Kodi khungu lanu likumva ngati lili ndi mpweya wochuluka? Tiyeni tiphunzire za Subcutaneous Emphysema!

Kodi munayamba mwazindikirapo kuti nthawi zina, pambuyo pa opaleshoni kapena kuvulala pang'ono, khungu la anthu ena limamveka ngati thovu laling'ono mukalikhudza? Kapena mukakanikiza malo ena ndi dzanja lanu, mumamva phokoso lachilendo ngati 'kamwana ka mphaka'? Ndicho chimene tikambirane lero. Ngakhale kuti izi ndi zatsopano kumva, ndizofunika kudziwa.

Kodi mpweya wodzaza pansi pa khungu uwu ndi chiyani? (Subcutaneous Emphysema)

Mwachidule, `(Subcutaneous Emphysema)` ndi pamene mpweya umalowa mkati mwa khungu lathu, lomwe ndi `(subcutaneous)` pansi pa khungu. Izi ndi zachilendo kwenikweni. Koma zimatha kukhala ndi zifukwa zingapo. Zingayambitsidwe ndi matenda ena, kuvulala, kapena ngozi zazing'ono panthawi ya opaleshoni.

Tsopano mwina mukudabwa ngati ndi nkhani yaikulu kukhala ndi mpweya pansi pa khungu lanu nthawi zonse. Ndipotu, ndi zachilendo kuti mpweya pang'ono udziunjikane pansi pa khungu lanu mukachita opaleshoni ina, makamaka opaleshoni ya laparoscopic. Koma nthawi zambiri, mpweya umenewo umalowa m'thupi ndipo umatha wokha, popanda kuyambitsa zizindikiro zazikulu. Komabe, nthawi zina, vutoli lotchedwa ``Subcutaneous Emphysema`` lingakhale chizindikiro cha vuto lina la thanzi .

Kutupa kwamtunduwu kumawoneka kwambiri pankhope, pakhosi, kapena pachifuwa , koma kumatha kuchitika kulikonse mthupi.

Matendawa si ofala kwambiri. Akuti amakhudza anthu ochepa okha, pafupifupi 2%. Malinga ndi kafukufuku wina, zaka zapakati za anthu omwe amapezeka ndi matendawa zimakhala pafupifupi zaka 53, ndipo pafupifupi 70% mwa iwo ndi amuna.

Kodi zizindikiro zake ndi ziti? Kodi tingazizindikire bwanji izi?

Pali zizindikiro ziwiri zazikulu zomwe zimawoneka mu mkhalidwe uwu:

• Kutupa kwa khungu pamalo okhudzidwa: Pakhoza kukhala kutupa komwe kumaoneka ngati chotupa chaching'ono. Nthawi zina madokotala amatcha izi `(Edema)`.
• Phokoso lachilendo mukakanikiza khungu: Monga ndanenera kale, mukakanikiza malo otupa ndi dzanja lanu, mumamva phokoso 'losweka', ngati tsamba louma likuphwanyidwa kapena thovu likuphwanyidwa. Madokotala amatcha izi `(Crepitus)`. Ichi ndi chizindikiro chodziwika bwino cha vutoli.

Kuwonjezera pa zizindikiro ziwiri zazikuluzi, pakhoza kukhala zizindikiro zina zingapo:

• Kuvuta kupuma
• Kuvuta kumeza chakudya (chomwe chimatchedwanso "Dysphagia")
• Chikhure
• Kupweteka kwa khosi
• Kutupa, ngati kuti ndi mafuta ambiri

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

Pali zifukwa zingapo zomwe zingayambitse `Subcutaneous Emphysema`. Tiyeni tiwone zomwe zimayambitsa:

