Matenda Purulent: maonekedwe, zomwe zingayambitse, mitundu ndi mavoti

Pakati pa mitundu yambiri ya matenda ngozi chachikulu akuimira purulent. matenda abwera pa mwadzidzidzi. Ngati nthawi si chitani mankhwala ake, n'zotheka zikamera wa mavuto aakulu.

Limagwirira chitukuko matenda

Purulent matenda - matenda yotupa. madziwo limodzi ndi kutuluka kwa ntchofu, amene kwambiri complicates kupuma.

The culprits ndi oopsa tizilombo toyambitsa matenda. Nthawi zambiri, matenda limapezeka mwa pneumococci, Haemophilus influenzae ndi Streptococcus mutans. Iwo akhoza kulowa m'thupi kudzera m'malovu kapena lymph. Pa matenda, nembanemba lamkati la bronchi aphimbidwa mucopurulent ❖ kuyanika. Chifukwa, airway kusokonezedwa.

Wofooka pambuyo akudwala chimfine kapena SARS chamoyo sangathe kupereka kukana chokwanira tizilombo toyambitsa matenda. Mofulumira proliferating mabakiteriya imfayo kutupa bronchus, dyspnea ndi kudzipatula ntchofu wandiweyani. Chabe kusuta, mpweya ndi thupi lawo siligwirizana kokha kuonjezera zovuta matenda. Imodzi, ndi bronchi kukhala pangozi yaikulu kuti mabakiteriya.

Pa ndondomeko pathological adafuna kusiyanitsa mbali ziwiri:

1. Chachikulu pa zimene kugonjetsedwa kwa alveoli ndi bronchi.
2. Secondary. The ndondomeko yotupa kufalikira kwa ziwalo zina za dongosolo kupuma.

Kukula purulent matenda zimatenga nthawi yaitali. Ngati nthawi kuzindikira yomweyo anayamba mankhwala, n'zotheka chiyembekezo kwa madokotala ananena zawo zabwino. Apo ayi pathological ndondomeko amakhala aakulu.

The zifukwa

Maonekedwe a mafinya zambiri yoyamba mankhwala molakwika matenda pachimake. Anatumizidwa wothandizila antibacterial sanathe kuchotsa cholinga ku tizilombo toyambitsa matenda chifukwa tilinazo otsika yotsirizira kwa mankhwala.

Komanso, madokotala olekanitsidwa gulu la zinthu zimakhudza thupi zimene amakwiya purulent kutupa :

• kusintha mwadzidzidzi kutentha;
• ndi wofooka chitetezo;
• matenda aakulu a m'njira za m'mphuno paranasal;
• pafupipafupi chimfine.

Mu osuta Madokotala amakonda awulule matenda. Ndi kupita kwa nthaŵi ndi pakalibe mankhwala matenda mwina asinthe n'kukhala purulent mawonekedwe.

mitundu ya kudwala

Suppurative Vuto la matenda, madokotala pulmonologists anawagawa mitundu 3:

1. Catarrhal. Kudwala kuwawonetsera racking chifuwa ndi expectoration zambiri. Pa nthawi ya matenda mu kusanthula ntchofu Nthawi zina leukocytes.
2. Obstructive. Mu sputum nthawi zonse zooneka mafinya kapena milozo magazi.
3. Aakulu. mawonekedwe zokwawa matenda, omwe amakhala ndi nthawi chikhululukiro ndi kumwa.

Kuopsa kwambiri ndi obstructive purulent ndi matenda. Akufotokozera pa maziko a matenda pachimake amayambitsidwa ndi kachilombo ka ntchito za microflora tizilombo. Pankhaniyi wodwalayo watentha thupi, kupweteka kwa m'malo olumikizirana mafupa ndi minofu. Kuchedwa iliyonse kapena kusowa chithandizo kungachititse kuti inasinthiratu mu dongosolo m'mapapo mwanga, ndi amapha.

chithunzi matenda

Matendawa zambiri kumaonekera m'nyengo yozizira. Zizindikiro zake zikuluzikulu amakhala ngati chimfine kapena pachimake matenda kupuma. Choyamba, pali awakande mu mmero amene walandiridwa monga pakhosi zilonda kapena zilonda zapakhosi. Patapita nthawi, izo wagwirizana ndi amphamvu chifuwa youma. Aliyense kuukira akhozanso kukopeka ndi ululu pachifuwa. Nthawi zina odwala ndi akulephera kupuma bwinobwino chifukwa kudzikundikira lalikulu ntchofu mu bronchi ndi. Patapita kanthawi, chifuwa chinyowe, ndi sputum expectoration ndi kulocha chikasu.

