Subcutaneous emphysema

Subcutaneous emphysema inoitika kana mweya uchipinda muzvinyama pasi peganda. Izvi zvinowanzoitika muganda rakafukidza chipfuva kana mutsipa, asi rinogona zvakare kuitika mune dzimwe nhengo dzemuviri.

Subcutaneous emphysema inowanzoonekwa sekutsvedza kweganda. Kana mupi wezvehutano achinzwa (palpates) ganda, inoburitsa inoshamisa kutsemura manzwiro (crepitus) sezvo gasi richisundirwa kuburikidza neturu.

Ichi chiitiko chisingawanzoitika. Kana zvikaitika, zvikonzero zvinogona kusanganisira:

• Mapapu akapunzika (pneumothorax), anowanzoitika nekutyoka kwembabvu
• Chiso chefupa kutsemuka
• Kubvaruka kana kubvarura mumhepo
• Kubvaruka kana kubvarura mukati medu kana mudumbu

Aya mamiriro anogona kuitika nekuda kwe:

• Kushungurudzika kwakashata.
• Kukuvara kwekukuvara.
• Kufema mucocaine.
• Corrosives kana makemikari kupisa kweiyo esophagus kana yemhepo.
• Diving kukuvara.
• Kurutsa zvine simba (Boerhaave syndrome).
• Kushungurudzika kunopinda, kwakadai sepfuti kana maronda ekubaiwa.
• Pertussis (kukosora).
• Dzimwe nzira dzekurapa dzinoisa chubhu mumuviri. Izvi zvinosanganisira endoscopy (chubhu inopinda mudumbu uye mudumbu kuburikidza nemumuromo), wepakati hutachiona mutsetse (mutete mutete wemukati mutsinga iri padyo nemoyo), endotracheal intubation (chubhu kupinda muhuro uye trachea kuburikidza nemuromo kana mhino), uye bronchoscopy (chubhu kupinda mumabron bronchial kuburikidza nemuromo).

Mhepo inogona zvakare kuwanikwa pakati pezvikamu zveganda pamaoko nemumakumbo kana torso mushure mehumwe hutachiona, kusanganisira gasi rinokuvadza, kana mushure mekutsvaira scuba. (Scuba kusiyanisa vane asthma vane mukana wekuva nedambudziko iri kupfuura vamwe vekutsvaira.)

Mazhinji emamiriro ezvinhu anokonzera subcutaneous emphysema akaomarara, uye iwe ungangove uri kutobatwa nemupi. Dzimwe nguva kugara muchipatara kunodiwa. Izvi zvinonyanya kuitika kana dambudziko iri riri nekuda kwehutachiona.

Kana iwe uchinzwa subcutaneous mweya maererano nechero ipi yemamiriro ezvinhu akatsanangurwa pamusoro, kunyanya mushure mekukuvara, fonera 911 kana yako yemunharaunda emergency services nhamba ipapo.

Usapa chero mvura. Usatamise munhu kunze kwekunge zvakafanira kuti ubvise munzvimbo ine njodzi. Dzivirira mutsipa uye kumashure kubva pakuwedzera kukuvara kana uchidaro.

Iye mupi anoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira:

• Oxygen saturation
• Kupisa
• Pulse
• Mwero wekufema
• Ropa kumanikidza

Zviratidzo zvicharapwa sekudikanwa. Munhu wacho anogona kugamuchira:

• Mhepo uye / kana yekufema rutsigiro - inosanganisira oksijeni kuburikidza nechokunze dhizaini dhizaini kana endotracheal intubation (kuiswa kweanofema chubhu kuburikidza nemuromo kana mhino munzira yemhepo) nekuiswa pane mweya wekufema (weupenyu mutsigiro wekufema muchina)
• Kuongororwa kweropa
• Chest tube - chubhu kuburikidza neganda uye mhasuru pakati pembabvu kupinda munzvimbo yekukumbira (nzvimbo pakati pechidziro chechipfuva nemapapu) kana paine mapapu anodonha
• CAT / CT scan (komputa axial tomography kana yepamusoro kufungidzira) yechipfuva uye mudumbu kana nzvimbo ine subcutaneous mweya
• ECG (electrocardiogram kana moyo wekutsvagisa)
• Mvura kuburikidza nemutsinga (IV)
• Mishonga yekurapa zviratidzo
• X-ray dzechipfuva nedumbu uye nedzimwe nhengo dzomuviri dzinogona kunge dzakakuvara

Kufungidzira kunoenderana nechikonzero cheiyo subcutaneous emphysema. Kana ikabatanidzwa nekushungurudzika kukuru, maitiro kana hutachiona, kuomarara kweaya mamiriro kunogonesa mhedzisiro.

Subcutaneous emphysema inosanganisirwa ne scuba diving kazhinji haina kunyanya kukuvadza.

Crepitus; Subcutaneous mhepo; Tissue emphysema; Kuvhiya emphysema

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

Kosowsky JM, Kimberly HH. Pleural chirwere. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 67.

Raja AS. Kunetseka kukuru. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 38.