Hom edema: piav qhia thiab kho

Cov txheej txheem:

Hom edema: piav qhia thiab kho
Hom edema: piav qhia thiab kho

Video: Hom edema: piav qhia thiab kho

Video: Hom edema: piav qhia thiab kho
Video: Saib tias ntawm ntsej muag 2024, Lub Xya hli ntuj
Anonim

Dab tsi yog hom edema? Lawv txawv li cas thiab lawv yog vim li cas rau kev loj hlob? Koj yuav pom cov lus teb rau tag nrho cov lus nug no hauv kab lus no. Peb kuj yuav qhia rau koj txog yuav ua li cas koj thiaj li tshem tau cov xwm txheej tsis zoo li no.

hom edema
hom edema

Cov ntaub ntawv tseem ceeb ntawm o

Hom edema nyob ntawm lawv qhov chaw thiab ua rau muaj kev loj hlob. Tus mob no yog tus cwj pwm los ntawm cov kua dej ntau dhau hauv cov ntaub so ntswg extracellular qhov chaw thiab tib neeg lub cev. Feem ntau, qhov o yog pom tom qab sawv los, nrog rau thaum kawg ntawm hnub ua haujlwm.

Kev piav qhia ntawm edema

Hom edema yog txiav txim siab nyob ntawm qhov ua rau lawv tshwm sim. Txawm li cas los xij, lawv txhua tus zoo sib xws. Cov ntaub so ntswg edema yog ib qho o uas muaj zog los yog nruab nrab. Feem ntau, tom qab kev sib cuag nrog nws (piv txwv li, thaum nias nrog tus ntiv tes), cov cim tseem tshuav ntawm daim tawv nqaij uas yuav ploj tom qab ob peb feeb lossis tom qab ob peb teev.

Caus of edema

Puffiness tuaj yeem txhim kho rau ntau yam laj thawj. Feem ntau, cov ceg qis yog cuam tshuam los ntawm qhov mob pathological. Hom o ntawm ob txhais ceg nyob ntawm seb qhov ua rau lawv tshwm sim. Cov no suav nrog cov hauv qab no:

ua xua o
ua xua o
  • hnyav hnyav rau ntawm ceg qis;
  • dhau lawmhaus dej haus, suav nrog ua ntej yuav mus pw;
  • paj taw;
  • cuam tshuam cov metabolism;
  • nquag hla ob txhais ceg thaum zaum;
  • zaum ntev dhau ntawm lub rooj muag muag lossis qis;
  • overweight;
  • nkawm khau tsis zoo (xws li heels siab lossis flats, nruj ntiv taw, thiab lwm yam);
  • varicose veins (tshwj xeeb tshaj yog feem ntau xws li edema tau sau tseg thaum yav tsaus ntuj, thiab tom qab pw tsaug zog lawv ploj mus).

Nws tseem yuav tsum tau muab sau tseg tias qhov o ntawm ob txhais ceg tuaj yeem tshwm sim los ntawm kev tsis txaus ntshav txaus thiab hydrostatic siab hauv cov leeg.

hom ntawm ceg o
hom ntawm ceg o

Lwm yam yog vim li cas

Ntxiv rau cov npe vim li cas rau kev loj hlob ntawm edema, lawv qhov tshwm sim tuaj yeem cuam tshuam nrog:

  • kev ua haujlwm tsis zoo ntawm lub plawv;
  • kab mob raum;
  • kab mob hauv plab;
  • mob ua pa nyuaj;
  • tsis txaus cov qog ntshav hauv cov ntaub so ntswg subcutaneous thiab tawv nqaij;
  • kab mob thyroid;
  • mob thrombophlebitis thiab lwm yam.

Types of edema

Cov hom edema muaj xws li hauv qab no:

  • Generalized (congestive lossis cardiac, nrog rau lub raum, endocrine thiab cachectic).
  • Localized (inflammatory, toxic thiab allergic).

Cia peb xav txog tag nrho cov npe ntawm cov ntaub so ntswg edema kom ntxaws ntxiv.

