Chii chinonzi Broncopleural Fistula uye inorapwa sei

Zvemukati

• Zvinokonzera bronchopleural fistula
• Ungaziva sei
• Kurapwa kunoitwa sei

Bronchopleural fistula inoenderana nekutaurirana kusinganzwisisike pakati pebronchi uye pleura, inova mbiri membrane iyo inoisa mapapu, zvichikonzera kukwana kwemhepo nzira uye kuve kazhinji kazhinji mushure mekuvhiyiwa kwemapapu. Bronchopleural fistula inowanzozivikanwa nezviratidzo nezviratidzo zvinoratidzwa nemunhu uye zviyedzo zvekufungidzira, senge chest radiography uye bronchoscopy.

Aya mamiriro haawanikwe uye akakomba, kunyanya kana achiitika muvana, uye anofanirwa kugadziriswa nekukurumidza kuti asaise hupenyu hwemunhu panjodzi. Naizvozvo, zvakakosha kuti mushure mekuvhiyiwa kwemapapu kana kana munhu aine chero mhando yekufema, kuferefetwa kunoitwa kuongorora chero shanduko uye, kana zvichidikanwa, kutanga kurapwa.

Zvinokonzera bronchopleural fistula

Bronchopleural fistula inoenderana zvakanyanya nekuvhiya kwemapapu, kunyanya lobectomy, umo mapapu anobviswa, uye pneumonectomy, mune rimwe divi remapapu rinobviswa. Mukuwedzera, zvakajairika kuti bronchopleural fistula iite semhedzisiro yehutachiona hwehutachiona, umo, nekuda kwekuvapo kweiyo microorganism inoitisa hutachiona, kufa kwetishu kunoitika. Zvimwe zvinokonzeresa bronchopleural fistula ndeizvi:

• Pneumonia, iyo fistula inofungidzirwa seyakaomarara chirwere, kunyanya kana ichikonzerwa nefungi kana bhakitiriya rerudzi. Streptococcus;
• Kenza yemapapu;
• Mushure memakemikari ekurapa kana radiation radiation;
• Kukanganiswa kwemapapu biopsy;
• Kusingaperi kusvuta;
• Chisingaperi obstructive pulmonary chirwere;
• Zvokuimba kufefetedza.

Izvo zvakakosha kuti chikonzero chebronchopleural fistula chionekwe kuitira kuti kurapwa kwakakodzera kutange uye matambudziko anodzivirirwa, senge kuoma mukufema, kuwedzera kusakwana kwemapapu, kunetsekana kwekuchengetedza mweya mupulmonary alveoli uye kufa.

Ungaziva sei

Kuongororwa kwebronchopleural fistula kunoitwa nemurapi kana pulmonologist kuburikidza nekufungidzira bvunzo, senge chest radiography, umo atelectasis inogona kucherechedzwa, inova mamiriro ezvinhu asina mweya unoenda kune yakatarwa nzvimbo yemapapu, kudonha, kana mapapu emapoka. Pamusoro peiyo radiography, chiremba anofanirwa kuita bronchoscopy, mune iyo chubhu diki inoiswa kuburikidza nemhino kuitira kuti zvimiro zvehurongwa hwekufema zvionekwe, uye nzvimbo yefistula uye saizi yayo inogona kunyatso kuzivikanwa.

Uye zvakare, chiremba anofanirwa kuongorora zviratidzo nezviratidzo zvinoratidzwa nemunhu, sekukosora ropa kana mamasi, kunetseka kufema uye kupisa muviri, kuva zvakajairika kuti zvionekwe mushure mekuvhiya kwemapapu, ane zviratidzo zvinoonekwa zvakanyanya kana zvishoma mavhiki maviri mushure mekuita ..

Naizvozvo, zvakakosha kuti mushure mekuvhiyiwa kwekufema, munhu wacho anogara achiongororwa nachiremba kuti arege kuumbwa kwefistula nematambudziko avo.

Kurapwa kunoitwa sei

Kurapa kwebronchopleural fistula kunosiyana zvichienderana nechikonzero, nhoroondo yemunhu yekurapa uye zviratidzo nezviratidzo zvinoratidzwa. Kazhinji yenguva, kurapwa kunoitwa nekuvhiya kugadzirisa fistula, zvisinei zvinokwanisika kuti mushure mekanguva fistula inozoonekazve. Kuvhiya kunowanzo kurudzirwa muzviitiko apo kurapwa kwakachengetedza hakune zvaunoda, kana paine zviratidzo zvinoratidza sepsis kana kana paine mweya unodonha.

Conservative Therapy ine drainage yeiyo pleural fluid, mechnical ventilation, rutsigiro rwehutano uye kushandiswa kwemishonga inorwisa mabhakitiriya, uye iyi nzira yekurapa yakajairika kana bronchopleural fistula ichiitika semhedzisiro yezvirwere. Nekudaro, iyo drainage yeiyo pleural fluid inogona zvakare kufarira kuumbwa kweye nyowani fistula. Naizvozvo, kurapwa kwemamiriro ezvinhu aya kunoonekwa sekushomeka kwemushonga uye zvisinei nekurapwa kwakakurudzirwa, zvinodikanwa kuti munhu atariswe nguva nenguva kuitira kuti aongorore kubudirira kwekurapa uye kudiwa kwekupindira kutsva.

Maitiro matsva ekurapa akafundwa ndiko kuiswa kwemesenchymal stem maseru mune bronchopleural fistula, ayo ari maseru anokwanisa kumutsiridza matishu uye, nekudaro, anogona kufarira kuvharwa kweiyo fistula. Nekudaro, hazvisati zvazivikanwa mashandiro anoita maseru aya mukugadziriswa kwe fistula uyezve haazove nemhedzisiro yakafanana muvanhu vese. Naizvozvo, zvimwe zvidzidzo zvinodiwa kuti uratidze mhedzisiro yerudzi urwu rwekurapa pane bronchopleural fistula.