Pneumothorax okuzenzekelayo: nezimbangela zayo, izici zokwelapha kanye nokwelashwa

Pneumothorax - isimo sokugembula lapho emoyeni ingena ngaphakathi komgodi pleural, okubangela i yokucindezeleka okwandayo therein.

Kulesi isifo kukhona izinhlobonhlobo ezilandelayo:

• pneumothorax nokuguqulwa. Izizathu zalokhu uhlobo lesi sifo ngokuvamile uhlala akucacile (ezimweni lapho kwenzeka ngokuyinhloko). Secondary pneumothorax nokuguqulwa buyaqina kwetintfo izifo ezihlukahlukene wamaphaphu;

• esibuhlungu. Amanxeba okubangelwa esifubeni, lapho emoyeni engena ingaphakathi pleural;

• iatrogenic. Ingabe inkinga ngesikhathi okungalungile ukwelashwa kanye wamaphaphu zokugula kungenzeka uma ukungenelela ngabanye zokuxilonga (isb, ngemva wokubhoboza ka pleural izikhwama ngemva thoracentesis noma biopsies pleural futhi ngenxa emaphakathi catheterization emithambo yegazi).

Cabangela izici ukuthuthukiswa nenkambo pneumothorax nokuguqulwa.

Le ndlela sifo zamabanga aphansi naphezulu. pneumothorax Primary nokuguqulwa ngokuvamile kutholakala nentsha okusezingeni eliphezulu nasebubini. Kuyaphawuleka ukuthi ukubhema kwandisa ingozi ukuthuthukiswa nolokubhujiswa cishe 20 izikhathi. On ngemuva kwalesi uhlobo pneumothorax ayizange ibonise sobala zokugula yamaphaphu, kodwa uphenyo, ngokuvamile kakhulu embula bulla subpleural, izakhiwo datha futhi kumelwe kugujwe ezigulini ungabhemi (cishe 81% amacala). Nokho, kuwufanele ukukhumbula ukuthi izinkunzi namanje kwakhiwa ngenxa lingcole yokukhanya Indwangu nokunwebeka okungukuthi uma kusebenze ngokweqile neutrophil futhi macrophage, okuyinto eba ku isizinda ukubhema.

pneumothorax Secondary njalo ithuthukisa ku isizinda isifo osuvele wamaphaphu. Le ndlela lesi sifo kunzima, njengoba lihlotshaniswa ukungakhuli abalulekile yisimiso senhliziyo nemithambo yegazi.

Phakathi kwezimbangela eziyinhloko yesibili pneumothorax nokuguqulwa kufanele ukwaba ezingamahlalakhona yamaphaphu obstructive, isimo somoya, isifo sofuba yamaphaphu, inyumoniya, cystic yamaphaphu futhi zezinzwa izifo izicubu (isb, isifo samathambo, noma spondylitis). Specific indima etiological kungaba futhi umdlavuza wamaphaphu Sarcoma.

pneumothorax okuzenzekelayo kuholela ukwehla umthamo esibalulekile, okuholela hypoxemia - Ukwehliswa emakamu umoya-mpilo egazini. Mangisho ukuthi exchange igesi emaphashini ngesikhathi esifanayo a okhathazekile kancane, ngakho musa ukuthuthukisa hypercapnia (kwenyuke carbon dioxide lokuhlushwa emzimbeni).

Ngokuvamile pneumothorax nokuguqulwa eba uphumule futhi livezwa sebuhlungwini obunzima esifubeni dyspnea. Ngemva kwalokho, ubuhlungu kungenzeka naba buthuntu noma ezidabukile. Chest uhambo ekubhujisweni lilinganiselwe. ukubonakaliswa Clinical of pneumothorax ngokuzimela zinyamalale ngaphakathi ngelinye ilanga ngisho nalapho engekho yokwelashwa.

Uma pneumothorax abangelutho izimpawu sokugembula ezimweni eziningi, engekho. Ngezinye izikhathi iziguli esekhala tachycardia. With ukuthuthukiswa ukungezwani pneumothorax imvamisa kwenhliziyo lingafika ku 135 ngomzuzu, ephelezelwa hypotension futhi cyanosis ne-acute alkalosis zokuphefumula.

Ukuxilongwa kulesi simo kusekelwe idatha anamnestic, kanye nezinguquko ezithile emgqeni-X-ray iba lubonakale pleura visceral. Ngezinye izikhathi sitholakele wosayizi omncane ukusetshenziswa pneumothorax X-ray noma X-ray ngesikhathi okhishwa ngamakhala.

pneumothorax okuzenzekelayo: ukwelashwa

Engamakhambi sibhekiswe izifo batakulana emoyeni kusukela izikhwama pleural, kanye nokuvinjelwa kokwehluleka. Indlela eliphezulu le - thoracostomy nokuhlinzwa ngu thoracotomy noma ngokusebenzisa ukufinyelela thoracoscopic.