Bullous m'mapapo matenda: zimayambitsa, zizindikiro, chithandizo

Kuwala, komanso ziwalo zina anthu, anavumbula matenda osiyanasiyana. Kuphatikizapo kuthekera chitukuko cha ndiko kumayambitsa bullous.

Features matenda

Bullous matenda a m'mapapo amatanthauza matenda obstructive atavala aakulu. Mu thupi, madera ena a minofu akhoza kukhala mpweya chifukwa chakuti alveoli (thovu limene muli kuwala ndi zigwirizana) ali kwambiri kukula kukula, ndi makoma awo anawonongedwa. Pa ndondomeko iyi cavities anapanga ndi m'mimba mwake wamkulu kuposa 1 cm. Iwo amakonda kudziunjikira mpweya, umene kufalitsidwa kwa m'mapapo akawinduka.

Kafukufuku amasonyeza kuti anthu kuti atengeke matenda kuposa akazi, ndi pafupifupi ziŵiri. Age kumathandizanso. Anthu achikulire ndi osatetezeka kwambiri ku matenda.

Mbali khalidwe la mawonekedwe ndiko kumayambitsa si onse limba akhudzidwa, koma mbali zina za izo.

Bullous m'mapapo matenda: zimayambitsa

The zifukwa kuti pali matenda amene akhoza zimachitika:

• kusuta;
• kutengera za kumtundu (wotsika minofu connective, amatchedwa matenda dysplastic);
• matenda aakulu yotupa (matenda, bronchiectasis, mphumu);
• TB kaya siteji;
• zoipa zachilengedwe komanso kuwononga mkulu mpweya (tizilombo tizilombo kuti moyo mu mlengalenga ngati zingakhudze mapapo ndi alveoli imfayo kutupa);
• zosokonezeka pambuyo m'mapapo sarkaidoza.

Enaake, amene anapanga chifukwa cha chitukuko cha matenda, zingakhale za masentimita 1 mpaka 10 m'mimba mwake. Ndi miyeso ya 10 cm iwo amatchedwa chachikulu. dongosolo yawo zosiyanasiyana. Iwo akhoza kukhala angapo (paliponse voliyumu ya m'mapapo) ndi umodzi (isanafalikire pamalo makamaka). Enaake oopsa chifukwa chakuti iwo amayamba compress minofu, zomwe zili m'dera, chotero kusokoneza kuwombola mpweya mu thupi.

Kudziwa matenda lingachititse chitukuko cha matenda, n'zotheka kuchita yokonza njira nthawi.

Mawonetseredwe chachikulu cha matenda

The chizindikiro chachikulu chimene limodzi ndi chitukuko cha matenda bullous m'mapapo, - kufupika kwa mpweya, sikumawonekera mwadzidzidzi, koma pang'onopang'ono. Ndipo mbali zake n'chakuti kupuma mavuto pamene inu kutulutsa. Wodwala pa nthawi ino akupanga phokoso akufanana ndi chug. Pa siteji yoyamba ya dyspnea matenda imapezeka pa zolimbitsa okwera thupi, koma ndi kupitirira wa ndiko kumayambitsa mwina nkhawa ndipo pa mpumulo. Nthawi zambiri limodzi ndi matenda breathlessness, chifuwa ndi kupanga sputum.

Pamene dokotala diagnoses "bullous m'mapapo matenda" zizindikiro zomwe zikuonetsa kuti kungakhale motere:

• kuwonjezeka mipata pakati zipsepse ndi;
• thorax amakhala mawonekedwe cylindrical;
• zochepa makina zakulera;
• Chifukwa angayambitse kupweteka, amene kwambiri kumatheka pa kutsokomola;
• kutopa, ambiri kufooka kwa boma.

Ngati m'kati bullous m'mapapo mwanga matenda (mbiri ya matenda kumadalira chifukwa), pakalibe mankhwalawa angathe kulephera kupuma, amene anasonyeza chakuti khosi mitsempha pathupi ndi kukhala buluu. Komanso, odwala ndi ndiko kumayambitsa bullous n'kakang'ono kwambiri. Ichi ndi chifukwa chakuti pafupifupi onse mphamvu yaikulu basi pa ndondomeko ya kupuma. Nacho ntchito ya thupi kapena amaika maganizo kungachititse kuti pneumothorax mowiriza (chikhalidwe kumene mpweya akulowa M'mimbamo pleural).

