Te pneumothorax piha: Take, tohu, Te tātaritanga me te rongoā

I roto i te mate taua, rite te pneumothorax piha, rohe pleural o te rere hāora, te nui o nei te āta piki haere. Ko te putanga o taua māuiuitanga e pā ana ki te āhuatanga o te mahi takirere. Mahi kua pakaru te reira i roto i te hononga ki te kătahi o rangi i te pūkahukahu te kiripūkahu me te eita o tona kaupapa whakamuri. No te mea o tenei, i roto i te rohe pouaka meinga mamae kino, no te mea i reira te mea he heke nui i roto i te rōrahi pūkahukahu me te tukanga o te inhalation uaua.

Kua he huru pathological taua kua mohiotia hoki i te wa rawa te roa, a pā ana ona ahua ki nga hopearaa o te mate kohi pūkahukahu. Ko ngā tata, i kitea ai e puta ohorere te mate. pāngia tenei māuiuitanga te pinepine, ki te pā ana raruraru manawa ki whaturama o bullae.

momo

He roto, o waho Pneumothorax piha, a tei reira ki runga ki te huarahi hanganga. Ā- tirohanga o pneumothorax puta tika ki te kino ki te bronchi nui me te aroaro o te patunga kanihi marama. kōhao Pleural tonu i te rangi i roto i te koha i roto i te kiripūkahu visceral. I roto i tenei take mahi reira rite te kiko pūkahukahu piha paki e haere rangi inspiratory, a e kore e exhale hau putanga hoki ki te pukapuka.

āhuatanga te ahua waho o te pneumothorax e te meka e te tūranga o te piha i roto i tenei take ko te whara kiko ngohengohe o te pouaka. Inhalation taha maru ia i te timata ki te whakawhānui, ka taea e noa te rangi tomo ki te kōhao pleural i roto i launoa me puta he heke rua patunga i waho tuku i te reira hoki.

Ko te take o te mate

He rerekē ngā take mō te takanga i te pneumothorax takirere. Nuinga o ngā wā ko reira he āhua pāmamae me te māhorahora o te mate.

Ko te take o te patunga (ngaukino) he kati whētuki pneumothorax pouaka, haere tahi i te whaturama o pūkahukahu kiko pouaka hohonu marutanga ranei. Ko te kupu i reira ko te tika tere "te honohono" i runga i te taiepa pouaka whakatuwheratanga patunga, i haere tonu te motu ngōrahi ki E hamama ana. Hoki tenei momo o te whara ngā:

• piere rara;
• pū me te maripi patunga ki te pouaka;
• ngōrahi kino pū kai tinana ke ranei;
• taka i te teitei;
• discontinuities bronchi me te t. d.

āhuatanga pneumothorax noa e te whaturama o te wahi whakarerekētia o te kiko pūkahukahu. Whai wāhi ki te whanaketanga o tenei māuiuitanga o te mate e whai ake nei:

• kohi;
• emphysema bullous, te pūkahukahu;
• kakakīrehe whēwhē;
• pūkahukahu whēwhē ;
• pneumoconiosis et al.

Whai wāhi ngā āhuatanga ki te whanaketanga o te pneumothorax noa e te maremare, ruku, ahotea tinana, a na i runga i. D.

tohu

Nuinga, ka ko te manawanui piha pneumothorax i roto i te huru tino. tangata hiamo ia, i reira te mea he mamae korerotia i roto i te pouaka, te whakawhānui ki te mata pokohiwi, pokohiwi, me te puku. Haamata ki ahu tere hāhā o te manawa, ngoikore, cyanosis, i reira te mea he mate o te mahara, whakawhänui wāhi intercostal, fakalahi te taha i pangia o te pouaka. Palpitations hāhā o te manawa, hypotension, tachycardia - he tohu o te valvular pneumothorax hoki.

Ko te rangi tere piki i roto i te kōhao pleural taea meinga cardiac ranei iti hoki pūkahukahu, hua i roto i te mate puta. Na roto i te mutunga o nga pōauautanga o te mate ngā empyema effusion pleural me urupare.

tātaringa

Doctor ki whakamātautau manawanui heheu emphysema subcutaneous, te backlog i roto i te kupukupu tonu i te taha ki pāngia o te pouaka, flattening wāhi intercostal. Mā te X-ray marama kitea atelectasis me wāhikē i roto i te taha hauora o te atarangi mediastinum.

poka Pleural ki manometer taea ki te wehewehe i ia atu tuwhera, kati me te piha pneumothorax. Ki te he reira wai, kawea te wawata i roto i rangahau anō me effusion pleural i runga i te hanganga pūtau me te microflora. Ki te tautuhi i te wāhi me te rahi o te fistula pleural, whakahaere thoracoscopy tātaritanga, me te plevroskopiyu.

maimoatanga

kia hāngai te maimoatanga tuatahi o te pneumothorax valvular i decompression o te mediastinum me pukapuka, a ki te mahi i te reira rite hohoro rite taea. Hei kawe i tenei rere transthoracic poka thoracostomy ranei ki whakapanga obligatory o te Byulau waikeri hāngū. i muri anake i te manawanui e kawea taua whawhe ki te hōhipera mō te maimoatanga atu.

Ki te ū te huru o te manawanui, kua whakahaerea reira Pë kore-whakapōauau me te whakapōauau, rongoā Cardiovascular, paturopi, antitussives.

He mea nui ki te neke i te piha ki te pneumothorax kati. Ki te mahi i tenei me tatau tonu koe i te kōhao pleural. Ki te mutu te rere o te hau mo te pana, tohu tenei he kōhao hiri. Pana wai tango e rua ra i muri i te ki tonu tupu o te pūkahukahu, ki te te whakau reira radiographically.

Ki te kore e taea e ki te horapa, te maimoatanga hāparapara o pneumothorax te marama. titau kino ãpoko suturing o patunga me te thoracotomy. Ki te reira te mea he mōrearea o te anō-mātauranga o te piha pneumothorax noa, ka tono te maimoatanga hāparapara o te mate whāriki. Tei runga i te māuiuitanga mahi segmentectomy, bilobektomiyu, resection pūkahukahu haurokuroku, lobectomy, pleurectomy, pleurodesis, me ētahi atu wawaotanga.

āwhina Emergency i roto i te mate

He āhuatanga e kia rapua e te manawanui āwhina akiaki i roto i te piha pneumothorax. Hei whakaora tona ora, me koutou:

• ata he tangata;
• ki te whakarato i ia ki te whai wāhi ki te rangi hou;
• Rapua tohutohu hauora tonu.

āwhina Tuatahi ko te ki te poka, he taiepa ngira pouaka matotoru. Nā ki tenei ko reira taea ki te hohoro whakaiti pēhanga teitei i roto i te kiripūkahu.

Ārai me te waitohunga

Pōauautanga o te valvular pneumothorax ko te ru pūkahukahu syndrome pneumoempyema, iti hoki manawa-pūkahukahu. Time ki te whakarato āwhina hauora ki te āwhina ki te whakatutuki whakaora.

hāngai ārai mate te i ārai aituā. I tua atu, i roto i te pulmonologist tirotiro ngā, mate kohi me te taote rei tāutu i tūroro ki māuiuitanga pūkahukahu.

mutunga

Ko te kupu, whakaaro te pneumothorax takirere te mate tino kino i roto i nei arata'i te mutunga tenei āwhina ki te mate. Na reira, tūroro ki tenei māuiuitanga kia kōrero tonu i te tākuta, a rite hohoro rite taea.