Mphuno edema mu amphaka: zizindikiro ndi zimayambitsa, njira matenda ndi mankhwala, kupewa matenda

Amphaka ndi nyama zolimba komanso zolimba. Koma, monga zamoyo zonse, chiwetochi chimadwalanso. Matenda a nyama, mwatsoka, nawonso ndi ovuta. Monga wopanda chakudya, komanso wopanda mpweya, palibe amene adaphunzirabe kukhala ndi moyo. Choncho mphaka akhoza kukhala ndi njala ya okosijeni, ndipo mwa kuyankhula kwina - pulmonary edema. Nyama imayamba kufota ndipo apa kudzipangira sikungathandize: muyenera kukaonana ndi dokotala mwachangu. Matenda otere ndi owopsa kwa chamoyo chilichonse: kwa munthu, kwa nyama. Chinthu chofunika kwambiri ndi kukhala ndi nthawi yopereka chithandizo chamankhwala panthawi yake. Kuti mumvetse pang'ono zomwe zimayambitsa matendawa, muyenera kumvetsetsa kuti pulmonary edema ndi chiyani.

Kodi pulmonary edema ndi chiyani?

Pulmonary edema ndi matenda omwe amayamba chifukwa cha kuchepa kwa kuthamanga kwa magazi chifukwa cha kuthamanga kwa venous. Zotsatira zake, zomwe zili m'mapapo mwanga zimaposa zomwe zimachitika ndipo kusinthanitsa kwa gasi kumasokonekera.

Matendawa amakhala ndi zizindikiro monga kupuma movutikira, kupuma movutikira komanso kukomoka.

Ponena za kapangidwe kawo, mapapo amatha kufananizidwa ndi gulu la mphesa, pomwe "mphesa" iliyonse imalumikizidwa ndi mitsempha yamagazi ndikudzazidwa ndi mpweya.

"Mphesa" izi zimatchedwa alveoli. Mphaka akamakoka mpweya alveoli amadzaza ndi mpweya kudzera m'maselo a magazi ozungulira. Pakupuma mpweya, alveoli imatulutsa mpweya woipa.

Kutupa kwa m'mapapo mwa amphaka kumachitika pamene alveoli imadzaza ndi madzimadzi. Madzi amachotsa mpweya kumabweretsa kusokonezeka kwabwinobwino kwa mapapu mpweya. Zotsatira zake, njala ya okosijeni imachitika.

Sikuti kuchuluka kwa mpweya wofunikira sikukwanira, komanso mpweya wochuluka wa carbon dioxide sungathe kutuluka.

Zizindikiro zenizeni za edema ya pulmonary mwa amphaka

Kuti chiweto chathu chikhale chathanzi, tiyenera kuyang'anira thanzi lake. Pazizindikiro zazing'ono za matendawa, ndikofunikira kudziwa vuto lomwe mungakumane nalo ndipo, ngati kuli kofunikira, funsani veterinarian nthawi yomweyo.

Chisamaliro chapadera chiyenera kulipidwa ngati mphaka posachedwapa wachitidwa opaleshoni pansi pa anesthesia. Nyama yathanzi singakhale ndi vuto ndi anesthesia. Koma ngati mphaka ali ndi vuto ndi mtima, ndiye mu nkhani iyi opaleshoni angapereke kulimbikitsa chitukuko cha m`mapapo mwanga edema. Izo sizingawonekere nthawi yomweyo, koma pali kuthekera kwa edema m'masabata angapo otsatira pambuyo pa opaleshoni.

Palibe chifukwa chochita mantha pazifukwa zilizonse. Ngati akukayikira edema, zizindikiro zosachepera ziwiri ziyenera kudziwika.

