I ka wai i loko o ka maʻiʻaʻai: 'ehaʻeha ka a me ka lapaʻau

Naehana'ōnaehana mea susceptible ia mawaho ololi, a me kona maʻi i e ku pono ana i kekahi mau pathology.

I ka wai i loko o ka maʻiʻaʻai kumu

Oia ka symptom, like me ka wai i loko o ka maʻiʻaʻai paha ia i ka hopena o ka li nui (tuberculosis, pleurisy, pneumonia), congestive ʻike manaʻo a me ka maʻi 'aʻai. I ka wai a hoʻomaka e loaa i loko o ka maʻiʻaʻai like me ka hopena o ka mahuahua permeability o ke koko moku pā, a ina o ka manao pono ua hoohaumia i kekahi. Ma ka hihia mua, i ka mahuahua permeability o ka moku paia hiki aku ai i ke kahua o ka transudate - edematous loli loaa i loko o ka ia maʻiʻaʻai. I ka lua o ka hihia, me ka pohāʻana o ka pono o ke koko moku pa ma me mechanical hana hiki aku ai i ka li nui, a ho okumu ana o exudate. Kēia kumuʻiʻo waiwai keena a me ke kinowai ai turbid kala like 'ole e liu i ma na paia o ka poino na moku koko. Pinepine mechanical e poino pu ma ke kahua o ka moku i ke koko hemothorax (hoʻomāhuahua ana o ke koko i loko o ka pleural lua). Ke kumu o ka loli i ka ia maʻiʻaʻai i e malfunction o ka lymphatic'ōnaehana o na maʻiʻaʻai, i hiki aku ai i ke kua'āina o ana o edematous loli, a, ma ka huli, ka poʻea pau i ke kūpono 'ana o ke edema. Kēia ka hana i resection o na maʻiʻaʻai, pu ma ka wehe 'ana o ka helu nui o nā aka wahi, na ia maʻiʻaʻai kēia transplantation. A hōʻemi iki ulu i loko o ka nui o ka loli ma ka hoʻonui pulmonary interstitium, eaaei tolerated ma ke kino. A hiki aku kona nui mea, ua hoʻomaka e hoomahuahua, na ia maʻiʻaʻai hoʻomaka e lilo lākou elasticity, aia no he 'aʻe' ana o ke kinoea launa like 'ia i loko o ka maʻiʻaʻai, a me ka mea, e paakiki.

Kekahi o ka mua na hoailona o ka mahuahua ka leo o ka wai a ka dyspnea. O ke kumu ho i ka emi ma o oxygen haawi ana mai o ka alveoli i loko o ka ipu koko., No ka mea, o ka kanaka e hanu oi ma mua o mau pinepine.

Pulmonary edema i ka hooulu pae o 2 ala. Mua, he mea extravasation i loko o ka interstitial makahiki, a ma laila i ka wai i loaʻa i loko o ka alveoli. I ka Ia manawa, ua ho'āhewa wale o cardiac asthma, ka hapanui i ka hiamoe, he kanaka hoomaka ka hoohewa ana e pili ana i ka shortage o ka lewa. Ikea cough, maʻi o. A pau o kēia mau symptoms, ua ino loa ka wā supine ahonui kūlana. Ma hope, he mea phlegm, he mea māhunehune kekahi 'mae ana o kaʻili, hoopii o kaʻeha i loko o ka pahu. He mea pono e lawe mai lapaʻau 'o cardiac asthma, haawiia i ke alo o ka naau maʻi, maʻi naau ka hoʻokō' ole, i ka hoʻomanawanui i ka makahiki. It E e ike okoa mai asthma, cardiac dyspnea ma thromboembolism o ka pulmonary artery a me na lala o ka bronchial asthma.

I ka wai i loko o ke akemāmā: iapaau ana

Aia i kekahi mau ano o ka hana maikaʻiʻole o kēia maʻi. Pono kuhikuhi naehana kākoʻo (oxygen Inc, RF VLV etc.) a ho'ēmi i kā hypoxia a intraalveolar puʻe māhuahua, a me ka huli 'ano ua ālai transsudirovaniyu loli i loko o ka interstitium. Ua mea no hoi e pono ai e hoopaa i ka inhalation o ka o oxygen huakaʻi me ka waiʻona i ka ohu. No ka iapaau ana i nitrates (nitroglycerin). Ka mea, emi ka stagnation o venous koko i loko o ka maʻiʻaʻai, oiai i mahuahua ka nui o ka o oxygen i loko o ka myocardium. Nitrates i pono i koho mahele lāʻau e emi i ka haawe e haule ana ma ka ventricle hema o ka naau, e kauoha ana vasodilation o arterial a me venous moe. Lawelawe i nitrates ma nāʻaoʻao - kekahi papa a me kaʻehu. I ka wai i loko o ke akemāmā ana i nā nalo.

E kūpono 'ana o ke analgesics (Morphine). Ka mea, höʻike aku noʻonoʻo stress, i kokua e emi i ka haawe ana ma luna o ka ÷ naehana hanu nāʻiʻo. Ua Ua hoi pinepine hoʻohana inotropic konohiki, e like me dopamine. Kona hopena loli aʻe ke kaumaha ma muli o ka mahele lāʻau. Ka laʻau heluna o 5-10 g. / M + ke kumu no ka hoomahuahua i loko o cardiac auaiaea. Mahuahua ka mahele lāʻau 2 manawa, ua loaa Alpha metatichesky kanawai.