Atelectasis

Anter

• He aha nā hōʻailona?
• He aha ke kumu?
• Nā kumu o atelectasis ālai
• Nā kumu o atelectasis nonobstructive
• ʻOki kino
• Hoʻonui effa
• Pneumothorax
• Scarring Lung
• Tumo umauma
• Ka nele o ka heʻe nalu
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Lapaʻau nonsurgical
• Lapaʻau ʻoki kino
• He aha ke kuanaʻike?

He aha ka atelectasis?

ʻO kāu mau kahawai e lālā nei i nā paipu e holo i loko o kāu mau māmā. Ke hanu ʻoe, neʻe ka ea mai ke ala nui i loko o kou puʻu, i kekahi manawa i kapa ʻia kāu puka makani, i kou mau akemāmā. Hoʻomau nā alaloa i nā lālā a hele i ka liʻiliʻi a hiki i ka hopena i nā ʻeke liʻiliʻi i kapa ʻia ʻo alveoli.

Kōkua kāu alveoli e hoʻololi i ka oxygen i ka lewa no carbon dioxide, kahi huahana neoneo mai kou mau aʻa a me nā meaola. I mea e hana ai i kēia, pono e hoʻopiha kāu alveoli i ka ea.

Ke hiki i kekahi o kāu alveoli mai hana hoʻopiha me ka ea, ua kapa ʻia ʻo "atelectasis."

Kaukaʻi ʻia i ke kumu paʻa, hiki i ka atelectasis ke hoʻopili i nā ʻāpana liʻiliʻi a nui paha o kou māmā.

ʻOkoʻa ka Atelectasis mai kahi hāhū i hāneʻe ʻia (i kapa ʻia hoʻi he pneumothorax). Hana ʻia kahi māmā hāʻule i ka wā e paʻa ai ka ea i ka hakahaka ma waena o ka waho o kou māmā a me ka paia o kou umauma o loko. ʻO kēia ke kumu e emi ai kou māmā a i ʻole, e hāʻule paha.

ʻOiai ʻokoʻa nā ʻano ʻelua, hiki i ka pneumothorax ke alakaʻi i ka atelectasis no ka mea e deflate kāu alveoli i ka liʻiliʻi ʻana o kou māmā.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe ai e pili ana i nā atelectasis, me nā kumu alalai a me nā kumu nonobstructive.

He aha nā hōʻailona?

Aia nā ʻōuli o atelectasis mai ka ʻole a i ke koʻikoʻi nui, e kaukaʻi ʻia i ka nui o kou māmā a me ka wikiwiki o ka ulu ʻana. Inā pili kekahi mau alveoli a i ʻole hana mālie ia, ʻaʻole paha ʻoe he hōʻailona.

Ke komo ka atelectasis i ka nui o ka alveoli a i ʻole hiki mai wikiwiki, paʻakikī e loaʻa ka oxygen i kou koko. Loaʻa ka oxygen haʻahaʻa o ke koko i hiki i:

• pilikia hanu
• ʻeha ka umauma ʻoi, keu hoʻi i ka hāpai ʻana i ka hanu hohonu a i ʻole ka ʻeha
• hanu wikiwiki
• hoʻonui ʻia ka helu o ka puʻuwai
• ʻili, nā lehelehe, nā manamana lima, a me nā manamana wāwae

I kekahi manawa, ulu ka pulumonia i ka ʻāpana i hoʻopili ʻia o kou māmā. Ke hiki kēia, hiki iā ʻoe ke loaʻa i nā ʻōuli maʻamau o ka niumonia, e like me ka uha hana, ke kuni, a me ka ʻeha o ka umauma.

He aha ke kumu?

Hiki i nā mea he nui ke kumu i ka atelectasis. Kaukaʻi ʻia i ke kumu, hoʻokaʻawale ʻia ka atelectasis ma ke ʻano he mea ālai a i ʻole nonobstructive.

Nā kumu o atelectasis ālai

Hana ʻia nā atelectasis keakea ke ulu kahi blockage i kekahi o kāu airways. Pale kēia i ka ea mai ka hele ʻana i kāu alveoli, no laila hāʻule lākou.

ʻO nā mea i hiki ke pale i kāu ala ʻāpana e:

• inhalation o kahi mea haole, e like me kahi mea pāʻani liʻiliʻi a i ʻole nā ​​ʻāpana liʻiliʻi o nā meaʻai, i ke ala ākea
• mucus plug (buildup of mucus) i kahi alaloa
• ʻōpuʻu ulu i loko o kahi alaloa
• tumo i loko o kaʻiʻo māmā e kaomi ma ke alaloa

Nā kumu o atelectasis nonobstructive

ʻO ka nonobstructive atelectasis pili i kekahi ʻano atelectasis i kumu ʻole ʻia e kekahi ʻano poloka i kāu mau ala air.

