Pneumothorax: tohu, Take me te rongoā

huru pathological i roto i nei te kōhao pleural (wāhi wāwāhi-āhua i waenganui i te kōpako me kiripūkahu visceral e karapoti ana ia pūkahukahu) piki hau atu hau ranei ranunga mohiotia te rite pneumothorax. Tohumate, take me te maimoatanga o tenei huru, whakaaro i roto i te tuhinga.

Overview

Hoki te kōhao pleural i roto i te āhua noa āhuatanga e te pēhanga kino, whakarato tenei he tikanga manawa tika. Ki te pakaru te pepa kiripūkahu (hei tauira, kia rite ki te hua o te whenua āputa o te pūkahukahu ranei ngōrahi) me Misses i roto i te pēhanga kōhao hau pleural ea te ki kōhauhau nui reira ranei. Ko te rangi i ngoto nei ki te kōhao pleural arata'i ki kōpeketanga o te pūkahukahu, e whakaoho ana reira spadenie me atu i te mahi o te manawa. Ki te rōrahi nui o rangi te marama tonu, ko te hoki e ngawari ki te pēhanga kaha, i roto i te tua ki tenei, i reira ko te neke o whekau mediastinal (oko nui o te ngakau). tenei katoa nui whakakorikoria te tohanga toto, me te respiration.

tohu mate: Pneumothorax

whakakitea te mate e te āhuatanga e whai ake nei:

• Kitea rawatia ake puta mamae pouaka - whakapeka, te whakanui ake i roto i te faaururaa. sensations fakamamahi taea horahia ki te fetakinima taha pāngia.

• Kitea rawatia ake whakawhanake dyspnea - hāhā o manawa, manawa pāpaku tere.

• mare maroke.

• Whakaora o te auau ngakau.

• Ko te ahua o te kiri i roto i te werawera makariri.

• ngoikore General.

• He tikanga o te wehi.

• Cyanosis te kiri o (ki te tohanga waimaero me respiration korerotia).

momo o te mate

• Open pneumothorax. Tohu o tenei huru e: ngoto ki te kōhao pleural o te rangi i roto i te bronchi nui pakaru patunga ranei o te paraparau te pouaka ki te taiao i roto i inhalation rangi tomo te kōhao pleural me haere hoki ki te wa o te paunga. Te pēhanga i roto i te kōhao pleural whakaritea ki te ambient, e whakaoho atelectasis me atu o tona respiration.

• whakawhanake pneumothorax kati i roto i te kătahi rangi ki te kōhao pleural tika ki te koha o te kiripūkahu. I waenganui i te kōhao pleural me te taiao ki reira he kore kupu, a kore e te rangi mau i roto i te rōrahi ake i. Ko pneumothorax kati te māmā hoki te wāhi haumanu o tirohanga. Ko te rangi i roto i te nui iti taea memeha ratou. Ki te reira ko tetahi pneumothorax kati, tohu i roto i tenei take, te whai ake: mamae i te taha pakaru o te pouaka, koma kiri, hāhā o te manawa.

• Ngaohiko (piha) pneumothorax. Tenei momo o te māuiuitanga faingataa. Tohumate pneumothorax takirere - he hanganga i te motu, me te kino ki nui bronchi uara toharite o te hanganga piha e taea hau ki te kōhao pleural i roto i te faaururaa, me te ārai tona putanga ki te taiao i waho. Ko te rōrahi o te rangi i roto i te kōhao pleural i tipu. whakaoho tenei te displacement me kōpeketanga o whekau mediastinal ki disorders nui o toto tohanga me te respiration.

Pneumothorax: Take o te mate

Tei runga i te take o te mate i tāutuhia he maha o ngā momo.

pneumothorax noa

Tohu o te māuiuitanga meinga e whaturama wahi ngōrahi pūkahukahu ranei e kore e nei e pā ana ki te kino pūkaha o te ãpoko pūkahukahu ranei. Ka taea e pneumothorax noa e:

1. Tuatahi (idiopathic) puta hoki kahore take kitea. He atu e pängia ana ki te āhua taua o nga tangata taitamariki 20-40 tau o tupu tiketike. maha whakawhanake māuiuitanga rite ki te hua o:

• ira meinga hē o te paru alpha-1-antitrypsin, ka whakapataritari huringa pathological i roto i te pūkahukahu;

• ngoikore congenital o te kiripūkahu, e taea ngāwari pahū i kata, mare kaha, mahi tinana kaha, manawa hohonu;

• pēhanga pārōnaki hua rumaki hohonu ki te wai, rere ruku i roto i te manureva.

2. Tuarua (symptomatic), ka whakawhanake te papamuri o kē ngā mate pūkahukahu pneumothorax noa. Tohu puta no te mea o:

• mate romahā, mo te tauira, kia ai taua mea ma'i taunutia mate pūkahukahu (mate inflammatory ma'i o te pūnaha romahā, e whanake i raro i te mana o ngā āhuatanga taiao, i te hunga matua - he paowa, whakapataritari i te whanaketanga o te kore romahā ma'i), kakakīrehe whēwhē (he mate riro hoki i āhuatanga e rangirua o nga repe exocrine), exacerbation nui o huangō;

• mate hopuhopu o nga pūkahukahu, hei tauira, kohi (mate hopuhopu meinga e mycobacteria), pūkahukahu whēwhē (iti mumura wāhi o pūkahukahu kikokiko, āhuatanga nei i te rewa o te pūkahukahu kiko, me te kōhao hanganga ki tonu i te ihirangi purulent), inflammations o pūkahukahu (kakā) ki HIV;

