I-emphysema engaphansi kwe- subcutaneous i-accumulation of air or gas bubbles ezinhlakeni ezisezingxenyeni ezihlukahlukene zomzimba, ngisho nasesiswini, emilenzeni nasezintweni. Umshini onjalo womoya ungabamba imishanguzo emikhulu nemithambo yegazi. Ngenxa yalokho, isiguli sikhula ukungakwazi ukusebenza kwengqondo nezinye izifo, kanye nokulimaza ezinye izitho.
Izimbangela ze-emphysema engaphansi
Isizathu se-emphysema engaphansi kwesisu ngokuvamile siyisilonda esijulile sangaphandle esifubeni, esivumela umoya ukuba ungene ezinhlobonhlobo, kodwa awuvumeli ukuba ubuyele emuva. Lesi sifo singabonakala ngemuva:
- umonakalo ku-bronchi, i-esophagus noma i-trachea, lapho i-pleura ye-mediastinal isonakalisiwe, futhi umoya ukhululekile ungena kusukela e-mediastinum kuya emgodini we-pleura;
- ukuphazanyiswa ngesikhathi esisodwa kokuthembeka kwamaphaphu kanye nokukhala kweparietal;
- ukuphuza izinto ezinobuthi;
- umonakalo emigwaqweni yomoya.
Izimbangela ze-emphysema engaphansi kwesifuba yi-bronchitis engapheli kanye ne-ventilation yokufakelwa kwamaphaphu. Ukuthuthukisa isifo esinjalo nalabo abanokubhema okude nokuningi. Ngokuvamile, i-emphysema engaphansi kwenzelwa nge- pneumothorax .
Ukuvusa ukuvela kwe-pathology enjalo kungadonsa isisu esiswini nge carbon dioxide, esenziwa ngemisebenzi ye-laparoscopic. Lolu hlobo lwe-emphysema lubizwa ngokuthi i-mediastinal. Igazi elifakwe emgodini wesisu lingasakazeka kalula entanyeni, ubuso noma collarbone.
Izimpawu ze-emphysema encane
Izimpawu ezivame kakhulu ze-emphysema engezansi yilezi:
- ukuphefumula;
- ukuvuvukala entanyeni;
- ubuhlungu esifubeni lapho uphefumula noma umphimbo uma ugwinya;
- ukuvuvukala kwesikhumba lapho kungekho khona izimpawu zokuvuvukala.
Njengoba i-pneumothorax, i-emphysema engaphansi kwesikhumba ihlale ivele phezu kwesikhumba. Ngenkinga yesifo esithathelanayo, ikhula ngokushesha futhi isakaze kuwo wonke umzimba. Emasontweni ambalwa nje kuphela, ukubukeka kwesiguli kuyashintsha ngaphandle kokuqaphela futhi izinga lentliziyo yakhe liyashintsha.
Uma isifo esinjalo sifana entanyeni, isiguli singase sibe nezwi elihlukile, futhi sine-cyanosis esikhumba sombuso. Ukuphefumula ohlangothini lomonakalo cishe kuhlale buthaka. Ngokuvamile uma u-palpate, isiguli ngeke uzizwe ungathandeki, kodwa uma ucindezela indawo yokuqoqa umoya, umsindo ozwakalayo uzwakala ofana nokuqhwa kweqhwa.
Uma i-postaneous chest emfasmosis iqalwa, izicubu eziseduze nayo zivuvuka kakhulu kangangokuba zibonakala emehlweni. Ngokujwayelekile livela kuphela ngakolunye uhlangothi. I-thorax inwetshiwe emgqonyeni. Isiguli singase sibe nokugxila noma ukudonsa phezulu kwegazi. Uma isiguli singanikezwa okunjalo
Ukwelashwa kwe-emphysema engaphansi
Ukuthola lesi sifo kungenzeka nge-palpation elula, ngokusebenzisa i-roentgen noma i-tomography ye-computer. Ukwelashwa kwe-emphysema engaphansi kwegazi kufanele kuqalwe ngokushesha ngemuva kokuxilongwa kwayo, njengoba ukukhula nokusabalalisa kwayo kungabangela ukucindezelwa kwezitho ezihlukahlukene nokuthuthukiswa kwezinkinga eziyingozi nezingozi zokuphila.
Khipha imphysema engezansi kalula. Ngokuvamise ukusetshenziselwa amanzi noma ukugeleza kwamanzi kusetshenziselwa lokhu. Lawa madivaysi asusa isikhala somlomo. Uma lesi sifo sincane, isiguli singenza ukuboniswa okuncane kwesikhumba kanye nezicubu ezingaphansi. Vula amanxeba emgodini wesifuba, okuhambisana ne-emphysema, alawulwa ukwelashwa ngokushesha kuzo zonke izimo.