ʻO nā kumu maʻamau o nā atelectasis nonobstructive e komo pū ana:

ʻOki kino

Hiki i ka Atelectasis ke hana i ka wā a ma hope paha o nā kaʻina hana. Hoʻopili pinepine kēia mau kaʻina hana i ka hoʻohana ʻana i ka anesthesia a me ka mīkini hanu e ukali ʻia e nā lāʻau ʻeha a me nā mea hōʻoluʻolu. Hiki pū, hiki i kēia ke hana i kou hanu papaʻu. Hiki iā lākou ke hōʻemi iā ʻoe i ka tale, ʻoiai inā pono ʻoe e lawe i kahi mea mai kou mau māmā.

I kekahi manawa, ʻaʻole hanu hohonu ʻana a i ʻole ka puʻe ʻana e hiki ke hāʻule kekahi o kāu alveoli. Inā loaʻa iā ʻoe kahi kaʻina hana e hele mai ana, e kamaʻilio me kāu kauka e pili ana i nā ala e hōʻemi ai i kāu makaʻu o nā atelectasis posturgical. Hiki ke hoʻohana ʻia kahi mea lawe lima i ʻike ʻia ma ke ʻano he spirometer hoʻonāuki i ka haukapila a ma ka home e paipai ai i ka hanu hohonu.

Hoʻonui effa

ʻO kēia kahi buildup o ka wai i ke ākea ma waena o ka uhi waho o kou māmā a me ka uhi o kou paia umauma o loko. ʻO ka maʻamau, pili paʻa kēia mau ʻaoʻao ʻelua, kahi e kōkua ai e hoʻonui i kou māmā. Hoʻopau ka pleural effusion i nā pale e hoʻokaʻawale a lilo i ka pilina me kekahi. ʻAe kēia i kaʻiʻo uila i kou māmā e huki i loko, e hoʻokele i ka ea mai kāu alveoli.

Pneumothorax

He like loa kēia me ka effusion pleural akā pili i ka kūkulu ʻana o ka ea, ma kahi o ka wai, ma waena o nā pale o kou māmā a me kou umauma. E like me ka pleural effusion, ke kumu kēia e huki i loko kou mau māmā i loko, e kaomi ana i ka ea mai kāu alveoli.

Scarring Lung

Kapa ʻia ka scarring o ka pulmonary fibrosis. Hoʻokumu pinepine ʻia ia e nā maʻi lolo lōʻihi, e like me ka maʻi puʻupuʻu. ʻO ka lōʻihi lōʻihi i nā mea hoʻonāukiuki, me ka uahi paka, hiki ke kumu iā ia. Kūleʻa kēia scarring a paʻakikī iā ʻoe e hoʻonui i kāu alveoli.

Tumo umauma

ʻO kēlā me kēia ʻano nui a ulu paha e kokoke ana i kou mau māmā hiki ke hoʻokau i kou māmā. Hiki i kēia ke hoʻoikaika i kekahi o ka lewa mai kāu alveoli, e hoʻoheheʻe ai iā lākou.

Ka nele o ka heʻe nalu

Aia i loko o Alveoli kahi mea i kapa ʻia he surfactant e kōkua iā lākou e hāmama. Ke liʻiliʻi ʻo ia, hāʻule ka alveoli. Kūleʻa ka hemahema Surfactant i nā pēpē i hānau mua ʻia.

Pehea ia ʻike?

E hōʻoia i ka atelectasis, hoʻomaka kāu kauka ma ka loiloi ʻana i kāu mōʻaukala olakino. Nānā lākou i nā kūlana o ka mumū ma mua i loaʻa iā ʻoe a i ʻole nā ​​ʻoki hou loa.

