Decompression maʻi (caisson maʻi): lapaʻau, kumu, symptoms, Kāohi

E like me uaʻike, me ka unuhi i loko o ka lewa puʻe e loli ai ke kanaka o ka ola. Keia mea pakahi aku la ia ike ana o kanaka, ka poe i leʻaleʻa o ka mauna piʻi akula nō hoʻi paha hohonu ilalo ma lalo o ka wai. Ka ho'ēmiʻana o ka lewa puʻe 'ia no ka pōkole manawa ana ua i pu e nui ka haunaele i ke kino. Eia naʻe, hooloihi ae i waiū a hiki i ka "hookuu" i ka lewa ka noho pilikia loa. Kekahi kanaka hoʻomōhala i kēiaʻano like decompression maʻi iloko o koke puʻe kulu. Ke oolea o ke ano hoʻoholoʻia e ka nui o kanaka waiū, i ka aiiay koa o ka meaola, like hoʻi me ka 'eleu hookamaia o ana kauka. I loko nō o ka mea i decompression decompression ka maʻi i loko o ka hapanui o na hihia hiki ke hana, ua nui na hihia o ka make. E kamaʻilio laulä ai ka lewa puʻe me keia pathology ua, ua hoʻokumu 'ia i kakahiaka nui me ka hapalua like-17th kenekulia, nä känaka' epekema Boyle. Aka hoi, i kēia 'inikua kŰia aʻo a hiki i kēia manawa.

He aha ka decompression maʻi?

Ke pathology pili me keʻenaʻoihana nā palapala 'ole ma ke kino. I loko nō o ka mea i Boyle o kekahi o nā kānakaʻepekema mua, e hookupaa aku i ka pilina ma waena o ka lewapuni puʻe kulu a me nā loli i nā nā'aʻaʻa o ola meaola (a poʻopoʻo ka nahesa), decompression maʻi mai i kapa ai i ke ao nei a nui hope. Ua hiki i ka hopena o 19th kenekulia, i ka wa a ka makani EII ni mua a me ka caissons i invented. Oiai pathology hoomaka ae la e hoʻohuli i ai i ka 'oihana p ÷ ino. People e hana ana i loko o na olelo o ka'opihia lewa ma ka mea e kūkulu i kekahi tunnel ma lalo o ka wai, i mua i i hai i kekahi loli. ka mau moku'āina o ka mea hōʻemiʻikeʻia i kekahi manawa, i ka wa ua hoemi ia i ka maʻamau cia ka lewapuni puʻe. No keia kumu, ke pathology o ka lua o ka inoa - caisson maʻi. Hohonu, o ke kumu nui ke keʻena o keia ano, no ka mea, ua hana no ka mea, kaulana mākou meaola kiʻekiʻe puʻe. ʻO ia pili i ke kiʻekiʻe. Ua haawiia i ke pathological ana symptoms ikeia ma ka manaʻo koikoi kulu (mai kiʻekiʻe i ka haahaa kumukuai),ʻike, mea,ʻaʻole paʻakikī no ka mea akamai technician.

Wai ua loli ana i decompression maʻi?

Caisson maʻi 'Aʻole e hana koke, a noʻaʻohe kumu. Aia o kekahi pūʻulu o ka kamepiula - oia hoi, ua waiho olohelohe ia kanaka a hiki i keia maʻi. Nā hana o kēia mau mea e e pololei nā i ka lewapuni'aloʻahiʻa hoʻololi. Mamua, i ka maʻi ua waiho wale i ka caisson hana a me mountaineers. I kēia lā o ka honua, i ke kamepiula pae me ka nui loa, a mahuahua nui - ia no hoi, hoomaka ae la e lawe astronauts, pailota a me kela. I loko nō o ka mea i kuaiʻikepili i pilikia, decompression maʻi mea ole ke kūmau. Ua loli ai wale ka poe malama ole kaiapuni paha i kamepiula aʻe. Iwaena o lakou i na kēia provocative ole:

1. Ka meheu o ke koko holo ma ke kino. Kēia ia lŘlŘ ka wā o ka dehydration a me ka waiū. Ka meheu o ke koko pele mālama i kūnewa a me ka mea'ōnaehana mānowai koko maʻi.
2. Koko ho okumu ana o cii me hoemiia puʻe. O kŰia ua pu ma ke ano o ka poe liilii, ea Oe. 'Ākena kumumea e kauoha ana i kēiaʻano mea excessive physical ha awina ma mua o ka luʻu kai i loko o ka wai, a e hoohaunaele ana i ke kiʻekiʻe.
3. Mahuahua kino kaumaha. 'O kēia kekahi ololi ka hoʻopukaʻana i ka hoʻomāhuahua ana o ke koko i loko o ka lewa Oe.
4. Loaa ana kanakaʻona mau inu mua o ka tutua kai a ala hou ana i ke kiʻekiʻe. 'Ia ka waiʻona ka paipai' ana i ke kuʻi nukeliu o ka poe liilii, ea Oe, hiki mahuahua i ko lakou nui.

