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I-Atelectasis vs. pneumothorax: Uyinyanga njani imiphunga ewayo?

Imfundo yezeMpilo

Kuyafana kwinqanaba lomgangatho, zombini i-atelectasis kunye ne-pneumothorax ejongene nayoukuwa kwemiphungakunye nokuvalwa. Ngelixa ezi meko zimbini zinokuba neempawu ezifanayo, oonobangela bahluke kakhulu.

Ngelishwa, ukuwa kancinci okanye ukuvalwa kunokuba ngumceli mngeni ekuchongeni njengoko kungenakuba neempawu ezihamba nazo. Kuphela sisifuba X-reyi esinokubonisa ngokuchanekileyo ukuba umntu unengxaki ethile, kwaye unyango luya kuxhomekeka kwisizathu esimbangela.

Oonobangela

Atelectasis

I-Atelectasis yenzeka ngenxa yeemeko ezenza ukuba kube nzima ukuphefumla kunye / okanye ukukhohlela, okukhokelela ekubeni iisaka zomoya-ezaziwa ngokuba yi-alveoli-emiphungeni zikhuphe. Inokuthi yenzeke kwakhona xa kukho uxinzelelo ngaphandle komphunga, onokuthi uvele kwizicwili.

Ugqirha lolona hlobo luqhelekileyo lwe-atelectasis . I-Anesthesia inokuchaphazela ukukwazi ukuphefumla kwesigulana kunye nokuchacha okubuhlungu kunokubangela ukuba izigulana ziphefumle nzulu. Iimeko ezithile zemiphunga zinokubangela i-atelectasis ngokunjalo, kubandakanya umhlaza wemiphunga, ulwelo olujikeleze imiphunga (ukusebenza komzimba), kunye nesifo sokuphefumla (RDS).

Pneumothorax

I-Pneumothorax ibangelwa xa umoya uphuma emphungeni, ugcwalisa isithuba esiphakathi kwemiphunga kunye neembambo okanye udonga lwesifuba. Oku kwenza ukuba kubenzima ukwandisa imiphunga, kwaye nokuphefumla kuba nzima.

Ingabangelwa ngamadyungudyungu omoya, abizwa ngokuba ziibhlowu, ukuphuma kunye nokuthumela umoya kwisifuba. Oku kunokwenzeka ngenxa yotshintsho loxinzelelo lomoya okanye isifo semiphunga, esifana nesifuba, isifo esinganyangekiyo semiphunga, isifo sephepha, ukukhohlela, okanye icystic fibrosis (CF).

I-Atelectasis vs. pneumothorax ebangela
Atelectasis	Pneumothorax
Ugqirha Iindlela zomoya ezivaliweyo emphefumlweni Ukwakha uxinzelelo ngaphandle komphunga Iimeko zemiphunga (umhlaza wemiphunga, inyumoniya, ukusebenza komzimba, i-RDS)	Ukuvuza kumphunga uqobo Utshintsho koxinzelelo lomoya Iimeko zemiphunga (isifuba, i-COPD, i-TB, ukukhwehlela, i-CF)

Ubuninzi

Atelectasis

Akunakulindeleka ukuba yenzeke yodwa, kodwa ukuya kuthi ga 90% zezigulana ezenze utyando nge-anesthesia ngokubanzi ziye zanda i-atelectasis. Isifundo esinye kufumaniseke ukuba ukuxhaphaka kwe-atelectasis kutyando lwe-bariatric kuphantse kwaba ngama-38% — uninzi lwabo ingabantu ababhinqileyo abadala kunama-36.

Pneumothorax

Ngokuqinisekileyo Amadoda ali-18 ukuya kwangama-28 kwayi-100,000 uya kufumana into ebizwa ngokuba yi-pneumothorax, ngelixa ama-1.2 ukuya kuma-6 abasetyhini kwabayi-100,000 abaya kuyifumana le meko. Ukongeza, iipesenti ezingama-50 zezigulane ezine-pneumothorax ziya kuphinda ziphinde ziphinde ziphinde ziphinde ziphinde zibuye.

