Noho'na makaainana i ulu pneumothorax: kona kumu, lapaʻau hiʻona a me ka lapaʻau

Pneumothorax - he pathological ana i loko i ka lewa komo ka pleural lua, e kauoha ana i ka mahuahua puʻe laila.

Ma keia maʻi ma laila nō nā kēiaʻano likeʻole:

• noho'na makaainana i ulu pneumothorax. Nā kumu no kēiaʻano o ka maʻi pinepine koe unclear (i loko o na kahi mea ia lŘlŘ kuhikuhi). Secondary noho'na makaainana i ulu pneumothorax e hoʻomōhala ana i like me ka complication o kekahi mau akemāmā maʻi;

• traumatic. Eha he kena umauma, ma i ka lewa hele mai i loko o ka pleural lua;

• iatrogenic. Mea he complication ma ka hewa lapaau a me ka akemāmā pathology hiki i hoʻomaka ai ka wā kanaka PalekanaEND_LINK uao ai '(e laʻa me, ma hope o puncture o pleural mau eke ma hope o thoracentesis a pleural biopsies a me kekahi ma muli o ka Central venous catheterization).

E noonoo i nā hiʻona o ke ana a me ka papa o ka noho'na makaainana i ulu pneumothorax.

Kēia palapala o ka maʻi mea iniiaiie a me nā haumāna. N noho'na makaainana i ulu pneumothorax ua pinepine diagnosed ma kiʻekiʻe a me ka lahilahi opiopio makua. Ua mea waiwai 'ana i kumumanaʻo i ka uiki e maoli i ka pilikia o ka? Acaeoey o ka luku Ua aneane 20 mau manawa. Ma ke kāʻei kua o kēia 'ano o ka pneumothorax i hoike maopopo pulmonary pathology, akā, ma ka hou' ana, nui pinepine hōʻike subpleural bullae, i ka ikepili hale a hiki no hoi e malama i loko o nā mea maʻi i i ka uahi (aneane 81% o nā hihia). Naʻe, ka mea, o ke kumukuai e hoomanao hoi i na bipi nō i hanaʻia ma ka hopena o ka hoʻololi iho o ka malamalama laholio lole i ka wā excessive ho'ā hope o neutrophils a me macrophages, a hoʻomōhala ai ma luna o ke kāʻei kua o ka uwahi.

Secondary pneumothorax mau e hoʻomōhala ana i ma luna o ke kāʻei kua o ua? Ueony akemāmā maʻi. Kēia palapala no ka maʻi, ua pono, e like me ka pili me ka nui hoʻopilikia o ka mea'ōnaehana mānowai koko nenoaiu.

Mawaena o ka papa kuhikuhiE kumu o kiʻekiʻe noho'na makaainana i ulu pneumothorax e līkaia maʻi obstructive pulmonary, asthmatic kūlana haʻahaʻa, pulmonary tuberculosis, pneumonia, pulmonary fibrosis a me connective'aʻaʻa maʻi (e laʻa me, rheumatoid arthritis, a spondylitis). I Kekahi Mau etiological kūlana hiki no hoi e akemāmā Ka maʻi 'aʻai, a sarcoma.

Noho'na makaainana i ulu pneumothorax hiki aku ai i ka emi ma ka nui nona iho, kūpono ma ka hypoxemia - ka ho'ēmiʻana o ka oxygen ma lehulehu i loko o ke koko. Au pono aku nei au i ke kinoea wehe aʻe i loko o nā maʻiʻaʻai i ka mea ia manawa he wahi meaʻehaʻeha, no laila, mai hoʻomōhala hypercapnia (mahuahua i carbon dioxide lehulehu i loko o ke kino).

Pinepine noho'na makaainana i ulu pneumothorax e hoʻomōhala ai ma ka maha, a ua hoikeia mai ia e loa kaʻeha i loko o ka pahu a me ka dyspnea. A laila, i kaʻeha e lilo hoopaa paha aching. Umauma hele mai ka luku mea i kaupalena '. Lapaʻau hoikeana o ka pneumothorax kū kaʻawale iʻa i loko o ka lā hoʻokahi, a hiki i ka wa e kaawale aku o ka lapaau.

Inā pneumothorax mailuilu haalele pathological symptoms i loko o ka hapanui hoopii, i kahi e. I kekahi manawa, e hoomanawanui i ohumu o ka tachycardia. Me ka hooulu ana o ka hoʻopilikia pneumothorax alapine (frequency) o Kal hiki e mai i 135 kui iho oe a no minuke, pu ma ka hypotension a me ka cyanosis a me ka huʻi naehana alkalosis.

ʻike, o keia kulana ua ma muli o anamnesticʻikepili, a me kekahi loli ma ka X-Ray laina i kekahi 'visceral pleura. I kekahi manawa, ai kaʻike, o ka poe liilii,-pepa paia pneumothorax hoʻohana X-na kukuna a me ka X-kukuna i exhalation.

Noho'na makaainana i ulu pneumothorax: lapaʻau

Therapies kuhikuhi ma maʻi evacuating lewa mai ka pleural mauʻeke, e like me relapse Kāohiʻana. Ka mea e pono ai ke hana no keia - thoracostomy, aʻoki kino ma ka thoracotomy a me ka thoracoscopic ke kula mea.