Hemopneumothorax

Zamkati

• Zizindikiro za hemopneumothorax ndi ziti?
• Kodi chimayambitsa hemopneumothorax ndi chiyani?
• Kodi hemopneumothorax imapezeka bwanji?
• Kuchiza hemopneumothorax
• Thoracostomy (kuyika chubu pachifuwa)
• Opaleshoni
• Mankhwala
• Zovuta za hemopneumothorax
• Chiwonetsero

Chidule

Hemopneumothorax ndichophatikiza zochitika ziwiri zamankhwala: pneumothorax ndi hemothorax. Pneumothorax, yomwe imadziwikanso kuti mapapu omwe agwa, imachitika pakakhala mpweya kunja kwa mapapo, pakati pa mapapo ndi chifuwa. Hemothorax imachitika pakakhala magazi pamalo omwewo. Pafupifupi 5% ya odwala omwe ali ndi pneumothorax amakumana ndi hemothorax nthawi yomweyo.

Hemopneumothorax nthawi zambiri imachitika chifukwa cha bala pachifuwa, monga kuwombera mfuti, kubaya, kapena nthiti yosweka. Izi zimatchedwa zoopsa hemopneumothorax. Nthawi zambiri, vutoli limayamba chifukwa cha matenda ena, monga khansa yam'mapapo, matenda am'magazi, kapena nyamakazi. Hemopneumothorax amathanso kuchitika zokha popanda chifukwa chowonekera (mwadzidzidzi hemopneumothorax).

Pofuna kuchiza hemopneumothorax, magazi ndi mpweya ziyenera kutulutsidwa pachifuwa pogwiritsa ntchito chubu. Kuchita opaleshoni kudzafunikanso kukonza mabala kapena kuvulala kulikonse.

Zizindikiro za hemopneumothorax ndi ziti?

Hemopneumothorax ndi vuto lachipatala, choncho ndikofunikira kuzindikira zizindikiro zake nthawi yomweyo.

Zizindikiro zake ndi izi:

• kupweteka pachifuwa kwadzidzidzi komwe kumakulirakulira mukatsokomola kapena kupuma kwambiri
• kupuma kovuta kapena kolimbikira (dyspnea)
• kupuma movutikira
• kufinya pachifuwa
• tachycardia (kugunda kwamtima mwachangu)
• khungu loyera kapena labuluu loyambitsidwa ndi kusowa kwa mpweya

Ululu ukhoza kumachitika mbali zonse ziwiri kapena mbali yokhayo yomwe mwadzidzidzi mwachitika kapena kuvulala.

Kodi chimayambitsa hemopneumothorax ndi chiyani?

Hemopneumothorax nthawi zambiri imayambitsidwa ndi zoopsa kapena zovulaza kapena zovulaza pachifuwa.

Khoma lachifuwa likavulala, magazi, mpweya, kapena zonse ziwiri zimatha kulowa m'malo ochepera amadzimadzi ozungulira mapapo, omwe amatchedwa malo opembedzera. Zotsatira zake, kugwira ntchito kwamapapu kumasokonekera. Mapapu sangathe kukulira kuti alole mpweya. Mapapu ake amatsika ndikugwa.

Zitsanzo za zoopsa kapena zovulaza zomwe zingayambitse hemopneumothorax ndizo:

• bala la kubaya
• mfuti
• kubooka kuchokera ku nthiti wosweka
• kugwa kuchokera kutalika kwakukulu
• Ngozi yagalimoto
• kuvulala kumenya nkhondo kapena masewera olumikizana (monga mpira)
• kuboola mabala kuchokera kuchipatala, monga kupopera kapena kutema mphini

Pomwe zoopsa kapena kuvulala ndizomwe zimayambitsa, vutoli limadziwika kuti hemopneumothorax.

Nthawi zambiri, hemopneumothorax imatha chifukwa cha zinthu zomwe sizowopsa kuphatikizapo:

• zovuta za khansa yamapapo
• nyamakazi
• hemophilia
• zokhudza zonse lupus erythematosus
• kobadwa nako chotupa matenda a m'mapapo

Hemopneumothorax amathanso kuchitika zokha popanda chifukwa chomveka. Komabe, izi sizachilendo.

