Pulmonary edema mumakati uye katsi

Pulmonary edema - chii ichocho

Pulmonary edema haisi chirwere chakazvimirira, mhedzisiro yemamwe pathologies. Kazhinji, alveoli yemapapu (mapupu akaonda-akakomberedzwa anosangana necapillaries) anozadzwa nemhepo: okisijeni painofema uye kabhoni dhaokisaidi paunenge uchifema. Pakati pavo uye capillaries pane nguva dzose kuchinjana magasi, nekuda kwekuti ropa rinoramba rakazara neokisijeni.

Pasi pemamiriro akasiyana-siyana ehutano, alveoli yakazadzwa nemvura, iyo inokanganisa kuchinjana kwegesi uye inodzivirira kuzara kweokisijeni yeropa. Iwo matushu haagamuchire huwandu hwakakodzera hweokisijeni, hypoxia inokura. Masero ese emuviri anonzwa kushaikwa kweokisijeni, asi tsinga nemoyo masisitimu anonyanya kukanganiswa. Yakareba hypoxia semugumisiro wepulmonary edema inogona kutungamirira kurufu rwenhamba yakawanda yeuropi neurons, uye gare gare kusvika kurufu rwemhuka. Mune zvimwe zviitiko, nzira iyi inoitika nokukurumidza.

Mhando dzepulmonary edema mumakati

Zvinoenderana nehunhu hwekufambira mberi, marudzi anotevera epulmonary edema mumakati nemakati anosiyaniswa:

• mheni nokukurumidza - inokura nokukurumidza, inowanzokonzera rufu rwechipfuwo;
• acute - zvakare inoratidzirwa nekukurumidza kosi, asi, kusiyana neiyo yapfuura, kurapwa nenguva uye kurapwa kunogona kuchengetedza hupenyu hwekati;
• subacute - inoratidzirwa nekuchinjana kwezvikamu zvekushaya simba kwemapapu uye kuregererwa;
• chisingaperi - chinogona kuramba kwemakore.

Izvo zvinofanirwa kurangarirwa kuti chimiro chekukura kwe edema hachigone kufanotaurwa, sezvo maitiro aya anoenderana nemamiriro mazhinji: zera rekati, maitiro ekudzivirira, maitiro echirwere chinokonzeresa, mararamiro uye mamwe ma parameter. Dzimwe nguva pathology inokura nekukurumidza zvekuti kungosara maminetsi mashoma ekutanga rubatsiro.

Zvinokonzera pulmonary edema mumakati

Zvikonzero izvo katsi kana katsi inogona kusangana nepulmonary edema yakakamurwa kuita cardiogenic uye isiri-cardiogenic. Boka rekutanga rinosanganisira congenital uye akawana pathologies yemwoyo hurongwa: malformations, hypertension, cardiosclerosis, pulmonary embolism, mwoyo kukundikana, mwoyo vharafu kusashanda, uye vamwe.

Boka rechipiri rezvinhu zvinomutsa pulmonary edema mumakati zvinosanganisira:

• kukuvara kwechipfuva (kana uchiwa, semuenzaniso, kubva pabhokisi kana kubva pahwindo);
• allergic reactions kumishonga yemishonga, zvirimwa, kushayiwa-mhando yekudya;
• kudhakwa nemakemikari ane chepfu kubva kune ekunze kwezvakatipoteredza kana mukati, zvichibva kune zvimwe zvirwere (neoplasms, pathologies yeurinary system, hutachiona uye hutachiona hwehutachiona);
• kushayikwa kweprotein mumuviri nekuda kwekukanganisa kwekudya kwechipfuwo, zvirwere zvechiropa, itsvo, metabolism;
• hormonal pathologies, kazhinji nekufutisa.

Uyewo, edema yepulmonary inogona kuitika semhinduro kune anesthesia, somuenzaniso, panguva yekukanda.

Zviratidzo zvepathology

Zvakakosha kuti muridzi wacho aone zviratidzo zvepulmonary edema munguva uye nokukurumidza kuendesa mhuka kuchipatara. Iwe unofanirwa kungwarira kana katsi ine zvinotevera zviratidzo zvepathology:

• kufema nguva dzose, kupfupika kwemhepo;
• kufema kunoitwa nemudumbu, izvo zvinooneka zvakanyanya (muromo unowanzo kuvhurika);
• iyo mucous membrane yemumuromo mhango (dzimwe nguva ganda) inowana tint yebhuruu;
• katsi inokosora, expectorating chakavanzika chemvura;
• chipfuwo chinofema, kuparadzira zvakanyanya mitezo, nekufamba kwenguva, kune inorema mudumbu kufema munzvimbo yakarara parutivi;
• kuhwihwidza kunonzwika panguva yekufema kwekatsi.

