Ulimi oluluhlaza ezinjeni

Mayelana ne-cyanosis

Igazi eline-oksijini libomvu ngokugqamile, ngakho-ke ulimi kufanele lube pink ophaphathekile lube pink.

Igazi elishintshiwe, elingenayo i-oksijeni ye-blue, brown hue, ngakho-ke, ulimi oluluhlaza okwesibhakabhaka, olunsomi kanye nengaphakathi lezihlathi, izinsini zibonisa ukubonakaliswa okunamandla kokuntuleka komoya-mpilo kwanoma iyiphi imvelaphi esilwaneni esifuywayo.

Izinhlobo ze-cyanosis

Nge-cyanosis yamanga i-cyanosis ibonwa ngenxa yokungena kodayi egazini noma phezu kolimi, okufakwa esikhumbeni nasezintanjeni zamafinyila.

I-cyanosis yeqiniso - ukubonakaliswa kwenhliziyo noma ukwehluleka kokuphefumula, okubonakaliswa ukuqoqwa kwegazi lenani elikhulu le-hemoglobin engagcwaliswa umoya-mpilo.

Nge-central cyanosis i-cyanosis yenzeka ngenxa yokwephulwa kwesistimu ye-circulatory ephakathi. Ukwenzeka kwayo kungenxa yokwehla okukhulu kwezinga le-oksijini egazini lomzimba - i-cyanosis ivela esikhumbeni, ulwelwesi lwamafinyila lomlomo, i-conjunctiva yeso (mucosa), njll.

i-peripheral cyanosis – ukuphazamiseka okuwuphawu lwesitho esisodwa noma ingxenye eyodwa yomzimba. Lokhu kungase kube isitho esilimele noma isitho esinokwephulwa kwesimiso sokujikeleza kwegazi.

Kungani inja inolimi oluluhlaza okwesibhakabhaka - izizathu ezingu-10

Okujwayelekile kwezinye izinhlobo

Ulwelwesi lwamafinyila olunemibala lungajwayelekile cishe kunoma yiluphi uhlobo, kodwa luvame ukubonakala kumaChow Chows nakuShar Pei. Kulokhu, lo mbala ubonwa enja kukho konke ukuphila kwayo.

Ukuncipha kwe-lumen ye-trachea noma ukuwa kwe-trachea

Le pathology inezimbangela eziningi - kusukela ekuzalweni kuya ekugugeni kakhulu. Idala ukwephulwa kwekhono lokuphefumula lesilwane - ukuphefumula kuba kufushane futhi kungakhiqizi, kushintshe ukukhwehlela. Lokhu kubangela ukuthuthukiswa kokuhluleka kokuphefumula okujwayelekile kanye nolimi oluluhlaza okwesibhakabhaka.

Ukwephulwa kobuqotho bendlela yokuphefumula

Ukulimala ku-trachea, i-larynx, amaphaphu, ama-neoplasms kungaholela ekubonakalisweni kwe-cyanosis yolimi. Ngokwakho, ukulimala emigwaqweni yomoya noma emaphashini kusho ukwephulwa kwekhono lenja lokwenza isenzo esivamile sokuhogela umoya nokukhipha umoya.

Ukunganele kwemisipha yokuphefumula

Ukuphefumula kwenziwa ngenxa yomsebenzi wenqwaba yemisipha yokuphefumula. Uma kwenzeka ukuphumula ngokweqile kwemisipha yamathambo, ukuphazamiseka ekusebenzeni kwemicu yezinzwa noma isikhungo sokuphefumula esithumela ama-impulses, ukulamba kwe-oxygen kwenzeka, okubonakaliswa yi-cyanosis yolimi.

Ukunqwabelana komoya noma uketshezi esifubeni

Umoya noma uketshezi olusesifubeni aluwavumeli amaphaphu ukuba akhule ngendlela efanele futhi agcwale igazi, lona ngokwalo elivimbela igazi ukuba ligcwale umoya-mpilo. Umphumela uba indlala yomoya-mpilo.

