Chii chinonzi abscess yemapapu, zviratidzo, zvinokonzera uye maitiro ekurapa

Zvemukati

• Lung abscess zviratidzo
• Sei kuongororwa
• Chii chinokonzera kuputika kwemapapu
• Kurapwa kunoitwa sei
• Physiotherapy yemapapu pute

Lung abscess igomba rine pus mukati, rakatangwa necrosis yemapapu tishu, nekuda kwehutachiona hwehutachiona.

Kazhinji, mafomu anoverengeka pakati pe1 kusvika kumavhiki maviri mushure mekusvibiswa neiyo microorganism, iyo inowanzoitika nekuda kwechinetso chepumonia inokonzerwa nekushuvira kwezviri mumuromo kana mudumbu, sezvo iine mabhakitiriya anogona kuwedzera rudzi urwu. kukuvara. Nzwisisa kuti aspiration pneumonia inomuka sei.

Iko kuongororwa kunoitwa nachiremba kuburikidza nekuongororwa kweiyo yekiriniki pikicha, pulmonary radiography uye kuongororwa kweropa. Zvakare, zvakakosha kuti utange kurapwa nemishonga inorwisa mabhakitiriya iyo inobatsira kurwisa hutachiona hunokonzera iyo, mukubatana nerutsigiro rutsigiro uye physiotherapy. Mune zviitiko zvakakomba zvakanyanya, pulmonary drainage inogona kudikanwa.

Lung abscess zviratidzo

Zviratidzo zvikuru zvekuputika kwemapapu zvinosanganisira:

• Kupindwa nechando;
• Kufema kwekufema uye kuneta;
• Kukosora nemucopurulent kubuda, uko kunogona kuve nekunhuhwirira kusingafadzi uye mitsetse yeropa;
• Kurwadziwa pachifuva kunowedzera nekufema;
• Kurasikirwa nechido;
• Kuonda;
• Dikita remanheru uye kutonhora.

Kuipa kwemufananidzo wekiriniki kunogona kutora mazuva kusvika kumavhiki, zvinoenderana nehutachiona hwakonzera hutachiona, pamamiriro ehutano nekudzivirirwa kwemuviri wemunhu akabatwa. Kazhinji, bundu rimwe chete rinoumbwa, rinoyera kupfuura 2 cm muhupamhi, zvisinei, mune dzimwe nguva, mamota mazhinji anogona kuoneka panguva yehutachiona.

Kana zviratidzo nezviratidzo zvikaonekwa zvinogona kuratidza rudzi urwu rwehutachiona hwemapapu, zvakafanira kuti ubvunze chiremba wemapapu nekukurumidza sezvazvinogona, kana kuenda kuimba yekukurumidzira, kuitira kuti chikonzero chizivikanwe uye kurapwa kwakakodzera kunotanga pakarepo.

Sei kuongororwa

Kuongororwa kwepapu yemapapu kunoitwa nachiremba, kuburikidza nekuongororwa kwezviratidzo, kuongororwa kwemuviri, kuwedzera kune bvunzo dzakadai sechifuva radiography, iyo inoratidza kuvepo kwekuvharirwa kunopinda mukati memapapu nenzvimbo yemukati, kazhinji yakakomberedzwa, izere ne pus nemhepo.

Kuongororwa kweropa, senge yakazara huwandu hweropa, kunogona kubatsira kuratidza kuvepo kwehutachiona uye kuongorora kusimba. Computed tomography yechipfuva, kune rimwe divi, inogona kubatsira kutsanangura zvirinani nzvimbo yebundu, uye kuona mamwe matambudziko senge infarction yemapapu kana kuunganidzwa kwepus muye pleural fluid.

Kuzivikanwa kweiyo microorganism kunogona kudikanwa mune dzimwe nguva, kunyanya kutungamira kurapwa, uye nekuda kweizvi, tsika yemapapu inokwana. tsika yeropa. Ona kuti bvunzo yacho inoitwa sei kuti utarise mushonga unorwisa mabhakitiriya kurapa hutachiona.

Chii chinokonzera kuputika kwemapapu

Lung abscess inokonzereswa kana tupukanana, kazhinji mabhakitiriya, achigara mumapapu uye zvichikonzera tishu necrosis. Kupinda kwema microorganisms kunogona kuitika nenzira dzinotevera:

• Kufuridzirwa kwezvinhu zvinotapukira (zvinowanzoitika chikonzero): zvinowanzoitika muzviitiko zvekudhakwa, kushandisa zvinodhaka, coma kana anesthesia, umo kurasikirwa kwekuziva kunobatsira iko kushuvira kwezviri mukati kubva mumuromo kana mudumbu, uye pamwe nenyaya dze sinusitis, hutachiona. mune matadza, kuora kwemeno kana kunyangwe iwe usingakwanise kukosora zvinobudirira;
• Utachiona hwePulmonary;
• Cancer;
• Kutungamira kunetseka kupinda mukati memapapu;
• Kupararira kwezvirwere kubva kunhengo yakavakidzana;
• Pulmonary embolism kana infarction.

Kana bundu remapapu rikamuka kubva kuhutachiona hwakananga hwemapapu, inozivikanwa sechikuru. Muzviitiko zvazvinomuka nekuda kwekukanganisa kwekuchinja kwemapapu, sekupararira kwehutachiona kubva kune dzimwe nhengo kana pulmonary embolism, inonzi sekondari. 

Mamwe emakemikari akajairika sechikonzero chekuputika kwemapapu ndiStaphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa kana Streptococcus pyogenes, kana anaerobic bacteria, senge Peptostreptococcus, Prevotella kana Bacteroides sp, Semuyenzaniso. Kusvutirwa nefungus kana mycobacteria hakuwanzo uye kunoonekwa kazhinji kune vanhu vane hutachiona husina kusimba.

Kurapwa kunoitwa sei

Kurapa kwekuputika kwemapapu kunoitwa nemishonga inorwisa mabhakitiriya yakadai seClindamycin, Moxifloxacin kana Ampicillin / Sulbactam, semuenzaniso, kweavhareji yemavhiki mana kusvika matanhatu, zvinoenderana nechinokonzera microorganism uye mamiriro emakiriniki emurwere.

Pakati pechikamu chakakomba, rutsigiro rwehutano uye yekufema physiotherapy zvinoratidzwa zvakare. Kana kurapwa kwekutanga kusiri kushanda, kuvhiya kunofanirwa kuitwa kuburitsa pute, uye mune yekupedzisira kesi, bvisa chikamu cheycrotic lung.

Physiotherapy yemapapu pute

Physiotherapy yakakosha kubatsira kupora, uye kunoitwa kuburikidza:

• Postural drainage: mushure mekushandisirwa kwepapu yemapapu, munhu akaiswa munzira yekukonzeresa bronchus yekubvisira zvinotevera zvinyoro kuburikidza nekukosora;
• Respiratory kinesiotherapy: kufema maitiro kunoitirwa kuwedzera chipfuva kuwedzera uye kugadzirisa huwandu hwemapapu;
• Inokurudzira spirometry: munhu anorairwa kutora mweya wakadzika (dhonza mweya mumapapu) uye uuchengete kwemasekondi mashoma. Izvo zvinogona kuitwa kuburikidza nemidziyo senge Respiron;
• Kufuridzirwa kwezvakavanzika kana munhu wacho asingakwanise kukosora.

Kurapa kwepanyama kwemapapu kuputika kunonyanya kushanda kune vanhu vanobatana vanopindura zvikumbiro zvekukosora nekufema maitiro. Dzidza zvakawanda nezvekuti kufema physiotherapy kunoitwa sei uye nezvei.