Edemoni edema - thandizo ladzidzidzi

Chithandizo choyamba cha pulmona edema ndiyeso yofunikira kuti mupitirize kugwira ntchito zofunika zaumunthu.

Thandizo loyambirira ndi ndondomeko yothetsera zizindikiro zovuta komanso kupereka chithandizo cha moyo.

Ngati pangakhale mpweya wamapuloni, ndiye chithandizo choyamba ndicho kuyitana ambulansi, monga momwe zilili kunja kwa chipatala, kawirikawiri mankhwala ndi zipangizo zonse zilipo. Pamene akudikirira madokotala oyenerera, anthu ozungulira wodwalayo ayenera kuchita zofunikira.

Edema yamaphunziro: chipatala ndi chisamaliro chapadera

Edemoni edema ndi mkhalidwe umene madzi ambiri amadziwira m'mapapo. Izi zimakhala chifukwa cha kusiyana kwakukulu mu zizindikiro za colloid-osmotic ndi hydrostatic pressure mu capillaries m'mapapu.

Pali mitundu iwiri ya edema yamapmoni:

Membranogenic - imachitika ngati kuperewera kwa capillaries kwakula modabwitsa. Edema wamapiritsiwa amawoneka ngati kupititsa kwa syndromes zina.

Mafinya - amayamba chifukwa cha matenda omwe hydrostatic capillary kukwera mowonjezereka, ndipo gawo lomwe madzi amagazi amapeza pamtundu wambiri moti sangathe kuchoka m'mayendedwe a zamaliseche.

Mawonetseredwe am'zipatala

Odwala ndi edema akudandaula chifukwa chosowa mpweya, amakhala ndi mpweya wochepa komanso nthawi zina zimayambitsa matenda a mphumu ya mtima pamene akugona.

Chikopa chophimba ndi chotupa, ndipo kuchokera kumbali ya dongosolo lamanjenje mmenemo kungakhale kusayenerera kosayenera mwa chisokonezo cha chidziwitso kapena kuponderezedwa kwake.

Ndi kutupa kwa mapapo, wodwala ali ndi thukuta lakuzizira, ndipo pakumvetsera mapapu, kumadziwa kumapapo kumapangidwe.

Choyamba Chothandizira

Panthawiyi ndikofunika kuchita mofulumira komanso molondola, chifukwa chifukwa chosowa thandizo lingathe kuwonjezeka kwambiri.

1. Asanafike ambulansi, anthu ozungulira wodwalayo ayenera kumuthandiza kuti avomereze kaye kawiri kawiri kuti athetse miyendo. Izi zimaonedwa kuti ndizofunikira kwambiri populumutsa mpweya wa mapapo: pa nthawi ino, kupsyinjika kwa iwo kuli kochepa. Mitsempha imayenera kuchepetsedwa kuti athetse mzunguri wa magazi.
2. Ngati n'kotheka, pezani phula kuchokera kumtunda wakupuma.
3. Ndikofunika kupereka mpata wokwanira wa oxygen mwa kutsegula zenera, popeza mpweya wa oxygen ukhoza kuchitika.

Pamene ambulansi ifika, zochita zonse za akatswiri zidzasinthidwa ku zolinga zitatu:

• kuchepetsa kusangalatsa kwa malo opuma;
• kuti athetse vuto la mzunguri wa magazi;
• chotsani thovu.

Pofuna kuchepetsa kupititsa patsogolo kwa malo opuma, wodwalayo amajambulidwa ndi morphine, yomwe imachotsedwa osati mpweya wokhala ndi mpweya wam'madzi, komanso umayambitsa matenda a mphumu. Ichi ndi chopanda chitetezo, koma apa ndizofunika - morphine imakhudza kwambiri malo a ubongo omwe amayenera kupuma. Komanso, mankhwalawa amachititsa kuti magazi aziyenda mozama mumtima mwathu ndipo chifukwa cha izi zimakhala zochepa. Wodwala amakhala wosangalala kwambiri.

Thupi limeneli limagwiritsidwa ntchito mwa intravenously kapena subcutaneously, ndipo patatha mphindi 10 zotsatira zimabwera. Ngati kuponderezedwa kutsika, mmalo mwa morphine, promedol imaperekedwa, yomwe ili ndi zotsatira zochepa koma zofanana.

Mankhwala opatsa mphamvu (mwachitsanzo, furosemide) amagwiritsidwanso ntchito kuthetsa mavuto.

Pofuna kuthandizira bwalo lamagazi aang'ono, pitani ku dropper ndi nitroglycerin.

Ngati pali zizindikiro za kukhumudwa, ndiye kuti wodwala amapatsidwa mphamvu yofooka.

Pamodzi ndi njira zimenezi, chithandizo cha oxygen chikuwonetsedwa.

Ngati wodwalayo ali ndi thovu lopitirira, ndiye kuti mankhwalawa sangawathandize, chifukwa akhoza kutsekereza. Pofuna kupewa izi, madokotala amapereka mpweya wa 70% wa ethyl mowa, womwe umadutsa mpweya. Akatswiri amatha kuyamwa madzi owonjezera kudzera mu catheter.

Zifukwa za pulmonary edema

Edema yamadzimadzi ikhoza kuchitika chifukwa cha:

1. Kulephera kwa mtima.
2. Kusakaniza kwa mitsempha ya magazi, mazira a magazi, mafuta.
3. Mphumpho ya bronchial.
4. Kutupa kwa mapapo.

Edema ya pulmonary pulema ikhoza kuchitika pazifukwa zotsatirazi:

1. Kulephera kwina.
2. Zovuta za pachifuwa.
3. Kuwonetsedwa ndi mpweya woopsa, mpweya, mpweya, mpweya wa mercury, ndi zina zotero.
4. Kutaya zakumwa za m'mimba mu kapu kapena m'madzi.