Pulmonary edema - rubatsiro rwekukurumidza

Kubatsira kokutanga kumapurmari edema inzira inokosha yekuchengetedza mabasa anokosha evanhu.

Rubatsiro rwekutanga ndedzero yezviyero zvinotarisirwa kubvisa zviratidzo zvakanyanya uye kupa rubatsiro rwehupenyu.

Kana pakanga paine pulmonary edema, saka rubatsiro rwekutanga nderekudana ambulensi, sezvinenge iri kunze kwemamiriro epatara, kashoma mishonga yose yakakodzera nemishonga iripo. Paanenge achimirira vanachiremba vanokwanisa, vanhu vanopoteredza murwere vanofanira kutora matanho anodiwa.

Edema yepulmonary: kliniki uye kuchengetedzwa kwekukurumidzira

Edema yepulmonary ndiyo mamiriro ayo mvura yakawandisa yakawanda mumapapu. Izvi zvinokonzerwa nemusiyano mukuru munharaunda dze colloid-osmotic uye hydrostatic inodzvinyirira mumapapuriri emapapu.

Kune marudzi maviri emapemmoni edema:

Membranogenic - inowanikwa kana kupera kwemajapilisi yakawedzera zvinoshamisa. Iko rudzi rwemapurmita edema rinowanzoitika sekuendesa kune dzimwe syndromes.

Hystrostatic - inokura nekuda kwezvirwere umo hydrostatic capillary pressure inowedzera zvakasimba, uye chikamu chechidimbu cheropa chinowana huwandu hwehuwandu hwakadai zvokuti hahugoni kubviswa kuburikidza nemakwara emakirini.

Clinical manifestations

Varwere vane pulmonary edema vanonyunyutika nekushaiwa kwemweya, vane nguva shomanana yekufema uye dzimwe nguva kurwiswa kwepfungwa yepima inokonzerwa panguva yokurara.

Ganda rinoputika, uye kubva kune rumwe rutivi rwehutachiona hunogona kunge husina kukodzera kugadzirisa nenzira yekuvhiringidzwa kwekuziva kana kudzvinyirirwa.

Nekudzikurira kwemapapu, murwere ane swefu inotonhora, uye kana kuteerera kumapapu, mvura inonaya mumapapu inoonekwa.

First Aid

Panguva ino zvakakosha kuti zviite nokukurumidza uye zvakarurama, nokuti nekushayikwa kwekusimbiswa mamiriro acho ezvinhu kunogona kuderera zvakanyanya.

1. Asati ambulensi isvika, vanhu vanopoteredza murwere vanofanira kumubatsira kugamuchira nzvimbo yehafu yekuti agone kuisa mitsipa kubva pamubhedha. Izvi zvinonzi ndizvo zvakanakisisa pakusununguka kufema kwemapapu: panguva ino, kusamanikidzwa kwavari kusanyanya. Misoro inofanira kuderedzwa kuitira kuti ibvise rutivi ruduku rwemazipa.
2. Kana zvichibvira, bvisa ruzha kubva kumusoro wepamusoro wekupemha.
3. Zvakakosha kupa huwandu hwekuwana oxygen nekuzarura hwindo, sezvo oxygen inzara inogona kuitika.

Apo ambulensi inosvika, zviito zvose zveongororo zvichaendeswa kune zvinangwa zvitatu:

• kuderedza kusununguka kwemukati wepumusoro;
• kugadzirisa mutoro wechipfupa chemazipa;
• bvisa kuputika.

Kuti udzikise kusununguka kwemukati wepumusoro, murwere anokonzerwa ne morphine, iyo inobviswa kwete kwete podemayari edema chete, asiwo kurwisa kwemafi. Ichi chinhu chakasachengeteka, asi pano chiyero chinodikanwa - morphine inosarudzira hutano hunoshandiswa pakufema. Uyezve, mishonga iyi inoita kuti kubuda kweropa kumwoyo kusanyanya zvakanyanya uye nekuda kwechimiro ichi mumapapu emapapu chinoderera. Murwere anowedzera kunyarara.

Ichi chinhu chinoshandiswa kana intravenously kana subcutaneously, uye mushure memaminitsi gumi zvayo zvinoitika. Kana kudzvinyirirwa kuchideredzwa, panzvimbo ye morphine, promedol inoshandiswa, iyo ine zvishoma zvichitaura asi zvakafanana.

Simba diuretics (semuenzaniso, furosemide) inoshandiswawo kubvisa kudzvinyirira.

Kuti usunungure denderedzwa remuduku rekupararira kweropa, shandisa kudonha ne nitroglycerin.

Kana pane zviratidzo zvekushaya tariro, ipapo murwere anopiwa neuroleptic isina simba.

Pamwe chete nenzira idzi, chirwere che oksijeni chinoratidzwa.

Kana murwere ane chirwere chinoramba chiripo, ipapo kurapwa uku hakuzoiti chakadikanwa, sezvo chinogona kudzivirira mhepo. Kuti urege izvi, vanachiremba vanopa inhalation ne 70% ethyl doro, iyo inopfurikidzwa nemhepo yakakisi. Nyanzvi idzi dzinoyamwa mvura yakawanda kuburikidza ne catheter.

Zvinokonzera pulmonary edema

Edema yemvura inogona kuitika nekuda kwe:

1. Kusagadzikana kwemwoyo.
2. Kupindira kwemidziyo yeropa, mavhavha eropa, mafuta.
3. Bronchial asthma.
4. Tumha yemapapu.

Mhemberero yemaperembudzi edema inogona kuitika nekuda kwezvikonzero zvinotevera:

1. Renal insufficiency.
2. Kutambudza kwechifuva.
3. Kusuruvara kune zvinokonzera tsvina, gasi, futi, mercury vapor, nezvimwewo.
4. Kukanda zvinyorwa zvemukati mumugwagwa wekupumha kana mvura.