Pele ho bongaka le tlhokomelo ea meriana maemo a tšohanyetso ka edema methapo

Methapo edema - ke bolwetse eo ho bakoa ke keketseho ea bohlokoa ka boemo ba intercellular (interstitial) mokelikeli. sebopeho lona ke ka lebaka la ho khumo karolo e itseng ea lero la mali ho tloha lijaneng tsa mali. A ho ba sieo tsa bolwetse intercellular mokelikeli e antseng hape ka lijaneng tsa lisele tsa mmele, leng isang ka ho khutla ha lero la mali filtrate khutla. Ha e le hantle ea bohloeki ba tshebetso ena itšetlehile ka 'nete ea hore mokelikeli ameha ka isa oksijene ho lisele le limatlafatsi tse ngata,' me a thusa ho tlosa lihlahisoa tshilong ya dijo. tlhokomelo ea Emergency ka edema methapo e hlokahalang bakeng sa poloko ea motho.

hydrostatic edema

Ka tjhelete e ya mokelikeli interstitial e eketseha ka lebaka la ha e le hantle hore e eketsa khatello hydrostatic ka lijana methapo ea mali. Ka lebaka leo, ho isa edema.

lera ruruha

Ka tjhelete e ya mokelikeli interstitial ka eketseha ho tloaelehile khatello ea ka lebaka la ho ka tsela e feteletseng lero la mali karaoke set. Ka mohlala, ha mosebetsi oa mediators hlabang eketsehileng lera e lumellang metsi ho kena, ea isang ho edema.

mabaka a

The hangata ho fetisisa a hlokomela methapo edema, pelo ea ho hloleha (hangata ho le letšehali pelo ventricle) ka lebaka la ho stagnation ka ajoa methapo. Ka linako tse ling boemo ba ena pathological le hlaha ha mitral le likoli aortic ka maqakabetsi hypertension, myocardial infarction, infarction, le a hlobaetsang le myocarditis. Ha chefo e ka hlahisa chefo edema methapo. Eng kapa eng eo ka mabaka, mokuli hlokahala tlhokomelo tshohanyetso ka edema methapo.

symptomatology

Ha edema methapo a hlokomela bokhutšoanyane e mpe ea 'phefumoloho, ho ruruha ea methapong molaleng, cyanosis ea sefahleho. Ho hema e a tsikhunye tlhaku le abetsweng ho palo e khōlō ea sekhohlela frothy (ka linako tse ling le e tinge pinki). Bakuli ba haholo a bua leshano. Ba ba qobelloa ho lula ka bethe le drooping maoto. Fetang bobeli matšoafo a utloile crackles kapa ka linako tse ling a galope, le tšoauoa melumo voiceless pelo. Mamello leleka ka ka mofufutso batang. Ho na le bofokoli kakaretso. Pulse length fokola 'me khafetsa. Bakuli ba fumana tšaba lefu. Ka mefuta e mpe ea puso pathological ka nako e tšoanang develops putlama.

thuso ea pele bakeng sa edema methapo

Premedical bohato edema ea matšoafo a ka phetiso ea mokuli ho boemong bo kopano. Nakong ea khatello e tloaelehile kapa phahameng, haeba ha ho na matšoao a infarction myocardial le putlama, ho ka etsahala ho re mali monna (bana ba sa feteng 100-200 di ml le ho batho ba baholo - 200-300 di ml). Early tlhokomelo tshohanyetso ka edema methapo eketsa menyetla ea mamello ho itse'ng tšoanelang. Subcutaneous mamello tla kena sekotwaneng tharollo promedola 1 le ea 2 letaeseng.sebapadi bonfanti garage, hlophisa sniffing ethanol dessyecik inhaler efe kapa efe (bana ba 30% tharollo), tourniquet ka methapong maoto le matsoho (palo e kahodimodimo 1 h).

Medical thuso boemong ba tšohanyetso ka edema methapo

Mokuli o laolwa glycosides cardiac, u se cupping (haeba e ne e sa atlehe pele ho moo), phekolo oksijene. Entoe, kena 100-150 mg, tharollo Lasix 20 dikotwana tse sodium chloride kapa intramuscularly novurita 1 tlil'o shoa. Bokeletsoeng ka inhaler kapa inhaling maske ethyl joala (96%) kapa antifomsilana (10% joala tharollo). Mokelikeli ho tswa ho pampitšana e ka holimo ho hema o ne a tlosoa sebelisa catheter (intranasally). Urea tharollo e hlahiswa dropwise, lateloa ke carbonate sodium hydrogen (5%). Rothele, empa butle (metsotso e 40) o ile a tsamaisoa pentamine tharollo (5%). Ka matla analgesics bohloko lefu kapa nitrous oxide e inhalation.