Kiʻekiʻena decompression maʻi: keʻano papa hana o ka ulu ana

E like me ua ikeia mai na kanawai o ke kālaikūlohea, ka lewapuni puʻe ololi ka solubility o kinoea i loko o ke kinowai. Keia rula ua kālaiʻia nä känaka 'epekema Henry. E like me kona mau assertions, o ka mea kiekie oia ka mea Ambient puʻe, i ka maikaʻi o ka kinoea hoike mai i loko o ka wai. Ua haawiia keia rula, e mea hiki ke manao nei makou, like me ka ulu decompression ka maʻi i loko o kanaka e noho ana ma kiʻekiʻe kiʻekiʻena. Ma ka noho lōʻihi ma ka ciia o kiʻekiʻe ka lewa puʻe kino pailota, a astronauts a me mountaineers hoʻomaʻamaʻaʻia i kēia kaiapuni. No laila, ke kaolo i ka ninau lewa no mākou e hāʻawi mai ia i ka pahi mea hōʻemi. Aie i ka'aloʻahiʻa kulu o ke koko kinoea hoʻomaka e hoike mai ino, hoiliili ana ma ka lewa Oe. Ka mea pepehi decompression decompression maʻi no ka pailota a me ke aha? hiki e māhuahua ai ka hana ea Oe i loko o ke koko ma ka nui a me ka aeie i ka moku, ma laila e kauoha ana 'aʻaʻa necrosis ma ka paena. Eia hou, ka mea, kamaʻilioʻana e holo i loko o ke kino, a komo i ka nui arteries a me aa koko (cerebral, coronary, pulmonary). Mau Oe hana like emboli, a me ke koko clot e hiki i ole wale aʻe 'nui o ka moku'āina, akā, i ona.

Ka hooulu ana o ka decompression maʻi i loko o kela

Decompression maʻi o kela ano keia i ka iaʻano papa hana o ka? Acaeoey. Aie i ka mea i ma nui hohonu ka lewa puʻe mea kiʻekiʻe ma mua ma luna o ka ili a me kaʻoi emi i loko o kona kinoea koko hoʻomaka e hoike maiʻino. Eia naʻe, i loko o kaʻaeʻana me ka maluhia a me ka wa e kaawale aku o ka kamepiula kumumea i e käpae 'hiki. O kekahi poe e decompression maʻi ua ole mai, me ka ana ma lalo nei e pono ai:

1. E hoʻohana i ka oxygen ma paukūʻolokaʻa, a iloko ona i kakauia na koi kinoea ukuhiia, hoemi i ka mīkini'opihia ma ka hohonu.
2. O ka holo ala i loko o ka honua. Aia i kūikawā 'ana i kūpono, nooaai kela wahi e lawaiʻa mai pono mai ka lalo. Me ka holo ala o ka hoemi naikokene pae i loko o ke koko, i laila i nā Oe mea i hana ai.
3. Ke ala i loko o ka bathyscaphe - he kupaianaha hōʻailonaʻia he mea hōʻikeʻikeʻuʻuku. Ua apono 'oe, e pale aku i ka pahi puʻe kulu.
4. Desaturation ma kūikawā decompression keʻena. Aie i ka wehe 'ana o naikokene mai ke kino ala aʻole ole i mea hōʻemi o ka solubility o ke koko kinoea.

Ano o ka decompression maʻi

Aia nō 2 ke ano o ka decompression maʻi. Ka mea, i kapa hoʻohanohano ma ke ala ma ka a ia moku i ea Oe. Alaila, kela mea keia mea o lakou, ua wehewehe aku ma kona lapaʻau hōʻike. I ka wā o ka huakai hele 1 'ano kinoea accumulates ma ka liʻiliʻi capillaries, arteries a me aa koko e hoolako i ke kokoʻili, Muscle a me ka ami. A, ea Oe i loaa i loko o nā ipu lymphatic.

Papa anuʻu loa kai a me ka kiʻekiʻena decompression maʻi type 2 ka noho pilikia loa. I ka mea ku i ka ipu kinoea emboli o ka naau, maʻiʻaʻai, lolo a me ka spinal kaula. Mau kino i nui, no laila, ma ka 'aʻe' o ia i mea külana.

