ImpiloIzifo nemibandela

Ukucinana kwemigudu yomoya emaphashini ubovu: incazelo, izimbangela, izinhlobo nezilinganiso

Phakathi kwezinhlobo eziningi Ukucinana kwemigudu yomoya emaphashini ingozi enkulu limelela ubovu. Lesi sifo livela ku ngokuzumayo. Uma isikhathi akusho uqhubekele nokwelashwa kwayo, kungenzeka ukuvela eziyingozi.

Mshini yentuthuko isifo

Ubovu ukucinana kwemigudu yokuphefumula - lokhu isifo ukuvuvukala. ukugeleza kwalo kuhambisana ukukhululwa isikhwehlela, okuyinto kakhulu nzima ukuphefumula.

Eziyizimbangela amabhaktheriya esifo isifo esiyingozi. Ngokuvamile, ukutheleleka kwenzeka uma pneumococci, haemophilus influenzae futhi Streptococcus mutans. Abakwazi ufake umzimba kukhanyisa amaconsi noma i-lymph. Lapho igciwane, ulwelwesi engaphakathi bronchi imbozwe enamathela mucopurulent. Ngenxa yalokho, umgudu siyabhubha.

Buthaka ngemuva kokushaywa yisifo umkhuhlane noma umzimba SARS akakwazi ukumelana esanele Amagciwane. Ngokushesha amagciwane proliferating avuse zokuzikhukhumeza bronchus, dyspnea nokuhlukaniswa kwemihlambi isikhwehlela obukhulu. yokuhogela intuthu kagwayi, ukungcoliswa komoya nokungezwani komzimba nezinto ukwandisa kuphela kobukhulu isifo. Ngasikhathi sinye, bronchi babe sengozini nakakhulu ukuba amagciwane.

Phakathi inqubo sokugembula kuyisiko ukuhlukanisa izigaba ezimbili:

  1. Primary lapho kokunqotshwa kwe-alveoli futhi bronchi.
  2. Secondary. Ukuvuvukala ibhebhetheka nezinye izinhlaka umgudu wokuphefumula.

I ukucinana kwemigudu yokuphefumula ukuthuthukiswa ubovu kuthatha isikhathi eside. Uma isikhathi ukuqaphela futhi ngokushesha saqala ukwelashwa, kungenzeka ukuthemba ukuthi Izibikezelo evumayo. Kungenjalo inqubo sokugembula kuba amahlala khona.

Izizathu eziyinhloko

Ukubukeka ubovu osenyameni ngokuvamile kwandulelwe impatho engafanele ukucinana kwemigudu yokuphefumula oyingozi. Inikezwe ejenti elwa namagciwane abakwazanga ukusula kuloku Amagciwane ngenxa ukuzwela ongaphakeme wale mithandazo emithini.

Ngaphezu kwalokho, odokotela isehlane iqembu izici nomthelela emzimbeni okuyinto kuphakamisa ubovu ukuvuvukala :

  • shintsho olwenzeka isigubhukane lokushisa;
  • a esibuthaka sokuzivikela ezifweni;
  • izifo we sinuses paranasal;
  • imikhuhlane njalo.

Ngo ababhemayo, odokotela bavame zembula ukucinana kwemigudu yokuphefumula. Nge ukudlula isikhathi ngokungabi bikho kokwelashwa, isifo ezingalungile zidlulisela kwifomu ubovu.

izinhlobo zokugula

inkinga Suppurative lesi sifo, odokotela pulmonologists zihlukaniswe 3 izinhlobo:

  1. Catarrhal. Pathology ububonisa ukukhwehlela zindawo zokusesha ezethusayo futhi expectoration luningi. Ngesikhathi uphethwe ngo ukuhlaziywa isikhwehlela ngezinye izikhathi lokhu kutholakala leukocyte.
  2. Obstructive. Ngo isikhwehlela njalo ubomvu ebonakalayo noma igazi streaks.
  3. Okungalapheki. Le ndlela isifo izilwanyana ezinamaphiko libhekene izinkathi ukuthethelelwa futhi uhileleke.

Ingozi embi kunazo zonke kuyinto obstructive ubovu ukucinana kwemigudu yokuphefumula. Kutfutfukisa on isizinda isifo oyingozi esithathelwanayo esibangelwa umsebenzi microflora pathogenic. Kulokhu isiguli enomkhuhlane, ezidabukile amalunga nemisipha. Noma yimuphi ukubambezeleka noma ukungabi ukwelashwa kungaholela izinguquko ezingenakuhlehliswa ohlelweni yamaphaphu, liyabulala.

emitholampilo isithombe

Lesi sifo ngokuvamile kubonakala ebusika. Izimpawu zayo eziyinhloko zingase zifane umkhuhlane noma sibi nezifo zokuphefumula. Okokuqala, kukhona ukuhlekisa emphinjeni, esithathelwe nomphimbo obuhlungu noma namathansela. Ngemva kwesikhathi esithile, uhlangana ukukhwehlela eqinile ezomile. ukuhlaselwa ngasinye kungase kuhambisane ubuhlungu besifuba. Ngezinye izikhathi iziguli ecinene ngenxa ekuqongeleleni enkulu isikhwehlela kule bronchi. Ngemva kwesikhashana, kukhwehlela buba manzi, kanye isikhwehlela expectoration nge Tint aphuzi.