Zizindikiro zina chifuwa madokotala pachimake olekanitsidwa:

• kuchuluka thukuta;
• kufooka kwakukulu;
• pang'ono kutentha achulutse zizindikiro subfebrile;
• kupuma movutikira.

Matendawa akhoza escalate mpaka 2-3 chaka. Ndi subcooling muyambirenso kaŵirikaŵiri kumayambitsa kapena ozizira nthawi yaitali. Pankhaniyi, chithunzi matenda umakhala kutchulidwa chifuwa ukuwonjezeka, ndi kuchuluka kwa tochoka ntchofu ukuwonjezeka kwambiri.

Kodi yake kuzindikira mawonekedwe a matenda aakulu?

Mu aakulu purulent matenda, chifuwa allocated kwa 250 ml ya sputum patsiku. mtundu zimasiyanasiyana wotumbululuka zachikasu wobiriwira. mafinya The angaone kuti mitsempha ya magazi.

Matendawa ali ndi makhalidwe njira yaitali ndi kuvomerezedwa chodziwa kutsekeka bronchial. The Vuto yoopsa kwambiri amaona kuti kukhala pachimake kupuma kulephera. Ngati wodwala kupuma lengthens ndi amakhala ndi mavuto, pamene kuwonekera youma phokoso malikhweru, ndi nthawi kuwomba Alamu. zizindikiro izi zikuonetsa kuwonongeka lakuthwa thanzi.

njira matenda

Pamene chifuwa amphamvu kapena kupuma movutikira muyenera kukaonana ndi dokotala. Ndi katswiri ili liyenera oterewa kenako mankhwala mankhwala kutero.

Standard mosamala mtima ndi amaganiziridwa purulent matenda zikuphatikizapo zinthu zotsatirazi:

1. The kusanthula sputum.
2. Radiography. Iwo amapanga zotheka kuti aone digiri ya kuwonongeka kwa bronchial kudziwa zotupa pathological.
3. Bronchoscopy. Kusiyanitsa purulent mawonekedwe a matenda sekondale chifukwa cha TB kapena chibayo.
4. magazi. Zofunikira kuti aone umoyo wa wodwalayo.

Ndi dokotala kuvomerezedwa ayenera kufufuza mtima, kuphunzira za mbiri yake ndiponso mbali matenda. Cholinga yomweyo pa m'munsili zizindikiro purulent ndi matenda.

Chithandizo cha matenda nthawizonse ikuchitika comprehensively. Muyenera choyamba kuchotsa exudate ku bronchi ndi. Chifukwa chaichi, woikidwa wothandizila ndi expectorants mucolytics. Nthawi patsogolo kungafune thandizo bronchoscopy. Zambiri za zotsatira achire kwa njira iliyonse adzakhala pansipa.

Ntchito antimicrobials

Nthawi wokonda purulent matenda nthawi zonse amafuna kugwilizana ndi bedi zina, kusiya kusuta ndi Kuchepetsa kungasokoneze dongosolo kupuma. M'chipatala kwa wodwala anasonyeza pokha pokha zadzidzidzi, pamene matenda zilirimu ndi lowonjezera ndi kuledzera kutchulidwa kapena kulephera mtima.

