ʻO ka edema pulmonary i nā pōpoki a me nā pōpoki

Pulmonary edema - he aha ia

ʻO ka edema pulmonary ʻaʻole ia he maʻi kūʻokoʻa, he hopena ia o nā pathologies ʻē aʻe. ʻO ka mea maʻamau, hoʻopiha ʻia ka alveoli o nā māmā (nā ʻōpū ʻeleʻele ʻeleʻele e pili ana me nā capillaries) i ka ea: oxygen i ka wā e hoʻohu ai a me carbon dioxide i ka wā e hoʻopuka ai. Ma waena o lākou a me nā capillaries aia kahi hoʻololi mau o nā kinoea, no laila e hoʻomau mau ʻia ke koko me ka oxygen.

Ma lalo o nā kūlana pathological like ʻole, hoʻopiha ʻia ka alveoli i ka wai, kahi e hoʻopau ai i ka hoʻololi kinoea a pale i ka saturation oxygen o ke koko. ʻAʻole loaʻa i nā ʻiʻo ka nui o ka oxygen, ulu ka hypoxia. Hoʻopili ʻia nā cell a pau o ke kino i ka nele o ka oxygen, akā pili pono nā ʻōnaehana nerve a me ka cardiovascular. ʻO ka hypoxia lōʻihi ma muli o ka edema pulmonary hiki ke alakaʻi i ka make o kahi helu nui o nā neurons lolo, a ma hope i ka make ʻana o ka holoholona. I kekahi mau hihia, hiki wawe kēia kaʻina hana.

Nā ʻano o ka edema pulmonary i nā pōpoki

E like me ke ʻano o ka holomua, ʻike ʻia nā ʻano o ka edema pulmonary i nā pōpoki a me nā pōpoki:

• wikiwiki ka uila - ulu wikiwiki, make pinepine ka holoholona;
• acute - ʻike ʻia hoʻi e kahi papa wikiwiki, akā, ʻaʻole like me ka mea ma mua, hiki i ka mālama ʻana a me ka mālama ʻana i ka manawa ke hoʻopakele i ke ola o kahi pōpoki;
• subacute - ua hōʻike ʻia e nā ʻāpana ʻokoʻa o ka hana ʻana o ka māmā a me ke kala ʻana;
• hoʻomau - hiki ke hoʻomau i nā makahiki.

Pono e hoʻomanaʻo ʻaʻole hiki ke wānana ke ʻano o ka ulu ʻana o ka edema, no ka mea, pili kēia kaʻina i nā kūlana he nui: ka makahiki o ka pōpoki, nā ʻano o ka pale ʻana, nā ʻano o ka maʻi hoʻonāukiuki, nā kūlana ola a me nā ʻāpana ʻē aʻe. I kekahi manawa, ulu wikiwiki ka pathology a he mau minuke wale nō koe no ke kōkua mua.

Nā kumu o ka edema pulmonary i nā pōpoki

ʻO nā kumu e hiki ai i ka pōpoki a i ʻole ka pōpoki ke loaʻa i ka edema pulmonary ua māhele ʻia i ka cardiogenic a me ka non-cardiogenic. ʻO ka hui mua e pili ana i nā pathologies congenital a loaʻa i ka ʻōnaehana cardiovascular: malformations, hypertension, cardiosclerosis, pulmonary embolism, heart failure, heart valve dysfunction, a me nā mea ʻē aʻe.

ʻO ka lua o nā kumu e hoʻonāukiuki i ka edema pulmonary i nā pōpoki:

• nā hōʻeha o ka umauma (i ka wā e hāʻule ai, no ka laʻana, mai ka balcony a mai ka puka makani);
• nā hopena maʻi i nā lāʻau lapaʻau, nā mea kanu, nā meaʻai maikaʻi ʻole;
• ʻO ka ʻona me nā mea ʻawaʻawa mai ke kaiapuni o waho a i ʻole i loko, e kū mai ana mai kekahi mau maʻi (neoplasms, pathologies o ka ʻōnaehana urinary, nā maʻi viral a me nā maʻi bacterial);
• nele i ka protein i loko o ke kino ma muli o nā hewa i ka meaʻai o ka holoholona, ​​​​nā maʻi o ke ake, nā puʻupaʻa, ka metabolism;
• nā maʻi hormonal, pinepine me ka momona.

