Ua lohe anei ʻoe i kahi māmā i hiolo? (Pneumothorax/Collapsed Lung) E kamaʻilio kākou e pili ana i kēia!

Ua lohe paha ʻoe i ka hiolo koke ʻana o ka māmā? I kekahi manawa hiki ke paʻakikī ke hanu a hōʻeha i ka umauma. ʻO kēia ka mea a mākou e kapa nei he "pneumothorax" a i ʻole "collapsed lung " ma nā huaʻōlelo lapaʻau. ʻAʻole ia he mea kakaikahi e like me kou manaʻo. No laila, he mea nui e makaʻala i kēia. E kamaʻilio kākou e pili ana i nā kikoʻī a me ka maʻalahi i kēia lā, ʻeā?

He aha ka pneumothorax? I ka ʻōlelo maʻalahi…

I ka ʻōlelo maʻalahi, ʻo ka pneumothorax ka hōʻiliʻili ʻana o ka ea i loko o ka hakahaka ma waena o kou māmā a me kou paia umauma (i kapa ʻia ʻo "pleural space") . E noʻonoʻo i kou māmā e like me ka pōpō. ʻO ka hakahaka pleural ka hakahaka liʻiliʻi ma waena o ka pōpō a me ka pahu e paʻa ai ka pōpō. ʻO ka maʻamau, ʻaʻole nui ka ea ma kēia hakahaka. Eia naʻe, inā piha kēia hakahaka pleural i ka ea, e hoʻokuke ka ea i ka māmā. Ua like ia me ka hoʻopiha ʻana i kahi pōpō a hoʻoheheʻe iā ia. Hiki i kēia ke kumu o ka hiolo ʻana o ka māmā a hapa paha. Kapa pū kekahi poʻe i kēia he "pūpū i punctured."

ʻO ka mea nui, hiki i ka pneumothorax ke lilo i pilikia olakino i kekahi manawa. Inā manaʻo ʻoe e hiolo ana kou māmā, pono ʻoe e hele i ka ʻoihana pilikia o ka haukapila kokoke loa iā ʻoe i ka hikiwawe loa.

Aia kekahi mau ʻano o ka pneumothorax?

ʻAe, aia ʻelua ʻano nui o ka pneumothorax: Spontaneous a me Traumatic . E nānā kākou i kēia mau mea.

1. Pneumothorax kūlohelohe

Hana ʻia kēia i ka wā e hiolo koke ai nā māmā me ka ʻole o ka ʻeha a i ʻole ka pōʻino. Aia kekahi mau ʻano like ʻole o kēia:

• ʻO ka pneumothorax spontaneous mua: Ma kēia, ʻaʻohe maʻi a kūlana paha e hoʻoulu ai i ka hiolo ʻana o ka māmā. I kekahi manawa hiki i nā ʻeke ea liʻiliʻi a ʻano ʻē (blebs ) i loko o ka māmā ke pohā a hiki i ka ea ke komo i ka hakahaka pleural. ʻOi aku ka maʻalahi o kēia i nā kāne kiʻekiʻe, wiwi, a ʻōpio.
• ʻO ka pneumothorax spontaneous lua: Hana ʻia kēia ma muli o ka maʻi māmā . No ka laʻana, hiki i kekahi mau maʻi māmā ke hoʻopilikia i nā ʻāpana o ka māmā, e hana ana i nā ʻeke like me ka balloon (bullae) hiki ke pahū.

2. Pneumothorax Traumatic

E like me ka inoa e hōʻike nei, hana ʻia kēia ma muli o kahi hōʻeha a i ʻole ka lāʻau lapaʻau.

• Nā ʻehaPneumothorax pili i ka ʻeha: Hiki ke hana ʻia kēia ʻano ma muli o kahi ʻeha i ka umauma, e like me ka iwi ʻaoʻao haʻihaʻi i loko o kahi ulia kaʻa, kahi māmā i hou ʻia, a i ʻole kahi ʻeha hou.
• ʻO ka pneumothorax iatrogenic: I kekahi manawa, i ka wā o ke kaʻina hana lapaʻau, e like me ka lawe ʻana i kahi hāpana liʻiliʻi o ka māmā no ka hoʻāʻo ʻana ( kahi biopsy māmā ) a i ʻole ke hoʻokomo ʻana i kahi ʻōmole i loko o kahi aʻa nui ma ka ʻāʻī (kahi laina venous waena), hiki ke hōʻeha ʻia ka māmā me ka manaʻo ʻole.

