Pneumothorax okuzenzekelayo: izinto zayo, iimpawu lonyango kunye nonyango

Pneumothorax - imeko zophendlo lwezifo apho umoya engena kwisisu pleural, ibangela koxinzelelo kuyo.

Kule sifo kukho iintlobo zilandelayo:

• pneumothorax kulogo. Izizathu olu hlobo isifo akukacaci (kwiimeko apho kwenzeka ikakhulu). pneumothorax Secondary kulogo liphuhlisa njenge kwingxaki yezifo zemiphunga ezahlukeneyo;

• esibuhlungu. Amanxeba yabangela esifubeni, apho umoya engena kwisisu pleural;

• iatrogenic. Ingaba ingxaki kwi unyango kunye nemiphunga ngezifo engalunganga inokwenzeka xa ukuxilongwa ngamnye (umz, emva okuhlatywa of pleural iibhegi emva thoracentesis okanye biopsies pleural kwaye kananjalo ngenxa catheterization central lwemithambo).

Cinga iinkalo zophuhliso kunye ikhondo pneumothorax ezizenzekelayo.

Olu hlobo sifo eziziprayimari nezizisekondari. pneumothorax Primary kulogo sivame ukuxilongwa abadala abasebatsha phezulu elibhityileyo. Kubalulekile ukuphawula ukuba ukutshaya kwandisa umngcipheko uphuhliso intshabalalo phantse 20 amaxesha. Kwisiqalo yale hlobo pneumothorax ukuba abonakalise ngezifo izicacele pulmonary, kodwa uphando, ngokufuthi zibonisa bulla subpleural, izakhiwo data kwakhona ugcinwe kwizigulane ungatshayi (phantse 81% amatyala). Nangona kunjalo, kubalulekile ukukhumbula ukuba zeenkomo nangoku, njengoko ngenxa ukuthotywa laphu ukukhanya elastic ukuba xa ukusebenzisa ngokugqithisileyo neutrophils kunye macrophage, apho ukuvela kwisiqalo wokutshaya.

pneumothorax Secondary njalo ukuvela imvelaphi yesifo semiphunga sele ikhona. Olu hlobo esi sifo kunzima, njengoko inxulunyaniswa lomonakalo ebonakalayo kwinkqubo sentliziyo.

Phakathi Iimbangi ezingundoqo pneumothorax zasesekondari ezizenzekelayo kufuneka anikezele pulmonary ezondeleyo obstructive, isimo somoya, isifo sephepha yemiphunga, inyumoniya, abanesigulo yemiphunga kunye nezifo zomzimba nokuqina (umz, isifo samathambo, okanye spondylitis). indima ethile etiological nako umhlaza wemiphunga kunye nee-.

pneumothorax okuzenzekelayo kukhokelela ekuncipheni umthamo kubalulekile, nto leyo hypoxemia - wokwehla ioksijini yoxinaniso egazini. Ndimele ndithi exchange igesi emiphungeni ngexesha elifanayo ukuphazamiseka kancinane, ngoko musa ukuphuhlisa hypercapnia (ukwanda carbon dioxide yoxinaniso emzimbeni).

Amaxesha amaninzi pneumothorax kulogo nesifo ukuphumla kwaye kuboniswa ziintlungu kakhulu esifubeni dyspnea. Kamva, le ntlungu naba buthuntu okanye ezibuhlungu. Esifubeni excursion ekutshatyalalisweni ulinganiselwe. obubonakala kwezonyango pneumothorax ngokuzimeleyo zinyamalale kwisithuba imini enye nkqu yokungabikho unyango.

Ukuba iimpawu pneumothorax singabalulekanga zophendlo lwezifo kwiimeko ezininzi, engekhoyo. Ngamanye amaxesha izigulane ezikhala tachycardia. Ngophuhliso uxinzeleko pneumothorax rhoqo zisaphila kuba uqumba ukuya ku 135 ngomzuzu, ekhatshwa hypotension kunye cyanosis kunye alkalosis ezihlasela zosulele ngokuphefumla.

Uxilongo yale meko isekelwe kwidatha anamnestic, kunye notshintsho ezithile kumgca X-ray eba pleura olubonakalayo visceral. Ngamanye amaxesha lokufunyaniswa ukusetyenziswa amancinci-ubungakanani pneumothorax X-ray okanye-X-reyi ngexesha zingumphunga.

pneumothorax ahlale: unyango

Amayeza okujoliswe izifo ukuphuma umoya evela kwiingxowa pleural, kwakunye nokuthintela likakade. Indlela eliphezulu le - thoracostomy kunye notyando ngu thoracotomy okanye ukufikelela thoracoscopic.