Abscessed inyumoniya: Izimbangela Nezingozi Izimpawu

inyumoniya Abscessed - yisifo lapho kukhona ukuvuvukala emaphashini, ephelezelwa ukwakheka kobovu foci.

incazelo isifo

Lesi sifo kwakukhungathekisa kakhulu. Kuye lwegciwane nokugasela isifo futhi izimpawu kuzohluka. Kodwa i-pneumonia ngokuvamile abscessed libhekene imfiva, Ukugodola. Futhi khona ngesikhathi ukukhwehlela ukugula. Ukuchithwa has a iphunga eyinqaba futhi ubomvu. Kubantu, ukungakuthandi ukudla, ngenxa ngalo eqala ukuzaca. Ukushaya olunembile uphethwe-X-ray ukukhanya. Ukwelashwa ezinqunyiwe eziyinkimbinkimbi. Isiguli esasibekelwe antibiotic. Kanye namathuluzi ezithuthukisa omzimba umuntu. Ukuze ususe emaphaketheni nesenzakalo pneumonia ithumba, thoracentesis futhi bronchoscopy zokulungisa esimisiwe. Futhi e izinyathelo zokwelapha zihlanganisa gemmokorrektsiya extracorporeal okuthiwa Ufo Bloods futhi hemosorbtion.

inyumoniya Abscessed kusho isikhathi ngesikhathi i-pneumonia, lapho kukhona ekhukhwini okuvela zokwakheka ubovu. Imvelo efanayo lesi sifo wamaphaphu ithumba. Umehluko phakathi lezi zifo ezimbili wukuthi e ukusika ithumba ubomvu kumiswa has a ububanzi esikhulu, futhi uma kukhona sebuningini ubovu inyumoniya izilonda ezincane.

izimbangela

Kungani abtsediruyuschaya inyumoniya zenzeka? Imbangela enkulu wukuthi umzimba livela amagciwane senzondo nezinto ezincane eziphilayo. Lezi zihlanganisa:

1. Staphylococcus aureus.
2. Pneumobaccillus noma Klebsiella.
3. Imihlobo ehlukeneko enterobacteria.
4. Kuphinde futhi kube umthombo sifo angase abe pneumoniae futhi streptococcus hemolytic.
5. amagciwane anaerobic, peptostrptokokki okungukuthi fuzobakterii.

Lezi ezincane-eziphilayo namagciwane ukubhubhisa wamaphaphu izicubu. Yimbangela indlela okwakheke ngayo ubovu.

Kanjani amagciwane ayingozi ufaka emaphashini?

Okokuqala, la magciwane angangena emaphashini kusukela nasopharynx. Lokhu kwenzeka uma kukhona ubovu izilonda emlonyeni womuntu. Engozini yilawo izakhamuzi labahlukumeta utshwala nezidakamizwa. Futhi elinegciwane ithumba pneumonia abantu abaye babhekana ukushaywa unhlangothi noma ubani isifo sengqondo sobuntu.

umonakalo wamaphaphu Hematogenous noma lymphogenous kwenzeka ngenxa izifo ezifana:

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

Futhi i-pneumonia abscessed singenzeka ngenxa nokuthola izidumbu angaphandle bronchi kanye wamaphaphu izimila. Ngo abantu abanesifo sikashukela, isifo igazi isifo periodontal, ngokuvamile kutholakala ukuthi uphethwe i-pneumonia abscessed. Ihora Ukwelashwa amaqembu athile emithi, kungabangela lesi sifo. Ngokwesibonelo, ukusetshenziswa glyukokrtikoidov futhi cytostatics.

Lapho kuhlolwa ithumba inyumoniya, kubalulekile ukwazi ukuthi hlobo luni amagciwane noma ezincane-eziphilayo, baba umthombo ukutheleleka. Ukubhujiswa nezicubu wamaphaphu ngenxa yokuthi i-ejenti zezifo, ezifana Staphylococcus aureus, iqala ukukhiqiza esiningi ezinobuthi. Ngenxa yalokhu, inani elikhulu izimbotshana nomoya. Uma baba ihlangana zibe isikhungo esisodwa esikhulu, leso sifo ibizwa ngokuthi ithumba wamaphaphu.

Yiziphi izimpawu zibonisa ukuthi umzimba likhona inyumoniya abscessed?

