The belofo pneumothorax: Sesosa, Matšoao, hlahloba le Phekolo

Ka lefu le joalo, e le belofo pneumothorax, mesothelioma sebakeng sa phallo ea oksijene, palo ea eona e butle-butle eketseha. Ponahalo ea bolwetse joalo amanang le tšobotsi e 'ngoe ea tshebetso belofo. Sebetsa e robehile ka hare mabapi le ho kenella ka hare ea moeeng ho tloha matšoafong pleura le khoneha ho tsamaea lona khutlisetsang. Ka lebaka la sena, ka sebakeng seo sefubeng le utloisang bohloko le matla, hobane ho na le ea fokotseha bohlokoa ka bophahamo ba modumo ea matšoafo le tshebetso ya ho inhalation thata.

Jwalo boemo pathological e se e tsebahala ka ho nako e telele haholo, 'me a tloaelana le ponahalo ea lona le liphello tsa lefuba methapo. Empa e batlang e sa tsoa, ho ile ha fumanoa hore lefu lena le hlaha ka tšohanyetso. bolwetse ena e fumanoa hangata ha mathata a ho hema amanang le otlile ea bullae.

mefuta

Pneumothorax belofo e ka hare le ka ntle, 'me e itšetlehile ka mochine sebopeho. Hare lebaka la pneumothorax le hlaha ka lebaka la ho tshenyo ho bronchi kgolo le ho ba teng ha maqeba patchwork leseli. Mesothelioma cavity e tletse moea ka o inkela sekoli ho e pleura visceral. Tabeng ena e sebetsang sebakeng sa hae e le e phunyang uputsa matšoafo dinama tse nyenyane tse e leng moea inspiratory ntse e feta, 'me ha a exhale tsoa khase khutlela matšoafo le.

Ponahalo le ka ntle la pneumothorax e tšoauoa ka 'nete ea hore karolo ea phunyang le tabeng ena ke tse bonolo likotsi lisele tsa sefuba. Inhalation qetellong metshetshe qala ho atolosa, moea ka bolokolohi phunyeletse ka cavity mesothelioma nakong pululo le fokotseha ka le hlaha leqeba mekoti ntle li tlohelang hore morao.

Lisosa tsa lefu lena

The belofo pneumothorax o na le mabaka a fapaneng bakeng sa ketsahalo ena. Hangata ka ho fetisisa e ke ntho e utloisang bohloko le ho itlelang feela sebopeho sa lefu lena.

Sesosa sa ho leqeba (sithabetsang) e koetsoeng pneumothorax sefubeng ho sithabela, a tsamaea le otlile ea dinama tse nyenyane tse ea matšoafo kapa sefubeng phunyeletsang leqeba. Ka tsela eo ho na le ka toka ka potlako "oxyphobe" ka sefubeng leboteng bula maqeba, ha bronchus leqeba o tsoela pele ho gape. Bakeng sa mofuta ona wa ea bobe e kenyeletsa:

• khopo fractures;
• gunshot le thipa maqeba ho sefuba;
• tshenyo bronchus kapa metso 'mele tsoang linaheng tse ling;
• a oa a le bophahamo le;
• discontinuities bronchi le sa t. d '.

Ho itlelang feela pneumothorax e tšoauoa ka sa otlile ea karolo fetotsoeng tsa dinama tse nyenyane tse ea matšoafo. Kenya letsoho hore ho ntshetsopele ya bolwetse ena ea mafu a latelang:

• lefuba;
• bullous emphysema, le matšoafo;
• cystic fibrosis;
• matšoafo abscess ;
• pneumoconiosis et al a.

Tlatsetsa lintlha ho ntshetsopele ya pneumothorax itlelang feela ba ho khohlela, qoela, khatello ea kelello 'mele, joalo-joalo. D.

le matšoao

Ka tloaelo, ha belofo pneumothorax mamello e le boemong bo mahlonoko. O gets bukkake thabile, ho na le bohloko lebisitsoeng ka sefubeng sa, extending ho lehare ka mahetla, ka mahetla le mpeng. O qala ho hatela pele ka potlako bokhutšoanyane phefumoloho, bofokoli, cyanosis, ho na le tahlehelo ea kelo-hloko, ho eketsa libaka intercostal, atolosa lehlakoreng anngoeng ke likoluoa tsa sefuba. Palpitations bokhutšoanyane phefumoloho, hypotension, tachycardia - boetse ho na le lipontšo tsa valvular pneumothorax.

