Maras wata-wata pneumothorax: ta haddasawa, asibiti fasali da kuma magani

Pneumothorax - a pathological yanayin a wadda iska ta shiga pleural rami, haddasa wani ƙara matsa lamba a cikinta.

A wannan cuta akwai wadannan iri:

• maras wata-wata pneumothorax. A dalilan da wannan nau'i na cutar sau da yawa ya zauna m (a lokuta inda shi ya auku farko). Secondary maras wata-wata pneumothorax tasowa a matsayin wahala daga daban-daban huhu cututtuka.

• hankali. Raunuka sa kirji, a cikin abin da iska zo a cikin pleural kogo.

• iatrogenic. Shin wata wahala a daidai magani da kuma huhu Pathology iya faruwa lokacin da mutum bincike shisshigi (msl, bayan huda na pleural bags bayan thoracentesis ko pleural biopsies da kuma saboda tsakiyar venous catheterization).

Ka yi la'akari da fasali na ci gaba da kuma hanya kwatsam pneumothorax.

Wannan nau'i na cutar firamare da kuma sakandare. Primary maras wata-wata pneumothorax ne sau da yawa bincikar lafiya a high da kuma na bakin ciki matasa. Shi ne ya kamata a lura da cewa shan taba kara hadarin ci gaba da halaka ne kusan 20 sau. A kan bango na wannan irin pneumothorax ba bayyana a fili na huhu Pathology, amma a cigaba da bincike, sau da yawa sosai bayyanãwa subpleural bullae, da data Tsarin ƙila za a lura a marasa lafiya da suke ba hayaki (kusan 81% na lokuta). Duk da haka, yana da daraja ambaton cewa bijimai har yanzu kafa a sakamakon wajen lalacewar haske na roba masana'anta da cewa shi ne lokacin da ya wuce kima kunnawa da neutrophils da macrophages, wanda tasowa a kan bango na shan taba.

Secondary pneumothorax ko da yaushe tasowa a kan bango na riga data kasance cutar huhu. Wannan nau'i na cutar da wuya, kamar yadda ake dangantawa da gagarumin hanawa na zuciya da jijiyoyin jini tsarin.

Daga cikin babban Sanadin sakandare maras wata-wata pneumothorax kamata ware na kullum obstructive na huhu, asthmatic matsayi, na huhu da tarin fuka, ciwon huhu, na huhu fibrosis da connective nama cututtuka (msl, rheumatoid amosanin gabbai, ko spondylitis). Specific etiological rawa iya zama huhu ciwon daji da kuma sarcoma.

Maras wata-wata pneumothorax take kaiwa zuwa wani karu a muhimmanci iya aiki, sakamakon hypoxemia - rage daga cikin oxygen taro a cikin jini. Dole ne in ce cewa gas musayar a cikin huhu a lokaci guda kadan damuwa, saboda haka kada ku ci gaba hypercapnia (ƙãra carbon dioxide taro a jiki).

Sau da yawa maras wata-wata pneumothorax tasowa a sauran da aka bayyana da ciwo mai tsanani a cikin kirji da dyspnea. Daga bisani, da zafi iya zama maras ban sha'awa ko aching. Chest yawon shakatawa daga halaka yana da iyaka. Clinical manifestations pneumothorax da kansa bace a cikin wata rana ko da a cikin babu magani.

Idan pneumothorax bai isa a kula pathological cututtuka a mafi yawan lokuta, shi ne ba ya nan. Wani lokaci marasa lafiya koka tachycardia. Tare da ci gaba da tashin hankali pneumothorax mita na balli zai iya zuwa har 135 lashe minti daya, tare da hypotension da cyanosis da m na numfashi alkalosis.

Ganewar asali na wannan yanayin dogara ne a kan anamnestic data, da kuma takamaiman canje-canje a cikin X-ray line zama m visceral pleura. Wani lokaci da ganewar asali na kananan-sized pneumothorax amfani X-haskoki ko X-haskoki a lokacin exhalation.

Maras wata-wata pneumothorax: magani

Hanyoyin kwantar da hankali directed a cututtuka kwashe iska daga pleural bags, kazalika da komowa rigakafin. A mafi kyau duka hanya domin wannan - thoracostomy da kuma tiyata ta thoracotomy ko ta hanyar thoracoscopic damar.