Eia kekahi, hiki ke hana i ka edema pulmonary ma ke ʻano he hopena i ka anesthesia, no ka laʻana, i ka wā castration.

Nā hōʻailona o ka pathology

He mea nui e ʻike ka mea nona nā hōʻailona o ka edema pulmonary i ka manawa a hāʻawi koke i ka holoholona i ke keʻena. Pono ʻoe e makaʻala inā loaʻa i ka pōpoki nā hōʻailona o ka pathology:

• hanu pinepine, pōkole o ka hanu;
• lawe ʻia ka hanu ʻana e ka ʻōpū, kahi i ʻike nui ʻia (ua hāmama ka waha);
• ʻo ka mucous membrane o ka waha waha (i kekahi manawa ka ʻili) loaʻa kahi ʻulaʻula uliuli;
• ʻuwē ka pōpoki, hoʻomoe i kahi huna wai;
• hanu ka pipi, hohola ākea i nā lālā, i ka wā lōʻihi, nui ka hanu o ka ʻōpū ma ke kūlana e moe ana ma kona ʻaoʻao;
• lohe ʻia ka uwē i ka hanu ʻana o ka pōpoki.

ʻOi aku ka maopopo o nā hōʻailona i hoʻoholo ʻia i ke ʻano o ka edema pulmonary. ʻOiai me ka holo ʻole loa, hopohopo ka pōpoki i ka ʻuʻu a me ka pōkole o ka hanu. I nā hihia koʻikoʻi, hiki i ka pipi ke hoʻomohala i ka hoʻoheheʻe ʻana mai ka waha me kahi hui koko a ʻulaʻula paha. Pono ka holoholona i ka mālama holoholona wikiwiki!

Inā lōʻihi ka pathology, pili kona ʻike me kekahi mau pilikia. I ke kūlana supine, ʻaʻohe hōʻailona o ka uhaki, akā ʻike wale lākou me ka neʻe ikaika. I kēia hihia, ʻo ka pōpoki, pinepine, he waha hāmama, ua pehu nā puka ihu. Hiki iā ia ke hoʻomaha, hoʻomaha, hanu ea. Inā ʻike ʻoe i nā hōʻailona like ʻole i kāu holoholona, ​​​​e lawe koke iā ia i ka lāʻau lapaʻau, no ka mea hiki ke piʻi ka pathology i kēlā me kēia manawa.

ʻO ke kōkua mua

Inā hoʻomaka kāu pōpoki e ʻoki, puka mai ka huʻa mai ka waha, lilo koke ka mucous membrane i polū, mai hopohopo. ʻOiaʻiʻo, pono, pono ka holoholona i kahi mask oxygen, akā ʻaʻole i loaʻa i kēlā me kēia kanaka. Hiki iā ʻoe ke wehe wale i ka puka makani a lawe mai i kāu pipi i laila.

Ke kāhea aku i ka mea lapaʻau a i ʻole e hele i ke keʻena maʻi iā ʻoe iho, e kau i ka pōpoki ma kona ʻaoʻao, mai hoʻokuʻu iā ia e ala aʻe i ʻole e hoʻopau ʻia ka oxygen, ka mea i hoʻolako ʻia i ka nui ʻole i nā kaʻina hana ʻole. Ma ke ala e hele ai i ke keʻena kino a i ʻole e kali ana i ke kauka, e hahau i kāu pipi, e kamaʻilio me ia.

