Dareeraha ah ee sambabada: Sababaha iyo Daaweynta

nidaamka Respiratory waa u nugul saameynta dibadeed, iyo cudurka laga yaabaa in ay sabab u tahay wax barashada cudurada guud.

dareeraha ah ee sambabada sababaha

calaamad noocan oo kale ah, sida dareere ah ee sanbabada ayaa waxaa laga yaabaa in ay sabab u ahayd caabuq (qaaxada, pleurisy, pneumonia), gabsiiya ifafaale ama kansarka. dareeraha ah wuxuu bilaabaa in uu ku ururto oo sabab u ah permeability kordhay derbiyada xididdada dhiigga ee sanbabada ayaa waxaa, iyo sidoo kale haddii daacadnimada la jebiyo. Xaaladda hore, permeability sii kordhaya ee darbiyada markabka keenaysaa in formation of transudate - dheecaan edematous aruursaday ee sambabada. In kiiska labaad, jebinta daacadnimada derbiga marinka dhiigga by tallaabo farsamo keenaysaa in barar iyo formation of exudate. protein Tani unugyada hodan iyo midabka turbid dareere in ay daataan iyada oo derbiyada marinnada dhiigga ee burburay. Inta badan dhaawac ku weheliyay formation of xididdada dhiigga hemothorax (raasamaal ee dhiigga ee saabka pleural). Sababta oo ah dheecaanka ee sanbabada ayaa waxaa laga yaabaa in ay cillad ka mid ah nidaamka durey sambabada, taas oo horseedaysa in ay ka saarida gaabis ah ee dareeraha edematous, taas oo, ka bacdi, ka tarta horumarinta bararka. Tani waxay dhacdaa inta lagu jiro resection sambabada, Ulasocto ka kaxayntu ay of tiro badan oo ah qanjidhada, sambabada socda badalida. korodhka yar xadiga dareere ah ee interstitium ku ururtay sambabada si fudud u dulqaadan. Marka ay tirada sidoo kale waa uu bilaabo inuu kordhiyo, sambabada bilaabaan inay lumiyaan barti, waxaa jira xadgudub ku ah sarrifka gaaska ka dhaca sambabada, iyo ay u noqdaan adag.

Mid ka mid ah Calaamadaha ugu horreeya ee mugga kordhay ee dareeraha ah waa dyspnea. Tan waxa u sabab ah hoos u dhac in heerka dhalmada oxygen ka Alfiyoli galay xididdada dhiigga., Maxaa yeelay, qofka waa in ay inta badan sida caadiga ah u neefsato.

barar sambabada inta lagu guda jiro marxaladda horumarinta of 2 baas ah. First, waxaa jira extravasation galay meesha bannaan ee interstitial, oo halkaas ka dareeraha galaa Alfiyoli ah. Isla mar ahaantaana waxaa jira weeraro xiiqda wadnaha, inta badan inta la hurdo, qof bilaabo ka cabanaya oo ku saabsan la'aanta ah ee hawada. Muuqan qufac, xiiq. Dhammaan ka mid ah calaamadahan waa markii meel bukaanka jiifo ka xun. Later, waxaa jirta xaakada, waxaa jira midabka oo kali ah dareemi haragga, cabashooyinka xanuunka xabadka. Waxaa lagama maarmaan ah si ay u fuliyaan Baadhista xanuunada neefta wadnaha, la siiyo jiritaanka cudurka wadnaha, wadnaha chronic, da'da bukaanka. Waa in la kala duwanaayeen ka neefta, dyspnea wadnaha on thromboembolism ee halbowlaha pulmonary iyo laamaha neefta bronki.

dareeraha ah ee sambabada ah, daaweynta

Waxaa jira habab kala duwan oo ka mid ah daweynta cudurrada this. Loo baahan yahay taageero ugu horrayn neefsashada (daweynta oksijiinta, RF VLV iwm) taas oo yaraynaysa hypoxia iyo cadaadiska intraalveolar kordhay, taas oo iyana ka hortagtaa transsudirovaniyu dheecaan galay interstitium ah. Waxa kale oo loo baahan yahay in la qabto neefsasho ee oxygen qoyan uumiga khamriga. Si loo isticmaalo daaweynta Nitrate (nitroglycerin). Waxay yareeyo fadhiidka ah ee arooriyaha dhiigga ee sambabada, halka aan sii kordhaya xaddiga oxygen ee myocardium ah. Nitrate ee dose si sax ah loo doortay waxay yareyn kartaa load dhicidda on ventricle bidix ee wadnaha, taasoo keenta vasodilation ee halbowlaha iyo sariirta arooriyaha. Maamula si ay u Nitrate laba siyaabood - midkood kiniin ama lagu buufiyo. dareeraha ah ee sambabka iyadoo si tartiib tartiib ah u baaba'aa.

Noqo isticmaalka filan analgesics (morphine). Waxay yareeyo walbahaarka maskaxda, taas oo ka caawisaa si loo yareeyo load ku on murqaha neefsashada. Waxaa sidoo kale inta badan loo isticmaalaa wakiilada inotropic, tusaale ahaan, dopamine. Its saameyn kala duwan waxay ku xiran tahay qiyaasta. qiyaasta of 5-10 g / m sababa la kordhiyo wax soo saarka wadnaha. Kordhinta qiyaasta 2 jeer, waxaan ka heli saamaynta metatichesky Alfa.