Bronchiectasis

Chii bronchiectasis, chirwere zviratidzo uye zvimwe nyaya dzichakurukurwa munyaya ino. Bronchiectasis zvinoreva kuvapo mumapapu ose bronchiectasis (pathologically kuchinjwa uye kunowedzera svikiro uye principales diki). Huchiwedzera, ari muchimiro akafanana sepombi. Munzvimbo zvakachinjwa Árbol muti uri inenge nguva dzose muvigire chinhu kuzvimba. The pathological muitiro kakawanda vemunyika pakati uchingodzikira lobes pakati mumapapu.

Bronchiectasis Kuguma mugumisiro mumwe vachiberekwa anomaly Árbol hurongwa (Árbol kukundikana shwashwa rinenge fibrosis, Kartagener kuti chirwere), zvikuru mabayo kana bronchitis kuti zvakave muna muduku. The mhaka chirwere kunogona kuderera iri kudzivirira maitiro Árbol muti uye zvirwere (gamma globulin kushaikwa uye phagocytic basa and said.), Uyewo vamwe chakakomba chimiro chirwere.

Bronchiectasis zvakasikwa kungava chikuru kana yechipiri. Kazhinji mhosva chikuru Árbol deformation iri vachiberekwa kuremara rinenge kukura runoguma thickening pamusoro Árbol membranes. An abnormality kunoitika sputum kubvisa uye, naizvozvo, richibatana chirwere yechipiri. Secondary deformation kunoitika nokuda chero vachivavhiringidza Árbol abudise basa (dzichipfekeka kana makemikari). Pamberi chenguva chirwere kuzvimba hunokonzera scarring pamusoro Árbol madziro.

Bronchiectasis aona kakawanda chikosoro pamwe expectoration pamusoro purulent sputum. Dzimwe nguva vakuru bronchiectasis pasina exacerbation kuitika hemoptysis. Unogona kuteerera mashoko vanachandagwinyira kufema kana wheezing exacerbation nyorovera hunhu. Nokuda murombo gasi mukutsinhana ari zvemapapu parusvingo, murwere ari kugara hypoxia. Mumwe zvachiri ndiye kuratidzwa kwokunze kuchinja minwe sezvo drumsticks , uye zvipikiri ndiro. Akafanana awa girazi.

The chirwere anobatsira pakuongorora murwere, kuunganidza zvichemo. On bhokisi X-ray muenzaniso inooneka cylindrical mhango, zvemapapu atelectasis uye zvinoderedza kukura. Panguva exacerbation rinooneka tishu infiltration. Modern chirwere nzira kubvumira kuti zvakarurama kuona nzvimbo chirwere uye pathological muitiro. Nzira idzi zvinosanganisira kombiyuta tomography, kuurayiwa bronhografii pamwe musiyano. Rinoshandiswa kujekesa kuwanda kwacho uye kuziva nzira yekurapa kana kuvhiya kurapwa.

Bronchiectasis, kurapwa uye fungidziro chirwere

Treatment kunoenderana kwakaita chirwere kwacho, maitikiro nekuomarara exacerbations. Chinangwa marapirwo ndiko normalize kana kuvandudza abudise ishande. Kuti aite izvi, kushandisa bronchodilators. Anopa nokukurumidza dilatation maturo, pakubvisa wheezing uye asima kurwiswa, normalizing gasi exchange. Bronchodilators zvinoshandiswa muchimiro aerosols kuti inhalation. NeMutungamiriri expectorant zvinodhaka. Murwere kunokosha kudzivisa hypothermia, inorema kugarotamba allergens uye zvirwere. Pasina exacerbation zviri kwairayirwa chiitwa kufema. Pane yakatarwa kurovedza kuti kusimbisa muviri, kuti kufema tsandanyama, kunonatsiridza kweropa uye zvaanopa simba racho muviri. Massage muchipfuva tapping (postural abudise) rinokurudzira abudise nani. Panguva exacerbation zvakaoma ishande sputum Árbol kutsvinda uchishandisa bronchoscope. Exacerbations vari kurapwa muchipatara.
Kana dzakawanda maronda siyana zvikamu kana mugove, hypoxia, kuvhiya kurapwa kunoratidzwa. Zvinonzi zvakare kuitwa dzisina bronchiectasis uye mudiki.

The chirwere, pamwe kurapwa, vachinyatsoziva kushanda uye kunaya ari in, kazhinji, ane yakanaka fungidziro.