Le i-pneumothorax ibhekisela ku-pathology ethinta umgodi we-pleural, indawo ebonakalayo ephakathi kwamaphaphu nezimbambo. Sikhuluma nge-pneumothorax lapho lesi sikhala sigcwala umoya noma igesi, okubangela iphaphu elilodwa noma womabili ukuthi ahlehle futhi ahoxe ngokwalo. I-Pneumothorax ingaba ngokuzenzekelayo (imvelaphi yayo ayaziwa-ke), okubuhlungu noma yesibili isifo samaphaphu. Ibonakala ngokuthi a ubuhlungu besifuba obungazelelwe ngezinye izikhathi obuhambisana nayo ubunzima bokuphefumula. Imvamisa, i-pneumothorax i-unilateral. Ukwelashwa kuyehluka kuye ngohlobo lwe-pneumothorax: enye iqhubekela phambili ngokuzenzakalelayo ukuze ilulame ngemva kokubekwa endaweni yokuphumula, kuyilapho eminye idinga ukuhlinzwa.

Ingxenye engaphakathi yezimbambo kanye nengxenye yangaphandle yamaphaphu ngayinye imbozwe ngolwelwesi oluncane, wamemeza, beshibilika phezu komunye ngesikhathi sokunyakaza kokuphefumula. I-pleural cavity, isikhala esikhona phakathi kwalezi zimbotshana ezimbili ze-pleura, kwesinye isikhathi sigcwala umoya noma igesi. Lesi simo sibizwa ngokuthi i-pneumothorax.

Kunezinhlobo eziningana ze-pneumothorax kuye ngokuthi imbangela eyinhloko:

• I-Primary, idiopathic pneumothorax ou okuzenzakalelayo bakudala : Lolu uhlobo oluvame kakhulu lwe-pneumothorax. Kwenzeka kaningi emadodeni amancane, anempilo futhi ngokuvamile i-pneumothorax encane emaphashini anempilo, futhi kulula ukuphulukisa. Ngokuvamile kungenxa yokugqashuka kwebhamuza ephashini ngokuzenzekelayo.
• I-pneumothorax yesibili i-pneumothorax ebangelwa isifo samaphaphu, kuhlanganise ne-emphysema, i-fibrosis i-pulmonary ufuba noma isifo samaphaphu esingamahlalakhona, i-cystic fibrosis, isifo samaphaphu esithathelwanayo, okungavamile kakhulu umdlavuza.
• I-Pneumothorax ebuhlungu : i-pneumothorax yengozi (edalwe ukulimala, njengommese), noma i-pneumothorax iatrogenic (kulandela ukubhoboza noma ukuhlinzwa).

I-Pneumothorax ibonakaliswa ngu

• ubuhlungu obubekwe endaweni yezimbambo, kusukela ekuphathekeni okulula kuya ebuhlungu obukhulu kuye ngokubaluleka kwabo,
• ubunzima bokuphefumula (ikakhulukazi lapho uphefumula) kanye nokukhwehlela okomile. I ukuphefumula kanzima, okwenzeka ngokuzumayo, kudala ukukhathazeka,
• ukukhwehlela.

Ngokuya ngosayizi we-pneumothorax, izinkinga zingenzeka: tachycardia (ukwenyuka kwenhliziyo) kanye i-cyanosis (umbala oluhlaza okwesibhakabhaka wesikhumba nolwelwesi lwamafinyila).

Ezimweni ezingu-75%, i-primary spontaneous pneumothorax ithinta abasha (abaneminyaka engaba ngu-35 ubudala), amadoda amade namancane. Ingozi ye-pneumothorax iphezulu kakhulu kubantu abanesifo samaphaphu. Ukubhema kwandisa ingozi ye-pneumothorax. Abantu abaye baba ne-pneumothorax eyodwa noma ngaphezulu basengozini yokuphindeka.

Le ukubhema ithinteka cishe ku-90% wezifo ze-pneumothorax. I-scuba diving, umkhuba wensimbi yomoya kanye nokuphakama kukhuthaza ukuvela kwe-pneumothorax. Isifo samaphaphu kwandisa ingozi ye-pneumothorax.