• mate pūkahukahu āhuatanga e pāpaka o kiko tūhonohono fibrosing alveolitis, lymphangioleiomyomatosis, sarcoidosis, histiocytosis X;

• pathologies pūnahanaha o te kiko tūhonohono ki te mate pūkahukahu: Scleroderma pūnahanaha, kaikōiwi, dermatomyositis;

• te pukupuku (pūkahukahu pukupuku).

traumatopnea

Ko te take mō tenei āhuatanga - ko te kino o te pouaka tenei:

• whētuki puhuki;

• ongó marutanga.

pneumothorax iatrogenic

Tenei māuiuitanga Ko te hua o etahi founga fakafaito'o:

• pleural pūkahukahu ranei unuhanga;

• poka,;

• pū tōngāmimi subclavian tikanga;

• ventilation aunoa.

tātaringa

I roto i te tikanga ki te hanga i te tātaritanga "pneumothorax" tohu mate kia āta ako e te tohunga i roto i te whakamātautau hauora. Tātaritanga ngā te mahi e whai ake nei:

• whakamātautau manawanui: auscultation (auscultation) pūkahukahu whakamātautau te ãpoko.

• Radiography aaka, i te tikanga o te mea e taea ki te kite i te hau i roto i te rohe pleural. Ko te tukanga ko te tikanga tuatahi o te Tātarihia te pneumothorax.

• Toto hanganga hau.

• tomography computed, e taea ai e koe te tautuhi i te take o te pneumothorax noa tuarua. whakamahia tēnei tikanga tātaritanga te ka kore e feunga kōrero te X-hihi.

• Electrocardiography, te whakamahi i nei te mea e taea ki te kitea he pīari i roto i te ngakau o te piha (pukumahi) pneumothorax.

• Kōrero Thoracic taote.

whawhati tata

kia mohio koe ki te hoatu āwhina tuatahi mō tenei huru pathological, rite pneumothorax. kia Tohu o reira he tohu ki te whawhati tata mahi hauora. Ko te tuatahi e tika ana te manawanui ki te whakarite wāhi noa o te hāora ki te ata ia ki raro, a ka karanga i te tākuta tonu.

pneumothorax Outdoor tā te whakapanga o ranu occlusive, e sealingly kati te wahi pakaru o te taiepa pouaka. Tipare e kore e haere te hau, kia hanga o polyethylene piataata ranei me te paparanga mātotoru o te miro-whāriki.

A, no te titau i te pneumothorax piha pupuri tonu o poka pleural, e e tauturu i ki horapa te pūkahukahu, te whakakore hau noa, me te ārai i te displacement o nga whekau mediastinal.

Measures ki te aro te māuiuitanga

Ki te pāngia ki te pneumothorax, maimoatanga tā te mahi e whai ake nei:

• needling Pleural, i nei te momi rangi i te kōhao pleural.

• discontinuities hāparapara suturing arahau, pūkahukahu, injuries taiepa uma.

• Ringihia te kōhao pleural ki te whakatū o te ngongo waikeri i roto i nei e puta i te tango o te rangi i te kōhao pleural.

• Ki te korerotia mamae ki taua pathologies rite pneumothorax, taea maimoatanga ngā te whakamahi o anesthetics.

• Hāora (supply hāora tonu ngā pūnaha e korere motuhake).

• Pleurodesis - hononga kiripūkahu tukanga whakamahi tafa werohia ranei ki te kōhao pleural o rongoā motuhake (ki te korerotia pinepine pneumothorax).

Pōauautanga me nunu'a

Pneumothorax - he tu'unga nui e taea meinga:

• toto Intrapleural.

• Kiripūkahu - mumura o te kiripūkahu, āhuatanga nei i te te hanganga o adhesions, whakapataritari raruraru töna marama.

• emphysema subcutaneous - he āhuatanga i roto i nei mawhiti hau ki te ngako subcutaneous. Te whakatau i te āhua o ngā wāhanga o te ngawhatanga, pupuhi o kiko subcutaneous: ka pāwhiri koutou ki runga ki a ratou, i reira te mea he tangi motuhake, rite ki te chestnut o te hukarere maroke.

• Air tomo i te kiko mediastinal. I roto i tenei take, i reira he kōpeketanga o nga oko nui, me te ngakau.

• I roto i ngā take kino (ki te rōrahi lesion nui, tino ngoto patunga o te pouaka) te kore kingi i roto i roto i te mate.

ārai

Kia kore ai pneumothorax, kia piri ki etahi ture:

• Time ki te hamani mate pūkahukahu.

• Kāti kai paipa.

• A ape i whara pouaka.

• Ki te tupu pneumothorax tino maha, he mea tika ki te kawe i roto i tukanga pleurodesis (tui kiripūkahu).

mutunga

I roto i tenei tuhinga, kōrero matou taua mate rite pneumothorax. Tohumate, take me te mau parau tumu maimoatanga o te māuiuitanga i te uiui e tatou. I roto i tetahi pneumothorax titau hohipera tonu o te manawanui mo te pokanga. Ki te tika waitohunga therapy hou o te pneumothorax noa ko te tikanga pai. Ko te angitu o te maimoatanga o te pneumothorax pāmamae pānga te āhua o te taunaha kino o te pouaka. Kia tupato o koe, ka noho hauora!