Abscessed inyumoniya: Oonobangela kunye Iimpawu

inyumoniya Abscessed - sisifo apho kukho ukudumba emiphungeni, kunye nokusekwa bubovu nakujoliso olutsha.

isifo inkcazelo

Isifo ebuhlungu. Kuxhomekeka pathogen kunye ubukhulu izifo iimpawu ziya kwahluka. Kodwa inyumoniya ngokuqhelekileyo abscessed luphawulwa ifiva, kuthibaza. Kwakhona langoku ngexesha Ukhohlokhohlo ukugula. Sokukhutshwa abe livumba ngokungaqhelekanga kunye ubomvu. Xa abantu, ukungabi namdla, ngenxa apho ithe ubunzima. Ukwenza i echanileyo ukuxilongwa X-ray ukukhanya. Unyango emiselweyo ezintsonkothileyo. Isigulane emiselweyo antibiotics. Njengoko kwakunye nezixhobo zokuphuhlisa indlela amajoni omzimba yomntu. Ukuze ususe iindima isahlakalo yinyumoniya ithumba, amisiweyo thoracentesis kunye bronchoscopy okulungisa. Kwakhona amanyathelo zonyango ziquka gemmokorrektsiya extracorporeal ogama UFO igazi kunye hemosorbtion.

inyumoniya Abscessed ithetha ixesha ngexesha pneumonia, xa kukho iindima lubandakanywe kwingxelo ubovu. Uhlobo elinye sifo ithumba semiphunga. Umahluko phakathi kwezi zifo zimbini ukuba ithumba ubofu ekwakhiweni has a ubukhulu becala, kwaye xa kukho ezininzi izilonda ubovu pneumonia encinane.

oonobangela

Kutheni abtsediruyuschaya kwenzeka inyumoniya? Esona sizathu kukuba umzimba kubonakala iintsholongwane kunye amagciwane elibi. Ezi ziquka:

1. Staphylococcus aureus.
2. Pneumobaccillus okanye Klebsiella.
3. Iintlobo ezahlukeneyo enterobacteria.
4. Kubalulekile kwakhona umthombo sifo libe pneumoniae kunye iStreptococcus hemolytic.
5. iintsholongwane anaerobic, peptostrptokokki kukuthi fuzobakterii.

Ezi micro-eziphilayo neentsholongwane kutshabalalisa ijwabu semiphunga. Bona unobangela kwingxelo ubovu.

Indlela iintsholongwane eziyingozi ukungena emiphungeni?

Kuqala kwinto zonke, le ntsholongwane ukungena emiphungeni ukusuka nasopharynx. Oku kwenzeka xa kukho ubovu, ukwenzakala emlonyeni yabantu. Olusemngciphekweni abo ngabemi kakubi ukusetyenziswa kotywala kunye neziyobisi. Kwakhona onesifo ithumba inyumoniya ngabantu abaye ubunzima omzimba, okanye ngubani na ukuphazamiseka engqondweni ubuntu.

umonakalo lung Hematogenous okanye lymphogenous kwenzeka ngenxa kwizifo ezifana:

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

Kwakhona inyumoniya abscessed lunokwenzeka ngenxa yokufunyaniswa kwemizimba angaphandle kweli bronchi kunye nemiphunga nangezilonda. Xa abantu babe nesifo seswekile, isifo igazi nezifo periodontal, sivame ukuxilongwa inyumoniya abscessed. Hour Ukunyangwa amaqela athile amayeza, kunokubangela nesi sifo. Umzekelo, ukusetyenziswa glyukokrtikoidov kunye cytostatics.

Xa ekuxilongweni ithumba inyumoniya, kubalulekile ukwazi ukuba uhlobo iintsholongwane okanye micro-eziphilayo baba umthombo usulelo. Ukutshatyalaliswa inwebu kwemiphunga ngenxa yokuba i-arhente izifo, ezifana Staphylococcus aureus, uqala ukuvelisa izixa ezikhulu zezinto ezinetyhefu. Ngenxa yoko, inani elikhulu nemingxuma nomoya. Ukuba munye kwiziko elinye enkulu, isifo eso kuthiwa ithumba semiphunga.

Ziziphi iimpawu zibonisa ukuba ephilayo ekhoyo inyumoniya abscessed?

