Lisosa tsa edema methapo le kalafo prinitspe boemo ena pathological

Pele ho tsohle, a bua ka edema methapo, re lokela ho bolela hore ho ke ke. Kahoo e bitsoang pathological boemo hlahang ha palo ea mokelikeli ka interstitial le (en Khao) matšoafo dinama tse nyenyane tse 'me ka alveoli ena. Ka lebaka leo, ho ba le mamello develops e khaello ea oksijene maling, 'me ka lebaka leo, le hypoxia (ho hloka dinama tse nyenyane tse respiration). Sena ke e tebileng, beha bophelo kotsing boemo hore develops ka potlako haholo.

Ke hobane'ng ha ho hlaha

Lisosa tsa edema methapo tse fapa-fapaneng. Qalong, e lokela ho bolela hore mofuta oa ntshetsopeleng e hydrostatic edema le membranogenny. Tabeng ea pele ea mokelikeli tsoa ka lumen tsa alveoli ka dinama tse nyenyane tse ea matšoafo ka lebaka la ho tsotellehe khatello e phahameng ka lijaneng kapa ho tloha ho oa ho liprotheine mali. Ka mofuta oa bobeli oa edema mokelikeli ka dinama tse nyenyane tse 'me ka ea matšoafo alveolar sacs likepe tabeng ea tšenyo e tsa marako bona.

Ke'ng se etsang hore edema methapo bakoang ke mali keketseho ea khatello kapa ea fokotseha ka protheine dikahare ka eona?

1. Khatello hydrostatic ka eketseha methapo le likoli pelo, arrhythmia, ho hlōleha ha "ba tlohela pelo", blockage ea makala a methapo mothapo, eketsa bcc (mali bophahamo ba modumo), ho akarelletsa le bakuli ba insufficiency renal, eclampsia nakong ea bokhachane, ba sa tšoanelehe Infusion phekolo. Mafu a ya mesebetsi boko ka lebaka la ho sithabela, setorouku, lefu la sethoathoa, ho buuoa ka 'na ba qalisa le palokatiso ya neurogenic methapo edema.
2. Boemo ba protheine ka lero la mali decreases le mafu sebete (ho thatafala ha sebete) le a liphio (tsamaea le ho lahleheloa ke protheine ka moroto le).

Seo e ne e le lisosa tsa edema methapo, haeba mochine oa membranogenny lona ntshetsopeleng? Tabeng ena ea lera capillary e kotloloho senngoa ke lintho tse ngata tse, tse kang ho etsahala ha mafu a tšoaetsanoang, sepsis, aspiration ea metsi a dikahare gastric ka matšoafong, sephetho sa meriana, lithethefatsi le mahlaseli.

E le ho mathata a tsamaiso le ho hema, le edema methapo le ka etsa hore ba senya, tshwaetsang, kankere, le asma e, pneumothorax, pleurisy, blockage ea airway e, embolism methapo, mafu a mang a matšoafo. Mabaka ana lebisa bobeli hydrostatic le ho membranogennomu edema.

Eng kapa eng eo le sesosa sa edema methapo, ka mor'a ketsahalo ea boemo boo ba le mamello ho ntshetsa pele boemo bo hlalositsoeng e tšoanang. The mokelikeli ka alveoli sa e ntse e tsoela ba phetha mosebetsi oa bona, ho na le le joalo, e se ho boletsoe, hypoxia, ke hore, lebaka la ho hloka ea oksijene ho makala 'me lisele ho pholletsa le' mele. Mokuli bontša bokhutšoanyane phefumoloho, molikoalikoane, ho fokola, bokhutšoanyane phefumoloho. Bakeng sa fumanoe tsa boitšoaro tsa tleleniki hlahloba mokuli, X-ray (ea hlokometse masimo a khanya ea matšoafo, ho fapana le lefifi ho tloaelehile), ECG, ho ithuta khase ea mali.

ke kalafo ea edema methapo ho na le seo

melao-motheo e ho latelang: ho tshehetsa le ho hema matšoafo mosebetsi (phetha molao ventilation, phekolo oksijene, inhalation tsa oksijene le mongobo), ka lokolla venous stasis (nitrates), fokotsa bcc (diuretics, Ace inhibitors) fokotsa bokhutšoanyane phefumoloho le imolla khatello ea kelello (narcotic analgesics). Ka mafu a ba pelo ho laela meriana ho ea ka bolwetse teng. Ka ho ba teng ha mafu a mang a bakoang ke edema methapo, e hlokahalang ka ho tšoanang le ka ntoa e khahlanong le boitšoaro bo joalo phekolo matla lefu-lona.