Ngati muli ndi ululu wamapapu, kodi mukuyenera kuda nkhawa? Kodi zifukwa zomwe zingayambitse ululu woterewu ndi ziti? Mavupa am'mimba sizolondola chifukwa mapapo alibe mapepala, koma mukhoza kudandaula ndi zowawa zomwe amamva ngati ali m'mapapu anu.
Tiyeni tiyankhule za kumverera kwa ululu umene umamva ngati ukuchokera m'mapapu anu ndi zina zomwe zingayambitse.
Popeza kulandira zopweteka mu thorax (chifuwa cha chifuwa) nthawi zambiri kumachitika, tidzanenanso za chizindikiro chanu chikhoza kukhala chizindikiro cha chinthu china chimene chikuchitika.
Zimayambitsa
Choyamba chodandaula ngati mukumva kupweteka m'mapapu anu mwinamwake ndi zomwe zikupweteka. Ululu umene umapezeka m'mapapo uli ndi zifukwa zambiri zomwe zingayambitse. Tidzayang'ana pazifukwa zomwe zingathe kupweteka, koma ndizofunika kumvetsetsa njira zomwe zingapangitse ululu m'dera lino kuti mumvetse bwino. Zina mwa njirazi zikuphatikizapo:
- Kutupa: Matenda alionse omwe amachititsa kutupa m'mapapo, chigawo cha mapapo, kapena malo oyandikana nawo akhoza kubweretsa zomwe zimamva ngati ululu wamapapu.
- Kuwakwiyitsa: Kuwopsya-mwachitsanzo, kukwiya kwa mapaipi ( pleuray ), monga kumachitika ndi pleurisy-kumabweretsa ululu umene umamva ngati uli m'mapapu.
- Kupsyinjika: Kupanikizika mu chifuwa chifukwa cha chotupa kapena khansa ya khansa m'mapapo kapena pachifuwa, kapena chifukwa cha kupweteka kwa chifuwa kapena kutupa pamphepete mwa mitsempha, kukhoza kupweteka.
- Mavuto a pamphuno : Chifuwa chimene chimachokera mu khoma la chifuwa, kuphatikizapo khungu, minofu, mitsempha, ndi zina, zimakhala zofala. Kupweteka kotereku kungapangidwe ndi zinthu monga minofu yophunzitsidwa chifukwa cha kukopa, kuvulazidwa, kapena kumva ululu wokhudzana ndi matenda a shingles (onani kuti kupweteka kumakhalapo kawirikawiri isanamve ndi shingles).
Zinthu
Pali zinthu zambiri zomwe zingayambitse kupweteka m'mapapu anu, koma zina mwazofala ndizo:
- Pleurisy: Pleurisy amatanthauza kutupa kwa mapepala omwe amalowa m'mapapu (pleura). Kupweteka kumeneku kumawonjezeredwa ndi mpweya wozama, ukhoza kukhala wokhazikika, ndipo ukhoza kumveka mwamphamvu mmalo mokomoka.
- Matenda: Matenda ochokera ku chibayo mpaka ku bronchitis kupita ku mapapo a mapapo amatha kupweteka.
- Phumu: Anthu ambiri amadziwa kuti mphumu imakhala ikuyaka, koma mphumu ikhoza kukhala ndi zizindikiro zina. Anthu ena amangokhalira chifuwa (chifuwa chokhala ndi chifuwa cha mphumu) komanso amamva kupweteka pamtima chifukwa chokangananso mobwerezabwereza. Ululu umene umamva ngati ululu wa m'mapapo ukhozanso kukhalapo pamene mphumu ndi yaikulu.
- Kumanga thupi kumaphatikizidwe : Kuphatikizika kwa magazi kumapezeka pamene magazi amagazi m'miyendo kapena m'mapiko ( deep vein thrombosis ) akuthawa ndikupita kumapapo. Ululu wokhala ndi pulmonary embolism nthawi zina zimakhala zovuta kusiyanitsa ululu chifukwa cha zifukwa zina. Ululu ukhoza kukhala wofewa mpaka wolimba, wolimba kapena wochepa thupi, ndipo akhoza kapena sungaphatikizepo zizindikiro zina. Chizindikiro chofala kwambiri chomwe chimapezeka kupatula kupweteka ndiko kupuma pang'ono.
- Pneumothorax: Pneumothorax , yomwe imatchedwanso kugwa kwa mapapo kungapweteke. Pneumothorax kwenikweni ndi mapapu otayikira ndipo akhoza kuchitika pazifukwa zosiyanasiyana. Zitha kukhala ngati zotsatira za matenda osiyanasiyana osiyanasiyana ndipo si zachilendo kwa anthu omwe ali ndi emphysema pamene bulu likuphulika. Zikhoza kukhala limodzi ndi "crepitus" mu chifuwa, kumverera komwe kumamveka ngati kuti mukuwombera pang'onopang'ono pansi pa khungu lanu m'chifuwa chanu.
- Pleural effusion: Kumanga madzi pakati pa ziphuphu zomwe zimayendera m'mapapu otchedwa chifuwa chachikulu ndizo zomwe zimayambitsa ululu m'dera lino.
- Matenda oopsa komanso oopsa: Khansa ndi khansa ya m'mapapo ndi mesothelioma (khansa yothandizira mapaipi) ingabweretse ululu, chifukwa imatha kuchepetsa matumbo a mapapu monga hamartoma, chotupa chofewa kwambiri cha m'mapapo.
- Costochondritis: Costochondritis ndi chikhalidwe cha kutupa m'deralo kumene nthitizi zimagwirizanitsa ndi sternum (bere).
