Matenda a ziwalo. atelectasis m'mapapo mwanga

Atelectasis ya m'mapapo (m'mapapo mwanga) - khalidwe la "airless" m'mapapo minofu. Pamene thupi ili vesicles mwina muli zonse, kapena muli mpweya pang'ono yafupika. M'mapapo mwanga atelectasis (m'mapapo) akhoza yotengedwa kapena kobadwa nako. Limagwirira matendawa akhoza zimasiyana malinga ndi chikhalidwe cha kuphwanya lapansi. Choncho, atelectasis ya m'mapapo (m'mapapo mwanga) choncho chifukwa psinjika a thupi kuchokera kunja. Izi ndi zotheka chifukwa kudzikundikira mpweya mu pleural M'mimbamo, madzimadzi kapena magazi. Boma la "airless" kumachitika chifukwa cha kutsekeka bronchial. Izi choncho chifukwa mkati kapena kunja bronchial kutsekeka psinjika ake.

Kobadwa nako m'mapapo mwanga atelectasis (m'mapapo) akupezeka ofooka, zachiphamaso kupuma, si yotheka kapena akufa atangobadwa kapena kupititsa padera. matenda zimachitika chifukwa kuwonongeka kwa m'mapapo likulu mwana nthawi yobereka kapena ngati airway ntchofu plugging ngalande.

Anapeza mtundu wa matenda wofanana ndi yothothola kupuma alveoli pamaso thupi ili. Nthawi zambiri kumachitika pa nkhani ya pleurisy exudative, pneumothorax, hydrothorax, zotupa zilonda thupi, chifuwa m'mapapo mwanga, psinjika a bronchus anachititsa kwenikweni kuchuluka mwanabele. Matenda chibayo, bronchial blockage mwa matupi achilendo ndi chifukwa cha matenda. Boma la "airless" mu mapapo chingachitike n'chiyani wotuluka ikuchitika pa ziwalo chifuwa ndi malo m'mimba. Especial kulemera losiyana matenda azipeze powona zoopsa kapena choipa, m'mene psinjika amapezeka mu magazi, aloŵa mu M'mimbamo pleural.

Nthawi zina, pali nthawi yaitali matenda asymptomatic.

Chachikulu atelectasis limodzi ndi zipolowe za kupuma kunja. Mu masiteji yoyamba ya percussion phokoso kutanthauzira m'dera matenda ndipo ali ndi tympanic mthunzi. Kukula kwa matenda limodzi ndi kusintha mawu - izo amakhala blunted, ndi oipa kotheratu kwa alveoli wa - yosamveka. A Vuto la nthendayo amaonetsa suppuration m'mapapo mwanga ndi chibayo.

Pamene matenda a matenda ndi zofunika kwambiri ndi zina X-ray Kupenda ntchito tomography, bronchoscopy ndi bronchography. Nthawi wofooka idzagwiritsa ntchito mayeso thoracotomy.

Boma la "airless" mu mapapo nthawi zambiri limodzi ndi akuphokosera chifuwa ana. Tikumbukenso kuti matenda a Zikatero ndi zovuta ndithu. Matendawa amapangidwa ndi maphunziro X-ray.

Odwala amene anawulula atelectasis ya phapo, chithandizo umalimbana kuchotsa zimayambitsa. Mu mafilimu angaphunzitse chithandizo amusankha malingana alili.

Pachimake atelectasis.

Chithandizo zimaphatikizapo kugwiritsa ntchito sanation bronchoscopy. Izi makamaka lipindulitsa pa nkhani cha kutsekeka kwa (kauntala) masanzi kapena viscous sputum bronchial lumen. Pankhaniyi m'pofunika endoscopic kuchotsa kudziwika thupi lina. Therapy mulinso oxygenation chokwanira, kupuma humidification kusakaniza. Zikavuta, kulenga zonse zabwino airway kuthamanga odwala ndi kufooka neuromuscular kapena kugwiritsa ntchito makina mpweya ndi kuthamanga kupuma positive. Mankhwalawa ntchito ngalande postural (mutu gawo bedi ndi adatchithisira kuti trachea anali pansi pa zinkakhala m'dera), kupuma kokoka, kutikitirako physiotherapy. Kuyambira tsiku loyambalo mankhwala ntchito maantibayotiki ndi sipekitiramu waukulu zotsatira.

Mu mawonekedwe aakulu komanso ntchito mpweya, kupuma kokoka, postural ngalande ndi mankhwala. Itamva gawo kapena gawo ndi matenda kobwereza kapena magazi kumatanthauza resection opaleshoni. Ngati kutsekeka ali zotsatira za njira chotupa chithandizo amusankha malingana chikhalidwe chake, mmene ndi chikhalidwe ambiri wodwala.