Nzira yekurapa pulmonary edema

Kune marudzi akawanda emarimita edema zvichienderana nehuwandu hwekuoma, chimiro chechirwere. Inonyanya kuzivikanwa inotyisa, inokonzera, inokonzera moyo, inopedza nguva uye imwe. Kana mushure mekudzidza zviratidzo mungatanga matanho ekurapa.

Kufuridzira kwemapapu chirwere mumuviri, umo mvura inotenderera inopinda mumapupa emapurmonary uye avella kubva mumidziyo yeropa. Sezvo mutemo, chirwere chacho chinoputsa mutengesi wegasi muhutachiona chakakanganiswa, uye kuchinja kukuru kunotanga. Chirwere chinokanganisa chinogona kuva chirwere chakazvimirira uye chikonzero cheimwe chirwere (semuenzaniso, myocardial infarction, mitral stenosis, hypertension nevamwe).

Zvinonyanya kukosha zveplmmary edema zvakakundikana nekushaya simba, hutano hwehupfungwa, kushaya ropa, kuwedzereka kwemamwe madhiragi (aspirin, methadone, heroin), dzimwe zvirwere zvehutachiona, eclampsia yevakadzi vane pamuviri nevamwe.

Kutanga kurapa kwakakodzera, zvinokosha kuti uongorore muviri, sezvo chirwere chacho chakataura zviratidzo. Chokutanga, dyspnea inowanikwa mune imwe nzvimbo yezororo, iyo inowedzera zvishoma nezvishoma nokushingaira. Uyewo, mapurmita edema inofambidzana nemanzwiro ekumhanya mubhokisi nekushayikwa kwemhepo. Nokuda kwechikonzero ichi, dutu uye utera muzvikamu zvinowanzoitika, saka zvakakosha kupa murwere norugare.

Sarudza kuzvimba kwepapu kunogona kuva nekuonekwa kweumwe munhu anorwara. Ganda rinova rakanyanyisa kupfuura rinowanzoitwa, pasi rinoratidzirwa kune unyoro. Pakutanga danho rakaoma rinowanika, iro chiratidzo chekuwedzerwa kwemvura mukati memutumbi wakagadzirirwa.

Chikamu chinotevera chechirwere chinofambidzana nekuwedzera kwakanyanya mukutanga kwekuperevedza kwefema, iyo inokura zvakanyanya kusvika pakugumburwa. Uyewo, zviratidzo zvakajeka zvealveolar edema zvinogona kunge zvakagadzirwa nebhuruu rwemirimi, kusviba kweganda. Nenzira yekutya yemurwere inomutswa zvakasimba, inosanganisira pfungwa yekutya mukana wehupenyu hunoparadza, nezvimwewo.

Zvechokwadi, pasina mamiriro ezvinhu iwe unogona kuzvimiririra kuchengeta pulmonary edema kune vana, sezvo izvi zvakazara nemigumisiro yakaipa. Pamberi pokusvika kwachiremba kunofanirwa kugovera murwere ane chinzvimbo chakanaka, kuti amudzivirire kubva pakuedza zvakasimba mumuviri. Kana zvichibvira, murwere anofanirwa kugoverwa neokisijeni (kuburikidza nemasikiti kana catheter yakakosha yemasal). Mushure meizvi, iwe unofanirwa kupinda mhinduro inokosha mukati mega. Kuti uite izvi, funganya glucose (250 ml), vitamini c (10 ml), strophanthin (1 ml), insulini (14 units), diphenhydramine (4 mL), furosemide (40 mL) uye kuratidza kuti chinono chekushandisa zvinodhaka kune murwere.

Inofanira kuonekwa kuti chirwere chinogona kuitika kwete kuvanhu chete. Edema yepulmonary inja imhuka inowanzojairika iyo inoda kurapwa kwakamanikidzwa. Sezvo mutemo, inotanga kudiwa kuti uone danho rechirwere ichi, sezvo danho rakaoma rinoda rimwe rakaoma, danho rekutanga rinoda rimwe. Zvose zvinorayirirwa ndezvekutungamirirwa kwemuromo kana mishonga inopinza iyo inovandudza kuputika kwemvura inobva kune chinokanganisa (diuretics). Ne sepsis, zvinokurudzirwa kutora maitiro emishonga inouraya iyo inobatsira kudzorera mapapu basa uye kubvisa chinokonzera chirwere chacho. Ne hypoxia yakakomba uye yakatumidzwa, nyanzvi dzinoshandisa maitiro epfungwa, iyo inowanzoita kuti munhu afufuke.

Kudzivirira pulmonary edema, unofanirwa kutungamirira mararamiro ane hutano, izvo zvakanaka kudzivirira zvirwere zvakawanda. Inokurudzirwawo kurega kuderedza zvinodhaka, zvinorema muviri, nezvimwewo.