Koj puas xav tias koj daim tawv nqaij puv nrog cua? Cia peb kawm txog Subcutaneous Emphysema!

Koj puas tau pom tias qee zaum, tom qab phais lossis raug mob me me, qee tus neeg daim tawv nqaij zoo li lub npuas me me thaum koj kov nws? Los yog thaum koj nias rau qee qhov chaw nrog koj txhais tes, koj hnov ​​​​​​lub suab txawv txawv zoo li 'kitty kitty'? Qhov ntawd yog qhov peb yuav tham txog hnub no. Txawm hais tias qhov no yog qhov tshiab me ntsis los hnov, nws tsim nyog paub.

Qhov no yog dab tsi ua rau muaj cua nkag rau hauv qab daim tawv nqaij? (Subcutaneous Emphysema)

Hais yooj yim xwb, '(Subcutaneous Emphysema)' yog thaum huab cua raug kaw rau hauv txheej tob tshaj plaws ntawm peb daim tawv nqaij, txheej '(subcutaneous)' hauv qab daim tawv nqaij. Qhov no yog ib qho mob tsis tshua muaj. Tab sis nws tuaj yeem muaj ntau yam ua rau. Nws tuaj yeem tshwm sim los ntawm qee yam kev kis kab mob, kev raug mob, lossis kev raug mob me me thaum phais.

Tam sim no tej zaum koj yuav xav paub seb puas yog ib qho teeb meem loj uas muaj cua nyob hauv qab koj daim tawv nqaij txhua lub sijhawm. Qhov tseeb, nws yog ib txwm muaj cua me me los sib sau ua ke hauv qab koj daim tawv nqaij tom qab qee qhov kev phais, tshwj xeeb tshaj yog kev phais laparoscopic. Tab sis feem ntau ntawm lub sijhawm, cov cua uas tau sib sau ua ke ntawd raug lub cev nqus thiab ploj mus ntawm nws tus kheej, yam tsis ua rau muaj cov tsos mob loj. Txawm li cas los xij, qee zaum, qhov mob no hu ua "Subcutaneous Emphysema" tuaj yeem yog ib qho cim ntawm lwm qhov teeb meem kev noj qab haus huv .

Hom kev o no feem ntau pom ntawm lub ntsej muag, caj dab, lossis hauv siab , tab sis nws tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev.

Tus mob no tsis tshua muaj ntau. Lawv hais tias nws cuam tshuam rau feem pua ​​me me ntawm cov pej xeem, kwv yees li 2%. Raws li ib txoj kev tshawb fawb, hnub nyoog nruab nrab ntawm cov neeg uas kuaj pom tias muaj tus mob no yog li ntawm 53 xyoos, thiab kwv yees li 70% ntawm lawv yog txiv neej.

Cov tsos mob yog dab tsi? Peb yuav paub qhov no li cas ?

Muaj ob qho tsos mob tseem ceeb uas pom muaj nyob rau hauv tus mob no:

• Daim tawv nqaij ntawm qhov chaw raug mob o: Tej zaum yuav muaj qhov o uas zoo li lub pob me me. Qee zaum cov kws kho mob hu qhov no tias '(Edema)'.
• Lub suab txawv txawv thaum koj nias daim tawv nqaij: Raws li kuv tau hais ua ntej, thaum koj nias qhov chaw o nrog koj txhais tes, koj hnov ​​​​​​lub suab 'crackling', zoo li nplooj qhuav raug tsoo lossis daim ntawv qhwv npuas raug tsoo. Cov kws kho mob hu qhov no '(Crepitus)'. Qhov no yog ib qho tshwj xeeb ntawm tus mob no.

Ntxiv rau ob qho tsos mob tseem ceeb no, tej zaum yuav muaj ntau lwm yam tsos mob:

• Ua pa nyuaj
• Nyuaj nqos zaub mov (tseem hu ua "Dysphagia")
• Mob caj pas
• Mob caj dab
• Kev o, zoo li puv nrog roj

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Muaj ntau yam ua rau muaj "Subcutaneous Emphysema". Cia peb saib seb lawv yog dab tsi:

