Pre-mankhwala ndi chithandizo pangozi edema m'mapapo mwanga

M'mapapo mwanga edema - ndi kudwala amene amayambitsidwa ndi kuwonjezeka kwambiri mlingo wa intercellular (interstitial) madzimadzi. mapangidwe ake chifukwa cha linanena bungwe gawo la madzi kuchokera ziwiya magazi. Popeza kudwala intercellular madzimadzi ndi mawere kachiwiri mu zotengera lymph, imbaenda adzabwerenso plasma filtrate kumbuyo. Akamanena thupi la ndondomeko izi kwagona kuti madzi nawo yobereka mpweya kwa maselo zakudya, ndipo amathandiza kuchotsa mankhwala kagayidwe kachakudya. chisamaliro Emergency mu edema m'mapapo mwanga chofunika kwambiri pa chipulumutso cha munthu.

hydrostatic edema

Kuchuluka kwa madzimadzi interstitial ndi chinawonjezeka chifukwa chakuti kumawonjezera kuthamanga hydrostatic ziwiya m'mapapo mwanga magazi. Chifukwa, izo zimabweretsa edema.

Kakhungu kutupa

Kuchuluka kwa madzimadzi interstitial pa ukuwonjezeka yachibadwa kuthamanga chifukwa kwambiri plasma kusefera. Mwachitsanzo, pamene ntchito ya owayimira yotupa kuchuluka Kakhungu permeability, zikubweretsa edema.

zifukwa

The kaŵirikaŵiri anati m'mapapo mwanga edema, mtima kulephera (zambiri kumanzere mtima ventricle) chifukwa stagnation mu makope m'mapapo mwanga. Nthawi zina chikhalidwe ichi pathological kumachitika pamene mitral ndi zilema kung'ambika pa mavuto hypertensive, m'mnyewa wamtima infarction, infarction, ndi pachimake myocarditis. Pamene chiphe angathe poizoni edema m'mapapo mwanga. Kaya zifukwa, wodwalayo ankafuna kusamaliridwa pangozi edema m'mapapo mwanga.

symptomatology

Pamene edema m'mapapo mwanga anati kufupika kwambiri chifukwa cha mpweya, kutupa kwa mitsempha khosi, cyanosis wa nkhope. Kupuma ndi kuonekeratu khalidwe ndi allocated kwambiri kuchuluka kwa sputum frothy (zina ndi kum'chitira pinki). Odwala kwambiri pogona. Akakamizidwa kukhala pa bedi ndi kuŵeramitsa miyendo. Pa onse mapapo amamva crackles kapena zina gallop, ndipo limadziwika malankhulidwe opanda mtima. Wodwala chitaya mu thukuta ozizira. Pali kufooka ambiri. Kugunda ofooka pafupipafupi. Odwala kulandira kuopa imfa. M'njira choopsa cha boma pathological nthawi yomweyo akufotokozera kugwa.

thandizo kwa edema m'mapapo mwanga

Premedical kanthu edema wa mapapu mu kulanda wodwalayo malo mosapumira. Pa kuthamanga labwinobwino kapena mkulu, ngati palibe zizindikiro za infarction m'mnyewa wamtima ndi kugwa, n'zotheka tiyeni mwazi wa munthu (ana osapitirira 100-200 ml ya ndipo akuluakulu - 200-300 ml). Kumayambiriro chisamaliro pangozi edema m'mapapo mwanga kumawonjezera mwayi wa wodwalayo ndi madokotala ananena zawo zabwino. Subcutaneous mtima alowe kyubu njira promedola 1 ndi 2 dayisi camphor, bungwe Kukoka Mowa kudzera inhaler iliyonse (ana 30% njira), tourniquet pa mitsempha ziwalo (pazipita 1 h).

Medical chithandizo pangozi edema m'mapapo mwanga

The wodwala kutumikiridwa glycosides mtima, kodi cupping (ngati izo sizinali ikuchitika kale), mankhwala oxygen. M'nsinga, kulowa 100-150 mg ndi njira Lasix 20 cubes sodium kolorayidi kapena intramuscularly novurita 1 kufa. Chimaposa mwa inhaler kapena wina akapuma chigoba ethyl mowa (96%) kapena antifomsilana (10% mowa njira). Madzi kuchokera thirakiti chapamwamba kupuma kunachotsedwa ntchito catheter (intranasally). Urea njira umayamba dropwise, kenako carbonate ndi sodium wa hydrogen (5%). Kukapanda kuleka, koma pang'onopang'ono (mphindi 40) anali kutumikiridwa pentamine njira (5%). Mu aakulu analgesics ululu matenda kapena nitrous oxide inhalation.