Namandla yayiyolimaza lula: Izimpawu kanye Ukwelashwa

Iningi ngokuvamile ilinyazwe wamaphaphu - phetho ukulimala esifubeni. Umonakalo onjalo avaliwe futhi ungathola ke kusukela nomthelela noma ukushaqeka kokucindezelwa. Esikhathini isifo olunzima seyonakele ezitsheni bronchi. Isikhathi esining impela zikhona nokopha.

Kukhona amacala lapho wamaphaphu contusion kubangela ukwakheka izimbotshana ukuthi zigcwele emoyeni noma igazi. Kulokhu, igobolondo ngokwayo, ohlanganisa emaphashini, wona azilimele.

Contusion Lung izimpawu

Izimpawu zokuqala iziguli ukugcizelela - kuyinto nobuhlungu obukhulu yamaphaphu. Lapho ezijulile ukuphefumula lobuhlungu igqanyiswe ngokwengeziwe. ukuzwa kakhulu ezingemnandi kungenzeka uma eguqa kunoma iyiphi enye isikhundla umzimba.

Uma uqaphela igazi expectoration, it is hhayi ngaphandle wamaphaphu olimele. Izimpawu kungavamile ngakho - kuba tachycardia nesikhumba bluish.

Uma umonakalo sibucayi, ke Olimele kungase kudingeke iphika futhi ukushaqeka. Isikhathi esining impela, umzimba sintula umoya-mpilo.

On ingaphandle esifubeni ngokuvamile ukopha okuqaphelekayo, ukulinyazwa nokuvuvukala.

wamaphaphu contusion kungaba azimisele ngokushesha. Ikakhulukazi uma elimele esifubeni ubambo. Ngakho-ke, isiguli singase ngisho bona kube sezingeni ukulimala.

Seen amacala pneumonia ngenxa wamaphaphu ukulimala. Kungaba noma ebalulekile noma lobar.

Izimbangela ukulimala

Ngokusho kwemibiko yezokwelapha, contusion esindayo yamaphaphu kuwumphumela ukulimala avaliwe esifubeni. ukuhlukumezeka okunjalo ingatholakala, kokuthi ephambukile a ephakeme kakhulu, noma ukushaya isondo imoto ngesikhathi engozini yemoto. Hhayi ngaphandle ukuqhuma okugwazwa. Ngokuvamile abanenkinga yamaphaphu ukulimala sithinta inhliziyo, izimbambo futhi ubambo yezinyoni uqobo.

ukuhlola

imihuzukwana Kungahlonzwa ngomshini ngezindlela eziningana:

1) Phakathi kwamanzi ukuhlolwa. Le nqubo siqukethe ekuhloleni kwesifuba. Uma ubonakala ukopha, emaphashini kungenziwa abalimala.

2) Ukusebenzisa ultrasound. Uma kukhona endaweni ezilimele, iskrini zinjengomthunzi echo-HIV.

3) Namandla wamaphaphu olimele kungaba azimisele ngesikhathi ukulalela umzimba. Lokhu kungenziwa ngokumane encike indlebe noma IselulekoSesihenqo.

4) Ukusebenzisa X-ray, kungenzeka ukunquma ukulimala ngenxa polymorphic ukukhanya obscuration endaweni elimele.

5) Ukuhlola wamaphaphu nge idivayisi bronchoscope. Lena tube ozwakala umthombo wokukhanya ekupheleni. Ngakho, singabona edema kakhulu ze- bronchi, noma ukuqongelela igazi.

eziphuthumayo

Uma isisulu isivele ayekubona kutholakala ukuthi uphethwe yini a wamaphaphu olimele, ukwelashwa kufanele babe ngokushesha. I eziphuthumayo usizo lokuqala ukusiza lokunciphisa izinhlungu, ukunciphisa imiphumela futhi ekudambiseni izimpawu.

Ukuze wenze lokhu, isicelo cindezela abandayo on the spot olimele. Ngenxa yale njongo, ungasebenzisa ibhodlela eqandisiwe noma ice iphakethe. Sebenzisa ukugoqa ngesikhathi emva kwamaminithi ambalwa.

bamba cindezela isikhathi eside kakhulu akudingekile. Kungabangela isikhumba frostbite noma imikhuhlane.

Nikeza isisulu uphumule. Kungcono basibeka evundlile futhi uqiniseke ukuthi isiguli eyayihamba ngangokusemandleni. Okokuqala ngemva kokulimala kungcono ukugcina i Olimele ngesigamu isikhundla uqotho. Kwaze kwaba yilapho kufika udokotela akufanele asebenzise noma iyiphi imithi. Loku kungenteka kuphela isimo sibe sibi isimo.

pneumothorax

Esikhathini isimo ezimbili esindayo kungenzeka ngenkathi ethola esifubeni ukuhlukumezeka nesineke. Lezi zihlanganisa pneumothorax futhi hemothorax.

Contusion yamaphaphu (izimpawu kanye nokwelashwa kunqunywa ngesikhathi uphethwe) - lokhu impela ukulimala nzima ngokudinga esiphuthumayo ukunakwa onguchwepheshe.

