Abscessed nemabayo: Zvinokonzera uye Zviratidzo

Abscessed nemabayo - chirwere umo kuzvimba mumapapu, achiperekedzwa paumbwe pus foci.

Description chirwere

The chirwere kwaiparadza. Zvichienderana nayo utachiona uye chirwere kukuvadza uye Zviratidzo achasiyana. Asi kazhinji abscessed nemabayo kunoratidzwa fivha, chills. Uyewo varipo panguva chirwere chikosoro. Buditsa ane pachangu kwakanaka uye pus. Muvanhu, kurasikirwa kudya, nokuda iyo anorasikirwa uremu. Kuti yakarurama chirwere X-ray chiedza. Treatment iri ushandiswe yakaoma. Murwere akanga ushandiswe inorwisa mabhakitiriya. Uyewo zvishandiso hunowedzera rokuzvidzivirira wacho. Kuti kubvisa muhomwe panowanikwa pute nemabayo, vakagadzwa thoracentesis uye remedial bronchoscopy. Uyewo kuchirapa matanho anosanganisira extracorporeal gemmokorrektsiya ainzi UFO bloods uye hemosorbtion.

Abscessed nemabayo kunoreva nguva panguva nemabayo, kana paine muhomwe panowanikwa purulent idzodzo. Chete kunoita chirwere chacho zvemapapu pute. Musiyano pakati zvirwere izvi zviviri ndechokuti pute pus inotungamirwa ane dhayamita guru, uye kana paine muzvizhinji kuti purulent nemabayo maronda diki.

zvinokonzera

Sei abtsediruyuschaya nemabayo kuitika? The chikuru chikonzero ndechokuti muviri rinowanika malevolent utachiona uye zvigare. Idzi dzinosanganisira:

1. Anonzi Staphylococcus aureus.
2. Pneumobaccillus kana Klebsiella.
3. Mhando dzakasiyana-siyana enterobacteria.
4. Ndirwowo anokonzera chirwere vave pneumoniae uye hemolytic streptococcus.
5. Anaerobic Mabhakitiriya, kureva fuzobakterii peptostrptokokki.

Izvi Micro-zvinenge uye utachiona kuparadza zvemapapu tishu. Ndivo chinokonzera purulent idzodzo.

How mabhakitiriya anokuvadza kupinda mumapapu?

Chokutanga, mabhakitiriya izvi kuwana mumapapu kubva nasopharynx. Izvi zvinoitika kana paine purulent maronda pamuromo kwevanhu. Pangozi ndivo vagari vanoshungurudza kushandisa doro uye zvinodhaka. Uyewo utachiona pute nemabayo ndivo vanhu vakatambura sitiroko, kana ane chirwere chepfungwa unhu.

Hematogenous kukuvara zvemapapu kana lymphogenous zvinoitika nokuda zvirwere zvakadai:

1. Abrasions.
2. Endocarditis.
3. Osteomyelitis.
4. Sepsis.

Uyewo abscessed nemabayo kunogona kuitika nokuda zvaonekwa mitumbi worumwe principales uye zvemapapu anomera. In vanhu vane chirwere cheshuga, ropa chirwere uye periodontal chirwere, kazhinji akaonekwa abscessed nemabayo. Hour Treatment nemamwe mapoka mishonga, anogona kukonzera chirwere ichi. Somuenzaniso, kushandiswa glyukokrtikoidov uye cytostatics.

Kana diagnosing pute nemabayo, zvakakosha kuziva kuti chii mabhakitiriya kana Micro-zvinenge mhando kuva kunobva chirwere. Kuparadzwa zvemapapu rinenge nokuti kuti mutumwa chirwere, akadai anonzi Staphylococcus aureus, anotanga kubudisa yakawanda zvine chepfu. Nokuda kwaizvozvi, vakawanda in akazara mumhepo. Kana ivo batanidza chimwe muzinda guru, chirwere chakadai inonzi zvemapapu pute.

Zviratidzo zvipi zvinoratidza kuti nhengo aripo abscessed nemabayo?

