Kodi chifuwa chanu chimamveka cholimba? Tiyeni tiphunzire za pneumomediastinum!

Kodi munayamba mwamvapo kupweteka kwadzidzidzi pakati pa chifuwa chanu komanso kuvutika kupuma? Kapena munayamba mwamvapo kutupa m'khosi kapena pankhope panu mwadzidzidzi? Mwina vuto lomwe tikukamba lero limatchedwa pneumomediastinum. Musadandaule, tiyeni tikambirane za izi mosavuta.

Kodi pneumomediastinum kwenikweni ndi chiyani?

Mwachidule, pneumomediastinum ndi kusonkhana kwa mpweya pakati pa mapapu anu, komwe mtima wanu uli. Mu zamankhwala, malo awa timawatcha mediastinum. Ali ngati buluni yodzaza ndi mpweya, ndipo zimachitika pamene mpweya umalowa m'malo awa otchedwa mediastinum.

Nthawi zambiri, izi zimachitika pambuyo pa ngozi, matenda, kapena opaleshoni. Payokha, vutoli, lotchedwa pneumomediastinum, lingawoneke ngati lopanda vuto. Komabe, chifukwa chake nthawi zina chingakhale chachikulu. Ndicho chifukwa chake ndikofunikira kudziwa za izi. Anthu ena amatchanso kuti "mediastinal emphysema."

Kodi pali mitundu ya izi?

Inde, pali mitundu iwiri makamaka:

1. Spontaneous Pneumomediastinum (SPM): Mu izi, mpweya umasonkhana popanda chifukwa chodziwika bwino, kuvulala, kapena matenda. Nthawi zina, chomwe chimayambitsa sichingapezeke.

2. Pneumomediastinum yachiwiri: Izi zimachitika chifukwa cha ngozi, matenda, kapena opaleshoni.

Kodi pneumomediastinum ndi yofala bwanji?

Izi si vuto lofala kwambiri. Malinga ndi akatswiri, pneumomediastinum (SPM) imakhudza pafupifupi munthu m'modzi mwa anthu 25,000 azaka zapakati pa 5 ndi 34. Ili ndi gulu la zaka lomwe lingakhale ndi SPM.

Kodi izi ndi zadzidzidzi? Kodi ndiyenera kuda nkhawa?

Apa pali chinthu chomwe chiyenera kumvedwa bwino.

• Ngati muli ndi pneumomediastinum (SPM) yokha , zomwe zikutanthauza kuti imachitika popanda chifukwa chodziwikiratu, nthawi zambiri si vuto ladzidzidzi.
• Komabe, ngati mediastinum yanu yadzaza ndi mpweya chifukwa cha ngozi kapena matenda (achiwiri), iyenera kuchiritsidwa mwachangu.

Chofunika kwambiri: Ngati muli ndi kupweteka pachifuwa komanso mukuvutika kupuma, izi zitha kukhala chizindikiro cha matenda oopsa komanso oopsa. Chifukwa chake, ngati mukukumana ndi zizindikiro zotere, pitani kuchipatala chapafupi nthawi yomweyo.

Kodi kusiyana pakati pa pneumomediastinum ndi pneumothorax ndi kotani?

Izi ziwiri zingakhale zosokoneza pang'ono.

• PneumothoraxIzi zikutanthauza kuti mapapu anu amodzi agwa. Izi zimachitika pamene mpweya ukudzaza pakati pa mapapo ndi khoma la pachifuwa. Kupanikizika kwa mpweya umenewo kumapangitsa kuti mapapo agwa.
• Pneumomediastinum ndi mpweya womwe umapezeka pakati pa mapapo (mediastinum).

Mwachidule, mu pneumothorax, mpweya uli mozungulira mapapo, ndipo mu pneumomediastinum, mpweya uli pakati pa mapapo awiriwa. Mwamvetsa?

Kodi zizindikiro za izi ndi ziti? Onani ngati muli nazonso

Si aliyense amene angakumane ndi zizindikiro, koma zizindikiro zodziwika kwambiri ndi izi:

• Ululu waukulu pakati pa chifuwa kapena pafupi ndi fupa la pachifuwa. Ululu uwu ukhoza kufalikira mpaka m'manja kapena pakhosi. Ululu uwu ukhozanso kuwonjezeka mukapuma kapena kumeza. Tangoganizirani, ngati kuti winawake akukufinya pachifuwa.
• Kupuma movutikira.
• Subcutaneous emphysema ndi vuto lomwe thovu la mpweya limamveka ngati lili pansi pa khungu la nkhope, khosi, kapena pachifuwa. Lingamveke ngati pali timipira tating'ono pansi pa khungu, ndipo lingapangitse phokoso "lolira" likakanikiza ndi chala.
• Kutupa kwa khosi kapena nkhope.
• Kusintha kwa mawu, mwachitsanzo, mawu amakhala okwera kwambiri.