I-edema yamaphaphu yanoma iyiphi imvelaphi

Uketshezi olugcwalisa amaphaphu luphazamisa ukusebenza kwawo, futhi, ngokufanele, lubangela izimpawu eziningi zendlala yomoya-mpilo. Kuhlanganisa nolimi lwenja luba luhlaza okwesibhakabhaka.

I-Pathology yenhliziyo

Ama-pathologies ahlukahlukene ngokusho kohlobo lokuphazamiseka kwesistimu ye-valve, ukuba khona kwe-anomalies yokuzalwa, ukuvuvukala kwemisipha yenhliziyo, inqubo yesimila, ama-parasites enhliziyo - konke lokhu kuphazamisa uhlelo lokuphuma kwenhliziyo. Kukhona ukumiswa kwegazi ekujikelezeni kwamaphaphu, okuvimbela ukugcwala kwegazi okuvamile emaphashini nge-oxygen.

Ukwandiswa kweveli yolwanga - brachycephalic syndrome

Le syndrome ijwayelekile ezinja ezinobuso obufushane - ama-pugs, ama-bulldogs amaFulentshi namaNgisi, njll. Enye yezibonakaliso zayo ukuqina, ukunwetshwa kwekhethini le-palatine. Lesi sakhiwo esithambile sivimba i-larynx futhi sivimbela inja ekuthatheni umoya ojwayelekile. Ngezikhathi zokushuba kokwehluleka ukuphefumula, ingashuba kakhulu kangangokuthi ingavumeli isilwane ukuba siphefumule nhlobo. Kulokhu, ukubonakaliswa kokuhluleka kokuphefumula kungabonwa.

I-Bronchitis

Ukungezwani komzimba, inqubo ye-autoimmune (ukuzivikela komzimba okweqile), izifo ezibangelwa amagciwane, izifo ezikhuntayo zepheshana lokuphefumula eliphansi kubangela i-spasm yezicubu ze-bronchial. Ibonakala ngokuhluleka kokuphefumula kanye nombala oluhlaza okwesibhakabhaka wolimi enja.

Ukudla ukudla okunemibala

Eminye imikhiqizo nezinto ziqukethe i-pigment engakwazi ukufaka umbala esikhumbeni nase-mucosa yomlomo. Ikakhulukazi, ulimi lwenja lungaba luhlaza okwesibhakabhaka, olunsundu, olunsomi, olu-violet. Lokhu kufaka ama-blueberries, ama-mulberry, ama-beet, amalahle acushiwe.

Izimpawu ezihambisanayo

Nge-bronchitis, ukuwa koqhoqhoqho, i-brachycephalic syndrome, ukulimala, lokhu okulandelayo kungase kuqashelwe: ukukhwehlela, ukukhwehlela amahlule e-mucus noma igazi, i-reverse sneezing syndrome.

Nge-edema yamaphaphu, indlala ye-oxygen ende, ukuma okuqinile kwe-sphinx kuyisici, lapho isilwane silala esiswini, izinhlangothi zaso ziyashona. Inja yenza imizamo emikhulu yokwenza isenzo sokuhogela. Angase futhi ehle izinga lokushisa lomzimba.

Ngazo zonke izinhlobo zendlala yomoya-mpilo, kukhona: uhlobo oluxubile lokuphelelwa umoya (kokubili lapho uhogela umoya kanye nokukhipha umoya), ulwelwesi lwamafinyila olubonakalayo oluyi-cyanotic (ulwelwesi lwamafinyila lomlomo, ulimi, isixhumo seso), isibuko samakhala esingenambala nesikhumba, ukuphefumula okungajulile njalo.

Ku-cyanosis yamanga, ulimi kancane kancane lulahlekelwa umbala walo ongavamile ngemva kokugeza umlomo ngamanzi noma ukuxhumana nokunye ukudla.

Diagnostics

Kunoma yiluphi uhlobo lwe-pathology, okulandelayo kuzobekwa ekuqaleni:

Ukuxilongwa kwe-X-ray kwesifuba nentamo. Kwenziwa ekubekweni okuqondile nakwezinhlangothi ezimbili - kwesokudla nakwesokunxele.
I-Chest ultrasound - iphrothokholi emfushane ye-T-Fast yokukhipha noma yokuqinisekisa izifo zokuphefumula ezibukhali noma ze-cardiogenic (ukwehluleka okukhulu kwe-ventricular kwesokunxele)
Ukuhlolwa kwegazi okujwayelekile komtholampilo kanye ne-biochemical

Uma kukhona uketshezi esifubeni, ukuhlolwa kwe-cytological (ukuhlolwa kwe-microscopic yohlobo olulodwa lweseli) kanye nokuhlolwa kwe-biochemical yoketshezi kuyenziwa.

Uma kukhona izinsolo ze-neoplasm esifubeni noma emgudwini wokuphefumula ophezulu, okulandelayo kunqunywe:

I-computed tomography yesifuba
I-Histological (ukuhlaziywa kwesakhiwo samangqamuzana nezicubu) kanye nokuhlolwa kwe-cytological yokwakheka, okukhethiwe ngesikhathi se-thoracotomy yokuxilonga (ukuhlolwa kwesifuba sesifuba) noma ukuhlolwa kwe-endoscopic.

Uma kusolwa i-diaphragmatic hernia, ukuhlolwa kwe-X-ray ngokuqhathanisa (kusetshenziswa i-ejenti yokuqhathanisa) kuyodingeka.

Uma kwenzeka i-edema yamaphaphu, udokotela ubeka i-ultrasound ne-ECG yenhliziyo. Lokhu kuyadingeka ukuze kuqinisekiswe noma kungafaki imvelaphi ye-cardiogenic yalesi sifo.

I-bronchitis, isifuba somoya, ukubola koqhoqhoqho kudinga ukugezwa kwe-bronchoalveolar. Phakathi nale nqubo, isisombululo saline oyinyumba singeniswa ku-lumen yokuphefumula kwesilwane esizinzile (esingakwazi ukuhamba), esibuye sihoxiswe. Lolu ketshezi luthunyelwa ukuhlolwa okuphelele: i-PCR yezifo zokuphefumula, ukuhlolwa kwe-cytological, imbewu ukuze kutholwe ukuzwela kwama-antibiotics.

Futhi, ngalezi zifo, i-tracheo- kanye ne-bronchoscopy inqunyelwe - ukuhlolwa kwe-endoscopic yendlela yokuphefumula.

Ukwelashwa

Izinyathelo zokwelapha zinikezwa kuphela ngemva kokuqiniswa kwesimo sesilwane kanye nokucaciswa kwedatha yokuxilonga eyinhloko - i-X-ray, i-ultrasound, ukuhlolwa kwegazi.

Ukwelashwa okuyinhloko kwanoma yisiphi isifo kuhloswe ekuqiniseni isimo sesilwane. Kuhlanganisa:

Ukwelashwa ngeoksijini kuyindlela esiza ekwandiseni inani le-oxygen emoyeni ehogelwa izilwane.
Ukwelapha okupholisayo. Kuvamise ukuthi kudingeke ukuthi uphuze izidakamizwa ezidambisayo (ezidambisayo) ezifana nama-tranquilizers/anticonvulsants (trazadone, gabapentin, vet-calm) ukuze uphefumule.
Ukulawulwa kwezinga lokushisa nokucindezela, amazinga eglucose, kanye nokulungiswa kwawo uma kunesidingo.

Uketshezi lwamahhala noma umoya esifubeni udinga ukususwa ngokushesha. Ukuze wenze lokhu, izinwele zinqunywa, ubuso besikhumba bucutshungulwa, futhi ngokubhoboza izicubu ezithambile endaweni ye-intercostal, inaliti ifakwa esifubeni, lapho kukhishwa khona umoya noma uketshezi ngamasirinji, ingcindezi engemihle. kudaliwe.

Uma kunesidingo, i-drainage esebenzayo ifakiwe - ithubhu efakwe unomphela. Ipheya linamathele kulo, liphoqelela ingcindezi futhi libambe iqhaza njalo ekukhishweni komoya noma uketshezi esifubeni.

Endabeni yokulahlekelwa okusebenzayo kwamaprotheni oketshezini lwebele, kungase kudingeke ukuba ugcwalise izinga lalo ngokujova ngomjovo ohlanzekile we-albumin, i-plasma, noma igazi elivela kwesinye isilwane.

Uma kwenzeka ukulahleka kwegazi, ukulimala okukhulu, izinqubo zesimila, kuyadingeka:

ukumpontshelwa igazi ngaphansi kokuqondisa kukadokotela ngokuqinile emtholampilo wezilwane
ukungenelela kokuhlinzwa - ukususwa kokwakheka, ukwelashwa kokuhlinzwa kokulimala, i-diaphragmatic hernia, njll.
ukufakwa kwe-tracheostomy - ishubhu elakha indlela yokuphefumula ngoqhoqhoqho. Isetshenziselwa ukulimala okuphawulekayo kwe-larynx, intamo, ikhanda.

I-Cardiogenic pulmonary edema idinga ukwelashwa kwe-diuretic ngemithi ehlukahlukene (Furosemide, Torasemide, Upkard, Veroshpiron nabanye), kanye nokusetshenziswa kwezidakamizwa ezilungisa umfutho wegazi (iDopamine, iDobutamine). Omunye udokotela angase anikeze i-Vetmedin ukuze akhuthaze ukuphuma kwenhliziyo.

Ukugoqeka koqhoqhoqho, ukucinana kwemigudu yokuphefumula, i-bronchopneumonia kudinga ukwelashwa kwamahomoni ngendlela yokuhogela noma yokuphathwa ngomlomo (ngomlomo) we-Prednisolone, i-Dexamethasone, i-Budesonide, i-bronchodilators (i-Salbutamol) noma imishanguzo elwa namagciwane (i-Baytril).

Insiza yezimo eziphuthumayo

Ngeshwa, akunakwenzeka ukunikeza usizo lokuqala lwekhwalithi ephezulu kusilwane esifuywayo esinolimi oluluhlaza okwesibhakabhaka noma oseluvele lu-burgundy ekhaya. Ulimi oluluhlaza okwesibhakabhaka enjeni ephefumula kakhulu futhi isenzakalo, njengomthetho, isimo esiphuthumayo. Ngakho-ke, uma ushintsho olunjalo lutholakala ngokuhambisana nokuphefumula okunzima, ukukhathala noma ukukhululeka ngokweqile, kuyadingeka ukuthutha isilwane ngokushesha emtholampilo ukuze sihlolwe kanye nosizo lokuqala. Ngesikhathi sokuthutha, kubalulekile ukubeka isilwane endaweni ekhululekile - esiswini. Kufanele futhi inikezwe ngobuningi bomoya ogeleza ngokukhululekile noma umoya-mpilo (oxygen cartridges ingasetshenziswa).

Prevention

Ukuhlolwa komtholampilo kwaminyaka yonke kukuvumela ukuthi ubone izifo eziningi, ukuwohloka, kuze kufike esimweni esiphuthumayo. Ukuba ngaphansi kokuqondisa kukadokotela okhethekile, kuzokwazi ukuvimbela i-edema yamaphaphu, i-asthma ye-bronchial, njll.

Ukubonakala kwe-brachycephalic syndrome kungavinjelwa yi-rhinoplasty efika ngesikhathi inja enobuso obufushane. Ukuhlinzwa kwenziwa kahle kakhulu esemncane. Ukulimala, ukungezwani komzimba, ukuphazamiseka kwemizwa akukwazi ukubikezelwa. Ngokwazo, lezi zimo zidinga ukungenelela ngokushesha kukadokotela wezilwane.