Hemoptysis: chomwe chimayambitsa, chimayambitsa komanso choti muchite

Zamkati

• Zomwe zimayambitsa Hemoptysis
• Momwe matendawa amapangidwira
• Chithandizo cha hemoptysis

Hemoptysis ndi dzina la sayansi lomwe limaperekedwa kutsokomola kwamagazi, komwe nthawi zambiri kumakhudzana ndi kusintha kwa m'mapapo, monga chifuwa chachikulu, bronchitis, kupindika kwa m'mapapo ndi khansa yam'mapapo, mwachitsanzo, yomwe imatha kubweretsa kutaya magazi kwambiri pakamwa, chifukwa chake ndikofunikira pitani mwachangu kuchipatala kuti mankhwala athe kuyambika ndikuthana ndi zovuta.

Hemoptysis imalingaliridwa ngati kutuluka kwa magazi kumachokera m'mapapu ndikutaya kwa 100 mpaka 500 ml yamagazi kumawoneka m'maola 24, komabe kufunikaku kumatha kusiyanasiyana kutengera ndi dokotala woyenera. Kuchuluka kwa magazi omwe atayika kumawerengedwa kuti ndiwowopsa pamene angaike moyo wa munthu pachiwopsezo chifukwa chakulephera kwa njira yapaulendo mwakuunjikira magazi.

Zomwe zimayambitsa Hemoptysis

Hemoptysis ikhoza kukhala chizindikiro cha matenda angapo, koma nthawi zambiri imakhudzana ndi kusintha kwamatenda, matenda opatsirana kapena owopsa m'mapapu, kapena mitsempha yamagazi yomwe imafikira chiwalo ichi ndikulimbikitsa kuthirira kwake, yayikulu ndiyo:

• Chifuwa chachikulu;
• Chibayo;
• Matenda;
• Embolism m'mapapo mwanga;
• Khansa ya m'mapapo ndi metastases m'mapapo;
• Bronchiectasis;
• Matenda a Behçet ndi Wegener granulomatosis, omwe ndi matenda omwe amadziwika ndi kutupa kwa mitsempha yamagazi mthupi lonse.

Kutsokomola magazi kumathanso kuchitika chifukwa chazomwe zimayambitsa matenda kapena njira zamankhwala zomwe zitha kuwononga mpweya wabwino, monga mkamwa, mphuno kapena pakhosi, komanso zimayambira m'mimba, komabe hemoptysis ikachitika m'magulu awiriwa zinthu, amatchedwa zabodza hemoptysis.

Dziwani zina zomwe zimayambitsa chifuwa chamagazi.

Momwe matendawa amapangidwira

Kuzindikira kwa hemoptysis kumachitika makamaka pofufuza zomwe zapezeka komanso mbiri yazachipatala ya munthu. Chifukwa chake, ngati munthu ali ndi chifuwa chamagazi kwa sabata yopitilira 1, kuchepa thupi popanda chifukwa, kutentha thupi, kusintha kwa kupuma ndi / kapena kupweteka pachifuwa, tikulimbikitsidwa kupita kuchipatala mwachangu kukayezetsa komwe kungadziwe chifukwa cha zizindikiro.

Dokotala nthawi zambiri amalimbikitsa kuyeserera kwa kuyerekezera, monga chifuwa x-rays ndi computed tomography kuti athe kuwona m'mapapo ndikuzindikira zizindikilo zilizonse zosonyeza kutaya magazi komwe kumatha kusokoneza moyo wa munthuyo. Kuphatikiza apo, amafunsidwa mayeso a labotale, monga kuwerengetsa magazi ndi kuchuluka kwa magazi kuti muwone kuchuluka ndi mawonekedwe amwazi wamagazi.

Kupezeka kwa hemoptysis kumapangidwanso kudzera mu bronchoscopy, kuyeserera komwe chubu chaching'ono chosungunuka chokhala ndi maikolofoni yolumikizidwa kumapeto kwake imalowetsedwa mkamwa kapena mphuno ndikupita kumapapu, kulola adotolo kuti ayang'ane dongosolo lonse la m'mapapo mwanga komanso kupuma thirakiti ndikuzindikira malo omwe akutuluka magazi. Mvetsetsani momwe bronchoscopy imachitikira.

Chithandizo cha hemoptysis

Mankhwala a hemoptysis amachitika molingana ndi zomwe zimayambitsa komanso kuchuluka kwa magazi omwe atayika, cholinga chake ndikulamulira magazi ndikukhazikitsa wodwalayo. Chifukwa chake, bronchoscopy kapena arteriography itha kulimbikitsidwa ndipo, kutengera kukula kwake, kuwonjezeredwa kwa plasma ndi ma platelet kungasonyezedwe.

Kutuluka magazi ndikosaletseka, ngakhale atayesedwa kuti athetse vutoli, njira yochitira opaleshoni imawonetsedwa, monga kupindika kwa mtsempha wamagazi, mwachitsanzo, momwe dokotala, mothandizidwa ndi chubu chaching'ono chosinthasintha ndi kamera yaying'ono kunsonga, amatha kudziwa komwe kuli ndikuletsa magazi.

Malinga ndi zomwe zimapangitsa hemoptysis, adotolo amathanso kulangiza mankhwala ena, monga kugwiritsa ntchito maantibayotiki, ngati magazi angatuluke chifukwa cha matenda, anticoagulants, mankhwala oletsa kutupa kapena, ngati ndi chifukwa cha khansa ya m'mapapo ya khansa, khalani chisonyezo cha chemotherapy.