Umlando isifo has izimpawu ezifanayo njengoba evamile. Ikakhulukazi lapho besanda kuqala lesi sifo. Umuntu uqala ukukhwehlela, kukhuphuke izinga lokushisa komzimba, kukhona ubuhlungu endaweni esifubeni. Lezi ubuhlungu bavame ukuba isimo sibe sibi nakakhulu, ikakhulukazi, wabuzwa ubuhlungu lapho ukuphefumula.

Roentgen kubonisa khona isifo samaphaphu. Ngo izingane zingase ndonda futhi Neurotoxic syndrome. Uma umuntu ehluleka ukuthatha noma yisiphi izinyathelo ngoba impatho, isimo sakhe siya siba sibi kakhulu futhi kukhona i-pneumonia abscessed (ICD-10 code J85.1 eyabelwe yona endabeni lwegciwane elingacacisiwe futhi J10-J16 amakhodi uma etholakele). Lokhu kuqinisekisa ukuthi isiguli ukudakwa. Kukhona imfiva, izinga lokushisa emzimbeni antante 40 degrees. Futhi uwela esesuthi ukuzincisha kwenzeka. Ngaphezu kwalokho, kukhona iphika. Kusukela ngalesi nesigaba lesi sifo kukhona ubomvu kumiswa emaphashini ke lowo muntu unamakhono phlegm nge iphunga ezingemnandi, bese-ke yakhiwa zokubona. Isiguli ongasebenzi, ukuphaphatheka isikhumba nge grey luhlaza, kukhona delirium. Esikhathini esizayo, uma progrressirovat abscessed inyumoniya, iphaphu ithumba sizobonisa amaslayidi.

yezinkinga

Lesi sifo kungabangela inombolo yezinkinga ingeyomzimba. Lezi zihlanganisa:

1. Empyema.
2. Pleurisy.
3. Pneumoempyema.
4. Ubovu pericarditis.
5. Mediastinitis.
6. Ubovu Arthritis.
7. Sepsis.

Indlela ukuxilonga i-pneumonia?

Okokuqala, umuntu uba buthakathaka ukuphefumula, crackles ukuvela. Ukuhlolwa kwegazi kubonisa khona ukuvuvukala emzimbeni - wazibonela amazinga aphezulu wamangqamuzana egazi amhlophe, ESR kanye SSR.

Ukuze ukuxilonga ngokunembile umuntu oqokwe i x-ray kwamaphaphu. Kodwa kufanele wazi ukuthi inqubo inyumoniya akusho ngaso sonke isikhathi abonise ubovu izilonda. Ngakho-ke, ukuze ngakususi noma uqinisekise i-pneumonia abscessed, kumelwe wenze i-WHO esifubeni.

ukuhlolwa okunjalo kuzobonisa kumiswa izithombe khona okusamanzi kanye negesi. Lokhu kuzobonisa inyumoniya ithumba. Kodwa kumiswa idatha nakho kungaba izimpawu zezifo ezifana nesifo sofuba kanye nomdlavuza wamaphaphu. Ngakho-ke, ukuze ugweme amaphutha uphethwe, isiguli inikezwa ukuthi zihlolelwe isikhwehlela. Futhi lokhu kufanele kwenziwe kathathu. Ukuqinisekisa noma ukuphikisa uphethwe. Kuyadingeka azokuqhubela isifundo nozwela-antibiotic. Ngenxa yalesi kuthathwe bakposev isikhwehlela noma bronchial ukwelashwa lavage. Ngezinye izikhathi enikezwe bronchoscopy ukuqinisekisa uphethwe.

Ukwelapha

In the ukwelashwa i-pneumonia, ithumba ungasebenzisi itholakale kuqala ngaphansi-antibiotic ingalo. Ngokuvamile, kuqala kunazo zonke kumelwe sikhumbule into eyodwa: noma kunjalo akudingekile ukuzithiba medicate. Ngemva inyumoniya abscessed kubhekwa isifo inzima. kubuye ukubukeka yezinkinga ezihlukahlukene. Ngakho-ke, ukuze lesi sifo, idinga kokubili izinyathelo zokwelapha futhi ngezinye izikhathi kuhlinzwa. Okokuqala, yamisa Yiqiniso kwamaphilisi, it is kushintshwe ngamunye isiguli ngasinye. Iphuzu elibalulekile ukuthi ukukhethwa izidakamizwa inikezwa esekelwe ukuhlaziywa etholwe, okungukuthi kanjani umzimba iphendula antibiotic. Futhi ngamunye kunqunywa ubude course.

