Oku-yezokwelapha futhi oluphuthumayo lwezokwelapha e edema yamaphaphu

edema yamaphaphu - kuyinto zokugula okuyinto kubangelwa nokwanda okuphawulekayo ezingeni intercellular (interstitial) uketshezi. Ukwakheka kwabo kuwumphumela ingxenye okukhipha plasma kusuka imithambo yegazi. In the ukungabikho zokugula intercellular woketshezi ukusivumela futhi ku -lymph, okuholela ukubuya plasma filtrate emuva. Ingqikithi bokuphila yale nqubo itholakala lokuthi ukuthi uketshezi ehilelekile ukulethwa oxygen amaseli nezakhi ezondla umzimba, futhi kusiza ukususa imikhiqizo umzimba. ukunakekelwa eziphuthumayo e edema yamaphaphu liyadingeka ukuze kusindiswe indoda.

edema hydrostatic

Inani uketshezi interstitial luyanda ngenxa yokuthi kwandisa ingcindezi hydrostatic e imithambo yegazi yamaphaphu. Ngenxa yalokho, kuholela edema.

ulwelwesi ukuvuvukala

Inani uketshezi interstitial ngesikhathi evamile ingcindezi inyuka ngenxa ngokweqile plasma filtration. Ngokwesibonelo, lapho umsebenzi balamuli ukuvuvukala anda ulwelwesi permeability, okuholela edema.

izizathu

The njalo kunazo waphawula edema yamaphaphu, isifo senhliziyo (ngokuvamile kwesokunxele inhliziyo ventricle) ngenxa yokujama tsi ku yokujikeleza kwegazi eliya emaphashini. Kwesinye isikhathi lokhu isimo sokugembula kwenzeka lapho mitral kanye zamehlo yomthambo i-aorta ngesikhathi sezinhlekelele abanomfutho wegazi ophakeme, isilethikusebenza, infarction, futhi myocarditis oyingozi. Lapho ushevu angagcina anobuthi edema yamaphaphu. Kungakhathaliseki ukuthi ziyini izizathu, isiguli esedinga ukunakekelwa eziphuthumayo edema yamaphaphu.

symptomatology

Lapho edema yamaphaphu waphawula kufushane okunzima umoya, ukuvuvukala ngemithambo entanyeni, cyanosis ebusweni. Ukuphefumula is olubilayo uhlamvu banikezwe imali ethe isikhwehlela frothy (ngezinye izikhathi ephethe tinge pink). Iziguli kakhulu amanga. Baphoqekile ukuba ahlale embhedeni imilenze alengayo. emaphashini Over kokubili wezwa crackles noma ngezinye izikhathi agabadvula, futhi kumakwe bengakhulumi inhliziyo amathoni. Sibekezele Ufaka e izithukuthuku abandayo. Kukhona ubuthakathaka jikelele. Pulse ababuthakathaka futhi njalo. Iziguli zithola nasekwesabeni ukufa. Ngo amafomu okunzima isimo sokugembula ngesikhathi esifanayo eba wokugoqa.

Usizo lokuqala for edema yamaphaphu

Premedical isinyathelo edema yamaphaphu ku ukudluliswa lesiguli a awulutho kuNkulunkulu. Phakathi ingcindezi evamile noma high, uma zimpawu isilethikusebenza futhi nciphisa, kungenzeka ukuvumela igazi lomuntu (izingane ml ayibi ngaphezu kuka-100-200 kanye nabantu abadala - 200-300 ml). ukunakekelwa Early eziphuthumayo edema yamaphaphu kwandisa amathuba okuthi isiguli ukuba Izibikezelo evumayo. nesineke Ongama Kufanele ufake isixazululo cube promedola 1 no-2 amadayisi camphor, ahlele ukuhogela Ethanol nge yimuphi nesifutho (izingane 30% isixazululo), tourniquet ku ngemithambo nemilenze (esiphezulu 1 h).

Medical oluphuthumayo e edema yamaphaphu

Isiguli iqondiswa glycosides inhliziyo, ingabe cupping (uma awuzange eyenziwa ngaphambili), ukwelashwa umoya-mpilo. Ngemithambo yegazi, faka 100-150 mg isixazululo Lasix 20 cubes sodium chloride noma intramuscularly novurita 1 die. Inzuzo ngokusebenzisa nesifutho noma ukuhogela imaski ETHYL utshwala (96%) noma antifomsilana (10% isixazululo utshwala). Uketshezi elingenhla ipheshana zokuphefumula isuswe usebenzisa ipayipi (intranasally). Isixazululo urea yethulwa dropwise, kulandele i-sodium ne-hydrogen carbonate (5%). Ukuvuza, kodwa kancane kancane (imizuzu 40) saphathwa isixazululo pentamine (5%). Ngo ezinzima ubuhlungu syndrome analgesics noma oxide oxide lapho ephefumula.