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Atelectasis vs. pneumothorax: Kodi mumatani ndi mapapo omwe agwa?

Maphunziro a Zaumoyo

Momwemonso pamtunda, atelectasis ndi pneumothorax amalimbana nawomapapo kugwandi kutseka. Ngakhale zinthu ziwirizi zitha kukhala ndi zofananira, zoyambitsa zake ndizosiyana.

Tsoka ilo, kugwa pang'ono kapena kutsekedwa kumakhala kovuta kuti muzindikire chifukwa mwina sikungakhale ndi zizindikilo. X-ray yapachifuwa yokha ndi yomwe imatha kuwonetsa molondola ngati wina ali ndi vuto lililonse, ndipo chithandizo chimadalira pazomwe zimayambitsa.

Zoyambitsa

Atelectasis

Atelectasis imachitika chifukwa cha zinthu zomwe zimapangitsa kuti kupuma komanso / kapena kutsokomola kukhale kovuta, zomwe zimabweretsa matumba amlengalenga - otchedwa alveoli - m'mapapo kuti achepetse. Zitha kuchitika ngati pali kupanikizika kunja kwa mapapo, monga komwe kumatha kuchitika kuchokera ku zotupa.

Opaleshoni ndi yomwe imayambitsa atelectasis . Anesthesia imatha kukhudza kupuma kwa wodwalayo ndipo kuchira kowawa kumatha kupangitsa odwala kupuma pang'ono. Mavuto ena am'mapapo amathanso kuyambitsa atelectasis, kuphatikiza khansa ya m'mapapo, madzimadzi ozungulira mapapo (pleural effusions), ndi kupuma kwamatenda (RDS).

Pneumothorax

Pneumothorax imayambitsidwa mpweya ukamatuluka m'mapapu, ndikudzaza danga pakati pa mapapo ndi nthiti kapena khoma lachifuwa. Izi zimapangitsa kuti mapapu akule kwambiri, ndipo kupuma kumakhala kovuta.

Zitha kuyambitsidwa ndi matuza am'mlengalenga, otchedwa ma bulbs, otuluka ndikutumiza mpweya m'chifuwa. Izi zitha kuchitika chifukwa cha kusintha kwa mpweya kapena kukhala ndi matenda am'mapapo, monga mphumu, matenda osokoneza bongo, TB, chifuwa, kapena cystic fibrosis (CF).

Atelectasis vs. pneumothorax zimayambitsa
Atelectasis	Pneumothorax
Opaleshoni Ma airways oletsedwa m'mapapu Kupanga-kukakamiza kunja kwa mapapo Matenda am'mapapo (khansa yam'mapapo, chibayo, kupumira m'mimba, RDS)	Kutayikira m'mapapo momwemo Kuthamanga kwa mpweya kumasintha Matenda am'mapapo (mphumu, COPD, TB, chifuwa, CF)

Kukula

Atelectasis

Sizingatheke kuchitika zokha, koma mpaka 90% Odwala omwe achita opaleshoni ya anesthesia amakhala ndi vuto la atelectasis. Phunziro limodzi anapeza kuti kufalikira kwa ma atelectasis mu opaleshoni ya bariatric kunali pafupifupi 38% - ambiri mwa iwo anali akazi okulirapo kuposa 36. Oyendetsa ndege, oyendetsa ndege, osambira, ndi ena omwe amasintha pafupipafupi kuthamanga kwa mpweya nawonso ali pachiwopsezo chothamangitsa atelectasis.

Pneumothorax

Pafupifupi Amuna 18 mpaka 28 mwa 100,000 adzakumana ndi zomwe zimangotchedwa pneumothorax, pomwe azimayi 1.2 mpaka 6 mwa amayi 100,000 ndi omwe adzakumane ndi vutoli. Kuphatikiza apo, 50% ya odwala omwe ali ndi pneumothorax adzakumananso ndi mapapo.