Mai hāʻawi i kāu pōpoki i nā lāʻau lapaʻau me ka ʻole o ke kau ʻana. Manaʻo pinepine ʻia e hāʻawi i ka holoholona i kahi diuretic, e like me furosemide. ʻAʻole pono ʻoe e hana i kēia - inā maloʻo ke kino, a laila e alakaʻi ʻia ia mau lāʻau i ka pōʻino.

ʻO ka hōʻailona o ka edema pulmonary i nā pōpoki

Ua ʻike ʻia ka edema pulmonary i nā pōpoki a me nā pōpoki me ka x-ray umauma. Ma ke alo o ka maʻi maʻi, hōʻike nā kuhi pololei a me ka ʻaoʻao i kahi ʻeleʻele kūʻokoʻa ma ka wahi māmā. Inā he cardiogenic ka edema, hōʻike ke kiʻi i ka piʻi ʻana o ka ʻiʻo cardiac.

Ma ka like, hana ke kauka i kahi noiʻi, e kuhikuhi ana i ka lōʻihi o ka hoʻomaka ʻana o nā hōʻailona, ​​​​nā nuances o ka meaʻai, nā kūlana ola, a pēlā aku. Nānā ka holoholona i ka holoholona, ​​hoʻolohe i ka hanu ʻana me kahi stethoscope, hoʻoholo i ka puʻuwai puʻuwai. Ma kahi o nā x-ray, hiki i kahi loea ke kuhikuhi i nā kaʻina diagnostic:

• nā ho'āʻo koko, ka mimi (general, biochemical);
• Ultrasound o ka puʻuwai;
• ECG;
• ʻāʻī pleural puncture.

Wahi a nā hopena o ka hoʻokolokolo a me ka hoʻokolokolo ʻana, e kuhikuhi ʻia ka pōpoki i ka mālama kūpono - ma ka home a i ka haukapila.

lapaʻau

Inā koʻikoʻi ke kūlana o ka pōpoki, e hāʻawi ʻia ʻo ia i ke kōkua mua me ke kali ʻole i ka ʻikepili hoʻokolokolo. He lāʻau lapaʻau paha kēia ma ke ʻano o nā injections, ke kau ʻana i kahi mask oxygen. Ma ke ʻano maʻamau, ʻo nā lāʻau i hoʻohana ʻia e hoʻomaha koke i ka pehu a hoʻihoʻi i ka hanu o ka holoholona. Inā hoʻomaha ʻole a huhū paha ka pōpoki, e hāʻawi ʻia ʻo ia i kahi injection o kahi mea hoʻomaha.

ʻAʻole ʻae ʻia ka hoʻomoe ʻana i kahi pōpoki, hāʻawi iā ia i ka wai a i ʻole ka meaʻai. Pono e hāʻawi ʻia kahi holoholona i kēia mokuʻāina me ka hoʻomaha piha, no laila pono ka mea nona ponoʻī e mālama i kahi ʻano kaulike.

ʻO ke kuhikuhi o ka mālama ʻana e pili ana i ka paʻakikī o ka edema pulmonary, a me ka mea i hoʻonāukiuki i ka pathology. ʻO ka paʻakikī o ka mālama ʻana, ma ke ʻano he kānāwai, aia nā lāʻau diuretic (ʻaʻole hiki iā ʻoe ke hāʻawi iā ʻoe iho ma ka home!), ʻO ka oxygen therapy me ka hoʻohana ʻana i kahi uluna oxygen kūikawā. I kekahi mau hihia, hoʻohana lākou i ka ventila artificial o ka māmā a i ʻole ke kau ʻana i ka pōpoki i loko o kahi keʻena kaomi, a i kekahi manawa e koi ʻia ke ʻoki wikiwiki.

ʻO ka mālama ʻana i ka maʻi i alakaʻi ai i nā pilikia hanu e hana ʻia ma hope o ka pau ʻana o nā hōʻailona o ka edema pulmonary, a ua hoʻi hou ke kūlana o ka holoholona. No ka mea he nui nā kumu, ʻaʻohe hoʻokahi regimen lapaʻau. I kēia hihia, ua kuhikuhi ʻia nā lāʻau lapaʻau e hoʻopau i ka mea hoʻonāukiuki a pale aku i nā hoʻouka hou ʻana.

