Izimbangela edema yamaphaphu kanye nokwelashwa prinitspe lesimo sokugembula

Okokuqala, ekhuluma edema yamaphaphu, kumelwe bathi. Ngakho ngokuthi isimo sokugembula ezivukayo lapho inani oketshezini interstitial (en) wamaphaphu kwezicubu ku-alveoli. Ngenxa yalokho, isiguli eba nokuntuleka oxygen igazi, futhi ngenxa yalokho, futhi hypoxia (yokuntuleka izicubu emishinini yokuphefumula). Lena, usesimweni esibucayi esisongela ukuphila esiholela ngokushesha okukhulu.

Kungani-ke kuphakama

Izimbangela edema yamaphaphu zihlukene. Ekuqaleni, kufanele kushiwo ukuthi uhlobo kwentuthuko edema hydrostatic futhi membranogenny. Esimweni sokuqala ophumayo uketshezi ku mafutha anciphisa isikhala esingaphakathi we-alveoli e nezicubu wamaphaphu ngenxa ingcindezi ephakeme izitsha noma ukuwa Amaprotheni egazi. Ngo uhlobo lwesibili ka edema uketshezi phakathi kwezicubu ephashini alveolar sacs imithambo uma umonakalo ka izindonga zawo.

Yini ebangela yamaphaphu edema kubangelwa umfutho wegazi noma ukwehla ngoba aqukethe amaprotheni amaningi kuwo?

1. Ingcindezi hydrostatic ku inyuka yamaphaphu zinokukhubazeka inhliziyo, arrhythmia, ukwehluleka "inhliziyo kwesokunxele", ukuvaleka yamaphaphu amagatsha Umthambo, okwandisa bcc (igazi ivolumu), kubandakanya neziguli nge esingamahlalakhona kwezinso, eclampsia ngesikhathi sokukhulelwa, ukungeneli yokwelapha ukumnika. Ukungasebenzi kahle imisebenzi ubuchopho ngenxa ukuhlukumezeka, unhlangothi, isifo sokuwa, ukuhlinzwa kungase kube isici nokucupha ka neurogenic edema yamaphaphu.
2. Izinga wamaprotheni e-plasma incipha nge izifo zesibindi (isifo sokusha) nezinso (ephelezelwa ekulahlekelweni amaprotheni ku umchamo).

Yayiyini izimbangela edema yamaphaphu, uma lo mshini sokuthuthuka membranogenny? Kulokhu ulwelwesi lwama-capillary ngqo kabana izici ezihlukahlukene, ezifana kwenzeka uma izifo ezithathelwanayo, sepsis, isifiso yamanzi lokuqukethwe esiswini emaphashini, umthelela imithi, izidakamizwa nemisebe eyingozi.

Njengoba izinkinga uhlelo lokuphefumula, edema yamaphaphu kungase kubenze kulimaze, ezithathelwanayo isifo, umdlavuza, isifuba somoya, pneumothorax, pleurisy, ukuvaleka umgudu, embolism yamaphaphu, nezinye izifo zamaphaphu. Lezi zizathu kuholele kokubili hydrostatic futhi membranogennomu edema.

Kungakhathaliseki ukuthi yini esibangela edema yamaphaphu, ngemva indawo okuvela kuyo amazwi esephule nesineke ekuthuthukiseni nesimo esifanayo. Uketshezi alveoli ibagcine ukufeza umsebenzi wabo, kukhona, njengoba sekuphawuliwe kakade, hypoxia, ie yokushodelwa umoya kwezitho kanye ezicutshini zawo wonke umzimba. Isiguli Ubonisa iphika, isiyezi, ubuthakathaka, iphika. Ukuze sitholakele ukuziphatha luhlolo basemtholampilo isiguli, x-ray (umuntu waphawula ukukhanya wamaphaphu Amasimu, kunokusebenza ebumnyameni evamile), ECG, igesi igazi cwaningo.

Kuyini ekwelapheni edema yamaphaphu khona

Izimiso kusobala: ukusekela zokuphefumula wamaphaphu umsebenzi (ukupholisa mechanical, ukwelashwa oksijini, ephefumula umoya-mpilo olumanzi), khulula stasis emithambo yegazi (nitrate), ukunciphisa bcc (isisu, ACE inhibitor) ukunciphisa iphika futhi unciphise ukucindezeleka (analgesics isidakamizwa). Ngo izifo zenhliziyo linqume nemithi ngokuvumelana zokugula ekhona. Ephambi kwezinduna nezinye izifo ezibangwa edema yamaphaphu, kudingekile parallel ekulweni ukuziphatha okunjalo yokwelapha olunzulu izifo imbangela.