Emphysema Ko te tikanga e kore te mate motuhake, engari puta ki te whakamārama o kē ngā maumaui nui o ventilation tūturu o te pūnaha romahā tangata. Ko te nonspecific māuiuitanga kiko pūkahukahu ma'i, i roto i nei te hua o nui haere te pēhanga i roto i te bronchioles me alveoli o te taiepa he wa roa overstretched, a reira āta mona tona elasticity. nga tohu katoa o te emphysema tāpiri ki runga ki nui haere syndrome rangi. I te wa ano i runga i te X-ray e taea te kite kēkeno bronhososudistogo tuhi maramarama maha, te deformation o te pouaka , me te Karauna o te HWM. Enei tohu o te emphysema faataa i te hua o te pēhanga i roto i te kōhao pouaka me te hua i roto i te rōrahi o te kikokiko o nga whekau tino o te pūnaha romahā, kia e te manawanui kua he poka supraclavicular ngawha hopu barrel- āhua pouaka, shortening kitea o te kaki me te uaua jugular. I roto i te heke mai, kua piri huringa ki te raraunga, me te mate Cardiovascular: E whai wāhi ana te whekau ki te hāora te hemokai, me te pohokore, whakapakari ngakau te mahi ki te utu mo tenei, i reira ko te stasis venous, cyanosis whānui, me ka hanga e me "ngakau pūkahukahu".
Emphysema i roto i ngā tamariki
atamira nui o te mate ko te emphysema bullous pera i huaina. Ki tenei whakangaromanga i roto i te kikokiko tae te taumata e kua ngaro maha taiepa tata o bronchioles me alveoli, a ratou e "tauta", hanga mirumiru ki te diameter o neke atu i te 1 cm - "Bull". kia tona take etiological mumura ma'i i roto i te kikokiko, i te mea he aha i reira he he lymphostasis rohe me ngā pūtau hauora e tonu tāoke me paturopi. I roto i te tamariki ki te hē congenital o Arepa-1-antitrypsin, tautoko tiaki me te elasticity o te membrane kauae, nga tohu o te emphysema puta wawe, a rite tupu pakeke ratou te mate whiwhi kino. mare Paroxysmal ki purulent sputum trudnootdelyaemoy, hāhā o te manawa (maha momo expiratory), tohu inflammatory i roto i te toto, kirika - katoa o enei tohu e whakakorikoria tonu te tākuta tamariki. Na reira, kia tāutuhia tohu emphysema i roto i te wa ka taea poto ka tautokona e te raraunga o tikanga mauhaa (spirometry, Radiography) me te whakamātautau tinana (heheu percussion heke i roto i te pukapuka, me te pouaka rohe tangi).
whakarōpū
Pathogenesis reira ko te whakarōpū ki e rua ngā matua: neobstruktsionnaya me taunutia emphysema pūkahukahu. tuatahi puta Tohu rite te whakautu e vai mā te tango i tetahi wahi o te pūkahukahu involution ranei tukanga i roto i te tau tawhito. hono te tuarua kei te ki te tūkino patency arahau i roto i Bronchitis huangō ranei, a reira titau maimoatanga o te mate tuatahi. Ka rite ki te putanga o te emphysema he nui kino hanganga, maimoatanga Nireaha ki anake etahi o ona tohu ki te hiki i te huru o te manawanui, me te ārai i te whanaketanga o romahā me te ngakau kore.