Ke piha nei kou umauma i ke koko a me ka ea a ke hoʻomake nei iā ʻoe? Hiki paha kēia i ka (Hemopneumothorax)!

Ua noʻonoʻo paha ʻoe i ke koʻikoʻi o ka ʻeha o ka umauma, inā paha mai kahi ulia pōpilikia, hāʻule ʻana, a i ʻole kekahi mea like? I kekahi manawa hiki ke paʻakikī loa ka hanu ʻana ma hope o kekahi mea like. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā, a he ʻano koʻikoʻi ia e pono ai ke kōkua koke ʻia e ke kauka. Kāhea mākou i kēia ʻo `(Hemopneumothorax)`. ʻOiai paha he lōʻihi iki ka inoa, e mālama kākou i ka maʻalahi.

He aha kēia (Hemopneumothorax)?

I ka ʻōlelo maʻalahi, ʻo `(Hemopneumothorax)` ʻo ia ka wā e piha ai ka hakahaka a puni kou mau māmā, a mākou e kapa nei ʻo `(pleural space)`, me ke koko (`(hemothorax)`) a me ka ea (`(pneumothorax)` a i ʻole ka hiolo ʻana o ka māmā) i ka manawa like. E noʻonoʻo iā ia me he mea lā ʻelua mau pōpō e like me kou mau māmā. Aia kēia mau pōpō i loko o kou umauma. Aia kahi hakahaka liʻiliʻi ma waena o nā māmā a me ka paia o ka umauma, i kapa ʻia ʻo `(pleural space)`. ʻO ka maʻamau, ʻaʻole kēia he mea nui, akā i ka wā e piha ai kēia hakahaka me ke koko a me ka ea, ʻaʻole hiki i nā māmā ke pehu pono, ʻo ia hoʻi, ʻaʻole hiki iā lākou ke hanu. Ua like ia me ka paʻa ʻana i kahi pōpō a ʻaʻole ia e pehu.

Hoʻomaka pinepine kēia ʻano ma hope o kahi ʻeha koke a koʻikoʻi i ka umauma, e like me kahi ulia kaʻa, ka hāʻule ʻana mai kahi kiʻekiʻe, kahi ʻoki ʻana, a i ʻole kahi ʻeha pū. Inā loaʻa iā ʻoe nā hōʻailona o ka hemopneumothorax, he mea nui e ʻimi koke i ke kōkua lapaʻau.

He maʻi koʻikoʻi anei ka "(Hemopneumothorax)"?

ʻAe, ʻoiaʻiʻo nō! He maʻi koʻikoʻi loa ka `(Hemopneumothorax)` a pono e mālama koke ʻia e ke kauka. No ka mea, inā ʻaʻole mālama ʻia, hiki i ke koko a me ka ea e hōʻiliʻili ana a puni nā māmā ke kau i ke kaomi nui ma luna o nā māmā, e hiki ʻole ai iā lākou ke pehu iki. ʻO nā mea ʻino loa e hiki ke hana ʻia penei:

• Ka hiki ʻole ke hanu.
• Ka hāʻule ʻana o ka puʻuwai.
• ʻO ka mea pōʻino, hiki nō ke make.

No laila, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hele koke i ka haukapila.

Aia kekahi mau ʻano o ka `(Hemopneumothorax)`?

ʻElua ʻano nui o ka `(Hemopneumothorax)`:

1. Hemopneumothorax traumatic: ʻO kēia ke ʻano maʻamau. Hoʻokumu ʻia ia e kahi ʻeha koʻikoʻi i ka umauma. Eia nō naʻe, he mea kākaʻikahi loa, hiki ke hana ʻia e nā kūlana ʻē aʻe e like me ke kanesa o ka māmā a i ʻole ka rheumatoid arthritis.

2. Hemopneumothorax kūlohelohe: Hana ʻia kēia me ke kumu ʻole. He mea kākaʻikahi loa kēia.

Pehea ka maʻamau o kēia ʻano?

