Pneumothorax

Pneumothorax

Le pneumothorax inoreva pathology inokanganisa pleural cavity, nzvimbo inenge iri pakati pemapapu nembabvu. Isu tinotaura nezve pneumothorax kana mhango iyi ichizadza nemhepo kana gasi, zvichiita kuti rimwe kana mapapu ese ari maviri avhare uye adzokere paari. Pneumothorax inogona kuva zvinokanganisa (kwakabva hazvizivikanwi) kunetsa kana yechipiri kune chirwere chemapapu. Zvinonyanya kuzivikanwa nea kamwe-kamwe kurwadziwa kwechipfuva dzimwe nguva kunobatanidza kunetseka kufema. Kazhinji kacho, pneumothorax iri unilateral. Kurapa kunosiyana zvichienderana nerudzi rwepneumothorax: kumwe kufambira mberi kwega kupora mushure mekuiswa pakuzorora, nepo vamwe vachida kuvhiyiwa.

Tsanangudzo yepneumothorax

Chikamu chemukati chembabvu nechekunze kwemapapu chimwe nechimwe chakafukidzwa nekakanda katete, pleura, kutsvedza pamusoro peumwe panguva yekufema. Iyo pleural cavity, nzvimbo chaiyo iripo pakati peaya maviri pleura, dzimwe nguva inozadza nemhepo kana gasi. Ichi chiitiko chinonzi pneumothorax.

Zvikonzero zvepneumothorax

Kune akati wandei marudzi epneumothorax zvichienderana nechikonzero chakakonzera:

  • Primary, idiopathic pneumothorax ou zvakangoerekana zvaitika : Iyi ndiyo inowanzozivikanwa yepneumothorax. Inoitika kakawanda muvarume vechidiki, vane hutano uye inowanzova pneumothorax duku mumapapu ane utano, uye kuporesa nyore nyore. Zvinowanzoitika nekuda kwekuputika kwega kwebubble mumapapu.
  • Secondary pneumothorax : pneumothorax inokonzerwa nechirwere chemapapu, kusanganisira emphysema; fibrosis pulmonary asthma kana chirwere chisingaperi chinodzivirira mapapu, cystic fibrosis, chirwere chinotapukira chemapapu, kazhinji kacho kenza.
  • Traumatic pneumothorax : pneumothorax netsaona (yakakonzerwa nekukuvara, sebanga), kana pneumothorax iatrogenic (kutevera kubaya kana kuvhiyiwa).

Zviratidzo zvepneumothorax

Pneumothorax inoratidzwa ne

  • marwadzo anowanikwa mukati membabvu, kubva pakusagadzikana kuri nyore kusvika pakurwadziwa kwakanyanya zvichienderana nekukosha kwayo,
  • kunetseka kufema (kunyanya kana uchifemera mukati) uye chikosoro chakaoma. The kunetseka kufema, izvo zvinoitika kamwe kamwe, zvinounza kushushikana,
  • chikosoro.

Zvichienderana nehukuru hwepneumothorax, matambudziko anogona kuitika: tachycardia (yakawedzera kurova kwemoyo) uye cyanosis (ruvara rwebhuruu rweganda uye mucous membranes).

Vanhu vari panjodzi

Muchikamu che75% chezviitiko, primary spontaneous pneumothorax inobata vechidiki (vanosvika makore makumi matatu nemashanu), varume vakareba uye vatete. Ngozi yepneumothorax yakanyanya kunyanya kune vanhu vane chirwere chemapapu. Kusvuta kunowedzera njodzi yepneumothorax. Vanhu vane imwe kana kupfuura pneumothoraxes vari pangozi yekudzoka zvakare.

Dambudziko rePneumothorax

Le kusvuta inobatanidzwa mune inenge 90% yezviitiko zvepneumothorax. Scuba diving, tsika yechiridzwa chemhepo uye urefu inosimudzira kuitika kwepneumothorax. Chirwere chemapapu chinowedzera njodzi yepneumothorax.