Moea ka potlako ho bokella ka hara cavity mesothelioma ka etsa hore cardiac kapa methapo insufficiency, ho fellang ka lefu le hlaha. Ke mathata a morao tsa lefu kenyeletsa empyema mesothelioma effusion le arabelang.

tlhathoba

Ngaka ka ho hlahloba ka mamello e senola subcutaneous emphysema, ho backlog nakong hema ka lehlakoreng le ba anngoeng le ba sefuba, flattening libaka intercostal. Sebelisa X-ray khanya lemoha atelectasis le koala ka lehlakoreng ka bophelo bo botle tsa moriti mediastinum.

Mesothelioma puncture le manometer dumella ho khetholla ho tloha mong le e bulehileng a mang, koaloa le belofo pneumothorax. Ha mokelikeli o teng, e aspiration e etsoa lipatlisiso tse eketsehileng 'me mesothelioma effusion ka sebopeho sa lisele le microflora. Ho khetholla sebaka le boholo ba fistula mesothelioma, tsamaisa tekotshupo thoracoscopy le plevroskopiyu.

kalafo

The kalafo ya pele ya pneumothorax valvular lokela ho ikemiseditse ho decompression tsa mediastinum le matšoafo, 'me ho etsa hore ka potlako kamoo ho ka khonehang. Ho phetha sena tjhajoloha transthoracic puncture kapa thoracostomy le tlamang kenngwa ha e etseng letho drainage Byulau. Feela ka mor'a hore mokuli a ikutloe manipulations joalo li isoa sepetlele bakeng sa kalafo le ho feta.

Ho tsitsisa boemo ba mokuli, e laolang batho bao e seng narcotic le narcotic analgesics, meriana la pelo, lithibela-mafu, antitussives.

Ho bohlokoa ho fallela phunyang le ho pneumothorax koetsoeng. Ho etsa sena u lokela ho lula aa tsoa ka cavity mesothelioma. Ha phallo moea o khaotsa ho drainage, sena se bontša tiiso cavity. Drainage tlosa matsatsi a mabeli ka mor'a senoleha e feletseng ea matšoafo, haeba e se tiisoa radiographically.

Ha khanya e khone ho jala, ho phekola ho buoa tsa pneumothorax. Tshenyo morpheme hloka suturing la maqeba le thoracotomy. Haeba ho na le ke kotsi ya botjha thuto ea ho itlelang feela belofo pneumothorax, ka nako eo etsa kopo ya kalafo ho buoa tsa lefu lena le se ipatileng. Ho itšetlehile ka bolwetse ho phetha segmentectomy, bilobektomiyu, bakeng sa ho lema ea matšoafo resection, lobectomy, pleurectomy, pleurodesis, le tsereletsi tse ling.

thuso Emergency ka lefu lena

Ho na le maemo a mokuli a ka hloka thuso e potlakileng ho belofo pneumothorax. Ho boloka bophelo ba hae, o tlameha ho:

• khoba matšoafo ho motho;
• ho fana ka eena ka ho fihlela moea o hloekileng;
• Batla keletso tsa bongaka hang-hang.

thuso ea pele ke ho puncture e teteaneng nale sefubeng leboteng. Ka lebaka la sena ho ka etsahala ho ka potlako ho fokotsa khatello e phahameng ka pleura ena.

Thibelo le itse'ng

Complication tsa valvular pneumothorax ke makala matšoafo lefu pneumoempyema, cardio-methapo insufficiency. Le nako ea ho fana ka thuso ya bongaka ho thusa fihlela a hlaphoheloe.

thibelo lefu o ikemiseditse ho thibela likotsi. Ho phaella moo, ka nako ya kemiso tlhahlobo pulmonologist, lefuba le thoracic ngaka hlwaya bakuli ba bolwetse methapo.

bofello

Kahoo, belofo pneumothorax ho nkoa lefu kotsi haholo eo ho eona ho elella bofelong ba thuso ena se isa lefung. Ka lebaka leo, bakuli ba bolwetse ena lokela ho lula a bale ngaka, 'me ka potlako kamoo ho ka khonehang.