He maʻi laha ʻole ka hemopneumothorax.He mau tausani o ka poʻe e loaʻa ana i ka `(Pneumothorax)` wale nō i kēlā me kēia makahiki. Wahi a nā loea, ulu ka `(hemothorax)` (ka hoʻopiha koko a puni nā māmā) i loko o kahi o ʻekolu haneli tausani mau kānaka i kēlā me kēia makahiki. Eia naʻe, ma kahi o 5% wale nō o ka poʻe i loaʻa i ka `(pneumothorax)` e ulu pū ana hoʻi i ka `(hemothorax)`, ʻo ia hoʻi, `(Hemopneumothorax).` No laila, ʻo ia hoʻi, he mea kakaikahi iki kēia.

He aha nā hōʻailona o ka `(Hemopneumothorax)`?

Inā loaʻa iā ʻoe ka `(Hemopneumothorax)`, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:

• ʻEha umauma: ʻO kēia ka hōʻailona nui. Hiki ke lilo i ʻeha koke a ʻoi.
• Paʻakikī ka hanu ʻana: He mea paʻakikī loa ia, ʻoiai ke hoʻāʻo nei e hanu hohonu.
• Ka hanu wikiwiki ʻana (hyperventilation): Manaʻo paha ʻoe e hanu wikiwiki ana ʻoe.
• Pōkole o ka hanu (dyspnea): He manaʻo o ka hiki ʻole ke hanu.
• Luhi, māluhiluhi: Manaʻo paha ʻoe ua luhi loa ʻoe a ʻaʻole hiki iā ʻoe ke hana i kekahi mea.
• Puʻuwai wikiwiki (tachycardia): Hiki ke piʻi aʻe ka helu o ka puʻuwai.
• Hopohopo a me ka hoʻomaha ʻole: He mea maʻamau no kēia mau ʻoluʻolu ʻole ke hele pū me ka makaʻu a me ka hoʻomaha ʻole.

E noʻonoʻo, inā hāʻule koke ʻoe a loaʻa paha i kahi ulia, a laila ʻeha kou umauma a paʻakikī iā ʻoe ke hanu, mai hoʻowahāwahā iā ia.

He aha nā kumu o ka `(Hemopneumothorax)`?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu maʻamau o kahi hemopneumothorax traumatic he hahau i ka umauma a i ʻole kekahi mea e paʻi ana i ka umauma. Eia kekahi laʻana:

• Nā ʻeha haʻuki: ʻOi loa aku i ka wā e pāʻani ana i nā haʻuki hopena kiʻekiʻe. E noʻonoʻo i ka pôpeku, hockey, lacrosse, hāpai kaumaha, mokomoko, hakakā, a me ke karate.
• Nā ulia kaʻa.
• Ka hāʻule ʻana (ʻoi aku hoʻi mai kahi kiʻekiʻe).
• Nā ʻeha puka: Hiki ke hana ʻia e ka pahi, kahi pū kī, a i ʻole i kekahi manawa i ka wā o ke kaʻina hana lapaʻau e like me ka biopsy (he mea kākaʻikahi loa kēia).

Aia paha kekahi mau kumu ʻē aʻe, akā ʻaʻole pinepine lākou:

• Ka maʻi ʻaʻai māmā (`(Ka maʻi ʻaʻai māmā)`).
• ʻO ka maʻi rumatika (`(ʻO ka maʻi rumatika)`).
• ʻO ke ʻoki ʻana o ka umauma, me ke ʻoki ʻana o ka puʻuwai.
• He maʻi ʻeha koko.
• ʻO ka mesothelioma pleural (He ʻano maʻi kanesa kēia e kū mai ana i loko o ka pleura).

ʻAʻole hiki ke loaʻa ka "hemopneumothorax kūlohelohe" me ke kumu ʻole.

He aha nā pilikia e hiki mai ana o ka `(Hemopneumothorax)`?

