Pneumothorax: Symptoms, 'ehaʻeha ka a me ka iapaau ana

Pathological ano ma i ka pleural lua (slit-hoʻokino ka lewa ma waena o ka parietal a me ka visceral pleura a puni kēlā me kēia akemāmā) accumulates ea 'ole' ē aʻe kinoea nā mea huihuina ua ike like pneumothorax. Symptoms, kumu a me ka hana ana o keia kulana, noonoo i ka pauku.

Overview

No ka mea pleural lua i loko o ka maʻamau moku'āina wehewehe aku ma ka io puʻe, ua hoakaka ia he kūpono hanuʻano papa hana. Inā e poino ai ka lahilahi pleura (e laʻa me, like me ka hopena o ka nahā i māhele o ka akemāmā ole bronchus) a me misses ma ka pleural lua ea puʻe ua equalized i ka lewa a aku i ia. Ke ea i i komo iloko o loko o ka pleural lua hele aku ai i mīkini'opihia o ke akemāmā, e hoʻonāukiukiʻana mai o spadenie, a aku la, mai ka hana o ka hanu. Me ka buke nui o ka lewa kōna malamalama ia mea i pili i ka ikaika puʻe, ma ka hou ana i keia, he mea he naeaeaa o mediastinal nā loko (nui o na moku o ka naau). A pau i kēia nui o ka wawahi i ke koko holo a me ka hanu.

Pneumothorax: maʻi symptoms

I ka maʻi ua hoikeia aku ai e na kēia mau hiʻona:

• Koke 'ia umauma eha - huʻi, piʻi aʻela i ka hoʻoulu. Ola ka waiʻona ma ke hiki, e halii mai i ka'ūhā mua hoʻohuli ai i nāʻaoʻao.

• Koke ulu dyspnea - pokole o ka hanu, kokololio lepo hanu.

• Maloo cough.

• Kaoo o ka naau kōmi.

• Ke ano o ka ili, i loko o ke anu hou.

• General nawaliwali.

• A ano o ka makau.

• Cyanosis o ka ili (ina hihia hoʻi holo a me ka hanu nā'ōlelo).

ano o ka maʻi

• Open pneumothorax. Symptoms o keia kulana i: komo i loko o ka pleural lua o ka lewa ma ka poino nui bronchi a eha o ka pahu hōʻike ana me i inhalation ea o ka papa komo ka pleural lua, a hele hoʻi a hiki i ka manawa o ka pau. Ka puʻe i loko o ka pleural lua hoʻohālikelike me ka Ambient, i ka hoʻonāukiukiʻana atelectasis a aku o kona hanu.

• E haapau nei i pneumothorax e hoʻomōhala ana i loko o ka lewa anal i loko o ka pleural lua ma muli o ia i ka hewa o ka pleura. Ma waena o ka pleural lua a me ke kaiapuni aole mea i olelo, a me ka trapped ke ea i loko o ka buke, aole ia e hoʻonui. paʻa pneumothorax o ka easiest no ka lapaʻau wahi o ka Hawaii. Ke ea i loko o ka liʻiliʻi nui ke hoike mai ia lakou iho. Inā he ua he paʻa pneumothorax, symptoms ma keia hihia, ke kēia: eha mai o ka poinoʻaoʻao o ka pahu, paleʻili, pokole o ka hanu.

• Anakahi uila (kiwikā) pneumothorax. Kēiaʻano o ka pathology hardest. Symptom kiwikā pneumothorax - ka ho okumu i kaʻeha a me ka poho i ka nui bronchi awelike waiwai o ka nohona kiwikā 'ole i ke hoike nei ke ea i loko o ka pleural lua i ka hoʻoulu manaʻo, a ua ālai' kona OAAIeOO i ka waho kaiapuni. Ka buke o ka lewa i loko o ka pleural lua ana e ulu ana. Kēia hoʻonāukiukiʻana mai o ka pohupani hale a me ka mīkini'opihia o mediastinal nā loko me ka nui kāna hana o ke koko a me ka holo ka hanu.

