Hemopneumothorax

Anter

• He aha nā hōʻailona o ka hemopneumothorax?
• He aha ke kumu o ka hemopneumothorax?
• Pehea e ʻike ʻia ai ka hemopneumothorax?
• Ke mālama nei i ka hemopneumothorax
• Thoracostomy (hoʻokomo pahu pahu)
• ʻOki kino
• Nā Lapaʻau
• Nā pilikia o ka hemopneumothorax
• Outlook

Hōʻike Overview

ʻO Hemopneumothorax kahi hui pū o nā kūlana olakino ʻelua: pneumothorax a me hemothorax. ʻO Pneumothorax, ka mea i ʻike ʻia ma ke ʻano he puʻupuʻu hāneʻe, i ka wā aia ka ea ma waho o ka akemāmā, ma kahi ākea ma waena o ka lung a me ka lua o ka umauma. Hana ʻia ʻo Hemothorax ke loaʻa ke koko i kēlā wahi like. Ma kahi o 5 pākēneka wale nō o nā mea maʻi me ka pneumothorax ʻike i ka hemothorax i ka manawa like.

Kū pinepine ʻo Hemopneumothorax ma ke ʻano he ʻeha i ka umauma, e like me ka pū kī, ka hou ʻana, a i ʻole ka iwi ʻaoʻao i haki. Kapa ʻia kēia traumatic hemopneumothorax. I nā hanana kakaikahi loa, hoʻokumu ʻia kēia ʻano e nā ʻano olakino ʻē aʻe, e like me ka maʻi ʻaʻa maʻi, nā maʻi kahe o ke kahe, a i ʻole nā ​​rumatika. Hiki pū kekahi hemopneumothorax me ka ʻole o ke kumu (spontaneous hemopneumothorax).

No ka mālama ʻana i ka hemopneumothorax, pono e hoʻokahe ʻia ke koko a me ka ea mai ka umauma e hoʻohana ana i ka paipu. Pono e hana i kahi ʻoki kino e hoʻoponopono i nā ʻeha a i ʻole nā ​​ʻeha.

He aha nā hōʻailona o ka hemopneumothorax?

He pilikia olakino ʻo Hemopneumothorax, no laila he mea nui e ʻike koke i kāna mau ʻōuli.

ʻO nā hōʻailona me:

• ʻehaʻeha o ka umauma ʻeha a ʻoi aku ka maikaʻi ma hope o ka uha ʻana a i ʻole ka hanu ʻana
• hanu paʻakikī a luhi paha (dyspnea)
• pokole o ka hanu
• paʻa paʻa o ka umauma
• tachycardia (wikiwiki wikiwiki o ka naʻau)
• pale a uliuli ka ʻili i hoʻokumu ʻia e ka nele o ka oxygen

Hiki wale ke ʻeha ma nā ʻaoʻao ʻelua a i ʻole ma ka ʻaoʻao kahi i loaʻa ai ka ʻeha a ʻeha paha.

He aha ke kumu o ka hemopneumothorax?

Hoʻokumu pinepine ʻia ʻo Hemopneumothorax e kahi trauma a i ʻole ʻūlū a i ʻole ʻoki ʻeha i ka umauma.

Ke hōʻeha ʻia ka paia o ka umauma, hiki i ke koko, ka ea, a i ʻole ʻelua ke komo i kahi ākea i piha i ka wai e hoʻopuni ana i nā akemāmā, kahi i kapa ʻia he pleura space. A ʻo kahi hopena, hoʻohaunaele ʻia ka hana o nā ake māmā. ʻAʻole hiki i nā māmā ke hoʻonui e hoʻokuʻu i ka ea. E emi nā māmā a hāʻule i lalo.

ʻO nā laʻana o kahi trauma a ʻeha paha i hiki ke kumu i ka hemopneumothorax me:

• ʻeha ʻeha
• ʻeha pū
• kuʻi mai ka iwi ʻaoʻao i haki
• hāʻule mai kahi kiʻekiʻe koʻikoʻi
• ulia kaʻa
• ʻeha mai ka hakakā ʻana a i ʻole ka hoʻopili ʻana i nā haʻuki (e like me ka pôpeku)
• ʻeha puncture mai kahi hana olakino, e like me kahi biopsy a i ʻole acupuncture

Ke hōʻeha a hōʻeha paha ke kumu, kapa ʻia ke ʻano he hemopneumothorax traumatic.

I nā hihia kakaʻikahi, hiki i ka hemopneumothorax ke kumu ʻia e nā hanana non-traumatic me:

• nā pilikia o ka maʻi ʻaʻai māmā
• rumatika
• hemophilia
• ʻōnaehana lupus ʻōnaehana
• maʻi cystic congenital o ka akemāmā

Hiki pū kekahi i ka hemopneumothorax me ka ʻole o ke kumu. Eia nō naʻe, maʻamau ʻole kēia.

