White lung Pneumonia, zvakare inozivikanwa seakakoshwa yekufemerwa kutambudzika syndrome (ीs), mamiriro akaomesesa uye ane hupenyu anotyisidzira anokanganisa mapapu. Iyi emergency yekukurumidzira inoratidzirwa nekukurumidza kutanga kwekunyepedzera mumapapu, anotungamira kuoma mukufema uye kuderera kwakakosha mumakona eokisijeni muropa. Muchinyorwa ichi chakazara, tichasvetuka mune dzakasiyana siyana mapapu chena pneumonia, kusanganisira zvinokonzeresa, zviratidzo, kuongororwa, kusarudzika kwekurapa, uye kufambira mberi kwekurapa mukutsvaga kwekurapa.
I. Sumo
White lung Pneumonia, kana ards, mamiriro akaoma anokanganisa maitiro ekufema. Iyo yakanyorwa nekukurumidza kwekutanga kwekutadza kwakanyanya kwekufema, zvichiita kuti ive nehupenyu hwekurapa kwekurapa. Kunzwisisa izvo zvinokonzeresa zvinokonzeresa uye michina yeARDS yakakosha pakuwanikwa kwekutanga uye kugona kubata.
Ii. Zvinokonzera
A. Direct lung kukuvara
ARDS inowanzoitika semhedzisiro yekukuvara kwakananga kwemapapu. Izvi zvinogona kukonzerwa nezvinhu zvakasiyana, kusanganisira:
Pneumonia: hutachiona, hutachiona hwehutachiona hwehutachiona hunogona kutungamira mukuzvimba kwemapapu emapapu, anokonzeresa ards.
Kufarira kweGastric Zviri mukati: Inhaling mudumbu zviri mumapapu, mamiriro anozivikanwa sekushamisika, anogona kukonzera kusimba kwakanyanya uye kukuvara.
Pedyo-kunyura: Submersion mumvura inogona kutungamira kune kushomeka kweokisijeni uye inotevera mapopu kukuvara.
B. Indeirect lung kukuvara
Sepsis: hutachiona hwehurongwa, kunyanya zviitiko zveSepsis, zvinogona kuguma nematare.
Trauma: Kukuvara kwakadai sekutambura kwakawanda kana kutambudzika kwemusoro kunogona kukanganisa njodzi kune mapapu ekukuvara uye ards.
Pancreatitis: Kuzvimba kwakanyanya kwepancreas kunogona kubatsira mukuvandudzwa kweARDS.
III. Zviratidzo
Zviratidzo zvechena chena pneumonia inogona kuratidza nekukurumidza uye inosanganisira:
Kupfupika kwakasimba kwekufema: varwere vanowanzoona kamwe kamwe kutanga kwekunetseka kufema.
Kukurumidza kufema: Kuwedzera kufema chiyero chiratidzo chekufema kwekufema.
Low oksijeni mazinga: hypoxemia, inoratidzwa nemazinga emakona eokisijeni muropa, chiratidzo che ards.
Cyanosis: Kuburitswa kweganda uye mucous membranes nekuda kwekusarongeka kweokisijeni.
Iv. Kuongororwa
Kukurumidza uye kurongeka kwakakodzera kwakakosha kuti utange kurapwa kwakakodzera. Zviyero zvekuongorora zvinosanganisira:
Nhoroondo yekurapa uye kuongororwa kwemuviri: kunzwisisa nhoroondo yemurwere yekurapa uye kuitisa kunyatsoongororwa kwemuviri.
Kufungidzira Zvidzidzo: Chest X-Rays uye Computt Tomography (CT) Scans Inobatsira Kuona Lung Abnormalities.
Miedzo yeropa: Kuongorora magasi eropa, kujekesa ropa kuverenga (CBC), uye mamwe mimwe miedzo yekuongorora kuti uongorore mazinga eokisijeni uye utonge mamwe mamiriro.
Bronchoscopy: Direct Visualization yeMhepo Inoongorora LUNG basa uye kuunganidza samples dzekuongorora.
V. Kurapa
Kugadzirisa White Lung Pneumonia inosanganisira nzira yemilidisciplinary yakanangana nekutaura nezvechikonzero chechikonzero uye kutsigira basa rekufema. Maitiro ekurapa anosanganisira:
Mechancal Ventilation: Kupa rutsigiro rwekufema kuburikidza nemuchina wekuvhura kuti uve nechokwadi chekujeka kwakaringana.
Okisijeni yekurapa: yekuwedzera okisijeni inotungamirwa kuchengetedza yakaenzana eokisijeni mazinga muropa.
Kurapa kweZvikonzero Zvikonzero Zvikonzero: Kutaura zvakakonzera areds, sekurapa hutachiona kana kubata sepsis.
Corticosteroids: Mune zvimwe zviitiko, corticosteroids inogona kurairwa kuderedza kuzvimba mumapapu.
Vi. Prognosis
Iyo prognosis yevarwere ine chena lung Pneumonia inosiyana zvichienderana nekuomarara kwemamiriro ezvinhu, iyo inokonzeresa, uye nguva yekupindira. Kuongororwa kwekutanga uye kurapwa kwakakodzera kunogadzirisa zvakanyanya mikana yekupora.
Vii. Kufambira mberi Mukutsvaga
Kuenderera mberi kwekutsvaga kunotarisisa kunzwisiswa zvinzwisise zvinyoro-nyoro uye genetic zvinhu zvinobatsira maABSS. Pamusoro pezvo, kufambira mberi munzira dzekurapa, dzakadai semishonga yakasarudzika uye yakanangwa yekurapa, iri kuongororwa kuti uvandudze zvinobuda kune varwere vane mamiriro ezvinhu akaoma.
Viii. Kudzivirira
Kudzivirira chena lung Pneumonia inosanganisira kugadzirisa zvinhu zvine njodzi uye kusimudzira hutano hwekufema. Nzira dzinosanganisira:
Vaccination: Vanachirisa vehutachiona hwekudzivirira ekufema, vakadai sekufudzwa uye pneumonia, inogona kuderedza njodzi yekukudziridza maARDS.
Kutadza Kudzora: Hutsanana uye hutachiona hwehutachiona hwekutonga muhutano hwehutano hunogona kudzivirira kupararira kwevamiriri vehutachiona.
Kurapa Kwekutanga Kwehutachiona: Kurumidza kurapwa kwehutachiona hwekufema kunogona kuderedza mukana wekutambudzika kuri kutungamira kune ards.
Mukupedzisa, chena mapapu pneumonia, kana acute yekufemedza kutambudzika syndrome, mamiriro akarongeka ekurapa anoda kukurumidza kuzivikanwa uye kupindira. Kunzwisisa zvinokonzeresa, zviratidzo, uye sarudzo dzekurapa dzakakosha kune nyanzvi dzehutano uye neruzhinji ruzhinji. Kuenderera mberi kwekuenderera mberi kunobata vimbiso yezvibodzwa zvakavandudzwa, uye matanho ekudzivirira anotamba basa rakakosha mukudzora njodzi ye ards. Sezvo kuziva kwekuziva uye kurapwa kwesainzi kufambira mberi, chiitiko chevanhu vakatarisana nechena mapundu pneumonia inoenderera mberi nekuvandudza.