Ukubhekwa komtholampilo kungase kuvumele udokotela ukuthi aqaphele a i-asymmetry ezingeni lamaphaphu ezingeni lomsindo lapho kushaywa khona uhlangothi oluthintekile (i-tympanism, umsindo ongenalutho). Ngokunjalo, e-auscultation, udokotela angase angasakwazi ukuzwa umoya wokuphefumula kahle, futhi lapho ecela ukuthi "33", umsindo awusadlidliza umbambo ohlangothini oluthintekile. Lezi zimpawu zizoqondisa ukuxilongwa kwakhe futhi zikhona ikakhulukazi uma i-pneumothorax ibalulekile. Kuzoqinisekiswa ngu-a i-x-ray yamaphaphu. Izithombe ezitholiwe zizogqamisa a ukuhlukaniswa kwamaphaphu (ama).

Ukukhetha ukuthi iyiphi indlela yokwelashwa okufanele ithathwe kuncike ohlotsheni lwe-pneumothorax, ubunzima bezimpawu kanye nembangela enesibopho. Uma kwenzeka i-pneumothorax ezenzakalelayo, isikhathi se- ukuphumula Kunconywa, ngezinye izikhathi kuhambisane nokwelashwa kwezidakamizwa okusekelweama-analgesics. Ukuphulukiswa kubonakala ezinsukwini ezimbalwa kuze kufike emavikini ama-2 noma ama-3.

Lapho i-pneumothorax ibaluleke kakhulu, udokotela angakwazi ukukhipha umoya, ngenaliti, i-catheter ethile noma ngokubeka i-drain endaweni ye-pleural. Lokhu kwenziwa ngaphansi kwe-anesthesia yendawo, futhi ukuphulukiswa ngokuvamile kwenzeka phakathi nezinsuku ezimbalwa.

Ezimweni lapho i-pneumothorax ikhubaza kakhulu, ibaluleke kakhulu, iphindaphindiwe, ayikwazi ukuphulukiswa ngalezi zindlela, noma uma kwenzeka imikhuba eyingozi (diving), udokotela angase anqume ukungenelela kokuhlinzwa. Kunezinhlobo eziningana zokungenelela okuhlinzayo okunjongo yazo kuwukuhlanganisa ulwelwesi lwe-pleural ukuze lungasakwazi ukusuka kwelinye ukuze kudlule umoya: i-pleural talcage (ukufakwa kwe-talc phakathi kwe-pleura emibili), ukuhuzuka kwe-pleural (ukuhuzuka kwesikhumba). ama-pleura amabili ukuze abenze banamathele ndawonye).

Ukuvimbela kusekelwe ekunciphiseni izinto eziyingozi (ukubhema, ukutshuza emanzini, amathuluzi omoya, ukuphakama). Uma umuntu aba ne-pneumothorax esikhathini esidlule, inengozi engu-5 koku-2 yokuphinda iphindeke. Uma kwenzeka i-pneumothorax yesibili, ingozi yokuphinda ikhuphuke iye kokukodwa kokubili. Esiqeshini sesithathu, kukhona amathuba amane kwamahlanu okuba ne-pneumothorax entsha. Ngakho-ke kunconywa kakhulu ukuyeka ukubhema uma une-pneumothorax, ngoba ukubhema kwandisa ingozi yokuphindaphinda ngo-4! Akuvunyelwe ukutshuza ngebhodlela uma usuvele une-pneumothorax engasebenzi.

Izindlela ezihambisanayo ze-pneumothorax zigxila kuphela ezimpawu zayo futhi azisho ukuthi ziyelapheka ngokwazo.

Ngokumelene nokukhathazeka

The Izimbali ze-Bach phakamisa ukuthatha isinyathelo ngokumelene nokukhathazeka okubangelwa ubunzima bokuphefumula obubangelwa i-pneumothorax. Ikhambi elifaneleka kakhulu i-Rescue, indima yalo kungaba ukunciphisa ukucindezeleka.

Ngokufanayo, amafutha athile abalulekile asetshenziselwa abantu abacindezeleke kakhulu ngenxa yezimpawu (ubuhlungu, ukukhwehlela, ubunzima bokuphefumula, njll.):

• Amafutha abalulekile e-Lavandin (I-lavender ishisa kakhulu),
• Amafutha abalulekile e-Mandarin (I-citrus reticulata),
• Amafutha abalulekile e-Petitgrain (I-Citrus aurantium ssp aurantium),
• Amafutha abalulekile e-Ylan-ylang (ICananga odorata).

Lezi kufanele zifakwe ku-solar plexus.

Ku-homeopathy, sizokhetha i-Ignatia amara ne-Strophantus ku-9 CH ngenani lama-granules amathathu kathathu ngosuku.