Kukura Kwemucheche Kwevamwe Vangave Vachikuisa KuBronchiectasis
Bronchiectasis chikamu cheboka remapapu emapapu rinoratidzirwa sechirwere chisingaperi chisinganzwisisiki kana chirwere cheCOPD . Iyo inoratidzirwa nekusina kushamisa nekuwedzera kwebronchi uye bronchioles, iyo huru airways yemapapu.
Zvinokonzera
Kazhinji kacho kunokonzerwa nokuputika nekupora kwemhepo, bronchiectasis inogona kunge iri kuberekwa, zvinoreva zviripo pakuberekwa, kana kuti munhu angagara akazvigadzirirwa sechikonzero chezvirwere zvepabonde, zvakadai sepneumonia , masheya, furuza kana chifuva.
Bronchiectasis inogona kuitika sechikamu chechiremera chemazwi, zvakadai sepamusoro ciliary dyskinesia kana cystic fibrosis. Zvimwe zvinogadzirisa zvinhu zvinosanganisira kusagadzikana kwemapapu ekudzivirirwa uye kuvhiringidzwa kwemhepo kune chimwe chinhu kunze kwenyika. Bronchiectasis inogonawo kukonzerwa nokufema muzvokudya zvikamu kana iwe uchidya kana mushure mekuvhiyiwa nekuda kwekukanda kuora mwoyo reflex uye nekushaya kwemu murwere kusunungura mhepo yavo zvakanaka.
Zviratidzo
Bronchiectasis inokonzera kuwedzera kusinganzwisisiki kwemafunguro emhepo pamusana pokuputika kwechirwere uye chirwere. Apo mhepo inofamba ichinyoroveswa, huputi hwakawanda hunotanga kubhururuka munzvimbo dzakakura. Kuisa mutsara kunova nzvimbo inobereka yebhakitiriya inotungamirira kumapapu erwere. Izvi zvinowedzera zvakaoma nekukuvadza kune cilia, vhudzi shomanana rinodzivirira rinotenderera kumhepo. Apo cilia isingakwanisi kubvisa mhepo yezvakasvibiswa uye kuwedzerwa kwechikwata, kuvhara kwemigwagwa kunoitika.
Kuunganidzwa kwemascus uye mabhakitiriya anotevera zvinotungamirira kudengenyeka kwekuvhiringidza, utachiona, nekudzivirira kwemhepo uye mapapu.
Kakawanda kacho kuwedzera zvishoma nezvishoma, zviratidzo zvebronchiectasis zvingasaonekwa kwemwedzi kana kunyange makore mushure mechiitiko chakakonzera chakaita kuti bronchiectasis iite panzvimbo yekutanga.
Zviratidzo zvebronchiectasis zvinosanganisira:
- Kurwiswa kusingaperi kunowedzera kuipa kana uchingorara pasi
- Yakakosha, yakasviba mucus
- Hemoptysis
- Dyspnea , yakaipisisa nemishonga
- Kuonda
- Kuneta
- Kushaya simba
- Clubbing yeminwe
- Wheezing
- Kudzokorora mapapu zvirwere
- Chipfuva chepfu
Kuziva
Bronchiectasis haigoni kuongororwa, sezvo zviratidzo zvingangodaro zvinokanganisa kune avo vane chirwere chisingaperi chisingarapiki , chirwere cheputi kana pneumonia.
Vanachiremba vanokwanisa kuongorora bronchiectasis nekuita miedzo inotevera:
- Chifu x-ray
- Chest CT Scan
- Kuyera ropa
- Sputum culture
- Basa rePulmonary Tests
Kuedzwa kune mamwe maitiro akabatanidzwa akadai se cystic fibrosis kana kuti tuberculosis inogonawo kubatsira pakuongorora chirwere chebronchiectasis.
Mishonga
Zvinangwa zvekurapa kwebronchiectasis ndezvekudzivirira utachiona, kukurudzira mvura yakanyanyisa kubva mumapapu uye kudzivirira mamwe matambudziko. Kunyange zvazvo chirwere ichi hachikwanisi kurapwa, nekurapa, vanhu vazhinji vanorarama hupenyu hwehupenyu.
Zvirwere zvinogona kusanganisira chero ipi zvayo inotevera:
- Mishonga inorwisa mabhakitiriya (muromo uye / kana kuisa mukati)
- Bronchodilators
- Expectorants , decongestants , uye mucus-kuderedza mishonga
- Kudzivisa kuputika kwepumusoro (kusvuta, utsi hunoputira , kusvibiswa kwemweya , kushandiswa kwebasa).
- Gore negore chirwere chinoputika
- Postural drainage
- Chest physiotherapy
- Hydration
- Oxygen therapy
- Kutsvakurudza mapapiro emagetsi (kune avo vasingateereri kurapwa kana kuti kubuda ropa kukuru)
Kana bronchiectasis yako isingapindure zvakanaka kurapwa, chiremba wako anogona kuraira maronchoscopy kuti aone kana kuvhara kunowanikwa mumhepo yako. A bronchoscopy isiriwo shandiswa inoshandiswa kuziva chitubu chekubuda ropa mumhepo yako.
Kudzivirira
Mikana yebronchiectasis inobudirira inopera uye nekurumidza kurapwa kwezvirwere zvepapu. Zvimwe zvinogona kudzivirira zvinosanganisira:
- Kusiya kusvuta , kana iwe uri kusvuta.
- Kudzivisa kuputika kwepamusoro kunotyisa, zvakadai soutsi hwechipiri kana kusvibiswa kwemweya.
- Kuchengetedza masero, chirwere uye zvimwe zvirwere sezvakakurudzirwa nemupi wehutano wehutano.
Nguva Yokutaura Newe Healthcare Provider
Dana chiremba wako kana chimwe chezviitiko zvinotevera zvichiitika:
- Zviratidzo zvako zvinowedzera kana kuti zvinokundikana kugadzirisa nekurapa kwakakodzera.
- Pane kuchinja kwemuvara kana chiyero che sputum yako.
- Unokura hemoptysis.
- Iwe unotanga kurwadziwa kwepfupa kana kuperevedza kwepfuuriro kusinganzwisisiki nekuzorora.
Sources:
American Lung Association. Kunzwisisa Bronchiectasis. 2014.
National Heart, Lung uye Blood Institute. Ndeipi Bronchiectasis Inoitwa? Yakaperedzwa October 28, 2011
Smeltzer, Suzanne C. & Bare, Brenda, G. (1996). Brunnuer uye Suddarth's Testbook yeMedical-Surgical Nursing (8th Edition). Pennsylvania, PA: Lipponcott-Raven Vaparidzi.