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Atelectasis vs. pneumothorax: Unorapa sei mapapu akadonha?

Dzidzo yehutano

Zvakafanana padanho repamusoro, ese atelectasis uye pneumothorax anobata nawomapapu kudonhauye kuvhara. Kunyangwe aya mamiriro maviri angave aine zviratidzo zvakafanana, izvo zvikonzero zvakasiyana zvakanyanya.

Nehurombo, kudonha zvishoma kana kuvhara kunogona kuve kwakaomarara kuongorora sezvo kungave kusine zviratidzo zvinoenderana nazvo. X-ray chete yechipfuva ndiyo inogona kunyatso kuratidza kana mumwe munhu achitambura nechero mamiriro, uye kurapwa kunoenderana nechikonzero chiri kukonzera.

Zvinokonzera

Atelectasis

Atelectasis inoitika nekuda kwemamiriro ezvinhu anoita kuti zvive zvakaoma kufema uye / kana kukosora, zvichikonzera masaga emweya-anozivikanwa sealveoli-mumapapu kuti abvise. Izvo zvinogona zvakare kuitika kana paine kumanikidza kune kunze kwemapapu, senge kungaitika kubva pamamota.

Kuvhiya ndicho chinonyanya kukonzera atelectasis . Anesthesia inogona kukanganisa kugona kwemurwere kufema uye kupora kunorwadza kunogona kukonzera varwere kutora mweya usina kudzika. Mamwe mapapu mamiriro anogona kukonzera atelectasis futi, kusanganisira kenza yemapapu, mvura yakatenderedza mapapu (pleural effusions), uye kufema kunetseka syndrome (RDS).

Pneumothorax

Pneumothorax inokonzerwa kana mweya watiza mapapu, uchizadza nzvimbo iri pakati pepapu nembabvu kana madziro echipfuva. Izvi zvinoita kuti zviome kuti mapapu awedzere, uye kufema kunova kwakaoma.

Inogona kukonzerwa nemabhuru emhepo, anonzi maiblebs, anobuda uye kutumira mweya kunze muchipfuva mhango. Izvi zvinogona kuitika nekuda kwekuchinja kwemhepo kana kuve nechirwere chemapapu, senge asthma, chirwere chisingaperi chisingabvumirwe chemapapu, TB, chikosoro, kana cystic fibrosis (CF).

Atelectasis vs. pneumothorax zvinokonzera
Atelectasis	Pneumothorax
Kuvhiya Nzira dzakadzivirirwa dzemhepo mumapapu Kuvaka-kukwira kwekumanikidza kunze kwepapu Mamiriro ezvinhu emapapu (kenza yemapapu, pneumonia, pleural effusions, RDS)	Kuvuza mumapapu pachawo Kumanikidza kwemhepo kunochinja Mamiriro ezvinhu emapapu (asthma, COPD, TB, kukosora, CF)

Kuwanda

Atelectasis

Hazvigone kuitika zvega, asi kusvika 90% yevarwere vakavhiyiwa neinowanzoheshesia vane huwandu hweatelectasis. Imwe fundo vakawana kuti kuwanda kweatelectasis mukuvhiya kweBariatric kwaive kuda kusvika makumi matatu neshanu muzana - mazhinji acho aive echikadzi akura kudarika makumi matatu nematanhatu.

Pneumothorax

Zvichida 18 kusvika 28 varume kubva pa100,000 vanozoona izvo zvinonzi zvinongoitika zvega pneumothorax, nepo chete 1,2 kusvika kuvatanhatu vakadzi kubva pa100,000 vanozoona mamiriro acho. Uyezve, makumi mashanu muzana evarwere vane pneumothorax vanozoona mapapu kudonha zvakare.