• Barotrauma: Tangoganizirani, munthu wosambira m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'madzi a m'nyanja amasintha mwadzidzidzi kuthamanga kwa mpweya , kaya ndi pamene akukwera ndege kapena akumira m'madzi akuya. Izi zitha kukhala chifukwa cha kusintha kwadzidzidzi kwa kuthamanga kwa mpweya.
• Pneumothorax: Nthawi zina, mapapo akawonongeka, mpweya umatuluka ndikusonkhana m'chifuwa. Kenako, mpweyawo umaika mphamvu pa mapapo ndipo mapapo amayamba kugwa. Umenewo ndi matenda otchedwa Pneumothorax. Ichi ndi chomwe chimayambitsa Subcutaneous Emphysema.
• Matenda: Matendawa amathanso kuchitika chifukwa cha matenda oopsa, makamaka matenda ena oopsa a bakiteriya, monga necrotizing fasciitis.
• Kuvulala: Kungayambitsidwenso ndi kuvulala pachifuwa, pankhope, kapena m'mphuno mwathu.
• Ngozi panthawi ya chithandizo chamankhwala kapena opaleshoni: Nthawi zina, mpweya ukhoza kusonkhana pansi pa khungu mwanjira imeneyi chifukwa cha ngozi zazing'ono, monga chipangizo chachipatala chomwe sichikugwira ntchito bwino kapena chipangizocho chikalowetsedwa m'thupi (monga intubation - kulowetsedwa kwa chubu mu njira yopumira kwa munthu amene akuvutika kupuma).

Pali matenda ena omwe angayambitse vutoli:

• Ngati mpweya wopumira womwe umagwiritsidwa ntchito popereka mpweya wopangira panthawi ya CPR sunagwiritsidwe ntchito bwino.
• Pamene chubu chodyetsera chimayikidwa kuti chipereke chakudya.
• Mabowo a m'mimba ndi mabowo m'mimba.
• Kulephera kugwira ntchito kwa makina opumulira mpweya.

Kawirikawiri, vutoli (Subcutaneous Emphysema) limatha kuchitika popanda chifukwa chilichonse chodziwika bwino.

Kodi izi zingayambitse mavuto ena?

Inde, nthawi zina zovuta kwambiri, `(Subcutaneous Emphysema)` ingayambitse mavuto osiyanasiyana. Zina mwa izo ndi:

• Kugwa kwa mapapo (Pneumothorax) (izi zitha kukhala chifukwa komanso vuto)
• `Compartment syndrome` (izi zimachitika pamene kuthamanga kwa magazi m'chipinda china kukukwera ndipo magazi akutsekeka)
• Ngati muli ndi pacemaker, ikhoza kusokoneza ntchito yake.
• Kuchepa kwa magazi kupita ku ubongo.
• Mavuto a dongosolo la kupuma.
• Kupsinjika kwa trachea (kutanthauza kuti chinthu chomwe chili m'machubu athu a bronchial chimakanikizidwa ndikutsekedwa).

Chofunika: Ngati vutoli (Subcutaneous Emphysema) layamba chifukwa cha matenda, lingayambitse mavuto aakulu kwambiri, omwe angawopseze moyo. Mwachitsanzo:

* Matenda ovutitsa kupuma (ARDS)

*Chikomokere

* Kusokonezeka maganizo

* Kulephera kwa impso

* Kufa kwa minofu `(Necrosis)`

* Sepsis (matenda oopsa omwe amafalikira m'thupi lonse)

Ndicho chifukwa chake akuti ngati muli ndi kukayikira kulikonse, ngakhale kutakhala kochepa chabe, muyenera kupita kwa dokotala.

Kodi madokotala amazindikira bwanji izi?

Dokotala adzafunika kuchita mayeso angapo kuti adziwe ngati muli ndi ``(Subcutaneous Emphysema)``. Tiyeni tiwone mayeso amenewo:

• Kujambula mapapo: Izi zimaphatikizapo kulowetsa chubu chaching'ono chokhala ndi kamera mu trachea kuti muwone ngati pali vuto lililonse m'mapapo ndi njira zopumira.
• Kujambula kwa CT (Kujambula kwa Computed Tomography): Izi zikufanana ndi kujambula kwa X-ray, koma kompyuta imagwiritsa ntchito ma X-ray ambiri kuti ipange zithunzi zomveka bwino komanso zatsatanetsatane za zinthu zomwe zili mkati mwa matupi athu, monga mafupa ndi minofu.
• Kujambula kwa Ultrasound: Izi zimagwiritsa ntchito mafunde amphamvu kwambiri kuti zijambule zithunzi za mkati mwa thupi.
• X-ray: Gwiritsani ntchito kuwala kwa dzuwa kujambula zithunzi za zinthu monga mafupa ndi minofu yathu.