Pneumothorax: hookomo ana i ka maʻi

Ke kaumaha ma muli o nā kumu o ka maʻi i hōʻike 'i ka helu o? Ueo.

noho'na makaainana i ulu pneumothorax

Symptoms o ka pathology, kena ae la ia e rupture hapa bronchus a akemāmā i ua ole pili me ka ÿole mechanical poino o ka thorax a akemāmā. Noho'na makaainana i ulu pneumothorax hiki e:

1. n (idiopathic) i kupu mai noʻaʻohe'ē aʻe kumu. He nui prone i na mea o ka moku'āina o nā kānaka uʻi 20-40 makahiki o ka ulu ana kiʻekiʻe. pathology pinepine e hoʻomōhala ana i like me ka hopena o ka:

• genetically, kena ae la deficiency o ka'ūhū Alpha-1-antitrypsin, a hoʻonāukiuki pathological loli ma ka akemāmā;

• congenital nawaliwali o ka pleura, a hiki wawe ka explode i ka akaaka, ikaika cough,, pili physical hoounauna, hohonu hanu;

• palena pau puʻe kūpono hohonu kaiapuni i loko o ka wai, luʻu auhee i loko o ka mokulele.

2. Secondary (symptomatic), ka wā i ke kāʻei kua o ka ua? Ueony akemāmā maʻi e hoʻomōhala ana i noho'na makaainana i ulu pneumothorax. Symptoms ana no ka:

• naehana maʻi, no kekahi laʻana, ka mea, i ia maʻi obstructive pulmonary maʻi (maʻi hoʻoʻino mai o ka naehana oihana, a e hoʻomōhala ana i lalo o ka aoao o ka likeʻole? aneie aʻe, i ka papa kuhikuhiE poʻe - ka uiki, hoʻonāukiuki ana i ka hooulu ana o ka maʻi naehana hanu 'ole), cystic fibrosis (ka ili maʻi no a wehewehe aku ma ka hoʻohuikau o ka exocrine glands), loa exacerbation o ka asthma;

• infectious maʻi o na maʻiʻaʻai, no kekahi laʻana, tuberculosis (infectious maʻi, kena ae la ia e mycobacteria), akemāmā abscess (kaupalena 'mea nui li nui o ka akemāmā'aʻaʻa, a ua wehewehe aku ma ka heheʻe o ke akemāmā'aʻaʻa a me ka lua ho okumu hoopihaia me ka purulent maʻiʻo), aku aat o ia maʻiʻaʻai (pneumonia) ku e HIV;

• akemāmā mai wehewehe aku ma lesions o connective'aʻaʻa fibrosing alveolitis, lymphangioleiomyomatosis, sarcoidosis, histiocytosis X;

• systemic pathologies o ka connective'aʻaʻa me akemāmā maʻi: systemic scleroderma, rheumatoid arthritis, dermatomyositis;

• hikoko (akemāmā Ka maʻi 'aʻai).

traumatopnea

Ke kumu no keia kŰia - keia mea no ka poino o ka pahu:

• kūmūmū trauma;

• penetrating eha.

iatrogenic pneumothorax

Kēia maʻi o ka hopena o ka hana i ho'ākāka 'inikua kaʻina hana:

• pleural paha akemāmā biopsy;

• puncture;

• Pono subclavian catheter;

• me mechanical hoʻokomo ea.

lapaʻau '

I mea e hana i kaʻike, "pneumothorax" maʻi symptoms E ke akahele? Anoee ma ka akamai i loko o ka 'inikua ninaninau. ʻike, nā ka kēia mau hana:

• Hoʻomanawanui ninaninau: auscultation (auscultation) akemāmā nana i ka thorax.

• Umauma radiography, ma ka mea o ka i ia mea hiki ke huai ae ea i loko o ka pleural wahi. Ke kaʻina hana o ka iniiaiie iaoia o diagnosing pneumothorax.

• Koko kinoea haku mele 'ana.

• Me tomography, a leie aku oe e kuhikuhi i na kumu o ke kula kiʻekiʻe noho'na makaainana i ulu pneumothorax. Kēia PalekanaEND_LINK iaoia ua hoʻohana 'ia ka wā o ka X-kukuna mea,ʻaʻole i lawa informative.