Atelectasis vs. pneumothorax kuchuluka
Atelectasis	Pneumothorax
Kufikira 90% ya odwala omwe amapatsidwa mankhwala ochititsa dzanzi ambiri panthawi ya opaleshoni 38% ya odwala opaleshoni ya bariatric Oyendetsa ndege, oyendetsa ndege, ndi ena omwe amakumana ndi vuto la mpweya pafupipafupi	18-28 mwa amuna 100,000 amakumana ndi pneumothorax Amayi 1-6 mwa amayi 100,000 amakhala ndi pneumothorax Anthu 50% omwe ali ndi pneumothorax adzakumananso ndi mapapo

Zizindikiro

Atelectasis

Zizindikiro za atelectasis mwina sizipezeka. Kupanda kutero, wodwala amatha kuwona chifuwa, kupweteka pachifuwa, kapena kupuma movutikira.

Pneumothorax

Zizindikiro zomwe zimapezeka pafupipafupi kwambiri ndi kupuma movutikira komanso kupweteka kwambiri pachifuwa kapena paphewa. Komabe, chifukwa chachikulu cha pneumothorax chitha kuphatikizira kukhwima pachifuwa, kupaka utoto wabuluu pakhungu, mutu wopepuka, kutopa, kugunda kwamtima mwachangu, kugwedezeka, komanso kukomoka.

Atelectasis vs. pneumothorax zizindikiro
Atelectasis	Pneumothorax
Kupweteka pachifuwa Kuvuta kupuma Tsokomola	Kupweteka kwakuthwa pachifuwa kapena paphewa Kupuma pang'ono Khungu labuluu Kupepuka Kutopa kwambiri Kugunda kwamtima mwachangu Chodabwitsa Kukomoka

Matendawa

Atelectasis

Matenda omwe amapezeka kwambiri amakhala kudzera m'chifuwa cha X-ray komanso kuyezetsa kuchipatala, ngakhale odwala atapemphedwa kuti apimidwe chifuwa cha CT scan, ultrasound, bronchoscopy, kapena mayeso a oxygen oxygen otchedwa oximetry .

Pneumothorax

Mofananamo, pneumothorax amadziwika kuti ali ndi X-ray ngakhale nthawi zina CT scan kapena ultrasound itha kugwiritsidwanso ntchito.

Atelectasis vs. pneumothorax matenda
Atelectasis	Pneumothorax
X-ray pachifuwa Kujambula kwa CT Ultrasound Bronchoscopy Oximetry	X-ray pachifuwa Kujambula kwa CT Ultrasound

Mankhwala

Atelectasis

Atelectasis imatha kupangitsa kuti thupi lisalandire mpweya wokwanira, womwe ungayambitse mavuto azaumoyo. Atelectasis sikuti imawopseza moyo koma chithandizo chofulumira ndikofunikira. Chithandizo chidzadalira chifukwa cha vutoli. Zitha kukhala zosavuta, monga kupumira mwamphamvu, kutsamira kumutu kukhetsa ntchofu, kapena kumasula mapulagi kudzera m'mapiko pachifuwa. Odwala ena angafune njira zowononga zambiri, monga bronchoscopy, mankhwala opumira (monga inhaler kapena nebulizer ), kapena njira zochiritsira zochulukirapo pazochitika zolepheretsa chotupa.

Pneumothorax

Odwala ena amangoyang'aniridwa ndi chithandizo cha oxygen akamachiritsa. Komabe, ena angafunike kuti singano ipyole pachifuwa kuti atulutse mpweya kapena kuti ayike chubu pachifuwa pakati pa nthiti ndi chifuwa kuti atulutse mpweya. Ngati mpweya umakhazikika pachifuwa, amatha kupanga mavuto pneumothorax , zomwe zingawononge moyo. Kuchita opaleshoni kungafunike pazochitika zazikulu kuti zisawonongeke.

Atelectasis vs pneumothorax mankhwala
Atelectasis	Pneumothorax
Zochita zopumira Kutulutsa mamina Bronchoscopy Kupuma mankhwala Chithandizo cha chotupa	Chithandizo cha oxygen Kubowola singano Chubu pachifuwa Opaleshoni

Zowopsa

Atelectasis

Zowopsa za atelectasis ndi kupumula kwa bedi osasunthika, kupuma pang'ono, matenda am'mapapo, anesthesia, ndi ntchofu kapena zinthu zakunja zomwe zikulepheretsa kuyenda.

