A bawul pneumothorax: Sanadin, Alamun, bincike da kuma magance

A irin wannan cuta, kamar yadda wani bawul pneumothorax, pleural yankin na oxygen kwarara, da adadin abin da aka hankali kara. Bayyanuwar irin wannan Pathology hade da wani alama na bawul din aiki. Aiki da shi ne karya dangane da shigar azzakari cikin farji daga iska daga cikin huhu da pleura da rashin yiwuwar ta baya motsi. Saboda wannan, a cikin kirji yanki haddasa ciwo mai tsanani, saboda akwai wani gagarumin raguwa a cikin huhu girma da kuma aiwatar da inhalation wuya.

Irin wannan pathological yanayin da aka sani na wani sosai tsawon lokaci, da kuma hade da bayyanar da sakamakon da na huhu da tarin fuka. Amma mun gwada kwanan nan, an gano cewa cutar bayyana ba zato ba tsammani. wannan Pathology ne suka kamu da akai-akai idan numfashi matsaloli hade tare da katsewa na bullae.

iri

Pneumothorax bawul ne ciki da waje, kuma yana dogara a kan samuwar inji. Ciki view of pneumothorax auku saboda lalacewar da manyan bronchi da kuma gaban patchwork haske raunuka. Pleural rami da aka cika da iska ta yi lahani ga visceral pleura. A wannan yanayin da shi abubuwa a matsayin bawul kada huhu nama wadda inspiratory iska wuce, kuma ba exhale fita gas baya ga huhu.

A m bayyanar pneumothorax ne halin da cewa rawar da bawul a cikin wannan yanayin ne m nama raunin da kirji. Inhalation rauni gefuna fara fadada, da iska iya yardar kaina shiga cikin pleural rami a lokacin exhalation da kuma dakushe ya auku rauni ramukan ba tare da barin shi.

A Sanadin cutar

A bawul pneumothorax yana da daban-daban dalilai ga abin da ya faru. Mafi sau da yawa shi ne mai tayar da hankali da kuma maras wata-wata halitta da cutar.

A sabili da rauni (traumatic) ne rufaffiyar pneumothorax kirji rauni, tare da katsewa na huhu nama ko kirji iya shiga rauni. Kamar wancan akwai wani fairly m "bonding" a kan kirjin bango bude raunuka, yayin da bronchus ciwo ya ci gaba da gape. Domin irin wannan rauni sun hada da:

• haƙarƙari samu karaya.
• harbin bindiga da wuka raunuka zuwa da kirji.
• lalacewar bronchus ko esophagus kasashen waje jiki.
• fada daga tsawo.
• discontinuities bronchi da t. d.

Maras wata-wata pneumothorax halin da katsewa na modified rabo daga huhu nama. Taimakawa wajen raya wannan Pathology na da wadannan cututtuka:

• da tarin fuka.
• bullous emphysema, da huhu.
• cystic fibrosis.
• huhu ƙurji .
• pneumoconiosis et al.

Karin dalilai da ci gaban da maras wata-wata pneumothorax an tari, da ruwa, ta jiki danniya, da sauransu. D.

cututtuka

Yadda aka saba, a lokacin da bawul pneumothorax haƙuri ne cikin mawuyacin hali. Ya samun m, akwai wani pronounced zafi a cikin kirji, har ya zuwa kafada ruwa, kafada da kuma ciki. Fara don ci gaba cikin sauri shortness na numfashi, wani rauni, cyanosis, akwai wani asarar sani, fadada intercostal sarari, yana faɗaɗa da abin ya shafa gefe daga cikin kirji. Palpitations shortness na numfashi, hypotension, tachycardia - ne ma ãyõyin valvular pneumothorax.

The iska hanzari tara a cikin pleural rami zai iya sa cardiac ko na huhu insufficiency, sakamakon mutuwar faruwa. By marigayi rikitarwa cuta sun hada da empyema pleural effusion da mai amsawa.

bincikowa da

Doctor tare da haƙuri jarrabawa ya nuna subcutaneous emphysema, da backlog a lokacin numfashi a kan ya shafa gefe daga cikin kirji, flattening intercostal sarari. Amfani da X-ray haske gano atelectasis da kuma biya diyya a cikin lafiya gefe na mediastinum inuwa.

Pleural huda da manometer damar rarrabe daga juna bude, rufe da bawul pneumothorax. Idan ruwa ne ba, da tsammãni ne da za'ayi kara bincike da kuma pleural effusion a kan salula abun da ke ciki da kuma microflora. Don gane da wuri da kuma size of pleural fitsari, gudanar da bincike da kuma thoracoscopy plevroskopiyu.

magani

A farko da magani daga valvular pneumothorax ya kamata a da nufin decompression na mediastinum da kuma huhu, da kuma yin shi da sauri. Domin gudanar da wannan sallama transthoracic huda ko thoracostomy da wajibi Kaddamar da wani m magudanun Byulau. Kawai bayan da haƙuri da irin wannan jan suna hawa zuwa asibiti domin cigaba da magani.

Don dattako da yanayin haƙuri, shi ne gudanar da maras narcotic da narcotic analgesics, zuciya da jijiyoyin jini magunguna, maganin rigakafi, antitussives.

Yana da muhimmanci a matsawa bawul din da rufaffiyar pneumothorax. Don yin wannan dole ne ka kullum lambatu cikin pleural kogo. Idan iska ya kwarara tsaya a nan ba domin magudanun ruwa, wannan ya nuna hãtimi a kogo. Magudanun kawar da kwanaki biyu bayan da cikakken bar su a baya na huhu, idan an tabbatar da radiographically.

Idan hasken ba zai iya yada, da m magani daga pneumothorax. Damage thorax bukatar suturing da raunuka da kuma thoracotomy. Idan akwai wani hadarin sake ilimi kwatsam pneumothorax bawul, sa'an nan kuma amfani da m magani daga tamkar cuta. Dangane da Pathology yi segmentectomy, bilobektomiyu, m huhu resection, lobectomy, pleurectomy, pleurodesis, da sauran shisshigi.

Gaggawa taimako a cikin cuta

Akwai yanayi da cewa haƙuri iya bukatar gaggawa taimako a bawul pneumothorax. Don adana ransa, dole ku:

• kwantar da wani mutum;
• don samar da shi tare da samun sabo ne iska.
• Kanemi shawara nan da nan.

Taimakon farko ne zuwa huda wani lokacin farin ciki allura kirji bango. Saboda wannan yana yiwuwa ya sauri rage high matsa lamba a cikin pleura.

Yin rigakafi da hangen nesa

Wahala daga valvular pneumothorax ne a tura huhu ciwo pneumoempyema, cardio-na huhu insufficiency. Lokaci zuwa samar da kiwon lafiya da taimako don cimma dawo.

Cutar rigakafin ne da nufin hana hatsarori. Bugu da kari, a lokacin da na yau da kullum dubawa pulmonologist, da tarin fuka da kuma thoracic likita gane marasa lafiya da na huhu Pathology.

ƙarshe

Saboda haka, bawul pneumothorax aka dauke matukar hatsari cuta a cikin wanda marigayi wannan taimako take kaiwa zuwa mutuwa. Saboda haka, marasa lafiya tare da wannan Pathology kamata ko da yaushe tuntubar likita, kuma da sauri.