Ulwelo emiphungeni: Oonobangela kunye Treatment

isixokelelwano sokuphefumla uthambekele kwiimpembelelo zangaphandle, nezifo zalo ibe ngenxa nayiphi ngezifo jikelele.

I ulwelo ngoonobangela emiphungeni

Loo uphawu, njengoko kulwelo emiphungeni ukuze ngenxa yokukrala (tuberculosis, unepleurisy, inyumoniya), congestive izenzakalo okanye umhlaza. Ulwelo iqala ukuba yande emiphungeni nje ngenxa yokwanda permeability of emithanjeni, kwaye kananjalo ukuba ingqibelelo kantu. Kwimeko yokuqala, lo permeability ukwanda kwe emithanjeni ekhokelela kuseko of transudate - ulwelo edematous lokwandisa emiphungeni. Kwimeko yesibini, njengokutyhoboza isidima eludongeni isitya igazi amanyathelo ngomatshini kukhokelela nokudumba ekumisweni exudate. Le protein iiseli abazizityebi kunye nombala ulwelo turbid ukuba ivuze iindonga imithambo yegazi yonakele. Amaxesha amaninzi umonakalo sikhatshwe ukuyilwa imithambo yegazi hemothorax (ukuqokelelana igazi em- pleural). Unobangela kulwelo emiphungeni ukuze ukungasebenzi le nkqubo emithanjeni kwemiphunga, nto leyo ekhokelela ukuba ukususwa kancinci kolwelo edematous, mvisiswano leyo, kwelinye icala, igalelo kuphuhliso nokudumba. Oku kwenzeka ngexesha resection kwemiphunga, kunye yi kususwe inani elikhulu iindawo, imiphunga ilandelayo abohlukeneyo. Ukunyuka kancinane isixa kolwelo kwi interstitium pulmonary ezingasetyenziswanga, ngokulula zivunwe umzimba. Xa inani layo kakhulu uqalisa ukwandisa, imiphunga aqala ukulahlekelwa kwimo yazo, kukho kophulwa kunaniselwano igesi esivulekayo imiphunga, yaye baba nzima.

Enye iimpawu zokuqala yobungakanani ilulwelo dyspnea. Oku kungenxa ukuhla kwireyithi unikezelo oksijini evela alveoli ezityeni yegazi., Ngenxa yokuba umntu ukuphefumla rhoqo ngakumbi kunesiqhelo.

nokudumba pulmonary ngexesha lesigaba yophuhliso wokupasa-2. Okokuqala, kukho extravasation kwi kwisithuba Embi, ukusuka apho ulwelo ungena alveoli. Ngelo xesha kukho ukuhlaselwa sombefu kwentliziyo, ubukhulu becala ngexesha ulele, umntu uqala ukukhalaza malunga ukunqongophala umoya. Imbonakalo ukukhohlela, ukutswina. Zonke ezi mpawu zimbi xa imeko lisalele nomonde. Kamva, kukho phlegm, kukho isiyezi ayifiki ephawuleka kakhulu eluswini, izikhalazo iintlungu esifubeni. Kuyimfuneko ukwenza uxilongo besi sifo kwentliziyo, ngenxa ubukho isifo sentliziyo, ukusilela intliziyo esinganyangekiyo, ubudala yesigulane. Kufuneka zingahlukaniswa somoya, dyspnea senhliziyo thromboembolism kwemithambo yemiphunga nezengekho amasebe sombefu inyumoniya.

I ulwelo kwemiphunga: unyango

Kukho iindlela ezahlukeneyo zonyango kwesi sifo. Kufuneka inkxaso ikakhulu nokuphefumla (unyango ioksijini, RF VLV njl) apho kunciphisa hypoxia kunye noxinzelelo intraalveolar nokwanda, nto leyo ethintela transsudirovaniyu ulwelo kulo interstitium. Kuyimfuneko ukuba ukubamba inhalation oksijini ogalelwe nomphunga utywala. Kuba nitrate ukusebenzisa unyango (nitroglycerin). Bona ukunciphisa ngxi ka lwemithambo yegazi emiphungeni, ngoxa ukwandisa isixa oksijini myocardium. Nitrate e umthamo ezikhethiweyo ngokufanelekileyo ukuze ukunciphisa umthwalo esiwa phezu ventricle ekhohlo intliziyo, ebangela vasodilation of emithanjeni kunye ebhedini lwemithambo. Aziswa nitrate ngeendlela ezimbini - mhlawumbi tablet okanye wokutshiza. I ulwelo kwemiphunga ngelixa ngcembe shwaka.

Yiba ukusetyenziswa ngokwaneleyo analgesics (icaffeine). Ukuba ndinciphise uxinezeleko engqondweni, nto leyo inceda zokunciphisa umthwalo izihlunu zemiphunga. Kwakhona wayedla arhente inotropic, ezifana dopamine. ukusebenza kwayo kuyahlukana nedlela idosi. Le umthamo 5-10 g / m ibangela ukwanda kwemveliso intliziyo. Ukwandisa umthamo izihlandlo-2, sifumana isiphumo alpha metatichesky.