Chenjera pulmonary edema - chinokonzera rufu. Zviratidzo pulmonary edema uye kurapa

Chenjera pulmonary edema - kutyora ropa uye node kufamba kweropa, iro rinoita basa mvura nzira yokubudisa zviri capillaries iri rinenge pakati akati muviri, zvokuti gasi Exchange chinokurwadzai kukanganisa uye rinoendesa hypoxia. Chenjera kuzvimba kunowedzera nokukurumidza (ya kurwiswa kubva paawa kusvika maawa matatu), nekuti icho kunyange panguva akatanga CPR hazvibviri nguva dzose kudzivisa rufu.

Sei kukura chakasimba pulmonary edema

Chenjera pulmonary edema - munhu mhosva yerufu Varwere vazhinji - achikura somugumisiro infiltration ropa serum muna zvemapapu rinenge umo inounganidzwa mu mari yakadaro kuti mhepo ndima mikana vari kuderedzwa zvikuru.

Pakutanga akadana edema ane chimiro chakafanana mumatenhere nedzimwe nhengo. Asi hurongwa kuti vakombe capillaries uri mutete chaizvo, ndokusaka Urume pakarepo anotanga kuwira mhango pakati Formação de. Nenzira, zvinoita sokuti vari pleural mhango, kunyange kune imwe zvikuru zvishoma.

Zvirwere zvinogona kuva chikonzero chakasimba pulmonary edema

Chenjera pulmonary edema - chinokonzera rufu paaiita zvirwere zvakawanda, kunyange zvazvo pane dzimwe nguva zvingava zvichiri yacho uchibatsirwa kurapwa.

Zvimwe zvirwere kuti kungamutsawo pulmonary edema zvinosanganisira zvirwere kumwoyo, kusanganisira kuparadzwa pomwoyo neBP, vachiberekwa uye kuzara ari systemic riparadzirwe.

Haidereri kakawanda zvinokonzera pulmonary edema uye zvikuru protrude dehenya kunotevera, chepfungwa ropa akasiyana etiology, uyewo yomumuzongoza, encephalitis siyana anomera muuropi.

Ndezvomuzvarirwo kuti tisafunge chikonzero pulmonary edema uye nezvirwere kana maronda ose ari kufema ezvinhu, akadai nemabayo, inhalation kuti zvine chepfu, muchipfuva kukuvara, neutachiona.

zvokurwara zvomusejari, chepfu, jekiseni kurohwa nehana uye anopisira zvinogona kutungamirira kune zvinorondedzerwa edema.

Mhando pulmonary edema

Varwere kazhinji pane mbiri zvikuru, zvikuru dzakasiyana mhando pulmonary edema:

• cardiogenic (cardiac pulmonary edema) kunokonzerwa rworuboshwe ventricular kukundikana uye pulmonary kuzara;
• noncardiogenic kukonzerwa zvakawedzera permeability pamusoro akati muviri rikwanise kukuvara kana chakasimba kufema nenhamo chirwere;
• yoga vaiona akarondedzera mhando chepfu noncardiogenic edema.

Zvisinei, pasinei nokuti zvinokonzera kuti dzaisiyana, mumatenhere Zvingava zvakaoma chaizvo kusiyanisa nemhaka kurapwa kuratidzwa yakafana kurwisa.

Pulmonary edema: Zviratidzo

Emergency rubatsiro inopiwa pulmonary edema munguva, achiri anopa murwere mukana wokupona. Kuti aite izvi, zvakakosha kuziva zviratidzo chirwere ichi. Vanoonekwa inopenya zvikuru uye zviri nyore chirwere.

• Pakutanga kurwisa kuvarwere kazhinji kukosora, hoarseness paanokura, uye chiso chake, chipikiri mibhedha uye mucous membranes ave rinokwanisa kucheneruka.
• Kudzipwa kunosimudzirwa, achiperekedzwa nokunzwa tightness ari mubhokisi uye rinodzvinyirira marwadzo. Kuti zviite murwere anomanikidzwa kugara pasi dzimwe nguva uye dzakaonda mberi.
• nokukurumidza kuoneka uye zvikuru zviratidzo pulmonary edema: nokukurumidza kufema, iyo inova shoshoma uye kudzipwa, sevasina simba uye nzwa dzungu. Mutsinga dziri zvimba mutsipa.
• Kana vangakosora anosunungurwa vaaleanpunainen achipupuma furo sputum. Zvino Kuipa uye anogona kubudiswa mhino. The murwere akatya, pfungwa dzake kungava vavhiringidzika. Chokwadi, uye ipapo muri muviri wose nyoro nechando ndakatota ziya.
• Pulse zvazvingava kusvikira anorova 200 paminiti.

Zvikurukuru chepfu bapu edema

A mufananidzo siyanei chepfu pulmonary edema. Zvinonzi anokonzerwa muchetura pamwe barbiturates, doro, uyewo kupinda mumuviri muchetura, inorema simbi kana oxides kuti senitrogen. Pisai zvemapapu rinenge Arsenic chepfu, uremia, chirwere cheshuga, hepatic pakoma , zvakare, kungamutsawo urwere kurondedzerwa. Saka, chero kwakakomba asima kurwisa, yakabuda ezvinhu izvi zvinofanira kukonzera kufungidzira pulmonary edema. Chirwere Muzviitiko izvi zvinofanira kuva kwazvo uye nomazvo.