Udinga ukulandela ngokucophelela iseluleko udokotela uma ziye kwatholakala ukuthi unesifo samakhaza abscessed. Izinkinga yalesi sifo Ingaba yinto engathí sina kakhulu.

Izidakamizwa ejwayelekile ekwelapheni ithumba inyumoniya yizidakamizwa ezifana "penicillin" + "metronidazole", lincosamides ( "clindamycin", "Lincomycin"), aminopenicillins ( "amoxicillin" / "clavulanate" "Ampicillin" / "Sulbactam") futhi et al. ukuze kuqedwe suppuration kwemizi expectorants ezimisiwe nemikhawulo lapho ephefumula.

ukwelashwa lwemithi

Abantu ukuthi nginesifo abscessed inyumoniya kwesokudla Emaceleni, zidinga ukunakekelwa okukhethekile. Okokuqala, kufanele abenzele umsoco ofanele, okungukuthi ukudla amaprotheni eliphezulu, izakhi yezimbiwa trace kanye amavithamini. Okwesibili, uma isimo lesiguli sesibuthakathaka kakhulu, kubalulekile ukwenza kwakhe ukumnika plasma. Futhi ngokuhlanganyela ezingenhla eyenziwa ukusekela umgudu wokuphefumula.

Bronchoscopy kwenzelwa sanitize zone ubovu. Ungase udinge wenze wokubhoboza kanye amanzi ka ithumba noma ukugeza ingaphakathi nge isinqandakuvunda. Futhi iyatholakala kukhona ubufakazi okokufaka kwamaphilisi kanye enzyme. Kukhona izibalo ukuthi amaphesenti 15-25 iziguli azikwazi ukubhekana nalesi sifo. Lena sibalo kunalokho okusezingeni eliphezulu. Kodwa kukhona awokuthi yokutakula abantu.

iqembu ingozi

Kuyaziwa ukuthi kungcono hhayi ukuletha umzimba wakho esimweni sokunganakwa, unomphela, kuyatuseka ukuba bahlanganyele izinyathelo zokuvimbela kuka ukulashelwa isifo esiyingozi kakhulu. Ngakho-ke kudingekile ukuba silondoloze umzimba wakho usesimweni enempilo futhi ukuthola usizo lwezokwelapha ngesikhathi esifanele uma yisiphi isifo. Kukhona iqembu elithile ingozi abantu abaphinde babophezeleke ngaphansi kwalesi sifo:

1. Izingane. Basengozini. Njengoba isimiso somzimba sokuzivikela ezifweni kuyinto kwezokunyathelisa. Nge ngezinga eliphezulu okungenzeka kungaba abscessed inyumoniya ezinganeni ezathatha imithi isikhathi eside noma baye bahlupheka ezinye uhlobo isifo.
2. Abantu abadala.
3. Alcoholics.
4. Abantu abenza lo umkhuhlane ne-acute izifo zokuphefumula viral noma muva ngiye ngahlushwa lezi zifo.
5. Imilutha.
6. Abantu abanale izifo zokuphefumula futhi abathwali izifo ezithathelwanayo.
7. Abantu ababhemayo.
8. Isigaba abantu immunodeficiency.
9. Labo abaye ukulimala esifubeni, basengozini.
10. I anomaly kuyinto wamaphaphu ithumba Imbangela okungaba i-pneumonia.
11. Abantu ababeka efike wahlinzwa khona.

zokuvimbela

Izinyathelo izingane zimi yokugoma Pneumococcal izifo. It kufanele bavikeleke Umkhuhlane. Kungenzeka futhi ukuba zigonyelwe lesi sifo. Lezi yokugoma inikezwa kokubili abadala kanye nezingane. Kufanele ugijime yimuphi lesi sifo, ngoba ungaya Kwezinye izimo ezimbi kakhulu. Lukhuni, enempilo, umsebenzi, ukuhamba - konke lokhu kusiza ukuqinisa amasosha omzimba futhi ngenxa yalokho, uma zingekho isifo. Lapho izimpawu zokuqala ukutheleleka yomzimba, kufanele afune usizo lwezokwelapha ngokushesha. Njengoba isikhathi ukunakekela okuhle kwezokwelapha kuthinta kwelulama isiguli.

isiphetho

Manje uyazi ukuthi abscessed nenyumoniya. Izimbangela yalesi sifo, siye sibuyekezwe. Siphinde uchaze ukuthi isifo kubonakala.