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Tracheal kugwa agalu
Panopa, ang'ono mtundu agalu afala kwambiri. Ndife amakonda abwenzi anayiwa miyendo kuti ena chabe simungathe kulingalira ndekha popanda iwo. Anthu ambiri, makamaka kopanda Pet m'malo mwa banja, osati mkati chokongoletsera losavuta kotero kulankhula.
Nkofunika kukumbukira kuti agalu akhoza kudwala monga anthu. Makamaka matenda amenewa ndi kukhala nthawi zambiri zizindikiro zofanana. Makamaka atengeke njira pathological mu thupi ang'ono agalu zimasokoneza monga galu, York ndi Chiwawa.
Ndipo mwina matenda zikuluzikulu angatchedwe kugwa trachea a. Kodi matenda?
Kugwa trachea ndi - matenda. Iwo amakhala ndi tinatengera chilema otchedwa thupi, zikubweretsa kuchepa ake. Monga tanena amadwala izi nthawi zambiri yaing'ono mahatchi agalu.
N'chifukwa chiyani tracheal kugwa agalu?
Pathological ndondomeko, tikambirana, amakhala ndi kuchepetsa wa lumen tracheal poyera chifukwa imfa ya elasticity mphete chichereŵechereŵe. Iwo ali ofanana mu maonekedwe ndi kalata ya "C". Choncho, chinthu chimodzimodzi wa Akusowera awo, ndithudi, chiletso akuwonekera. Pamene mpweya umadutsa trachea ndi, Kakhungu ake amakhala pathological kuyenda. Apo ndi pamene galu wanu tracheal kugwa mu bere la dipatimenti wake inspiratory Kakhungu bulges. Ndipo pamene mpweya retracts, kutseka danga la trachea a. Ndi chifukwa cha ichi ndi likukhalira kutsekeka ake.
Ngati tracheal kugwa agalu kumayambira dera khomo lachiberekero, chithunzi adzagonjetsa: Kakhungu ndi limachokera pa inhalation ndi mpweya ndi bulges.
Kodi chikuchitika pamene anataya elasticity nembanemba abwera nembanemba mucous? Mu galu chifuwa. Ngati kusiyana ndi mwapang'ono kwambiri kuti galu salinso mpweya wokwanira, kumakhaladi ovutitsa, simungapeze malo kwa recliner ulesi. Chifukwa cha kufupika kwa mpweya ndi mofulumira kupuma nyama akuona oipitsitsa. Mu nthawi yotero galu akhoza kukhala zovuta. Kupuma mlingo ukuwonjezeka, ndiye masamba chatsekedwa kuzungulira.
Ndi chitukuko cha ndondomeko yotupa, thanzi galu likuipiraipira. Pamene tracheal kugwa agalu, amabala zambiri secretions ntchofu, kukhosomola kumayambira zimakhala zimachitika mapindikidwe. Onse kumam'phunzitsa pamwamba mavuto trachea a.
Amene agalu kudwala ndipo n'chifukwa
Pazifukwa zosiyanasiyana anayamba matenda, wakhala insufficiently kuphunzira. Koma amadziwika kuti zingakhale yaikulu - amapezeka agalu wamng'ono ndipo ankaona kuti ndi osiyana mtima, ndipo Secondary - kumachitika pamene vuto la matenda a dongosolo kupuma ndi magazi. Kudwala nthawi zonse ikusintha mofulumira.
Tracheal kugwa mu York ndi ena agalu kakang'ono akhoza kuoneka mu aliyense m'madi-, ndipo angachititse pa mtengo bronchial.
The ndondomeko pathological mu mwanjira iliyonse nawo dorsal cartilaginous Kakhungu ndi mphete yake. Pamene wotaya elasticity ake ndi mphete ali mu chikhalidwe wabwinobwino, dokotala amapanga matenda - 1 ndi 2, mlingo wa kugwa. Ngati chidwi ndi yamasika, ndi aakulu kwambiri. dokotala akupanga matenda - matenda a kalasi 3 ndi 4.
