Bronchiectasis

bronchiectasis, zizindikiro matenda Kodi ndi mavuto ena ayankhidwa m'nkhaniyi. Bronchiectasis akusonyeza pamaso pa mapapo bronchiectasis (pathologically adasandulika ndi kuzikonzanso sing'anga ndi bronchi zing'onozing'ono). Kuwawonjezera, mu mawonekedwe iwo amafanana zonenepa. Mu asintha mtengo bronchial ndi pafupifupi nthawi zonse azipereka mchitidwe kutupa. The ndondomeko pathological nthawi isanafalikire mu lobes pakati ndipo m'munsi ya mapapu anu.

Bronchiectasis chifukwa mapeto a kobadwa nako anomaly nyumba bronchial (bronchial kulephera chichereŵechereŵe minofu fibrosis, syndrome Kartagener a) chaukali chibayo kuti anatitumiza ana aang'ono. Chifukwa cha matenda angakhale kuchepa kuteteza zimene mtengo bronchial ndi chitetezo cha m'thupi (Popanga madzi a gamma globulin akusowa ndi ntchito phagocytic neri Al.), Komanso anthu ena mu mawonekedwe choopsa cha matenda.

Bronchiectasis m'chilengedwe kungakhale yaikulu kapena sekondale. Chifukwa cha mapindikidwe chachikulu bronchial zambiri kobadwa nako chilema minofu chitukuko kumabweretsa thickening wa nembanemba bronchial. Chosayenerera amapezeka sputum achoke ndipo, chotero, kujowina matenda sekondale. mapindikidwe Secondary kumachitika chifukwa chisokonezo aliyense bronchial ngalande ntchito (zinchito kapena organic). Pamaso pa kutupa zonse aakulu amachititsa amamuyambitsa timabala makoma bronchial.

Bronchiectasis anawona chifuwa pafupipafupi expectoration a purulent sputum. Nthawi zina akulu bronchiectasis popanda exacerbation zimachitika hemoptysis. Inu angamvetsere mpweya okhwima pamene wheezing exacerbation chinyezi chilengedwe. Chifukwa osauka kuwombola mpweya mpanda m'mapapo, wodwalayo mu hypoxia zonse. La makhalidwe ake ndi mawonetseredwe kunja kusintha kwa zala monga drumsticks , ndi mbale misomali. Iwo amafanana ola galasi.

matenda amathandiza mosamala mtima, kusonkhanitsa madandaulo. Pa chifuwa X-ray chitsanzo kuonekera cylindrical M'mimbamo, m'mapapo atelectasis ndi kuchepetsa kukula. Pa exacerbation minofu kuonekera kusalola. Njira zamakono matenda kulola molondola kudziwa malo matenda ndi ndondomeko pathological. Njirazi ndi monga kompyuta tomography, kuphedwa bronhografii ndi Mosiyana. Izo ntchito kulongosola kuchuluka kwa ndondomekoyi ndi kudziwa machenjerero a mankhwala kapena opaleshoni.

Bronchiectasis, mankhwala ndi madokotala ananena zawo za matendawa

Chithandizo kumatengera ndi kufala kwa ndondomeko matenda, pafupipafupi ndiponso azikhala exacerbations. Cholinga cha mankhwala ndi kuteteza matenda kapena kusintha ntchito ngalande. Kuchita izi, ntchito bronchodilators. Iwo amapereka mofulumira dilatation tingati kuchotsa wheezing ndi mphumu kuukira, normalizing mpweya kuwombola. Bronchodilators ntchito mu mawonekedwe a aerosols kwa inhalation. Kuikidwa ndi mankhwala expectorant. Wodwala N'kofunika kupewa hypothermia, katundu wolemera, kukhudzana allergens ndi matenda. Popanda exacerbation ndi lamulo kuchita kupuma kokoka. Pali ya Zochita zolimbitsa thupi, minofu kupuma, bwino magazi ndi imayendetsa kagayidwe. Kutikita pachifuwa ndi pogogoda (postural ngalande) amalimbikitsa bwino ngalande. Pa exacerbation zovuta ntchito sputum bronchial ukhondo ntchito bronchoscope. Exacerbations asonyezedwa m'chipatala.
Ngati zotupa kwambiri zigawo angapo kapena kugawa, hypoxia, chithandizo opaleshoni kukuonetsedwa. Iwo anagwiritsanso ndi bronchiectasis zochepa ndipo wamng'ono.

Matendawa, ndi mankhwalawa ntchito yake ndi konzanso wa cavities, mu nthawi zambiri, ali ndi madokotala ananena zawo zabwino.