Kuyini Ukukhwehlela Igazi? Izimpawu, Izimbangela, & Ukuphathwa Ekhaya

Ukukhwehlela igazi, okubizwa ngokuthi i-hemoptysis ngamazwi ezokwelapha, kusho ukuthi ukhupha igazi noma i-sputum enegazi evela emaphashini akho noma emoyeni. Lokhu kungahluka kusuka emicu emincane yegazi exutshwe ngamathambo kuya ezingxenyeni ezinkulu zegazi elibomvu.

Ngenkathi ukubona igazi lapho ukhwehlela kungase kuzwakale kukhathaza, kubalulekile ukwazi ukuthi izimbangela eziningi ziyelapheka. Igazi livame ukuvela endaweni ethile ohlelweni lwakho lokuphefumula, oluhlanganisa umphimbo wakho, umoya, noma amaphaphu akho.

Kuyini Ukukhwehlela Igazi?

Ukukhwehlela igazi kwenzeka lapho imithambo yegazi emgudwini wakho wokuphefumula iphuka noma ithukuthele. Igama elithi hemoptysis lezokwelapha lihlanganisa yonke into kusuka emicu emincane yegazi kuya ekuphumeni kwegazi okukhulu emaphashini akho.

Uhlelo lwakho lokuphefumula lunemithambo eminingi emincane yegazi engase ilimale ngenxa yokutheleleka, ukucasuka, noma ezinye izimo. Lapho le mithambo ivuza, igazi lixubana ngamathambo futhi liphuma lapho ukhwehlela.

Kuhlukile ekuphalazeni igazi, elivela esiswini sakho noma ohlelweni lokugaya ukudla. Igazi elivela ekukhwehleni livame ukuvela linamagwebu noma linamabhamuza futhi lingase lixutshwe ne-sputum noma amathe.

Kuzwakala Kanjani Ukukhwehlela Igazi?

Ungase uzwe ukunambitheka kwensimbi noma okunosawoti emlonyeni wakho ngaphambi kokubona igazi. Abantu abaningi bachaza ukuzwa sengathi kukhona okuthi “kuphuma” kusuka ekujuleni esifubeni sabo.

Igazi lingavela ngezindlela ezahlukene kuye ngokuthi livela kuphi. Ungase ubone imicu ebomvu ekhanyayo exutshwe ngamathambo acacile noma anemibala, noma isampula lonke lingase libe nombala obomvana.

Abanye abantu bazwa ukuzwa okuthile okuthinta umphimbo wabo noma isifuba ngaphambi kokukhwehlela igazi. Abanye baqaphela ukuzwa okufudumele esifubeni sabo noma endaweni yomphimbo.

Yiziphi Izimbangela Zokukhwehlela Igazi?

Izimo eziningi zingakwenza ukhwehle igazi, kusukela ekucasukeni okuncane kuya ezinkingeni zempilo ezingathi sína. Ukuqonda lezi zimbangela kungakusiza ukwazi ukuthi nini okufanele ufune usizo lwezokwelapha.

Nazi izizathu ezivame kakhulu zokuthi kungani abantu bekhwehlela igazi:

• Izifo zokuphefumula: Umkhuhlane wamaphaphu, i-bronchitis, kanye nesifo sofuba kungavuvukala futhi kulimaze imithambo yegazi emaphapheni akho
• Ukhwehlela okungapheli: Ukhwehlela okuqhubekayo, okunamandla kungadabula imithambo emincane yegazi emqaleni wakho noma emoyeni
• Umkhuhlane wamaphaphu: Amathumba angagugula imithambo yegazi noma abangele ukopha emithanjeni yamaphaphu
• Amahlule egazi: Ama-pulmonary embolisms avimba ukugeleza kwegazi futhi angabangela ukopha emaphapheni akho
• Imithi: Izinciphisi zegazi ezinjenge-warfarin zingenza ukopha kube nokwenzeka
• Ukulimala: Ukulimala esifubeni noma izinqubo zezokwelapha kungalimaza izicubu zokuphefumula

Izimbangela ezingavamile zihlanganisa izimo ze-autoimmune ezifana ne-lupus, izinkinga zenhliziyo ezithinta ukujikeleza kwamaphaphu, kanye nezifo ezithile zokopha ezizuzwe ngomlando. Udokotela wakho angasiza ekunqumeni ukuthi iyiphi imbangela esebenza esimweni sakho.

