Nā hōʻeha haʻuki
2K 0 04/01/2019 (hoʻoponopono hou ʻia: 04/01/2019)
ʻO ka contusion lung ka mea hōʻino i kaʻiʻo māmā i kū ma lalo o ka mana o kahi mea traumatic āpau: ʻōhū a me ka ʻomi ʻana o ka pahu i ka umauma. I kēia hihia, ʻaʻole i haki ka pono o ka pleura visceral.
Nā kumu
ʻO ke kumu nui o ka pulupulu i hōʻeha ʻia kahi hopena traumatic ma ka umauma ma muli o kahi hahau ikaika me kahi mea blunt a i ʻole kahi nalu pahū. Hana ʻia nā pathology ma ka pūnaewele o ka hopena a me ka hopena.
I ka hapanui o nā hihia, ʻo ia mau ʻeha ka hopena o kahi ulia. I kahi ulia kaʻa, paʻi nā mea hoʻokele i ka pou hoʻokele me ko lākou umauma a ʻeha ʻia. Hiki i ka concussion o nā akemāmā a me ka haki ʻana i nā aʻa ma muli o ke kaʻe ʻana o ka umauma me nā mea kaumaha a hāʻule mai kahi puʻu i ka hope a i ʻole ka ʻōpū.
Kaumaha
ʻO ka ikaika o ka hopena mechanical a me ka nui o ka ʻili o ka mea traumatic e hoʻopili pono i ke ʻano o ka hōʻino ʻana i nā ake māmā. Ma muli o ka ʻāpana o ka wahi i hoʻopilikia ʻia, ākea a kūloko ʻia ka pathology. He mea nui ka wahi a me ka laulā o ka contusion zone no ka loiloi ʻana i ke kiʻi maʻi a hana i kahi wānana.
Hiki i ka contusion nui loa o nā ake māmā ke hopena i ka make o ka mea ʻeha ma kahi o kahi ulia pōpilikia.
Kaukaʻi ʻia i ke koʻikoʻi o ke kaʻina pathological, ʻike ʻia nā kekelē aʻe:
- Māmā. Hoʻopōʻino ka maʻi maʻi i nā aʻa nui. Noho ma mua o ʻelua mau ʻāpana pulmonary. ʻAʻohe pilikia hanu.
- Awelika. Uhi ka ʻeha i nā ʻāpana he nui o kaʻiʻo māmā. Aia nā wahi kaʻawale o ka haki ʻana o ka parenchyma, nā ʻino vascular. Kūpono ka hanu hanu. Hoʻopiha ke koko i ka oxygen e 90 pākēneka a ʻoi paha.
- Kaumaha. ʻO kahi ākea o ka hōʻino ʻana i kaʻiʻo alveolar. ʻO ka haki ʻana a me ka hōʻino ʻana i nā hanana aʻa. Hoemi i ka oxygen ma loko o ke ākea koko.
© SOPONE - stock.adobe.com
Nā ʻōuli
He paʻakikī e ʻike ʻia kahi ʻōpala i nā hola mua ma hope o ka hōʻeha. Ma muli o kēia, kuhi hewa pinepine nā limahana olakino i ka hana ʻana i kahi hōʻailona, e loiloi ana i ke kiʻi olakino ma muli o ka luku ʻia ʻana o ka umauma a i ʻole nā iwi ʻaoʻao haʻi. Lilo kēia i kumu no ka hana hewa.
Nā hōʻailona hōʻailona o ka contusion māmā:
- Hoʻonui i nā maʻi hanu (ka liʻiliʻi o ka hanu).
- ʻO ka pehu a me ka hematoma ma ka pūnaewele o localization o ka hopena.
- Ke kūʻana o ka uhaū mākū.
- ʻO Cyanosis.
- Hoʻonui i ka helu o nā puʻuwai i ka hoʻomaha.
- Hemoptysis. Hōʻike kēia ʻōuli iā ia iho i kahi papa koʻikoʻi a kaulike paha o ke kaʻina hana pathological (hiki i nā lā mua ma hope o ka hōʻeha).
- Hoʻoemi i ke kahe o ke koko.
- Ka hanu pāpaʻu, nā ʻeha ʻeha i ka wā o ka hanu hohonu.
Ma muli o ka hōʻiliʻili o ke koko i nā aʻa palupalu, loaʻa ka hoʻonui ʻana i ka nui o ka umauma. Me kahi kekelē koʻikoʻi o nā pathology, hoʻopau loa kahi hanu. I kēia hihia, koi ʻia ka resuscitation koke.
Nā Diagnostics
Pono e nānā pono ʻia ka mea i hōʻeha ʻia e ka traumatologist a i ʻole ke kauka lāʻau. Hoʻomaopopo ke kauka i nā kūlana o ka ʻeha a alakaʻi i kahi hoʻokolohua hoʻokolohua o ka mea maʻi. Hoʻohana ʻia nā ʻano hana e hōʻoia i ka ʻike.
- ʻImi kino. Me ke kōkua o ka palpation, hoʻoholo ke kauka i ka hoʻonui ʻana o ka ʻeha ke kaomi ʻana ma ka ʻaoʻao hope a i ʻole thoracic ma ke kahua o ka leona. Me kekahi mau ʻeha, hiki ke ʻike i ka localization o ka haʻi haʻi. Hāʻawi ka Auscultation of the lungs iā ʻoe e lohe i nā rales momona i kahi i hōʻino ʻia.
