Ululu pachifuwa pamene wina akapuma

Torakalgiya kapena ululu sternum wa zimakhala mogwirizana ndi matenda osiyanasiyana ena ziwalo, komanso matenda psychogenic, kusintha structural mafupa ndi chichereŵechereŵe cha pachifuwa ndi msana matenda. Torakalgiya mwina chifukwa cha matenda osiyanasiyana monga pleurisy, embolism m'mapapo mwanga, chibayo, prolapse wa valavu mitral, m'mnyewa wamtima infarction ndi angina. Komanso, kupweteka kwa sternum pamene galimoto angathe kukambirana za angina pamene pali osakwanira magazi kuwonjezera minofu mtima, angathe kugwirizana ndi kusintha sclerotic mu zotengera za mtima, kuchititsa ululu pachifuwa pamene wina akapuma.

Pali ululu pachifuwa pamene kupuma pamene munthu ali ndi minofu ndi mafupa torakalgiya, nthawi zambiri amasokonezeka ndi intercostal neuralgia. Ululu syndromes anachititsa kostohondritom, mu nkhani iyi, izo zimakhala chofuna fupa ndi chichereŵechereŵe nyumba, ndipo nthawi ululu kuonekera pamene kutsokomola. Mosiyana angina, ululu ukhoza kwa masiku angapo. Nthawi zina amatha pericarditis, kutukusira kwa minofu thumba connective lozungulira mtima, zikhoza chifukwa cha HIV. Pericarditis anayamba kufalitsa kuboola ululu, omwe itakula mu malo supine, ichi makamaka anamva ndi mpweya kwambiri.

Ngati kumene makoma kuonongeka kwa mitsempha kapena vavu mtima dongosolo, ingaoneke kupweteka kwa sternum ndi akuusa, koma izi zimasiyana ndi ululu wa angina kapena mtima kuukira. M'dera pachifuwa pakhoza kukhala ululu kugwirizana osati ndi mtima, ndi mavuto, pamene mwadzidzidzi munthu amakhala ndi mantha kwambiri kapena nkhawa. Zikuoneka hyperventilation, kutanthauza iwo amayamba kupuma ndi zambiri nthawi yomweyo akuona dzanzi ndi kumva kulasalasa cha milomo, komanso kusapeza m'dera pachifuwa. Pachifuwa kusamva akhoza kukhala matenda a thirakiti m'mimba pamene osauka diaphragmatic chophukacho dzenje limapezeka kutentha ndi flatulence, mu Zikatero, ululu isanafalikire mu chifuwa m'munsi.

Makamaka zambiri chifuwa ululu pamene wina akapuma, pamene chofuna mucosa, limene lili padziko phapo, choncho kumene munthu zachitika pleurisy. Pankhaniyi, wodwalayo amayesetsa kupuma mbali zochepa kudwala, chifukwa aliyense kayendedwe amayambitsa kupweteka kwambiri. Pneumothorax angakhalenso chifukwa cha ululu, koma mu nkhani iyi, mpweya amasonkhana danga pleural. Kuwonjezera ululu, wodwala amakhala ndi kusowa pachimake cha oxygen.

Ululu mu chifuwa kumeneko pambuyo choipa, ndi nthiti wosweka, kuonongeka chichereŵechereŵe kapena minofu mavuto pachifuwa. Ngati pamene munthu ali ululu pachifuwa pamene wina akapuma, muyenera kupeza zifukwa dokotala kwa syndromes izi, ndiyeno yambani zochita achire umalimbana ndi kuthetsa zinthu zimenezi. Pamene inu kukhala ululu spasms wa ziwiya mtima, tiyenera nthawi yomweyo pansi ndi kutenga vasodilator mankhwala, ndi bwino kuika nitroglycerin piritsi pansi lilime. Ngati munthu azindikira angina, ayenera nthaŵi zonse diltiazem kapena nifidipin, mankhwala awa achititsa kuti kuwonjezeka kotunga mtima minofu ndi mpweya ndi mankhwala "Propranolol" ndi "Atenolol", umene ndi beta-blocker kuti akhoza kuchepetsa mowa mpweya wa minofu mtima. Nthawi zina, kuthetsa ululu sternum ayenera kuthetsa zinthu zonse zomwe zinatipangitsa izo, izo zikhoza kukhala akulu neuralgia, kutentha, ululu pambuyo kuwomba, ndipo mwamsanga pamene iwo kuthetsa munthu waleka torakalgiya.