Kuyini Ukukhwehlela Igazi Okuyisibonakaliso Noma Isimpawu Sani?

Ukukhwehlela igazi kungabonisa izimo ezihlukahlukene eziyisisekelo, kusukela ezifweni zesikhashana kuya ezifweni ezingapheli. Okubalulekile ukuqonda ukuthi yiziphi ezinye izimpawu ezivela kanye nokopha.

Ezifweni zokuphefumula, ungase futhi uhlangabezane nomkhuhlane, ubuhlungu besifuba, noma ubunzima bokuphefumula. Lezi zifo zibangela ukuvuvukala okwenza imithambo yegazi ithambekele ekuvuzeni noma ekuqhumeni.

Lapho umdlavuza wamaphaphu uyimbangela, ungase uqaphele ukukhwehlela okuqhubekayo, ukuncipha kwesisindo okungachazeki, noma ubuhlungu besifuba obungapheli. Ukopha kwenzeka ngoba amathumba angakhula angene emithanjeni yegazi noma adale imithambo emisha ebuthaka.

Amaqhubu egazi emaphashini akho avame ukubangela ukuphefumula ngokushesha, ubuhlungu besifuba, nokushaya kwenhliziyo okusheshayo kanye nokukhwehlela igazi. Lokhu kumelela isimo esiphuthumayo sezokwelapha esidinga ukunakekelwa ngokushesha.

Izimo zenhliziyo zingabangela ukuthi igazi libuyele emaphashini akho, okuholela ekukhiqizweni kwe-sputum epinki, enegwebu. Lokhu kuvame ukwenzeka kanye nokuvuvukala emilenzeni yakho nobunzima bokuphefumula lapho ulele phansi.

Izimo ze-Autoimmune ezifana ne-Goodpasture's syndrome noma i-lupus zingahlasela imithambo yegazi emaphashini akho. Lezi zimo ezingavamile zivame ukuthinta izinhlelo eziningi zezitho zomzimba futhi zidinga ukwelashwa okukhethekile.

Ingabe Ukukhwehlela Igazi Kunganyamalala Ngokwalo?

Inani elincane legazi elivela ezintweni ezincane ezifana nokucasuka komphimbo noma ukukhwehlela ngamandla lingase liyeke ngokwalo. Kodwa-ke, akufanele neze ucabange ukuthi ukukhwehlela igazi kuzoxazululwa ngaphandle kokuhlolwa kwezokwelapha.

Noma ngabe ukopha kuyeka, imbangela eyisisekelo ivame ukudinga ukwelashwa. Ukutheleleka kudinga ama-antibiotics, kanti ezinye izimo zidinga ukuphathwa kwezokwelapha okuthile ukuvimbela izinkinga.

Abanye abantu bahlangabezana ne-sputum enombala wegazi ngezikhathi ezithile evela ezimweni ezingapheli njenge-bronchitis. Ngenkathi lokhu kungase kubonakale

Ungazami ukucindezela ukukhwehlela kwakho ngokuphelele ngemithi etholakala ngaphandle kwemvume kadokotela. Ukukhwehlela kusiza ukususa imigudu yakho yomoya, futhi ukukucindezela kungase kubambezele igazi noma izinto ezinamagciwane emaphashini akho.

Yini Ukwelashwa Kwezokwelapha Kokukhwehlela Igazi?

Ukwelashwa kwezokwelapha kuncike ngokuphelele kulokho okukwenza ukhwehlele igazi. Udokotela wakho uzoqala ngokuzama ukuthola imbangela eyinhloko ngokusebenzisa izivivinyo nokuhlolwa.