A laila, hoʻāʻo lākou e loaʻa kahi manaʻo ʻoi aku ka maikaʻi o ka hana ʻana o kāu mau māmā. E hana ai i kēia, hana paha lākou:

• e hōʻoia i kou pae o ka oxygen kokome kahi oximeter, kahi mea liʻiliʻi e kau ma ka hope o kou manamana lima
• lawe i ke koko mai kahi aʻa, ʻo ka maʻamau i kou pulima, a nānā i kona oxygen, nā pae kalapona kalapona, a me ke kemika o ke koko me ka hoʻāʻo kinoea koko
• kauoha a umauma X-ray
• kauoha a CT scan e nānā i nā maʻi a i ʻole nā ​​palaka, e like me ka tumo i kou māmā a i ʻole airway
• hana a bronchoscopy, kahi e hoʻokomo ai i kahi kāmela, aia ma ka wēlau o kahi ʻōmole lahilahi, maʻalahi, ma o kou ihu a waha a i loko o kou mau māmā

Pehea e mālama ʻia ai?

ʻO ka mālama ʻana i nā atelectasis kaukaʻi ʻia i ke kumu kumu a me ke koʻikoʻi o kāu mau ʻōuli.

Inā pilikia ʻoe i ka hanu ʻana a manaʻo paha ʻoe ʻaʻole lawa ka ea, e ʻimi koke i ka lāʻau lapaʻau.

Pono ʻoe i ke kōkua o kahi mīkini hanu a hiki i ka loaʻa ʻana o kou māmā a mālama ʻia ke kumu.

Lapaʻau nonsurgical

ʻO ka hapa nui o nā hihia atelectasis ʻaʻole koi i ke ʻoki. Kaukaʻi ʻia i ke kumu kumu, hiki i kāu kauka ke ʻōlelo i hoʻokahi a i ʻole ka hui pū ʻana o kēia mau hana.

• ʻO ka physiotherapy umauma. Hoʻopili kēia i ka hoʻoneʻe ʻana i kou kino i nā kūlana ʻokoʻa a me ka hoʻohana ʻana i nā neʻe ʻana, nā haʻalulu, a i ʻole ka ʻaʻahu ʻana i kahi kapa wili e kōkua ai i ka hoʻoluhi a hoʻoliʻu i ka mucus. Hoʻohana ʻia ia no nā atelectasis obstructive a i ʻole postsurgical. Hoʻohana maʻamau kēia lapaʻau i nā poʻe me ka cystic fibrosis pū kekahi.
• ʻO Bronchoscopy. Hiki i kāu kauka ke hoʻokomo i kahi paipu liʻiliʻi ma o kou ihu a waha paha i loko o kou mau māmā e hemo i kahi mea haole a hoʻomaʻemaʻe paha i kahi plug mucus. Hiki ke hoʻohana ʻia kēia e wehe i kahi mea kiko mai ka nui i hiki i kāu kauka ke hoʻomaopopo i ka mea e pilikia ai.
• Nā hana hanu. Nā hoʻoikaika kino a i ʻole nā ​​hāmeʻa, e like me ka spirometer hoʻonāukiuki, e hoʻoikaika iā ʻoe e hanu i loko o ka hohonu a kōkua e wehe i kāu alveoli. He mea maikaʻi loa kēia no nā atelectasis posturgical.
• Hoʻokahekahe. Inā pili kāu atelectasis i ka pneumothorax a i ʻole ka pleural effusion, pono paha i kāu kauka e hoʻokahe i ka ea a i ʻole ka wai mai kou umauma. No ka hemo ʻana i ka wai, hoʻokomo paha lākou i ka nila i kou kua, ma waena o kou mau iwi ʻaoʻao, a i ka ʻeke o ka wai. I mea e hoʻoneʻe ai i ka ea, pono paha lākou e hoʻokomo i kahi ʻōmole palaka, i kapa ʻia he pahu umauma, e hoʻoneʻe ai i ka ea a i ʻole ka wai. Pono e waiho i ka pahu o ka umauma i mau lā i nā hihia ʻoi aku ka paʻakikī.

Lapaʻau ʻoki kino

I nā hihia kakaikahi loa, pono ʻoe e lawe i kahi wahi liʻiliʻi a i ʻole lobe o kou māmā i lawe ʻia. Hana wale ʻia kēia ma hope o ka hoʻāʻo ʻana i nā koho ʻē aʻe a i ʻole i nā hihia e pili ana i nā ake māmā kūmau mau ʻia.

He aha ke kuanaʻike?

ʻAʻohe hiki ke hoʻoweliweli i ka atelectasis ʻino a hele pinepine i ka manawa e haʻi ʻia ke kumu.

ʻO Atelectasis ka mea e loli i ka hapa nui o kou māmā a kū wikiwiki paha ma kahi o kahi ola weliweli e like me ke kahakaha ʻana o ke alaloa nui a i ʻole ke kaomi ʻia ʻana o kahi nui a wai a wai paha i hoʻokahi a ʻelua paha māmā.