Kunyanya zvakajeka zviratidzo zvinotarirwa mune acute form of pulmonary edema. Kunyangwe nekusagadzikana kwakakwana, kati inonetseka nekukosora uye kupfupika kwakanyanya kwekufema. Muzviitiko zvakanyanya, chipfuyo chinogona kuita kubuda furo kubva mumuromo nemusanganiswa weropa kana ruvara rutsvuku. Mhuka yacho inoda kukurumidza kutarisirwa neveterinary!

Kana iyo pathology isingaperi, kuonekwa kwayo kunobatanidzwa nemamwe matambudziko. Muchinzvimbo chepamusoro, hapana zviratidzo zvekutyorwa, asi zvinoonekwa chete nekufamba kunoshanda. Muchiitiko ichi, kati, kazhinji, ine muromo wakashama, mhino dzakaputika. Anogona kudzima, kumira kuti azorore, kutora mweya wekufema. Kana iwe ukaona zviratidzo zvakafanana mumhuka yako, pakarepo uende naye kune veterinarian, sezvo chirwere chinogona kuwedzera chero nguva.

Rubatsiro rwekutanga

Kana katsi yako ikatanga kudzipwa, furo rinobuda mumuromo, mucous membrane inongoerekana yava bluish, usavhunduka. Ehe, zvakanaka, mhuka inoda mask yeokisijeni, asi havasi vese vanayo. Iwe unogona kungovhura hwindo uye uuye nemhuka yako kwairi.

Kudana veterinarian kana kuenda kukiriniki iwe pachako, isa kati padivi payo, usarega ichikwira kuitira kuti okisijeni, iyo yatove yakapihwa muhuwandu husina kukwana, isaparadzwe pane zvisina kufanira maitiro. Panzira inoenda kukiriniki kana uchimirira chiremba, puruzira chipfuwo chako, taura naye.

Usape katsi yako chero mushonga pasina mushonga. Inowanzokurudzirwa kupa mhuka diuretic, yakadai sefurosemide. Iwe haufaniri kuita izvi - kana muviri usina mvura, ipapo mishonga yakadaro inotungamirira mukuora.

Kuongororwa kwepulmonary edema mumakati

Pulmonary edema mumakati uye katsi inoonekwa nechipfuva x-ray. Muhupo hwehurwere, zvakananga uye lateral fungidziro inoratidza kudzima kwakasiyana munzvimbo yemapapu. Kana iyo edema iine cardiogenic, chifananidzo chinoratidza kuwedzera kwemuviri wemwoyo.

Mukufanana, chiremba anoitisa ongororo, achitsanangura nguva yekutanga kwezviratidzo, nuances yekudya, mamiriro ekurarama, zvichingodaro. Chiremba wemhuka anoongorora mhuka, anoteerera kufema ne stethoscope, anosarudza kurova kwemwoyo. Mukuwedzera kune x-rays, nyanzvi inogona kupa maitiro ekuongorora:

• kuongororwa ropa, kuongorora weti (zvizhinji, biochemical);
• Ultrasound yemoyo;
• ECG;
• pleural puncture.

Maererano nemigumisiro yekuongorora uye kuongorora, kati ichagadzirirwa kurapwa kwakakodzera - kumba kana muchipatara.

mabatiro

Kana mamiriro ekati akakosha, achapiwa rubatsiro rwekutanga pasina kumirira data yekuongorora. Izvi zvinogona kunge zviri kurapa kwezvinodhaka nenzira yejekiseni, kuiswa kweiyo okisijeni mask. Sezvo mutemo, mishonga inoshandiswa inokurumidza kubvisa kuzvimba uye kudzorera kufema kwemhuka. Kana katsi ichiita isina kugadzikana kana hutsinye, inopihwa jekiseni rekunyaradza.

Hazvibvumirwi kuisa katsi nechisimba, kumupa mvura kana zvokudya. Mhuka iri munharaunda iyi inofanira kupiwa zororo rakakwana, saka muridzi pachake anofanira kuchengetedza mafungiro akaenzana.

