Hemoptysis ndiro izwi rezvoutano rekukandira ropa. Izvi zvinogona kusanganisira kungova neropa shoma munharaunda yako kana kuti ropa rakananga richibva pamapfupa ekufema kana mapapu. Kuti ave akakodzera se hemoptysis ropa rinofanira kutsunga kuti rakanyatsobva mumugwagwa wekufema panzvimbo pemuromo, mudumbu, nheyo, kana nzira dzomukati. Massive hemoptysis izwi rinogona kushandiswa kurondedzera kukwezva ropa rakawanda rinogona kutyisidzira upenyu.
Chii Chinokonzera Hemoptysis?
Kune zvikonzero zvakawanda zvehemoptysis. Zvimwe zvinokonzera zvinosanganisira chirwere kana zvimwe zvirwere, dzimwe nguva hemoptysis inogona kukonzerwa nokuongororwa kwezvokurapa kana nzira dzakadai sebronchoscopy . Zvinokonzerwa nezvinokonzera hemoptysis zvinosanganisira:
- chinangwa chekudya kana zvimwe zvinhu mumapapu
- ropa ravha mumapapu (pulmonary embolism)
- inonaya mumapapu (pulmonary edema)
- zvipembenene zvemapapu zvinosanganisira pneumonia (yakajairika)
- cystic fibrosis
- acute bronchitis (kazhinji)
- chronic bronchitis (kusanganisira bronchitis isingaperi inokonzerwa nekutsvuta fodya)
- tuberculosis
- kenza yemapapu
- systemic lupus erythematosis
- pulmonary hypertension (rare)
- kushungurudzika kumapfupa kana mapapu anokanganisa mishonga yeropa yemapapu kana chirwere chekupema
- vasculitis (kuputira kwemidziyo yeropa mumapapu kana nzira yekufema)
- bronchiectasis (mamiriro ezvinhu umo kuvimbika kwemhepo inenge isina simba semugumisiro wezvirwere zvakapfuura kana kukanganisa kumhepo)
Zvishoma zviduku zvinokonzerwa neropa zvinogonawo kuitika apo mushure mehuro inotsamwiswa nekukanganiswa kakawanda kana kurwisana. Zvinonyanya kukonzera hemoptysis muvana zvakaderera zvirwere zvekupemha uye kubvumira chinhu chekunze mumapapu.
Kuongorora Hemoptysis
Sezvambotaurwa, chokwadi hemoptysis ropa rinouya kubva pamapepanete emapfupa kana mapapu, rinofanira kusiyaniswa kubva muropa rinowanikwa mumuromo kana muhuro asi rinobva mumugwagwa, mumvura kana mudumbu.
Kunze kwekanyanyisa kazhinji kamuputi kamuviri mushure meimwe nzira yezvehutano kana kubva mukukanganiswa kwakaipa, hemoptysis inofanira kunge inogara ichiongororwa nachiremba. Chiremba wako achakubvunza nezvezviratidzo zvako uye nhoroondo yezvechiremba pamwe nekuita kuongorora kwepanyama. Zvimwe zvezviongorori zvinotevera zverabhoreti kana maitiro ezvoutano zvinogonawo kubatsira mukuziva chikonzero chinokonzera hemoptysis:
- sputum test
- bronchoscopy
- chifukidzo x-rays
- CT kuongorora mapapu
- kuongororwa kweropa (kutarisa kuti ropa rakawanda rakarasika kana kana kune dambudziko ripi zvaro rinogona kuita kuti munhu awedzere kubuda ropa)
Kurapa Hemoptysis
Massive hemoptysis ndeyekukurumidzira kwechiremba. Iwe unofanidza kudana 911 kana kuenda kune imwe nzvimbo yekukurumidzira chero nguva iwe uchikwira kumusoro kwepasipuni kana maviri yeropa, kana iwe uchikandira ropa uye une zviratidzo zvakadai sokuoma kufema, dutu , kunzwa mutema-musoro, ruvara rwebhuruu miromo, kana kurwadziwa kwepfupa.
Kurapa hemoptysis kunobva pachikonzero chinokonzera. Semuenzaniso, pneumonia inogona kurapwa nekubatanidza ma antibiotics, zororo, kana mumatambudziko akakura muzvipatara. Chirwere chinokonzerwa neropa icho chikonzero chekukanganiswa kwechisimba chinogona kurapwa pamusha nekukanganiswa kunoderedza mishonga uye kuongorora.
Dutu sputum iro ndiro chikonzero chekurapa kwakadai sebronchoscopy ne biopsy inogonawo kuongororwa kumba uye inofanira kugadzirisa pachayo. Zvimwe zvinokonzera hemoptysis, zvakadai sechirwere zvinogona kuwedzera kurapa kwakanyanyisa.
Sources:
American Family Physician. Hemoptysis: Kuziva uye Kutungamira. Yakasvika: February 27, 2015 kubva pawww.www.africa.com/afp/2005/1001/p1253.html
Medline Plus. Kuchema ropa. Yakasvika: February 27, 2015 kubva ku https://www.nlm.nih.gov/medlineplus/ency/article/003073.htm
National Heart Lung uye Blood Institute. Chii chinonzi Bronchiectasis? Yakasvika: February 28, 2015 kubva pa http://www.nhlbi.nih.gov/health/health-topics/topics/brn