ʻO ka edema pulmonary i nā pōpoki: nā hōʻailona a me nā kumu, nā ʻano o ka maʻi a me ka mālama ʻana, ka pale ʻana i ka maʻi

He holoholona ʻuʻuku a paʻakikī nā pōpoki. Akā, e like me nā mea ola a pau, ua maʻi pū kēia pipi. ʻO nā maʻi i loko o nā holoholona, ​​he mea paʻakikī hoʻi. E like me ka ʻai ʻole, a me ka ea ʻole, ʻaʻohe mea i aʻo i ke ola. No laila hiki i ka pōpoki ke loaʻa i ka pōloli oxygen, a ma nā ʻōlelo ʻē aʻe - pulmonary edema. Hoʻomaka ka holoholona e ʻeha a ma aneʻi ʻaʻole kōkua ka lāʻau lapaʻau iā ʻoe iho: pono ʻoe e nīnau koke i ke kauka. He pōʻino kēlā ʻano maʻi no kekahi kino: no ke kanaka, no ka holoholona. ʻO ka mea nui ka loaʻa ʻana o ka manawa e hāʻawi i ke kōkua olakino kūpono. I mea e hoʻomaopopo iki ai i ke ʻano o ka maʻi, pono ʻoe e hoʻomaopopo i ke ʻano o ka edema pulmonary.

He aha ka edema pulmonary?

ʻO ka edema pulmonary kahi maʻi ma muli o ka emi ʻana o ka kahe o ka lymph ma lalo o ka mana o ke kaomi venous. ʻO ka hopena, ʻoi aku ka nui o ka wai pulmonary ma mua o ka maʻamau a hoʻopilikia ʻia ka hoʻololi kinoea.

Hōʻike ʻia ka maʻi e nā hōʻailona e like me ka pōkole o ka hanu, ka uwē a me ka ʻōpū.

Ma keʻano o ko lākou hoʻolālā, hiki ke hoʻohālikelikeʻia nā māmā me kahi hui o nā hua waina, kahi i hoʻohuiʻia ai kēlā me kēia "waina" e nā kīʻaha koko a piha i ka ea.

Kapa ʻia kēia mau “hua waina” he alveoli. Ke hanu ka popoki i ka ea Ua piha ka alveoli me ka oxygen ma o ke koko a puni. I ka wā o ka exhalation, hoʻokuʻu ka alveoli i carbon dioxide.

Hiki mai ka edema pulmonary i nā pōpoki ke hoʻopiha ka alveoli i ka wai. Hoʻololi ka wai i ka ea alakaʻi i ka hoʻopau ʻana i ka lako maʻamau o nā māmā oxygen. ʻO ka hopena, hiki mai ka pōloli oxygen.

ʻAʻole lawa wale ka nui o ka oxygen i makemake ʻia, akā ʻaʻole hiki ke puka i waho ka carbon dioxide i hōʻiliʻili ʻia.

Nā hōʻailona kūikawā o ka edema pulmonary i nā pōpoki

I mea e ola kino ai kā mākou pipi, pono mākou e nānā i kona olakino. Ma nā hōʻailona liʻiliʻi o ka maʻi, pono e ʻike i ka pilikia āu e kū ai a, inā pono, e hoʻopili koke i ka veterinarian.

Pono e uku nui ʻia inā ua hana ʻia ka pōpoki ma lalo o ka anesthesia. ʻAʻole hiki i kahi holoholona olakino ke pilikia me ka anesthesia. Akā inā pilikia ka puʻuwai me ka puʻuwai, a laila ma kēia hihia hiki i ka anesthesia ke hāʻawi i ka ikaika i ka ulu ʻana o ka edema pulmonary. ʻAʻole paha e hōʻike koke ʻia, akā aia ka hiki o ka edema i nā pule ʻelua e hiki mai ana ma hope o ka hana.

ʻAʻohe pono e hopohopo no kekahi kumu. Inā kānalua ka edema, pono e ʻike ʻia nā hōʻailona ʻelua.