- Matenda a mtima: Nthawi zina kupweteka kwa matenda a mtima ndi zinthu zina za mtima kumatha kupweteka ngati mapapo.
- Matenda a reflux: Matenda a reflux a gastroesophageal ( GERD ) ndi omwe amadziwika bwino chifukwa cha ululu umene umamveka m'madera amapapu.
- Kuthamanga kwapopopang'ono: Mafupa ammimba amatha kupweteka pachifuwa, zomwe zingamveke ngati zikuchitika m'mapapu.
- Matenda a chifuwa chachikulu, monga lupus ndi nyamakazi ya nyamakazi.
- Hyperventilation ingapangitse ululu, zomwe zingakhale zoopsa kwambiri.
Zimene Dokotala Wanu Angadzifunse
Dokotala wanu adzakufunsani mafunso ambiri kuti mudziwe kumene mumapweteka. Kudziwa zomwe mungayembekezere kungakuthandizeni kukonzekera ndikuyankha molondola.
Dokotala wanu akakufunsani za vuto lanu la ululu wamapapu, iye afunseni zomwe zimakukhudzani. Kodi ndi lakuthwa, kapena kodi ndi yovuta? Kodi mumakhala malo amodzi, kapena kodi zimakhala zovuta mkati mwa chifuwa chanu? Kodi ndizokhazikika, kapena zimabwera ndi kupita? Nchiyani chimapangitsa kukhala bwinoko, ndipo nchiyani chimapangitsa kuipiraipira?
Dokotala wanu angafunse kuti:
- Kodi mwakhala ndi kupweteka kwa mapapo kwa nthawi yayitali bwanji?
- Kodi zizindikiro zanu zinayamba mwadzidzidzi, kapena zinayamba pang'onopang'ono?
- Kodi kupweteka kuli kovuta kapena ndi khalidwe losavuta komanso losavuta? (Kupweteka kofanana ndi kutupa kwa mapaipi kumakhala kovuta, pamene kupwetekedwa kwa chifuwa nthawi zambiri kumakhala kozama komanso kosavuta.)
- Kodi kupweteka kumalo amodzi kumalo amodzi, kapena kodi mumamverera mofalikira pachifuwa chanu?
- Kodi kupweteka kumawonjezereka ndi kupuma kwakukulu?
- Kodi mwakhalapo ndi matenda atsopano, kapena mwakhala ndi malungo?
- Kodi mwakhala mukukokera?
- Kodi muli ndi ululu uliwonse m'milingo yanu?
- Kodi ndizochitika zina ziti zamankhwala, monga matenda a mtima kapena mapapo, kapena "zozizwitsa" monga nyamakazi ya nyamakazi?
- Kodi muli ndi mbiri ya banja la mavuto amtima kapena mapapo?
- Kodi mwayenda posachedwa ndi ndege kapena pagalimoto?
Mphungu Yam'mimba ndi Khansa Yam'mimba
Monga tanenera pamwambapa, zinthu zambiri zingayambitse ululu ndi zovuta m'mapapo a m'mapapo-imodzi yokha ndi khansa. Komabe, chifukwa khansara yamapapu imachiritsidwa kwambiri m'mayambiriro a matendawa, nkofunika kuganizira khansara yamapapo monga kuthekera, kaya munayamba mwasuta kapena ayi.
Zizindikiro zomwe zimapangitsa kuti kupweteka kwa m'mapapo ndi kansalu kumakhala mbiri ya kusuta, chifuwa chopitirira , kukopa magazi , kusasaka , ndi kuwonongeka kosawerengeka .
Dziwani bwino zizindikiro zoyambirira za khansa ya m'mapapo . Ndikofunika kudziwa kuti monga momwe matenda a mtima amachitira - zizindikiro za khansa ya m'mapapo mwa amayi nthawi zambiri zimasiyana ndi za amuna. Kuwonjezera apo, tikudziwa kuti amayi ambiri omwe amakhala ndi khansa ya m'mapapo mu 2017 ndi osuta fodya, ndipo amayi amodzi mwa amayi asanu alionse omwe ali ndi matendawa sakhala akusuta ndudu imodzi.
Kuyesa Kuzindikira
Mukamapita kukaonana ndi dokotala, amatha kusamalira mbiri yake ndikudzifufuza. Malinga ndi zotsatira, mayesero ena angaphatikizepo:
- Chifuwa cha X-ray kuyang'ana zizindikiro za matenda
- Electrocardiogram (ECG) kuti azindikire chifukwa cha matenda a mtima
- Kapepala ka CT kachifuwa chanu kuti mufufuze zotupa, kupweteka kwachinyengo, umboni wa matenda, ndi zina
- Mayeso a magazi pofuna kutulutsa matenda a mtima, ndi kufunafuna umboni wa kutupa kapena mikhalidwe monga lupus
- Echocardiogram kuti muyese miyendo yamtima yanu, yang'anani zamadzimadzi pamtima mwanu, kapena muwononge kuwonongeka kwa mtima
Mawu Ochokera
Ngati muli ndi ululu wamapapu, ndikofunika kupanga nthawi yoti muwone dokotala-ngakhale mutamva kuti pali chifukwa chomveka chowawa. Muyenera kuyitanira dokotala wanu kapena 911 mwamsanga ngati mumamva mutu, ngati ululu wanu umabwera mwadzidzidzi, kapena mukukumana ndi mpweya wochepa, ngati ululu umamva ngati "ukuphwanya" muyeso, kapena ngati ukuwombera pansi, nsana wanu, kapena m'nsagwada yanu.
> Zotsatira:
> National Institute of Health. Medline Plus. Chifuwa cha Chifuwa.
> National Institute of Health. Medline Plus. Pleurisy.