Atelectasis

Zvemukati

• Ndezvipi zviratidzo?
• Chii chinokonzera?
• Zvinokonzera obstructive atelectasis
• Zvinokonzera nonobstructive atelectasis
• Kuvhiya
• Kubwinya kwepleural
• Pneumothorax
• Lung scarring
• Bundu repachifuva
• Kushomeka kwekushomeka
• Inoonekwa sei?
• Inorapwa sei?
• Kurapa kwekusavhiya
• Kuvhiya kurapwa
• Ndeapi maonero?

Chii chinonzi atelectasis?

Nzira dzako dzekufema dziri kubatanidza machubhu anomhanya mukati memumwe nemapapu ako. Paunofema, mweya unofamba uchibva panzira huru yepamhepo pahuro yako, dzimwe nguva inonzi chipepere chako, kuenda kumapapu ako. Mhepo inoenda nemhepo inoenderera mberi ichiita matavi uye ichienderera zvishoma nezvishoma kudzamara yapera mumasaga madiki anonzi alveoli.

Yako alveoli inobatsira kuchinjanisa okisijeni iri mumhepo kuti ikwanise kabhoni dhayokisaidhi, tsvina chigadzirwa kubva munyama dzako nenhengo. Kuti uite izvi, alveoli yako inofanira kuzadza nemhepo.

Kana mamwe ako alveoli usadaro zadza nemhepo, inonzi "atelectasis."

Zvichienderana nechakakonzera chikonzero, atelectasis inogona kusanganisira zvidiki kana hombe zvikamu zvemapapu ako.

Atelectasis yakasiyana nemapapu akadonha (anonziwo pneumothorax). Papu rakadonha rinoitika kana mweya ukabatiswa munzvimbo iri pakati pekunze kwepapu rako uye rusvingo rwechipfuva chemukati. Izvi zvinoita kuti mapapu ako adzike kana, pakupedzisira, kudonha.

Kunyange mamiriro maviri aya akasiyana, pneumothorax inogona kutungamira kuatelectasis nekuti alveoli yako inozopwanya sezvo mapapu ako achiderera.

Ramba uchiverenga kuti udzidze zvakawanda nezveatelectasis, kusanganisira ayo anovhiringidza uye asiri ekukuvadza zvikonzero.

Ndezvipi zviratidzo?

Zviratidzo zveatelectasis zvinotangira kubva pakusavapo kusvika kune zvakakomba zvakanyanya, zvinoenderana nekuwanda kwemapapu ako uye nekukurumidza kwaanokura. Kana chete maalveoli mashoma arikubatanidzwa kana zvikaitika zvishoma nezvishoma, unogona kunge usina kana zviratidzo.

Kana atelectasis inosanganisira yakawanda yealveoli kana kuuya nekukurumidza, zvakaoma kuwana oxygen yakakwana muropa rako. Kuve neakaderera ropa oksijeni kunogona kutungamira ku:

• kunetseka kufema
• kurwadziwa kwepachipfuva kwakapinza, kunyanya kana uchifema zvakanyanya kana kukosora
• kukurumidza kufema
• yakawedzera kurova kwemoyo
• ganda-bhuruu ganda, miromo, nzara, kana zvigunwe

Dzimwe nguva, pneumonia inokura mune yakanganisa chikamu chemapapu ako. Kana izvi zvikaitika, unogona kuve nezviratidzo zvechibayo, sekukosora kunobereka, fivhiri, uye kurwadziwa pachipfuva.

Chii chinokonzera?

Zvinhu zvakawanda zvinogona kukonzera atelectasis. Zvichienderana nechakakonzera, atelectasis yakarongedzwa seinodzivirira kana isingakuvadzi.

Zvinokonzera obstructive atelectasis

Anodzivirira atelectasis inoitika kana kuvharika kuchikura mune imwe yemhepo yako nzira. Izvi zvinodzivirira mweya kubva kune yako alveoli, saka vanodonha.