Mtundu wa mayeso omwe mukufuna udzadalira komwe muli ndi kutupa komanso zomwe dokotala wanu akuganiza kuti zikuyambitsa zizindikiro zanu.

Kodi mankhwala ochizira izi ndi otani?

Pochiza `(Subcutaneous Emphysema)`, chinthu chofunika kwambiri ndikupeza ndikuchiza chomwe chimayambitsa matendawa. Dokotala wanu akayamba kuchiza chomwe chimayambitsa matendawa, zizindikiro zanu ziyenera kuchira mkati mwa masiku 10 mpaka 14.

Kawirikawiri, m'matenda osaopsa kwambiri, madokotala amagwiritsa ntchito zosungira mpweya. Zipangizozi zimatithandiza kupuma mpweya wokhawokha pafupifupi 95%. Izi zikutanthauza kuti thupi lathu limalandira mpweya wochuluka, zomwe zimathandiza kuti mpweya womwe uli pansi pa khungu ulowenso mwachangu.

Nthawi zina, dokotala angafunike kuchita zinthu ngati izi kuti achotse mpweya wowonjezera womwe watsekeredwa:

• Chitoliro cha pachifuwa (Thoracostomy)
• Kuduladula ming'alu iwiri yaing'ono pansi pa mafupa a clavicle pamapewa athu.
• Kugwiritsa ntchito singano, ma catheter (machubu ang'onoang'ono okhala ndi dzenje), kapena kudula ming'alu yaying'ono kuti muchotse mpweya m'mbali zina za thupi.

Komabe, ngati vutoli ndi lalikulu kwambiri, opaleshoni ingafunike. Kapenanso, madokotala angaike machubu ang'onoang'ono (mataipi) kuti mpweya wochuluka utuluke.

Kodi pali chilichonse chomwe ndingachite kuti ndichepetse kusasangalala kwanga?

Matenda a subcutaneous emphysema si nthawi zonse amayambitsa zizindikiro zopweteka. Koma ngati mukukumana ndi kusasangalala kapena kupweteka kulikonse, dokotala wanu angakulangizeni izi:

• Mankhwala ochepetsa ululu
• Chomangira m'mimba (izi zingathandize kuchepetsa kutupa ndi kusasangalala)
• Mpweya wokhazikika (monga tanenera kale, kuti uthandize kupuma)

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire chifukwa cha izi?

Anthu ambiri amachira mkati mwa masiku 10 mpaka 14 kuchokera pamene adalandira chithandizo. Malinga ndi kafukufuku wina, nthawi yochira, ngakhale pa milandu yoopsa, inali pafupifupi masiku 16. Choncho,Ngati mutalandira chithandizo choyenera, mutha kuchira mwachangu.

Kodi chiyembekezo cha vutoli ndi chotani? (Outlook)

Ndi chithandizo, chiyembekezo chimakhala chabwino. Izi zikutanthauza kuti pali mwayi wabwino wochira. Koma nthawi ndi yofunika kwambiri apa. Mukapita kwa dokotala mwachangu, mumachepetsa zizindikiro zanu mwachangu ndikuchepetsa chiopsezo cha zovuta zazikulu.

Kodi vutoli lidzatha liti?

Ndi chithandizo, anthu ambiri omwe ali ndi ``Subcutaneous Emphysema'' amachira mkati mwa milungu iwiri.

Kodi pali njira yopewera izi?

