Atelectasis - He aha ka keia? ʻike, a me ka lapaau prognosis

Atelectasis - He aha ka keia? Ka pane ana i kēia 'inikua pukana ua wale ike i ka poe akamai. Akā, no ka mea, e ike ai oe e ole e pono ai i ke kauka. Details o atelectasis, e hiki ke aʻo mai i nā mea o ka 'atikala.

i ka ho'ākāka 'ana

Atelectasis - he pathological ana i ua wehewehe aku ma ka poho o ka malamalama airiness a pau a me kekahi mau 'wahi. Nānā akula au i manawa, he Helene, kumu. I unuhi 'ia i loko o Lūkini, ka mea,' o ia hoʻi "pilikia ka" a "kāpili E'ō lole."

kumu o ka

Atelectasis - he emi o ke akemāmā Hoʻohana. E hoʻomōhala ia he pathological ana i ka hopena i loko o kekahi mau aʻe. pono manawa mākou i helu i ka nui poʻe.

• Mahuahua ʻilikai hoʻopilikia ike ma luna o nā paia o nā alveoli. Nō kāu, keia pathology ua kena ae la ia e pulmonary edema a cardiogenic noncardiogenic ka molekumu o, e like me ka nele o ka surfactant a infectious keʻano o ka hanaʻana.
• Mīkini'opihia o ka Hawaiian Airlines a akemāmā, i ua kena ae la ia e likeʻole mawaho aʻe (e laʻa me, mediastinalʻeho, he anomaly i loko o ka ulu ana o ka nui moku koko, lymphadenopathy, myocardial hypertrophy , etc.).
• Pathology mucosa (loko) paia o ka bronchus (e laʻa me bronhomalyatsiya, deformation, haanou ana a edema).
• Iaʻi paha occlusion o ka lumen o ka ai-kapaia bronchial haole kino, mucus, caseous nuipa a (e laʻa me, tuberculosis), a me ka mucosal edema.
• Aʻe 'o ka hele maoli o ka pahu, a ala mai no i ka lōlō o ka phrenic nā aʻalolo, mau anesthesia, scoliosis a neuromuscular maʻi.
• Mahuahua i ke kipi i loko o ka puʻuwai o ka pleural lua (me ka hemothorax, hydrothorax, empyema, pneumothorax).

No ke aha la hiki nō i hoʻomaka ai atelectasis? Ke kumu o keia kulana pinepine pee ana ma huʻi papakaukau'opi o ke akemāmā, a ala like me ka postoperative complication ku i hooloihi ae i immobility o ke hoomanawanui, o oxygen overdose, hypothermia, ka noi o kiʻekiʻe nā māhele o nā kiaha dala a me opioids, e like me vasodilating konohiki.

kamepiula kumumea

ʻO wai ka mea i loa pinepine malama atelectasis? Kēia maʻi ua loaʻa i loko o kanaka me ka obesity, cystic fibrosis a me ka asthma. No hoi ia susceptible paka.

Mea Maluna

By kumu atelectasis o ke akemāmā lobe hiki e congenital ( 'o ia hoʻi, iniiaiie) a loaa ia (' o ia hoʻi, nā haumāna).

Ma lalo o ka iniiaiie maʻi hana i ka moku'āina ka wā he keiki kamaiki mea i maʻalahi smoothing. Like no me ka loaa atelectasis, ma keia hihia he spadenie akemāmā'aʻaʻa, a i mua i ke komo i loko o ka hanu kaʻina.

Mākou hiki ole ke olelo i na meaʻike manaʻo e e ike okoa mai ka prenatal atelectasis, oa airless noho ana o na ia maʻiʻaʻai, a ua ike ia ma ka fetus, a me ka physiological ( 'o ia hoʻi, hypoventilation e ia lŘlŘ i ole ola kanaka a me ka mea iʻano o iaea ooieoeiiaeuiiai hookoe o ke akemāmā'aʻaʻa).

'ano o ka maʻi

Ke kaumaha ma muli o ka nui o ka akemāmā'aʻaʻa e kŰlń ao mai ka hanu kaʻina hana, i ka maʻi i loko o nīnau ua maheleia i:

• acinar;
• segmental;
• lobular;
• huina;
• ke kaulike.

No hoi, ka mea i eʻeluaʻaoʻao paha unilateral. Incidentally, ka mea mua ano mea like pilikia loa, a hiki loa wawe alakai i ka make ana o ka hoʻomanawanui.

maʻiʻAno

Ke kaumaha ma muli o ka etiopathogenic aʻe o kēia pathology o ka pulmonary'ōnaehana ua maheleia i loko o ka kēia mau 'ano:

• Mīkini'opihia atelectasis, a me ka'opi o ka akemāmā. Keia ano ua kena ae la ma ka mīkini'opihia o ke akemāmā'aʻaʻa mai ka waho, a me ka hoʻomāhuahua i loko o ka pleural lua o ka loli, ea, ke koko a me ka pus.
• Obstructive atelectasis. O kŰia ua pili me ka mechanical e 'aʻe' ana o ka trachea a me ka bronchial iaʻi.
• Discoid atelectasis akemāmā. Oia pathology ana e hoʻomōhala ana i hope contusion thorax a me ka iwiʻaoʻao fractures.
• Contraction - ua kena ae la ma ka mīkini'opihia o ka fibrous'aʻaʻa o na alveoli (i loko o subpleural maʻiʻaʻai).
• Acinar - pili me ka nele o ka surfactant (ka hapanui pinepine ia lŘlŘ i loko o nā mākua a me nā pēpē i me ka ÷ naehana hanu popilikia maʻi pale).