Ngezifo, ama-antibiotics angasusa amagciwane abangela umdlavuza wamaphaphu noma i-bronchitis. Imithi elwa nesikhunta noma elwa namagciwane iphatha ezinye izinhlobo zezifo zokuphefumula ezingase zibangele ukopha.

Lapho amahlule egazi eyimbangela, odokotela basebenzisa imithi elwa nokuvuvukala ukuvimbela amahlule amasha ngenkathi belapha lawo akhona. Ezimweni ezinzima, izinqubo zingasusa amahlule amakhulu ngokuqondile.

Ukwelashwa komdlavuza kungase kuhlanganise ukuhlinzwa, i-chemotherapy, noma i-radiation therapy kuye ngohlobo nesigaba. Ukutholwa nokwelashwa ngesikhathi kuthuthukisa kakhulu imiphumela ezigulini ezinomdlavuza wamaphaphu.

Ukuze kuphume igazi eliningi, odokotela bangase benze i-bronchoscopy ukuze bathole futhi bavale imithambo yegazi eopha. Le nqubo isebenzisa ishubhu elincanyana, eliguquguqukayo elinekhamera ukuze libone ngaphakathi emigudwini yakho yomoya.

Izimo zenhliziyo zidinga imithi yokuthuthukisa ukusebenza kwenhliziyo nokunciphisa ukugcwala kwamanzi emaphashini. Ama-diuretics asiza ukususa uketshezi oluningi, kuyilapho eminye imithi iqinisa ukuncipha kwenhliziyo.

Kufanele ngibone nini udokotela ngokukhwehlela igazi?

Kufanele ubone udokotela ngokushesha noma nini lapho ukhwehlela igazi, kungakhathaliseki inani. Ngisho namanani amancane angabonisa izimo ezinzima ezidinga ukunakekelwa kwezokwelapha ngokushesha.

Funa ukunakekelwa okuphuthumayo ngokushesha uma uhlangabezana nalezi zimpawu zokuxwayisa kanye nokukhwehlela igazi:

• Ukuphefumula kanzima: Ukuphefumula okusheshayo noma ukuzwa sengathi awukwazi ukuthola umoya owanele
• Ubuhlungu besifuba: Ubuhlungu obukhulu, obugwazayo, noma obucindezelayo esifubeni sakho
• Inani elikhulu legazi: Ngaphezu kwetiye elithile noma ukuphuma kwegazi okuqhubekayo
• Isiyezi noma ukuquleka: Izimpawu zokuthi ungase ulahlekelwe igazi eliningi kakhulu
• Ukushaya kwenhliziyo okusheshayo: Inhliziyo yakho igijima noma ishaya ngokungajwayelekile
• Umkhuhlane: Izimpawu zokutheleleka ezingase zisakazeke

Noma ngabe uzizwa kahle, ungalibali ukufuna ukwelashwa. Ezinye izimo ezinzima zingabangela ukuphuma kwegazi ngaphambi kokuba ezinye izimpawu zivele.

Ziyini Izinto Eziyingozi Zokuthuthukisa Ukukhwehlela Igazi?

Izici eziningana zingakhuphula amathuba akho okukhwehlela igazi. Ukuqonda lezi zici eziyingozi kungakusiza ukuthi uhlale uqaphele izinkinga ezingaba khona.

Ukubhema kukhulisa kakhulu ingozi yakho ngokulimaza izicubu zamaphaphu nemithambo yegazi. Amakhemikhali agcwele ugwayi abangela ukuvuvukala okungapheli okwenza ukuthi ukuphuma kwegazi kube maningi.

Ubudala bunendima, njengoba abantu abaneminyaka engaphezu kwengama-40 benengozi enkulu yomdlavuza wamaphaphu nezinye izimo ezinzima ezibangela i-hemoptysis. Kodwa-ke, abantu abasebancane nabo bangathuthukisa lezi zinkinga.