Nhungamiro yekurapa inoenderana nekuoma kwepulmonary edema, pamwe chete nechinhu chakakonzera pathology. Iyo yakaoma yekurapa, sekutonga, inosanganisira diuretic zvinodhaka (haugone kuzvipa iwe kumba!), Okisijeni kurapwa uchishandisa yakakosha piro yeokisijeni. Mune zvimwe zviitiko, vanotendeukira kumhepo yekufema yemapapu kana kuisa katsi mukamuri yekumanikidza, uye dzimwe nguva kuvhiyiwa kwekukurumidzira kunodiwa.

Kurapa kwechirwere chakakonzera matambudziko ekufema kunoitwa chete mushure mokunge zviratidzo zvemapurmonary edema zvabviswa, uye mamiriro emhuka akadzokera kune zvakajairika. Sezvo pane zvikonzero zvakawanda, hapana chirongwa chimwe chete chekurapa. Muchiitiko ichi, mishonga inorayirwa zvose kuti ibvise chinhu chinogumbura uye kudzivirira kurwiswa kunowanzoitika.

Mhuka ine pulmonary edema inoda kugara ichiongororwa, saka zvinokurudzirwa kuiisa muchipatara kwechinguva. Nguva nenguva kuteerera mwoyo, kutarisa mamiriro eropa, kufema, mishonga yenguva dzose maererano nechirongwa chakatemwa - izvi zvose zvinowedzera mikana yekupora zvakakwana. Kana zvichidikanwa, chiremba achaita jekiseni reanesthetic, kupa decongestant, mushonga wemwoyo.

Zvinogona kuitika

Kazhinji kazhinji, zvinetso zvepulmonary edema mumakati zvinokura mumakati madiki uye akura, sezvo immune system yavo isina kusimba zvakakwana. Migumisiro yakaipa inogona kusanganisira:

• chirwere chemabayo;
• kutadza kwemoyo;
• acidosis (kuwedzera acidity yeropa);
• pulmonary fibrosis (kuparara kwemapapu emapapu);
• emphysema yemapapu;
• sepsis.

Kana muridzi wekati akatendeukira kuna chiremba akanonoka, kufa kwemhuka hakudzivisiki. Kuzvimba kunotungamira ku cardiogenic shock kana kuvharirwa kwemhepo.

kushurudzira

Kuti upe chero fungidziro, zvinodikanwa kufunga nezve maitiro echinhu chakakonzera pulmonary edema. Kana iyo isiri-cardiogenic chikonzero, zviri nyore kubata, saka kufungidzira kunowedzera kunaka. Muhupo hwezvirwere zvehutano hwemwoyo, mugumisiro wakanaka unofanirwa kufanotaurwa nekuchenjerera. Kunyangwe nekuteerera kuzere nekurudziro yechiremba, mukana wekudzoka zvakare unoramba wakakwira. Mukuwedzera, nhaka yemhuka, maitiro emuviri, psyche, mararamiro ehupenyu nezvimwe zvinhu zvakakosha zvikuru.

ekudzivirira matanho

Ehe, isu hatigone kurwisa genetics, uye isu hatigone kudzivirira kukura kwenhaka pathologies kana predispositions. Zvisinei, zviri musimba redu kudzivirira matambudziko anogona kuitika. Kuti uite izvi, unofanirwa kutevedzera zvinotevera zvinongedzo:

• tarisa mafuta ari mukudya kwekati, kudzivirira kudyisa, kukura kwekufutisa;
• kudzivisa zviitiko zve hypothermia yemhuka;
• tora matanho ekuchengetedza zvakatipoteredza kune chipfuwo (usape mukana wekukuvadzwa);
• jekiseni maererano nehurongwa;
• dzivisa mamiriro ekumanikidza zvakanyanya sezvinobvira;
• chengetedza zvinhu zvine ngozi kune hutano hwekati munzvimbo isingasviki kwaari;
• nguva dzose uuye nechipfuwo chako kukiriniki kuti uongorore bvunzo, kunyanya kana ane predisposition kune zvirwere zvemoyo hurongwa usingagoni kurapwa.

Mukuwedzera, zvakakosha kugara uine mishonga inodiwa paruoko rwekutanga rubatsiro kana kati iri pangozi.