Pneumothorax lama filaan ah: sababaha, muuqaalada caafimaad iyo daaweynta

Pneumothorax - xaalad cudur kaas oo hawada soo galay saabka pleural, keenaya cadaadis dheeraad ah dhexdeeda.

In cudurkan, waxaa jira noocyo ka soo socda:

• pneumothorax lama filaan ah. Sababaha foomkan cudurka inta badan weli ma cadda, (in Mararka ay dhacdo inay dhacdaa ugu horrayn). pneumothorax lama filaan ah Secondary yeesho sida dhibaatooyin cudurada sambabka kala duwan;

• argagaxa leh. Boogaha sababay xabadka, kaas oo hawada soo gala saabka pleural;

• xadna. Ma dhibaatooyin at daaweynta iyo sanbabada cudurada qaldan uu dhici karaa marka waxqabadyo shaqsi ogaanshaha (tus, ka dib markii dalool ee pleural bacaha ka dib markii thoracentesis ama jarista pleural iyo sidoo kale sabab u sanka arooriyaha dhexe).

Ka fiirso muuqaalada horumarinta iyo dabcan of pneumothorax lama filaan ah.

Qaabkan cudurka waa hoose iyo kuwa sare. pneumothorax lama filaan ah Primary waxaa badanaa la baaraa in dhallinyarada sare oo khafiif ah dadka waaweyn. Waxaa xusid mudan in sigaarka wuxuu kordhiyaa khatarta ah ee horumarinta halligaadda ku dhow 20 jeer. Ku saabsan asalka ah ee this nooca pneumothorax ma muujin cudurada sambabada cad, laakiin baaritaan dheeraad ah, marar aad u Muujin bullae subpleural, qaab-dhismeedka data ayaa sidoo kale laga yaabaa in lagu arkay bukaanka ha ku cabin (ku dhowaad 81% ee kiisaska). Si kastaba ha ahaatee, waxaa haboon in la xasuusnaado in dibida weli la sameeyey iyada oo sababtu tahay nabaad-ka ah ee marada laastikada iftiinka waa marka ay hawshooda u-dhaafka ah ee neutrophils iyo macrophages, taasoo horumarisa ku saabsan asalka ah ee sigaarka.

pneumothorax Secondary mar walba uu yeesho ku saabsan asalka ah ee cudurada sanbabada oo hore u jiray. Qaabkan cudurka waa ay adag tahay, sida la xidhiidha dhantaalan weyn ee nidaamka wadnaha.

Waxaa ka mid ah sababaha ugu weyn ee pneumothorax sare lama filaan ah waa in loo qoondeeyo pulmonary obstructive chronic, xaaladda oo neef, qaaxada sambabada, pneumonia, cystic pulmonary iyo cudurada unugyo (tus, rheumatoid arthritis, ama spondylitis). doorka etiological gaar ah ayaa sidoo kale noqon kartaa kansarka sanbabada iyo sarcoma.

pneumothorax lama filaan ah u keenaysaa in hoos u dhac in awoodda muhiim ah, taasoo keentay in hypoxemia - hoos u fiirsashada oxygen ee dhiigga. Waa inaan sheegaa in sarrifka gaaska ee sanbabada ayaa waqti isku mid ah wax yar u wareersan ah, sidaa darteed ha la horumariyo hypercapnia (kor u fiirsashada carbon dioxide jirka).

Inta badan pneumothorax lama filaan ah uu yeesho nasan oo lagu muujiyey by xanuun aad u daran ee laabta iyo dyspnea. Ka dibna, xanuunka laga yaabaa inay noqdaan maqlaan ama murqo xanuun. dalxiiska Laab halligaad waa xaddidan. daliilka Clinical of pneumothorax madax banaan baaba'aan hal maalin gudaheed xitaa ay ka maqan yihiin daaweyn.

Haddii calaamadaha cudur aan qiimo lahayn pneumothorax kiisaska intooda badan, waa ku maqan. Marmarka qaarkood bukaanka ka cabanaya tachycardia. Iyadoo horumarinta xiisad inta jeer pneumothorax ee wadne noqon kartaa ilaa 135 garaac daqiiqaddiiba, Ulasocto hypotension iyo dhiigrooraan iyo alkalosis ba'an ee neef-mareenka.

Garashada xaaladan ku salaysan yahay xog anamnestic, iyo isbedel gaarka ah ee line X-ray uu noqdo pleura visceral dareemi. Mararka qaarkood cudurka isticmaalka pneumothorax yar yimaa-X-rays ama X-rays lagu jiro oo katimaada.

pneumothorax lama filaan ah: daaweyn

Daaweynta faray at cudurada hawada ka bacaha pleural xumadii, iyo sidoo kale ka hortagga labakaclaynta. Habka ugu fiicnayn for this - thoracostomy iyo qalliin by thoracotomy ama iyada oo loo marayo helaan thoracoscopic.