Kodi hemopneumothorax imapezeka bwanji?

Ngati mwavulala pachifuwa, dokotala wanu akhoza kuyitanitsa chifuwa cha X-ray kuti muwone ngati madzimadzi kapena mpweya ukumangika mkati mwa chifuwa.

Mayesero ena azidziwitso atha kuchitidwanso kuti apitilize kuyesa madzi am'mapapo, monga chifuwa cha CT kapena ultrasound. Ultrasound pachifuwa chiwonetsa kuchuluka kwa madzimadzi ndi malo ake enieni.

Kuchiza hemopneumothorax

Chithandizo cha hemopneumothorax cholinga chake ndikutsitsa mpweya ndi magazi pachifuwa, kubwezeretsa mapapo kuti agwire bwino ntchito, kupewa zovuta, ndikukonzanso mabala aliwonse.

Thoracostomy (kuyika chubu pachifuwa)

Chithandizo chachikulu cha hemopneumothorax chimatchedwa chifuwa cha chifuwa thoracostomy. Njirayi imaphatikizapo kuyika chubu la pulasitiki lopanda kanthu pakati pa nthiti m'deralo mozungulira mapapo kuti mukhetse mpweya ndi magazi. Chitolirochi chikhoza kulumikizidwa ndi makina kuti athandizire ngalandezo. Dokotala wanu akatsimikiza kuti sipadzakhalanso madzi kapena mpweya, chubu pachifuwa chidzachotsedwa.

Opaleshoni

Anthu omwe ali ndi bala lalikulu kapena ovulala amafunikira kuchitidwa opaleshoni kuti akonze minofu yowonongeka. Angafunikenso kuthiridwa magazi kamodzi kapena zingapo ngati ataya magazi ambiri.

Mankhwala

Asanachitike ndondomeko ya thoracostomy, kutengera zomwe zimayambitsa matenda anu, dokotala wanu amathanso kukupatsirani maantibayotiki kuti muthandizire kupewa matenda a bakiteriya. Dokotala wanu amathanso kukupatsirani mankhwala opweteka kuti akuthandizeni ndi zowawa zilizonse musanachitike komanso mutatha opaleshoni.

Zovuta za hemopneumothorax

Mavuto a hemopneumothorax ndi awa:

• matenda akulu, monga chibayo
• kukha magazi
• kumangidwa kwamtima
• empyema, vuto lomwe mafinya amasonkhana m'malo opembedzera; empyema nthawi zambiri imayambitsidwa ndi chibayo
• kupuma kulephera

Kuphatikiza apo, anthu omwe adakhalapo ndi hemopneumothorax ali pachiwopsezo chokhala ndi gawo lina ngati kutsegula m'mapapu sikungatseke kwathunthu.

Chiwonetsero

Hemopneumothorax ndiwowopsa pachiwopsezo ndipo amafunika kuthandizidwa nthawi yomweyo kuti akhale ndi chiyembekezo chabwino.

Ngati vutoli lidachitika chifukwa chovulala kapena kuvulala pachifuwa, malingaliro amatengera kukula kwa kuvulala. Matenda a hemopneumothorax amakhala ndi chidziwitso chokwanira pomwe madzi ndi mpweya zichotsedwa pachifuwa. Pakafukufuku kamodzi kakang'ono, odwala onse anayi omwe ali ndi hemopneumothorax adachira kwathunthu ndipo mapapu awo adakuliratu pambuyo pazochitikazo.

Kawirikawiri, hemopneumothorax sichidzabweretsa mavuto amtsogolo atachiritsidwa. Komabe, pali mwayi wochepa wobwereza. Kugwiritsa ntchito njira zocheperako, monga opaleshoni yamtundu wa thoracostomy komanso kuthandizira makanema, kwadzetsa kuchepa kwa kufa ndi kubwereza.