I-edemary edema - uncedo olungxamisekileyo

Uncedo lokuqala lwe-edema ye-pulmona ngumlinganiselo ofanelekileyo wokugcina imisebenzi ebalulekileyo yabantu.

Uncedo lokuqala luyilo lemilinganiselo ejoliswe ekupheliseni iimpawu ezinzima kunye nokubonelela ngenkxaso yobomi.

Ukuba kwakukho i-edema ye-pulmatic, ke uncedo lokuqala kukubiza i-ambulensi, njengemibandela yangaphandle yezibhedlele, akunakwenzeka ukuba onke amayeza afanelekileyo kunye nezixhobo zifumaneke. Ngoxa ulinde oogqirha abaqeqeshiweyo, abantu abajikeleze isigulane kufuneka bathathe amanyathelo afanelekileyo.

I-edema yePulmonary: iklinikhi kunye nokunakekelwa ngongxamiseko

I-edema yepulmonari yimeko apho amanzi amaninzi aqokelela kwimiphunga. Oku kubangelwa umahluko omkhulu kwiindleko ze-colloid-osmotic kunye ne-hydrostatic pressure kwi-capillaries yemiphunga.

Kukho ezimbini iintlobo ze-edema ye-pulmona:

Membranogenic - iyenzeka ukuba ukutshabalalisa kwama-capillaries kuye kwanda ngokuphawulekayo. Olu hlobo lwe-edema yamapulmoni luhlala lufana nokuhanjiswa kwamanye ama-syndromes.

I-Hydrostatic - ikhula ngenxa yezifo apho ingcinezelo ye-hydrostatic capillary iphakama ngokukhawuleza, kwaye inxalenye yamanzi egazini ifumana umlinganiselo obuninzi kangangokuthi ayikwazi ukurhoxiswa ngeendlela zokwenza i-lymphatic.

Impawu zonyango

Izigulane nge-edema yamapulmali zikhalaza ngokungabi nomoya, zihlala ziphefumula kwaye ngezinye izihlaselo ze-asthma zengqondo zivela ngexesha lokulala.

Izikhumba zesikhumba ziphaphakile, kwaye ukusuka kwicala lenkqubo yeentlanzi kunokungenakwanela ukuphendula ngendlela yokudideka kwengqondo okanye ukucinezelwa kwayo.

Ngokuvuvukala kwemiphunga, isigulane sinomkhuhlane obandayo, kwaye xa uphulaphule imiphunga, ukuxhamla kwamanzi kwimiphunga kuyabonakala.

YoNcedo lokuqala

Ngeli xesha kubaluleke kakhulu ukuba usebenze ngokukhawuleza nangokuchanekileyo, ngenxa yokungabi ncedi imeko leyo ingahlahloka ngokukhawuleza.

1. Ngaphambi kokuba i-ambulensi ifike, abantu abajikeleze isigulane kufuneka bamncede ukuba amkele isikhundla sesigxina sokuhlala ukuze anciphise imilenze yakhe ebhedini. Oku kubonwa njengento engcono yokukhulula umoya wemiphunga: ngeli xesha, uxinzelelo kubo luyinto encinci. Imilenze kufuneka iyancitshiswe ukwenzela ukukhupha isangqa esincinci segazi.
2. Ukuba kunokwenzeka, susa i-mucus ukusuka kwiphepha eliphezulu lokuphefumula.
3. Kufuneka ukuba unikezelo oluphezulu kwi-oksijeni ngokuvula iwindi, ekubeni i-oksijini yindlala iyakwenzeka.

Xa i-ambulensi ifika, zonke izenzo zeengcali ziza kubhekiselwa kwiinjongo ezintathu:

• ukunciphisa ukukhutshwa kweziko lokuphefumula;
• ukukhulula umthwalo wesangqa esincinci segazi;
• ukususa i-foaming.

Ukuze kuncitshiswe ukukhutshulwa kwendawo yokuphefumula, isigulane sijojowe nge-morphine, esisuswe nje kuphela i-edema ye-pulmatic, kodwa nayo ihlaselwa yi-asthma. Le nkunkuma ayikhuselekanga, kodwa nantsi imilinganiselo eyimfuneko - i-morphine ichaphazela ngokukhethekileyo amaziko obuchopho obangela ukuphefumla. Kwakhona, eli lonyango lenza ukuhamba kwegazi entliziyweni kungekho kakhulu kwaye ngenxa yale ntshukumo emathunzini emiphunga ahla. Isigulane siba lukhulu.

Le nkunkuma ilawulwa ngokukhawuleza okanye ngaphantsi, kwaye emva kwemizuzu eyi-10 isiphumo sayo siza. Ukuba uxinzelelo luyancipha, endaweni ye-morphine, i-promedol ilawulwa, inemveliso engaphantsi kodwa ebonakalayo.

I-diuretics eqinile (umzekelo, i-furosemide) nayo isetyenziselwa ukunciphisa uxinzelelo.

Ukukhulula isangqa segazi elincinci, gxuma kwi-dropper nge nitroglycerin.

Ukuba kukho iimpawu zokungazi kakuhle, isigulane sinikezwa i-neuroleptic ebuthakathaka.

Ngale ndlela, unyango lwe-oxygen luboniswa.

Ukuba isigulane sinomsoco oqhubekayo, ke le nyango ayiyi kunika umphumo ofunwayo, njengoko inokuthi ikhusele i-airways. Ukuze ugweme oku, oogqirha banika inhalation nge-70% ye-ethyl yotywala, eyadluliselwa nge-oxygen. Iingcali zandula umthamo ogqithiseleyo ngokweqhekeza.

Iimbangela ze-edema yamapulmoni

I-edema ye-Hystrostatic ingenzeka ngenxa:

1. Ukungasebenzi kweentliziyo.
2. Ukungena kwemithambo yegazi, iingubo zegazi, ioli.
3. I-asthma yeBronchial.
4. Ukuxhaphaza kwemiphunga.

I-edema ye-pulmary pulmatic can occur for the following reasons:

1. Ukungasebenzi.
2. Ingxaki yomfuba.
3. Ukubonakaliswa kwiimpumpi ezinobuthi, i-gases, i-fumes, i-mercury vapors, njl.
4. Ukuphosa isantya somxholo kwisiphelo sokuphefumula okanye amanzi.