Pamene mphamvu ya ululu angathe pachimake magazi kulephera.

Mlingo wa kugwa m'mapapo amakhudza kukula kwa dyspnea kwakukulu ndi chikhalidwe ambiri wodwala. Kuyambira lero ndi zimatengera mankhwala zina, zomwe zikhoza kuti Kupha zizindikiro kapena yogwira pleural ngalande.

diagnostics Features

Ikani matenda izi zitha kukhala odziwa akatswiri, nchifukwa chake pamene detects osachepera zizindikiro zina muyenera kuona pulmonologist. dokotala zifotokoza, ndiyeno ntchito zida amamvera m'mapapo pa ntchito yawo. Zotsatirazi zochita zambiri anawalozera kwa wodwala CT kapena X-ray a m'mapapo, ndi pa kuwunika, amene detects mpweya magazi.

Kuchokera pa maphunziro awa, adokotala akhoza mankhwala mankhwala kapena atafufuza (spirometry ndi nthenda yotaya pachimake).

machenjerero mankhwala

Ngati matenda "Bullous M'mapapo Disease", nthawi zambiri chithandizo umalimbana kuchotsa kutupa alveoli ndi kubwezeretsedwa kwa kuwombola mpweya mu mapapo. Ndiyotani pakuchotsa zizindikiro za matenda yekha akudutsa zovuta. Komabe, tiyenera kukumbukira kuti ngakhale mankhwala ali anayamba pa siteji oyambirira kusintha m'mapapo minofu amene anachitika chifukwa cha chitukuko cha ndiko kumayambitsa bullous, adzakhala sizingasinthe. miyezo anatengedwa kuthana zizindikiro, koma kudzakuthandizani kuti asiye kupitirira zina za matendawa. N'chifukwa chake bullous ndiko kumayambitsa (mbiri ndi njira za chithandizo kumatengera chifukwa ndi zizindikiro) imayenereza alowererepo mwamsanga.

Pali njira ziwiri za mankhwala matenda: opaleshoni ndi mankhwala.

njira opaleshoni

Ngati matenda "Bullous M'mapapo Disease", ntchito adzakhala njira yabwino kwambiri. Pa izo kuchotsedwa zidindo zadothi, yomwe inakhazikitsidwa. Izi zingathandize kuchepetsa kuwala, kuti kupuma akubwera kubwerera mwakale. Pankhaniyi, ntchito ayenera kuchitidwa mwamsanga kupewa chitukuko cha matendawo.

Pomvera siyikhuzana kudula nthiti, phukusi la ikuchitika kupyolera ang'ambe thupilo yaing'ono.

Nthawi yapadera, dokotala anu akhoza kugamula kupatsidwa zina kapena kuchotsa phapo.

Mankhwalawa medicaments

Medical njira kuchotsa matenda zinayambitsa matenda. Ndicho chifukwa dokotala ayenera bwinobwino zimene zinachititsa kuti chitukuko cha ndiko kumayambitsa m'mapapo mwanga. Monga ulamuliro, pambuyo pa kafukufuku wodwala Kwalamulidwa bronchodilators osakaniza ndi glucocorticoid njira timadzi. Ngati matenda zachititsa kuti chitukuko cha kulephera kupuma ndipo magazi dokotala anu angasankhe pa poika okodzetsa (mankhwala amene umalimbana achire a madzimadzi). Malinga chifukwa cha matenda akhoza akatulutsidwa antibacterials ndi theophylline.

Komabe, chofunika pa chithandizo chokwanira kukana makhalidwe oipa, anachita kupuma kokoka ndipo wanyamula wambirimbiri nthawi panja. Kuyenda bwino kuchita nthawi yochepa paliŵiro loyenera, ndipo m'pofunika mosamala kuyan'ana ndondomeko ya kupuma.

Matendawa ali ndi nthawi yaitali katundu ndi kunena okha, nchifukwa chake muyenera nthawi linakhala zachipatala Kupenda zonse pofuna kupewa chitukuko cha pathologies osiyanasiyana, kuphatikizapo matenda bullous m'mapapo.