Aia kekahi mau ʻano pneumothorax kūikawā ʻē aʻe:

• ʻO ka pneumothorax tension: He kūlana weliweli loa kēia e pono ai ke kōkua koke ʻia e ke kauka . ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ke komo ʻana o ka ea i loko o ka pleural space, akā ʻaʻohe ala e puka ai i waho. Ua like ia me kahi valve hoʻokahi ala. A laila piʻi nui ke kaomi i loko o ka umauma, ʻaʻole wale e hoʻoulu hou i ka hiolo ʻana o nā māmā, akā e kau pū ana hoʻi i ke kaomi ma ka puʻuwai a me nā kīʻaha koko nui. Hiki i kēia ke hoʻoweliweli i ke ola.
• ʻO ka pneumothorax catamenial: He ʻano laha ʻole kēia. Hiki ke loaʻa i nā wahine me kahi ʻano i kapa ʻia ʻo endometriosis (ka ulu ʻana o ka ʻiʻo endometrial ma waho o ka uterus). Hiki i kēia ʻiʻo ke ulu i loko o ka pleural space, kahe ke koko i ka wā o ka menstrual cycle, a hoʻopaʻa i ka māmā.

Pehea ke koʻikoʻi o ka hiolo ʻana o ka māmā?

ʻO ke koʻikoʻi o kēia ma muli o ke kumu a me ka nui o ka hiolo ʻana o ka māmā. ʻAʻole koʻikoʻi kekahi mau hihia liʻiliʻi a hiki ke hoʻopau iā lākou iho. Akā ʻo kekahi, ʻoiai ka tension pneumothorax , he mau kūlana koʻikoʻi e pono ai ka mālama olakino ulia pōpilikia. Hiki i ke kauka ke haʻi pololei iā ʻoe i ka nui o ka hiolo ʻana o kou māmā a me ke ʻano o ka lāʻau e pono ai.

He aha nā hōʻailona o ka pneumothorax?

Ke hiolo ka māmā, nā hōʻailona e like me:

• ʻEha ma kekahi ʻaoʻao o ka umauma , ʻoiai i ka wā e hanu ana.
• Kuke.
• Ka hanu wikiwiki ʻana .
• Piʻi ka helu o ka puʻuwai.
• Luhi, luhi.
• Ka paʻakikī o ka hanu ʻana ("dyspnea").
• ʻO ke kala polū o ka ʻili, nā lehelehe, a i ʻole nā ​​​​kui lima ( "cyanosis" ) - ʻO ke ʻano kēia ʻaʻole i loaʻa i ke kino ka oxygen lawa.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e hele koke i ka haukapila kokoke loa.Pono paha ka lāʻau lapaʻau wikiwiki .

He aha nā kumu o ka pneumothorax?

ʻEkolu mau kumu nui: kekahi mau kūlana olakino, nā ʻeha, a me kekahi mau kumu nohona.

Nā kūlana olakino:

• Asthma
• Pneumonia
• COPD (maʻi pulmonary obstructive mau loa)
• ʻO ka maʻi vascular collagen
• ʻO ka fibrosis cystic
• ʻEmphysema
• ʻO ka fibrosis pulmonary idiopathic
• Ka maʻi ʻaʻai māmā
• ʻO ka Lymphangioleiomyomatosis
• ʻO ka maʻi puʻupuʻu
• ʻO ka maʻi pilikia hanu koʻikoʻi (ARDS )

Nā ʻeha:

• ʻEha ikaika loa i ka umauma.
• He pū pana.
• Nā ʻeha i hana ʻia e kahi mea ʻoi, e like me kahi ʻeha hou.
• ʻO ka lāʻau lapaʻau, no ka laʻana, kahi poloka aʻalolo , biopsy māmā , ke kau ʻana o ka laina venous waena , a i ʻole ka mechanical ventilation .

Nā kumu o ke ola:

• Ka hoʻohana ʻana i nā lāʻau lapaʻau, ʻoiai nā lāʻau lapaʻau inhalant.
• Puhi paka.
• Nā loli nui o ke kaomi ea e kū mai ana i ka wā e holo ai i ka mokulele.
• Luʻu scuba a i ʻole ka luʻu ʻana i ke kai hohonu.

ʻO wai ka mea i pilikia nui no kēia maʻi?

Hiki paha iā ʻoe ke loaʻa i kahi pneumothorax inā ʻoe:

• Inā ua loaʻa i kekahi o kou ʻohana ka pneumothorax ma mua (mōʻaukala ʻohana).
• I ka wā hāpai.
• Inā he kino lōʻihi a wiwi kou, ʻoiai inā he kāne ʻoe.
• Inā loaʻa iā ʻoe nā maʻi pili pili e like me Marfan syndrome .
• Inā loaʻa iā ʻoe ka endometriosis .

He aha nā pilikia e hiki mai ana o ka hiolo ʻana o ka māmā?

