Buku Loyamba la Bronchiectasis

Matenda Oyamba Amwana Angakulepheretseni ku Bronchiectasis

Bronchiectasis ndi mbali ya matenda a m'mapapo omwe amachititsa kuti matendawa asapitirire kwambiri . Amadziwika ndi kutambasula ndi kukulirakulira kwa bronchi ndi bronchioles, kumadera akuluakulu a m'mapapo.

Zimayambitsa

Kaŵirikaŵiri zimayambitsa kutupa ndi matenda a airways, bronchiectasis akhoza kukhala obadwa, kutanthauza kuti pakubereka, kapena kuti munthu akhoza kuikidwapo chifukwa cha matenda oyambirira, monga chibayo , chimfine, fuluwenza kapena chifuwa chachikulu.

Bronchiectasis ikhoza kuchitika ngati mbali ya chirema, monga pachiyambi ciliary dyskinesia kapena cystic fibrosis. Zina zowonongeka zimaphatikizapo kutetezeka kwa mapapo ndi kutsekemera kwapansi ndi chinthu chachilendo kapena chotupa. Bronchiectasis ikhozanso kuyambitsidwa ndi kupuma mu zakudya zapadera pamene mudya kapena mutatha opaleshoni chifukwa cha chifuwa chofooka cha reflex ndi kusatheka kwa wodwala kuti athetse bwino mpweya wawo.

Zizindikiro

Bronchiectasis imayambitsa kuwonjezereka kwapadera kwa mpweya chifukwa cha kutupa kobwerezabwereza ndi matenda. Pamene mpweya umatha kusungunuka, ntchentche imayamba kumadzimadzi m'madera okulitsidwa. Kukhazikika kwa ntchentche kumakhala malo obereketsa mabakiteriya omwe amachititsa matenda opatsirana. Izi zikuphatikizidwa kwambiri ndi kuwonongeka kwa cilia, tsitsi laling'ono lotetezera lomwe limayendera mpweya. Pamene cilia silingathe kuchotsa zowonongeka ndi zowonongeka, kuwonongedwa kwa pandege kumachitika.

Kuwonjezeka kwa ntchentche ndi mabakiteriya otsatizana kumabweretsa kutupa, matenda, ndi kutsekemera kwa airways ndi mapapo.

Nthaŵi zambiri zimakhala pang'onopang'ono, zizindikiro za bronchiectasis sizingatheke kwa miyezi kapena zaka zitatha chiwonetsero chomwe chinachititsa kuti bronchiectasis ichitike.

Zizindikiro za bronchiectasis zikuphatikizapo:

• Chifuwa chachikulu chimakhala choipitsitsa pamene wagona pansi
• Mphuno wonyansa, wonyeketsa
• Hemoptysis
• Dyspnea , yoipitsidwa ndi kuchita masewera olimbitsa thupi
• Kutaya thupi
• Kutopa
• Kufooka
• Kupanga zala zala
• Kupuma
• Matenda opatsirana obwerezabwereza
• Kupweteka pachifuwa

Kudziwa

Bronchiectasis sichidziŵika mosavuta, monga zizindikiro zimatha kugwiritsidwa ntchito molakwika chifukwa cha matenda a khate , chifuwa cha mphumu kapena chibayo.

Madokotala akhoza kuyesa bronchiectasis pogwiritsa ntchito mayesero awa:

• Chifuwa cha X-ray
• Chifuwa CT Scan
• Mayeso a magazi
• Chikhalidwe cha ziphuphu
• Ntchito Yowonongeka Imayesedwa

Kuyesedwa kwa zinthu zina zogwirizana monga cystic fibrosis kapena chifuwa chachikulu cha TB kungathandizenso kupeza matenda a bronchiectasis.

Kuchiza

Zolinga za chithandizo cha bronchiectasis ndizoletsa matenda, kulimbikitsa madzi ochuluka kwambiri m'mapapo ndi kuteteza mavuto ena. Ngakhale kuti matendawa sangathe kuchiritsidwa, ndi mankhwala, anthu ambiri amakhala ndi moyo wabwino.

Njira zochizira zingaphatikizepo zotsatirazi:

• Maantibayotiki (pamlomo ndi / kapena m'maganizo)
• Zojambulajambula
• Omwe amatsutsa , amadzimadzi otchedwa decongestants , ndi mankhwala osokoneza bongo
• Pewani kupuma kwapuma (kusuta fodya, kusuta fodya , kusokoneza mpweya , kuwonetsa malo ogwira ntchito).
• Chaka chilichonse chimfine chimagwidwa
• Mtsinje wa Postural

• Chifuwa cha thupi
• Kuthamanga
• Thandizo la okosijeni
• Mapulogalamu opangira opaleshoni ya opaleshoni (omwe sapereka chithandizo kapena kuchiza magazi)

Ngati bronchiectasis yanu isayankhe bwino mankhwala, dokotala wanu akhoza kulamula bronchoscopy kuti adziwe ngati kutsekera kulipo mu airways. Bronchoscopy ndi chida chomwe chimagwiritsidwa ntchito poyesa gwero la magazi mu airways.

Kupewa

Mavuto a bronchiectasis akukula amachepetsedwa mwamsanga ndi matenda a mapapo. Njira zina zothandizira ndi izi:

• Kusiya kusuta , ngati mumasuta fodya.
• Kupewa kutentha kwapamwamba, monga kusuta fodya kapena kuwonongeka kwa mpweya.

• Katemera wa chimfine, chimfine ndi matenda ena monga momwe akulimbikitsira ndi wothandizira zaumoyo wanu.

Nthawi Yothandizira Wopereka Thandizo Wanu Wathanzi

Dandaula dokotala ngati chirichonse mwa zotsatirazi chikuchitika:

• Zizindikiro zanu zimakhala zovuta kwambiri kapena sizikuyenda bwino ndi mankhwala oyenera.
• Pali kusintha kwa mtundu kapena kuchuluka kwa sputum.
• Mumakhala ndi hemoptysis.
• Mukuyamba kupweteka pamtima kapena kupuma pang'ono komwe sikungatheke kupuma.

_Zotsatira:

_{Association of Lung America. Kumvetsa Bronchiectasis. 2014.}

_{National Heart, Lung ndi Magazi Institute. Kodi Bronchiectasis Yotani? Idasinthidwa pa October 28, 2011}

_{Smeltzer, Suzanne C. & Bare, Brenda, G. (1996). Mankhwala a Brunnuer ndi Suddarth a Medical-Surgical Nursing (Kupanga 8). Pennsylvania, PA: Lipponcott-Raven Ofalitsa.}