I-edema ye-edema - ibangela

I-edema yepulmonari yimeko enzulu kakhulu ye-pathological condition apho umxholo okhulayo kumathambo emiphunga udlula ngaphezu kwinqanaba eliqhelekileyo ngenxa yokwanda kwohlukwano phakathi kwama-hydrostatic kunye ne-colloid osmotic ukunyanzeliswa kwi-capillaries yemiphunga. Ngenxa yoko, kukho ukuphambuka ngokukhawuleza kokutshintshiselana kwegesi, utshintsho kwindlela yokwakheka kwegesi egazini, ukuphuhliswa kwe-hypoxia kunye nokunciphisa okunzulu kwenkqubo ye-nervous central.

Iimpawu kunye neentlobo ze-edema ye-pulmona

Imiqondiso ephambili ye-edema yamapulmoni yile:

Ngokuxhomekeka kwiindlela zokuqala, kukho iintlobo ezimbini ze-edema ye-pulmona:

  1. I-Hydrostatic - ivela kwiipathologies ezenza ukwanda kweengxube ze-hydrostatic kwimida yegazi yemiphunga kunye nokukhutshwa kwento ekhoyo yamanzi kwiimfucu zamaphaphu ngesixa esikhulu kunazo zonke ukukhutshwa kwayo kwiinqanawa ze-lymphatic.
  2. Membranogenic - ivela kwiimeko apho ezinye i-syndromes ze-pathological disordination zidala ukwanda kwe-capillaries yemiphunga.

Ukongezelela, kuxhomekeke kwizimbangela, i-edema engeyi-cardiogenic pulmonary edema iyahluke, kunye ne-edema ye-pulmary pulmary echaphazelekayo nesifo senhliziyo.

Iimbangela ze-hydrostatic pulmonary edema kubantu

Izinto eziphambili ezibangela i-edema ye-pulmonary ngenxa yokunyuka kwengcinezelo ye-intracapillary yile:

  1. Izinyango ezahlukeneyo zeentliziyo - ukuphazamiseka kwintliziyo, ukunyuka okukhulu kwindleko yokujikeleza igazi, ukwehla kwintengo yesigqeba se-ventricle esisele, i-stenosis ye-mitral valve, njl njl.
  2. Ukugqithiswa kwemifuno ye-pulmonary-venous ngenxa yokunciphisa imifuno, ebangelwa i-spasm ye-neurogenic etiology.
  3. Ukukhutshwa komthi wepmonta okanye amasebe awo, anokubangelwa ukungena kwegazi kwiimvenge zegazi (ngokuqhelekileyo ezi zixakeka ngegazi ezenza emithanjeni yeeplavis okanye emacaleni angaphantsi), iibhola zomoya, amaconsi atyebileyo (akhululwe egazini esuka emntsheni wethambo, umzekelo, kwiintsimbi) , kunye ne-septic emboli.
  4. Ukuvalwa kwendlela yokuphefumula - ngenxa yezifo ze-trachea, i-bronchi, imiphunga, kunye nokuvinjelwa kwemimoya yezinto ezivela ngaphandle.
  5. Ukuphazamiseka komjikelezo we-lymph ngenxa yokuphazamiseka kweenqwelo zezilonda ngenxa yemiphunga yemiphunga, umoya okanye ukuqoqwa kwegesi kwisigxina somlomo.

Iimbangela ze-mememia-pulated edemary edema

Iimbangela eziphambili zeembumba ze-edema zi:

  1. Isifo esichukumisayo sokuphefumula kwesifo - umonakalo ovuthayo wemiphunga ngenxa yomonakalo othe ngqo okanye ongathandanga ngqo kwimiphunga, edla ukuxhatshazwa kwesifuba, i-sepsis, i-pancreatitis (ngenxa yeengxaki ze-hemodynamic).
  2. I-aspiration syndrome - ngenxa yokuphosa iziqulatho zesisu kwi-airways, amanzi agxininisa ukusuka kumanzi, njl.
  3. Inxication syndrome - i-edema ye-pulmone ngenxa yokungcola izinto ezinobuthi ezikhutshwe ngama-pathogenic microorganism kwizifo ezahlukahlukeneyo ezichaphazelayo, kunye nokungaphumeleli komntu.
  4. Isifo sesifo sokutshatyalaliswa kwesifo - ukutyhefuza ngegesi ezinobuthi (i-chlorine, i-phosgene, njl.), i-mercury, umsi, njl.

Unyango lwe-edema yepmonta

Amaqhinga okuphatha i-edema yamapulmoni ayenziwa yizizathu ezibangele. Nangona kunjalo, nangaphambi kokuba isigulane sithunyelwe kwiziko lezonyango, kufuneka kuthathwe amanyathelo angxamisekileyo. Izigulana zithathwa kwiiyunithi ezizodwa zonyango, ezixhotyiswe ngezixhobo zokuxilonga. Amanyathelo okwelapha aqhutyelwa phantsi kweengqwalasela rhoqo zeempawu ze-hemodynamic kunye neempawu zokuphefumula kwangaphandle. Amachiza ayimfuneko atyathwa ngokufikelela kwinqanaba eliphambili, apho i-catheter ifakwa kwi-subclavia.