Zizindikiro za edema ya pulmonary mwa amphaka zingaphatikizepo:

• mphaka amakhala waulesi, wofooka wokangalika, amasiya kuyankha zomwe zinkamupangitsa kuti azisewera. Matendawa amagwirizana mwachindunji ndi kusowa kwa mpweya. Ntchito iliyonse imayambitsa kupuma movutikira;
• akuwoneka ngati mawu opusa: "mphaka amapuma ngati galu." M'malo mwake, ichi ndi chizindikiro chowopsa, popeza kupuma ndi pakamwa kotseguka sikofanana ndi amphaka. Mwinamwake mwawonapo, pambuyo pa maseŵera ochita masewera aatali, mphaka amakhala atatsegula pakamwa. Izi zimachitika, koma osati kawirikawiri ndipo zimatha kuchokera kwa mphindi imodzi mpaka ziwiri. Zosiyana kwambiri ndi zomwe zimachitika pakadwala: imapuma pakamwa lotseguka, imatulutsa lilime lake, kupuma ndi kupuma pang'ono kumawoneka;
• kupuma movutikira ndi chimodzi mwa zizindikiro za matenda a m'mapapo, monga nthawi yomweyo zimaonekeratu kuti mphaka akupuma mwanjira yolakwika. Kupuma kwachibadwa kwa amphaka ndi chifuwa ndi mimba ndi zomwe zimatchedwa kupuma kwa chifuwa-m'mimba. Pakudwala, nyama imapuma ndi mimba yake;
• Kupuma kolemetsa komanso kosakhazikika kumayendera limodzi ndi kupuma. Kuwombera kumachitikanso panthawi yotupa mu pharynx kapena trachea, mwachitsanzo, ndi chimfine. Pankhani ya pulmonary edema mu mphaka, kupuma kumafanana ndi kugwedeza kapena kugwedeza. Madzi amathanso kutuluka m'mphuno;
• Kutsokomola kumatha kuchitika pa pulmonary edema. Kumene chifuwa si chizindikiro ndi matenda amtunduwu, koma ngati abuka, ndiye kuti izi zimachitika mwachidwi. Mphaka akuvutika kupuma ndipo akuyesera kuchotsa madzi ochuluka m'mapapu. chifuwa akhoza limodzi ndi kuchuluka kwa sputum ngakhale magazi;
• Chizindikiro chodziwika bwino cha matendawa ndi cyanosis. Cyanosis ndi mtundu wa bluish wa mucous nembanemba. Pano, mu mphaka wodwala, chifukwa cha kusowa kwa mpweya, mucous nembanemba ndi lilime ndi buluu.

Zifukwa za pulmonary edema

Pali zifukwa zitatu za matendawa amphaka.

1. Pankhani ya matenda a mtima kapena kuthamanga kwa intravenous infusions, pali kuwonjezeka kwa kuthamanga kwa ma capillaries. Makoma a capillaries amathyoka ndipo gawo lamadzi lamagazi limathamangira m'mapapo.
2. Chifukwa cha matenda ena, kuthamanga kwa oncotic kumachepa, zomwe zimadalira kuchuluka kwa mapuloteni mu capillaries ndi kuthekera kwawo kusunga madzi. Madzi, okhala ndi zinthu zosungunuka mmenemo, amagawidwa mofanana mu minofu ndi magazi. Ngati kuthamanga kwa oncotic kumachepetsa, ndiye madzi sangagwirenso mkati mwa chotengeracho (ma capillaries) ndikutuluka, kulowa mu alveoli ya m'mapapo, kumayambitsa edema.
3. Pneumonia kapena intravascular coagulation imathanso kusokoneza chitetezo cha ma capillaries ndipo madziwo amatuluka. Izi ndichifukwa cha kuchuluka kwa permeability wa nembanemba wa capillaries ndi alveoli.

Kuphatikiza pa zomwe tafotokozazi, titha kuwunikiranso zomwe zimathandizira pakukula kwa edema ya pulmonary mu mphaka:

• mphaka amatha kuphunthwa pa waya wamagetsi wopanda kanthu kwinakwake ndikugwedezeka ndi magetsi;
• ngakhale amphaka amakonda kutentha, komabe pali chiopsezo cha kutentha kwa thupi (m'nyengo yotentha m'galimoto yotsekedwa, m'chipinda chopanda mpweya kutentha);
• ngati, mwachitsanzo, panali kugwa kuchokera pamtunda waukulu ndipo mphaka analandira kuvulala mutu (kuvulala kwa ubongo);
• zimachitika kuti eni ake amatenga nyamayo kupita nawo ku dacha, kumene m'masewera mphaka akhoza kukhumudwa mwangozi pa njoka ndi kuluma.