Inā ʻaʻole mālama koke ʻia kēia maʻi, hiki ke loaʻa nā pilikia ʻē aʻe. ʻO kēia mau mea:

• Paʻakikī ka hanu ʻana a i ʻole ka hiki ʻole ke hanu iā ʻoe iho (ka hemahema o ka hanu ʻana).
• Paʻa ka puʻuwai.
• Nā maʻi ʻaʻai māmā:Eia kekahi laʻana, `(empyema)` (pus e hoʻopiha ana i ka pleura) a i ʻole `(pneumonia)`.
• Ka ʻeha o ka ʻiʻo pleural a i ʻole ka ʻiʻo māmā.

Eia kekahi, aia kahi manawa kūpono e hoʻi hou mai ai ka `(Hemopneumothorax)`.

Pehea e ʻike ai i ka `(Hemopneumothorax)`?

Ke hele ʻoe i ka haukapila, e nānā mua ke kauka iā ʻoe. E hoʻolohe ʻo ia i kou mau māmā me ka stethoscope (`(auscultation)`). A laila, e kauoha ʻo ia i kekahi mau hoʻokolohua kiʻi kūikawā e hōʻoia i ke kūlana a ʻike pono i kahi i hōʻiliʻili ʻia ai ke koko a me ka ea.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Hiki i ke kauka ke kauoha i nā hoʻokolohua e like me kēia:

• X-ray o ka umauma: Kōkua kēia i ka ʻike ʻana i nā ʻeha a i ʻole nā ​​​​​​kūlana e pili ana i nā māmā.
• CT scan (a i ʻole Computed Tomography scan): Hiki i kēia ke kiʻi i kahi kiʻi ʻekolu-dimensional (3D) o kou mau māmā. Hiki iā ia ke hōʻike i nā kikoʻī hou aku ma mua o kahi X-ray.
• Ultrasound: Kōkua kēia e ʻike i ka nui o ke koko a me ka ea i hōʻiliʻili ʻia a puni nā māmā a me kona wahi.

Pehea e mālama ʻia ai ka `(Hemopneumothorax)`?

ʻO ka mea nui i ka mālama ʻana i ka hemopneumothorax, ʻo ia ka wehe ʻana i ke koko a me ka ea mai ka pleural space.

ʻO ka mea mua, hiki i kāu kauka ke hāʻawi iā ʻoe i ka oxygen (`(Oxygen therapy)`) e kōkua iā ʻoe e hanu. Inā koʻikoʻi kou kūlana, hiki ke kau ʻia ʻoe i ka `(mechanical ventilation)`. ʻO ke ʻano kēia inā ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho, e hanu kahi mīkini nou.

Ma muli o ke koʻikoʻi o ka hemopneumothorax, hiki i ke kauka ke:

• E hoʻohana i kahi nila lahilahi loa ("needle aspiration") e huki i waho i kekahi koko a me ka ea.
• A i ʻole, e hoʻokomo ʻia kahi ʻōmole nui iki (he "ʻōmole umauma" a i ʻole "thoracostomy") ma o kou mau iwi ʻaoʻao i loko o ka hakahaka pleural, a lawe ʻia ke koko a me ka ea ma o ia mea. Ke wehe ʻia ke koko a me ka ea, e wehe ʻia ka nila a i ʻole ka ʻōmole.

Eia nō naʻe, inā hoʻomau ka piha ʻana o ka hakahaka pleural me ke koko a me ka ea, e hana ke kauka ʻoki i kahi ʻoki liʻiliʻi ma kou umauma (kahi thoracotomy) a mālama i nā ʻiʻo i hōʻino ʻia. Inā ua nalowale ka nui o ke koko, pono paha ʻoe i ka hoʻoili koko.

