ʻO Pneomediastinum

ʻO ka Pumatomediastinum ka lewa i ka mediastinum. ʻO ka mediastinum ka hakahaka ma waenakonu o ka umauma, ma waena o nā akemāmā a puni ka puʻuwai.

ʻAʻohe maʻamau ʻo Pneomediastinum. Hiki ke kumu i ke ʻano e ka ʻeha a i ʻole ka maʻi. ʻO ka hapanui pinepine, ke hana ia i ka wā e hemo ai ka ea mai nā ʻāpana o ka akemāmā a i ʻole nā ​​kahawai i loko o ka mediastinum.

ʻO ka hoʻonui ʻia o ke kaomi i nā akemāmā a i ʻole nā ​​ala mokulele e kumu ʻia e:

• Kaumaha loa
• Hana hou i lalo e hoʻonui i ka ʻōpū o ka ʻōpū (e like me ka hoʻokuʻi ʻana i ka wā hānau a i ʻole ka ʻōpū.
• Kaheʻe
• ʻO ka luaʻi

Hiki paha ia ma hope o:

• He maʻi i ka ʻāʻī a i ʻole ke kikowaena o ka umauma
• Piʻi ʻo Rapid i kahi kiʻekiʻe, a i ʻole ka luʻu scuba
• Haehae o ka esophagus (ka paipu e hoʻopili i ka waha a me ka ʻōpū)
• Haehae o ka trachea (windpipe)
• Hoʻohana o kahi mīkini hanu (ventilator)
• Hoʻohana i nā lāʻau leʻaleʻa i hanu ʻia, e like me ka mariuana a i ʻole ka cocaine crack
• ʻOki kino
• Trauma i ka umauma

Hiki pū kekahi o ka Pumatomediastinum me ka hāhā o ka hāhā (pneumothorax) a i ʻole nā ​​maʻi ʻē aʻe.

ʻAʻohe paha ʻōuli. ʻO ke kumu ke kumu o ka ʻeha o ka umauma ma hope o ka umauma, i pālahalaha ʻia i ka ʻāʻī a i ʻole nā ​​lima. ʻOi aku paha ka ʻeha ke lawe ʻoe i ka hanu a ale paha.

I ka wā o ka hoʻokolokolo kino ʻana, ʻike paha ka mea mālama ola i nā huʻupuʻu o ka lewa ma lalo o ka ʻili o ka umauma, nā lima, a me ka ʻāʻī.

Hiki paha ke hana i kahi x-ray a i ʻole CT scan o ka umauma. E hōʻoia kēia i ka ea i loko o ka mediastinum, a e kōkua i ke kuhi ʻana i kahi puka o ka trachea a i ʻole ka esophagus.

Ke nānā ʻia, i kekahi manawa hiki i ke kanaka ke nānā aku a pehu (pehu) i ka maka a me nā maka. Hiki i kēia ke nānā aku ma mua o ka maoli.

ʻO ka pinepine, ʻaʻohe pono e pono ai no ka mea e ʻimi mālie ke kino i ka ea. ʻO ka hanu ʻana o nā oxygen i hiki ke wikiwiki i kēia kaʻina hana.

Hoʻokomo paha ka mea hāʻawi i loko o ka pahu o ka umauma inā ʻoe i hāʻule i kahi māmā. Pono paha ʻoe i ka lāʻau no ke kumu o ka pilikia. Pono e hoʻoponopono i kahi lua o ka trachea a i ʻole ka esophagus me ke kahakaha.

Aia ka nānā i ka maʻi a i ʻole nā ​​hanana i hoʻokumu i ka pneumomediastinum.

Kūkulu paha ka ea a komo i ke ākea a puni nā māmā (pleura space), e hāneʻe ai ka māmā.

I nā hihia maʻamau, hiki i ka ea ke komo i ka wahi ma waena o ka puʻuwai a me ka ʻeke lahilahi e hoʻopuni ana i ka puʻuwai. Kapa ʻia kēia ʻano he pneumopericardium.

I nā hihia kakaikahi ʻē aʻe, kūkulu ka nui o ka ea i waenakonu o ka pahu e pahu i ka puʻuwai a me nā kīʻaha koko nui, no laila ʻaʻole hiki iā lākou ke hana kūpono.

Pono kēia mau pilikia āpau i ka nānā wikiwiki no ka mea hiki ke hoʻoweliweli i ke ola.

E hele i ka lumi pilikia a kelepona paha iā 911 a i ʻole ka helu kūloko kūloko inā loaʻa iā ʻoe ka ʻeha o ka umauma paʻakikī a paʻakikī i ka hanu ʻana.

ʻO Mediastinal empysema

• ʻŌnaehana hanu

ʻO Cheng G-S, ʻo Varghese TK, ʻo Park DR. ʻO Pneumomediastinum a me mediastinitis. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 84.

ʻO McCool FD. Nā maʻi o ka diaphragm, ka umauma umauma, ka pleura, a me ka mediastinum. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 92.