Zvinhu zvinogona kuvhara yako yemhepo inosanganisira:

• inhalation yechimwe chinhu, senge toyi diki kana zvidimbu zvidiki zvechikafu, mumhepo
• mucus plug (buildup of mucus) munzira yekumhepo
• bundu rinokura mukati memhepo
• bundu munyama yemapapu inomanikidza panzira yemhepo

Zvinokonzera nonobstructive atelectasis

Nonobstructive atelectasis inoreva chero mhando yeatelectasis iyo isingakonzerwe neimwe mhando yekuvharika mumhepo yako nzira.

Zvinowanzoitika zvikonzereso zvisingakundisi atelectasis zvinosanganisira:

Kuvhiya

Atelectasis inogona kuitika panguva kana mushure meimwe nzira yekuvhiya. Maitiro aya anowanzo sanganisira kushandisa anesthesia uye muchina wekufema unoteverwa nemishonga yekurwadziwa uye sedatives. Pamwe chete, izvi zvinogona kuita kuti kufema kwako kushome. Izvo zvinogona zvakare kukuita iwe kushomeka kukosora, kunyangwe kana iwe uchida kuwana chimwe chinhu kubva mumapapu ako.

Dzimwe nguva, kusafema zvakadzama kana kusakosora kunogona kukonzera mamwe ealveoli ako kudonha. Kana iwe uine maitiro anouya, taura nachiremba wako nezvenzira dzekudzora njodzi yako yechiposturgis atelectasis. Chishandiso chakabatwa ruoko chinozivikanwa sechikurudzira spirometer chinogona kushandiswa muchipatara uye kumba kukurudzira kufema kwakadzika.

Kubwinya kwepleural

Uku ndiko kuwanda kwemvura munzvimbo iri pakati pekunze kwekunze kwemapapu ako uye nejira remadziro echipfuva chako chemukati. Kazhinji, aya mabhanhire ari padhuze nepadhuze, izvo zvinobatsira kuchengetedza mapapu ako kuwedzerwa. Kuburitswa kwekunyepedzera kunokonzeresa kuti zvipenga zviparadzanise uye kurasikirwa nehukama. Izvi zvinobvumidza iyo mitezo yakasununguka mumapapu ako kuti idhonze mukati, kutyaira mweya kubva kune yako alveoli.

Pneumothorax

Izvi zvakafanana zvakanyanya nekunyengerera kwekubvisa asi kunosanganisira kuwanda kwemweya, pane kuerera, pakati pezvakarongedzwa zvemapapu ako uye chipfuva. Kufanana nekunyengedza kwekubvunza, izvi zvinoita kuti mapapu ako emapundu adhonze mukati, kusvina mweya kubva kune yako alveoli.

Lung scarring

Lung scarring inonziwo pulmonary fibrosis. Inowanzo kukonzerwa nehutachiona hwemapapu kwenguva refu, senge tibhii. Kuratidzira kwenguva yakareba kune zvinogumbura, kusanganisira utsi hwefodya, kunogona kuzvikonzera. Uku kuchema ndekwechigarire uye kunoita kuti zviomere kuti alveoli yako ifutire.

Bundu repachifuva

Chero mhando yehukuru kana kukura kuri padyo nemapapu ako kunogona kuisa kumanikidza pamapapu ako. Izvi zvinogona kumanikidza imwe yemhepo kubva kune yako alveoli, ichivaitisa kuti vadzikise.

Kushomeka kwekushomeka

Alveoli ine chinhu chinonzi surfactant chinovabatsira kugara vakavhurika. Kana paine zvishoma zvacho, alveoli inodonha. Kushomeka kwekushomeka kunowanzoitika kune vacheche vanozvarwa nguva isati yakwana.

Inoonekwa sei?

Kuti uongorore atelectasis, chiremba wako anotanga nekuongorora nhoroondo yako yekurapa. Vanotarisa chero mamiriro epamberi emapapu awakambove nawo kana kumwe kuvhiya kuchangobva kuitika.