Ezinye izimpawu ka-acute ukucinana kwemigudu yokuphefumula odokotela ahlukanisa

  • ukujuluka owandiswayo;
  • ubuthakathaka kakhulu;
  • okuncane lokushisa ukukhushulwa emamaki subfebrile;
  • iphika.

Lesi sifo zingakhula kuze kube izikhathi 2-3 ngonyaka. Ngu subcooling lokubuya kwesifo ngokuvamile ukuhola noma nokunwetshiwe abandayo. Kulokhu, lesi sithombe emitholampilo iba evelele ukukhwehlela ukwanda, kanye nenani ethakwa isikhwehlela inyuka kakhulu.

Indlela okufika ngesikhathi aqaphele ifomu njalo lesi sifo?

Ngo ezingamahlalakhona ubovu ukucinana kwemigudu yokuphefumula, ukukhwehlela esabelwe 250 ml isikhwehlela ngosuku. umbala wayo kuhluka ophuzi okhanyayo ukuba luhlaza. Ubomvu ingabukwa igazi emithanjeni.

Lesi sifo libhekene inkambo isikhathi eside nge saziso okhushuliwe isimiso bronchial. I inkinga eyingozi kakhulu ke ubhekwa ukwehluleka oyingozi zokuphefumula. Uma isiguli ukuphefumula uma usumdala futhi kuba nokungezwani, kuyilapho kokuvela ezomile umsindo ikhwela, sekuyisikhathi ikhale alamu. Lezi izimpawu zibonisa ziwohloke elibukhali impilo.

izindlela ukuxilongwa

Lapho ukukhwehlela eqinile noma iphika kudingeka libheke owelapha. Kuyinto lokhu onguchwepheshe angakwazi ukuxilonga kahle bese linqume ukwelashwa kudingekile.

luhlolo Standard isiguli nge esolwa ubovu ukucinana kwemigudu yokuphefumula kuhlanganisa imisebenzi elandelayo:

  1. Uhlaziyo isikhwehlela.
  2. X ray. It kwenza kube nokwenzeka ukuba ukuhlola degree of ukulimala bronchial ukuhlonza izilonda sokugembula.
  3. Bronchoscopy. Ukuhlukanisa ifomu ubovu yesifo yesibili kubangelwa sofuba noma i-pneumonia.
  4. Igazi test. Kudingekile ukuhlola ukufaneleka jikelele isiguli.

Kuyinto udokotela saziso kumele ahlole nesineke, ukufunda umlando wawo kanye nezici emtholampilo. Umnqopho ngokushesha kwi ohambisana izimpawu ubovu ukucinana kwemigudu yokuphefumula.

Ukwelashwa sifo njalo kwenziwe ngokucophelela. Kufanele ususe kuqala exudate kusukela bronchi. Ngenxa yale njongo, esimisiwe amanxusa kanye expectorants mucolytics. Ezimweni eziphambili kungadinga usizo bronchoscopy. Imininingwane eyengeziwe mayelana nemiphumela zokwelapha kwendlela ngayinye uzobe kuchaziwe ngezansi.

Sebenzisa ama-antimicrobial

Isikhathi acute purulent ukucinana kwemigudu yokuphefumula njalo kudinga ukuhambisana embhedeni ukuphumula, ukuyeka ukubhema kanye nokunciphisa umthelela omubi umgudu wokuphefumula. Esibhedlela isiguli kuboniswa kuphela ezimweni eziphuthumayo, lapho isifo ezihleli is kwahambisana by ukudakwa kubi noma yokumelwa yinhliziyo.

