Sioneka chibayo dera anapeza

Chibayo - ndi kukhalapo kutupa mu mapapo. Dzina la nthendayi "ammudzi anapeza chibayo" akusonyeza kuti chifukwa cha kukhudzana kwa etiologic zinthu kunja chipatala. Kutupa pansi parenchyma m'mapapo mwanga, ndi m'mapapo anakhudzidwa akhale amodzi, kapena kachigawo ka gawo ake. Ngati ndondomeko amatenda mapapo onse, ndiye matenda lidzalira - ziwiri chibayo dera zinazake.

The zimayambitsa matenda

Chifukwa cha kutupa kungakhale zosiyanasiyana tizilombo, bowa, mavairasi. Mwa zambiri: streptococci, pneumococci, ndi staphylo-, Klebsiella, fuluwenza ndi parainfluenza mavairasi, mycoplasmas ndi tizilombo toyambitsa matenda ena. Ndi matenda zingachititse chifooke chitetezo chokwanira, hypothermia kwambiri, nthawi yaitali komanso kukhudzana zonse mankhwala woopsawo kuntchito. chibayo Community-anapeza angathe kukhala vuto la matenda yotupa wa chapamwamba kupuma thirakiti (tracheitis, matenda , etc.) Ndipo pamaso pa matupi awo sagwirizana kutengera za chamoyo.

The pathogenesis matenda otsatirawa: tizilomboto kapena mpweya kulowerera mu nsalu ndi m'mapapo hematogenous akuyamba zikuchulukirachulukira. Izi ntchito ndi katulutsidwe bronchial ndi madzi anapanga chifukwa cha kutupa kwa lobes m'mapapo. The yofunika ankaimba ndi zimene immunological kukhalapo kwa kuwonongeka minofu. Pamene matenda tizilombo kungavute ndi chibayo inalowa tizilombo toyambitsa. Iye zambiri akulowa masiku asanu ndi khumi pambuyo chiyambi cha matenda tizilombo, motsutsa likhale kufooka kwake chitetezo cha m'thupi ndipo utachepa ntchito antibacterial a dongosolo macrophage a m'mapapo. Matenda chibayo dera anapeza akuluakulu ingakhalepo sanamalize mankhwala a mtundu pachimake.

Chipatala kuwonekera kwa matenda

Lobar chibayo ndi pachimake ndipo mofulumira isanayambike. Kawirikawiri matenda kumayambika ndi supercooling chamoyo, ndiye pali kuzizira amphamvu ndi thupi mkulu kutentha kufika 41 ° C. Akuti chifuwa youma, imene mtima anadandaula za ululu chifuwa ku mbali akhudzidwa. Kenako pali purulent, dzimbiri sputum. Wodwala akumva zoipa, wotumbululuka khungu kapena zina cyanotic chifukwa cha minofu hypoxia. Kupuma pafupipafupi ndi chabe, kutenga nawo mbali minofu kwambiri. Pa milomo ndi nembanemba ena mucous kungakhale nsungu. Kuwaona ku thorax ndi dzanja akhudzidwa kumbuyo kupuma, auscultation mpweya wofooka. Kugunda pafupipafupi, kuthamanga ndi chizolowezi hypotension. Mu magazi, leukocytosis mkulu ndi ESR. The zithunzi za gawo bwanji Tingaone mdima kwathunthu.

Kuphatikiza chibayo tizilombo tizilombo toyambitsa kwambiri impairs alili. Kufupika kwa mpweya kumachitika ndi kulephera kupuma ndipo poizoni syndrome mantha.

Matenda, chapamwamba kupuma thirakiti matenda ambiri mogwirizana matenda a m'mapapo. Chotero chibayo dera anapeza komanso umayamba ndi kuwonjezeka kutentha, koma chonse osati monga katundu monga kutupa croupous. Komanso, pali chifuwa, poyamba youma, ndiye ndi phlegm.

chibayo tizilombo ndi chipatala wapadera. Mu kuledzera kwambiri, kutentha, matenda, zotupa matenda airway cholinga si chitaperekedwa ndi pokhapokha ngati kuona zina mukhoza kukonza matenda.

Zovuta za matenda angakhale effusion pleural, pneumothorax, abscess mapangidwe, matenda yotupa kachitidwe ena a m'thupi.

Monga chibayo dera anapeza matenda? mankhwala a matenda

Matendawa zachokera deta khalidwe madandaulo kuyendera ntchito maphunziro zasayansi (magazi, sputum ndi kubzala ndi mtima wa tilinazo opha tizilombo), chifuwa X-ray Kupenda spirography. Nthawi yovuta kungafune yopangidwa tomography.

mitundu ofatsa a chibayo angachiritsidwe kunyumba moyang'aniridwa ndi dokotala. Mitundu ina asonyezedwa m'chipatala. Mokakamizidwa zikuluzikulu za mankhwala ndi mankhwala. Iwo ntchito polingalira tilinazo tizilomboto lapansi. Pa nthawi yomweyo, cholinga cha detoxification ikuchitika kulowetsedwa mankhwala zoikidwa ndi mankhwala a antihistamine ndi mankhwala expectorant, multivitamins. Kugwiritsa ndi physiotherapy, kupuma kokoka.