Tevere, vanoedza kuwana zano riri nani rekuti mapapu ako ari kushanda zvakadii. Kuti vaite izvi, vanogona:

• tarisa ropa rako reokisijeni leveline oximeter, diki diki inoenderana pamagumo eminwe yako
• tora ropa kubva mutsinga, kazhinji muchiuno chako, uye woongorora okisijeni yayo, carbon dioxide mazinga, uye kemisitiri weropa pamwe neropa reropa bvunzo
• odha a X-ray yechipfuva
• odha a CT scan kutarisa hutachiona kana mabhureki, senge bundu mumapapu ako kana nendege
• ita bronchoscopy, iyo inosanganisira kuisa kamera, iri pamucheto wetetetete, inochinjika chubhu, kuburikidza nemhino kana muromo uye mumapapu ako

Inorapwa sei?

Kurapa atelectasis kunoenderana nechikonzero chinokonzeresa uye kuti zviratidzo zvako zvakakomba sei.

Kana iwe uchinetseka kufema kana kunzwa kunge usiri kuwana mweya wakakwana, tsvaga kurapwa kwekukurumidza.

Iwe ungangoda rubatsiro rwemuchina wekufema kusvikira mapapu ako apora uye chikonzero chacho chorapwa.

Kurapa kwekusavhiya

Zviitiko zvakawanda zveatelectasis hazvidi kuvhiyiwa. Zvichienderana nechinokonzera chikonzero, chiremba wako anogona kuratidza imwe kana mubatanidzwa wemishonga iyi:

• Chest physiotherapy. Izvi zvinosanganisira kufambisa muviri wako munzvimbo dzakasiyana uye nekushandisa kurovera, kudedera, kana kupfeka jekete rinodedera kuti ubatsire kusunungura uye kuburitsa mamasi. Inowanzo shandiswa kuvharidzira kana posturgical atelectasis. Mushonga uyu unowanzo shandiswa muvanhu vane cystic fibrosis futi.
• Bronchoscopy. Chiremba wako anogona kuisa diki chubhu kuburikidza nemhuno kana muromo mumapapu ako kuti ubvise chinhu chekune imwe nyika kana kujekesa mucus plug. Izvi zvinogona zvakare kushandiswa kubvisa sampuli yetishu kubva muhukuru kuitira kuti chiremba wako agone kuona chiri kukonzera dambudziko.
• Kufema kurovedza muviri. Exercises kana zvishandiso, senge inokurudzira spirometer, iyo inomanikidza iwe kufemera mukati zvakadzika uye kubatsira kuvhura yako alveoli. Izvi zvinonyanya kukosha kune posturgical atelectasis.
• Drainage. Kana yako atelectasis iri nekuda kwepneumothorax kana kunyunyuta kwemufaro, chiremba wako angangoda kudhonza mweya kana fluid kubva muchipfuva chako. Kuti vabvise mvura, vangangoisa tsono kuburikidza nemusana wako, pakati pembabvu dzako, uye muhomwe yemvura. Kuti vabvise mweya, vangangoda kuisa chubhu yepurasitiki, inonzi chipfuva chechipfuva, kuti vabvise imwe mweya kana mvura. Iyo chest tube inogona kuda kusiiwa mukati memazuva akati wandei mumatambudziko akakomba.

Kuvhiya kurapwa

Muzviitiko zvisingawanzoitika, ungangoda kubviswa nzvimbo diki kana lobe yemapapu ako. Izvi zvinowanzoitwa chete mushure mekuyedza dzimwe sarudzo dzese kana muzviitiko zvinosanganisira mapapu ane mavanga zvachose.

Ndeapi maonero?

Nyoro atelectasis kashoma kutyisidzira hupenyu uye kazhinji inoenda nekukurumidza kana chikonzero chagadziriswa.

Atelectasis iyo inokanganisa mazhinji emapapu ako kana inoitika nekukasira kazhinji inowanzo kukonzerwa nemamiriro ekutyisidzira hupenyu, sekuvharika kwenzira huru yekufema kana kana yakawanda kana mvura kana mweya uchidzvinyirira rimwe kana mapapu ese.