Kev mob plawv thiab nws txoj kev kho

Lawv tshwm sim los ntawm kev txhim kho lub plawv tsis ua haujlwm. Nrog xws li ib tug pathology, feeb ntim ntawm lub plawv txo, thiab kuj ncearterial hypotension.

Venous hypertension thiab venous congestion ua lub luag haujlwm tseem ceeb hauv kev tsim cov kab mob plawv. Cov tom kawg cuam tshuam cov metabolism hauv ib txwm nyob hauv cov ntaub so ntswg, uas cov khoom lag luam metabolic qis qis, thiab acidosis tsim. Yog li ntawd, cov qauv ntawm cov cementing intercellular khoom ntawm cov hlab ntsha yog cuam tshuam thiab lawv permeability nce. Qhov no tshwm sim, ua ke nrog kev kub siab, provokes lub zog ntawm sodium, proteins thiab dej los ntawm lub capillary kab noj hniav mus rau hauv lub interstitium. Tom qab ntawd, edema tshwm sim.

hom pulmonary edema
hom pulmonary edema

Yuav ua li cas kho cov kab mob zoo li no? Kev kho mob plawv edema yuav tsum tau tsom mus rau kev ua haujlwm ntawm kev ua haujlwm ntawm myocardium los ntawm kev noj cov plawv glycosides, nrog rau kev ua kom cov dej tawm thiab Na los ntawm lub cev los ntawm kev sau tshuaj diuretics.

Renal edema thiab yuav ua li cas tshem tawm lawv

Qhov laj thawj rau kev txhim kho ntawm tus mob no yog qhov txo qis ntawm oncotic siab hauv cov ntshav plasma. Cov txheej txheem no yog vim proteinuria, uas tau pom thaum lub glomerular apparatus ntawm ob lub raum puas lawm. Tom qab ib qho kev nce ntxiv hauv cov dej pom los ntawm cov hlab ntsha thiab cov hlab ntsha mus rau lub interstitium, nws cov resorption hauv cov hlab ntsha poob qis heev. Yog li, cov kua dej accumulates hauv cov ntaub so ntswg, thiab edema tsim. Yuav kho li cas?

Lub raum edema ploj mus tsuas yog thaum noj cov tshuaj diuretics. Txawm li cas los xij, nws yuav tsum nco ntsoov tias kev sib ntaus tawm tsam xws li puffiness tsis tuaj yeem ua rau lub cev ua haujlwm ntawm lub cev cuam tshuam. Yog li ntawd, nws yog qhov zoo dua los coj tag nrho cov kev siv zog tseem ceeb ntawm kev siv tshuaj rau kev kho mob ncaj qha ntawm pathology.lub raum.

Marantic lossis cachectic edema thiab lawv txoj kev kho

Cov kab mob zoo li no tshwm sim hauv cov kab mob hnyav thiab cuam tshuam ntawm lub cev, nrog rau cov mob hnyav, nrog rau cov qog nqaij hlav, raws plab hnyav, tshaib plab protein, beriberi, thiab lwm yam.

Qhov laj thawj tseem ceeb ntawm maranthic lossis cachectic edema yog qhov txo qis hauv kev sib xyaw ntawm cov kua dej hauv plasma protein thiab kev loj hlob ntawm hypoproteinemia, nrog rau kev txo qis hauv cov protein synthesis hauv cov ntaub so ntswg sib txuas. Tsis tas li ntawd, cov kab mob pathological no tau tshwm sim los ntawm kev nce ntxiv hauv permeability ntawm capillaries rau electrolytes thiab dej, uas tom qab sib sau ua ke hauv interstitium..

hom ntawm lub ntsej muag edema
hom ntawm lub ntsej muag edema

Yuav ua li cas kho cov hom edema? Kev kho mob ntawm marantic lossis cachectic pathologies txo qis rau kev kho mob ntawm cov kab mob tseem ceeb uas tau teev tseg saum toj no.

