Abscessed chibayo: Zoyambitsa ndi Zizindikiro

Abscessed chibayo - ndi matenda amene pali kutupa mu mapapo, limodzi ndi mapangidwe mafinya foci.

Kufotokozera matenda

matenda ndi choopsa. Malinga tizilomboto ndi matenda mwamphamvu ndi zizindikiro zingasiyane. Koma kawirikawiri abscessed chibayo amakhala ndi malungo, kuzizira. Enanso pa matenda chifuwa. Kumaliseche ali ndi fungo kwachirendo ndi mafinya. Anthu, kusowa chilakolako chifukwa chimene wotaya kulemera. Kuti molondola matenda X-ray kuwala. Chithandizo Kwalamulidwa zovuta. Wodwalayo anali Kwalamulidwa mankhwala. Komanso zipangizo kuti patsogolo chitetezo cha m'thupi la munthu. Pofuna kuchotsa matumba a yatsoka ndi chibayo abscess, woikidwa thoracentesis ndi kukonza bronchoscopy. Komanso mu miyeso achire monga gemmokorrektsiya extracorporeal dzina lake UFO bloods ndi hemosorbtion.

Abscessed chibayo zikusonyeza kuti nthawi pa chibayo, pamene pali m'matumba a pakutchulidwa a purulent formations. Chikhalidwe chomwecho cha matenda ndi m'mapapo abscess. Kusiyana matenda awiriwa ali kuti abscess mafinya mapangidwe ali ndi awiri aakulu, ndipo pamene pali kuchuluka kwa purulent chibayo zotupa yaing'ono.

zimayambitsa

Chifukwa abtsediruyuschaya chibayo zimachitika? Chifukwa chachikulu ndicho kuti thupi limapezeka mabakiteriya oipa ndi tizilombo. Njirazi ndi monga:

1. Staphylococcus aureus.
2. Pneumobaccillus kapena Klebsiella.
3. losiyanasiyana enterobacteria.
4. Ndi gwero la matenda angakhale pneumoniae ndi hemolytic streptococcus.
5. Anaerobic mabakiteriya, ndicho fuzobakterii peptostrptokokki.

Izi yaying'ono-zamoyo ndi tizilombo kuwononga m'mapapo minofu. Iwo ndi chifukwa purulent formations.

Kodi tizilombo toyambitsa matenda kulowa mapapo?

Choyamba, mabakiteriya awa akhoza kulowa mapapo ku nasopharynx lapansi. Izi zimachitika ngati pali purulent zotupa pa kamwa anthu. Pachiopsezo ndi anthu nzika amene amamwa mowa ndi mankhwala. Komanso kachilombo abscess chibayo anthu amene akuvutika sitiroko, kapena amene ali ndi matenda a maganizo a umunthu.

Hematogenous m'mapapo kuwonongeka kapena lymphogenous zimachitika chifukwa matenda monga:

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

Komanso abscessed chibayo angayambe chifukwa kupeza matupi zakunja mu bronchi ndi m'mapapo zotupa. Anthu amene ali ndi matenda a shuga, matenda magazi ndi matenda periodontal, nthawi zambiri matenda chibayo abscessed. Ola Chithandizo ndi magulu ena a mankhwala, zingachititse matenda. Mwachitsanzo, ntchito glyukokrtikoidov ndi cytostatics.

Pamene Kupeza Vuto abscess chibayo, ndikofunika kudziwa mtundu wanji mabakiteriya kapena yaying'ono-zamoyo akhala gwero la matenda. Kuwonongedwa kwa minofu ya m'mapapo chifukwa chakuti nthumwi za matenda, monga Staphylococcus aureus, imayamba kutulutsa yambiri poizoni. Chifukwa cha zimenezi, ambiri cavities wodzazidwa ndi mpweya. Ngati iwo kuphatikiza mu malo lina lalikulu, matenda amenewa amatchedwa m'mapapo abscess.