Nhoroondo chirwere ane zviratidzo zvimwechete chakajairika. Kunyanya panguva kutanga pavaipfuura chirwere. Munhu anotanga kukosora, wakawedzera muviri tembiricha, kune marwadzo ari mubhokisi nzvimbo. marwadzo aya vanowanzoyemura achitowedzera, kunyanya, akanzwa kurwadziwa kana kufema.

Rontgen inoratidza kuvapo zvemapapu chirwere. In vana vanogona femereka uye neurotoxic syndrome. Kana munhu akakundikana kutora chero zviyero kuti kurapwa, mugariro wake kuipa uye hapana abscessed nemabayo (ICD-10 remitemo J85.1 basa nayo panyaya kutaurwa utachiona hwakakura uye J10-J16 Codes kana dzakaonekwa). Izvi zvinoita kuti murwere ari kudhaka. Pane fivha, tembiricha muviri achisimuka 40 inegumi. Uyewo rinowira Nzara uye neanorexia kunoitika. Uyezve, pane kupfupika mweya. Sezvo Panguva iyi chirwere pane pus inotungamirwa mumapapu, ipapo munhu ane phlegm pamwe risingafadzi kunhuwidza, uye rinoumbwa kusvibisa. The murwere basa, hapana ganda ane kuchena Hue, pane delirium. Mune ramangwana, kana progrressirovat abscessed nemabayo, zvemapapu pute acharatidza nemasiraidhi.

yematambudziko

chirwere ichi chinogona kukonzera nhamba yematambudziko muviri. Idzi dzinosanganisira:

1. Empyema.
2. Pleurisy.
3. Pneumoempyema.
4. Purulent pericarditis.
5. Mediastinitis.
6. Purulent chearthritis.
7. Sepsis.

How rokuongorora nemabayo?

Chokutanga, munhu simba kufema, crackles ngapaonekwe. A bvunzo ropa inoratidza kuvapo kuzvimba mumuviri - akasangana yepamusoro kwevari chena masero eropa, ESR uye SSR.

Kuti zvakarurama rokuongorora munhu akagadzwa X-ray ine mumapapu. Asi iwe unofanira kuziva kuti mune nemabayo nzira hapasi kuratidza purulent maronda. Naizvozvo, kuti asava kana kusimbisa ane abscessed nemabayo, unofanira kugadzira WHO chipfuva.

rokuongorora kwakadaro icharatidza paumbwe mifananidzo pamwe kuvapo emura uye gasi. Izvi zvichaita anoratidza pute nemabayo. Asi paumbwe Data kunogonawo kuva zviratidzo zvirwere zvakadai tibhii uye kenza yemapapu. Naizvozvo, kuti kusaita zvikanganiso zviri nechirwere, murwere basa kuongororwa kuti sputum. Uye izvi zvinofanira kuitwa katatu. Kuti asimbise kana ndeyenhema zviratidzo. Zvinokoshawo kuti azodzidza pamusoro mushonga nehanya. Nokuti ichi wakatora bakposev sputum kana Árbol lavage kurapwa. Dzimwe nguva basa ne bronchoscopy kuzosimbisa chirwere.

kurapa

In kurapwa nemabayo, pute havashandisi wokutanga anowanikwa pasi ruoko mushonga. Kazhinji, kutanga tinofanira kuyeuka chimwe chinhu: chero zvazvingava hazvina zvakakodzera kuzvinzwira medicate. Pashure abscessed nemabayo anoonekwa chirwere kwakakomba. Kunobatsirawo chitarisiko yematambudziko siyana. Naizvozvo, kuti kurapa chirwere, inoda zvose mishonga uye dzimwe nguva zvomusejari matanho. Chekutanga, akagadza nzira inorwisa mabhakitiriya, zviri akagadzirisa mumwe nomumwe nomumwe murwere. The inokosha ndeyokuti kuti kusarudzwa zvinodhaka riri basa inobva vakawana pachisara kureva sei muviri ikasakendenga nemishonga. Uyewo mumwe nomumwe vakatsunga nguva kosi.

