Pneumothorax: abin da yake da shi? Haddasawa, cututtuka da kuma lura da pneumothorax

Pneumothorax - wani yanayin a cikin abin da iska ne a hankali tara a cikin pleural kogo. Wannan yanayin na bukatar nan da nan asibiti. Wannan matakin na samar da bayani a kan "pneumothorax: abin da yake da shi?", Na bincikar haddasawa da kuma bayyanar cututtuka na cutar.

Description da cutar

Haske da wani mutum fara aiki a lokacin da matsa lamba ne ya fi a cikin pleural kogo. Idan na karshe saboda wasu dalilai shiga cikin iska, wannan adadi muhimmanci karu. Easy a kan take hakkin amsa resizing, wanda ya haddasa shortness na numfashi da kuma sauran cututtuka da lalacewa ta oxygen rashi.

A magani, a yanayin da ake kira pneumothorax. Yana yakan auku a matasa yan kasa da shekaru 40 da shekaru. Idan kana da bayyanar cututtuka na tabarbarewar general yanayin haƙuri ya kamata a asibiti cikin gaggawa. In ba haka ba, shi ne kara hadarin rayuwa-barazanar rikitarwa.

A Sanadin da kuma siffofin da cutar

Ta yaya ne pneumothorax, abin da yake da shi? A cuta ya auku a kan bango na wasu dalilai mabambanta da cewa sanin da musamman look. Saboda wannan dalili, likitoci bambanta da wadannan rarrabuwa na Pathology:

1. Maras wata-wata pneumothorax. Yana tasowa wani kwakkwaran dalili ba (primary) ko bango cututtuka (secondary). A mafi yawa ana bincikar lafiya a maza dake da shekaru 20 zuwa 40 game da shekarun underweight. A cuta ne a kayyade predisposition ko huhu lahani. Bugu da kari, da tarin fuka, ko ciwon huhu zai iya sa irin wannan Pathology.
2. Traumatic pneumothorax. Yana tasowa saboda thoracic rauni, biyu daga shiga raunuka, kuma daga ciki lalacewa. A cikin farko idan iska ne haƙĩƙa, sun shige kai tsaye zuwa cikin pleural rami ta hanyar wani bude rauni, sa'an nan kuma amfani da shi an cire. A karo na biyu idan suka kamu da katsewa na huhu. Saboda wannan cuta da iska da yardar kaina shiga pleural yankin.
3. Iatrogenic pneumothorax. Yana tasowa a sakamakon bincike ko warkewa magudi (huhu biopsy, huda, catheterization).

Gabatar rarrabuwa damar zuwa yadda ya kamata gane asali "pneumothorax" da kuma rubũta isasshen magani.

The asibiti hoto da cutar

A Pathology farawa ta ci gaba tare da fitowan na m zafi a cikin kirji, wanda za a iya ba a wuyansa, ko babba yankin na ciki. A rashin jin daɗi da aka ji a lokacin da numfashi ko ta jiki exertion. Kamar yadda da ci gaban da cutar akwai stiffness a cikin kirji, mutane jin kasawa da iska. Wannan shi ne saboda kara matsa lamba a cikin pleural kogo da kuma matsawa daga cikin huhu. Har ila yau, akwai shortness na numfashi, m numfashi, wanda ba ya kawo ake so taimako.

M rashin oxygen take kaiwa zuwa pallor. Bugu da kari, akwai wani m zuciya kudi da kuma wuce kima sweating.

nau'i na pneumothorax

A gaban / rashi na sadarwa da yanayi ya sa ya yiwu don rarraba da cuta a cikin wadannan siffofin:

