Kuthiwani uma lapho ukhwehlela isikhwehlela isuka ngegazi?

Ukukhwehlela - omunye izimpawu ezivamile kakhulu nezifo zokuphefumula. Isizathu sokuba ivela khona kungaba ukucasuka receptor wendawo umgudu mucosa futhi kwande, isibonelo, zezinzwa.

Khwehlela, isikhwehlela lapho igazi ubizwa hemoptysis. Esimeni hemoptysis isiguli kumele kuhlolwe ukuze ukusungula izimbangela ngqo lokhu uphawu lokugula ngokucophelela.

Isikhwehlela ngegazi: imbangela ukukhwehlela ne hemoptysis

Okokuqala, kufanele uthole umthombo okuvela igazi phlegm detachable. Ukukhwehlela igazi kungadalwa hhayi kuphela nezifo zokuphefumula kodwa ukulimala pheshana emathunjini (Git) noma nasopharynx. Phela, kulula kakhulu ukuba ukudida hemoptysis ngegazi ukuhlanza. Kodwa igazi ivela emathunjini, ngokuvamile ephelezelwa emizweni ubuhlungu esiswini, futhi elihlale umbala omnyama ( "ngezizathu ikhofi umbala").

Ngokuvamile, isiguli esephimisela igazi e lezi zifo ezilandelayo:

- Izifo ukuvuvukala. Lokhu kungafaka bronchiectasis, ukucinana kwemigudu yokuphefumula, iphaphu ithumba, isifo sofuba;

- neoplasms Lung cell-squamous carcinoma yamaphaphu, oat cell carcinoma, i adenocarcinoma futhi adenoma amashubhu bronchial;

- ezinye izinhlobo izifo, ezifana embolism yamaphaphu, inhliziyo noma esingamahlalakhona yamaphaphu, granulomatosis Wegener sika , njll

Imbangela ezivame kakhulu ukukhwehlela ngegazi iba ukucinana kwemigudu yokuphefumula kanye bronchiectasis, kodwa ke, kufanele kuqashelwe ukuthi cishe 10% amacala ukusungula imbangela ukopha isiguli ehluleka.

Ukuxilongwa ukukhwehlela ngegazi

Uma umuntu uvele isikhwehlela ngegazi, uchwepheshe onolwazi Iyoyimisa ukuba ukuhlolwa ezilandelayo:

- esifubeni-X-ray. Esithombeni ungabona izindawo ezincane mnyama ezibonisa khona ukuvuvukala emaphashini, okungase kusho, isibonelo, embolism yamaphaphu noma wamaphaphu umdlavuza;

- bronchoscopy, ozokusiza ukuba ubona ushintsho ku mafutha anciphisa isikhala esingaphakathi ze- bronchi, nakho kuzosiza izifo ezifana bronchiectasis nomdlavuza wamaphaphu;

- ngekhompyutha tomography. Lena ngenye yezindlela kakhulu nocwaningo lwanamuhla, okuvumela nokuzala esikrinini nezicubu wamaphaphu ngokuningiliziwe ukuze kutholakale imbangela yokushona ukukhwehlela, isikhwehlela okunegazi;

- webhaktheriya isikhwehlela. It ikuvumela ukuxilonga kungenzeka izifo ezithathelwanayo okwakuyoholela isikhwehlela ngegazi. Ngempela, isibonelo, izimpawu ezinjalo kungaba isifo sofuba, i-pneumonia noma wamaphaphu ithumba;

- CBC. Lokhu luhlolo igazi kungase kwembule khona ukuvuvukala Isiguli, lokhu isiqinisekiso kuyoba yamazinga aphezulu okungabi erythrocyte sedimentation isilinganiso (ESR) kanye leukocytosis;

- coagulation. Lolu hlobo lwe-test igazi, elinganisa ukusebenza kwegazi ekunqandeni. Uma isikhwehlela ngegazi siyimbangela ukopha neziyaluyalu, kungenzeka ukuthi lokhu kuzolandelwa uphawu ezinye izifo ezibucayi ezifana isifo senhliziyo noma unhlangothi,

- fibrogastroduodenoscopy. It wenziwa ukuze ukuvala amathuba kwema- igazi pheshana emathunjini isiguli. Njengoba kushiwo ngenhla, iziguli kaningi hemoptysis kudidaniswe ukuhlanza, okungukuthi igazi. Ngaphezu kwalokho, igazi eziphambili umthambo esiswini may futhi i expectorant for ekhwehlela.

ekwelapheni lesi sifo

Zonke imithi inikezwa isiguli uma kwenzeka ukuthi lapho ukhwehlela ke isuka isikhwehlela ngegazi, zingahlukaniswa zibe amaqembu ezilandelayo:

- kokuthikamezeka,

- expectorant izidakamizwa,

- antitussive izidakamizwa

- imithi ukuthambisa

- kusho ehlambulula isikhwehlela.

Kufanele kuqondwe ukuthi kungaba khona izimo lapho noma kunjalo ngeke ukucindezela ukukhwehlela ngegazi. Ngokwesibonelo, ngeke ukwazi ukwenza lokho uma ukhwehlela kuletha igazi kusukela amashubhu bronchial. ukwelashwa hemoptysis okufanele kwenzeke kuphela ngaphansi kokuqondisa kukadokotela.