Into Omele Uyazi Ngomlenze Ophuhliweyo
I-Pneumothorax ibhekisela emoyeni kwisifuba kwaye ibhekisela ekuhlanganiseni umoya kumphunga, obangela uxinzelelo kwimpompo kwaye ibangela ukuba iwele. I-Pneumothorax iyimeko eqhelekileyo kwizigulane ezinobungozi obukhulu obuhlungu . Kuxhaphake kakhulu kwizigulane ezinezifo ezingapheliyo .
Iintlobo
Pneumothorax elula
Umzekelo oyintloko we-pneumothorax uvela xa umoya usinda emphumpini kwaye ufihliwe phakathi kwendonga yodonga lwesifuba (i-parietal pleura) kunye nengxowa ejikeleze imiphunga (visceral pleura).
Kwizigulane eziphilileyo, le ndlebe yesibini idibeneyo xa siphefumula.
I-pneumothorax elula ivela xa umoya ufika phakathi kweziqendu zombini ze-pleura kwaye ubenza bahlukane. Umbhobho omkhulu womoya uthatha udonga lwesifuba kwaye uqhube umphunga ngaphandle kwendlela.
Intambo yePneumothorax
Njengoko i-pneumothorax ikhula, uxinzelelo lomoya kwisifuba lunokubangela ukuba isigulane sinokuphefumula kwaye ekugqibeleni kunokukhokelela ekuphazamiseni ukuphazamiseka kwentliziyo kunye nemithambo emikhulu yegazi.
Intambo ye-pneumothorax ifanelekile ukuba yenzeke xa kukho isilonda evulekile kwisifuba esivumela umoya ukuba ungene (jonga isondlo sesifuba esingezantsi). Ukhohlo olungaphendulwanga, i-pneumothorax yokuxhatshazwa yimeko yokusongela ubomi.
Pneumothorax
Ngezinye izihlandlo, izigulane zinokufumana i-pneumothorax ngokukhawuleza, efana nokuzwakalayo: isigulane sihamba kunye, sicinga ishishini lakhe, kunye nompop , umphunga uphupha.
I-pneumothoraces ngokuqhelekileyo idla ngokulula, kodwa ingaba yintlungu xa ingashiywanga ingaphendulwa.
Izimpawu kunye neMpawu
Imiqondiso kunye neempawu ze-pneumothorax zihambelana ngokufanelekileyo:
- Ukuqhawukelwa ngumphefumlo
- Izandi eziphungulweyo zomphunga kwicala elichaphazelekayo (ukunyakaza komoya kunqatshelwe ngokucacileyo xa isigulane sithatha umoya)
Kwizigulane eziphuhlisa intlungu ye-pneumothorax, izandi zomphunga zinokuba zinciphisa ngakumbi, mhlawumbi zingekho, kwaye umxinzelelo wegazi wesigulane uqala ukuwa ngenxa yokuphazamiseka. Ezinye iincwadi zezifundo zibonisa ukuba izakhiwo eziphakathi kwesifuba (i-trachea, i-esophagus) zingasuswa kwi-pneumothorax enamandla. Enyanisweni, oku kuyinto engavamile kakhulu kwaye akufuneki ukuba khona ukuze isigulane sibe ne-pneumothorax.
Unyango
Naliphi ukulimala kwesifuba elandelwa kukuphefumula kufanele kubonwe ngugqirha. Ngenxa yokuphefumula kancinci emva kokulimala, biza 911.
I-pneumothorax elula inokuthi ibe yinto yokuzikhawulela xa ingashiywanga ingaphendulwa; intsingiselo yokuba iya kuba yinto embi kakhulu, kwaye ke uyeke ukuhamba ngakumbi. Ngelishwa, awukwazi ukuba ukuba ngaphandle kokuba uyigatya i-pneumothorax kwaye ulinde.
Intshukumo ye-pneumothorax yimeko esongela ubomi esimele iphathwe ngokukhawuleza. Ifowuni ye-911 ukuba uyakrokraza i-pneumothorax okanye ingaba uyazi ukuba kukho ukulimala kwesifuba kwaye uyakrokrela ukuba ikhula ipneumothorax.
Iiparamedics ziza kunyanga i-pneumothorax ngokufaka i-needle enkulu (okungenani i-gauge ye-IV inaliti enekathetha) kwisithuba esingaphezu kwembalo yesithathu ecaleni kwesifuba apho izandi zomphunga zinciphisa kakhulu.
Inaliti iya kuvumela uxinzelelo olungaphezu kwe-pneumothorax ukuphepha, ukuxilisa i-thoracic cavity nokunciphisa ukuphefumula kwesigulane kunye nokuphazamiseka kokuphazamiseka. Inqubo yenzalo thoracentesis .
Amanxeba e-Sucking Chest
Kwiimeko xa kukho isilonda evulekile eludongeni lwesifuba esivumela umoya ukuba ungene kwisigxina se-thoracic ngaphandle kwe-airways efanelekileyo, kuthiwa isilonda sesifuba esondayo . Izilonda zombhobho zinokuthi ziphuhlise zibe zizilonda zesifuba.
Amapulisa esifuba esifubayo ayaphathwa ngokubambisa nge-bandage engabonakaliyo eyaziwa njengengubo yokugqoka. Ziyakwazi ukukhokela lula kwi-pneumothorax, ngokukodwa xa iphathwa ngokugqoka.
Ukuba isigulane esinesilonda sesifuba esusayo siphathwe ngokugqoka ngokugqithiseleyo kwaye siphumelele ukuphefumla emva kokugqoka ukubekwa: susa. Ukuvula isilonda sesifuba esondayo emva kokuxhaswa kwe-pneumothorax kuya kuvumela ukuba isigxina sesifuba siphumezele.
Imithombo:
Choi WI. Pneumothorax . I-Tuberc Respir Dis (Seoul). 2014 Mar; 76 (3): 99-104. i-doi: 10.4046 / trd.2014.76.3.99. Epub 2014 uMar 29. Ukuphonononga. PMID: 24734096
ULi-Fook, uSJ. Izixhobo zendawo yesigxina: iingcamango ezisisiseko. Lung . 1987; 165 (5): 249-67. Uhlolo.