Atelectasis vs. pneumothorax kuwanda
Atelectasis	Pneumothorax
Kusvika 90% yevarwere vanopihwa anesthesia yakawandisa panguva yekuvhiyiwa 38% yevarari kuvhiyiwa varwere Vatyairi vezvikepe, vanoshanda nendege, uye vamwe vanoona shanduko yemhepo kazhinji	18-28 kubva pa100 000 varume vanoona pneumothorax 1-6 kubva kuvakadzi zviuru zana vanoona pneumothorax 50% yevanhu vane pneumothorax vanozoona mapapu kudonha zvakare

Zviratidzo

Atelectasis

Zviratidzo zveatelectasis zvinogona kunge zvisipo. Zvikasadaro, murwere anogona kuona chikosoro, kurwadziwa pachipfuva, kana kunetseka kufema.

Pneumothorax

Zviratidzo zvinowanzoitika kupfupika kwekufema uye kurwadziwa kwakapinza mubhokisi kana pabendekete. Nekudaro, chikonzero chakakomba che pneumothorax chinogona kusanganisira kuomarara kwechifuva, bhuruu tinting yeganda, hura husina musoro, kuneta, kukurumidza kurova kwemoyo, kuvhunduka, uye kupera simba.

Atelectasis vs. pneumothorax zviratidzo
Atelectasis	Pneumothorax
Kurwadziwa pachifuva Kunetseka kufema Kukosora	Kurwadziwa kwakapinza muchipfuva kana pabendekete Kufema kwekufema Bluish ganda Musoro wakareruka Kuneta kusingaperi Kukurumidza kurova kwemoyo Shock Kufenda

Kuongorora

Atelectasis

Kunyanya kuongororwa ndiko kuburikidza nechipfuva X-ray uye kuongororwa kwechiremba, asi varwere vangangobvunzwa kuti vave nechipfuva CT scan, ultrasound, bronchoscopy, kana muyero weropa oxygen level unonzi oximetry .

Pneumothorax

Saizvozvo, pneumothorax inowanzoonekwa iine X-ray kunyangwe dzimwe nguva CT scan kana ultrasound inogona zvakare kushandiswa.

Atelectasis vs. pneumothorax kuongororwa
Atelectasis	Pneumothorax
X-ray yechifuva CT scan Ultrasound Bronchoscopy Oximetry	X-ray yechifuva CT scan Ultrasound

Kurapa

Atelectasis

Atelectasis inogona kukonzeresa kuti muviri usatore oxygen yakakwana, izvo zvinogona kukonzera matambudziko ehutano. Atelectasis kazhinji haisi kutyisidzira hupenyu asi kurapwa nekukurumidza kwakakosha. Kurapa kunoenderana nechikonzero chemamiriro acho. Zvinogona kuve zvakapusa, senge kudzika kufema kurovedza muviri, kusimudzira musoro kuburitsa mamasi, kana kusunungura mamasi plugs kuburikidza nekutenderera pachipfuva. Vamwe varwere vangangoda dzimwe nzira dzinokanganisa, senge bronchoscopy, inhaled mishonga (senge inhaler kana nebulizer ), kana mamwe marapirwo anotungamirwa mumamiriro ezvinhu ekudzivirira nebundu.

Pneumothorax

Vamwe varwere vanongoda kuongororwa ne oxygen kurapwa sezvavanorapa. Nekudaro, vamwe vangangoda kuti tsono iteme chipfuva chavo kuti isunungure mweya kana kuti chubhu yechipfuva iiswe pakati pembabvu uye chipfuva kutsemura mweya. Kana mweya ukawanda mukati mechipfuva mhango, inogona kugadzira kusagadzikana pneumothorax , iyo inogona kutyisidzira hupenyu. Kuvhiya kunogona kudikanwa kumatambudziko akakomba kudzivirira kudzokorora.

Atelectasis vs. pneumothorax kurapwa
Atelectasis	Pneumothorax
Kufema kurovedza muviri Mucus draining Bronchoscopy Inhaled mishonga Bundu kurapwa	Oxygen kurapwa Tsono kubaya Chest chubhu Kuvhiya

Njodzi Zviitiko

Atelectasis

Izvo zvine njodzi mitezo yeatelectasis ndiko kuzorora kwemubhedha pasina chinofamba chinzvimbo, kufema kwakadzika, chirwere chemapapu, anesthesia, uye mamasi kana zvinhu zvekunze zvinodzivirira nzira yemhepo.

