Esinye sezifo eziyingozi kakhulu, okwenza izinguquko ezingenakuguquka emathanjeni e-bronchi nasezingxenyeni eziphansi zamaphaphu, kubhekwa njengesifo se-bronchoectatic. Ukukhubazeka akuyona imiphumela yezinye izilonda zesimiso sokuphefumula, kwenzeka ezinyathelweni ezintathu futhi kunzima ukuphatha.
Izimpawu ze-bronchiectasis
Ngemuva kokutheleleka ngesifo esithinta isifo ngokubangela, kukhona cishe izibonakaliso zesifo, ngaphandle kokuhlaselwa okungavamile kokukhwehlela.
Ngokuqhubeka okuqhubekayo kwesifo (isigaba sokubonakaliswa okukhulu kwemitholampilo kanye nezinkinga) lezi zimpawu zilandelayo:
- ubuhlungu esifubeni ngesikhathi sokuphefumulelwa;
- ukukhwehlela nokuhlukaniswa kwe-mucus ehlanzekile, ikakhulukazi ngemva kokulala ebusuku;
- i-hemoptysis;
- ukuguqulwa kwesifuba (umumo womgqomo);
- shintsha ukubukeka kweminwe (njengemigqomo) nezinzipho (convex, njengeglasi ekubukeni).
Ukuxilongwa kwe-bronchiectasis
Ukuthola ukwelashwa akulula:
- ukuqhuba ukuhlolwa okujwayelekile ngokulalela ukuphefumula nge-phonendoscope;
- ukuqoqwa kolwazi kanye nama-anamnesis;
- ukuvivinya kwegazi jikelele jikelele;
- Ukuhlaziywa kwesihluthulelo (isiko lesibhaktheriya);
- ukuhlolwa kwegazi okwegazi olubanzi.
Uzodinga futhi:
- i-fibrobronchoscopy;
- Ukuhlolwa kwe-X-ray kwezitho zesifuba;
- i-bronchography nge-agent ehlukile;
- ikhompyutha ye-tomography (i-multi-axis).
Ezimweni ezinzima zokugula noma ukutholakala kwezinkinga, ukubonisana kwe-pulmonologist kunganconywa.
Ukwelashwa kwesifo se-bronchoectatic lung
Okokuqala, izinyathelo zokwelapha zihlinzeka ngokususwa kwe-bronchi kusuka kumcucu kanye ne-sputum e-purulent.
Izindlela ezinamandla zihlanganisa:
- ukusetshenziswa kwezimali ukuze kusetshenziswe i-expectoration;
- ukugeleza kwesimo;
- isisindo samathumba nge-vibration;
- ukuphefumula umzimba.
Imithi:
- i-acetylcysteine (ATSTS Long);
- Ambroxol ;
- I-Bromhexine;
- Phindela.
Ama-antibiotic anqunywe ngokuhambisana nemiphumela ye-inoculation ye-bacteriological kanye nozwela lwezinyunyana ezinxenyeni ezisebenzayo zezidakamizwa. Kunconywa ukusebenzisa ama-2-3 amalungiselelo womsebenzi omkhulu.
Isimo somzimba ngesikhathi sokugeleza kwesimo sendawo sincike esigabeni samaphaphu lapho inqubo yokuvuvukala yenzeka khona. Inqubo kufanele yenziwe okungenani izikhathi ezimbili ngosuku ngaphansi kokuqondiswa udokotela.
Ngaphezu kwalokho, amaphaphu angasuswa ngokusondelana ngokuqondile ketshezi kanye nokusungulwa okulandelayo kwemithi emgodini wesifuba.
Ukusebenza kahle kakhulu kunikezwa ukungenelela okuhlinzayo, okungenziwa kusukela ezinyangeni ezinhlanu kuya kweziyi-40.
Ukwelashwa kwesifo se-bronchoectatic ngamakhambi abantu
Imithethonqubo engavumelani nayo ibhekwa njengezinyathelo ezengeziwe, ngisho nokusebenza kwabo okujwayelekile akukwazi ukuqeda ngokuphelele le nkinga.
Ukuphumelela kusho:
- Thatha ujusi omusha we-plantain nobusi bemvelo (ngokulinganisela okulinganayo).
- Ngaphambi kokulala ngiphuza ingilazi ye-Icelandic moss.
- Kanye ngosuku, uphuze ubisi obisi-200 ml ubisi olushisayo (obilisiwe) nge-isipuni samafutha ebheji. Esikhundleni sesaladi lesikhumba, ungasebenzisa ezinye izimbongolo - ingulube, imbuzi noma ibhere.
- Ngaphambi kokudla ngamunye uthathe i-15 ml yesisombululo somsundu omnyama nesibusi sezinyosi (isilinganiso - 2: 1).
- Kungakhathaliseki isikhathi sokudla, uphuze isipuni 1 se-turnip juice (esanda kufakwa), izikhathi ezingu-5-6 ngosuku.
Izinkinga ze-bronchiectasis
Imiphumela yalesi sifo yizinguquko ezinamafutha ezinhlobonhlobo ze-bronchi namaphaphu, kanye nokuthi:
- atelectasis esimile;
- ukuphuma kwegazi;
- aspergilloma;
- Ukungabikho.