Le pneumothorax hais txog ib tug pathology cuam tshuam rau lub kab noj hniav pleural, ib qho chaw virtual nyob nruab nrab ntawm lub ntsws thiab lub rib tawb. Peb hais txog pneumothorax thaum cov kab noj hniav no puv nrog huab cua lossis roj, ua rau ib lossis ob lub ntsws kom tshem tawm thiab thim rov qab rau nws tus kheej. Pneumothorax tuaj yeem ua tau tshwm sim (nws keeb kwm yog ces tsis paub), kev puas ntsoog los yog lwm yam mob ntsws. Nws yog qhov tseem ceeb yam ntxwv los ntawm a dheev mob hauv siab qee zaum cuam tshuam nrog ua tsis taus pa. Feem ntau, pneumothorax yog unilateral. Kev kho mob txawv nyob ntawm seb hom pneumothorax: qee qhov kev nce qib ntawm nws tus kheej kom rov zoo tom qab muab so, thaum lwm tus xav tau kev phais.

Sab hauv ntawm lub rib tawb thiab sab nraud ntawm lub ntsws yog txhua tus npog nrog nyias daim nyias nyias, quaj, zawv zawg rau saum ib leeg thaum ua pa txav. Lub pleural kab noj hniav, qhov chaw virtual tam sim no ntawm ob lub pleura, qee zaum sau nrog huab cua lossis roj. Qhov tshwm sim no hu ua pneumothorax.

Muaj ntau ntau hom pneumothorax nyob ntawm seb lub luag haujlwm ua rau:

• Thawj, idiopathic pneumothorax ou spontaneous primitive : Qhov no yog hom kab mob pneumothorax ntau tshaj plaws. Nws tshwm sim feem ntau hauv cov tub ntxhais hluas, cov txiv neej noj qab haus huv thiab feem ntau yog pneumothorax me me hauv lub ntsws noj qab haus huv, thiab kho tau yooj yim. Nws feem ntau yog vim qhov tshwm sim ntawm qhov tshwm sim ntawm cov npuas hauv lub ntsws.
• Secondary pneumothorax : pneumothorax tshwm sim los ntawm kab mob ntawm lub ntsws, nrog rau emphysema, fibrosis lub ntsws mob hawb pob los yog mob obstructive pulmonary kab mob, cystic fibrosis, kis kab mob pulmonary, tsis tshua muaj mob cancer.
• Kev mob pneumothorax : mob pneumothorax (ua rau raug mob, xws li riam), los yog pneumothorax iatrogenic (ua raws li kev kho mob puncture lossis phais).

Pneumothorax yog manifested los ntawm

• mob nyob rau hauv lub rib tawb, xws li los ntawm ib qho yooj yim tsis xis nyob mus rau mob hnyav nyob ntawm seb nws qhov tseem ceeb,
• ua pa nyuaj (tshwj xeeb tshaj yog thaum ua pa) thiab hnoos qhuav. Cov ua pa nyuaj, uas tshwm sim dheev, ua rau muaj kev ntxhov siab,
• hnoos.

Nyob ntawm qhov loj ntawm pneumothorax, cov teeb meem tuaj yeem tshwm sim: tachycardia (nce plawv dhia) thiab cyanosis (xiav xim ntawm daim tawv nqaij thiab mucous daim nyias nyias).

Hauv 75% ntawm cov neeg mob, thawj cov kab mob pneumothorax cuam tshuam rau cov hluas (txog 35 xyoos), cov txiv neej siab thiab nyias. Qhov kev pheej hmoo ntawm pneumothorax yog tshwj xeeb tshaj yog nyob rau hauv cov neeg mob ntsws. Kev haus luam yeeb ua rau muaj kev pheej hmoo ntawm pneumothorax. Cov neeg uas tau muaj ib lossis ntau dua pneumothoraxes muaj feem yuav rov tshwm sim dua.

Le haus luam yeeb Nws cuam tshuam rau ze li ntawm 90% ntawm cov mob pneumothorax. Scuba dhia dej, kev xyaum ntawm cov cuab yeej cua thiab qhov siab txhawb qhov tshwm sim ntawm pneumothorax. Kab mob ntsws ua rau muaj kev pheej hmoo ntawm pneumothorax.