Imbali esi sifo iimpawu efanayo eqhelekileyo. Ingakumbi lokuqala sifo. Umntu uqala ukukhohlela, ubushushu bomzimba ukwanda, kukho intlungu kwindawo esifubeni. Ezi ubuhlungu zikholisa zimbi, ingakumbi, weva intlungu xa uphefumla.

Roentgen ibonisa ubukho yesifo semiphunga. Xa abantwana ndonda kunye neurotoxic syndrome. Ukuba umntu uthe wasilela ukuthatha nawaphi na amanyathelo ngenxa unyango, imeko yakhe ibe mandundu kukho nenyumoniya abscessed (ICD-10 J85.1 ikhowudi eyinikwe kwimeko pathogen ekungaqinisekwanga J10-J16 codes ukuba ibanjiwe). Oku kuqinisekisa ukuba isiguli ukunxila. Kukho nangecesina, ubushushu bomzimba liphuma ukuya kutsho kuma-40. Iwela emnyama kunye unesifo kwenzeka. Ukongeza, kukho nokubamba-bamba umphefumlo. Ekubeni ngeli nqanaba kwesi sifo kukho ubofu uluhlu emiphungeni, ngoko loo mntu unalo phlegm kunye nevumba elibi, yaye le nto ndiyibhalayo zokubona. Isigulana ayisebenzi, lisuke labuna ulusu kunye nombala ongwevu, kukho tremens. Kwixesha elizayo, ukuba progrressirovat abscessed inyumoniya, umphunga ithumba iya kubonisa izilayidi.

ukungaphili

Esi sifo kungabangela ezininzi iingxaki ukuba umzimba. Ezi ziquka:

1. Empyema.
2. Unepleurisy.
3. Pneumoempyema.
4. pericarditis ubovu.
5. Mediastinitis.
6. Ubovu samathambo.
7. Nokudumba.

Indlela ukuxilonga inyumoniya?

Okokuqala, umntu buthathaka ukuphefumla, crackles abonakale. Uvavanyo igazi kubonisa ubukho ukudumba emzimbeni - bafumana aphezulu ziiseli zegazi ezimhlophe, ESR kunye SSR.

Ukwenzela ukufumanisa ngokuchanileyo umntu oqeshwe i x-reyi emiphungeni. Kodwa kufuneka wazi ukuba inkqubo inyumoniya ayisoloko ukubonisa emathunjini ubovu. Ngoko ke, ukuze ecaleni okanye ukuqinisekisa inyumoniya abscessed, kufuneka wenze i-WHO esifubeni.

ukuhlolwa oko iza kubonisa ukuyilwa imifanekiso phambi ulwelo kunye negesi. Oku kuya kubonisa inyumoniya ububovu. Kodwa ukuyilwa idata kuba iimpawu izifo ezifana nesifo sephepha kunye nomhlaza wemiphunga. Ngoko ke, ukuze aphephe iimpazamo uxilongo, isigulane wabelwa ukuba avavanyelwe isikhohlela. Kwaye oku kufuneka kwenziwe kathathu. Ukuze uqinisekise okanye ukuphikisa uxilongo. Kuyimfuneko ukuba aqhube isifundo kwi uvakalelo isibulala-zintsholongwane. Ngokuba lo isikhohlela bakposev ethathwe okanye unyango lavage inyumoniya. Maxa wambi ababelwe bronchoscopy ukuqinisekisa uxilongo.

therapy

Xa unyango yinyumoniya, ithumba musa ukusebenzisa ekhoyo lokuqala phantsi olwa ingalo. Ngokubanzi, okokuqala simele sikhumbule enye into: kuyo nayiphi na imeko akukho mfuneko self-medicate. Emva nenyumoniya abscessed kuthathwa sisifo zibi. ivumela kwakhona imbonakalo iingxaki ezahlukeneyo. Ngoko ke, ukuze ukunyanga esi sifo, kufuneka zombini amanyathelo zonyango kwaye ngamanye amaxesha yotyando. Okokuqala, wamisela amachiza, oko ilungiswa ngamnye ukuze isigulane ngasinye. Ingongoma ebalulekileyo kukuba ukukhethwa iziyobisi osekelwe phezu kuhlalutyo efunyenweyo, oko kukuthi indlela umzimba uziva njani antibiotics. Kwakhona ngabanye uzimisele ngeloxesha lokuba besesikolweni kuphela.