• Kulle. Yana tasowa a lokacin da iska ke shiga cikin pleural yankin. Asibiti, wannan nau'i na cutar halin mafi m. Adadi kaɗan na iska iya soke a kan nasu.
• Open. Akwai wani tari na wuce haddi da iska a cikin pleural kogo, ta hanyar abin da kirji bango na bronchus ko lalace rauni Magana da yanayi. Kowane inspiratory iska wuce a cikin pleural kogo, da ke da baya a lokacin exhalation. Yana zama daidai ga yanayi matsa lamba, wanda results a atelectasis.
• Bawul. Wannan nau'i na pneumothorax an dauki mafi tsanani. Idan ciwo ne babba, da hadaddun bawul tsarin da aka kafa. Lokacin da inhaling iska ta shiga pleural rami a lokacin exhalation amma ba zai iya fita da baya. Its girma ne a hankali kara. Haka kuma cutar take kaiwa zuwa gudun hijira da kuma matsawa na mediastinal gabobin, rushewa daga numfashi da kuma jini wurare dabam dabam.

Dangane da girma na iska a cikin pleural yanki a daure ya zama ruwan dare, talakawan da total pneumothorax. A karshen harka, da haske yana kasa da rabin al'ada girma.

Halaye na cuta a cikin yara

Pneumothorax a jarirai na iya faruwa nan da nan bayan da farko 'yan breaths. A wannan yanayin, shi ne wani yunkri nau'i na cutar. Yana tasowa tare da m-fadada daga cikin huhu, wanda yakan auku saboda matsalar da jariri. Yara har zuwa shekara uku, wannan yanayin zai iya zama mai wahala na ciwon huhu. A samartaka, wannan cuta na faruwa a lokacin tari a lokacin na gaba fuka hari.

Pneumothorax a yara ba bayyana asibiti. Wani lokaci akwai wani gajere lõkacin fatara daga numfashi, a mafi tsanani lokuta - cyanosis na fata, convulsions, m zuciya rate. Ka'idojin magani ne guda kamar yadda a cikin manya.

bincikowa da

Daidai da kuma dace ganewar asali yana da muhimmanci ga zargin pneumothorax, saboda irin wannan jiha sau da yawa samar da rikitarwa. Domin tabbatar da cuta taka wata rawa ta musamman da bayyanar da haƙuri, wanda yawanci hadawa duk na sama bayyanar cututtuka na Pathology. Bugu da kari, da mutum yana da dauki wani hali (a zaune ko accumbency), sa'an nan matsa lamba a cikin pleural sarari aka ji ba sosai.

Don sa wani jiki jarrabawa, da ganewar asali ne bai isa ba, don haka da haƙuri da aka wajabta kirji X-ray mutanen da ake zargin pneumothorax. Mene ne wannan? Wannan binciken ne sosai m, kuma ba ka damar gano shafi yankunan, rushewarta huhu yankin.

Radiography - ba kawai Hanyar ganewar asali. Idan ka zargin wani pneumothorax ne ma sanya wani CT scan, a jini gwajin for gaban gas, electrocardiography.

farko-taimaka

Pneumothorax yana dauke da gaggawa yanayin. Kowane mutum kamata su iya samar da gaggawa taimako don ya shafa: kwantar da shi sauka, don tabbatar da samun da oxygen zuwa haifar da wata tawagar da kiwon lafiya kwararru.

Idan akwai wani waje pneumothorax miya aka yi amfani da haka a matsayin rufe wani aibi a bango na sternum. A gaggawa halin da ake ciki, in babu bakararre kayan za a iya amfani da improvised nufin (shirts, tank fi). The kyau rabo daga masana'anta dole ne a yi amfani kai tsaye zuwa cikin rauni kanta. Don rufẽwa a kan rauni a saman miya ne aiyuka littafin Cellophane, ko polyethylene.

Lokacin da bawul pneumothorax haƙuri bukatar pleural huda domin kau da free gas jitter mediastinal da kuma huhu gabobin straightening.

Yana da muhimmanci a rage wuya da aiwatar da haƙuri numfashi. A saboda wannan dalili ya zama dole a sa a kan wani dagagge surface. A cikin hali na rufe da mãgãgi kamata ku zo da wani mutum zuwa rayuwa. Lokacin da hannu ba ammonia, yana da za a iya maye gurbinsu da wani nufin da pungent wari (turare, fetur). Bayan taimakon farko kamata jiran teams na kiwon lafiya kwararru.