Pneumothorax

Varume vanowanzo tenderwa nepneumothorax kupfuura vakadzi. Kuva wakareba, kurerutsa muviri, kusvuta, mhuri kana nhoroondo yako pneumothorax zvese zvine njodzi. Ivo vane chirwere chemapapu kana vanoda mechina yekufefetera vane mukana wakakura wekuvandudza mamiriro acho. Pamusoro pezvo, 1 mu100 muchipatara coronavirus varwere vanowana pneumothorax.

Atelectasis vs. pneumothorax njodzi zvinhu
Atelectasis	Pneumothorax
Kumira kwemubhedha zororo Kufema zvishoma Chirwere chemapapu Anesthesia Mucus kana zvinhu zvekunze zvinodzivirira nzira dzekufema	Kuva murefu Kuva wakaderera Kusvuta Mhuri kana nhoroondo yemunhu pneumothorax Kuva pane zvemagetsi kufefetedza Chirwere chemapapu COVID-19

Kudzivirira

Atelectasis

Nzira dzakanakisa dzekudzivirira atelectasis ndeyekurovedza muviri nguva dzose, kudzidzira kufema kwakadzika, uye kuenderera uchifema nguva dzose mushure meanesthesia.

Pneumothorax

Iko hakuna nzira yekudzivirira zvizere pneumothorax. Nekudaro, kurega kuputa kunobatsira uye kudzikisira mweya kumanikidza shanduko. Iyo Aerospace Chiremba Sangano inokurudzira kudzivirira kufamba kwemhepo kwevhiki mbiri kana nhatu mushure mekusangana ne pneumothorax, uye zviri nani kubvunza chiremba usati wabhururuka kana scuba diving uchitevera pneumothorax.

Atelectasis vs. pneumothorax kudzivirira
Atelectasis	Pneumothorax
Rovedza muviri Kufema kwakadzama	Deredza kusvuta Bvunza mupi wehutano usati wabhururuka kana scuba diving

Nguva yekuona chiremba kune atelectasis kana pneumothorax

Ose mamiriro ehutano anogona kuve akaomarara kana akasara asina kurapwa. Kana iwe ukaona chero zviratidzo, zvinosanganisira kupfupika kwemweya wekufema, kunetseka kufema, kana chipfuva uye kurwadziwa kwepafudzi, pakarepo danaidza wako mupi wezvehutano.

Inowanzo bvunzwa mibvunzo nezve atelectasis uye pneumothorax

Atelectasis inogona kukonzera pneumothorax?

Kazhinji, atelectasis haitungamire pneumothorax. Zvisinei, pneumothorax inogona kutungamira kuatelectasis kana mapapu emurwere achidzikira zvakakwana kukonzeresa kuvhara.

Pneumothorax inokonzera sei atelectasis?

Pneumothorax inogona kukonzeresa kuti mapapu adzike uye ashaike. Kana mapapu akadzikira zvakakwana, alveoli yemurwere inodererawo. Alveoli microscopic mweya masaga mukati memapapu edu, inotora okisijeni uye ichiita rakawanda rebasa remweya wekufema. Iyi shrinkage inogona kukonzera kuvhara, zvinova izvo zvinokonzeresa atelectasis.

Iwe unorapa sei pneumothorax uye atelectasis?

Kurapa kweaya mamiriro maviri kunogona kusiyana. Kana isina kunyanyisa, nyanzvi yezvokurapa ingangotarisa murwere paanenge achirapa okisijeni kurapwa.

Nekudaro, zvakakomba zviitiko zveatelectasis zvinogona kuda kufema kurovedza muviri, mucus kudhiraina, bronchoscopy, inhaled mishonga, kana kunyangwe tumarara kurapwa, zvinoenderana nechikonzero.

Saizvozvowo, chiitiko chakakomba chepneumothorax chingangoda kubaya kwetsono kusunungura mweya wakavakirwa, chipfuva chepfuva, kana kutovhiyiwa.