Indlela eyinhloko nomphumela oqabulayo saziwa engayitholi antibiotic. Evame ukusetshenziswa kwezidakamizwa amaqembu ezilandelayo:

  1. Macrolides ( "Sumamed", "Azitroks"). Nethonya elilimaza on the zamagama amaprotheni kumaseli ye izitshalo pathogenic, okuyinto kunciphisa ikhono lazo phambili bahlukanise.
  2. Aminopenicillin ( "Amoxiclav"). izidakamizwa ezinjalo nethonya izinhlekelele amabhaktheriya izicubu kuphela ngaphandle kokudala umonakalo emzimbeni womuntu. Nokho, ukusetshenziswa kwazo uvame ukuhambisana komzimba.
  3. Cephalosporins ( "Ceftriaxone", "Cefazolin"). Imithi elwa namagciwane aleli qembu elithi izinto ezenza abantu okusithiyayo we zamagama zazo ziyisisekelo ulwelwesi amaseli virus.
  4. Fluoroquinolones ( "Ofloxacin" "Ciprofloxacin"). Nethonya elilimaza ku-DNA amagciwane, okuyinto enomthelela enecala ngokufa kwabo. ukusetshenziswa isikhathi eside ngokuvamile kubangelwa dysbacteriosis wazwakalisa.

Imithi elwa namagciwane ngoba ubovu ukucinana kwemigudu yokuphefumula uyelulekwa ukhombe emva ukuhlaziya isikhwehlela for ukuzwela kwamagciwane. Kungenjalo ukusetshenziswa kwabo kuyoba ayizwakali.

ukwelashwa multimodality

Ngaphezu kwalokho nemithi ukuqeda inqubo isifo njalo babelwe mucolytics. Asiza kusheshiswe expectoration. Antihistamine ingase isetshenziselwe ukususwa izicubu edema nekugwema komzimba.

Ekwelapheni eziyinkimbinkimbi sihlanganisa ezihlukahlukene Physiotherapy, izindawo zokungcebeleka sibhedlela ukuphumula. A nomphumela omuhle isimo lesiguli:

  • ephefumula "Mukaltin" futhi "Hydrocortisone";
  • electrophoresis potassium iodide;
  • diathermy ukwelashwa.

Ngemva ekuthuthukiseni impilo kuyazuzisa khona umhlangano massage, ukuphefumula umzimba.

bronchoscopy

Bronchoscopy kuyinto inqubo endoscopic ukuthi isetshenziselwa zokuxilonga nokwelapha. Ngalo, udokotela ahlanze yomoya ka phlegm zanqwabelana. Lapho iqondiswa 2-4 ubovu inqubo ukucinana kwemigudu yokuphefumula kanye isikhawu kungenzeka kusukela ezingu-3 ukuze ngesonto phakathi kwazo.

Bronchoscopy, Yiqiniso endobronchial njalo ukuqedela ukulungiswa. Esebenzisa isipetu akhethekile ipayipi nezimo, udokotela ifaka ikhambi. Lokhu kungaba "Furatsilinom", "Dimexidum" noma "rivanola". Yonke inqubo wenziwa ngaphansi izinzwa wendawo.

imiphumela kungenzeka

Acute ubovu ukucinana kwemigudu yokuphefumula, ngokuvumelana izibuyekezo kodokotela neziguli, zidinga ukwelashwa abanekhono futhi ifike ngesikhathi. Kungenjalo, isifo kungenziwa siguqulelwa esingamahlalakhona noma i-pneumonia.

Phakathi ukuthuthukiswa inqubo sokugembula ogangeni bronchial Kumiswa ubomvu. ungqimba okusaluketshezi iqala ukuba sikhukhumale. Njengoba ukuqhubeka ukuvuvukala ngokuya ujule odongeni izicubu. Lesi sifo sithatha ifomu okunzima esibonakala by kahle bronchial umsebenzi amanzi umsebenzi, yoma odongeni lwamafinyila.

Mucopurulent ukucinana kwemithambo yomoya emaphashini kuyingozi ngoba ngokuvamile kuhambisana iziyaluyalu ezilandelayo:

  • bronchiectasis kanye somoya syndromes uhlamvu;
  • ukukhwehlela igazi;
  • emphysema;
  • cystic ehlasela umzimba;
  • ukwehluleka ventricle yangakwesokudla senhliziyo.

Nokho, ukuhambisana zonke izincomo udokotela ukugwema lezi imiphumela.

nobufakazi

ifomu ubovu Ukucinana kwemigudu yomoya emaphashini - isifo esiyingozi futhi ezivamile ngesikhathi esifanayo. Ngokusho izimpendulo iziguli ukugwema ukuthuthukiswa yayo kungenzeka uma uphathwa ngendlela ngesikhathi esifanele zonke izifo catarrhal futhi ukuqapha isimo sempilo.

Lapho kwakungenakwenzeka ukuvimbela ukubukeka kwalesi sifo, kubalulekile ukuba ngokuqinile ulandele izincomo udokotela ukuze bayothola ukwelashwa. Ngokusho iziguli, therapy eziyinkimbinkimbi ejwayelekile lisikisela nokusetshenziswa kwamaphilisi nezidakamizwa mucolytic. Ezimweni ezingavamile, a bronchoscopy liyadingeka.

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