Ukuxhaphaka kwe-Atelectasis vs. pneumothorax
Atelectasis	Pneumothorax
Ukuya kuthi ga kwi-90% yezigulana ezinikwe i-anesthesia ngokubanzi ngexesha lotyando I-38% yezigulana zotyando lwe-bariatric Abaqhubi beenqwelo moya, abagadi beenqwelomoya, kunye nabanye abafumana utshintsho rhoqo kuxinzelelo lomoya	I-18-28 kumadoda ayi-100,000 ahlangabezana ne-pneumothorax I-1-6 kwi-100,000 yabasetyhini bafumana i-pneumothorax Iipesenti ezingama-50 zabantu abane-pneumothorax baya kuphinda babone ukuwa kwemiphunga kwakhona

Iimpawu

Atelectasis

Iimpawu ze-atelectasis zisenokungabikho. Ngaphandle koko, isigulana sinokuqaphela ukukhohlela, iintlungu zesifuba, okanye ukubanengxaki yokuphefumla.

Pneumothorax

Ezona mpawu ziqhelekileyo kukuphefumla kancinci kunye neentlungu ezibukhali esifubeni okanye egxalabeni. Nangona kunjalo, unobangela obukrakra we-pneumothorax unokubandakanya ukuqina kwesifuba, umbala ohlaza okwesibhakabhaka kwesikhumba, ukukhanya kobunzima, ukudinwa, ukubetha kwentliziyo ngokukhawuleza, ukothuka kunye nokuphelelwa ngamandla.

I-Atelectasis vs. pneumothorax iimpawu
Atelectasis	Pneumothorax
Iintlungu zesifuba Kunzima ukuphefumla Khohlela	Intlungu ebukhali esifubeni okanye egxalabeni Ukuqhawukelwa ngumphefumlo Ulusu oluhlaza okwesibhakabhaka Ubumhlophe Ukudinwa okungapheliyo Ukubetha kwentliziyo okukhawulezayo Umothuko Ukufa isiqaqa

Uxilongo

Atelectasis

Ukuxilongwa okuqhelekileyo kukufumana i-X-ray yesifuba kunye noviwo lwezonyango, nangona abaguli banokucelwa ukuba benze i-CT scan, i-ultrasound, i-bronchoscopy, okanye uvavanyo lwe-oxygen level oyokutya .

Pneumothorax

Ngokufanayo, i-pneumothorax ihlala ifunyaniswa ukuba ine-X-ray nangona ngamanye amaxesha kusetyenziswa i-CT scan okanye i-ultrasound.

I-Atelectasis vs. pneumothorax isifo
Atelectasis	Pneumothorax
I-X-ray yesifuba Ukuskena i-CT I-Ultrasound Bronchoscopy I-Oximetry	I-X-ray yesifuba Ukuskena i-CT I-Ultrasound

Unyango

Atelectasis

I-Atelectasis inokubangela ukuba umzimba ungafumani oksijini yaneleyo, enokudala iingxaki zempilo. I-Atelectasis ayihlali isongela ubomi kodwa unyango olukhawulezileyo lubalulekile. Unyango luya kuxhomekeka kwisizathu sokubakho kwale meko. Inokuba yinto elula, njengokuphefumla okunzulu, intloko ukuthambisa ukukhupha i-mucus, okanye ukukhulula iiplagi zencindi ngokuhamba kwesifuba. Abanye abaguli banokufuna iindlela ezingaphaya zokuhlasela, ezinje nge-bronchoscopy, amayeza okurhalela ngaphakathi (njenge inhaler okanye I-nebulizer ), okanye unyango olwenziweyo ngakumbi kwiimeko zokuphazamiseka kwithumba.

Pneumothorax

Ezinye izigulana ziya kufuna kuphela ukubekwa esweni ngonyango lweoksijini njengoko ziphila. Nangona kunjalo, abanye banokufuna ukuba inaliti igqobhe isifuba sabo ukukhupha umoya okanye ityhubhu yesifuba ibekwe phakathi kweembambo kunye nesifuba ukukhupha umoya. Ukuba umoya uyakha kwisifuba, unokudala Uxinzelelo pneumothorax , enokusongela ubomi. Utyando lunokufuneka kwiimeko ezinobuzaza ukuthintela ukuphindaphinda.

I-Atelectasis ngokuchasene nonyango lwepneumothorax
Atelectasis	Pneumothorax
Ukuzilolonga ngokuphefumla Ukuhluza inwebu Bronchoscopy Amayeza aphefumlelweyo Unyango lwethumba	Unyango lweoksijini Ukuhlatywa kwenaliti Ityhubhu yesifuba Ugqirha

Izinto zomngcipheko

Atelectasis

Izinto ezinobungozi be-atelectasis kukuphumla kwebhedi ngaphandle kokuhamba, ukuphefumla okungaphantsi, isifo semiphunga, i-anesthesia, kunye ne-mucus okanye izinto zangaphandle ezivimba indlela yomoya.

