Zimene Muyenera Kudziwa Ponena za Mphungu Yotaya
Pneumothorax amatanthawuza mpweya mu chifuwa ndipo amatanthauza kuwonjezeka kwa mpweya kuzungulira m'mapapo, omwe amachititsa kuti mapaipi ayambe kugwedezeka. Pneumothorax ndizofala kwambiri kwa odwala omwe ali ndi vuto lalikulu kwambiri la chifuwa chachikulu . Ndilofala kwambiri kwa odwala omwe ali ndi matenda aakulu a mapapu .
Mitundu
Pneumothorax yosavuta
Chitsanzo chachikulu cha pneumothorax chimapezeka pamene mpweya umathawa m'mapapo ndipo umakhala pakati pa pakhotal pleura ndi sac pafupi ndi mapapo (visceral pleura).
Odwala wathanzi, mapemphero awiriwa amatsutsana pamene tikupuma.
Pneumothorax yosavuta imachitika pamene mpweya umalowa pakati pa zigawo ziwiri za kupembedzera ndi kuwasokoneza. Mpweya waukulu umatuluka pamphuno la chifuwa ndipo umatulutsa mapapo.
Kuthetsa Pneumothorax
Pamene pneumothorax ikukula, kupanikizika kwa mpweya mu chifuwa kungapangitse wodwalayo kukhala ndi mpweya wochepa ndipo potsiriza angapangitse kusokonezeka kwa kupsyinjika pamtima ndi mitsempha yambiri ya magazi.
Kuthamanga kwa pneumothorax kumakhala kovuta kwambiri ngati pali bala lotseguka m'chifuwa kulola mpweya kulowa mkati (onani kuyamwa kwa chifuwa pamutu ). Kusakanizidwa, vuto la pneumothorax ndi moyo wowopsya.
Pneumothorax wamba
Nthaŵi zina, odwala amatha kukhala ndi pneumothorax pokhapokha ngati kumveka: wodwala akuyenda limodzi, kuganizira bizinesi yake, ndi pop , mapu amachokera.
Kawirikawiri pneumothoraces kawirikawiri imakhala yosavuta, koma ikhoza kukhala masautso ngati sichitsatiridwa.
Zizindikiro ndi Zizindikiro
Zizindikiro za pneumothorax zimakhala zosagwirizana:
- Kupuma pang'ono
- Kuphulika kwa mapapu kumamveka kumbali yomwe yakhudzidwa (kutuluka kwa mpweya kumakhala kosavuta kwambiri pamene wodwala atenga mpweya)
Odwala omwe amakhala ndi vuto la pneumothorax, maphokoso am'mapapo amatha kuchepa, mwinamwake palibe, ndipo magazi amayamba kutaya chifukwa chododometsa. Mabuku ena amasonyeza kuti zipangizo zomwe zili pakati pa chifuwa (trachea, eophagus) zimatha kukankhidwa ndi pneumothorax. Ndipotu izi ndizosachitika kwambiri ndipo siziyenera kukhalapo kuti wodwalayo akhale ndi vuto la pneumothorax.
Chithandizo
Kachifuwa kalikonse kamodzi kotsatira ndi mpweya wochepa uyenera kuwonedwa ndi dokotala. Kuti mukhale mpweya wochepa kwambiri pambuyo povulala, imbani 911.
Pneumothorax yosavuta ikhoza kudzipangitsa kudziletsa ngati sichitsatiridwa; kutanthauza kuti zidzangoipiraipira, ndiye kuti zisafike poipa. Mwatsoka, simungadziwe kuti ngati mutangonyalanyaza pneumothorax ndikudikirira.
Kuthetsa pneumothorax ndi chiopsezo chachikulu chomwe chiyenera kuchitidwa mwamsanga. Itanani 911 ngati mukuganiza kuti pali vuto la pneumothorax kapena ngati mukudziwa kuti pali chifuwa chachikulu ndipo mukuganiza kuti ikuyamba kukhala pneumothorax.
Ma Paramedics amatha kupweteka pneumothorax mwa kuika singano yaikulu (osachepera 14 singano ya singano ndi catheter) m'mwamba pamwamba pa nthiti yachitatu yomwe ili kumbali ya chifuwa kumene mapu amveka amachepetsedwa.
Nsale idzapangitsa kuti pneumothorax isagwedezeke mopitirira muyeso, kuthamangitsira mthunzi wa thoracic ndi kuchepetsa kupuma kwa wodwalayo komanso kukhumudwa. Njirayi ndi thoracentesis ya singano .
Mabala Achifuwa Achifuwa
Pa nthawi yomwe pamakhala chilonda chotseguka pakhoma la chifuwa chololeza kuti mpweya ulowe mumtambo wa thoracic kupatula kudzera pamtunda woyenda bwino, umatchedwa chilonda choyamwa pachifuwa . Mabala a mfuti nthaŵi zambiri amayamba kukhala akuyamwa mabala a chifuwa.
Mabala a chifuwa omwe amapezeka amathandizidwa powaphimba ndi bandage yosatetezedwa yomwe imadziwika ngati kuvala kwodziwika. Amatha kutsogolera pneumothorax mosavuta, makamaka ngati akugwiritsidwa ntchito.
Ngati wodwalayo ali ndi chilonda cha m'chifuwa amachiritsidwa ndi kuvala mophiphiritsira ndipo amatha kupuma pang'ono pokhapokha atavala kaye: chotsani. Kutsegula chilonda cha chifuwa chotsatira pambuyo pa vuto la pneumothorax chimawathandiza kuti chifuwacho chichotsere.
Zotsatira:
Choi WI. Pneumothorax . Tuberc Respir Dis Dis (Seoul). 2014 Mar 76 (3): 99-104. do: 10.4046 / trd.2014.76.3.99. Epub 2014 Mar 29. Yambani. PMID: 24734096
Lai-Fook, SJ. Makina a malo achondereko: mfundo zofunikira. Mphungu . 1987; 165 (5): 249-67. Onaninso.