M huhu edema - dalilin mutuwar. Bayyanar cututtuka na huhu edema da far

M huhu edema - wani take hakkin da jini da kuma Lymph wurare dabam dabam, wanda ya haddasa cikin aiki ruwa kanti na capillaries a cikin nama na ce jiki, tare da sakamakon cewa gas musayar tsokani take hakkin da take kaiwa zuwa hypoxia. M kumburi ƙaruwa hanzari (tsawon lokaci na wani hari daga wani hour zuwa uku hours), saboda wanda ko a lokacin qaddamar CPR ba ko da yaushe zai yiwu a kauce wa mutuwa.

Ta yaya ci gaban m huhu edema

M huhu edema - a dalilin mutuwar a da yawa marasa lafiya - tasowa a sakamakon infiltration na jini magani a cikin huhu nama, inda shi ne aka tattara a cikin wani adadin irin wannan cewa iska nassi damar ana ƙwarai rage.

Da farko ya kira edema yana da guda harafin matsayin kumburi na sauran gabobin. Amma Tsarin cewa kewaye da capillaries ne bakin ciki sosai, wanda shi ne dalilin da ya sa ruwa nan da nan ya fara fada a cikin kogo na Alveoli. Af, ta bayyana a cikin pleural rami, ko da yake zuwa yawa karami mataki.

Cututtuka wanda zai iya zama wani dalili na m na huhu edema

M huhu edema - dalilin mutuwar a lokacin hanya na da yawa cututtuka, ko da yake a wasu lokuta kuma zai iya har yanzu docked da taimakon magani.

Sauran cututtuka da za su iya fararwa na huhu edema hada da cututtuka na zuciya da jijiyoyin jini tsarin, ciki har da halakar zuciya tsoka hauhawar jini, nakasar da kuma cunkoso a cikin tsari dabam dabam.

Ba kasa m Sanadin na huhu edema, kuma mai tsanani protrude kwanyar rauni, cerebral hemorrhage na daban-daban etiology, kazalika da meningitis, encephalitis kuma da dama kwakwalwa siffofin maruran.

Yana da na halitta to zaton cikin hanyar huhu edema da cututtuka ko raunuka na miciwa, kamar ciwon huhu, inhalation na mai guba abubuwa, kirji rauni, rashin lafiyan halayen.

M Pathology, guba, insulin buga da konewa iya kai ga bayyana edema.

Iri na huhu edema

Marasa lafiya sau da yawa akwai biyu manyan, matuƙa, daban-daban irin na huhu edema:

• cardiogenic (cardiac na huhu edema) sa ta hagu na ramin zuciya gazawar da na huhu cunkoso.
• noncardiogenic sa ta ƙãra permeability na ce jiki m rauni ko m na numfashi wuya ciwo.
• dabam dauke related to da irin guba noncardiogenic edema.

Duk da haka, duk da cewa haddasawa sun bambanta, da kumburi iya zama da wuya sosai rarrabe saboda irin na asibiti manifestations na kai hari.

Na huhu edema: cututtuka

Gaggawa taimako bayar a huhu edema a lokacin, har yanzu yana da mãsu haƙuri a samu damar tsira. Don yin wannan, yana da muhimmanci a san da bayyanar cututtuka da wannan cuta. Sun bayyana quite mai haske da kuma sauƙi kamu.

• A farkon harin marasa lafiya sau da yawa coughs, hoarseness ya tsiro, kuma fuskarsa, ƙusa gadaje da kuma mucous membranes zama bluish.
• Hushi da aka inganta, tare da ji na tightness a kirji da kuma azzaluman zafi. Don sauƙaƙe haƙuri aka tilasta zauna wani lokacin kuma jingina gaba.
• Very da sauri bayyana da babban ãyõyin huhu edema: m numfashi, wanda ya zama wanda muryarsa ta duƙushe da hašari mai cutarwa, bayyana rauni, kuma m. Jijiyoyinmu a kumbura wuyansa.
• Lokacin da tari da aka saki ruwan hoda Fitar kumfar sputum. Kuma a lokacin da tabarbarewar shi da kuma za a iya sake daga cikin hanci. A haƙuri ne firgita, tunaninsa iya zama rude. Hakika, sa'an nan dukan jiki ne rigar daga sanyi clammy gumi.
• Pulse kudi har zuwa 200 lashe minti daya.

Musamman mai guba huhu edema

A ɗan daban-daban hoto ne mai guba na huhu edema. Yana yana lalacewa ta hanyar guba da barbiturates, barasa, kazalika da shigar azzakari cikin farji cikin jiki gubobi, nauyi karafa ko oxides na nitrogen. Ku ƙõne huhu nama, arsenic guba, uremia, m, hanta coma , ma, zai iya fararwa da ciwo da aka bayyana. Saboda haka, duk wani mai tsanani fuka hari, abin da ya bayyana a cikin wadannan yanayi kamata sa shakkun na huhu edema. Ganewar asali a cikin wadannan lokuta ya zama sosai, kuma m.