Endocrine edema thiab cov hau kev ntawm lawv txoj kev kho

Yog vim li cas rau txoj kev loj hlob ntawm tus mob no yog ib qho kev nce hauv hydrophilicity ntawm cov protein ntawm cov leeg thiab cov tawv nqaij. Feem ntau, qhov no pathology tshwm sim nrog myxedema (uas yog, hypothyroidism). Xws li tus kab mob yog tus cwj pwm los ntawm cov protein catabolism, nrog rau kev hloov pauv ntawm lawv cov synthesis. Raws li qhov tshwm sim ntawm cov txheej txheem no, ib qho loj ntawm mucin yog tsim, uas yog, hydrophilic colloid, uas, accumulating nyob rau hauv cov leeg thiab daim tawv nqaij, ua rau dej tuav nyob rau hauv lawv, thiab, raws li, txoj kev loj hlob ntawm o.

hom o no tshem tawm li cas? Txhawm rau tshem tawm lawv, cov kws kho mob pom zoo kom siv thyroxine, uas yog, cov thyroid hormone.

Tam sim no koj paub hom edema tseem ceeb. Lawv yuav tsis kov lub ntsej muag, vim cov no yog cov edema uas tshwm sim los ntawm kev ua tsis tiav hauv lub cev. Yog tias qhov o yog pom ntawm qhov muag liab qab, ces peb tab tom tham txog qhov o hauv zos. Xav txog nws hom, nta thiab txoj kev kho tam sim no.

hom kev kho mob edema
hom kev kho mob edema

mob plab edema

Puas ua xua ua ntej tus mob no? Edema vim yog cov tshuaj tiv thaiv zoo li no tiag tiag. Raws li cov kws tshaj lij, inflammatory thiab ua xua o tshwm sim vim muaj kev cuam tshuam hauv zos ntawm capillary permeability. Tsis tas li ntawd, qhov ua rau ntawm qhov tshwm sim no tuaj yeem ua rau kub siab hauv qhov txhab.

Txhawm rau tshem tawm cov xwm txheej zoo li no, koj yuav tsum tshem tawm txhua qhov kev sib cuag nrog cov tshuaj tsis haum, nrog rau kev noj tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv.

Toxic Edema

hom kev mob ntsws pulmonary edema feem ntau tshwm sim los ntawm kev nqus pa ntawm cov tshuaj lom. Tsis tas li ntawd, cov kab mob pathological no tuaj yeem cuam tshuam nrog kab tom thiab kab mob co toxins. Raws li kev cuam tshuam ntawm cov neeg ua haujlwm no, vascular permeability dheev nce ntxiv thiab cov ntaub so ntswg metabolism cuam tshuam. Raws li qhov tshwm sim, cov khoom sib sau ua ke hauv cov ntaub so ntswg, uas ua rau lub siab osmotic thiab ua rau o ntawm colloids. Ua ke nrog nce capillary permeability, qhov no ua rau txoj kev loj hlob ntawm o.

Kev ntsuas kho kom tshem tawm cov tshuaj lom edema yuav tsum yog txhawm rau normalizing tag nrho cov txheej txheem metabolic hauv cov ntaub so ntswg thiabStabilization ntawm capillary membranes.

Summarize

Raws li koj tuaj yeem pom, muaj ntau hom edema uas tuaj yeem muaj qhov sib txawv kiag li thiab xav tau ntau txoj kev kho mob. Tab sis, tsis muaj teeb meem dab tsi o ntawm lub cev thab tus neeg mob, koj yuav tsum xub hu rau tus kws kho mob. Tom qab kuaj tus neeg mob, tus kws kho mob yuav tsum xa nws mus rau tus kws kho mob nqaim uas yuav lees paub qhov kev kuaj mob thiab sau cov kev kho mob tsim nyog.

hom ntaub so ntswg edema
hom ntaub so ntswg edema

Nws tsis tuaj yeem hais tsis tau tias ncua kev kho mob edema tuaj yeem ua rau tus neeg mob hnyav dua. Tom qab tag nrho, generalized thiab localized edema tuaj yeem ua rau tuag.

Pom zoo: