Ukwelashwa kokuphefumula esihlokweni se-LOUS Cancer Hoversalsthis ahlinzeka ngokulawula ukuphefumula (dyspnea), uphawu olujwayelekile nolucindezelayo emdlavuza wamaphaphu. Sihlola izinketho ezahlukahlukene zokwelashwa ezitholakala ezibhedlela zomdlavuza wamaphaphu ezikhethekile, zigxile ezindleleni ezisebenzayo kanye namasu asekelwe ebufakazini. Lokhu kufaka phakathi ukubhekana nezimbangela eziyisisekelo zokuphefumula kanye nokwenza ngcono impilo yeziguli.

Ukwelashwa kokuphefumula ezibhedlela zomdlavuza wamaphaphu

Ukuphefumula, noma i-Dyspnea, kuwuphawu oluvame kakhulu futhi oluwonakele abantu abaningi olutholwe ngumdlavuza wamaphaphu. Ubulukhuni bokuphefumula bungahluka kakhulu ngokuya ngesigaba nohlobo lomdlavuza, kanye nokuba khona kwezinye izimo zezokwelapha ezingaphansi. Ngenhlanhla, izindlela ezahlukahlukene zokwelashwa zitholakala ukunciphisa lolu phawu olucindezelayo futhi zithuthukise ikhwalithi yempilo yeziguli. Ukukhetha okulungile Ukwelashwa Ukwelashwa kokuphefumula ezibhedlela zomdlavuza wamaphaphu kubalulekile ekuphathweni okusebenzayo.

Ukuqonda izimbangela zokuphefumula emdlavuza wamaphaphu

Ukuphefumula emdlavuza wamaphaphu kungahle kuvela ezicini eziningana. Isimila ngokwaso singavimbela imigwaqo yomoya, sinciphise ukuhamba komoya emaphashini. Ukwakheka kwe-fluid ezungeze amaphaphu (i-Pleural Pheral) kungacindezela futhi amaphaphu, okuholela ekutheni kuphele ukuphefumula. Ngaphezu kwalokho, umdlavuza wamaphaphu angalimaza izicubu zamaphaphu, anciphise amandla ayo okushintsha ngempumelelo i-oksijini ne-carbon dioxide. Ngaphezu kwemiphumela eqondile yomdlavuza, ukwelashwa okunjengokwelashwa kwe-chemotherapy kanye nokwelashwa kwemisebe kungafaka futhi ekuphefumuleni njengemiphumela emibi.

Izinketho zokwelashwa zokuphefumula

Umuthi

Imithi eminingana ingasiza ukuphatha ukuphefumula. Ama-bronchodilators, njenge-albuthetheru, phumula imigwaqo yomoya futhi uthuthukise i-airflow. Ama-OPIOIDS, njenge-morphine, anganciphisa ukuphefumula ngokuthinta umbono wobuchopho wokucindezelwa okuphefumula. Ama-Diuretics asiza ukunciphisa ukwakhiwa koketshezi ezungeze amaphaphu, ukuncipha kwengcindezi kanye nokwenza ngcono ukuphefumula. Ukukhethwa kwemithi kuncike kwimbangela eyisisekelo yokuphefumula kanye nezidingo zesiguli ngasinye. Kubalulekile ukuthintana nodokotela wakho noma udokotela we-oncologist ukuthola irejimeni efanelekile yemithi.

Therapy we-oksijini

I-oksijini engeziwe ingathuthukisa kakhulu ukuphefumula futhi inciphise ukungaphefumuli. I-oksijini yokwelashwa ifaka ukuletha umoya-mpilo owengeziwe emaphashini, isiza ukunciphisa ukuncishiswa komoya-mpilo futhi ngcono ukusebenza kokuphefumula okuphelele. Lokhu kungatholakala ngezindlela ezahlukahlukene, njenge-cannulal ye-nasal cannulas noma i-oxygen. Izinga lokungezelelwa kwe-oxygen linqunywa ngokususelwa kumazinga we-oxygen sactivation yesiguli kanye nesimo somtholampilo sonke.

Ukwesekwa kokuphefumula

Ezimweni ezinzima zokuphefumula, ukusekelwa kokuphefumula kungadingeka. Ukungena komoya ongahlangene (NIV), njengokucindezela okuqhubekayo kwe-airway ye-airway (CPAP) noma ingcindezi ye-airway ye-Bilevel (Bipap), kungasiza ekuthuthukiseni ukuphefumula ngokugcina ingcindezi yokuphefumula kanye nokunciphisa umsebenzi wokuphefumula. Kumacala abucayi kakhudlwana, umoya omncane we-mehendi kungadingeka ukusekela ukuphefumula ngokwezimo.

Ezinye izindlela zokwelapha

Ezinye izindlela zokwelapha, ezinjengokuvuselelwa kwamaphaphu, zingadlala indima ebalulekile ekuphatheni ukuphefumula. Ukuvuselelwa kwama-pulmonary kuwuhlelo lwe-multidisciplinary olubandakanya ukuqeqeshwa kokuzivocavoca, imfundo, kanye nokuxhaswa kwengqondo ukuthuthukisa umsebenzi wokuphefumula, amandla, kanye nekhwalithi yempilo ephelele. Lolu hlelo lwenzelwe izidingo zomuntu ngamunye kanye namakhono esiguli ngasinye. Ngaphezu kwalokho, amasu anjenge amasu wokuphumula nokuzivocavoca okuphefumula kungasiza ukuphatha ukukhathazeka nokuthuthukisa induduzo yokuphefumula.

Ukuthola okulungile Ukwelashwa Ukwelashwa kokuphefumula ezibhedlela zomdlavuza wamaphaphu

Ukukhetha isibhedlela esifanele kubalulekile ekuphathweni okusebenzayo komdlavuza wamaphaphu nezimpawu ezihambisana nokuphefumula. Cabanga ukufuna ukunakekelwa esibhedlela nethimba lokunakekelwa okukhandlekile okuzinikezele, ama-oncologists anolwazi abhekelele umdlavuza wamaphaphu, kanye nezinsizakalo zokusekela zokuphefumula eziphelele. Izibhedlela ezibhekele ukwelashwa komdlavuza wamaphaphu zivame ukufinyelela ubuchwepheshe bamuva kanye nemigomo yokwelashwa yokulawula ukungaphefumuli ngempumelelo.

Ngokwesibonelo, I-Shandong Baafa Cancer Research Institute Inikeza ukunakekelwa okuphelele nokukhethekile kweziguli ezinomdlavuza wamaphaphu, kufaka phakathi izinketho zokwelashwa ezithuthukile zokuphefumula. Ubuchwepheshe babo nokuzibophezela kwabo ekubekezelweni kahle - kubenze kube yinhlangano ebalulekile yeziguli ezizulazula kulesi simo esinzima. Hlala uthintana nomhlinzeki wakho wezokunakekelwa kwezempilo ukunquma inkambo enhle kakhulu yezimo zakho.

QAPHELA EBALULEKILE:

Imininingwane enikezwe kule ndatshana yenzelwe izinhloso zolwazi olujwayelekile kuphela futhi akufanele ibhekwe njengezeluleko zokwelashwa. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha. Ukusebenza kwanoma yikuphi ukwelashwa kungahluka ngokuya ngesiguli ngasinye kanye nezimo zabo ezithile.