Sengoli: Clyde Lopez
Letsatsi La Creation: 23 Phupu 2021
Ntlafatsa Letsatsi: 15 November 2024
Anonim
Matšoafo a oeleng (pneumothorax) - Moriana
Matšoafo a oeleng (pneumothorax) - Moriana

Letšoafo le oeleng le hlaha ha moea o tsoa matšoafong. Moea o tlatsa sebaka se kantle ho matšoafo, lipakeng tsa lebota la matšoafo le sefuba. Moea ona o mongata o beha khatello matšoafong, ka hona o ke ke oa hola joalo ka ha o tloaetse ha o phefumoloha.

Lebitso la bongaka la boemo bona ke pneumothorax.

Matšoafo a senyehileng a ka bakoa ke ho lemala matšoafong. Likotsi li ka kenyelletsa ho thunngoa kapa leqeba la thipa sefubeng, ho robeha ha likhopo kapa mekhoa e meng ea bongaka.

Maemong a mang, letšoafo le oeleng le bakoa ke li-blister tsa moea (blbs) tse bulehang, li romelle moea sebakeng se potileng matšoafo. Sena se ka bakoa ke liphetoho tsa khatello ea moea joalo ka ha u sesa ka scuba kapa ha u ea sebakeng se phahameng.

Batho ba balelele, ba basesaane le ba tsubang ba kotsing ea ho ba le matšoafo a oeleng.

Maloetse a matšoafo a ka eketsa menyetla ea ho ba le matšoafo a oeleng. Tsena li kenyelletsa:

  • Sefuba
  • Lefu le sa foleng la pulmonary (COPD)
  • Cystic fibrosis
  • Lefuba
  • Khohlela

Maemong a mang, letšoafo le oeleng le hlaha ntle le lebaka. Sena se bitsoa matšoafo a oeleng ka boithaopo.


Matšoao a tloaelehileng a matšoafo a oeleng a kenyelletsa:

  • Ho opeloa ke sefuba kapa mahetla a bohale, ho mpefatsoa ke ho hema haholo kapa sefuba
  • Phefumoloho e khutšoanyane
  • Nasal flaring (ho tloha phefumoloho e khutšoanyane)

Pneumothorax e kholo e baka matšoao a matla haholo, ho kenyelletsa:

  • Mmala o boputsoa ba letlalo ka lebaka la khaello ea oksijene
  • Ho tiea sefubeng
  • Hlooho e bobebe mme e haufi le ho akheha
  • Mokhathala o bonolo
  • Mokhoa o sa tloaelehang oa ho hema kapa boiteko bo eketsehileng ba ho hema
  • Ho otla ha pelo ka potlako
  • Ho tshoha le ho putlama

Mofani oa tlhokomelo ea bophelo o tla mamela phefumoloho ea hau ka stethoscope. Haeba u na le matšoafo a oeleng, melumo ea phefumoloho e fokotsehile kapa ha ho na melumo ea phefumoloho ka lehlakoreng le amehileng. U kanna oa ba le khatello e tlase ea mali.

Liteko tse ka laeloang li kenyelletsa:

  • X-ray sefubeng
  • Gase ea mali le liteko tse ling tsa mali
  • CT scan haeba ho belaelloa likotsi kapa maemo a mang
  • Electrocardiogram (ECG)

Pneumothorax e nyane e ka itsamaela ha nako e ntse e tsamaea. U kanna ua hloka feela kalafo ea oksijene le phomolo.


Mofani oa thepa a ka sebelisa nale ho lumella moea ho tsoa matšoafong e le hore o ka hola ka botlalo. U ka lumelloa ho ea hae haeba u lula haufi le sepetlele.

Haeba u na le pneumothorax e kholo, ho tla beoa tube ea sefuba pakeng tsa likhopo sebakeng se potileng matšoafo ho thusa ho tsoa moea le ho lumella matšoafo ho hola hape. Phala ea sefuba e ka sala e le teng matsatsi a 'maloa mme o ka hloka ho lula sepetlele. Haeba ho sebelisoa lethopo le lenyenyane la sefubeng kapa phaphatha, u ka khona ho ea hae. U tla hloka ho khutlela sepetlele ho tlosoa tube kapa valve.

Batho ba bang ba nang le matšoafo a oeleng ba hloka oksijene e eketsehileng.

Ho ka 'na ha hlokahala hore ho etsoe opereishene ea matšoafo ho phekola matšoafo a oeleng kapa ho thibela liketsahalo tse tlang. Sebaka seo ho dutlang ho sona se ka lokisoa. Ka linako tse ling, ho kenngoa k'hemik'hale e khethehileng sebakeng sa matšoafo a oeleng. K'hemik'hale ena e baka lebali. Tsamaiso ena e bitsoa pleurodesis.

Haeba u na le letšoafo le oeleng, ho ka etsahala hore u be le le leng nakong e tlang haeba u:


  • Li telele ebile li tšesaane
  • Tsoela pele ho tsuba
  • Ke bile le liketsahalo tse peli tsa mapafu tse oeleng nakong e fetileng

Hore na o sebetsa hantle hakae kamora ho ba le matšoafo a oeleng ho latela hore na e bakoa ke eng.

Mathata a ka kenyelletsa efe kapa efe ea tse latelang:

  • Lefu le leng le oeleng nakong e tlang
  • Ho tsosoa, haeba ho na le likotsi tse mpe kapa tšoaetso, ho ruruha ho matla, kapa mokelikeli matšoafong

Bitsa mofani oa hau haeba u e-na le matšoao a matšoafo a oeleng, haholo-holo haeba u kile ua ba le eona pele.

Ha ho na mokhoa o tsebahalang oa ho thibela mats'oafo a oeleng. Ho latela lits'ebetso tse tloaelehileng ho ka fokotsa kotsi ea pneumothorax ha o qoela ka scuba. O ka fokotsa menyetla ea hau ka ho se tsube.

Moea o pota-potileng matšoafo; Moea ka ntle ho matšoafo; Pneumothorax e theohile matšoafo; Ho itšunya-tšunya pneumothorax

  • Matšoafo
  • Ho phatloha ha aortic - x-ray sefubeng
  • Pneumothorax - sefuba x-ray
  • Tsamaiso ea phefumoloho
  • Ho kenya li-tube sefubeng - letoto la lihlooho
  • Pneumothorax - letoto la lihlooho tse

E ngotsoe ke Byyny RL, Shockley LW. Ho qoela ka scuba le dysbarism. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 135.

Leseli RW, Lee YCG. Pneumothorax, chylothorax, hemothorax le fibrothorax. Ka: Broaddus VC, Mason RJ, Ernst JD, et al, li-eds. Buka ea Bongaka ea Phefumoloho ea Murray le Nadel. La 6th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 81.

Raja JOALOKAHA. Tlokotsi e bohloko. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 38.

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