Pneumothorax: chii, zviratidzo, mhando uye kurapwa
Zvemukati
- Zviratidzo zvikuru
- Maitiro ekusimbisa kuongororwa
- Chii chinokonzera pneumothorax
- 1. Pneumothorax yepuraimari
- 2. Sekondari pneumothorax
- 3. Inotyisa pneumothorax
- 4. Hypertensive pneumothorax
- Kurapwa kunoitwa sei
Pneumothorax inomuka kana mweya, uyo waifanira kunge uri mukati memapapu, uchikwanisa kutiza uchienda munzvimbo yekuteterera pakati pemapapu nemadziro echifuva. Kana izvi zvikaitika, mweya unoisa kumanikidza pamapapu, uchikonzera kudonha, uye nekuda kweichi chikonzero, zvakajairika kusangana nekuomerwa kwakanyanya mukufema, kurwadziwa pachipfuva uye kukosora.
Pneumothorax inowanzo simuka mushure mekutambudzika, kunyanya kana paine kucheka mubhokisi remuchipfuva kana mushure metsaona yemotokari, asi inogona zvakare kusimuka semhedzisiro yechirwere chisingaperi kana kunyangwe <pasina chero chikonzero chiri pachena, kunyangwe chiri chisingawanzo
Nekuti inogona kukanganisa zvakanyanya kufema uye kunyange kuchinja mashandiro emoyo, pneumothorax painofungidzirwa, zvakakosha kuti ukurumidze kuenda kuchipatara kunosimbisa kuongororwa uye kutanga kurapwa kwakakodzera, kudzivirira matambudziko.
Zviratidzo zvikuru
Zviratidzo zvakajairika zve pneumothorax zvinosanganisira:
- Kurwadziwa kwakanyanya uye nekukasira, kunova kwakaipisisa kana uchifema;
- Kunzwa kwekufema kwekufema;
- Kunetseka kufema;
- Bluish ganda, kunyanya paminwe nemiromo;
- Yakawedzera kurova kwemoyo;
- Kugara uchikosora.
Pakutanga, zviratidzo zvinogona kunge zvakanyanya kuoma kuziva uye, nekudaro, zvakajairika kuti pneumothorax kuzivikanwa chete padanho repamberi.
Zviratidzo izvi zvinogona zvakare kuvapo mune mamwe matambudziko ekufema uye, nekudaro, inofanirwa kugara ichiongororwa nepulmonologist.
Maitiro ekusimbisa kuongororwa
Muzviitiko zvakawanda, iyo pneumothorax inogona kuzivikanwa nechipfuva X-ray uye kuongororwa kwezviratidzo, zvisinei, chiremba anogona zvakare kuraira kumwe kuyedza kwakapindirana, senge computed tomography kana ultrasound, kuti aone zvimwe zvakawanda zvinobatsira kugadzirisa kurapwa.
Chii chinokonzera pneumothorax
Pane zvikonzero zvinoverengeka zvinogona kukonzera pneumothorax. Nekudaro, zvinoenderana nechikonzero, pneumothorax inogona kukamurwa kuita ina makuru marudzi:
1. Pneumothorax yepuraimari
Inoonekwa muvanhu vasina nhoroondo yehosha yemapapu uye pasina chero chimwe chikonzero chiri pachena, ichiwanzoitika kune vanoputa uye mune vanhu vane zvimwe zviitiko zvepneumothorax mumhuri.
Uye zvakare, vanhu varefu kana vari pakati pemakore gumi nemashanu nemakumi matatu nematanhatu vanoita kunge vane mukana wekuvandudza rudzi urwu rwepneumothorax
2. Sekondari pneumothorax
Sekondari pneumothorax inoitika seicho chinetso chechimwe chirwere, kazhinji chinetso chemberi chekufema. Mhando dzakajairika dzechirwere chemapapu sechikonzero che pneumothorax inosanganisira COPD, cystic fibrosis, hombe asthma, hutachiona hwemapapu uye pulmonary fibrosis.
Zvimwe zvirwere zvinogona zvakare kukonzera pneumothorax, asi izvo zvisina kuenderana zvakananga nemapapu rheumatoid arthritis, systemic sclerosis kana dermatomyositis, semuenzaniso.
3. Inotyisa pneumothorax
Iyo inogona kunge iri mhando yakajairika yepneumothorax inoitika kana kushungurudzika kuchiitika mudunhu re thoracic, nekuda kwekucheka kwakadzika, mbabvu kutsemuka kana tsaona dzemumugwagwa, semuenzaniso.
Uye zvakare, vanhu vanoita kudhivha vanogona zvakare kuve nemhando iyi yepneumothorax, kunyanya kana vachikwira nekukasira kumusoro, nekuda kwekumanikidza kupesana
4. Hypertensive pneumothorax
Iyi ndiyo imwe yemhando dzakakomba dzepneumothorax, umo mweya unopfuura kubva mupapu uchienda kunzvimbo yekumeso uye haugone kudzokera kumapapu, zvishoma nezvishoma uchiunganidza uye uchikonzera kumanikidza kwakanyanya pamapapu.
Mune mhando iyi, zvinokwanisika kuti zviratidzo zvinokurumidza kukurumidza, kuchikurumidza kuenda kuchipatara kunotanga kurapwa.
Kurapwa kunoitwa sei
Chinangwa chikuru chekurapa ndechekubvisa mweya wakawandisa uyo wakaunganidzwa, kubvisa kumanikidza pamapapu uye kuibvumira kuti iwedzere zvakare. Kune izvi, mweya unowanzo sundirwa netsono yakaiswa pakati pembabvu kuitira kuti mweya ubude mumuviri.
Mushure meizvozvo, munhu anofanira kunge achitariswa kuti aone kana pneumothorax inoonekwazve, ichiita bvunzo dzese. Kana ikadzokezve, zvinogona kuve zvakafanira kuvhiyiwa kuisa chubhu iyo inogara ichibvisa mweya kana kugadzirisa chero shanduko mumapapu iyo iri kukonzera kuti mweya uungane munzvimbo yekuteterera.
Uye zvakare, zvakakoshawo kuti uone chikonzero chaicho che pneumothorax kuti uone kana paine imwe nzira chaiyo yekurapa inodikanwa yechikonzero, kuitira kudzivirira pneumothorax kubva pakukanganisika.