Matenda matenda. Chithandizo exacerbation ndi chikhululukiro masiteji

The chamankhwala chodalirika mankhwala a chifuwa ndi kuwonongedwa kwa etiological chinthu matenda. Ngati anapezeka ndi chifuwa, chithandizo amafuna fodya kutha, osati zowopseza ntchito, ukhondo foci matenda. Inpatient chithandizo cha chifuwa akuluakulu ndi zina bedi Kwalamulidwa kwa matenda pachimake ndi kuwonjezeka mu kupuma ndipo mtima kulephera, zizindikiro za kuledzera, kujowina pachimake chibayo kapena mowiriza pneumothorax, ngati n'koyenera, poika njira yodziwira ndi achire. Matenda zakudya ayenera kukhala ambiri mapuloteni mavitamini, mu nkhani ya kujowina decompensated mtima m'mapapo mwanga malire tebulo mchere ndi madzi ndi kukula zili potaziyamu.

Zonsezi mu mankhwala zofunika mankhwala ayenera kupita kwa chithandizo cha kutsekeka. The okhazikika, amandithandiza mankhwala bronchial patency zimapezeka mu anticholinergic mkulu mankhwala. Ngati pali trapevticheskogo Tingati iwo angathe kuperekedwa mu mawonekedwe a yaitali monotherapy. Ndi kwenikweni, inu mukhoza kuwonjezera beta-agonists kanthu kochepa. Odwala ena amaona kuti kuphatikiza zothandiza kwambiri mankhwala okhala anticholinergic ndi beta-agonist. Anticholinergics ndi beta-agonists ndi akuchipatala Mpweya.

Ndi kupitirira zina matenda a tchati udokotala methylxanthines, amene pamodzi ndi bronchodilator zochita zawo kuchepetsa zowawa za minofu kupuma, koma zambiri poizoni, amafuna kuwunika ndende seramu.

Siteji yotsatira yaitali mankhwala a chifuwa kungakhale poika glucocorticosteroids. Zokonda zapatsidwa kwa mitundu Mpweya. Pangano chofunika corticosteroids zokhudza zonse lokha pa matenda pachimake.

Akafike zotsatira matenda kwa masabata atatu kapena anayi, omwe zikutsimikiziridwa ndi mphamvu zolimbikitsa ntchito m'mapapo mpweya, Ndi bwino kuchepetsa pang'onopang'ono m'njira mlingo wa kusintha kwa glucocorticosteroid Mpweya.

Chinthu chofunika kwambiri kuwongolera kutsekeka bronchial ndi kubwezeretsa kwa dongosolo yachibadwa surfactant kuti amafuna aakulu obstructive matenda. Chithandizo ikuchitika ndi mucolytics mukoregulyatorami akusankhidwa ndi inhalation, pakamwa ndi parenterally. The mankhwala yabwino kwambiri mu gulu ili ndi ambroxol ndi acetylcysteine.

Matenda matenda chithandizo mu gawo pachimake chiyambi opatsirana amafuna mankhwala. Advantageously Kwalamulidwa macrolides semisynthetic ndi ampicillin. The njira ya mankhwala Kwalamulidwa kwa masabata limodzi kapena awiri. Kuwonjezera mankhwala, mankhwala ndi ofunika kuti kuthetsa chifuwa. Chithandizo ikuchitika payekha anasankha kupuma kokoka, zakudya kusankhidwa matenda thupi.

Ngakhale kuti chifuwa - matenda mwapang'onopang'ono, bwino osankhidwa ndi chithandizo yake amachepetsa kapumidwe chitukuko cha kutsekeka bronchial, kupewa chitukuko cha matenda oyamba ndi kusintha khalidwe la moyo la odwala.

Kuonjezera ngalande ntchito ya bronchi zimatheka ndi kupatsa pachifuwa kutikita, mankhwala azitsamba, postural ngalande. Detoxification mankhwala n'kofunika ngati kukula mu chifuwa suppurative aakulu. Chithandizo ayenera kukhala kulolerana kuvomerezedwa mankhwala antibacterial.

Pamene odwala kukwaniritsa chikhululukiro mu ambiri a milandu kupitiriza mankhwala. Odwala matenda obstructive ku chikhululukiro mwina yoperekera ndi mankhwala. Odwala matenda obstructive pafupifupi nthawi zonse kuumirizidwa kuti broncho-spasmolytic ndi expectorant.