Izinto ezibangela nokudumba yemiphunga kunye nonyango prinitspe kule imeko zophendlo lwezifo

Kuqala kwinto zonke, ethetha nokudumba yemiphunga, sithi ukuba. Ngoko wabiza imeko zophendlo lwezifo ezivela xa isixa ulwelo kwi Embi (en) isicwili wemiphunga kwi alveoli. Ngenxa yoko, le isiguli ukuba ukuswela ioksijini egazini, yaye ngenxa yoko, kunye hypoxia (nokungabikho yethishyu nokuphefumla). Le meko kakhulu, ezisongela ubomi ukuvela ngokukhawuleza kakhulu.

Isizathu ziphakama

Izinto ezibangela nokudumba yemiphunga nezengekho zahlukene. Ekuqaleni, kufuneka kuchazwe ukuba uhlobo uphuhliso nokudumba hydrostatic kunye membranogenny. Kwimeko yokuqala uphumo fluid kungena mithambo ye-alveoli kwi inwebu imiphunga ngenxa kuxinzelelo ephakamileyo iimpahla okanye ekwindla proteins egazini. Xa uhlobo yesibini nokudumba ulwelo kulo esikule kunye njengamaqhakuva nemiphunga alveolar kweenqanawa xa umonakalo kweendonga zawo.

Yintoni ebangela pulmonary nokudumba okubangelwa igazi umfutho okanye ukuncipha protein kuso?

1. Uxinzelelo hydrostatic landa pulmonary abaneziphene ngentliziyo, arrhythmia, ukungaphumeleli i "intliziyo ngasekhohlo", ukuvaleka amasebe pulmonary, ukwandisa BCC (umthamo wegazi), kuquka izigulane insufficiency kwezintso, eclampsia ngexesha lokukhulelwa, ezingonelanga therapy ukumnika. Ukuphazamiseka of kokusebenza kwengqondo ngenxa lokuthuthuzela amaxhoba, ukufa kwamalungu omzimba, isifo sokuwa, utyando isenokuba ngumba kuvusa of nokudumba neurogenic miphungeni.
2. Umgangatho iiprothini plasma liyancipha kunye izifo zesibindi (ukuqina) kunye kwizintso (ikhatshwe ngokulahlekelwa iiprothini lomchamo).

Yintoni unobangela woku nokudumba yemiphunga, ukuba indlela membranogenny yalo yophuhliso? Kulo mzekelo inwebu capillary yonakele ngqo yimiba eyahlukeneyo, ezifana kwenzeka xa izifo ezosulelayo, nokudumba, ngeminqweno emihle wamanzi imixholo esiswini kungena emiphungeni, ifuthe amayeza, iziyobisi kunye nemitha.

Njengoko kwiingxaki isixokelelwano sokuphefumla, lo nokudumba pulmonary kunokubangela ukuba umonakalo, ezosulelayo izifo, umhlaza, isifuba, pneumothorax, unepleurisy, ukuvaleka ngokuma, Embolism yemiphunga, nezinye izifo zemiphunga. Ezi izizathu ezikhokelela zombini hydrostatic kwaye membranogennomu nokudumba.

Enoba unobangela nokudumba yemiphunga, emva kokuvela yokwaphuka isigulane ekuphuhliseni le meko efanayo. Kulwelo alveoli ubagcina azalisekise imisebenzi yawo, kukho, njengokuba sele kukhankanyiwe, hypoxia, okt yokunqongophala kwe-oksijini ukuya Amalungu nezihlunu wonke umzimba. Isigulane ubonisa ukuphelelwa umoya, isiyezi, ukutyhafa, bamba umphefumlo. Kuba uxilongo wokuziphatha kuxilonga yomguli, ii-x-reyi (lowo waphawula amasimi umphunga ukukhanya, njengoko kuchasene ebumnyameni oqhelekileyo), ECG, ukufunda igesi igazi.

Yintoni unyango lwe nokudumba pulmonary apho

Le migaqo ke lulandelayo: ukuxhasa i nokuphefumla umsebenzi lung (yomatshini, unyango ioksijini, inhalation ioksijini emanzi), ndiwuthukulule stasis lwemithambo (nitrate), ukunciphisa BCC (womchamo, ACE inhibitors) ukunciphisa iphika ukuphungula uxinzelelo (analgesics ezidakumbisayo). Xa izifo zentliziyo amisele amayeza ngokungqinelana ngezifo okhoyo. Xa ubukho bezinye izifo ezibangelwa nokudumba yemiphunga, kuyimfuneko ngokunxuseneyo kunye ekulweni ukuziphatha okunjalo unyango olunzulu sifo-unobangela.