Pulmonary edema - zvinokonzera

Edema yemapulmonary chirwere chakakomba chinokonzerwa nehutachiona mumapapu emapapu anodarika chimiro chakanaka pamusana pekuwedzera kwechiyero pakati pehydrostatic uye colloid osmotic miedzo mumapillaries emapapu. Somugumisiro, pane kutyora kwakakosha kwekutsinhanisa gesi, kuchinja kwekugadzirwa kwegesi kweropa, kukura kwe hypoxia nekudzvinyirira kwakanyanya kwepakati yenheyo.

Zviratidzo nemhando dzemapemmoni edema

Zviratidzo zvepermonary edema ndezvi:

• cyanosis;
• kupfupika kwemhepo ;
• kuwedzera kugona;
• chifuva nekusunungurwa kwe frothy bloody sputum;
• akasimba magumbo .

Zvichienderana nemitemo yekugadzirisa, pane marudzi maviri epermmary edema:

1. Hydrostatic - inowanikwa mumararamiro anoita kuti kuwedzera kwehydstrostatic inowedzera mumidziyo yeropa yemapapu uye kusunungurwa kwemvura yakachena yeropa mumapfupa emapapu mune chiyero chikuru kudarika kubvira kubviswa kwacho kuburikidza nemidziyo ye lymphatic.
2. Membranogenic - inowanikwa mumamiriro ezvinhu apo mamwe maitiro anonzi syndromes anokonzera kuwedzera kwekuperevedza kwemapapuriri emapapu.

Mukuwedzera, zvichienderana nezvinokonzera, kwete-cardiogenic pulmonary edema inozivikanwa, uyewo chirwere chemoyo chinonzi edema chinokonzerwa nechirwere chemwoyo.

Zvinokonzera hydrostatic pulmonary edema kuvanhu

Zvimwe zvikonzero zvinokonzera pulmonary edema nekuda kwekuwedzera intracapillary pressure ndeyokuti:

1. Mwoyo dzakasiyana-siyana zvinokanganisa - kukanganisa kwemwoyo, kuwedzera kukuru muhuwandu hwekupararira ropa, kuderera kwechibvumirano che ventricle yakasara, stenosis ye mitral valve, nezvimwewo.
2. Kurwiswa kwemapurmonary-venous circulation nekuda kwekuchepeta kwemitsipa, inokonzerwa nekuputika kweeurogenic etiology.
3. Kuvhara kwemapuraneti kana mashizha ayo, anogona kukonzerwa nekupinda kweropa rega mumidziyo yeropa (kazhinji idzi idzi dzinopa ropa dzinoumba mumapfupa emapapiro kana mumucheto wakadzika), mhepo inoputika, madonhwe emafuta (akabudiswa muropa kubva mumapfupa emafuta, somuenzaniso, mumakumbo) , uyewo septic emboli.
4. Kuvhiringidzika kwepurogiramu yekupumha - nekuda kwezvirwere zve trachea, bronchi, mapapu, pamwe nekudzivirira kwemhepo yekufamba nemhepo kune dzimwe nyika dzakasiyana-siyana.
5. Kushungurudzika kwechiremera chinokonzerwa nekukanganiswa kwemitambo ye lymph nemhaka yemamapu emapapu, mhepo kana gasi kuunganidzwa mumusana wepuremu.

Zvinokonzera kemukete-induced pulmonary edema

Zvinonyanya kukonzera membrane edema ndezvi:

1. Acute respiratory affliction syndrome - kuputika kwemapapu zvichikonzerwa nekukanganisa zvakananga kana kusina kukanganisa kumapapu, anowanzobatanidzwa nekukuvara kwechifuva, sepsis, pancreatitis (semugumisiro wehutodynamic disorders).
2. Aspiration syndrome - nekuda kwekukanda zvinhu zviri mukati mudumbu mumhepo, mvura ingress kubva kunyura, nezvimwewo.
3. Intoxication syndrome - pulmonary edema nekuda kwekusvibiswa kune zvinokonzera zvinotapira zvakasunungurwa nemakiriniki epachigoni mune zvirwere zvakasiyana-siyana zvinotapukira, pamwe nekushaya kukanganisa.
4. Inhalation syndrome - kusvibisa nemagasi ane chese (chlorine, phosgene, etc.), steams of mercury, utsi, nezvimwewo.

Kurapa kwepermonary edema

Mazano ekurapa pulmonary edema anotsanangurwa nezvikonzero zvinokonzera. Zvisinei, kunyange murwere asati atakurwa kuenda kuchipatara, zviito zvinokurumidza zvinofanira kutorwa. Varwere vanotorwa kuzvikwata zvakanyanyisa zvekuchengetedza, izvo zvakagadzirwa nemichina yekuongororwa. Mishonga inorapwa inowanikwa pasi pese kuongororwa kwemiganhu ye hemodynamic uye zviratidzo zvekufuridzira kunze. Mishonga inokosha inoshandiswa kuburikidza nehutano hwekuwana hutachiona, iyo iyo catheter inopindirwa mumusana we subclavia.