ʻOiai ʻo ka hapa nui o nā hihia o ka hiolo ʻana o ka māmā e hoʻopau me ka ʻole o nā pilikia, hiki i kekahi poʻe ke loaʻa nā pilikia koʻikoʻi. ʻO kēia mau mea:

• Ka hoʻonui hou ʻana o ka edema pulmonary .
• Ka hōʻino ʻana o ka māmā a i ʻole ka maʻi i ka wā o ka mālama ʻana.
• Ka hāʻule ʻana o ka hanu .
• Ka hāʻule ʻana o ka puʻuwai (Ka hāʻule ʻana o ka puʻuwai).

Pehea e ʻike ʻia ai ka pneumothorax?

ʻO ka maʻamau, ʻike nā kauka i kēia ma ka hoʻolohe ʻana i kou mau māmā a me ka hoʻohana ʻana i nā hoʻokolohua kiʻi e like me nā X-ray umauma , nā scan CT ( computed tomography scans ), a i ʻole ka ultrasound māmā. I kekahi manawa e hana paha lākou i kahi hoʻokolohua "arterial blood gas" e nānā i nā pae o ka oxygen a me ke kalapona ʻokikene i loko o kou koko.

E nīnau kāu kauka e pili ana i kou mau maʻi māmā a hana i kahi hoʻokolokolo kino. Hiki ke ʻike ʻia kekahi mau ʻano, e like me ka tension pneumothorax, ma muli o nā hōʻailona wale nō.

Pehea e mālama ʻia ai ka pneumothorax?

ʻO ka lāʻau lapaʻau āu e loaʻa ai e hilinaʻi ia i ke kumu, ka nui, a me ke koʻikoʻi o ka pneumothorax. Hiki i kēia mau lāʻau lapaʻau ke komo pū me:

• Nānā: Inā liʻiliʻi kou pneumothorax, e nānā kāu kauka iā ʻoe, e ʻimi ana i nā pilikia o ka puʻuwai a i ʻole ka hanu ʻana, a e noi aku iā ʻoe e hoʻi mai no kahi kipa hahai.
• Hoʻōla ʻokikene.
• Thoracentesis: Pili kēia i ke kau ʻana i kahi nila kuikawa ma waena o nā iwi ʻaoʻao ma ka ʻaoʻao o ka pneumothorax e wehe i ka ea i hōʻiliʻili ʻia i loko o ka umauma.
• Hoʻokahe wai ʻana o ka ʻōmole umauma: Inā loaʻa iā ʻoe kahi pneumothorax nui, e kau kāu kauka i kahi ʻōmole ( ʻōmole umauma ) i loko o kou umauma e hōʻemi i ka nui o ka ea i loko o ka hakahaka pleural. Ke emi nei ke kaomi ea, hiki i ka māmā ke hoʻopiha hou a ho'ōla. Hiki ke waiho ʻia kēia ʻōmole ma kahi no kekahi mau lā a ʻoi aku paha.
• ʻO ka pleurodesis kemika: I mea e pale ai i ka hiolo hou ʻana o ka māmā, hiki i ke kauka ke hana i kahi kaʻina hana i kapa ʻia ʻo pleurodesis . Ma kēia kaʻina hana, hana ke kauka i kahi ʻoki liʻiliʻi ma ka umauma a hoʻokomo i kahi ʻōmole. A laila, me ka hoʻohana ʻana i kahi kemika (e like me ka doxycycline a i ʻole ka pauka talcum) , hoʻopili ʻia ka māmā i ka lua o ka umauma. Hoʻopau kēia i kahi ākea keu.

Pono paha kekahi poʻe i ke ʻoki kino e hoʻoponopono i ka pōʻino i ko lākou mau māmā a ho'ōla. Pono paha ke ʻoki kino i nā hihia aʻe:

• Inā hoʻomau ka ea e kahe mai ka ʻōmole umauma.
• Inā ʻaʻole e pehu nā māmā ma hope o ke hoʻokomo ʻia ʻana o ka ʻōmole umauma.
• Inā ʻūmiʻi pinepine nā māmā.
• Inā he pneumothorax ma nā māmā ʻelua.
• Inā ua ʻeha nui nā māmā.

Hiki ke pale ʻia ka pneumothorax?

Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i ka pilikia o ka hiolo ʻana o ka māmā:

• Mai puhi paka. ʻO kēia ka mea nui loa.
• E hōʻalo a kaupalena paha i nā hana e pili ana i nā loli nui i ke kaomi ea (e like me ka luʻu ʻana i ke kai hohonu, ka holo ʻana i ka lewa). Inā ʻoe e hana i kēia mau mea, e hahai i ka ʻōlelo aʻo a kāu kauka.
• Inā loaʻa iā ʻoe nā maʻi māmā, e ʻike pinepine i kāu kauka no ka nānā ʻana.

Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau kūlana olakino a i ʻole kahi mōʻaukala ʻohana o ka pneumothorax, ʻaʻole hiki ke pale aku i kēia.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka pneumothorax?

Inā ua hiolo kou māmā, pono paha ʻoe e noho i ka haukapila no kekahi mau lā a ʻoi aku paha no ka mālama ʻana a me ka nānā ʻana. A laila hiki i kāu kauka ke nānā i kou kūlana a hāʻawi iā ʻoe i ka oxygen inā pono.

ʻEhia ka lōʻihi o ka ho'ōla ʻana o ka māmā?

I ka hapanui o nā hihia, hiki i nā māmā ke ho'ōla i loko o kekahi mau lā a ʻelua pule. E hoʻopili hou kou kino i ka ea keu i hōʻiliʻili ʻia a puni nā māmā, e ʻae ana iā lākou e pehu hou.

Hiki i ka māmā ke ho'ōla loa?

Hoʻōla ka hapa nui o ka poʻe mai kēia maʻi me ka ʻole o ka lāʻau nui. Eia nō naʻe, aia kahi manawa e hoʻi hou ai. No laila, e kamaʻilio me kāu kauka e pili ana i nā manawa kūpono o ka hoʻi hou ʻana a me ka mea e hana ai inā hoʻi mai nā hōʻailona.

He mea hoʻoweliweli anei ke ola o ka pneumothorax?

Hiki i kekahi mau hihia o ka pneumothorax ke hoʻoweliweli i ke ola. No laila, mai hoʻowahāwahā i ka māmā i hiolo. E ʻimi mau i ke kōkua lapaʻau.

Pehea wau e mālama ai iaʻu iho?

Ma hope o kou hoʻi ʻana mai ka haukapila mai, he mea nui loa ia e mālama iā ʻoe iho e like me ka ʻōlelo a kāu kauka. Hiki iā lākou ke ʻōlelo iā ʻoe e hoʻomaha, e kaupalena a hoʻōki paha i kekahi mau hana. Eia kekahi laʻana:

• Puhi paka.
• Nā mokulele.
• Luʻu hohonu ʻana i ke kai hohonu.

Ma hope o kou hoʻi ʻana i ka home, e hele pono i ke kauka i kēlā me kēia lā i hoʻonohonoho ʻia.

Āhea wau e ʻike ai i kaʻu kauka?

E ʻike i kāu kauka inā hoʻi hou kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino. Inā ua loaʻa iā ʻoe kahi pneumothorax ma mua, aia ʻoe i ka pilikia no kekahi.

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU)?

Inā loaʻa iā ʻoe nā hōʻailona o ka hiolo ʻana o ka māmā (e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana), e hele koke i ka lumi pilikia. Pono paha ʻoe i ka mālama wikiwiki.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea kōkua paha ka nīnau ʻana i kāu kauka i nā nīnau e like me kēia:

• He aha ke kumu e emi ai koʻu mau māmā?
• Aia kekahi mea e hiki iaʻu ke hana e pale aku ai i ka emi hou ʻana o ka māmā?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• Inā pono iaʻu e hoʻokomo i kahi ʻōmole umauma, pehea ka lōʻihi e noho ai i loko?
• E pono anei iaʻu ka oxygen hoʻohui?
• Pono anei au e noho i loko o ka haukapila?
• He aha ke ʻano o ka mālama e pono ai iaʻu ma hope o ka lāʻau lapaʻau?
• He aha ke ʻano o ka mālama e pono ai iaʻu ma hope o ka haʻalele ʻana i ka haukapila a i ʻole ke keʻena lapaʻau?
• He aha kaʻu mea e hana ʻole ai ma hope o ka mālama ʻana?

ʻO ka mea hope loa, e hoʻomanaʻo (Leka Lawe-Home)

I ka hapanui o nā hihia, hiki ke ho'ōla ʻia kahi pneumothorax me ka liʻiliʻi o ka mālama ʻana. Eia nō naʻe,Pono e mālama ʻia kekahi hiolo ʻana o ka māmā ma ke ʻano he pilikia olakino a hiki i kou ʻike hou ʻana e pili ana i ia mea. Inā loaʻa iā ʻoe nā hōʻailona o ka hiolo ʻana o ka māmā, e like me ka ʻeha o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau. Hiki i kāu kauka ke hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. Mai hopohopo, akā, mai hoʻokaʻulua. ʻO ka mea nui loa, ʻo ia ka hana wikiwiki.