Kev soj ntsuam kev soj ntsuam tuaj yeem tso cai rau tus kws kho mob pom tau a asymmetry nyob rau theem ntawm lub ntsws nyob rau theem ntawm lub suab ntawm lub percussion ntawm qhov cuam tshuam (tympanism, ib lub suab hollow). Ib yam li ntawd, ntawm auscultation, tus kws kho mob yuav tsis hnov ​​​​qhov ua tsis taus pa zoo lawm, thiab thaum nws hais kom hais "33", lub suab tsis vibrates cov tav tawb ntawm sab cuam tshuam. Cov cim qhia no yuav qhia nws qhov kev kuaj mob thiab tshwj xeeb yog tias muaj pneumothorax tseem ceeb. Nws yuav raug lees paub los ntawm a x-ray ntawm lub ntsws. Cov duab tau txais yuav qhia txog a detachment ntawm lub ntsws (s).

Qhov kev xaiv ntawm kev kho mob twg los txais yuav yog nyob ntawm hom pneumothorax, qhov hnyav ntawm cov tsos mob thiab lub luag haujlwm ua. Nyob rau hauv cov ntaub ntawv ntawm spontaneous pneumothorax, ib lub sij hawm ntawm so raug pom zoo, qee zaum nrog kev kho tshuaj raws litshuaj kho mob. Kev kho yog pom nyob rau hauv ob peb hnub mus txog 2 lossis 3 lub lis piam.

Thaum pneumothorax tseem ceeb dua, tus kws kho mob tuaj yeem khiav tawm ntawm huab cua, nrog rau rab koob, ib lub catheter tshwj xeeb lossis los ntawm kev tso dej hauv qhov chaw pleural. Qhov no yog ua raws li tshuaj loog hauv zos, thiab kev kho mob feem ntau tshwm sim hauv ob peb hnub.

Nyob rau hauv rooj plaub uas tus kab mob pneumothorax muaj kev tsis taus, tseem ceeb heev, rov tshwm sim, tsis tuaj yeem kho tau los ntawm cov txheej txheem no, lossis thaum muaj kev pheej hmoo (dub), tus kws kho mob yuav txiav txim siab txog kev phais. Muaj ntau ntau hom kev phais mob uas nws lub hom phiaj yog koom nrog ob lub pleural daim nyias nyias kom lawv tsis tuaj yeem txav mus deb ntawm ib leeg kom tso cua hla: pleural talcage (ntxig ntawm talc ntawm ob lub pleura), pleural abrasion (abrasion ntawm lub pleural talcage). ob pleura thiaj li ua kom lawv lo ua ke).

Kev tiv thaiv yog ua raws li kev txo qis kev pheej hmoo (kev haus luam yeeb, dhia dej, cua twj, qhov siab). Thaum ib tug neeg tau muaj pneumothorax yav dhau los, nws muaj 5 ntawm 2 qhov kev pheej hmoo ntawm kev rov tshwm sim. Yog tias qhov thib ob pneumothorax tshwm sim, qhov kev pheej hmoo ntawm kev rov tshwm sim nce mus rau ib ntawm ob. Hauv peb ntu, muaj plaub ntawm tsib txoj hauv kev uas muaj pneumothorax tshiab. Yog li pom zoo kom tsis txhob haus luam yeeb thaum koj muaj mob pneumothorax, vim tias kev haus luam yeeb ua rau muaj kev pheej hmoo rov qab los ntawm 4! Nws yog txwv tsis pub mus dhia dej nrog lub raj mis yog tias koj twb muaj pneumothorax uas tsis tau ua haujlwm lawm.

Cov txheej txheem ntxiv rau pneumothorax tsuas yog tsom rau nws cov tsos mob thiab tsis thov kom kho nws tus kheej.

Tawm tsam kev ntxhov siab

cov Bach paj tawm tswv yim los tawm tsam qhov kev ntxhov siab uas tsim los ntawm qhov nyuaj hauv kev ua pa los ntawm pneumothorax. Txoj kev kho zoo tshaj plaws yog Kev cawm, lub luag haujlwm uas yuav txo tau kev ntxhov siab.

Ib yam li ntawd, qee cov roj tseem ceeb yog siv rau cov neeg uas muaj kev ntxhov siab vim yog cov tsos mob (mob, hnoos, ua pa nyuaj, thiab lwm yam):

• Lavandin super tseem ceeb roj (Lavender hlawv super),
• Mandarin tseem ceeb roj (citrus reticulata),
• Petitgrain tseem ceeb roj (Citrus aurantium ssp aurantium),
• Ylan-ylang tseem ceeb roj (Ua raws li cov lus qhia).

Cov no yuav tsum tau siv rau lub hnub ci plexus.

Hauv homeopathy, peb yuav xaiv Ignatia amara thiab Strophantus hauv 9 CH ntawm tus nqi ntawm peb granules peb zaug ib hnub.