Anthu ena akhoza kukhala ndi pneumomediastinum popanda zizindikiro izi.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Pneumomediastinum nthawi zambiri imayamba chifukwa cha kuwonongeka kwa chiwalo kapena kapangidwe ka thupi lanu, zomwe zimapangitsa kuti mpweya utuluke mu mediastinum. Zitsanzo za izi ndi izi:

• Chifuwa chanu cha m'mphuno (trachea) kapena bronchi (bronchi)
• Alveoli (matumba ang'onoang'ono a mpweya m'mapapo)
• Chubu chomwe chimachokera pakhosi kupita m'mimba, ndiko kuti, m'mero ​​(`Esophagus`)
• Matumbo

Mpweya umalowa mu mediastinum kuchokera pamalo ngati awa.

Spontaneous pneumomediastinum (SPM) ingayambitsidwenso ndi chilichonse chomwe chimawonjezera mwadzidzidzi kuthamanga kwa magazi m'chifuwa mwanu (ngakhale izi sizichitika kawirikawiri). Nthawi zina, madokotala sangapeze chifukwa chake.

Zifukwa zina zenizeni zingakhale:

• Kuvulala kwambiri pachifuwa , monga ngozi ya galimoto.
• Opaleshoni.
• Matumba ang'onoang'ono a mpweya (alveoli) m'mapapo adaphulika.
• Kubowoka kapena kung'ambika kwa mpweya kapena njira yogayira chakudya (njira ya m'mimba kapena njira ya m'mimba).
• Matenda a bakiteriya, bowa, kapena mavairasi.
• Zinthu zomwe zimawonjezera kuthamanga kwa magazi pachifuwa mwadzidzidzi, monga kutsokomola, kuyetsemula, kapena kusanza . Tangoganizirani, anthu ena amathanso kukumana ndi vutoli akamatsokomola kwambiri.
• Kudzikakamiza popita kuchimbudzi.
• Kukankhira panthawi yobereka.
• Kupuma mankhwala osokoneza bongo monga cocaine kapena chamba.
• Kusambira pansi pamadzi.
• Mpweya wopumira wamakina.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Mungakhale pachiwopsezo chachikulu chotenga matendawa ngati:

• Ngati ndinu wosuta fodya.
• Ngati muli ndi matenda a m'mapapo monga mphumu kapena COPD (Chronic Obstructive Pulmonary Disease).
• Ngati mumagwiritsa ntchito mankhwala osokoneza bongo omwe amapumira.
• Ngati mwangochitidwa opaleshoni ya pamimba, pakhosi, kapena pachifuwa posachedwa.
• Ngati mwangobereka mwana posachedwapa.

Kodi pneumomediastinum ingayambitse mavuto?

Mavuto omwe amabwera chifukwa cha vutoli ndi osowa kwambiri, koma amatha kupha munthu ndipo amafunika chithandizo chamankhwala mwachangu.

• Mpweya wochuluka ungayambitse kupanikizika kuzungulira mapapo ndikupangitsa kuti mapapo amodzi agwe (pneumothorax).
• Mpweya ukhoza kuyenda kuchokera ku mediastinum kupita pamalo omwe ali pakati pa pericardium ndi mtima. Izi zimatchedwa pneumopericardium .
• Ngati mpweya wochuluka usonkhana, ukhoza kukakamiza ziwalo zomwe zili mkati mwa chifuwa, monga mtima ndi mitsempha ikuluikulu yamagazi. Ngati izi zitachitika, sizingagwire ntchito bwino.

Kodi dokotala amazindikira bwanji izi? (Kuzindikira)

Dokotala nthawi zambiri amazindikira pneumomediastinum pogwiritsa ntchito X-ray ya pachifuwa kapena CT scan (Computed Tomography scan), yomwe imajambula zithunzi za mkati mwa pachifuwa.

Dokotala akamamvetsera mtima ndi mapapo anu pogwiritsa ntchito stethoscope, ngati amva phokoso la "kuphwanya" mu kamvekedwe ka mtima wanu, chimenecho ndi chizindikiro chakuti pali mpweya mu mediastinum (chizindikiro cha Hamman). Kenako, mayeso monga X-ray ndi CT scan amalamulidwa.

Kodi mankhwala ochizira izi ndi otani?

Nkhani yabwino ndi yakuti nthawi zambiri matenda a pneumomediastinum safuna chithandizo chapadera. Pokhapokha ngati ndi aakulu, thupi lanu lidzayeretsa mpweya pang'onopang'ono lokha. Chithandizo cha okosijeni chingathandize kufulumizitsa njirayi.

Komabe, ngati muli ndi vuto lina la thanzi (monga matenda, kuwonongeka kwa chiwalo chamkati), dokotala wanu adzakuchizani vutoli.

