Nnukwu akụkụ okuku ume ọdịda, na mberede jikoro

Na ọgwụ omume, ọ dị mkpa ka competently enye mberede aka ndị dị otú ahụ dị oké egwu na-ekwu, dị ka nnukwu akụkụ okuku ume ọdịda, ọbara ọdịda, akụkụ okuku ume na odida na n'obi ọrụ.

etiology

Nnukwu akụkụ okuku ume ọdịda a N'ihi ya nke unan ozu akụkụ okuku ume na usoro na ǹgụ, Bilie mmepe nke fractures nke ọgịrịga na pneumothorax na hemothorax, na etuto ahụ na ụbụrụ ọrịa na-ebute mmebi nke etiti eku ume usoro. The ọrịa amalite na ihe mgbochi nke akụkụ okuku ume tract, oké mkpali ọnya, akpa ume edema, thromboembolism, ogbenye mgbasa ke obere gburugburu.

e ji mara mgbaàmà

Nnukwu akụkụ okuku ume ọdịda e ji oké dyspnea ezumike, cyanosis nke anụ, mụbara obi ọnụego (tachycardia), maa jijiji, nke ozokwa na-anọchi mgbagwoju anya na lethargy. The anụ bụ ọtọ, ooh, na-eku ume akụkụ-akwado musculature. The mbụ oge nke ọrịa e ji ọbara mgbali elu, nke e mesịrị dochie hypotension, ibelata nke gbasara obi ọrụ, arrhythmias, gbasara obi njide nwere ike ime.
Na nnukwu akụkụ okuku ume ọdịda, ọ dị mkpa na-enye ọgwụ aka ná mmalite oge, dị ka na ọnụ ogbo nke iji tụtee mmadụ na-abụkarị ndị na-adịghị irè.

achọpụta ọrịa jikoro

Mkpa na nchoputa nke ọrịa - ịchọta akpata, enye ịrị elu na akụkụ okuku ume na nsogbu, ya mere na ị chọrọ nlezianya mepụta nnyocha nke onye ọrịa na ikekwe iju ajuju ya. Ọ dị mkpa ime ka X-ray foto nke obi, mata pneumatic ma ọ bụ hydrothorax, mgbaji ọkpụkpụ n'ọnụ, oyi baa na ndị ọzọ. Ọ ga-ebu a ọbara ule maka oxygen ọdịnaya. Contraindicated anamde ibọ sedatives na narcotic ọgwụ ka a mata ihe kpatara ọrịa ahụ. Mgbe àmà bụ omume na-eduzi a bronchoscopy.

Nnukwu akụkụ okuku ume ọdịda, nnukwu na-elekọta

Ọgwụgwọ na-adabere na-akpata ọrịa ahụ. Ọ dị mkpa na-enyocha airway maka mgbochi iji a laryngoscope. Maka nnyocha nke ogwooro na bronchi nke-enyo enyo ihe mgbochi nke na-arụ bronchoscopy. N'elu nchọpụta nke mba ozu na-ewepụ endoscopically n'okpuru kpọmkwem ọhụụ. Mgbe airway mgbochi na oké sputum oyi baa nwere ike rụrụ endoscopically lavage (ṅachasịrị) na ọgwụ nje.
Mgbe pneumatic na hydrothorax, ị ga-zadrenirovat pleural oghere. Mgbe a nnukwu nnọkọ nke ọbara ma ọ bụ transudate wepụrụ eji a mgbapu agịga. Na a nkọ mgbu mgbe na-eku ume mere site gbajiri ọgịrịga ịrụ novocaine mgbochi. Mgbe a dị oké njọ ọnọdụ na-apụghị ime nke n'amaghi ume ọrịa zigara inyeaka (wuru) nkuume ventilashion (ALV). IVL rụrụ na-enyemaka nke wuru respiration ngwaọrụ, n'agbanyeghị nke ọgwụ na ahụ ike oru, iji akpa Ambu ma ọ bụ a obere handheld ngwaọrụ. N'oge ogologo ventilator support cross-ụzọ, na-arụ tracheal intubation.

Nnukwu akụkụ okuku ume ọdịda n'ihi akpa ume edema (na-egbu egbu ma ọ bụ na-efe efe etiology), hypotension, glucocorticosteroids kwụsịrị n'ọdụ ụgbọ mmiri infusion na nnukwu doses. Nye iwu diuretics, bronchodilators, oxygen ọgwụ.

Nnukwu akụkụ okuku ume ọdịda ụmụ tumadi pụtara site ingestion nke mba ozu n'ime ogwooro na bronchi, nnukwu mkpali oria, nfụkasị Jeremaya. Principles of ọgwụgwọ nke akụkụ okuku ume na ọrịa na-ahụ dị ka ndị okenye, na-echebara onye Dosages nke ọgwụ.