Kodi zizindikiro zikusonyeza kuti chamoyo alipo abscessed chibayo?

Mbiri ya matenda ali ndi zizindikiro zofanana monga yachibadwa. Makamaka pa siteji koyamba za matendawa. munthu wayamba kutsokomola, kuchuluka thupi kutentha, pali ululu m'dera pachifuwa. Izi ululu n'zomwe zachititsanso, makamaka, anamva ululu pamene kupuma.

Roentgen akusonyeza pamaso pa matenda a m'mapapo. Ana akhoza wheeze ndi matenda neurotoxic. Ngati munthu akulephera njira iliyonse kuchipatalako, chikhalidwe chake likuipiraipira ndipo pali abscessed chibayo (ICD-10 kachidindo J85.1 anatumizidwa mu nkhani ya zizindikiro mosadziwika tizilomboto ndipo J10-J16 ngati wapezeka). Izi zipangitsa kuti wodwalayo kuledzera. Pali malungo, kutentha thupi limatuluka digiri 40. Komanso kugwa kudya ndi matenda a anorexia amapezeka. Komanso, pali kupuma movutikira. Kuyambira panthawi imeneyi ya matenda pali mafinya mapangidwe mu mapapo, ndiye munthu ali ndi phlegm ndi fungo, ndipo wapangidwa zoonera. Wodwalayo wofooka, wotumbululuka khungu ndi azioneka imvi, pali kuona zilubwelubwe. M'tsogolo, ngati progrressirovat abscessed chibayo, m'mapapo abscess kukuwonetsani zithunzi.

zosokonezeka

matenda Zimenezi zingachititse angapo mavuto thupi. Njirazi ndi monga:

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

Kodi matenda chibayo?

Choyamba, munthu wofooka kupuma, crackles kuonekera. A magazi limasonyeza pamaso kutupa mu thupi - anakumana milingo apamwamba maselo oyera, ESR ndi SSR.

Pofuna molondola oterewa munthu anasankha munthu x-ray a m'mapapo. Koma muyenera kudziwa kuti ndondomeko chibayo sikuti kusonyeza purulent zotupa. Choncho, pofuna kuti achotse kapena kutsimikizira ndi chibayo abscessed, Upange WHO pachifuwa.

anayendera koteroko kudzasonyeza mapangidwe zithunzi ndi kukhalapo kwa madzi ndi mpweya. Izi zisonyeza chibayo abscess. Koma mapangidwe deta akhoza kukhala zizindikiro za matenda monga chifuwa chachikulu ndi khansa ya m'mapapo. Choncho, pofuna kupewa ku matenda, mtima ulipo kuti aone sputum. Ndipo zimenezi ziyenera kuchitidwa katatu. Kutsimikiza kapena kutsutsa matenda. M'pofunikanso kuti aziphunzira naye pa tilinazo mankhwala. Pakuti kale bakposev sputum kapena bronchial lavage chithandizo. Nthawi imene bronchoscopy kutsimikiza matenda.

mankhwala

Mu mankhwala a chibayo, abscess sagwiritsa ntchito yoyamba kupezeka pansi mankhwala dzanja. Ambiri, poyamba pa zonse tiyenera kukumbukira chinthu chimodzi: Mulimonsemo si koyenera kudzimvera medicate. Pambuyo chibayo abscessed imatengedwa matenda aakulu. komanso zimathandiza maonekedwe a mavuto osiyanasiyana. Choncho, pofuna kuchiza matenda, pamafunika miyeso onse achire ndi zina opaleshoni. Choyamba, anasankha njira ya mankhwala kuti kusintha munthu mmodzi wodwala aliyense. Mfundo yofunika ndi kusankha mankhwala akapatsidwa zochokera kusanthula analandira ndicho mmene thupi sagwirizana mankhwala. Komanso payekha anatsimikiza nthawi ya maphunzirowa.

Muyenera amatsatira malangizo a dokotala ngati mwakhala anapezeka ndi chibayo abscessed. Zovuta za matenda zikhoza kukhala zoopsa kwambiri.