• Kev raug mob hnyav: Xav txog seb, ib tug neeg dhia dej scuba tam sim ntawd ntsib kev hloov pauv loj heev ntawm lub zog cua , txawm tias nws yog thaum nce mus rau hauv lub dav hlau lossis dhia mus rau hauv dej tob. Nws yuav yog vim muaj kev hloov pauv ntawm lub zog sai sai no.
• Pneumothorax: Qee zaum, thaum muaj kev puas tsuaj rau lub ntsws, cua tawm thiab sib sau ua ke hauv lub hauv siab. Tom qab ntawd, cov cua ntawd muab kev nyuaj rau lub ntsws thiab lub ntsws pib vau. Qhov ntawd yog qhov mob hu ua Pneumothorax. Qhov no kuj yog ib qho ua rau Subcutaneous Emphysema.
• Kev kis kab mob: Tus mob no kuj tseem tuaj yeem tshwm sim los ntawm kev kis kab mob hnyav, tshwj xeeb tshaj yog qee qhov kev kis kab mob hnyav, xws li necrotizing fasciitis.
• Kev Raug Mob: Nws kuj tseem tuaj yeem tshwm sim los ntawm kev raug mob rau lub hauv siab, lub ntsej muag, lossis sinuses hauv peb lub taub hau.
• Kev raug mob thaum lub sijhawm kho mob lossis phais mob: Qee zaum, huab cua tuaj yeem sib sau ua ke hauv qab daim tawv nqaij li no vim muaj kev raug mob me me, xws li cov khoom siv kho mob ua haujlwm tsis zoo lossis thaum muab lub cuab yeej tso rau hauv lub cev (piv txwv li, intubation - kev ntxig lub raj rau hauv txoj hlab pa rau ib tus neeg uas ua pa nyuaj).

Muaj lwm yam mob tshwj xeeb uas tuaj yeem ua rau muaj tus mob no:

• Yog tias lub hnab looj tes uas siv los ua pa thaum lub sijhawm CPR tsis tau siv kom raug.
• Thaum muab ib lub raj xa khoom noj tso rau hauv.
• Cov qhov hauv lub plab zom mov yog cov qhov uas ua rau lub plab zom mov puas tsuaj.
• Kev ua haujlwm tsis zoo ntawm cov tshuab ua pa.

Tsis tshua muaj, qhov mob no (Subcutaneous Emphysema) tuaj yeem tshwm sim yam tsis muaj laj thawj pom tseeb.

Qhov no puas ua rau muaj lwm yam teeb meem?

Yog lawm, qee zaum mob hnyav heev, '(Subcutaneous Emphysema)' tuaj yeem ua rau muaj ntau yam teeb meem. Ib txhia ntawm lawv yog:

• Kev tawg ntawm lub ntsws (Pneumothorax) (qhov no tuaj yeem yog ib qho ua rau thiab ib qho teeb meem)
• 'Compartment syndrome' (qhov no tshwm sim thaum muaj kev siab hauv ib qho chaw tshwj xeeb nce thiab cov ntshav ntws raug thaiv)
• Yog tias koj muaj lub pacemaker, nws yuav cuam tshuam rau nws txoj haujlwm.
• Txo cov ntshav mus rau lub hlwb.
• Teeb meem ntawm lub cev ua pa.
• Kev nias ntawm lub tracheal (txhais tau tias muaj ib yam dab tsi hauv peb cov hlab bronchi raug nias thiab thaiv).

Tseem Ceeb: Yog tias qhov mob no (Subcutaneous Emphysema) yog los ntawm kev kis kab mob, nws tuaj yeem ua rau muaj teeb meem loj heev, txawm tias yuav ua rau tuag taus. Piv txwv li:

* Mob ua pa nyuaj heev (ARDS)

*Coma

* Kev chim siab

* Kev ua haujlwm tsis zoo ntawm lub raum

* Kev tuag ntawm cov nqaij (Necrosis)

* Sepsis (kev kis kab mob hnyav uas kis thoob plaws lub cev)

Yog vim li ntawd thiaj hais tias yog koj muaj kev tsis ntseeg, txawm tias nws tsuas yog ib qho me me xwb los xij, koj yuav tsum mus ntsib kws kho mob.

Cov kws kho mob nrhiav tau qhov no li cas?