Pneumothorax

Amadoda athambekele ngakumbi kwi-pneumothorax kunabafazi. Ukuba mde, ukutyeba, ukutshaya, usapho okanye imbali yobuqu ye-pneumothorax zonke izinto ezinobungozi. Abo banesifo semiphunga okanye abafuna ukungenisa umoya ngoomatshini nabo banamathuba okuphuhlisa imeko. Ukongeza, 1 kwi-100 Izibhedlele ze-coronavirus ezibhedlele zifumana i-pneumothorax.

I-Atelectasis vs. pneumothorax umngcipheko wezinto
Atelectasis	Pneumothorax
Ukuphumla kwebhedi emileyo Ukuphefumla kancinci Isifo semiphunga Ukubulawa I-Mucus okanye izinto zangaphandle ezivimba umoya	Ukuba mde Ukutyeba Ukutshaya Intsapho okanye imbali yobuqu ye-pneumothorax Ukuba kumatshini wokungenisa umoya Isifo semiphunga I-COVID-19

Uthintelo

Atelectasis

Ezona ndlela zingcono zokuthintela i-atelectasis kukuzilolonga rhoqo, uziqhelanise nokuphefumla okunzulu, kwaye uqhubeke nokuphefumla rhoqo emva kokubulawa komzimba.

Pneumothorax

Akukho ndlela yokuthintela ngokupheleleyo i-pneumothorax. Nangona kunjalo, ukuyeka ukutshaya kuluncedo kwaye kuthintela utshintsho kuxinzelelo lomoya. Inkqubo ye- Umbutho wezoNyango weAerospace icebisa ukunqanda ukuhamba komoya iiveki ezimbini ukuya kwezintathu emva kokufumana i-pneumothorax, kwaye kungcono ukudibana nogqirha ngaphambi kokubhabha okanye ukuntywila ngokulandela i-pneumothorax.

Atelectasis vs pneumothorax uthintelo
Atelectasis	Pneumothorax
Zilolonge Ukuphefumla nzulu	Nciphisa ukutshaya Nxibelelana nomboneleli wezempilo ngaphambi kokuntywila okanye ukuntywila emanzini

Nini ukubona ugqirha nge-atelectasis okanye pneumothorax

Zombini iimeko zonyango zinokuba mbi kakhulu ukuba ziyekwe zinganyangwa. Ukuba uqaphela naziphi na iimpawu, kubandakanya ukuphefumla okufutshane, ubunzima bokuphefumla, okanye isifuba kunye nentlungu egxalabeni, ngoko nangoko tsalela umnikezeli wakho wezempilo.

Imibuzo ebuzwa rhoqo malunga ne-atelectasis kunye ne-pneumothorax

Ngaba i-atelectasis inokubangela i-pneumothorax?

Ngokwesiqhelo, i-atelectasis ayikhokeleli kwi-pneumothorax. Nangona kunjalo, i-pneumothorax inokukhokelela kwi-atelectasis ukuba imiphunga yesigulana iyancipha ngokwaneleyo ukuze ibangele ukuvaleka.

Kutheni i-pneumothorax ibangela i-atelectasis?

I-Pneumothorax inokubangela ukuba imiphunga iyancipha kwaye iphele. Ukuba umphunga uphulukana ngokwaneleyo, i-alveoli yesigulana iya kuphungula. I-Alveoli ziingxowa zomoya ezincinci ngaphakathi kwimiphunga yethu, zifunxa ioksijini kwaye zenza uninzi lomsebenzi wenkqubo yokuphefumla. Oku kuncipha kunokubangela ukubhloka, yiyo loo nto ibangela i-atelectasis.

Uyiphatha njani i-pneumothorax kunye ne-atelectasis?

Unyango lwezi meko zimbini luyahluka. Ukuba ayinzima, ugqirha wezonyango unokujonga kuphela isigulana ngelixa eqhuba unyango lweoksijini.

Nangona kunjalo, iimeko ezinzima ze-atelectasis zingadinga ukuphefumla, ukukhupha i-mucus, i-bronchoscopy, amayeza angenayo, okanye unyango lwe-tumor, kuxhomekeke kwisizathu.

Ngokufanayo, imeko ebukhali ye-pneumothorax iya kufuna ukubhoboza inaliti ukukhulula umoya owakhelweyo, ityhubhu yesifuba, okanye utyando.