I-emphysema engaphansi

I-emphysema engaphansi kwenzeka lapho umoya ungena ezicutshini ezingaphansi kwesikhumba. Lokhu kuvame ukwenzeka esikhumbeni esimboza isifuba noma intamo, kepha kungenzeka nakwezinye izingxenye zomzimba.

I-emphysema engaphansi kwesikhumba ingabonakala njengokuqhuma kwesikhumba okubushelelezi. Lapho umhlinzeki wezokunakekelwa kwezempilo ezwa (palpates) isikhumba, kuveza umuzwa ongajwayelekile wokuqhekeka (i-crepitus) njengoba igesi idudulwa ngezicubu.

Lesi yisimo esingajwayelekile. Uma kwenzeka, izimbangela ezingaba khona zifaka:

• I-lung collapsed (pneumothorax), evame ukwenzeka ngokuqhekeka kwezimbambo
• Ukuphuka kwethambo lobuso
• Ukuqhuma noma ukudabula emoyeni
• Ukuqhuma noma ukudabula umhosha noma umgudu wamathumbu

Lesi simo singenzeka ngenxa:

• Ukuhlukumezeka Blunt.
• Ukulimala kokuqhuma.
• Ukuphefumula i-cocaine.
• Ama-corrosives noma ukushiswa kwamakhemikhali komphimbo noma indlela yomoya.
• Ukulimala kokushayela.
• Ukuhlanza okunamandla (Boerhaave syndrome).
• Ukuhlukumezeka okungena ngaphakathi, njengokudutshulwa noma amanxeba okugwazwa.
• I-Pertussis (ukukhwehlela).
• Izinqubo ezithile zokwelashwa ezifaka ishubhu emzimbeni. Lokhu kufaka phakathi i-endoscopy (ithubhu engena esiswini nasesiswini ngomlomo), umugqa we-venous central (ipayipi elincanyana emthanjeni osondele enhliziyweni), i-endotracheal intubation (ishubhu eliya emphinjeni kanye noqhoqhoqho ngomlomo noma ngamakhala), ne-bronchoscopy (ishubhu ungene kumashubhu we-bronchial ngomlomo).

Umoya ungatholakala futhi phakathi kwezingqimba zesikhumba ezingalweni nasemilenzeni noma esifubeni ngemuva kokutheleleka okuthile, kufaka phakathi igesi ebolile, noma ngemuva kokutshuza nge-scuba. (Abatshuzi be-Scuba abane-asthma banamathuba amaningi okuba nale nkinga kunabanye abatshuzi be-scuba.)

Izimo eziningi ezibangela i-emphysema engaphansi kwesikhumba zinzima, futhi kungenzeka ukuthi usuvele uphathwa ngumhlinzeki. Kwesinye isikhathi kudingeka ukuhlala esibhedlela. Lokhu kungenzeka kakhulu uma inkinga ingenxa yokutheleleka.

Uma uzizwa umoya ongena ngaphansi kwesikhumba maqondana nanoma yiziphi izimo ezichazwe ngenhla, ikakhulukazi ngemuva kokuhlukumezeka, shayela ku-911 noma inombolo yakho yezinsizakalo eziphuthumayo yangakini ngokushesha.

UNGANIKI noma yiziphi iziphuzo. UNGAMSUSI lowo muntu ngaphandle uma kudingeka ngempela ukumsusa endaweni enobungozi. Vikela intamo nomhlane ekulimaleni okuqhubekayo lapho wenza kanjalo.

Umhlinzeki uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi:

• Ukugcwaliswa komoya-mpilo
• Ithempelesha
• Pulse
• Izinga lokuphefumula
• Ukushaya kwegazi

Izimpawu zizophathwa lapho kudingeka. Umuntu angathola:

• Ukusekelwa kwe-Airway kanye / noma ukuphefumula - kufaka phakathi i-oxygen ngedivayisi yokulethwa kwangaphandle noma i-endotracheal intubation (ukubekwa kweshubhu lokuphefumula ngomlomo noma ngamakhala emoyeni) ngokubekwa kumshini wokuphefumula (umshini wokuphefumula wokusekela impilo)
• Ukuhlolwa kwegazi
• Ishubhu sesifuba ngesikhumba nemisipha phakathi kwezimbambo kuya esikhaleni sokuncenga (isikhala phakathi kodonga lwesifuba kanye nephaphu) uma kukhona ukuwa kwamaphaphu
• Ukuskena kwe-CAT / CT (ikhompiyutha ye-axial tomography noma isithombe esiphambili) sesifuba nesisu noma indawo enomoya ongena ngaphansi
• I-ECG (i-electrocardiogram noma ukulandelwa kwenhliziyo)
• Uketshezi ngomthambo (IV)
• Imithi yokwelapha izimpawu
• Ama-X-ray esifubeni nasesiswini nezinye izitho zomzimba okungenzeka zilimele

Isibikezelo sincike embangela ye-emphysema engaphansi. Uma kuhlotshaniswa nokuhlukumezeka okukhulu, inqubo noma ukutheleleka, ukuqina kwalezo zimo kuzonquma umphumela.

I-emphysema engaphansi ehlotshaniswa ne-scuba diving imvamisa ayibi kangako.

UCrepitus; Umoya ongena ngaphansi kwesikhumba; Izicubu emphysema; I-emphysema yokuhlinzwa

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