Mai guba kumburi sau da yawa yakan faru ba tare da halayyar bayyanar cututtuka. Alal misali, a uremia hanzari waje ãyõyi kamar ciwon kirji, bushe tari da kuma tachycardia ba ya dace da hoto cewa yake a bayyane a karkashin X-ray jarrabawa. A wannan halin da ake ciki shi ne ma hankula a lokacin da mai guba ciwon huhu, da kuma a cikin akwati daga karfe poisonings carbonite. A nitrogen oxides guba za a iya tare da wani alamun edema aka bayyana a sama.

A farko ba pharmacological taimakon ga na huhu edema

Idan haƙuri aka samu rakiyar bayyanar cututtuka na huhu edema, m kula ya kamata a ba more dakin da m kula naúrar. Matakan gudanar da birged motar asibiti a kan hanyar zuwa asibiti.

• Ba da haƙuri Semi-zaune matsayi.
• Yana gyara lahanin constraining tufafi daga cikin manya na numfashi fili An cire kumfa. Kuma su hana ta samuwar ne da za'ayi ta hanyar da oxygen inhalation 30% bayani na ethanol tare da 15 ml na igiyar jini glucose bayani. A cikin hali na manyan-sikelin samuwar kumfa aka kwashe endotracheal gwamnati na 2 ml na ethyl barasa (96%) ta huda na trachea.
• Daya daga cikin gaggawa hanyoyin da za a rage matsa lamba a cikin huhu wurare dabam dabam da aka zub da jini. Yawanci, 300 ml na jini an cire, wannan muhimmanci rage cunkoso a cikin huhu. Amma hypotension ko tsokar, na huhu edema sa, sakamakon wannan hanya yana iya zama da wuya.
• A madadin bloodletting aikin danniyan moderately m daure 4 gabar jiki, wanda kuma taimaka wa sallamar na huhu wurare dabam dabam. A daidai wannan lokaci, tabbata a duba ripple kasa harnesses da kuma kiyaye su ba fiye da rabin sa'a, bayan da strands sassauta sa'an nan tambaya sake. Direct contraindication ga wannan hanya ne thrombophlebitis.

Pharmaceutical kula a huhu edema

A da yawa bayyananen rakiyar hari ya kai ga gaskiya cewa magani ne amfani da wani jam'i na kwayoyi m zaman m huhu edema. A dalilin mutuwar a cikin wannan harka iya karya ba kawai a cikin pathological jihar, amma a da ba daidai zaba magani.

Daya daga cikin magunguna amfani a ya ɗauke edema ne morphine. Shi ne musamman tasiri a yanayin da harin da aka sa ta hauhawar jini, mitral stenosis, ko uremia. Morphine rage breathlessness, inhibiting numfashi cibiyar, sauqaqa danniya da kuma tashin hankali a marasa lafiya. Amma yana da ikon kara intracranial matsa lamba, yin ta aikace-aikace a cikin marasa lafiya da illa cerebral wurare dabam dabam dole ne ya mai da hankali.

Don rage intravascular hydrostatic matsa lamba kwayoyi "Lasix" amfani intravenously a huhu edema ko "Furosemide". Kuma don inganta huhu jini ya kwarara ne amfani heparin. Heparin bolus allura (bolus) a kashi na 10,000 raka'a intravenously.

Cardiogenic edema, a Bugu da kari, na bukatar yin amfani da cardiac glycosides ( "Nitroglycerin") da kuma wadanda ba cardiogenic - glucocorticoids.

Ciwo mai tsanani cire ta amfani da kwayoyi "Fentanyl" da "droperidol." Idan ba za ka iya dakatar da wani hari fara tamkar cuta far.

Na huhu edema: abubuwan

Ko da taimako na huhu edema ne nasara, magani ba ya kawo karshen akwai. Bayan da irin wannan dire jihar domin dukan jiki a marasa lafiya sau da yawa ci gaba da tsanani da rikitarwa, mafi sau da yawa a cikin nau'i na ciwon huhu, wanda a cikin wannan yanayin ne sosai da wuya mu bi.

Oxygen yunwa rinjayar kusan dukan gabobin shafa. A mafi tsanani sakamakon wannan na iya zama cerebrovascular hatsari, zuciya rashin cin nasara, cardio da ischemic Gabar lalacewa. Wadannan yanayi ba zai iya yi ba tare da akai da kuma m likita goyon baya, da suka, duk da docked m huhu edema - cikin hanyar babban yawan marasa lafiya da mutuwa.