Okufanele Ukwazi Ngomkhuhlane Oqhekekile
I-Pneumothorax isho umoya emoyeni futhi libhekisela ekuqoqweni komoya emaphaphu, okufaka ingcindezi emaphashini bese ibangela ukuba iwele. I-Pneumothorax yinto evamile kakhulu ezigulini ezinezifo ezinzima kakhulu zesifuba esifubeni . Kuvame kakhulu ezigulini ezinesifo esingenasifo samaphaphu .
Izinhlobo
I-Pneumothorax elula
Isibonelo esiyisisekelo se-pneumothorax senzeke uma umoya ubalekela emaphashini futhi uboshwe phakathi kwendwangu yodonga lwesifuba (i-parietal pleura) kanye nesaka elizungezile amaphaphu (visceral pleura).
Eziguli eziphilile, lezi zikhala ezimbili ziphilisana lapho siphefumula.
I-pneumothorax elula ivela lapho umoya uthola phakathi kwezingxenye zombili zokukhala futhi ubacindezele. I-bubble emoyeni enkulu ithatha udonga lwesifuba futhi iqhube amaphaphu endleleni.
Amandla Pneumothorax
Njengoba i-pneumothorax ikhula, ukucindezela komoya esifubeni kungabangela isiguli ukuba sibe nomuzwa wokuphefumula futhi ekugcineni kungabangela ukuphazamiseka okweqile ekucindezelweni kwenhliziyo nemithambo emikhulu yegazi.
Ukuphuza i-pneumothorax cishe kungenzeka uma kunesilonda esivulekile esifubeni esivumela umoya ukuba ungene (bheka isilonda sesifuba esingezansi). Uma ingakaphenduliwe, i-pneumothorax yinkinga yokuphila yisimo esisongela ukuphila.
I-Pneumothorax engavamile
Ngesinye isikhathi, iziguli zingathola i-pneumothorax yokuzenzekelayo, efana nokuzwakalayo: isiguli sihambahamba, sigxile ibhizinisi layo, futhi siphambuka , amaphaphu aphefumula.
Amapneumothoraces okungajwayelekile ngokuvamile alula, kepha angaba yizinkinga uma engashiywanga.
Izimpawu Nezibonakaliso
Izibonakaliso nezimpawu ze-pneumothorax azihambisani kahle:
- Ukuphelelwa umoya
- Ukunciphisa imisindo yamaphaphu ohlangothini oluthintekile (ukunyakaza kwomoya kuvinjelwe ngakho umsindo awusobala uma isiguli sithatha umoya)
Ezigulini ezakha ukuphazamiseka kwe-pneumothorax, imisindo yamaphaphu ingaba yanciphisa nakakhulu, mhlawumbe engekho, futhi umfutho wegazi wesiguli uqala ukwehla ngenxa yokwethuka kokuvimbela. Ezinye izincwadi zikhomba ukuthi izakhiwo phakathi kwesifuba (i-trachea, isophagus) zingasuswa kude ne-pneumothorax enamandla, enobuchopho. Eqinisweni, lokhu kuyinto engavamile kakhulu futhi akudingeki ukuba khona ukuze isiguli sibe nesifo se-pneumothorax.
Ukwelapha
Noma yimuphi ukulimala kwesifuba okulandelwa ukuphefumula kufanele kubonwe udokotela. Ukuze uthole ukuphefumula okukhulu ngemuva kokulimala, shayela u-911.
I-pneumothorax elula ingase ibe yilapho ikwazi ukuzimela uma ishiywe ingalashwa; okusho ukuthi kuzoba kubi kakhulu, bese uyeka ukubi. Ngeshwa, awukwazi ukuthi ngaphandle kokuba uvele ungayinaki i-pneumothorax futhi ulinde.
Ukumelana ne-pneumothorax yisimo esisongela impilo okufanele siphathwe ngokushesha. Shayela u-911 uma usolisa i-pneumothorax yenkinga noma uma uyazi ukuthi kukhona ukulimala kwesifuba nokuthi umsolwa ukhula waba pneumothorax.
Ama-paramedics azophatha ukuphazamiseka kwe-pneumothorax ngokufaka inaliti enkulu yokuzala (okungenani i-needle engu-14 nge-catheter) endaweni engaphezu kwembambo yesithathu ohlangothini lwesifuba lapho imisindo yamaphaphu iyancipha khona.
Inaliti izovumela ukucindezela ngokweqile kusuka ekubambeni kwepneumothorax ukuba kuphunyuke, kudonsa isikhala se-thoracic futhi kunciphise ukuphefumula kokuphefumula nokucindezeleka okuvimbelayo. Inqubo iyinhloko ye- needle thoracentesis .
Amanxeba Amathumba Amabele
Ezimweni uma kunesilonda esivulekile odongeni lwesifuba esivumela umoya ukuba ungene emgodini we-thoracic ngaphandle kwe-airways efanele, ubizwa ngokuthi isilonda esifuba esifubeni . Amanxeba okudubula angase athuthuke ekutheni ancelise amanxeba esifubeni.
Amaphilisa okuphuza amathumba aphathwa ngokuwafaka nge-bandage engenazimo ezibizwa ngokuthi ukugqoka okujwayelekile. Zingaholela kalula ku-pneumothorax, ikakhulu uma ziphathwa ngokugqoka okujwayelekile.
Uma isiguli esinesilonda sesifuba esiphuza siphathwa ngokugqoka okujwayelekile futhi siphefumula kakhulu emva kokugqoka kufakwa: susa. Ukuvula isilonda esifuba esifubeni emva kokucindezeleka kwe-pneumothorax kuvula kuzovumela ukuthi isigxobo sesifuba sidilize.
Imithombo:
Choi WI. I-Pneumothorax . I-Tuberc Disir Respir (Seoul). 2014 Mar; 76 (3): 99-104. doi: 10.4046 / trd.2014.76.3.99. Epub 2014 Mar 29. Ukubuyekeza. I-PMID: 24734096
ULiew-Fook, uSJ. Imishini yomklamo wesikhala: imiqondo eyisisekelo. Lung . 1987; 165 (5): 249-67. Buyekeza.