The mmiri mmiri na akpa ume: akpatara na Ọgwụgwọ

Akụkụ okuku ume na usoro bụ susceptible mpụga mmetụta, na ya na ọrịa nwere ike ịbụ n'ihi bụla general daa ọrịa.

The mmiri mmiri na akpa ume na-akpata

Ndị dị otú ahụ a mgbaàmà, dị ka a mmiri mmiri na akpa ume pụrụ ịbụ a n'ihi mbufụt (ụkwara nta, pleurisy, oyi baa), congestive phenomena ma ọ bụ cancer. The mmiri mmiri amalite imubanye na akpa ume dị ka a N'ihi nke mụbara permeability ọbara arịa mgbidi, ọ bụrụ na ike n'ezi ihe na-emebi. Ke akpa idaha, ụba permeability arịa mgbidi-eduga ná guzobe nke transudate - edematous ọmụmụ dum n'ịkpa na ngụgụ. Nke abụọ ahụ, ndị iro ike n'ezi ihe nke ọbara arịa mgbidi site n'ibu edinam na-eduga ná mbufụt na guzobere exudate. Nke a protein ọgaranya mkpụrụ ndụ na mmiri mmiri turbid agba na ntapu site mgbidi mebiri emebi ọbara arịa. Ọtụtụ mgbe n'ibu mmebi esonyere guzobe ọbara arịa hemothorax (ìgwè ọbara na pleural oghere). The kpatara nke ọmụmụ na ngụgụ nwere ike malfunction nke lymphatic usoro nke akpa ume, nke na-eduga iji nwayọọ mwepụ nke edematous ọmụmụ, nke, n'aka, na-eme ka mmepe nke edema. Nke a na-eme n'oge resection nke ngụgụ, Bilie mwepụ nke a ọnụ ọgụgụ buru ibu nke ọnụ, ngụgụ esonụ transplantation. A nta na-abawanye na ego nke ọmụmụ na-akwakọba akpa ume interstitium, mfe anabata ahu. Mgbe ya ukwu bụ kwa-amalite na abawanye, ngụgụ amalite ida ha elasticity, e bụ imebi gas mgbanwe aa na akpa ume, na ha na-aghọ ike.

Otu n'ime ndị mbụ ihe ịrịba ama nke mụbara olu nke mmiri mmiri bụ dyspnea. Nke a bụ n'ihi na a ọnụ ke oxygen nnyefe ọnụego si alveoli n'ime ọbara arịa., N'ihi na onye nwere ume karịa na mbụ.

Akpa ume edema n'oge mmepe na-adọ 2 gafee. Mbụ bụ na extravasation n'ime interstitial ohere, na si n'ebe mmiri mmiri odụk alveoli. N'otu oge ahụ na e nwere ọgụ nke gbasara obi ụkwara ume ọkụ, ukwuu n'ime n'oge na-ehi ụra, a mmadụ malitere mkpesa banyere ụkọ nke ikuku. Ò ụkwara, wheezing. All ndị a mgbaàmà ndị njọ mgbe supine ndidi ọnọdụ. Mgbe e mesịrị, e nwere phlegm, e nwere sonso kwesiri ngosi paleness nke anụ, mkpesa nke ihe mgbu na obi. Ọ dị mkpa na-ebu nchọpụta nsogbu nke gbasara obi ụkwara ume ọkụ, nyere ọnụnọ nke ọrịa obi, ọrịa na-adịghị ala obi ọdịda, ọrịa na-afọ. Ọ ga-akwanyere ya ùgwù site ụkwara ume ọkụ, gbasara obi dyspnea on thromboembolism nke akpa ume akwara na alaka nke bronchial ụkwara ume ọkụ.

The mmiri mmiri na akpa ume: ọgwụgwọ

E nwere ụzọ dị iche iche nke ọgwụgwọ nke ọrịa a. Mkpa bụ isi akụkụ okuku ume na nkwado (oxygen ọgwụ, RF VLV wdg) nke na-ebelata hypoxia na intraalveolar mgbali abawanye, nke n'aka nke na-egbochi transsudirovaniyu ọmụmụ n'ime interstitium. Ọ dịkwa mkpa ka jide inhalation nke oxygen gwara mmanya Alụlụụ. Maka ọgwụgwọ were nitrati (nitroglycerin). Ha belata ọnọdụ na-achọghị nke venous ọbara na akpa ume, mgbe ọ bụghị na-amụba ego nke oxygen na myocardium. Nitrati na n'ụzọ kwesịrị ekwesị họrọ dose nwere ike belata ibu na-ada na-ekpe ventricle nke obi, na-eme vasodilation nke ọbara na venous bed. Ndinọ na nitrati na ụzọ abụọ - ma mbadamba nkume ma ọ ịgba. The mmiri mmiri na akpa ume mgbe nwayọọ nwayọọ kpamkpam.

Zuoro ojiji nke analgesics (morphine). Ha inyeaka echiche nchegbu, nke na-enyere iji belata ibu na akụkụ okuku ume uru. Ọ na-na-eji inotropic mmadụ, dị ka dopamine. Ya mmetụta dịgasị dabere dose. The onunu ogwu nke 5-10 g / m na-akpata na-abawanye na gbasara obi mmepụta. Amụba dose 2 ugboro, anyị na-enweta Alfa metatichesky mmetụta.