- Nā hoʻāʻo Laboratory. I mea e kāpae ai i ke kahe o loko, hana ʻia kahi hoʻokolohua koko maʻi. Hana ʻia kahi sputum test e ʻike ai i nā hunaola ʻulaʻula e hōʻike ai i ka hōʻino o ka māmā. Hoʻoholo ʻia ke kēkelē o ka hypoxemia e ke nānā ʻana i ka hoʻohui kinoea koko. Hōʻike ʻia ke kiʻekiʻe saturation oxygen e ka lāʻau pulse oximetry.
- ʻImi lāʻau. Hāʻawi ka X-ray radiation iā ʻoe e ʻike i nā wahi o ke komo ʻana o kaʻiʻo māmā ma ke kahua o ka ʻeha i kekahi mau lā ma hope o ka hōʻeha. He mea pono e ninaninau X-ray inā kuhi ʻia nā haki iwi, pneumo- a me hemothorax. Paipai ʻia ʻo CT no nā pathologies ʻoi loa. Me kāna kōkua, ʻike ʻia ka hū o ka hū, ka pneumocele a me nā atelectasis.
- ʻO Bronchoscopy. Hoʻohana ʻia ia no nā hōʻailona maopopo. Me kāna kōkua, hoʻoholo ʻia ke kumu o ke kahe ʻana i ka wā hemoptysis. Me ka hoʻokolohua endoscopic, hoʻomaʻemaʻe ʻia nā paipu bronchial.
© Artemida-psy - stock.adobe.com. ʻO Bronchoscopy
Kōkua mua
Hōʻike ʻia nā ʻōuli o ka pulupulu puʻupuʻu i kekahi manawa ma hope o ka hōʻeha. Ma muli o kēia, ʻaʻole hiki ke hāʻawi i ke kōkua manawa kūpono. ʻO ka paʻakikī o nā hana wikiwiki no ka pulupulu i ʻeha e ʻane like me ke kōkua mua no nā ʻeha ʻē aʻe.
- Pākuʻi anuanu (15 min). Hoʻohana ʻia ia e hoʻoliʻiliʻi i ka pehu ʻana a hoʻomaha i ka ʻeha. ʻO ke anuanu kahi hopena constricting i nā kīʻaha koko a pale i nā hematomas.
- Immobilization. Pono e hoʻolako ʻia i ka mea i hōʻino ʻia me ka hoʻomaha loa. Pono e hōʻalo i kēlā me kēia neʻe.
- Nā Lapaʻau. Pāpā ʻia ka hoʻohana ʻana i nā mea hōʻemi ʻeha a anti-inflammatories paha. Hiki iā lākou ke alakaʻi i ke kuhi hewa.
Lapaʻau
Inā manaʻo ʻia he ʻōpala ka māmā o ke kanaka, pono pono e lawe koke i ka haukapila no kekahi mau lā i kahi ʻoki lāʻau a trauma paha. ʻO ka mālama Conservative o nā pathology:
- Anesthesia. ʻO ka hoʻohana ʻana i nā lāʻau anti-inflammatory non-steroidal.
- ʻO ke kōkua o DN koʻikoʻi. Hoʻohana ʻia ka oxygen therapy, infusion-transfusion therapy a me nā hormic corticosteroid. I nā hihia koʻikoʻi, hoʻohuli ʻia ka mea maʻi i ka ventilation ʻimi hoʻopunipuni.
- Kāohi ʻana i ka niumonia. I ke kumu o nā pathologies o ke kahe o ke kahe o ka hanu, hoʻomaʻemaʻe ʻia nā ala kaʻa. He ʻōlelo aʻoaʻo e kauoha aku i ka lāʻau antibiotic.
Hoʻohana ʻia ka hana ʻoki lāʻau no nā detachment nui o ka bronchial a i ʻole nā hōʻino vaskular.
I loko o ka wā hoʻōla, kuhikuhi ʻia ka hoʻōla kino, ka lomilomi a me ka physiotherapy.
Nā pilikia
ʻO ka hematoma o ka ʻaoʻao ʻoi loa ka hopena maikaʻi ʻole o ka pulupulu i ʻeha. ʻO nā pilikia koʻikoʻi pū kekahi me ka: hanu ʻole o ka hanu ʻana, ka niumonia, ka pneumotrax, ke kahe ʻana o ke koko, hemothorax, a me ke kahe o ke koko.
© designua - stock.adobe.com. Pneumothorax
Wanana a me ka pale ʻana
ʻO ka mea hoʻomanawanui me kahi contusion kūloko o ka māmā e hoʻi me ka ʻole o nā pilikia i loko o ʻelua mau pule. Loaʻa i kahi ʻeha kaulike kahi wānana maikaʻi loa. Hiki ke ulu i nā hopena koʻikoʻi i ka loaʻa ʻole o ka lapaʻau kūpono, i nā mea maʻi ʻelemakule a i ke alo o nā pathology hui pū. Hiki i nā ʻeha hohonu hohonu, nā lacerations a me ka haki ʻana i kaʻiʻo māmā ke alakaʻi i ka make o ka mea i hōʻeha ʻia.
ʻO ka hoʻokō ʻana me nā hana palekana pilikino e ʻae iā ʻoe e hōʻalo i ka hanana ʻana o ka ʻeha. ʻO ka pale ʻana i nā pilikia mua a lohi hoʻi o ka trauma ka hoʻolako ʻana i ka mālama olakino kūpono.