Chithandizo ngati mwagonekedwa m'chipatala:

Nthawi zina dokotala wanu angakusungeni kuchipatala kuti mukayang'aniridwe kapena kulandira chithandizo kwa masiku 24 kapena kuposerapo. Panthawiyi, mungalandire chithandizo monga:

• Chithandizo cha mpweya: Kupuma mpweya wowonjezera kumathandiza thupi kuyamwa mpweya mwachangu.
• Mankhwala: Mankhwala monga mankhwala ochepetsa ululu ndi oletsa chifuwa amaperekedwa kuti achepetse zizindikiro mpaka thupi litatenga mpweya wowonjezera.
• Kutulutsa singano: Iyi ndi njira yosowa kwambiri . Dokotala angaike singano kuti achotse mpweya, kapena angaike chubu chaching'ono (drain).

Kodi pneumomediastinum ikhoza kupha?

Pneumomediastinum yokha si yopha. Komabe, nthawi zina imatha kuyambitsidwa ndi matenda ena akuluakulu komanso oopsa. Dokotala wanu adzafufuza chomwe chachititsa kuti mpweya udziunjikane ndipo adzachichiza ngati pakufunika kutero.

Kodi pali njira zopewera izi kuti zisachitike?

Popeza vutoli ndi losowa kwambiri ndipo ofufuza sakumvetsa bwino zomwe zimayambitsa komanso zinthu zomwe zimayambitsa matendawa, palibe njira zenizeni zopewera matendawa. Kusasuta fodya komanso kusagwiritsa ntchito mankhwala opumira kungathandize kuchepetsa chiopsezo chanu.

Zitenga nthawi yayitali bwanji kuti munthu achire?

• Anthu omwe ali ndi pneumomediastinum (SPM) nthawi zambiri amakhala m'chipatala kwa masiku atatu, koma nthawi zina amafunika kukhala m'chipatala kwa sabata imodzi kapena kuposerapo.
• Anthu omwe amadwala pneumomediastinum chifukwa cha chifukwa china (mtundu wachiwiri) angafunike kukhala m'chipatala kwa milungu ingapo, kutengera kuopsa kwa vuto lomwe limayambitsa matendawa.

Kodi izi zingathe kuchiritsidwa kwathunthu?

• Matenda a pneumomediastinum (SPM) nthawi zambiri amatha okha popanda chithandizo chilichonse. Pokhapokha ngati pali vuto linalake la thanzi, chiopsezo chobwereranso chimakhala chochepa.
• Matenda omwe amayambitsa izi nthawi zina amatha kuchiritsidwa.

Ndiye, kodi tsogolo lili bwanji? (Outlook)

Tsogolo lanu limadalira zomwe zinayambitsa mpweya kusonkhana mu mediastinum yanu.

• Anthu omwe ali ndi pneumomediastinum (SPM) yodzidzimutsa amachira kwathunthu, ndipo kubwereranso kwa matendawa sikuchitika kawirikawiri.
• Ngati muli ndi pneumomediastinum yachiwiri , kuchira kwanu kudzadalira kuopsa kwa vuto lanu. Nthawi zina, matenda omwe amayambitsa pneumomediastinum amatha kupha.

Kodi muyenera kufunsa upangiri wa dokotala liti?

Ngati mukumva kupweteka pachifuwa, kutupa pankhope, kapena kusintha kwadzidzidzi kwa mawu anu, makamaka ngati mwangochitidwa opaleshoni kapena kubereka kumene, onetsetsani kuti mwaonana ndi dokotala.

Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?

Ngati muli ndi zizindikiro izi , funsani upangiri wa dokotala nthawi yomweyo, kapena pitani ku chipinda chadzidzidzi chapafupi:

• Kupweteka pachifuwa.
• Kuvuta kupuma.
• Kutupa kwambiri kwa nkhope kapena khosi.
• Kufooka/kukomoka.

Mafunso ofunikira oti mufunse dokotala wanu

Mukapita kwa dokotala, zingakhale zothandiza kufunsa mafunso awa:

• Kodi n’chiyani chikundipangitsa kukhala ndi vutoli?
• Kodi vuto langa ndi lalikulu bwanji?
• Kodi mungachiritse bwanji chifukwa chake?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Kodi zinditengera nthawi yayitali bwanji kuti ndichire?
• Kodi ndingatani kuti izi zisachitikenso?

Uthenga Wopita Nawo Kunyumba

Matenda a pneumomediastinum (SPM) nthawi zambiri si oopsa, koma mungafunike kukhala m'chipatala kwa masiku angapo. Komabe, matenda a pneumomediastinum, omwe amachitika pambuyo pa matenda kapena ngozi, amafunika chithandizo chadzidzidzi cha chomwe chimayambitsa matendawa. Dokotala wanu adzakuuzani zambiri za vuto lanu. Chofunika kwambiri ndikukhala chete, kusamala ndi zizindikiro zanu, ndikupempha upangiri kwa dokotala ngati pakufunika kutero.

Pneumomediastinum , mpweya pachifuwa, mapapo, kupuma movutikira, kupweteka pachifuwa, mediastinum, pneumothorax