Izimo zezempilo ezikhona zenza izingozi ezengeziwe okufanele uxoxe ngazo nodokotela wakho:

• Izifo ezingapheli zamaphaphu: I-COPD, isifuba somoya, noma i-pulmonary fibrosis ingalimaza imigudu yomoya ngokuhamba kwesikhathi
• Izinkinga zenhliziyo: Izimo ezithinta ukusebenza kwenhliziyo zingabangela ukuthi igazi libuyele emaphaphu
• Izifo zegazi: Izimo ezithinta ukujiya kwegazi zenza ukuthi ukuphuma kwegazi kube maningi
• Izifo ze-Autoimmune: Lezi zingahlasela imithambo yegazi emaphaphu akho
• Umlando womdlavuza: Imidlavaza yangaphambilini ingase ibuye noma isakazekele emaphaphu akho

Imithi ethile, ikakhulukazi ezinqanda ukujiya kwegazi, ingenza ukuthi ukopha kube lula uma unezinye izimo. Hlala wazisa udokotela wakho ngayo yonke imithi oyithathayo.

Ziyini Izinkinga Ezingase Zibe Khona Zokukhwehlela Igazi?

Izinkinga ezivela ekukhwehleleni igazi zincike embangweni obangela lokho nokuthi ulahlekelwa yigazi elingakanani. Ngenkathi amacala amaningi elulama ngokwelashwa okufanele, amanye angaba maningi.

Ukuphuma kwegazi okukhulu kungaholela ekuguleni igazi, okukwenza uzizwe ubuthakathaka, ukhathele, futhi uphelelwa umoya. Inani elikhulu lokulahlekelwa yigazi lingase lidinge ukumpontshelwa igazi ukuze kuthathwe indawo yalokho okulahlekile.

Igazi emoyeni wakho ngezinye izikhathi lingavimba izindlela zokuphefumula, ikakhulukazi uma lenza amahlule. Lokhu kungenza kube nzima ukuphefumula futhi kungase kudingeke izinqubo eziphuthumayo zokususa izindlela zakho zokuphefumula.

Izifo ezibangela ukopha zingase zisakazekele kwezinye izingxenye zomzimba wakho uma zingelashwa ngokushesha. Lokhu kungaholela ku-sepsis, isimo esisongela impilo esidinga ukunakekelwa kwezokwelapha okukhulu.

Ukuhlolwa okubambezelekile kwezimo ezinzima njengomdlavuza noma amahlule egazi kungavumela lezi zinkinga ukuthi ziqhubeke. Ukutholwa nokwelashwa ngokushesha kuthuthukisa kakhulu imiphumela yezimo eziningi.

I-aspiration pneumonia ingase ivele uma ngengozi uhogela igazi emaphashini akho. Lokhu kutheleleka kwesibili kungase kwenze ukululama kwakho kube nzima futhi kudingeke ukwelashwa okwengeziwe.

Yini Ukukhwehlela Igazi Okungase Kuthathwe Njengokuthile Okunye?

Ngezinye izikhathi abantu badida ezinye izimo ngokukhwehlela igazi, okungase kubambezele ukwelashwa okufanele. Ukuqonda lezi zinto ezihlukile kukusiza ukuthi uchaze izimpawu zakho ngokunembile kudokotela wakho.

Ukuphalaza igazi kubukeka kuhluke ekukhwehleleni igazi. Igazi eliphaliwe livame ukubonakala limnyama, njengenhlabathi yekhofi, futhi livela esiswini sakho kunase maphashini akho.

Ukuphuma kwegazi emakhaleni ngezinye izikhathi kungabangela igazi ukuthi ligele emqaleni wakho, okukwenza ucabange ukuthi ukhwehlela igazi. Leli gazi livame ukubonakala libomvu ngokwengeziwe futhi ungase uqaphele ukuminyana emakhaleni.