Tus kws kho mob yuav tsum tau ua ntau yam kev kuaj mob kom paub tseeb tias koj puas muaj "(Subcutaneous Emphysema). Cia peb saib seb cov kev kuaj mob ntawd yog dab tsi:

• Bronchoscopy: Qhov no suav nrog kev xa ib lub raj me me uas muaj lub koob yees duab mus rau hauv lub trachea kom kuaj xyuas seb puas muaj teeb meem nrog lub ntsws thiab txoj hlab pa.
• CT scan (Computed Tomography scan): Qhov no zoo ib yam li X-ray, tab sis lub khoos phis tawj siv ntau X-rays los tsim cov duab meej thiab ntxaws ntawm cov khoom hauv peb lub cev, xws li pob txha thiab cov nqaij.
• Kev ntsuas ultrasound: Qhov no siv cov suab nrov zaus siab los thaij duab sab hauv ntawm lub cev.
• Cov duab X-ray: Siv cov duab hluav taws xob los thaij cov duab ob sab ntawm cov khoom xws li peb cov pob txha thiab cov nqaij.

Hom kev kuaj mob uas koj xav tau yuav nyob ntawm seb koj qhov o thiab koj tus kws kho mob xav li cas txog qhov ua rau koj cov tsos mob.

Cov kev kho mob rau qhov no yog dab tsi?

Thaum kho mob "(Subcutaneous Emphysema), qhov tseem ceeb tshaj plaws yog nrhiav thiab kho qhov ua rau mob. Thaum koj tus kws kho mob pib kho qhov ua rau mob, koj cov tsos mob yuav tsum zoo dua hauv 10 txog 14 hnub.

Feem ntau, rau cov mob uas tsis hnyav heev, cov kws kho mob siv cov tshuab ua pa oxygen. Cov khoom siv no tso cai rau peb ua pa tau txog li 95% ntawm cov pa oxygen ntshiab. Qhov no txhais tau tias peb lub cev tau txais oxygen ntau dua, uas pab kom cov pa uas nyob hauv qab daim tawv nqaij rov nqus tau sai dua.

Qee zaum, tus kws kho mob yuav tsum ua tej yam zoo li no kom tshem tawm cov pa ntxiv uas raug kaw:

• Lub raj hauv siab (Thoracostomy)
• Ua ob lub qhov me me hauv qab cov pob txha clavicle ntawm peb lub xub pwg nyom.
• Siv cov koob, cov catheters (cov raj me me uas muaj qhov nyob hauv), lossis cov qhov me me los tshem tawm cua ntawm lwm qhov ntawm lub cev.

Txawm li cas los xij, yog tias qhov mob hnyav heev, tej zaum yuav tsum tau phais. Los yog, cov kws kho mob yuav ntxig cov raj me me (cov kav dej) kom cua tawm mus.

Puas muaj dab tsi uas kuv ua tau los txo qhov kuv tsis xis nyob?

Kab mob ntsws (subcutaneous emphysema) tsis yog ib txwm ua rau mob. Tab sis yog tias koj xav tias tsis xis nyob lossis mob, koj tus kws kho mob yuav pom zoo kom ua raws li cov hauv qab no:

• Cov tshuaj tua kab mob
• Cov tshuaj nplaum plab (qhov no yuav pab txo qhov o thiab tsis xis nyob)
• Cov pa oxygen uas muaj concentrated (raws li tau hais ua ntej, los pab ua pa)

Yuav siv sijhawm ntev npaum li cas los kho qhov no?

Feem ntau cov neeg yuav zoo li qub hauv 10 txog 14 hnub tom qab kho mob. Raws li ib txoj kev tshawb fawb, lub sijhawm rov zoo nruab nrab, txawm tias nyob rau hauv cov xwm txheej hnyav, yog li 16 hnub. Yog li,Yog koj tau txais kev kho mob zoo, koj tuaj yeem rov zoo sai.

Qhov xwm txheej no yuav zoo li cas? (Outlook)

Yog kho mob tas, feem ntau yuav zoo. Qhov ntawd txhais tau tias muaj lub sijhawm zoo los kho. Tab sis lub sijhawm yog qhov tseem ceeb ntawm no. Thaum koj mus ntsib kws kho mob sai npaum li cas, koj yuav txo tau koj cov tsos mob sai npaum li ntawd thiab txo tau qhov kev pheej hmoo ntawm cov teeb meem loj.

Qhov xwm txheej no yuav kav ntev npaum li cas?

Yog kho mob, feem ntau cov neeg uas muaj "Subcutaneous Emphysema" yuav zoo li qub li ob lub lis piam.

Puas muaj ib txoj kev los tiv thaiv qhov no?

