Edema ea lipilisi ke boemo bo tebileng ba lefu lena leo ka lona metsi a nang le matšoafo a matšoafo a fetang maemong a tloaelehileng ka lebaka la keketseho pakeng tsa likhatello tsa hydrostatic le colloid osmotic li-capillaries tsa matšoafo. Ka lebaka leo, ho na le tlōlo e matla ea phapanyetsano ea khase, phetoho ea ho hlophisoa ha khase ea mali, tsoelo-pele ea hypoxia le khatello e matla ea tsamaiso ea methapo ea mantlha.
Lipontšo le mefuta ea li-edema tsa pulmonary
Lipontšo tse kholo tsa edema ea pulmonary ke tsena:
- cyanosis;
- phefumoloho e khutšoanyane ;
- ho fokotseha ho eketsehileng;
- ho khohlela le ho lokolloa ha sputum ea frothy;
- matla a mabili .
Ho itšetlehile ka lits'ebetso tsa trigger, ho na le mefuta e 'meli ea edema ea pulmona:
- Hystrostatic - e hlaha maloetse a etsang hore ho be le keketseho ea khatello ea hydrostatic meleng ea mali ea matšoafo le ho lokolloa ha mali a mali molomong oa matšoafo ka chelete e kholo ho feta monyetla oa hore o tlosoe ka likepe tsa lymphatic.
- Membranogenic - e hlaha maemong ao li-syndromes tse ling tsa pathology li bakang ho eketseha ha li-capillaries tsa matšoafo.
Ho feta moo, ho itšetlehile ka lisosa, e seng cardiogenic pulmonary edema e tsebahala, hammoho le edema ea lefu la pelo e amanang le lefu la pelo.
Lisosa tsa hydrostatic pulmonary edema bathong
Lintho tse ka sehloohong tse bakang edema ea pulmonary ka lebaka la ho eketsa khatello ea intracapillary ke:
- Mathata a pelo a fapa-fapaneng - litšitiso tsa pelo, ho eketseha ha molumo oa ho potoloha mali, ho fokotseha ha tumellano ea li-ventricle tse letšehali, stenosis ea valve mitral, joalo-joalo.
- Ho hlekefetsoa ha li-pulmone tsa venimone ka lebaka la ho tšesaane ha methapong, e bakoang ke ho hlaseloa ke likokoana-hloko tsa methapo ea pelo.
- Ho thibela methapo ea pulmonary kapa makaleng a eona, a ka bakoang ke ho kenngoa ha mali ho ea ka methapo ea mali (hangata tsena ke li-clots tsa mali tse hlahisang methapo ea pelvis kapa tse ka tlase), marotholi a moea, marotholi a mafura (a lokolloa ka mali ho tsoa lerong la masapo, ka mohlala, ka fractures) , hammoho le septic emboli.
- Ho khaoloa ha mokhoa oa ho phefumoloha - ka lebaka la maloetse a trachea, bronchi, matšoafo, hammoho le tšitiso ea lifofane tse tsoang linaheng tse sa tšoaneng.
- Ho senyeha ha lisele tsa li-lymph ka lebaka la ho thibeloa ha likepe tsa lymph ka lebaka la matšoafo a matšoafo, moea kapa khase ho bokellana ka mahlakoreng.
Lisosa tsa kemiso e entsoeng ka membrane e bakoang ke pulmonary edema
Lisosa tse ka sehloohong tsa membrane edema ke tsena:
- Phofu e matla ea ho hema lefu - ho senyeha ha matšoafo ka lebaka la tšenyo e tobileng kapa e sa tobang ho matšoafo, ao hangata a amahanngoa le likotsi tsa sefuba, sepsis, pancreatitis (ka lebaka la mathata a hemodynamic).
- Matšoao a ho tsoaloa ke lefu - ka lebaka la ho lahleheloa ke lintho tse ka hare ka mpeng, ho nosetsa metsi ho tsoa metsing, joalo-joalo.
- Inxication syndrome - edema ea edema ka lebaka la ho pepesa lintho tse nang le chefo e hlahisoang ke likokoana-hloko tse fapaneng mafu a tšoaetsanoang, hammoho le ho hlōleha ha lesea.
- Matšoao a ho phalla - ho chesa likhase tse chefo (chlorine, phosgene, joalo-joalo),
li-steam tsa mercury, mosi, joalo-joalo.
Kalafo ea edema ea pulmonary
Maqiti a ho phekola li-pulema tsa pulmona a khetholloa ke lisosa tse bakang lona. Leha ho le joalo, le pele mokuli a isoa setsing sa bongaka, ho lokela ho nkeloe mehato e potlakileng. Bakuli ba isoa litsing tse khethehileng tsa tlhokomelo e matla, tse nang le thepa ea ho hlahloba. Mekhoa ea phekolo e etsoa ka ho hlahlojoa kamehla ha lipalo tsa hemodynamic le litšoaneleho tsa ho hema ka ntle. Meriana ea bohlokoa e kenyelletsoa ho fihlela boemong bo ka sehloohong bo fumanoang ke likokoana-hloko, e leng moo catheter e kenyelletsoang monoaneng oa subclavia.