Ma hope o ka lāʻau lapaʻau, e kuhikuhi ke kauka i nā lāʻau antibiotic e pale aku i ka maʻi a me nā mea ʻeha e hōʻemi i ka ʻeha a hiki i ka wā e ho'ōla ai.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau a pau, aia kekahi mau pilikia e pili ana i ka mālama ʻana i ka hemopneumothorax:

• ʻEha.
• Ke kahe ʻana o ke koko.
• He maʻi maʻi o ka māmā.
• ʻEdema pulmonary (hōʻiliʻili ʻana o ka wai i loko o nā māmā).

E haʻi aku ke kauka iā ʻoe i nā mea hou aʻe e pili ana i kēia mau mea.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

ʻO kēiaAia ia i ke kumu o ka hemopneumothorax a me ke ʻano o ka lāʻau i loaʻa iā ʻoe.

E noho paha ʻoe ma ka haukapila no kekahi mau lā ma hope o ke komo ʻana o kahi ʻōmole umauma a i ʻole ma hope o ke ʻoki ʻana. Hiki i ka hemopneumothorax a i ʻole nā ​​​​ʻeha umauma ʻē aʻe ke hala i nā hebedoma a i ʻole nā ​​​​mahina e ho'ōla ai. E hāʻawi kāu kauka iā ʻoe i kahi manaʻo no ka lōʻihi o ka manawa e ho'ōla ai, ma muli o kou kūlana.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka `(Hemopneumothorax)`?

He maʻi koʻikoʻi ka Hemopneumothorax e pono ai ke kōkua koke ʻia e ke kauka. Pono paha ʻoe e noho i ka haukapila no kekahi mau lā a ʻoi aku paha e ʻike inā e ola pono ana ʻoe. Eia nō naʻe, inā ua ʻike pololei ʻia ke ʻano a mālama koke ʻia, maikaʻi loa ka manawa e ola ai.

Eia nō naʻe, aia kahi manawa liʻiliʻi e hoʻi hou mai ai ʻo `(Hemopneumothorax)`. No laila, ʻoi aku ka maikaʻi o ka mālama mau ʻana i ka launa pū ʻana me ke kauka a kiaʻi pono i kou mau māmā.

Āhea e hiki ai iaʻu ke hoʻi i ka hana a me ke kula?

Inā loaʻa iā ʻoe kahi hemopneumothorax, ma muli o ke kumu a me ka wikiwiki o kou hoʻōla ʻana, ʻaʻole paha ʻoe e hiki ke hele i ke kula, ka hana, a i ʻole nā ​​​​hana ʻē aʻe no kekahi manawa. E haʻi aku kāu kauka iā ʻoe i ka wā e hiki ai iā ʻoe ke hoʻi i nā hana maʻamau.

Hiki ke pale ʻia ka `(Hemopneumothorax)`?

He mea paʻakikī ke pale aku i ka hemopneumothorax mai ka hanana ʻana no kekahi mau kumu. Eia nō naʻe, hiki i ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo ke kōkua i ka hōʻemi ʻana i kou pilikia:

• E komo i nā lole pale i ka wā e pāʻani ana i nā haʻuki hopena kiʻekiʻe.
• E kau mau i ke kāʻei noho i ka wā e holo ana i loko o ke kaʻa.
• E wehe i nā mea e hiki ai ke hoʻopaheʻe a hāʻule mai kou home aku a e mālama pono iā lākou.
• E hele mālie a hoʻohana i ke koʻokoʻo, ka mea hele wāwae, a i ʻole nā ​​​​koʻokoʻo e pale ai i ka hāʻule ʻana.
• E hoʻohana i nā lako kūpono (e like me ke alapiʻi, ka noho, a i ʻole ka mea hopu) i ka wā e hiki aku ai i luna. Mai piʻi i luna o nā noho a i ʻole nā ​​​​papaʻaina.
• Inā ʻoe e puhipaka, e hoʻōki.
• E hōʻemi a hoʻōki paha i nā hana e pili ana i nā loli nui i ke kaomi ea (e like me ka lele ʻana, ka luʻu ʻana i ke kai hohonu).

