Pre-zvokurapa uye zvokurapa nechimbichimbi hanya pulmonary edema

Pulmonary edema - iri zvokurwara riri kukonzerwa kuwedzera huwandu intercellular (interstitial) Urume. inotungamirwa wayo nemhaka goho chikamu plasma kubva tsinga. Pasina zvokurwara intercellular Urume iri vakanwa zvakare kupinda ari node midziyo, iyo inosvitsa kudzoka yeplasma filtrate shure. The vasiri musimboti izvi iri ndechokuti mvura rinobatanidzwa chokuendesa okisijeni kuti masero uye zvinovaka muviri, uye chinobatsira kubvisa metabolic zvigadzirwa. Emergency hanya pulmonary edema inodiwa ruponeso murume.

hydrostatic edema

Huwandu interstitial mvura ichiwedzerwa nokuti kuti anowedzera kuti hydrostatic kumanikidzwa iri pulmonary nemidziyo ropa. Somugumisiro, inotungamirira edema.

Kamudzira kuzvimba

Huwandu interstitial mvura panguva dzekudya kumanikidzwa inowedzera nokuda kwazvo yeplasma filtration. Somuenzaniso, kana basa anogumbura nevamiririri yakawedzera Kamudzira permeability, zvichitungamirira edema.

zvikonzero

Inonyanyoshandiswa kuchengetwa pulmonary edema, mwoyo kukundikana (kazhinji kuruboshwe mwoyo ventricle) nokuda kurega kunotanga ari pulmonary riparadzirwe. Dzimwe nguva izvi pathological ezvinhu apo mitral uye kutsemuka kuremara panguva vane chirwere cheBP nematambudziko, myocardial infarction, infarction, uye rikwanise myocarditis. Kana Kusvibisa anogona kuva chepfu pulmonary edema. Chero zvikonzero, murwere zvaida zvashata hanya pulmonary edema.

symptomatology

Kana pulmonary edema vakachengeta kwazvo kupfupika mweya, kuzvimba pamutsipa mutsinga, cyanosis chiso. Kufema ari inotubuka hunhu uye dzinounzwa inokosha mari frothy sputum (dzimwe nguva ine blue tinge). Varwere zvikuru nhema. Vanomanikidzwa kugara pamubhedha pamwe vachirembedza nemakumbo. Over zvose mapapu kunonzwiwa crackles kana dzimwe nguva gallop, nokuyera rinyerere mwoyo zvenzwi. Patient runodzingira mune imwe ziya kuchitonhora. Pane vakawanda simba. Pulse simba uye kakawanda. Varwere vanogamuchira kutya rufu. In kwazvo siyana pathological mamiriro panguva iyoyowo hwapedyo akawisa.

rubatsiro wokutanga pulmonary edema

Premedical chiito edema chepasi chemapapu vari murwere kutapurirana kuti nokugara chinzvimbo. Panguva dzose kana mukuru kumanikidzwa, kana pasina zviratidzo myocardial infarction uye kuparara, zvinokwanisika kuti ropa murume (vana vanopfuura 100-200 Rine mamiririta uye vakuru - 200-300 Rine mamiririta). Early chimbichimbi hanya pulmonary edema kunowedzera mikana murwere kuti zvakanaka fungidziro. Subcutaneous murwere anofanira kupinda kuutio mhinduro promedola 1 uye 2 dhaiza camphor, ronga Kufemba panyaya iyi Via chero inhaler (vana 30% mhinduro), tourniquet pamusoro mutsinga Mbabvu (kunonyanyisa 1 h).

Medical chimbichimbi chinobatsira pulmonary edema

Murwere chinotarisirwa cardiac glycosides, regai cupping (kana zvakanga Musakukurwa kunze kwokutanga), okisijeni kurapa. Nomutsinga, pinda 100-150 MG Lasix 20 cubes yavaibvisa chloride mhinduro kana intramuscularly novurita 1 vanofa. Ndakatengesa kuburikidza inhaler kana Kufema chifukidzo ethyl doro (96%) kana antifomsilana (10% doro mhinduro). Liquid kubva yokumusoro kufema turakiti akanga abvisa kushandisa anobudisa mushonga zvishoma nezvishoma (intranasally). Urea inotoda akasuma dropwise, zvichiteverwa yavaibvisa rehydrogen carbonate (5%). Donhwe, asi zvishoma nezvishoma (maminitsi 40) raitongwa pentamine mhinduro (5%). Irwadziwe chirwere analgesics kana nitrous oxide inhalation.