The njira waukulu zotsatira achire anazindikira kudya mankhwala. Amagwiritsidwa ntchito mankhwala a magulu otsatirawa:

1. Macrolides ( "Sumamed", "Azitroks"). Ndi mavuto aakulu pa mapuloteni kaphatikizidwe maselo a zomera tizilombo, omwe amachepetsa mphamvu yawo zina kugawikana.
2. Aminopenicillin ( "Amoxiclav"). mankhwala ndi zotsatira zoopsa pa mabakiteriya minofu yokha popanda mavuto ndi thupi la munthu. Komabe, ntchito zawo nthawi zambiri limodzi ndi thupi lawo siligwirizana.
3. Cephalosporins ( "Ceftriaxone", "Cefazolin"). Mankhwala a gulu la zinthu zoyambitsa chopinga wa kaphatikizidwe ndiwo maziko a Kakhungu maselo bakiteriya.
4. Fluoroquinolones ( "Ofloxacin" "Ciprofloxacin"). Ndi mavuto aakulu pa DNA mabakiteriya, zomwe zimalimbikitsa imfa yawo. ntchito yaitali nthawi zambiri kumachitika dysbacteriosis chionetsedwe.

Mankhwala kwa purulent matenda m'pofunika kuti asankhe pambuyo kusanthula sputum kwa tilinazo tizilombo toyambitsa matenda. Apo ayi, ntchito zawo adzakhala sizithandiza.

multimodality mankhwala

Kuwonjezera mankhwala kuthetsa ndondomeko matenda zonse anatumizidwa mucolytics. Iwo asapasana kufulumizitsa expectoration. Antihistamine akhoza kugwiritsidwa ntchito kuchotsa minofu edema ndi kuthetsa thupi lawo siligwirizana.

Mankhwala zovuta mulinso zosiyanasiyana physiotherapy, achisangalalo ndi chipatala chaching'ono zina. A ubwino alili:

• inhalation "Mukaltin" ndi "Hydrocortisone";
• electrophoresis ndi iodide potaziyamu;
• diathermy mankhwala.

Pambuyo chikusintha thanzi opindulitsa kupezeka magawo a kutikita, kupuma kokoka.

bronchoscopy

Bronchoscopy ndi ndondomeko endoscopic kuti ntchito zolinga matenda ndi achire. Ndi izo, dokotala aisadza Airways wa anasonkhanitsa phlegm. Pamene kutumikiridwa 2-4 purulent matenda ndondomeko ndi imeneyi kungakhale kwa masiku 3 mpaka sabata pakati pawo.

Bronchoscopy, endobronchial Inde zonse kumaliza akonzere. Kudzera syringe wapadera ndi catheter kusintha, dokotala amaika kuchiritsidwa. Izi zikhoza kukhala "Furatsilinom", "Dimexidum" kapena "rivanola". Ndondomeko lonse imagwiridwa pansi mankhwala oletsa ululu pamalopo.

zotsatira zotheka

Pachimake purulent matenda, malinga ndi ndemanga madokotala ndi odwala, amafuna woyenera yake chithandizo. Apo ayi, matenda lidzasanduke aakulu kapena chibayo.

Pa chitukuko cha ndondomeko pathological mpanda bronchial aumbike mafinya. Slimy wosanjikiza wayamba pathupi. Monga kudwala kutupa kwa chikupitiriza chozama kukhoma minofu. Matendawa amatenga mawonekedwe aakulu amene amakhala ndi mkhutu bronchial ntchito ngalande ntchito, manja a linga mucous.

Mucopurulent chifuwa ndi oopsa chifukwa nthawi zambiri limodzi ndi matenda otsatirawa:

• bronchiectasis ndi mphumu syndromes khalidwe;
• kutsokomola magazi;
• ndiko kumayambitsa;
• akakufunsani fibrosis;
• kulephera kwa ventricle lamanja la mtima.

Komabe, kutsatira malangizo onse a dokotala kupewa mavuto amenewa.

umboni

Purulent mtundu wa matenda - lalikulu ndi wamba matenda pa nthawi yomweyo. Malinga ndi mayankho odwala kupewa chitukuko ndi zotheka ngati ankachitira m'nthawi yake matenda onse catarrhal ndiponso kuwayang'anira ukupeza.

Pamene sikunali kotheka kuteteza maonekedwe a matenda, m'pofunika kuti mosamalitsa kutsatira malangizo adokotala mankhwala. Malinga ndi odwala, muyezo mankhwala zovuta zikusonyeza ntchito mankhwala ozunguza bongo mucolytic. Nthawi zina, bronchoscopy chofunika.