Huʻi naehana hanu ole, a me ka pilikia ana

I ka 'inikua hana, ia mea nui e competently i pilikia kōkua ma ka noho pilikia Hawaii me huʻi naehana hanu ole, circulatory e hemahema, naehana ka hoʻokō' ole a me ka papa naʻau.

etiology

Huʻi naehana hoʻokō 'ole' o kekahi no o nā palapū kino naehana'ōnaehana a me ka thorax, ai ukali ia e? Acaeoey o fractures o na iwi aoao a me ka pneumothorax a me ka hemothorax, ma ka hikoko a me ka lolo maʻi i ka hopena i poho i ke kikowaena hanuʻano papa hana. I ka maʻi e hoʻomōhala ana i loko o ka iaʻi o ka naehana'āpana, loa hoʻoʻino lesions, pulmonary edema, thromboembolism, ilihune holo i loko o ka uuku kaiapili.

ano symptoms

Huʻi naehana hanu ole ua wehewehe aku ma ka loa dyspnea i koena, cyanosis o kaʻili, mahuahua naau kōmi (tachycardia), ka luuluu, a hoi ua UAIAaIN ma ka haunaele a me ka lethargy. Ka ili o kona maka, nā hua, ha hapa kākoʻo musculature. I ka loiloi mua wā o ka maʻi ua wehewehe aku ma kiʻekiʻe ke koko, i i a laila UAIAaIN e hypotension, ka meheu o cardiac haʻawina, arrhythmias, cardiac hopu i kānāwai.
I ka huʻi naehana hanu ole, ia mea nui, e hoʻolako 'inikua kōkua i loko o ke kakahiaka au, e like me ma ka maʻi kahua o ka resuscitation mea pinepine ineffective.

PalekanaEND_LINK ana

Mea nui i loko o kaʻike, o ka maʻi - e imi i ke kumu, e haawi ala i ka ÷ naehana hanu pilikia, no laila, e pono e akahele lawe mai ka ninaninau ana i ka hoʻomanawanui, a hiki interrogate ia ia. He pono e e ka X-Ray kiʻi o ka pahu, e hōʻike pneumatic paha hydrothorax, fracture kihi, pneumonia a me kekahi poe e ae, ka mea e lawe mai i kekahi koko hoao no o oxygen maʻiʻo. Contraindicated ka hoohiki ana kiaha dala a me narcotic ai ', e kuhikuhi i ke kumu o ka maʻi. I ka hoike mea hiki, e hoʻomaka i ka bronchoscopy.

Huʻi naehana hanu ole, huʻi malama

Lapaau hilinaʻi nui ma luna o ke kumu o ka maʻi. He mea pono e nana i ka airway no iaʻi ka hoʻohana 'ana i kekahi laryngoscope. No ka hookolokolo ana o ka larynx a me ka bronchi o kēia iaʻi o ka hana bronchoscopy. Ma ka loaʻaʻana mai o na kino i wehe 'ia ma lalo o endoscopically pololei hihio. I ka airway iaʻi me ka manoanoa sputum pneumonia hiki ke hana endoscopically lavage (holoiʻia ia) a me antibiotics.
I ka pneumatic a me ka hydrothorax, e pono zadrenirovat pleural lua. I ka wa o ka nui 'ohi' ana o ke koko a me ka transudate ua wehe 'ia ka hoʻohana' ana i ka puncture kuikele. Me ka oiʻeha ka wā ha, kena ae la ia e fractured iwi aoao hana novocaine blockade. A i kekahi ano nui, a me ka impossibility o ka noho'na makaainana i ulu hanu hoomanawanui ua hoololiia a hiki i ka kākoʻo (ʻimi hoʻopunipuni) akemāmā hoʻokomo ea (ALV). IVL lawe mai me ke kōkua oʻimi hoʻopunipuni ka hanu nā manaʻo, nānā 'ole o ka' inikua kulanui, ka hoʻohana 'ana i ke eke kala Ambu ' ole ka lawe handheld hoʻoluku. Ma hooloihiia ventilator kākoʻo keʻa-aoao, hana tracheal intubation.

Huʻi naehana hanu ole mai ana pulmonary edema (ʻawahia ole infectious etiology), hypotension, glucocorticosteroids docked infusion i loko o nā māhele nui. I hoakaka ia diuretics, bronchodilators, ka oxygen Inc.

Huʻi naehana hanu ole i loko o na keikiʻano nui ia lŘlŘ ma ka 'ai, inu ana i na kino i loko o ka larynx a me ka bronchi, huʻi hoʻoʻino maʻi, allergic reactions. Nā loina o ka hana maikaʻiʻole o naehana kāna hana mau i ka ia me nā mākua, e lawe i ka mooolelo o ka dosages kanaka o ka lāʻau.