Kuongororwa kwepneumothorax

Kuongororwa kwekliniki kunogona kubvumira chiremba kuti aone a asymmetry pamwero wemapapu pamwero weinzwi pakurira kwedivi rakakanganiswa (tympanism, ruzha rusina maturo) Saizvozvowo, pa auscultation, chiremba angave asingachanzwi kufema kwekufema zvakanaka, uye paanokumbira kuti "33", inzwi racho harichazununguki mbabvu padivi rakakanganiswa. Zviratidzo izvi zvinotungamirira kuongororwa kwake uye kunyanya kuvapo kana pneumothorax yakakosha. Ichasimbiswa na x-ray yemapapu. Mifananidzo yakawanikwa icharatidza a kuungana kwemapapu (s).

Kurapa kwepneumothorax

Chisarudzo chekurapa kupi kunoenderana nerudzi rwepneumothorax, kuoma kwezviratidzo uye chikonzero chinokonzera. Kana iri pneumothorax inongoerekana yaitika, nguva ye zororo inokurudzirwa, dzimwe nguva inoperekedzwa nemishonga yemishonga inobva paneanalgesics. Kuporesa kunoonekwa mumazuva mashoma kusvika kumavhiki maviri kana matatu.

Apo pneumothorax inonyanya kukosha, chiremba anogona kubvisa mhepo, netsono, catheter chaiyo kana nekuisa tsvina munzvimbo yepleural. Izvi zvinoitwa pasi peanesthesia yemunharaunda, uye kuporesa kunowanzoitika mukati memazuva mashoma.

Mumamiriro ezvinhu apo pneumothorax inodzivisa zvikuru, inokosha zvikuru, inodzokorora, haigoni kurapwa nenzira idzi, kana kuti pane zviitiko zvine ngozi (diving), chiremba angasarudza kupindira kwekuvhiya. Kune akati wandei marudzi ekuvhiya ane chinangwa chekubatanidza maviri epleural membranes kuitira kuti asakwanise kubva kune mumwe nemumwe kuti mweya upfuure: pleural talcage (kupinza talc pakati pe pleura mbiri), pleural abrasion (abrasion of the maviri pleura kuitira kuti vabatane pamwechete).

Kudzivirira pneumothorax

Kudzivirira kunobva pakudzikisa njodzi zvinhu (kusvuta, scuba diving, zviridzwa zvemhepo, urefu). Kana munhu aine pneumothorax munguva yakapfuura, ine 5 mu2 njodzi yekudzokazve. Kana yechipiri pneumothorax ikaitika, njodzi yekudzokorora inowedzera kusvika kune imwe muzviviri. Muchikamu chechitatu, pane mukana wechina muzvishanu wekuva nepneumothorax itsva. Saka zvinokurudzirwa zvakasimba kurega kusvuta kana uine pneumothorax, nokuti kusvuta kunowedzera dambudziko rekudzoka zvakare ne4! Zvinorambidzwa kunyura nebhodhoro kana watova nepneumothorax isingashande.

Kuwedzera nzira dzepneumothorax

Nzira dzekupindirana dzepneumothorax dzinongotarisa pane zviratidzo zvayo uye hazvitauri kuti inorapa iyo pachayo.

Kupokana nekushushikana

The Bach maruva kurudzira kuita zvinopesana nekushushikana kunokonzerwa nekunetseka kwekufema kunokonzerwa nepneumothorax. Mushonga wakanyatsokodzera ndeye Rescue, basa rayo raizova kuderedza kushushikana.

Saizvozvowo, mamwe maoiri akakosha anoshandiswa kune vanhu vari kushushikana zvakanyanya nekuda kwezviratidzo (marwadzo, kukosora, kunetseka kufema, nezvimwewo):

  • Mafuta anokosha eLavandin (Lavender inopisa zvakanyanya),
  • Mandarin mafuta anokosha (Citrus reticulata),
  • Petitgrain yakakosha mafuta (Citrus aurantium ssp aurantium),
  • Ylan-ylang mafuta anokosha (Cananga odorata).

Izvi zvinofanirwa kuiswa kune solar plexus.

Mune homeopathy, isu tichasarudza Ignatia amara uye Strophantus mu9 CH pamwero wemagranules matatu katatu pazuva.

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