• Electrocardiography, ka hoʻohana 'ana i ia mea hiki, e huai ae i abnormality i loko o ka naʻau o ka nohona kiwikā (i'ō) pneumothorax.

• Kuka Thoracic surgeon.

pilikia

Oe e ike i ka haawi mua kōkua no keia pathological ana, e like me pneumothorax. Symptoms no ka mea, e lilo ia i hoailona no ka pilikia 'inikua hana. Ke hoomanawanui mea mua e pono e hōʻoia 'ole ke kōkua o o ka o oxygen e e mālie iā ia i lalo, a kapa aku i kekahi kauka koke.

Foxmike pneumothorax komo ai i ke kau o occlusive dressings, a sealingly pani i ka poino hapa o ka pahu pa. Lole wili a e ole kekahi, ea, e ke i ka polyethylene a cellophane, a me ka manoanoa ahu iho la ka pulupulu-gauze.

I ka wā o ka nohona kiwikā pneumothorax koi koke ana o pleural puncture, a e kōkua i palahalaha ae ka akemāmā, hoʻopau noa kinoea make a me ka pale aku i ka pohupani hale o ka mediastinal nā loko.

Ana e hakakā i ka pathology

Inā diagnosed me ka pneumothorax, lapaau komo ai na kēia mau hana:

• Pleural needling, i a ke omo lewa, mai ka pleural lua.

• ʻoki lāʻau lapaʻau suturing bronchial discontinuities, akemāmā, umauma pa nā palapū.

• Ninini i ka pleural lua me ka paa ana o ka nōkahea şarkı ma i ka wehe 'ia o ka lewa, mai ka pleural lua, e kānāwai.

• Inā haʻi eha me na pathologies me pneumothorax, lapaau ke komo i loko o ka hoʻohana a anesthetics.

• Oxygen ma (ana o oxygen lako nenoai ma kūikawā paipu).

• Pleurodesis - kuʻi nukeliu hana pleura hoʻohanaʻoki kino a me ka pahu kui i loko o ka pleural lua o kūikawā ka lapaʻauʻia (inā hai pinepine pneumothorax).

Complications a me ka hopena

Pneumothorax - he nui ana i hiki i:

• Intrapleural kahe ana ke koko.

• Pleurisy - li nui o ka pleura, a ua wehewehe aku ma ke kahua o ka adhesions, me ka hoonaukiuki aku haunaele wehewehe ana malamalama.

• Subcutaneous emphysema - he kŰia ma i ea ola,ʻoiai i loko o ka subcutaneous momona. Ho oholo i ka moku'āina o nā māhele o ka nani, haanou ana o subcutaneous'aʻaʻa: ka wā e kaomi ma luna o ia mau mea, aia no he kiʻiona kani, like me ke kamumu o maloo hau.

• Air komo i ka mediastinal'aʻaʻa. Ma keia hihia, he mea mīkini'opihia o na moku nui a me ka naau.

• I loa hihia (me ka nui lesion ka leo, me ka nui loa penetrating eha o ka pahu) ua i alii iho la oia mai ka make.

Kāohi

E pale aku pneumothorax, e hoopili aku i kekahi mau rula:

• Manawa e pono akemāmā maʻi.

• Ua oki e uwahi ana.

• Pale umauma nā palapū.

• Inā pneumothorax ka hanaʻano pinepine, ka mea mea kupono e lawe mai pleurodesis kaʻina hana (ulana pleura).

ka hopena

Ma keia 'atikala, ua ana no na maʻi like pneumothorax. Symptoms, kumu a me ka lapaʻau nā loina o ka pathology i hookolokolo aku la ia e mākou. Ma kekahi pneumothorax pono koke hospitalization o ka hoʻomanawanui iʻoki kino. Me ka mea e pono laekahi Inc prognosis o ka noho'na makaainana i ulu pneumothorax mea IeAUPIIe, IAa IO maikaʻi. I ka pomaikai o ka iapaau ana o traumatic pneumothorax e loli ai i ke ano o ka collateral poino o ka pahu. E malama no oe ia oe iho, a noho ola!