Pehea e ʻike ʻia ai ka hemopneumothorax?

Inā loaʻa iā ʻoe kahi ʻeha a hōʻeha paha i kou umauma, hiki i kāu kauka ke kauoha i kahi pahu X e kōkua ai e ʻike inā e ulu ana ka wai a me ka ea i loko o ka lua o ka umauma.

Hiki ke hana ʻia kekahi mau hoʻokolohua diagnostical e loiloi hou ai i ka wai i loko a puni nā akemāmā, e like me kahi scan CT umauma a i ʻole kahi ultrasound. E hōʻike kahi ultrasound o ka umauma i ka nui o ka wai a me kona wahi kikoʻī.

Ke mālama nei i ka hemopneumothorax

Hoʻomaʻamaʻa ʻia ka hemopneumothorax i ka ninini ʻana i ka ea a me ke koko i ka umauma, e hoʻihoʻi i ka māmā i ka hana maʻamau, ka pale ʻana i nā pilikia, a me ka hoʻoponopono ʻana i nā ʻeha.

Thoracostomy (hoʻokomo pahu pahu)

ʻO ka lapaʻau nui no ka hemopneumothorax ka mea i kapa ʻia ʻo ka chest Tube thoracostomy. Pili kēia hana i ke kau ʻana i kahi ʻōmole palaka hakahaka ma waena o nā iwi ʻaoʻao i loko o ka wahi a puni nā akemāmā i mea e hoʻokahe ai ka ea a me ke koko. Pili paha ka paipu i kahi mīkini e kōkua i ke kahawai. Ma hope o ka maopopo o kāu kauka ʻaʻohe wai hou a i ʻole ea e pono e ninini ʻia, e hoʻoneʻe ʻia ka pahu umauma.

ʻOki kino

ʻO ka poʻe me kahi ʻeha nui a ʻeha paha e pono ke kīpoki i mea e hoʻomaikaʻi ai i nāʻiʻo i hōʻino ʻia. Pono paha lākou i hoʻokahi a ʻoi aku o ke kahe o ke koko inā ua nui ka nui o ke koko i hala.

Nā Lapaʻau

Ma mua o ke kaʻina o ka thoracostomy, kaukaʻi ʻia i ke kumu o kou ʻano, hiki i kāu kauka ke hāʻawi iā ʻoe i nā antibiotic prophylactic e kōkua i ka pale ʻana i nā maʻi bacteria. Kau kauka paha i kau kauka ʻeha e kōkua me nā ʻeha ma mua a ma hope o kāu ʻoki ʻana.

Nā pilikia o ka hemopneumothorax

Nā pilikia o ka hemopneumothorax me:

• nā maʻi kūpilikiʻi, e like me ka niumonia
• haʻalulu hemorrhagic
• hopu naʻau
• empyema, kahi ʻano e ʻākoakoa ai ka pā i ka wahi pleura; kumu pinepine ʻia ka empyema e ka niumonia
• hanu hanu

Hoʻohui, aia ka poʻe i loaʻa ka hemopneumothorax i ka makaʻu i ka loaʻa ʻana o kahi ʻāpana hou inā ʻaʻole e pani piha ka hāmama.

Outlook

He kūlana hoʻoweliweli paha ka Hemopneumothorax a pono e mālama koke ʻia no ka nānā maikaʻi loa.

Inā ua hoʻokumu ʻia ke ʻano e kahi ʻeha a i ʻole ʻeha i ka umauma, e kau ka maka i ka nui o ka ʻeha. Loaʻa i nā hihia kūlohelohe o hemopneumothorax kahi wānana maikaʻi loa ke lawe ʻia ka wai a me ka ea mai ka umauma. I hoʻokahi o nā noi liʻiliʻi, ʻo nā mea maʻi ʻehā a pau me ka hemopneumothorax kūlohelohe i hoʻōla piha ʻia a hoʻonui nui ʻia ko lākou mau māmā ma hope o ka hanana.

Ma ka laulā, ʻaʻole e hoʻokumu ka hemopneumothorax i nā olakino olakino e hiki mai ana ma hope o ka mālama ʻia. Eia nō naʻe, aia kahi manawa liʻiliʻi o ke ola hou ʻana. ʻO ka hoʻohana ʻana i nā ʻano hana hoʻohaʻahaʻa minimally, e like me ka thoracostomy a me ke ʻoki ʻana i kōkua ʻia me ke wikiō, ua alakaʻi ʻia i ka hōʻemi ʻana o ka make a me nā helu hou.