Pneumothorax

Amuna amakonda kuchita pneumothorax kuposa akazi. Kukhala wamtali, wochepa thupi, wosuta fodya, banja kapena mbiri ya munthu ya pneumothorax zonse ndizomwe zimayambitsa ngozi. Omwe ali ndi matenda am'mapapo kapena omwe amafunikira mpweya wabwino wamakina nawonso atha kukhala ndi vutoli. Kuphatikiza apo, M'modzi mwa 100 Odwala a coronavirus omwe ali mchipatala amakhala ndi pneumothorax.

Atelectasis vs. pneumothorax zoopsa
Atelectasis	Pneumothorax
Malo opumira pabedi Kupuma pang'ono Matenda am'mapapo Anesthesia Ntchofu kapena zinthu zakunja zatseka njira zapaulendo	Kukhala wamtali Kukhala wonenepa Kusuta Banja kapena mbiri yakale ya pneumothorax Kukhala pamakina opumira Matenda am'mapapo MATENDA A COVID-19

Kupewa

Atelectasis

Njira zabwino zopewera atelectasis ndikuchita masewera olimbitsa thupi pafupipafupi, kupuma mwamphamvu, ndikupitiliza kupuma pafupipafupi pambuyo pa anesthesia.

Pneumothorax

Palibe njira yodzitetezera pneumothorax. Komabe, kusiya kusuta kumathandiza ndikuchepetsa kusintha kwa kuthamanga kwa mpweya. Pulogalamu ya Mgwirizano wazachipatala amalangiza kupewa kuyenda kwa ndege milungu iwiri kapena itatu mutakumana ndi pneumothorax, ndipo ndibwino kukaonana ndi dokotala musanawuluke kapena kusambira pansi pamadzi pneumothorax.

Atelectasis vs. pneumothorax kupewa
Atelectasis	Pneumothorax
Chitani masewera olimbitsa thupi Kupuma kwakukulu	Chepetsani kusuta Funsani wothandizira zaumoyo musanadumphe kapena kusambira pamadzi

Nthawi yoti muwone dokotala wa atelectasis kapena pneumothorax

Matenda onsewa atha kukhala ovuta kwambiri ngati sangachiritsidwe. Mukawona zizindikiro zilizonse, kuphatikizapo kupuma pang'ono, kupuma movutikira, kapena kupweteka pachifuwa ndi paphewa, nthawi yomweyo itanani wothandizira zaumoyo wanu.

Mafunso omwe amafunsidwa kawirikawiri za atelectasis ndi pneumothorax

Kodi atelectasis ingayambitse pneumothorax?

Nthawi zambiri, atelectasis satsogolera ku pneumothorax. Komabe, pneumothorax imatha kubweretsa atelectasis ngati mapapo a wodwala achepera mokwanira kupangitsa kutsekeka.

Kodi pneumothorax imayambitsa bwanji atelectasis?

Pneumothorax imatha kupangitsa kuti mapapo achepetse ndikuchepa. Ngati mapapo atuluka mokwanira, alveoli ya wodwalayo amathanso kuchepa. Alveoli ndi tinthu tating'onoting'ono tomwe timapanga m'mapapu mwathu, timapuma mpweya komanso timagwira ntchito yambiri yamapweya. Kupindika uku kumatha kuyambitsa kutsekeka, ndichomwe chimayambitsa atelectasis.

Kodi mumatani pneumothorax ndi atelectasis?

Chithandizo cha zinthu ziwirizi chimasiyana. Ngati sichowopsa, katswiri wazachipatala amatha kungoyang'anira wodwala pomwe akupereka mankhwala a oxygen.

Komabe, milandu yayikulu ya atelectasis imafunikira kupumira, kutulutsa ntchofu, bronchoscopy, mankhwala opumira, kapena ngakhale zotupa, kutengera chifukwa.

Mofananamo, vuto lalikulu la pneumothorax lingafunike kuboola singano kuti muchepetse mpweya wolimbitsa, chubu pachifuwa, kapena ngakhale opaleshoni.