Bronchoalveolitis

Mogwirizana chibayo - matenda omwe amakhala ndi chizindikiro cha kutupa m'mapapo minofu. Ndi mbali zosiyanasiyana etiological, pathogenetic, zizindikiro matenda. Mbali khalidwe la matenda ndi mmene zochepa za m'mapapo kutupa, acinar kapena gawo.

Mogwirizana chibayo zambiri chifukwa cha mavuto a matenda ena (mwachitsanzo, pamene patsogolo magazi aziyenda m'mapapo mwanga amapezeka hypostatic chibayo) kapena paokha. The citukuko akuyamba ndi bronchi, motero amatchedwa bronchopneumonia.

Matendawa zimagawidwa malingana ndi kuopsa kwa yotupa foci. Malinga ndi chibayo mfundo lagawidwa focal kakang'ono, pamene lalikulu ndi kuda. Nthawi zambiri ndondomeko isanafalikire mu lobules ya phapo mu gawo makamaka. Pankhaniyi, minofu yachibadwa zigawo Njira ndi pathological yotupa foci.

Lobular chibayo amapezeka pansi zochita za tizilombo toyambitsa matenda alionse: Staphylococci, Streptococci, Pneumococci, Proteus, Legionella, E. coli, mabakiteriya anaerobic, mogwirizana, mycoplasma, chlamydia, mavairasi.

Tizilombo toyambitsa matenda kulowa mu minofu m'mapapo makamaka ndi bronchogenic. Hematogenous ndi lymphogenous njira khalidwe la chibayo yachiwiri, chimene kusokoneza nthawi ya chikhalidwe chimapangitsa pathological. Wofalitsa tizilombo ikuchitika mchikakamizo cha zinthu chokhwima kuti kuchepetsa zoteteza ntchito ya bronchial dongosolo zozitetezera. Zikuphatikizapo hypothermia, kusuta, nkhawa, inhalation wa poizoni.

Khalidwe njira yotupa zimadalira katundu wa wothandizila opatsirana, mlingo wa chisokonezo cha magazi aziyenda bwino mu chotupa, ndi bakiteriya boma.

Mogwirizana chibayo ali variable matenda chithunzi. Matendawa akhoza kuyamba pang'onopang'ono, pachimake. Zikatero, pali nyamuka lakuthwa kutentha, kuzizira. ambiri amadandaula odwala ndi chifuwa, kumene kungakhale youma, yonyowa ndi kutulutsidwa kwa zedi chapadera cha sputum kwa ululu pachifuwa, mofulumira kupuma, kufooka ambiri.

auscultation ndi percussion: zotsatirazi njira zoimbidwa ntchito matenda a matenda. Yoyamba njira amathandiza kumvera chikhalidwe cha kupuma ndi kusintha izo. Pamaso pa chibayo pachimake anatsimikiza rales sonorous. Kupuma Choncho afika khalidwe lolimba. Pamene percussion blunting m'madera amadziŵika, zomwe taphunzira ndi malo a minofu wathanzi. Inalowa pleurisy amachititsa maonekedwe a phokoso pathologic pleural kukhululukirana.

Zasayansi maphunziro anatsimikiza kuwonjezeka neutrophils mu magazi, kuchuluka ESR.

Pachimake chibayo zofuna mwamsanga mankhwala, chifukwa nthawi zambiri iwo anagwirizana mavuto nthawi zambiri zimayambitsa ndi kuwonongeka kwambiri ya boma zinchito. Chithandizo cha matenda ndi zovuta. Kumafuna kulimbana ndi toxemia ndi matenda, kuwonongedwa kwa kulephera kupuma, kubwezeretsa limba ntchito, kuwonjezera chitetezo cha mthupi. Kusankha mankhwala zachokera osati chikhalidwe cha matenda chachikulu, komanso pamaso pa zinthu co-kuvulazidwa.

chithandizo Basic mfundo mankhwala, lomwe ndi mbali lofunika ankaimba ndi mankhwala ali motere: pa matenda chithandizo akuyamba, kudziwa mtundu wa tizilomboto limapangidwa zikutanthauza sipekitiramu yotakata kanthu. Pambuyo mafotokozedwe a etiology ndi kudziwa zenizeni matenda wothandizila cupping chibayo amapeza lingaliro yosiyana. Anamuika ochepa wothandizila antibacterial kuti ndi njira zofanana pa ntchito ndi yopapatiza. Chithandizo bronchopneumonia ndi yake ndi zomveka kusankha mankhwala itha nthawi zikutanthauza la masiku asanu ndi awiri.