Mpweya umamveka

Phokoso lakumveka ndi phokoso lomwe limapangidwa ndimapangidwe am'mapapo panthawi yopuma.

Kumveka kwamapapu kumamveka bwino ndi stethoscope. Izi zimatchedwa kusangalatsa.

Phokoso labwinobwino limapezeka m'malo onse a chifuwa, kuphatikiza pamwamba pama kolala ndi pansi pa nthiti.

Pogwiritsa ntchito stethoscope, adotolo amatha kumva phokoso lakupuma, kuchepa kapena kulira kwa mpweya, komanso kupuma kwachilendo.

Phokoso kapena kuchepa kwa mawu kumatha kutanthauza:

• Mpweya kapena madzimadzi mkati kapena m'mapapo (monga chibayo, kulephera kwa mtima, komanso kupuma kwamphamvu)
• Kuchuluka kwa khoma la chifuwa
• Kuchulukirapo kwa gawo lamapapu (emphysema imatha kuyambitsa izi)
• Kuchepetsa mpweya kwa gawo la mapapu

Pali mitundu ingapo ya mpweya wabwino. 4 ofala kwambiri ndi awa:

• Ma Rales. Kudina pang'ono, kububula, kapena kumveka m'mapapu. Amamveka munthu akamapumira (inhales). Amakhulupirira kuti zimachitika mpweya ukatsegula malo otsekedwa. Ma Rales amatha kufotokozedwanso ngati owuma, owuma, abwino, kapena owuma.
• Rhonchi. Zikumveka zomwe zimafanana ndi mkonono. Zimachitika pamene mpweya watsekedwa kapena kutuluka kwa mpweya kumakhala kovuta kudzera mumayendedwe akuluakulu.
• Stridor. Phokoso lokhala ngati mahewu limamveka munthu akamapuma. Kawirikawiri zimachitika chifukwa cha kutsekeka kwa mpweya wamphepo (trachea) kapena kumbuyo kwa mmero.
• Kutentha. Phokoso lapamwamba lomwe limapangidwa ndi njira zopapatiza. Kupuma ndi mawu ena achilendo nthawi zina amatha kumveka popanda stethoscope.

Zomwe zimayambitsa kupuma kosazolowereka ndi monga:

• Pachimake bronchitis
• Mphumu
• Bronchiectasis
• Matenda bronchitis
• Kulephera kwa mtima
• Emphysema
• Matenda am'mapapo amkati
• Kutsekeka kwakunja kwa msewu
• Chibayo
• Edema ya m'mapapo
• Tracheobronchitis

Funani chithandizo chamankhwala mwachangu ngati muli ndi:

• Cyanosis (kutulutsa khungu khungu)
• Mphuno ikuwombera
• Vuto lalikulu kupuma kapena kupuma pang'ono

Lumikizanani ndi omwe amakuthandizani ngati muli ndi vuto lopuma mwinanso mwanjira zina.

Omwe amakupatsani mayeso adzakuyesani ndikukufunsani mafunso okhudza mbiri yanu yazachipatala komanso kupuma kwanu.

Mafunso angaphatikizepo:

• Kodi mpweyawo unayamba liti?
• Zinatenga nthawi yayitali bwanji?
• Kodi mungafotokoze bwanji kupuma kwanu?
• Nchiyani chimapangitsa kukhala bwino kapena choipa?
• Ndi zisonyezo zina ziti zomwe muli nazo?

Woperekayo amatulutsa mpweya wosazolowereka nthawi zambiri. Mwina simungawazindikire.

Mayesero otsatirawa akhoza kuchitika:

• Kufufuza kwa sputum sampuli (chikhalidwe cha sputum, sputum Gram banga)
• Mayeso amwazi (kuphatikiza mpweya wamagazi wamagazi)
• X-ray pachifuwa
• Kujambula kwa CT pachifuwa
• Mayeso a ntchito yamapapo
• Kutulutsa oximetry

Mapapu akumveka; Kupuma kumveka

• Mapapo
• Mpweya umamveka

Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Chifuwa ndi mapapo. Mu: Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Upangiri wa Siedel ku Kuyesa Thupi. 9th ed. Louis, MO: Elsevier; 2019: chaputala 14.

Kraft M. Njira kwa wodwala yemwe ali ndi matenda opuma. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 83.