Ua E hoi e hoʻomaopopo i ka maʻi hiki ke noʻonoʻo i ka reflex a me ka postoperative, a me ke kiʻekiʻe o ka ulu 'huʻi, uncomplicated a me ka huikau, transient a koʻikoʻi.

symptoms

Pinepine 'akemāmā atelectasis? Aaieou hilinaʻi nui ma luna o ka buke a me ka māmā holo i kekahi aku nonfunctioning akemāmā'aʻaʻa. Mikroatelektazy, hookahi segmental atelectasis a srednedolevoy maʻi pale mea pinepine asymptomatic.

Me ka pili ana i ka huʻi-hoouka kaua o ka maʻi, ka mea, he loa symptoms. Ma keia hihia, ke hoʻomanawanui Kahalaopuna he ulia eha, paroxysmal dyspnea, cyanosis, maloo cough, tachycardia a me ka hypotension. I ka oi mahuahua naehana ka hoʻokō 'ole e hana i ona.

Ma ka ninaninau ana i ka hoʻomanawanui hoikeia mai i ka backlog o ka loli ana o lobe o ka akemāmā i hanu, e like me haahaa naehana umauma ala. Eia hou, ma ke ahi atelectasis hoʻoholo kūmūmū percussion kani a hoʻopōkole. Ma ka Ia hanu ikaika attenuated (hiki ole ke lohe).

complications o atelectasis

Me ka gradual shutdown akemāmā hoʻokomo ea Hoʻohana o symptoms o ka maʻi i hoike ai i ka uuku loa. Akā, ma ka hope atelektaticheskaya pneumonia e hoʻomōhala ana i loko o gipopnevmatoza.

Keʻano o ka cough me ka sputum, kuni, a me ka mea ulu o ka symptoms intoxication kamaʻilio e pili ana i ka piʻiʻana o ka li nui. Ma keia hihia, no ka maʻi ma ka nīnau ua huikau ma ka hooulu ana o ke akemāmā abscess a abscess pneumonia.

lapaʻau '

ʻike, o ke akemāmā atelectasis lawe mai ma ka X-Ray ka ninaninau ana i ka ÷ naehana hanu hui, i loko o ke kīloi paʻewa, a frontal wānana. Kēia hōʻike he homogeneous ponalonalo ana akemāmā kahua, a me ka mediastinum offset ma ka precipitated hapa iki o ka hanu kaʻina. Eia hou, i ka X-Ray ia i ke kiʻekiʻe kulana o ka diaphragm Dome, a māhuahua ea akemāmā.

Ma na hihia o ke kanalua, i hoakaka ia ma ke HI kēia iaoiaeii o ka mahele. Nō hoʻi, e hooholo na kumu o obstructive atelectasis i bronchoscopy a me ka manawa hooloihi ae i atelectasis hua angiopulmonography a me ka bronhografii.

lapaʻau

Ka loaʻaʻana o ke akemāmā atelectasis pono ke kauka (pulmonologist, neonatology, trauma ole thoracic surgeon) hana nā kaʻa mokulele. Just hanau keiki me iniiaiie pulmonary atelectasis mea suctioning kahi o ka naehana'ōnaehana ma ka laholio catheter. Inā koi 'ia, lawe mai tracheal intubation a smoothing akemāmā.

Ma keia ano o ka maʻi e like me obstructive atelectasis mea i kauoha ia e kekahi haole kino, kona pōʻalo ua lawe mai ma ka 'inikua lapaʻau' ana bronchoscopy.

Inā akemāmā spadenie i ke kumu ma ka hoʻomāhuahua o ka paʻakikī huna, a laila, lilo aku ka endoscopic reorganization o ka bronchial laau.

I mea e alleviate postoperative atelectasis lawe tracheal aspirate, hanu kino, lomilomi umauma percussion, postural nōkahea, e like me inhalation me ka'ūhū a me ka bronchodilator ai '.

Mākou hiki ole ke olelo ia ma nā mea a pau atelectasis o ke kumu malalo i ka OAXA manaʻo o kāohi Anati-hoʻoʻino Inc.

Outlook

Oka ma ka malamalama hoomaka hilinaʻi nui ma ka manawa o ka hoʻomaka 'ana o ka lapaau a me ke kumu o ka atelectasis. Ka wā e maikaʻi ka piha hoʻopau o ka hope i ka muaʻekolu lā o ka kēla ma ka manao o ka naehana hui, paena ke ola.

A hiki loa hihia hiki ole hookaawale ia i ka hooulu ana o nā haumāna hou ma ka moe kaʻana like 'ana. Hoʻomaka koke Hawaiʻi a me ka papakaukau atelectasis i ka hopena i loko o ka make.