Emphatic emphysema ndi kusungunula mpweya kapena mpweya wa mpweya m'magazi omwe ali mbali zosiyanasiyana za thupi, ngakhale pamimba, miyendo ndi manja. Mpweya woterewu umatha kupangitsa mitsempha yambiri ndi mitsempha ya magazi. Zotsatira zake, wodwala amakhala ndi vuto la mtima komanso matenda ena, komanso amavulaza ziwalo zina.
Zifukwa za emphysema yapansi
Chifukwa cha emphysema yapansi pamakhala nthawi zambiri chilonda chamkati cha chifuwa, chomwe chimalola mpweya kulowa mu matenda, koma salola kuti ubwerere. Matendawa amatha kuwonekera pambuyo:
- kuwonongeka kwa bronchi, mayopu kapena trachea, pamene phokoso la pakatikati lawonongeka, ndipo mpweya umalowerera kuchokera ku mediastinum kupita kumalo a pleura;
- kusokonezeka kamodzi kokha kwa umphumphu wa mapapo ndi pemphelo la parietal;
- kupweteka kwa zinthu zoopsa;
- kuwonongeka kwa ndege.
Zotsatira za subcutaneous emphysema ya chifuwa ndi matenda a bronchitis ndi mapuloteni opangira mapapo. Amakulitsa matenda oterowo ndi omwe amakhala ndi utsi wautali komanso ambiri. Kawirikawiri, subcutaneous emphysema imapezeka ndi pneumothorax .
Kulimbikitsa kuti matendawa apangidwe amatha kupopera mimba ndi carbon dioxide, yomwe imachitidwa ndi opaleshoni ya laparoscopic. Mtundu woterewu umatchedwa mediastinal. Mpweya umene umalowa m'kati mwa mimba ukhoza kufalikira kumutu, nkhope kapena collarbone.
Zizindikiro za emphysema yapansi
Zizindikiro zofala za emphysema ndizo:
- mpweya wochepa;
- kutupa m'khosi;
- ululu pachifuwa pamene mukupuma kapena mmero pamene mukumeza;
- Kutupa kwa khungu popanda kukhala ndi zizindikiro za kutupa.
Ndi pneumothorax, emcutsema yapansi pamaso imakhala pamwamba pa khungu. Ndi matenda opatsirana, amakula mofulumira ndi kufalikira mthupi lonse. Pakangotha masabata angapo, maonekedwe a wodwala amasintha mosavuta ndipo chiwerengero cha mtima wake chimasintha.
Ngati matendawa amayamba m'khosi, wodwalayo akhoza kukhala ndi mawu osiyana, komanso ali ndi khungu la nkhope. Kupuma pa mbali yowonongeka nthawi zonse kumafooka. Kawirikawiri mukamalankhula, wodwala sangamve bwino, komabe mukamayesetsa kumvetsetsa, kumveka phokoso lofanana ndi lachipale chofewa.
Pamene subcutaneous chest emfasmosis yayamba, ziphuphu zomwe zili pafupi ndi izo zimakhala zowawa kwambiri moti zimawonekeratu. Kawirikawiri zimangokhala mbali imodzi. Nthata imakula mofanana ndi mbiya. Wodwala angakhale ndi kupsyinjika kapena kutsika kwa magazi. Ngati wodwalayo sali opatsidwa chonchi
Chithandizo cha subcutaneous emphysema
Kuzindikira kuti matendawa ndi otheka, pogwiritsa ntchito roentgen kapena kompyuta tomography. Chithandizo cha subcutaneous emphysema chiyenera kuyambitsidwa mwamsanga mutatha kuchidziwitsa, pamene kukula kwake ndi kufalikira kungayambitse kupopera ziwalo zosiyanasiyana ndi kukula kwa matenda oopsa ndi owopsya.
Pezani emphysema mwachindunji mosavuta. Kawirikawiri, kuyamwa kwa jet kapena madzi akugwiritsidwa ntchito pa izi. Zidazi zimachotsa phokoso lamakono. Ngati chilondacho chiri chochepa, wodwalayo akhoza kupanga zochepa za khungu ndi minofu yapansi. Tsegulani zilonda za chifuwa, zomwe zikuphatikizidwa ndi emphysema, zikhoza kuchitidwa chithandizo nthawi zonse.