Pono ka holoholona me ka edema pulmonary i ka nānā mau ʻana, no laila e ʻōlelo ʻia e waiho i loko o ka haukapila no kekahi manawa. ʻO ka hoʻolohe ʻana i ka puʻuwai, ka nānā ʻana i ke ʻano o ke koko, ka hanu ʻana, ka lāʻau lapaʻau maʻamau e like me ke ʻano i kuhikuhi ʻia - hoʻonui kēia mau mea i ka manawa o ke ola piha. Inā pono, e hana ke kauka i ka anesthetic injection, e hāʻawi i kahi decongestant, kahi hoʻoponopono naʻau.

Nā pilikia i hiki

ʻO ka hapanui pinepine, ulu nā pilikia o ka edema pulmonary i nā pōpoki liʻiliʻi a ʻoi aku ka nui, no ka mea ʻaʻole lawa ka ikaika o kā lākou ʻōnaehana pale. Loaʻa nā hopena maikaʻi ʻole:

• pulumonia;
• puʻuwai puʻuwai;
• acidosis (hoʻonui i ka acidity o ke koko);
• pulmonary fibrosis (ka maʻi o ka ʻiʻo māmā);
• emphysema o ka māmā;
• maʻi maʻi.

Inā lōʻihi ka huli ʻana o ka mea nona ka pōpoki i ke kauka, ʻaʻole hiki ke make ka holoholona. ʻO ka pehu ke alakaʻi i ka haʻalulu cardiogenic a i ʻole ke ala ea.

Forecast

No ka hāʻawiʻana i kekahi wānana, pono e noʻonoʻo i nāʻano o ka mea i alakaʻi i ka edema pulmonary. Inā he kumu non-cardiogenic, ʻoi aku ka maʻalahi o ka mālama ʻana, no laila ʻoi aku ka maikaʻi o ka prognosis. I ke alo o nā maʻi o ka ʻōnaehana cardiovascular, pono e wānana ʻia kahi hopena maikaʻi me ka akahele. ʻOiai me ka hoʻokō piha ʻana i nā ʻōlelo aʻoaʻo a ke kauka, ʻoi aku ka kiʻekiʻe o ka relapse. Eia kekahi, he mea nui ka hoʻoilina o ka holoholona, ​​​​nā ʻano o ke kino, psyche, nā kūlana ola a me nā mea ʻē aʻe.

mea pale akuʻa

ʻOiaʻiʻo, ʻaʻole hiki iā mākou ke hakakā i nā genetics, a ʻaʻole hiki iā mākou ke pale i ka ulu ʻana o nā pathologies hereditary a i ʻole predispositions. Eia naʻe, aia i loko o ko mākou mana ke pale aku i nā pilikia. No ka hana ʻana i kēia, pono ʻoe e mālama i nā ʻōlelo aʻe:

• e nānā i ka momona o ka ʻai o ka pōpoki, pale i ka ʻai nui, ka ulu ʻana o ka momona;
• pale i nā hihia o ka hypothermia o ka holoholona;
• lawe i nā hana palekana kaiapuni no ka holoholona (mai hāʻawi i ka manawa e hōʻeha ai);
• hoʻopaʻa ʻia e like me ka papa kuhikuhi;
• e hōʻalo i nā kūlana pilikia e like me ka hiki;
• e mālama i nā mea ʻino i ke olakino o ka pōpoki ma kahi hiki ʻole iā ia;
• E lawe mau i kāu pipi i ke keʻena no nā hoʻokolohua pale, ʻoiai inā he predisposition i nā maʻi o ka ʻōnaehana cardiovascular ʻaʻole hiki ke ho'ōla.

Eia kekahi, he mea nui ka loaʻa ʻana o nā lāʻau lapaʻau e pono ai ma ka lima no ke kōkua mua inā pilikia ka pōpoki.