Poganizira zonse zomwe zimayambitsa ndi zinthu, m'pofunika kusiyanitsa mitundu ya edema: cardiogenic ndi non-cardiogenic.

Yoyamba imadziwika ndi kukhalapo kwa matenda a mtima.

Chachiwiri chimachitika chifukwa cha kuchuluka kwa capillary permeability. Sichifala kwambiri kwa amphaka kusiyana ndi agalu. Amagwirizana ndi zoopsa ubongo kuvulala, poizoni, anaphylactic mantha. Nthawi zambiri zimachitika chifukwa cha kulowetsedwa kwa zinthu zilizonse munjira yopuma.

Kuzindikira ndi kuchiza pulmonary edema

Veterinarian amapanga matenda olondola potengera kumvera phokoso la m'mapapo komanso pa x-ray.

Kumvetsera (auscultation) pachifuwa cha mphaka kumapangitsa kumva kupuma m'mapapo, kung'ung'udza kwa mtima ndi edema ya cardiogenic.

Kuti adziwe matenda kuchokera pachithunzichi, chifuwa cha x-ray chimatengedwa m'mawonekedwe awiri osiyana perpendicular kwa wina ndi mzake. Minofu ya m'mapapo imasokonekera ndikuyika mthunzi pachithunzicho.

Nthawi zina, ngati mphaka ali ndi vuto lalikulu, kuyezetsa magazi kumachitika. Nyamayo imabweretsedwa kuti ikhale yokhazikika ndiyeno x-ray imatengedwa.

Chithandizo cha mphaka, pamene matendawa atsimikiziridwa kale, amayamba ndi chilengedwe cha bata.

Pulmonary edema mu amphaka ndi matenda aakulu. Nyama imafunika kupuma sungathe kukakamiza chakudya ndi kumwa. Nyama yodwala ikuyang'ana malo achinsinsi omwe palibe amene angaisokoneze.

Pambuyo potengera mphaka kwa dokotala, kuopsa kwake kumazindikiridwa.

Choyamba, ma diuretics amagwiritsidwa ntchito pochiza.

Nyama yodwala imaloledwa kupuma mpweya kuchokera ku chigoba cha okosijeni kapena kuikidwa m'chipinda cha mpweya. Makamaka kwambiri milandu zotheka opaleshoni kapena wolumikizidwa ndi makina olowera mpweya.

Kulowetsedwa kwa mtsempha kumathandiza kubwezeretsa electrolyte bwino - mlingo wa potaziyamu ndi sodium anions m'thupi.

Pamodzi ndi kupereka chithandizo kufufuza zonse zotheka ziyenera kuchitidwa, monga: x-ray, kuyesa magazi (zambiri ndi biochemical).

Kuti muchiritsidwe kwathunthu, ndikofunikira kusunga mphaka m'chipatala, monga kuyang'anira nthawi zonse kumafunika. Nthawi imeneyi nthawi zambiri imakhala kuyambira tsiku limodzi mpaka masiku atatu.

Kupewa matenda

Nyama yomwe ili ndi matenda a mtima imafunika kuyang'aniridwa nthawi zonse ndi katswiri. Chithandizo cha panthawi yake chidzathandiza wodwala woteroyo kupeŵa chiopsezo chotenga matenda ena.

Nyama yooneka ngati yathanzi ikhoza kukhala pachiwopsezo chifukwa cha mtundu wawo. Choncho, muyenera kudziwa makhalidwe a mtundu ndi kuchita kupewa m`mapapo mwanga edema amphaka.

Mavuto opuma omwe abuka ndi chizindikiro choti mukumane ndi veterinarian nthawi yomweyo.