Chithandizo cha chibayo akuluakulu: mfundo ndi mankhwala

Chibayo otchedwa kakulidwe ka kusintha yotupa mu minofu ya m'mapapo. Izi ndi chifukwa ingress wa tizilombo (makamaka mabakiteriya, koma pangakhale mavairasi, ndi bowa) m'njira zosiyanasiyana. chibayo zoopsa kuti mnjira kuwombola mpweya ndi wazimitsa kwambiri kapena zochepa yaikulu gawo la m'mapapo, amene amachepetsa kotunga mpweya zimakhala ndi. Komanso, thupi poizoni mankhwala a kutupa ndi chiwonongeko cha m'mapapo parenchyma.

Chibayo angathe:

- m'deralo (chibayo amenewa amatchedwa "dera anapeza");

- munthu akulandira mankhwala mu chipatala za matenda ena aliwonse;

- adanyamuka chifukwa matenda a ubongo (khunyu, imfa ya chikumbumtima), chifukwa cha zomwe zili m'mimba ali mu airway (kukhumba chibayo) ;

- anthu ndi chitetezo cha m'thupi yafupika.

Malinga zomwe mitundu ya anayi anati mu nkhani iyi, ndi kutenga zaka nkhani ndi pamaso pa matenda aakulu, woikidwa ndi mankhwala a chibayo akuluakulu.

Monga tizilombo toyambitsa matenda afika mu mapapo?

1) Malinga bronchi ndi:

- pamene kugundidwa ndi aerosol, kuipitsidwa kuli ndi tizilombo ting'onoting'ono tizilombo. Ndi mmene zambiri TB kapena chibayo tizilombo ;

- by inhalation ya nkhani za pakamwa pake ndi pharynx. ndondomeko izi zimachitika nthawi mu tulo, kumatheka ndi kutenga ogonetsa kapena zinthu mchikakamizo cha mowa. Mu mapapo yachibadwa m'dera chitetezo cha m'thupi ntchito, koma pamene chokumana ndi HIV, pamene majeremusi kwambiri kapena ali ankakwiya, chibayo amapezeka.

2) Pambuyo magazi zina yotupa kwambiri. Mwachitsanzo, fupa - osteomyelitis, wa mavavu za mtima - endocarditis.

3) The kukhudzana ndi:

- anakumana ndi mafinya kuchokera chiwalo pafupi, monga abscess chiwindi;

- mu ozama mabala a chifuwa.

Mfundo imene ndi mankhwala a chibayo akuluakulu

Ngati matenda "chibayo" limeneli poika mankhwala imodzi kapena ziwiri, monga ngakhale chifukwa anali HIV (mwachitsanzo fuluwenza HIV), nyama ya bakiteriya akulowa mulimonse.

lingaliro ndi mankhwala kuti ndi kuikidwa pambuyo kumatanthauza kutupa tating'onoting'ono tizilomboto, ndipo analandira tilinazo ake mankhwala. Koma amafuna expectoration kuvomerezedwa sputum, amene angapange yense Wopirira, komanso masiku 4-5 kuyembekezera zotsatira, limene liri losayenera. Kuchepa kwa nthawi kungachititse kuti imfa ya wodwala. Choncho mankhwalawa ndi empirically zofunika pambuyo munthu amataya sputum bacteriological bwinobwino koma tsiku lomwelo ndipo makamaka pa ola lomwelo, monga iye anapezeka (pali umboni kuti imfa ya ngakhale nthawi 4:00 ndi kwambiri poipa madokotala ananena zawo).

Chithandizo cha chibayo akuluakulu zachokera i awa:

1. Chibayo View ammudzi anapeza, unachokera mu chipatala kapena zina.
2. Volume kuwonongedwa kwa minofu ya m'mapapo: segmental, lobar, polysegmental, wosakwatira kapena iwiri mbali.
3. Wodwala matenda: zochokera thanzi wonse, kufupika kwa mpweya, kuthamanga kwa magazi, magazi mpweya machulukitsidwe mlingo.
4. Age.
5. Kukhalapo kwa matenda concomitant mtima, mapapo (mwachitsanzo, chifuwa), impso.

Chithandizo ikuchitika kunyumba kapena kuchipatala pa matenda kapena pulmonology dipatimenti. Nthawi zina amafuna hospitalization mu odwala mwakayakaya.

Chibayo: Matendawa

Classic zizindikiro za kutupa ndi m'mapapo - mkulu (pamwamba 38 ° C) kutentha, chifuwa, onse m'chigawo cha kuwonongeka (kutopa, kugona, kusowa chilakolako). Koma tsopano kawirikawiri chibayo ndi Inde atypical. Against maziko a kutentha kapena mkulu kwambiri kumachitika m'mimba kapena chisokonezo cha chikumbu, kuona zilubwelubwe, kuyerekezera zinthu m'maganizo. Pankhaniyi, chifuwa akhoza kukhala angwiro.

Choncho, muyezo matenda kuyesedwa ndi kuchititsa pachifuwa radiograph, mungafunike ndi CT jambulani.

Chithandizo cha chibayo akuluakulu ndi mankhwala

Ntchito zochizira mankhwala amenewa, "Amoxiclav", "cefixime" "Sumamed", "Levofloxacin", "Avelox". Iwo zinafotokozedwa mapiritsi, kawirikawiri amagwiritsidwa ntchito osakaniza zace. Mwachitsanzo, pamene pafupifupi yokoka otaya ingaperekedwe zovuta zinthuzi "Sumamed" kuphatikiza "Aveloks" kapena "Lefloks". Ngati matendawa amayamba ndi Klebsiella chibayo chithandizo amafuna m'chipatala. Pankhaniyi, yoikidwiratu kukonzekera mtsempha ndi mu mnofu monga "Amikacin", "Gentamycin" pamodzi ndi mankhwala "Leflotsin" kapena "Tavanik".