Pneumomediastinum

Pneumomediastinum mweya uri mu mediastinum. Mediastinum ndiyo nzvimbo iri pakati pechipfuva, pakati pemapapu nekukomberedza moyo.

Pneumomediastinum haina kujairika. Mamiriro acho anogona kukonzerwa nekukuvara kana chirwere. Kazhinji kazhinji, zvinoitika kana mweya uchidonha kubva kune chero chikamu chemapapu kana nzira dzepamhepo kupinda mukati memastastinum.

Kuwedzera kwekumanikidza mumapapu kana mumhepo nzira zvinogona kukonzerwa ne:

• Kukosora kwakanyanya
• Kudzokorora kutakura pasi kuti uwedzere kumanikidza kwepamuviri (sekusundira panguva yekusununguka kana kufamba kwemukati)
• Kuhotsira
• Kusvipa

Izvo zvinogona zvakare kuitika mushure me:

• Utachiona mumutsipa kana pakati pechipfuva
• Kukurumidza kukwira mudenga, kana scuba diving
• Kubvarura esophagus (iyo chubhu inobatanidza muromo nedumbu)
• Kubvarura kwetirachea (windpipe)
• Kushandiswa kwemuchina wekufema (ventilator)
• Kushandisa inhaled yekuvaraidza zvinodhaka, senge mbanje kana crack cocaine
• Kuvhiya
• Kushungurudzika kuchifuva

Pneumomediastinum zvakare inogona kuitika nekudonha mapapu (pneumothorax) kana zvimwe zvirwere.

Panogona kunge pasina zviratidzo. Mamiriro acho anowanzo kukonzera marwadzo echifuva kuseri kwebhonzo rechipfuva, iro rinogona kupararira kumutsipa kana maoko. Iyo kurwadziwa kunogona kuve kwakanyanya kana iwe uchifema kana kumedza.

Munguva yekuongorora kwepanyama, mupi wezvehutano anogona kunzwa mabhuru madiki emhepo pasi peganda rechipfuva, maoko, kana mutsipa.

Chefu x-ray kana CT scan yechipfuva inogona kuitwa. Izvi ndezvekusimbisa kuti mweya uri mu mediastinum, uye kubatsira kuongorora gomba mune trachea kana yegurokuro.

Kana uchiongororwa, dzimwe nguva munhu anogona kutaridzika zvakanyanya (kuzvimba) kumeso nemaziso. Izvi zvinogona kutaridzika zvakanyanya kupfuura zvazviri chaizvo.

Kazhinji, hapana kurapwa kunodiwa nekuti muviri unotora mweya zvishoma nezvishoma. Kufema kwakanyanya kuisa oxygen kunogona kukurumidza kuita izvi.

Mupiro anogona kuisa mubhokisi repachifuva kana iwe zvakare uine mapapu akadonha. Iwe unogona zvakare kuda kurapwa kwechikonzero chechinetso. Buri mune trachea kana esophagus inoda kugadziriswa pamwe nekuvhiyiwa.

Maonero anoenderana nechirwere kana zviitiko zvakakonzera pneumomediastinum.

Mhepo inogona kuvaka uye kupinda munzvimbo yakatenderedza mapapu (pleural space), zvichikonzera mapapu kudonha.

Muzviitiko zvisingawanzoitika, mweya unogona kupinda munzvimbo iri pakati pemoyo nesaga rakatetepa rakakomberedza moyo. Aya mamiriro anonzi pneumopericardium.

Mune zvimwe zviitiko zvisingawanzoitika, mweya wakawanda unovakwa pakati pechipfuva zvekuti unosundidzira pamoyo uye nemidziyo mikuru yeropa, saka haigone kushanda nemazvo.

Zvese izvi zvinetso zvinoda kutarisirwa nekukurumidza nekuti zvinogona kutyisidzira hupenyu.

Enda kuimba yekukurumidzira kana kufonera 911 kana iyo yemuno emergency emergency kana uine kurwadziwa kwakanyanya muchipfuva kana kunetseka kufema.

Mediastinal emphysema

• Kufuridzira system

Cheng GS, Varghese TK, Park DR. Pneumomediastinum uye mediastinitis. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheRefiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 84.

McCool FD. Zvirwere zve diaphragm, chipfuva rusvingo, pleura, uye mediastinum. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 92.