lapaʻau kiʻi

Ka lapaʻau kiʻi o ka maʻi hilinaʻi nui ma luna o ka mea i hahau aku la i ke ano o ka moku ma ka lewa Oe. Na symptoms me ka ohane, scratching, eha i loko o nāʻiʻo a me ka ami,ʻoi aku ka wā haliu ae la i ke kino, me ka holoholo, i emi iho 'ano 1 decompression maʻi. No laila, ikeia uncomplicated decompression maʻi. Symptoms ano o ka Type 2 Ua nui aku hoʻoponopono. Inā ka mea, e loli ai i nā ipu o ka lolo i ia i ka hahai lapaʻau hoikeana: lilo o ka pilikia makapō kahua, emi kona oolea, pōniuniu, a pāpālua hoʻi nā mea i loko o ka maka, ringing i loko o ka pepeiao. Coronary embolism hoike aku angina a me ka pokole o ka hanu. Inā ka mea, e loli ai ka ipu pulmonary me ka poe liilii, ea Oe malama me ka puʻu, ka hakui o, pokole o ka hanu. A pau kēia mau symptoms i typical no ka awelika degere o ka decompression maʻi. I oi loa hoopii, he mea nui circulatory kāna hana a hiki e ona.

Ke oolea o na huakai hele

Hoomaopopo mehana, lōpū a me ka loa degere o ka decompression maʻi. Ma ka hihia mua, mea hōʻemi iki a reversibly i loko o ka pōkole manawa. Mehana wehewehe aku ma ka nawaliwali, a me ka Muscle olelo eha e ia lŘlŘ kekahi manawa, pruritus a me rashes ma luna o ke kino. Nō kāu, i kēia mau hanana i hoʻomaka ai i nā a me ka mea wale nō. Ma lōpū oolea neia manawa, ua nui aʻe '. Pain i ami a me nāʻiʻo a eia i, a oi, pili, pili ana i pokole o ka hanu, cough, kaʻawaʻawa loa ka waiʻona ma ke i loko o ka naʻau, i ka neurological symptoms. Kēia palapala Pono kaʻenaʻena lapaau. Loa caisson maʻi hiki e hoikeia nui naehana hanu kaumaha, urinary kāna hana, lōlō a me ka paresis, myocardial infarction a me ka e like. D. No ka ona e hahauʻana hiki ka hopena i loko o na moku nui o ka lolo, a me ka pulmonary embolism.

Diagnosing decompression maʻi

Diagnosing decompression maʻi mea,ʻaʻole he nui nō, mai ka pathology e hoʻomōhala ana i loko o ka hora mua ma hope o ka piʻiʻana mai o ka hohonu a pae. Ka lapaʻau kiʻi e leie aku oe i ka pono Loiloi i ka kanaka ana i loko o ka hapanui hihia. Inā e manao i ka lilo o ka meakino a me ka nui o na moku i koi vocal ano o ka ninaninau. No nui i coronary angiography, MRI o ka lolo, ultrasound o na aa koko a me arteries o nāʻaoʻao.

X-Ray lapaʻau 'ana i loko o ka huakai hele

I ka decompression maʻi lōpū i ka loa pinepine e loli ai i ka iwi a me ka ami. Ma kekahi mau hihia, o ka spinal kaula, a ua komo i loko o ke kaʻina. X-Ray ano o ka hoʻokolokolo 'ana e leie aku ka pololeiʻike, o ka decompression maʻi. Aia nō kēia mau OEeAAaO osteoarticular'ōnaehana: ka hoala ana haʻawina a me calcification ossification, hoʻololi i ke kinona o ka vertebrae (hoʻonui kino, a hoemi i ke kiekie) - brevispondilii. Inā keia kipaku aku ai iā koe kōna. Inā ka pathological kaʻina hana 'ole a me ka spinal ke kaula, ka mea i hiki ke huai ae ia calcifications, hoʻokino e like me ka iwi a me ke ao.

Lapaʻau o decompression maʻi

E hoʻomanaʻoʻoukou i me ka 'eleu kōkua i ka decompression maʻi hiki ke hoola iho la i ka 80% o ka hihia. No keia kūikawā hyperbaric keena i hoʻohana ', a ua lawe mai ma lalo kiʻekiʻe puʻe ka oxygen lako. Mahalo iā ia i ke kino, ua waihoia recompression a me ka naikokene (particles) e wehe 'ia mai i ke koko. Ua hoemiia ke kiʻekiʻe o ke puʻe i loko o ke keʻena no laila, i ka hoʻomanawanui i hakuloli i ka hou ana. Ka wā pilikia na kumu e pono ai, e lawe mai cardiopulmonary resuscitation, e hoʻomaka i ke kahe ana o "maemae" oxygen ma ka hoʻohana 'ana i ke ea paha.

Kāohiʻana o ka decompression maʻi

E pale aku i ka ulu ana o ka decompression maʻi, e pono e hoopili aku i ka palekana kuhikuhi ma ka hohonu, a kiʻekiʻe i loko o ka lewa. Ma luna mai o ka wai, e hana i pau ka moni ma ka mea ana i ke kino ke hakuloli i ka lewapuni puʻe. Ua mea i nui, e hoʻohana kūikawā lako a pan - luʻu hoopii a me ka oxygen poʻina nalu.