Kufuneka ulandele ngenyameko icebiso kagqirha ukuba unesigulo pneumonia abscessed. Iingxaki esi sifo kuba kubi kakhulu.

Amachiza umgangatho ukunyanga ithumba yinyumoniya iziyobisi ezifana "penicillin" + "metronidazole", lincosamides ( "clindamycin", "Lincomycin"), aminopenicillins ( "amoxicillin" / "clavulanate" "Ampicillin" / "Sulbactam") kunye et al. ukuze ukuphelisa suppuration eziko expectorants emisiweyo inhalation.

irejimeni yonyango

Abantu unesifo semiphunga lasekunene-lubangelwe abscessed, kufuneka inkathalelo eyodwa. Okokuqala, kufuneka banike isondlo esifanelekileyo, oko kukuthi, ukutya kunye protein eninzi, izinto yezimbiwa chaza kunye neevithamini. Okwesibini, ukuba imeko yomguli sele buthathaka kakhulu, kuyimfuneko ukuba bamenze ukumnika plasma. Kwakhona ngokudibene ne manyathelo angentla wenziwe ukuxhasa isixokelelwano sokuphefumla.

Bronchoscopy kwenzelwa ukuba ukuphilisa ummandla ubovu. Kusenokufuneka ukuba wenze zokuhlatywa yaye kutsalwe ithumba okanye ukuhlamba lweHo- kubola. Okunye okukhoyo bubungqina kwigalelo-ntsholongwane kunye nee-enzayim. Kukho manani ukuba 15-25 ekhulwini izigulane azikwazi ukumelana nesi sifo. Oku oyintsobi kunokuba phezulu. Kodwa kukho kwakhona amathuba ophezulu recovery kwabantu.

iqela ubungozi

Yinto eyaziwayo ukuba kusoloko kungcono ukuba ukuzisa umzimba wakho ukuba imo ukungahoywa, kungakuhle ukuba nenxaxheba amanyathelo othintelo kunokuba ukuphathwa ngenxa yokugula kakhulu. Kuyimfuneko ke ngoko ukuba ukugcina umzimba wakho zikwimeko okunempilo ukuze ufumane uncedo lonyango ngexesha elifanelekileyo kwimeko nasiphi na isifo. Kukho iqela elithile umngcipheko abantu phantsi kwesi sifo:

1. Abantwana. Bona basengozini. Njengoko amajoni emizimba yabo usaqala. Ngezinga eliphezulu lilonke oko kunokuba abscessed inyumoniya ebantwaneni abathathe antibiotics ixesha elide okanye ubunzima uhlobo yesifo.
2. abantu abadala.
3. Ukuphuza.
4. kutshanje Abantu abathwali ngumkhuhlane kunye izifo ezihlasela zosulele ngokuphefumla wentsholongwane egazini okanye ubunzima kwezi zifo.
5. Internet.
6. Abantu abaye baphathwa zizifo ezingapheliyo zemiphunga kwaye abathwali izifo ezosulelayo.
7. Iintshayi.
8. Udidi abantu abane immunodeficiency.
9. Abo baye unomonzakalo zesifuba, basengozini.
10. Le anomaly i lung ithumba unobangela yinyumoniya kunokwenzeka.
11. Abantu owayefumene utyando.

ukuvimbela

Amanyathelo othintelo abantwana njengoko kogonyo nezifo Pneumococcal. Kuya kufuneka ukhuselwe influenza. Kwakhona kuyenzeka ukuba ukugonyelwa esi sifo. La machiza banikwa ukuba abantu abadala kunye nabantwana. Kufuneka ukusebenzisa nayiphi na isifo, ngokuba baye kwezinye iimeko kakhulu ngakumbi. Lukhuni, indlela yokuphila esempilweni, umthambo, ukuhamba - konke oku kunceda ukomeleza amajoni omzimba kwaye ngenxa yoko, ngenxa yokungabikho nasiphi na isifo. Xa iimpawu zokuqala losuleleko lomzimba, kufuneka bafune unyango ngoko nangoko. Ekubeni ixesha ukunika unyango kuchaphazela ukumimitheka ngokukhawuleza isigulane.

isiphelo

Ngoku uyazi into abscessed inyumoniya. Izinto ezibangela le sifo, esiye sakuphonononga. Kwakhona siya ichaza indlela sifo kubonakala.