Izinsini ezopha noma izinkinga zamazinyo zingabangela ukuthi igazi lixubane namathe. Leli gazi livamise ukuvela uma ukhafula kunokukhwehlela, futhi ungase uqaphele ubuhlungu bomlomo noma ukuvuvukala.

Umbala wokudla noma imithi ethile ngezinye izikhathi ingashintsha umbala we-sputum yakho ube bomvu noma obomvana. Ama-beet, ngokwesibonelo, angashintsha umbala wamanzi omzimba okwesikhashana, nakuba lokhu ngokuvamile kungabangeli ukukhathazeka.

Ukuqubuka komphimbo okuvela ekukhwehleni okukhulu kungase kubangele amanani amancane egazi abukeka emangalisa kakhulu uma exutshwe ngamanye amafinyila. Kodwa-ke, noma yiliphi igazi elivela ekukhwehleni lisadinga ukuhlolwa kwezokwelapha.

Imibuzo Evame Ukubuzwa Mayelana Nokukhwehlela Igazi

Lingakanani igazi eliningi kakhulu uma ukhwehlela?

Noma yiliphi inani legazi uma ukhwehlela lidinga ukunakekelwa kwezokwelapha. Ngenkathi imigqa emincane ingase ikhombise izinkinga ezincane, ngisho namanani amancane angabonisa izimo ezinzima. Ngaphezu kwe-teaspoon yegazi noma ukuphuma kwegazi okuqhubekayo kumelela isimo esiphuthumayo sezokwelapha esidinga ukunakekelwa ngokushesha.

Ingabe ukucindezeleka kungakwenza ukhwehlele igazi?

Ukucindezeleka kuphela akuqondile ukubangela ukukhwehlela igazi, kodwa kungase kubhebhethekise izimo ezenza kanjalo. Ukucindezeleka kungase kubangele iziqephu zokukhwehlela ezinzima eziqhekeza imithambo emincane yegazi, noma kungase kubhebhethekise izimo zamaphaphu ezikhona. Ukuphuma kwegazi kusadinga ukuhlolwa kwezokwelapha kungakhathaliseki amazinga okucindezeleka.

Ingabe ukukhwehlela igazi ngaso sonke isikhathi kuyisibonakaliso somdlavuza?

Cha, ukukhwehlela igazi kunezimbangela eziningi ngaphandle komdlavuza. Ukutheleleka, amahlule egazi, izinkinga zenhliziyo, kanye nemiphumela emibi yemithi konke kungenzeka kube yizimbangela. Kodwa-ke, umdlavuza ungenye yezinto ezingathí sina ezidinga ukuhlolwa kwezokwelapha ngokushesha ukuze kuqedwe noma kuqinisekiswe.

Ingabe ukungezwani komzimba kungabangela ukukhwehlela igazi?

Ukungezwani komzimba okukhulu akuvamile ukubangela ukukhwehlela igazi ngokuqondile, kodwa kungaholela ezinkingeni ezenza kanjalo. Ukukhwehlela okunamandla okungokungezwani komzimba kungase kuqhekeze imithambo emincane yegazi, noma ukusabela okungokungezwani komzimba kungase kubangele ukuhlaselwa kwe-asthma okunzima ngokwanele ukubangela ukuphuma kwegazi. Noma yiliphi igazi lidinga ukunakekelwa kwezokwelapha ngisho noma ucabanga ukuthi ukungezwani komzimba yikho okubangela.

Kusho ukuthini igazi elibomvu ngokugqamileyo xa liqhathaniswa negazi elimnyama?

Igazi elibomvu ngokugqamileyo ngokuqhelekileyo libonisa ukopha okutsha okuvela emoyeni wakho okanye emiphungeni. Igazi elimnyama okanye elinombala ongwevu lingabonisa ukopha okuye kwaba semiphungeni yakho ixesha elide okanye kuvela nzulu kwinkqubo yakho yokuphefumla. Zombini ezi ntlobo zifuna uvavanyo olukhawulezileyo lwezonyango ukumisela unobangela kunye nonyango olufanelekileyo.