Feem ntau, '(Subcutaneous Emphysema)' tshwm sim rau cov laj thawj uas peb tsis tuaj yeem tswj tau. Qhov ntawd txhais tau tias muaj xwm txheej lossis phais. Yog li ntawd, tsis muaj dab tsi koj ua tau los tiv thaiv nws kom tsis txhob tshwm sim. Nws tsis yog koj qhov txhaum. Yog tias koj muaj cov tsos mob, qhov zoo tshaj plaws ua yog tham nrog kws kho mob tam sim ntawd. Tus kws kho mob mam li txiav txim siab seb koj puas xav tau kev kho mob, thiab yog tias xav tau, hom twg.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, mus ntsib kws kho mob tam sim ntawd:

• Daim tawv nqaij o tsis muaj laj thawj.
• Yog koj hnov ​​lub suab 'squeaking' thaum koj nias rau ntawm daim tawv nqaij uas raug mob.
• Kev o.
• Yog tias nws nyuaj rau ua pa lossis nqos ib yam dab tsi.
• Yog koj mob caj dab los yog mob caj pas.

Tsis zoo rau kev ncua sijhawm zoo li no. Nws yog ib qho tseem ceeb kom tau txais kev kho mob sai sai.

Kuv yuav tsum nug tus kws kho mob li cas?

Yog tias koj raug kuaj pom tias muaj "Subcutaneous Emphysema", koj yuav xav nug koj tus kws kho mob cov lus nug xws li:

• Dab tsi ua rau qhov xwm txheej no rau kuv?
• Qhov no puas yuav kho tau nws tus kheej?
• Kuv puas xav tau kev kho mob? Yog tias xav tau, yuav tsum kho hom twg?
• Kuv puas yuav tau nyob hauv tsev kho mob?
• Thaum twg kuv mam li rov qab mus ua haujlwm lossis mus kawm ntawv tau?

Nws yog ib qho tseem ceeb heev uas yuav tsum nug cov lus nug no thiab nkag siab meej txog koj qhov xwm txheej.

Qhov no puas yog "Subcutaneous Emphysema" thaum muaj xwm txheej ceev?

Kab mob ntsws hauv daim tawv nqaij tsis yog ib qho xwm txheej ceev lossis mob uas yuav ua rau tuag taus tas li. Txawm li cas los xij, txawm koj mob dab tsi los xij, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob sai sai. Feem ntau cov neeg uas muaj tus mob no tsuas muaj cov tsos mob me me xwb. Txawm li cas los xij, qee tus neeg tuaj yeem muaj teeb meem loj heev. Yog tias koj muaj cov tsos mob txhawj xeeb - piv txwv li, koj daim tawv nqaij zoo li o thiab o, lossis koj hnov ​​​​​​lub suab 'squeaky' - koj yuav tsum mus ntsib kws kho mob tam sim ntawd.

Muaj kev raug mob lossis phais mob twb yog ib qho kev ntxhov siab lawm. Ntxiv rau qhov ntawd, yog tias muaj teeb meem tshwm sim, koj yuav xav tias koj yuav tsis rov qab mus rau qhov qub. Subcutaneous emphysema yog ib qho mob tsis tshua muaj. Txawm li cas los xij, yog tias nws tshwm sim, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob tam sim ntawd. Yog tias tsis kho, subcutaneous emphysema tuaj yeem ua rau muaj teeb meem ntxiv - thiab tej zaum yuav loj dua -.

Cov Lus Xaus Kawg coj mus tsev

Zoo, yog li tam sim no koj nkag siab zoo dua txog qhov peb tau tham txog, "(Subcutaneous Emphysema)". Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai yog tias koj pom cov tsos mob no, tab sis mus ntsib kws kho mob yam tsis muaj kev ncua.

Nco ntsoov:

* Txawm hais tias huab cua sib sau ua ke hauv qab daim tawv nqaij tsis tshua muaj, nws tuaj yeem tshwm sim los ntawm qee yam teeb meem kev noj qab haus huv.

* Cov tsos mob tseem ceeb yog o ntawm daim tawv nqaij thiab lub suab 'squeaky' thaum kov.

* Yog koj nrhiav tau qhov ua rau thiab kho nws, koj tuaj yeem rov zoo sai sai.

* Yog tias koj tsis paub meej, nrhiav kev pab kho mob tam sim ntawd.

Xav kom koj thiab koj tsev neeg muaj kev noj qab haus huv zoo!

Subcutaneous Emphysema, pa puv ntawm daim tawv nqaij, cua hauv qab daim tawv nqaij, o, crepitus, ua pa nyuaj, teeb meem ntsws