Kugwa kwa trachea mu Spitz zingadziŵike ndi thickening yofunika kwambiri mphete cartilaginous, imbaenda imfa ya mtundu wawo wa chibadidwe. Chikuyembekezeka kuchitika chifukwa cha kusowa glycoproteins ndi glycosaminoglycans mu zimakhala.
A thickening mwapang'onopang'ono chichereŵechereŵe ndi kumabweretsa kuchepetsa kukula. Choncho, lumen wa trachea amakhala kuchepera kwambiri. Chifukwa zofunika imatengedwa matenda osiyana tinatengera chichereŵechereŵe mapindikidwe. Ndi chifukwa Kumafeŵetsa tracheal mphete.
Tracheal kugwa zambiri alibe zizindikiro kuwoneka. chikhalidwe ichi akukhalabe mpaka nthawi imeneyi mpaka pali vuto lina.
Chipatala kuwonekera kwa matenda
Pafupifupi nthawi zonse, matenda akhala asymptomatic mpaka ndiye, mpaka zinthu zenizeni sikumachititsa kuti chitukuko cha matenda matenda.
Tiyeni tikambirane zimene kugwa trachea a. Zizindikiro za izo ndi izi:
- Kuwonekera mwadzidzidzi osaneneka chifuwa, zoipa ndi kukoka zana chala, nkhawa, mkwiyo wa trachea a.
- Ndi kupitirira wa ukuwonjezeka matenda chifuwa, anawonjezera zizindikiro zina (zimene mungathe kuwerenga m'munsimu).
- Kufupika kwa mpweya, kutsamwa galu pansi pa katundu.
- Ulesi.
- Cyanosis wa nembanemba wa mucous.
- N'zotheka kukomoka.
Ena matenda okhudzana:
- Wonenepa nyama.
- Mtima kulephera.
- Kutupa mu Airways chapamwamba.
M'kupita kwa nthawi, matenda ili m'kati, makamaka ngati pali chiwonetsero ake.
Amene amakhala kusokonekera
Kwenikweni izo ikutuluka agalu wamng'ono. Mu malo chachiwiri ndi sing'anga-kakulidwe agalu, monga pugs. Pafupipafupi matenda sadalira zaka nyama. Koma kwambiri akulamuliridwa ndi zosiyanasiyana akapsa ndi matenda sekondale.
Komabe, monga matenda akufotokozera yaitali, ndili wamng'ono mu galu chifuwa limapezeka kawirikawiri, koma ndi m'badwo zimawonedwa zambiri.
Kodi machitidwe akukhudzidwa ndi matendawa
Zizindikiro za tracheal kugwa mu anagonjetsera machitidwe ena:
- Kupuma. The matenda amakhudza chapamwamba kupuma thirakiti anati kutalikitsa m'kamwa zofewa. Komanso, pali "kuchepa mphamvu" mpweya wa. Chifukwa cha mavuto ndi yoyeretsa ya trachea kumeneko ndi yotupa ndondomeko.
- Mtima. Pamene mavuto aakulu ndi kupuma anawonjezera oopsa m'mapapo mwanga.
- Mantha dongosolo. Chifukwa cha kusowa mpweya ndi vasovagal reflex pamene kutsokomola kukhala syncope.
diagnostics
Tracheal kugwa agalu, womwe gawo khomo lachiberekero za izo, angathe kuonedwa ndi zala palpation. Kutanthauzira matenda zovuta.
Ntchito matenda maphunziro zotsatirazi:
- X-ray diagnostics. Iwo limachititsa kuzindikira kugwa trachea, koma mu njira imeneyi, pali vuto lina. Ndi kuzindikira kuti kudwala izi kawirikawiri chofunika makamaka chithunzi ziyerekezo, monga inhalation kapena mpweya. Kufotokoza mfundo imeneyi, nyama ndi kovuta.
- US. Njira imeneyi n'zotheka kudziwa kugwa kwa trachea a galu m'dera khomo lachiberekero. Pakuti ichi ntchito makamaka mkulu pafupipafupi kachipangizo. Njira ntchito kwambiri kawirikawiri.
- