ʻO ka atelectasis pulmonary kahi maʻi i hoʻokumu ʻia e ka ālai ʻana a i ʻole ke kaohi ʻana o waho o ka bronchi, i kumu e hakahaka ai ka ʻāpana a i ʻole ka ʻāpana āpau. Hiki paha i nā poʻe me kēia ʻano ke paʻakikī i ka hanu ʻana a i ʻole ka hanu ʻole inā koʻikoʻi ka atelectasis. Hiki iā lākou ke hoʻomohala i ka niumonia. ʻOiai ʻo asymptomatic, hiki i nā atelectasis i kekahi mau hihia ke kumu hypoxemia, ʻo ia hoʻi, ka hoʻemi ʻana i ka nui o ka oxygen i lawe ʻia i ke koko a me ka ʻeha o ka umauma. Hoʻomaʻamaʻa ʻia ka wehe ʻana i ka ālai mai nā alaloa a me ka hōʻoia ʻana e lawe ʻia nā hanu hohonu.

Pili ka atelectasis pulmonary i ka hāʻule o ka alveoli pulmonary, me ka nalowale o ka leo, ma hope o ka loaʻa ʻole o ka ea, ʻoiai ke maʻamau o ke kahe o ke koko ma laila. Nā hualoaʻa mai ka piha ālai ʻia o ka bronchus a i ʻole nā ​​bronchioles e hoʻōla ana i ka ʻāpana e pili ana. Hiki i ke Atelectasis ke hoʻopili i kahi māmā āpau, kahi ʻula a ʻāpana paha.

Hoʻokumu pinepine ʻia ka atelectasis pulmonary e kahi ālai kūloko o kekahi o nā bronchi nui e hoʻomaka ana i ka trachea a alakaʻi pololei i kaʻiʻo māmā.

• he kino haole i hanu ʻia, e like me ka papapihi, meaʻai a mea pāʻani paha;
• he ʻōiwi;
• kahi momoki.

Hiki i ka Atelectasis ke hopena ma muli o ka bronchus compressed mai waho e:

• kahi maʻi ʻinoʻino a kolohe paha;
• lymphadenopathy (lymph node e hoʻonui i ka nui);
• ka pleural effusion (ka hōʻiliʻili ʻole ʻana o ka wai i ka lua pleura, ʻo ia ka manawa ma waena o ka akemāmā a me ka umauma);
• pneumothorax (ka hōʻiliʻili maʻamau o ka ea i ka lua pleura).

Hiki i ke Atelectasis ke lilo i kekona i kahi ʻoki lāʻau lapaʻau e koi ai i ka intubation, a i kahi kūlana supine paha, i nā mea maʻi nui loa a me nā hihia o ka cardiomegaly (hoʻonui ākea ʻole o ka puʻuwai).

ʻO ka hope loa, nā kūlana a i ʻole nā ​​hana e hōʻemi ai i ka hanu hohonu ʻana a i ʻole kaomi ʻana i ka hiki i ke kanaka ke kūmū ke hoʻoliʻiliʻi atelectasis pulmonary:

• hānō;
• pehu;
• maʻi o ka paia bronchial;
• cystic fibrosis;
• kahi pilikia i ka manawa o ka anesthesia āpau (nā ʻōpū o ka ʻōpū a me nā ʻōpū i loko);
• nā kiʻekiʻena o nā opioid a i ʻole nā ​​sedatives;
• ʻeha o ka umauma a ʻōpū paha.

ʻOi aku ka makaʻu o ka poʻe i kaumaha nui a momona paha o ka hoʻomohala ʻana i nā atelectasis.

Ma waho aʻe o ka hiʻona o ka dyspnea, ʻo ia hoʻi ka paʻakikī i ka hanu ʻana, a me ka hypoxemia, ʻo ia hoʻi ka hōʻemi ʻana i ka nui o ka oxygen i loko o nā kīʻaha koko, ʻo ka atelectasis pulmonary e noho mau ana me ka asymptomat. ʻO ke kū a me ke koʻikoʻi o ka dyspnea a me ka hypoxemia e pili ana i ka wikiwiki o ka hoʻomohala ʻana o ka atelectasis a me ka nui o ka baga i hoʻopili ʻia.

• inā pili ka atelectasis i kahi hapa palena o ka akemā a ulu lohi paha: he palaha a hemo ʻole paha nā ʻōuli;
• inā pili ka helu nui o alveoli a kū wikiwiki ka atelectasis, kaumaha paha ka dyspnea a ulu paha ka hanu ʻole.

E piʻi aʻe paha ka helu o ka puʻuwai a me ka nui o ka hanu, a i kekahi manawa hiki i ka ʻili ke hoʻololi i kahi waihoʻoluʻu bluish ma muli o ka hōʻemi o nā pae oxygen i ke koko. Kapa ʻia kēia ʻo cyanosis. Hōʻike paha nā ʻōuli i ka maʻi i hoʻokumu ʻia i ka atelectasis (e laʻa me ka ʻeha o ka umauma mai ka ʻeha) a i ʻole ka maʻi e kumu iā ia (e laʻa me ka ʻeha o ka umauma i ka hanu hohonu ʻana, ma muli o ka pulumonia).

Hiki i ka pulumonia ke hopena mai ka atelectasis pulmonary, e hopena ai i ka puʻupuʻu, dyspnea, a me nā ʻeha pleura.

ʻOiai he kakaikahi nā hihia, hiki i ka atelectasis pulmonary ke make i nā keiki hānau a me nā keiki ʻōpio.

ʻO ka hana mua i ka mālama ʻana i ka atelectasis e wehe i ke kumu o ke ala ākea e:

• uā;
• ka makemake o ka hanu puka;
• wehe i ka bronchoscopic;
• ka wehe ʻoki ʻana, radiotherapy, chemotherapy a i ʻole ka hoʻomaʻamaʻa laser i ka hanana o kahi tumo;
• lāʻau lapaʻau me ka pahuhopu o ka lahilahi o ka mucus a wehe paha i ka hanu tract (nebulization o alphadornase, bronchodilators), i ka hanana o ka mau mucous kuʻina.

Hiki ke hele pū me kēia ʻanuʻu mua:

• oxygen therapy;
• ke kōkua i ka mālama ʻana i ka ea a me ka haʻalele ʻana i nā huna huna;
• nā hana hoʻomāhuahua o ka māmā e like me ka bataho kuhikuhi;
• hoʻoikaika hanu hohonu;
• ka hoʻohana ʻana i kahi spirometer hoʻonāukiuki;
• ka mālama ʻana me nā lāʻau ʻalopika inā kuhi ʻia kahi maʻi bacteria;
• ʻoi aku ka liʻiliʻi, ka hoʻokomo ʻana o kahi Tube intubation (endotracheal intubation) a me ka ea ea.

I ka manawa e mālama ʻia ai ka atelectasis, hoʻonui hou ka alveoli a me ka ʻāpana i hāneʻe o ka māmā i kā lākou helehelena mua. Ke lohi loa ka mālama ʻana a i ʻole waiho ka ālai i nā scars, hiki i kekahi mau wahi ke hōʻino ʻole ʻia.