I-Aspergillosis yesigulana kunye neNkxaso yoMkhathaleli

Ibonelelwa yi-NHS National Aspergillosis Centre

Isifo seHaemoptysis

Ukuba uzisa ngaphezu kwetispuni enegazi, yiya kwi-A&E ngokukhawuleza.

IHaemoptysis ithetha ukukhohlela igazi eliphuma emiphungeni. Isenokukhangeleka njengentwana yesikhohlela esinegazi, okanye izixa ezikhulu zesikhohlela esibomvu ngokuqaqambileyo.

Olu luphawu oluqhelekileyo phakathi kwezigulana ze-CPA, kunye nezinye izigulana ze-ABPA. Inokuba yinkxalabo kumaxesha ambalwa okuqala okwenzekayo kodwa uninzi lwezigulana ziye ziqonde ukuba yintoni eqhelekileyo kubo. Ukuba kukho nantoni na eguqukayo kubungakanani okanye kwipatheni yehaemoptysis yakho (okanye ukuba uthe wehlelwa yiyo okokuqala) kufuneka uxelele ugqirha wakho, kuba isenokuba luphawu olusisilumkiso olubonisa ukuba isifo sakho sinokuqhubeleka.

IHaemoptysis enkulu ichazwa njenge-600ml (ngaphezu nje kwepinti) yegazi kwisithuba seeyure ezingama-24, okanye i-150ml (isiqingatha setoti yeCoke) kwisithuba seyure. Nangona kunjalo, namanani amancinci kakhulu anokuphazamisa ukuphefumla kwakho. Ukuba oku kuyenzeka kufuneka utsalele umnxeba kwa-999 ngoko nangoko.

Ukuba wopha kakhulu kakhulu unokumiselwa i-tranexamic acid (i-Cyclo-F/Cyclokapron), enceda ukunqanda ukopha. Kungumbono olungileyo ukugcina ukupakishwa ukuze ukwazi ukubonisa ngokulula i-paramedic kanye into oyithathileyo.

Ngamanye amaxesha izigulane zethu zifumana kunzima ukunxibelelana nobunzulu bale meko kwii-paramedics kunye nabanye oogqirha, ngakumbi ukuba abaqhelanga ne-aspergillosis. Izigulane ezinemiphunga eyonakaliswe yi-aspergillosis kunye / okanye i-bronchiectasis inokuwohloka ngokukhawuleza, ngoko ke kubalulekile ukuba uqine kwaye ugxininise ukuba bakuse esibhedlele.I-NAC inokukunika ikhadi le-wallet yokulumkisa elibandakanya inqaku malunga nale nto kwi-paramedics.

Ukuba uthe walaliswa esibhedlele ngenxa yehaemoptysis, usenokufumana igazi okanye utofelo-gazi. Unokufuna i-bronchoscopy ukufumana umthombo wokuphuma kwegazi okanye ube ne-intubated ukukunceda uphefumle ngcono. Kusenokufuneka wenze i-embolization ukuze uyeke ukopha, okwenziwa ngokufaka ucingo kwisitya segazi kwi-groin yakho. Kuqala ngokuskena kuya kujongwa kwindawo eyonakeleyo umthambo, kuze emva koko kutofwe amasuntswana amancinane ukuze enze ihlwili. Kwinani elincinane leemeko zotyando okanye unyango lweradiyo lunokucetyiswa.

Ukufunda ngakumbi malunga ne-haemoptysis:

  •  I-Tranexamic acid inganceda ukunciphisa umthamo kunye nexesha lokopha kwi-haemoptysis, kunye nomngcipheko ophantsi weengxaki. (Moen et al (2013))

Okubangel 'umdla kukuba, imiphunga inegazi ezimbini ezihlukeneyo: i-bronchial arteries (ukukhonza i-bronchi) kunye ne-pulmonary arteries (ukukhonza i-alveoli). I-90% yokopha kwe-haemoptysis ivela kwi-bronchial arteries, ephantsi koxinzelelo oluphezulu kuba iphuma ngqo kwi-aorta.