Magani a asibiti

Marasa lafiya da pneumothorax ne batun m asibiti. A asibiti masana suna yin huda na pleural kogo, don haka abin da wuce haddi da iska daga. Jiyya dogara a kan takamaiman tsari na cutar.

Conservative magani ne dacewa a yanayin saukan idan shi ne rufaffiyar kananan pneumothorax. A haƙuri dole ne a tabbatar gado sauran An wajabta maganin ciwo idan ya cancanta.

Lokacin da jimlar embodiment a cutar pleural rami magudanun sa. Wannan wajibi ne don hana buga martani da kuma dawo da sauki.

Idan haƙuri yana da wani bude pneumothorax, da taimakon bayar kafin zuwa na teams da kiwon lafiya kwararru, damar ajiye haƙuri da rai. Babban aiki na likitoci - Pathology fassara a cikin rufaffiyar mold. Domin wannan dalili, da rauni ne sutured, inda shigar azzakari cikin farji daga iska a cikin pleural rami na tasha. Biye da magudi, kamar irin waɗanda ake bukata ga ganewar asali "rufaffiyar pneumothorax."

Bayan tiyata, da mãsu haƙuri bada shawarar ga makonni hudu zuwa gaba daya watsi da motsa jiki. Hop a kan wani jirgin saman dakatar da kwanaki 14 bayan da magani. Doctors rika kada su tafiyar da ruwa da sauran aiki wasanni. Duk wannan yana sa wani matsin lamba drop.

A hangen nesa bayan lura

A sakamakon cutar ya dogara da shekaru da kuma jima'i da haƙuri, gaban rikitarwa da kuma related ailments. Maras wata-wata pneumothorax huhu da ya auku a kan wani bango na kwayoyin laulayi halin da m sakamako.

A 20% na lokuta, marasa lafiya fuskanci cutar da komowa, musamman idan aka sa ta farko cuta. Hadari ne jihar mutum, sa'ad da pleural rami da aka cika da iska daga bangarorin biyu. Yawanci, wannan entails wani m na numfashi gazawar da kuma mutuwa. Biyu-hanyar siffar pneumothorax halin da m sakamako a kawai 50% na lokuta. A wannan kudi ƙwarai rinjayar da timeliness da kuma ingancin taimakon farko.

rikitarwa pneumothorax

Aƙalla rabin shafi cutar ci gaba daban-daban da rikitarwa. Daga cikin su shi ne dauke da ya fi na kowa zub da jini a cikin pleural rami, wanda a mafi yawan lokuta yana da wani m sakamako. Tare da m jini da asarar likitoci kafa haƙuri da mutuwa. Ko yana yiwuwa don normalize da yanayin haƙuri, na kara hadarin cardiac da numfashi gazawar. Duka wadannan yanayi ne rai barazana.

Traumatic pneumothorax bambance-bambancen da hadarin rauni kamuwa da cuta da kuma samuwar subcutaneous emphysema. The iska hankali ke shiga cikin subcutaneous mai, wanda shi ne mai hadarin gaske yanayin. Wani wahala daga wannan cuta da aka dauke su kumburi da pleura petals. An tare da wani haske na asibiti hoto da kuma bukatar sosai magani.

m matakan

Specific cutar rigakafin hanyoyin da basu wanzu. Don hana wannan cuta, likitoci bayar da shawarar zuwa tsaya ga wata lafiya salon, daina miyagun halaye, lokacin da za a yi maganin cututtuka ne da suke ciyarwa karin lokaci a waje.

Daga cikin kayan da wannan labarin, za ka koya me ya sa suka ci gaba pneumothorax, abin da shi ne, abin da suke da manyan cututtuka. Lokacin da farko ãyõyin Pathology kamata ba tsoro. Pneumothorax - ba a jumla, mafi yawan marasa lafiya nasarar jimre da irin wannan ganewar asali. Dace da kuma dace magani iya dakatar da Pathology, su hana ci gaban rikitarwa.