Unofanira kunyatsofunga kutevera zano chiremba kana wanga nechirwere abscessed nemabayo. Matambudziko chirwere ichi chinogona kuva dzakakomba zvikuru.

Mishonga mureza pakurapa pute nemabayo vari zvinodhaka akadai "Penicillin" + "metronidazole", lincosamides ( "clindamycin", "Lincomycin"), aminopenicillins ( "amoxicillin" / "clavulanate" "Ampicillin" / "Sulbactam") uye and said. In kuti kubvisa suppuration pachoto yakatarwa expectorants uye inhalation.

kurapwa zvaiitwa

Vanhu nechirwere abscessed nemabayo kodzero madziro, zvinoda kutarisirwa. Chekutanga, unofanira kupa navo kudya zvinovaka muviri, kureva chikafu dzakakwirira mapuroteni, chicherwa zvisaririra zvinhu uye mavhitaminzi. Chechipiri, kana murwere nemamiriro simba kwazvo, zvakakodzera kuti ave yeplasma aizomupa. Uyewo pavanoparidza pamusoro matanho kunze kutsigira kufema hurongwa.

Bronchoscopy rinoitwa sanitize yacho purulent wongoramba. Ungafanira kuita ponji uye abudise ane pute kana kugeza mhango pamwe akambozvishandisa kuuraya utachiona. Uyewo kuwanika zviri uchapupu mazano inorwisa mabhakitiriya uye makemikari. Pane nhamba kuti 15-25 muzana varwere havagoni kukurira chirwere. Iri panzvimbo yakakwirira nhamba. Asi kunewo yakakwirira ndingangokuvara kunaya kwevanhu.

boka nengozi

Zvinonyatsozivikanwa kuti nguva dzose zviri nani kwete kuunza muviri wako ezvinhu hanya, ndizvo zvinodiwa nokuita matanho pane kubatwa kuti kurwara. naizvozvo zvakafanira kuramba muviri wako mumugariro utano uye kuti nenguva rubatsiro vezvokurapa kana chero chirwere. Pane vamwe boka revanhu vari pasi chirwere ichi ngozi:

1. Children. Ivo vari pangozi. Sezvo avo rokuzvidzivirira iri kwayo mucheche. Rurefu mwero mukana zvingava abscessed nemabayo muvana akatora mishonga kwenguva refu kana vakatambura kwezvirwere zvimwe mhando.
2. vanhu vakwegura.
3. Zvidhakwa.
4. Vanhu vanotakura chikosoro uye rikwanise kufema kutapukirwa noutachiona kana vachangobva aitambura nezvirwere izvi.
5. Muropa.
6. Vanhu vane zvirwere chisingaperi kufema uye vari vatakuri zvirwere.
7. Vanosvuta.
8. Category vanhu vane immunodeficiency.
9. Vaya muchipfuva kukuvara, vari pangozi.
10. The anomaly iri zvemapapu pute zvinobvira chikonzero nemabayo.
11. Vanhu akavhiyiwa.

dziviriro

Matanho vana vari sezvo kubaya pneumococcal zvirwere. Zvinofanira kudzivirirwa kubva yokuSpain. Zvinogonekawo kuti nhomba pamusoro chirwere ichi. yokudzivirira izvi vanopiwa vakuru nevana. Haufaniri kumhanya chimwe chirwere, nekuti vanogona kuenda vamwe zvikuru zviitiko. Kuomesa, utano hwakanaka, muviri, kufamba - izvi zvose zvinobatsira kusimbaradza masoja emuviri uye sezvo zvakaguma kusavapo chero chirwere. Kana zviratidzo chirwere muviri wokutanga, anofanira kutsvaka kurapwa nokukurumidza. Sezvo nguva kupa mishonga kunokanganisa kunokurumidza kuzoita murwere.

mhedziso

Zvino munoziva zviri abscessed nemabayo. The zvinokonzera chirwere ichi, hatina akaongororwa. Tinewo tsanangura kuti chirwere anoratidza pacharo.