Hunokachidza kuzvimba rinowanzoberekera pasina noruzhinji zviratidzo. Somuenzaniso, muna uremia zvishoma zvimwewo zviratidzo sezvo muchipfuva marwadzo, yakaoma chikosoro uye tachycardia hakurevi dzinoenderana mufananidzo kuti kunoonekwa pasi X-ray kuzviongorora. Chete mamiriro ezvinhu kuri chaiwo kana chepfu nemabayo, uye nyaya simbi pachepfu carbonite. A senitrogen oxides chepfu zvinogona pamwe chero zviratidzo edema inorondedzerwa kumusoro.

Yokutanga non-pharmacological rubatsiro kuti pulmonary edema

Kana murwere akawanikwa padivi zviratidzo pulmonary edema, rikwanise kutarisirwa anofanira kupiwa nzvimbo kuti yevanenge. Zvakafanira matanho anoitisa kwechimbichimbi chikwata munzira kuenda kuchipatara.

• Ipai murwere Semi-agere chinzvimbo.
• It rokumutsa constraining hembe kubva yokumusoro kufema turakiti rakabvisirwa furo. Uye kudzivirira inotungamirwa ayo rinoitwa kuburikidza yakachena inhalation 30% mhinduro panyaya iyi pamwe 15 ml intravenous shuga mhinduro. Kana pamwero mukuru paumbwe furo rinoitwa endotracheal kwokubatsira 2 ml ethyl doro (96%) kubudikidza ponji yacho trachea.
• Imwe uchitsanya nzira kudzibatsira iri pulmonary riparadzirwe iri kubuda ropa. Kazhinji, 300 ml ropa hwaputswa, ichi yekudyidzana achidzikisa kuzara mumapapu. Asi hypotension kana myocardial, pulmonary edema zvakakonzera, zvinokonzerwa nzira iyi zvingaoma.
• Nerumwe Kubudisa ropa Anoita nokuiswa mwero zvakasimba mwanda 4 maoko nemakumbo, izvo zvinoita kuti akwanise pulmonary riparadzirwe. Panguva iyoyowo, iva nechokwadi kuti kutarisa ripple pazasi harnesses uye varambe anopfuura hafu yeawa, pashure izvo tambo sunungura uye kushanda zvakare. Direct contraindication nokuti nzira iri thrombophlebitis.

Pharmaceutical hanya pulmonary edema

The kuratidzwa siyana muchiridzira kurwisa kwakaita kuti chokwadi kuti mushonga rinoshandisirwa munhu muzvizhinji kwezvinodhaka vanokwanisa kugara chakasimba pulmonary edema. The mhosva yerufu iyi vanogona nhema chete pathological mamiriro, asi kururama dzakasarudzwa kurapwa.

Mumwe mishonga inoshandiswa chokubvisa edema ndiyo morphine. Zviri abudirire kana kurwisa kwakakonzerwa neBP, mitral stenosis, kana uremia. Morphine kunoderedza breathlessness, zvichivhiringidza ari kufema centre, anobatsira kunetseka uye kufunganya pavarwere. Asi iye anogona kuwedzera intracranial kumanikidzwa, zvichiita kushanda kwayo varwere havachanyatsogoni chepfungwa kuparadzirwa anofanira kungwarira zvikuru.

Kuderedza intravascular hydrostatic kufurirwa zvinodhaka "Lasix" anoshandiswa nomutsinga mu pulmonary edema kana "Furosemide". Uye kuvandudza ropa riyerere pulmonary rikashandiswa heparin. Heparin bolus jekiseni (bolus) pane imwe dose ine 10,000 muzvikamu nomutsinga.

Cardiogenic edema, mukuwedzera, zvinoda kushandiswa cardiac glycosides ( "nitroglycerin") uye vasiri cardiogenic - glucocorticoids.

Kurwadziwa kubviswa kushandisa zvinodhaka "Fentanyl" uye "droperidol." Kana unogona kumisa kurwisa kunotanga pane kurapa chirwere.

Pulmonary edema: nechirevo

Kunyange kana zvakazorodza pulmonary edema ndiko kubudirira, mishonga hazvirevi kuguma ikoko. Mushure akadaro chokunyevera ezvinhu kuti muviri wose Varwere vanowanzopedzisira vava zvakakomba matambudziko, kazhinji muchimiro nemabayo, iyo iri nyaya Zvakaoma chaizvo kurapa.

Okisijeni nenzara inobata anenge zvose nhengo sei. The kupfuura mutsekwende iyi angava cerebrovascular tsaona, mwoyo kukundikana, cardio uye ischemic kukuvara nenyere. Izvi zvinhu haagoni kuita pasina rutsigiro kugara uye nyanyisa zvokurapa, ivo, pasinei yacho chakasimba pulmonary edema - mhaka vakawanda varwere rufu.