Nthawi zambiri, `(Subcutaneous Emphysema)` imachitika pazifukwa zomwe sitingathe kuzilamulira. Izi zikutanthauza chinthu monga ngozi kapena opaleshoni. Choncho palibe chomwe mungachite kuti izi zisachitike. Si vuto lanu. Ngati mukupeza zizindikiro zilizonse, chinthu chabwino kuchita ndikulankhula ndi dokotala nthawi yomweyo. Dokotalayo ndiye adzasankha ngati mukufuna chithandizo, ndipo ngati ndi choncho, mtundu wanji.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukukumana ndi zizindikiro zilizonse zotsatirazi, pitani kwa dokotala nthawi yomweyo:

• Kutupa kwa khungu popanda chifukwa chilichonse.
• Ngati mukumva phokoso la 'kufuula' mukakanikiza khungu lomwe lakhudzidwa.
• Kutupa.
• Ngati kuli kovuta kupuma kapena kumeza chinthu.
• Ngati muli ndi ululu pakhosi kapena pakhosi.

Si bwino kuchedwa nthawi ngati iyi. Ndikofunikira kupeza chithandizo mwachangu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Ngati mwapezeka ndi "Subcutaneous Emphysema", mungafune kufunsa dokotala wanu mafunso monga:

• Kodi n’chiyani chikundipangitsa kukhala ndi vutoli?
• Kodi izi zidzachira zokha?
• Kodi ndikufunika chithandizo? Ngati ndi choncho, ndi chithandizo chamtundu wanji?
• Kodi ndiyenera kukhalabe kuchipatala?
• Kodi ndidzatha liti kubwerera kuntchito kapena kusukulu?

Ndikofunikira kwambiri kufunsa mafunso awa ndikupeza kumvetsetsa bwino za vuto lanu.

Kodi "Subcutaneous Emphysema" iyi ndi vuto ladzidzidzi?

Matenda a subcutaneous emphysema nthawi zonse si vuto ladzidzidzi kapena loika moyo pachiswe. Komabe, mosasamala kanthu za vuto lanu, ndikofunikira kufunafuna chithandizo mwachangu. Anthu ambiri omwe ali ndi vutoli amakhala ndi zizindikiro zochepa chabe. Komabe, anthu ena amatha kukhala ndi mavuto aakulu. Ngati muli ndi zizindikiro zilizonse zodetsa nkhawa - mwachitsanzo, khungu lanu limawoneka lotupa komanso lotupa, kapena mukumva phokoso 'lofuula' - muyenera kuwona dokotala nthawi yomweyo.

Kuvulala kapena kuchitidwa opaleshoni ndi vuto lodetsa nkhawa kale. Kuphatikiza apo, ngati vuto litachitika, mungamve ngati simudzatha kubwerera ku moyo wabwinobwino. Subcutaneous emphysema ndi vuto losowa kwambiri. Komabe, ngati litachitika, ndikofunikira kupita kuchipatala nthawi yomweyo. Ngati silinalandire chithandizo, subcutaneous emphysema ingayambitse mavuto ena - komanso mwina aakulu kwambiri.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, tsopano mwamvetsa bwino zomwe takhala tikulankhula, ``(Subcutaneous Emphysema)''. Chofunika kwambiri ndichakuti musachite mantha ngati muwona zizindikirozi, koma pitani kwa dokotala nthawi yomweyo.

Kumbukirani:

* Ngakhale kuti mpweya wochuluka pansi pa khungu ndi wosowa, ukhoza kuyambitsidwa ndi mavuto ena azaumoyo.

* Zizindikiro zazikulu ndi kutupa kwa khungu ndi phokoso 'lolira' likakhudzidwa.

* Ngati mutapeza chomwe chikuyambitsa vutoli ndikuchiza, mutha kuchira mwachangu.

* Ngati mukukayika, funsani upangiri wa dokotala nthawi yomweyo.

Ndikufunira inu ndi banja lanu thanzi labwino!

` Subcutaneous Emphysema, kudzaza mpweya pakhungu, mpweya pansi pa khungu, kutupa, crepitus, kupuma movutikira, mavuto a mapapo