Pehea wau e mālama ai iaʻu iho (ma hope o kēia kūlana)?

He mea nui e pale aku i ka hana ʻana i kekahi mea e hiki ai ke hōʻino a hoʻokau paha i ke kaomi ma luna o nā māmā:

• Puhi paka.
• Hoʻoikaika kino ikaika, me ka hāpai kaumaha.
• Nā haʻuki pili.
• Luʻu hohonu ʻana i ke kai hohonu.
• ʻO ka huakaʻi mokulele (ʻoi aku hoʻi i nā wā mua, ma lalo o ke aʻo ʻana a ke kauka).

Āhea ʻoe e ʻike ai i ke kauka?

Ma hope o kou mālama ʻia ʻana, e hele i kāu kauka no nā manawa hoʻopaʻa. Hiki paha iā ʻoe ke loaʻa nā hoʻokolohua hou aʻe e ʻike ai inā e hoʻōla maikaʻi ana ʻoe.

Āhea ʻoe e hele ai i ka lumi pilikia (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o `(Hemopneumothorax),` ʻoiai ka paʻakikī o ka hanu ʻana a i ʻole ka ʻeha nui o ka umauma, e hele i ka lumi pilikia kokoke loa i ka hikiwawe loa.ʻAʻole kēia he mea e lohi ai.

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

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka e pili ana i kēia maʻi:

• "E ke kauka, pehea lā wau e ʻike pono ai ua loaʻa iaʻu ka ʻeha ʻo Hemopneumothorax?"
• "Pehea lā wau i loaʻa ai kēia?"
• "Pehea ke koʻikoʻi o kēia?"
• "He aha kaʻu e hana ai i mea e pale aku ai i ka hana hou ʻana o kekahi mea e like me kēia?"
• "He aha ka lāʻau lapaʻau a ke kauka e ʻōlelo mai ai noʻu?"
• "Pehea ka lōʻihi e ola ai au?"
• "Pono anei au i ka oxygen hou aʻe?"
• "Pono anei au e noho i loko o ka haukapila?"
• "Pehea ka lōʻihi a hiki i koʻu ʻike hou ʻana i ke kauka?"

Ma ka nīnau ʻana i kēia mau nīnau, hiki iā ʻoe ke hoʻomaopopo maikaʻi aʻe i ke kūlana.

He aha ka ʻokoʻa ma waena o `(Pneumothorax)` a me `(Hemopneumothorax)`?

I ka ʻōlelo maʻalahi:

• ʻO Pneumothorax ka wā e piha ai kou wahi pleural i ka ea .
• ʻO ka `(Hemopneumothorax)` he hui pū ʻana o `(pneumothorax)` (ea) a me `(hemothorax)` (koko). ʻO ia hoʻi, aia ka ea a me ke koko i loko o ka hakahaka pleural.

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

ʻAe, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi aʻe e pili ana i ke kūlana a mākou i kamaʻilio ai i kapa ʻia ʻo `(Hemopneumothorax)`.

He kūlana koʻikoʻi loa kēia e pono ai ke kōkua koke ʻia e ke kauka. ʻO ka maʻamau, ua loaʻa ia ma muli o kahi ʻeha nui i ka umauma. Inā ʻike ʻoe i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a me ka ʻeha o ka umauma, pono ʻoe e hele koke i ka haukapila.

Akā, mai hopohopo, inā ua ʻike pololei ʻia a mālama ʻia i ka wā mua, hiki iā ʻoe ke ho'ōla. ʻO ka mea nui loa, ʻo ia ka hana koke ʻana, mai hoʻowahāwahā i nā hōʻailona. Ke makemake nei iā ʻoe a me kāu poʻe aloha i ke olakino maikaʻi!

Hemopneumothorax , Pneumothorax, Hemothorax, ʻEha umauma, Paʻakikī ka hanu ʻana, Māmā, Nā ulia pōpilikia