byinshi kugira ngo umenye byinshi ku mutima wawe n'ibihaha. Mu gihe cyo kugabanya umubyibuho w'ibihaha, uzaba uryamye rwose kandi uri ku mashini yo guhumeka. Ibyinshi mu bikorwa byo kubaga bishobora gukorwa mu buryo budakomeretsa cyane. Umuganga wawe azakora ibikomere bike, bizwi nka incisions, ku mpande zombi z'amabere yawe kugira ngo agere ku ruhago rwawe. Mu bimwe mu bihe, aho gukora ibikomere bike, umuganga ashobora gukora igikomere kimwe cyimbitse hagati y'amabere yawe cyangwa hagati y'amagongo ku ruhande rw'iburyo rw'amabere yawe. Umuganga azakuraho 20% kugeza kuri 35% y'umubiri w'ibihaha byarwaye cyane. Ubu buvuzi bushobora guha umwanya wa diafragme gusubira mu isura yayo isanzwe, ibyo bikaba byagufasha guhumeka neza.