ʻO nā hōʻailona o ka edema pulmonary i nā pōpoki hiki ke komo:

• lilo ka popoki i ka lethargic, nawaliwali ka hana, oki i ka pane ana i ka mea i hana mua ia i kona lealea. Pili pololei kēia kūlana i ka nele o ka oxygen. ʻO kēlā me kēia hana e alakaʻi i ka pōkole o ka hanu;
• me he mea la he olelo lapuwale ia: "he popoki hanu me he ilio la." ʻO kaʻoiaʻiʻo, he hōʻailona weliweli kēia, no ka mea, ʻaʻole maʻamau ka hanu ʻana me ka waha hāmama. Ua ʻike paha ʻoe pehea, ma hope o nā pāʻani hoʻoikaika lōʻihi, noho ka pōpoki me ka hāmama o kona waha. Hiki kēia, akā ʻaʻole pinepine a lōʻihi mai hoʻokahi a ʻelua mau minuke. ʻO ka ʻokoʻa wale nō ke hana ʻia i ka wā e maʻi ai ka pōpoki: hanu ʻo ia ma ka waha hāmama, ʻō mai i kona alelo, ʻike ʻia ka uwē a me ka pōkole o ka hanu;
• ʻO ka pōkole o ka hanu kekahi o nā hōʻailona o ka maʻi ʻulaʻula, no ka mea, ʻike koke ʻia ua hewa ka hanu o ka pōpoki. ʻO ka hanu maʻamau i nā pōpoki me ka umauma a me ka ʻōpū ka mea i kapa ʻia ʻo ka hanu umauma-abdominal. I ka wā maʻi, hanu ka holoholona me kona ʻōpū;
• ʻO ka hanu kaumaha a me ka maʻamau e hele pū me ka wheezing. Hoʻopuka pū ʻia ka wheezing i nā kaʻina inflammatory i ka pharynx a i ʻole trachea, no ka laʻana, me ke anu. I ka hihia o ka pulmonary edema i loko o ka pōpoki, ʻo ka wheezing e like me ka gurgling a i ʻole gurgling. Hiki ke puka mai ka wai mai ka ihu;
• hiki ke ʻū i ka wā pulmonary edema. ʻae nō hoʻi ʻAʻole hōʻailona ka ʻū me kēia ʻano maʻi, akā inā ua ala mai, a laila hoʻomaʻamaʻa wale kēia. Paʻakikī ka hanu ʻana o ka pōpoki a ke hoʻāʻo nei e hoʻopau i ka wai i hōʻiliʻili ʻia i loko o ka māmā. Hiki ke hele pū ʻia ka maʻi me ka nui o ka sputum a me ke koko;
• ʻO ka hōʻailona nui loa o ka maʻi he cyanosis. ʻO ka cyanosis kahi ʻulaʻula ʻulaʻula o ka mucous membrane. Maanei, i loko o kahi pōpoki maʻi, no ka nele o ka oxygen, ʻulaʻula ka mucous membrane a me ke alelo.

Nā kumu o ka edema pulmonary

ʻEkolu kumu o kēia maʻi i nā pōpoki.

1. I ka hihia o ka maʻi puʻuwai a i ʻole nā ​​​​infusion intravenous wikiwiki, aia ka piʻi ʻana o ke kaomi i nā capillaries. Ua haki nā paia o nā capillaries a kahe ka ʻāpana wai o ke koko i loko o ka māmā.
2. Ma muli o kekahi mau maʻi, emi iho ka oncotic pressure, e hilinaʻi ana i ka nui o nā protein i nā capillaries a me ko lākou hiki ke mālama i ka wai. ʻO ka wai, me nā mea i hoʻoheheʻe ʻia i loko, ua māhele like ʻia i loko o nā ʻiʻo a me ke koko. Inā emi ka oncotic pressure, a laila ʻAʻole hiki ke paʻa hou ka wai i loko o ka moku (capillaries) a puka iwaho, komo i loko o ka alveoli o ka akemāmā, me ka edema.
3. Hiki i ka pneumonia a i ʻole intravascular coagulation ke wāwahi i ka pale protein o nā capillaries a kahe ka wai. ʻO kēia ma muli o ka hoʻonui ʻana i ka permeability o nā membrane o nā capillaries a me alveoli.

Ma waho aʻe o ka mea i luna, hiki iā mākou ke kuhikuhi i ka mea e kōkua ai i ka hoʻomohala ʻana i ka edema pulmonary i loko o kahi pōpoki:

• hiki i ka popoki ke hina i ka uwea uwila olohelohe ma kekahi wahi a loaa ka uwila;
• ʻoiai makemake nā felines i ka mahana, ʻoiai aia ka pilikia o ka hahau wela (i ka wā wela i loko o kahi kaʻa paʻa, i loko o kahi lumi ʻole i ka wela);
• inā, no ka laʻana, ua hāʻule mai kahi kiʻekiʻe a loaʻa i ka pōpoki ke poʻo (traumatic brain injury);
• hiki i nā mea nona ka holoholona ke lawe pū me lākou i ka dacha, kahi i nā pāʻani e hiki ai i ka pōpoki ke hāʻule i ka nahesa a loaʻa i kahi nahu.