The mankhwala muyezo pa matenda a chibayo abscess ndi mankhwala monga "Penicillin" + "chimwereni metronidazole", lincosamides ( "clindamycin", "Lincomycin"), aminopenicillins ( "amoxicillin" / "clavulanate" "Ampicillin" / "Sulbactam") ndi neri Al. pofuna kuthetsa suppuration moto yoikidwiratu expectorants ndi inhalation.

chithandizo kamwedwe

Anthu anapezeka ndi abscessed chibayo bwino-kumbali, amafuna kusamalidwa. Choyamba, tiyenera kupeza zakudya zoyenerera, ndicho chakudya ndi mapuloteni mkulu, mchere kufufuza zinthu ndi mavitamini. Chachiwiri, ngati mmene alili lafooka kwambiri, m'pofunika kuti iye plasma kulowetsedwa. Komanso molumikizana ndi miyezo ya pamwamba ikuchitika kuthandiza dongosolo kupuma.

Bronchoscopy timachitira ndi sanitize ndi purulent nthambi. Mungafunike kupanga puncture ndi ngalande za abscess kapena kutsuka M'mimbamo ndi antiseptic. Likupezeka ndi umboni Muzifunsa mankhwala ndi michere. Pali kuwirikiza kawiri peresenti 15-25 odwala sangathe kulimbana ndi matenda. Ichi ndi m'malo okwezeka chithunzi. Koma palinso mkulu Mwina wa kuchira anthu.

gulu chiopsezo

Izo ziri zodziwika bwino kuti nthawi zonse bwino kubweretsa thupi lanu ku mkhalidwe kunyalanyaza, ndi zofunika kuchita zodzitetezera kuposa mankhwala kwa matenda aakulu. Choncho ndikofunikira kukhala thupi lanu mu chikhalidwe wathanzi ndi kupeza thandizo kuchipatala yake vuto la matenda aliwonse. Pali ena pangozi gulu la anthu amene imvera matenda:

1. Ana. Iwo ali pa chiopsezo. Pamene kachitidwe kawo m'thupi ndi mu Chiyambi chake. Ndi digiri yapamwamba ya Mwina zingakhale abscessed chibayo ana amene anatenga mankhwala kwa nthawi yaitali kapena zowawa mtundu wina wa matenda.
2. Okalamba anthu.
3. Zidakwa.
4. Anthu amene kunyamula chimfine ndi matenda pachimake kupuma tizilombo posachedwapa anadwala matenda amenewa.
5. Osokoneza bongo.
6. Anthu amene ali ndi matenda aakulu kupuma ndipo ali ndi matenda opatsirana.
7. Osuta.
8. Category wa anthu ndi immunodeficiency.
9. Omwe anali kuvulala pachifuwa, ali pa chiopsezo.
10. The anomaly ndi m'mapapo abscess zotheka chifukwa cha chibayo.
11. Anthu amene opaleshoni.

kupewa

zodzitetezera ana ali monga katemera matenda pneumococcal. Iwo ayenera kutetezedwa fuluwenza. Ndi zotheka kuti katemera matenda. katemera Izi zaperekedwa kwa akulu ndi ana omwe. Muyenera kuthamanga uliwonse wa matenda, chifukwa iwo akhoza kupita zina kwambiri. Kuumitsa, moyo wathanzi thupi, kuyenda - zonse zimathandiza kulimbitsa chitetezo cha m'thupi ndipo Motero, pakalibe matenda aliwonse. Pamene zizindikiro woyamba wa matenda a thupi, tiyenera kufunafuna chithandizo mwamsanga. Popeza nthawi kupereka chithandizo amakhudza kuchira othamanga wa wodwalayo.

Pomaliza

Tsopano inu mukudziwa zomwe abscessed chibayo. Zimayambitsa matenda, ife akufotokozedwa. Ife kufotokoza mmene matenda kumaonekera.