Mālama '-lapaau a me ka' inikua pilikia mālama i loko o pulmonary edema

Pulmonary edema - mea he pathology a ua kauoha ia e ka nui mahuahua i loko o ka iliwai o intercellular (interstitial) loli. Kona ho okumu mea he hopena o ka auoiaea hapa o ka wai koko mai ka ipu koko. I ka wa e kaawale aku o ka pathology intercellular loli ua omo hou i loko o nā ipu lymph, i hiki aku ai i ka hoʻi o ka wai koko filtrate hoʻi. Ke physiological o Mānoa, o kēia kaʻina moe i loko o ka mea ana ka wai a komo i loko o ka haawi ana o o oxygen i na keena a me māhuaola, a kokua i ka wehe metabolic huahana. Pilikia mālama i loko o pulmonary edema ua koi 'ia no ka hoola ana o ke kanaka.

hydrostatic edema

Ua mahuahua ke dala o interstitial loli aie i ka mea i maoli he ka hydrostatic puʻe i loko o nā ipu pulmonary koko. E like me ka hopena, e hele aku ai i edema.

ʻili lahilahi nani

Ka nui o interstitial loli ma maʻamau puʻe piʻina aie i excessive wai koko kānana. No ka laʻana, i ka wa a ka ha awina o hoʻoʻino uao mahuahuaʻili lahilahi permeability, e alakai i ka edema.

kumu

Ka loa pinepine malama pulmonary edema, naau hoʻokō 'ole' (i hookuu i ka hema naau ventricle) ma muli o ka stagnation i loko o ka pulmonary holo. I kekahi manawa, i kēia pathological ana ia lŘlŘ ka wā o ka mitral a me ka aortic mā ma hypertensive crises, myocardial infarction, infarction, a me ka huʻi myocarditis. I kaʻapu kōheoheoʻana e hoʻomōhalaʻawahia pulmonary edema. Mea a na kumu, ka hoʻomanawanui koi pilikia mālama i loko o pulmonary edema.

symptomatology

I ka pulmonary edema malama loa pokole o ka hanu, haanou ana o ka ai aa koko, cyanosis o ka maka. Hanu ua pohā ano a anao? Aou i ka nui nui o frothy sputum (kekahi manawa me ka tinge a pink). E hoomanawanui iʻelemakule ke wahahee mai. Ka mea i pio, e noho ma luna o ka moe me ka palupalu mau wāwae. Over nā maʻiʻaʻai i lohe crackles paha i kekahi manawa, holo māmā, a ia voiceless naʻau nanahe. Hoomanawanui Ka Wailele O i loko o ke anu hou. Aia ka he mau nawaliwali. Lāʻau ikiʻai wale nawaliwali a me ka pinepine. E hoomanawanui i loaa i ka makau o ka make. I loa ano o pathological moku'āina i ka ia manawa e hoʻomōhala ana i'opi.

First kōkua no ka pulmonary edema

Premedical hana edema o ia maʻiʻaʻai mea i hoolilo i ka hoʻomanawanuiʻana i ka noho kūlana. Ma maʻamau a kiʻekiʻe puʻe, ina aole no na hoailona o myocardial infarction a me ka'opi, he mea hiki i ka e ke koko o kanaka (keiki i oi aku mamua o 100-200 ml a me nā mākua - 200-300 ml). Kakahiaka nui pilikia mālama i loko o pulmonary edema maoli i ka manawa o ka hoʻomanawanui a hiki i ke 'ano prognosis. Subcutaneous hoomanawanui pono komo kupa pāʻoihana promedola 1 a me 2 dice camphor, hoonohonoho hanu ae la a ethanol Via kekahi inhaler (keiki 30% pāʻoihana), tourniquet ma luna o na aa koko lala (i kā mākou 1 h).

Lapaʻau pilikia kōkua i loko o pulmonary edema

Ke hoomanawanui Ua lawelawe cardiac glycosides, e cupping (ina mea i ole lawe mai mamua aku nei nō), ka oxygen Inc. Intravenously, komo 100-150 mg Lasix 20 polū paʻakai koloriside pāʻoihana a me intramuscularly novurita 1 make. Dala i loaa mai ma ka inhaler ole ana ea paha'eto ka waiʻona (96%) ole antifomsilana (10% ka waiʻona pāʻoihana). Ua wehe 'wai mai ka luna naehana'āpana ka hoʻohana' ana i ka catheter (intranasally). Urea pāʻoihana ua hoʻolauna dropwise, ukali ma ka paʻakai hydrogen kalepona (5%). Drip, akā, lohi (40 minuke) Ua lawelawe pentamine pāʻoihana (5%). I loa eha maʻi pale analgesics a nitrous'okesaside inhalation.