Pneumothorax - ukunqwabelana emoyeni endaweni pleural. Umonakalo onjalo ngokuvamile kwenzeka lapho waphuka of the izimbambo, egwazwe esifubeni noma ngesikhathi yokulimala esifubeni. Lapho degree eziyinkimbinkimbi lesi sifo kuphakama inxeba lapho inqwaba emoyeni udle. Kulokhu, ingxenye obonakele yamaphaphu iba lingaphumeleli. Icala nzima kakhulu kubhekwa a pneumothorax valve. Air ingena, kodwa awukwazi ukuphuma emuva. Ngakho, nge ephefumula ngamunye, ingcindezi ku inyuka ingaphakathi.

Lesi simo kungabangela ukushaqeka okukhulu. Ngaphandle ufeza operation eziphuthumayo isisulu singase siphele.

Uma umuntu enenxeba elivulekile esifubeni, kuba okokuqala kudingekile ukuba afeze uphawu kusho ususondele. Ungasebenzisa iphakethe, oilcloth noma ifilimu. Ezinhlangothini ukulungisa amabhandeshi, usimende noma ingcina tape bese ulinda ukufika nge-ambulense.

Yiqiniso, izindlela ezinjalo ezixakile akuzona anamandla, kodwa ngeke ukwazi ukulondoloza ukuphila wale ndoda ngaphambi kokufika odokotela. Uma unga ke udinga ukubeka phambi impahla engangeni moya iyavuleka igazi. Ukuze wenze lokhu, indwangu kufanelekile.

Kakade kwenziwe yesibhedlela ekwelapheni:

- I esifubeni senziwa futhi uphawu futhi idluliselwe isifo efolomeni avaliwe.

- Esebenzisa cleaner kagesi suctioned emoyeni bubble kusukela pleura.

- Ingcindezi kuza emuva sibonga evamile ngaphakathi komgodi amanzi.

- Ukuqhuba wokubhoboza ingaphakathi nge emoyeni.

hemopleura

Lesi simo libhekene ukopha phakathi komgodi pleural. Lesi simo esiyingqayizivele sibangelwa kungabangela ukuphila sina lisabisa abantu.

Uma hematoma likhulu kakhulu, bese emaphashini olimele baqale ukungena enempilo. Okungukuthi, ngisho eyodwa ukulimala wamaphaphu ngeke kulimaze ezimbili. A uphawu yokulimala ezifana kuyinto ukuphefumula njalo kodwa engajulile, futhi ngezinye izikhathi nokulahlekelwa ukwazi.

Ngaphansi kwezimo ezimbi, lapho enenxeba elivulekile isiguli ukubeka krovovpityvayuschuyu armband unamathelise isilonda. Uma isilonda ivaliwe, kuyinto ephelele ukuze cindezela abandayo. Yena unciphise imithambo yegazi kanye nenani kwegazi asakazwayo kuyoba ingasaphathwa.

Esibhedlela ukubeka igazi clotted e abakhwabanisi ingaphakathi nokukhululwa ukukhanya.

ukwelashwa ukulimala

Contusion yamaphaphu (izimpawu nemiphumela sisuke sicabanga) kufanele aphathwe ngokushesha. Ekhaya, lokhu kungaba cindezela abandayo.

Uma ukulimala akulutho, kuyoba okwanele ukuze uqedele imithi ukuphumula futhi ubuhlungu. Ubuhlungu iphika kungenzeka khona izinsuku eziningana, ngemva kwalokho-pass.

Ukuze nemihuzuko uhlamvu namandla linqume ukwelashwa eqeda ukuvuvukala. Isikhathi esining impela sebenzisa antibiotic oludingekayo ukuvimbela inyumoniya.

inqubo Bronchoscopy engabelwe abancela liquid okweqile kusukela ingaphakathi wamaphaphu. Ezinsukwini ezimbalwa ngemva ukulimala esimisiwe Physiotherapy ukusheshisa le nqubo zokuphulukisa.

Qaphela ukuthi ezinsukwini ezimbalwa ezizayo emva ukulimala awukwazi kuthinte olimele endaweni efudumele. Kuyoba kuphela babhebhethekisa ukuvuvukala nokuvuvukala.

Ukuvimbela yezinkinga

Ukuze ugweme ukuxakeka nokuqinisa uhlelo zokuphefumula Ochwepheshe baye basungula iqoqo ukuphefumula izivivinyo ezikhethekile. Yenza le umzimba udinga lapho ekwelapheni lesi sifo sekuseduze esiphethweni. ukuchayeka Good inikeza uhamba ngaphandle. Lona uhambo kweqiniso ikakhulukazi ihlathi lezihlahla. Thola indlela bese uya endaweni izinsuku ezimbalwa.

Imiphumela wamaphaphu ukulimala

Kungakhathaliseki ubukhulu ukulimala, asikwazi indiva, njengoba yemiphumela yokugula kungaba yingozi kakhulu. I inkinga ezivamile ezivamile wamaphaphu ukulimala - a pneumonia ukucindezeleka kwangemva kwenhlekelele. Lesi sifo kuyingozi kakhulu futhi kaningi esiholela ekufeni.

Ukuze ugweme lokhu kwenzeka, ngokushesha aye esibhedlela futhi zidlule ukuhlahlwa. Isikhathi elihunyushwe medical aid kuzoqinisekisa ukuphila okujabulisayo esizayo. Iningi ngokuvamile, uma unakekelwa kahle wezokwelapha nanoma yiziphi izinkinga kungagwenywa.