Ke noʻonoʻo nei i nā kumu a me nā kumu, pono e hoʻokaʻawale i waena o nā ʻano o ka edema: cardiogenic a me ka non-cardiogenic.

ʻO ka mea mua i hōʻike ʻia e ka hele ʻana o ka maʻi puʻuwai.

Loaʻa ka lua ma muli o ka piʻi ʻana o ka capillary permeability. ʻAʻole maʻamau i nā pōpoki ma mua o nā ʻīlio. Hoʻopili ʻia me ka ʻeha lolo traumatic, poisoning, anaphylactic shock. He mea maʻamau ka hopena o ka ʻai ʻana i kekahi mea i loko o ka ʻōpū hanu.

ʻO ka ʻike a me ka mālama ʻana i ka edema pulmonary

Hana ka mea lapaʻau i kahi hōʻailona pololei ma muli o ka hoʻolohe ʻana i nā leo i loko o ka māmā a me ka x-ray.

ʻO ka hoʻolohe ʻana (auscultation) o ka umauma o ka pōpoki e hiki ai ke lohe i ke kani ʻana i loko o ka māmā, ka puʻuwai ʻōhumu me ka cardiogenic edema.

No ka hana ʻana i kahi hōʻailona mai ke kiʻi, lawe ʻia kahi pahu x-ray i ʻelua kuhi like ʻole e kū pono ana kekahi i kekahi. Ua pōwehiwehi a malu ka ʻiʻo māmā ma ke kiʻi.

I kekahi manawa, inā pilikia loa ka pōpoki, hana ʻia kahi hoʻāʻo koko. Lawe ʻia ka holoholona i kahi kūlana paʻa a laila lawe ʻia kahi x-ray.

Hoʻomaka ka mālama ʻana i kahi pōpoki, i ka wā i hoʻopaʻa ʻia ai ka maʻi maʻi, me ka hoʻokumu ʻana i kahi noho mālie.

ʻO ka edema pulmonary i nā pōpoki he maʻi koʻikoʻi. Pono ka holoholona e hoʻomaha ʻaʻole hiki ke hoʻoikaika i ka hānai a e inu. Ke ʻimi nei kekahi holoholona maʻi i kahi mehameha kahi e hoʻopilikia ʻole ai kekahi iā ia.

Ma hope o ka lawe ʻana i ka pōpoki i ke kauka, ʻike ʻia ke koʻikoʻi.

ʻO ka mea mua, hoʻohana ʻia nā diuretics i ka mālama ʻana.

ʻAe ʻia ka holoholona maʻi e hanu i ka oxygen mai kahi mask oxygen a i ʻole e waiho ʻia i loko o kahi keʻena oxygen. I nā hihia koʻikoʻi loa hiki ke oki a i ʻole i hoʻopili ʻia i kahi ventilator.

ʻO nā infusions intravenous e kōkua i ka hoʻihoʻi ʻana i ke kaulike electrolyte - ke koena o ka potassium a me ka sodium anions i loko o ke kino.

Me ka hāʻawi ʻana i ke kōkua pono e hana ʻia nā noiʻi a pau, e like me: x-ray, ho'āʻo koko (general and biochemical).

No ka ho'ōla piha, pono e mālama i ka pōpoki i loko o ka haukapila, no ka mea, pono ka nānā mau ʻana. ʻO kēia manawa maʻamau mai hoʻokahi lā a ʻekolu lā.

Kāohi ʻana i ka maʻi

Pono ka holoholona me ka puʻuwai maʻi i ka nānā mau ʻana e ke kauka. E kōkua ka lāʻau lapaʻau i ka manawa e pale aku ai i ka pilikia o ka loaʻa ʻana o kekahi maʻi ʻē aʻe.

Pilikia paha ka puaʻa maikaʻi ma muli o ko lākou ʻano. No laila, pono ʻoe e ʻike i nā ʻano o ka pua a hana i ka pale ʻana i ka edema pulmonary i nā pōpoki.

ʻO nā pilikia hanu i ala mai he hōʻailona e hoʻopili koke i ke kauka holoholona.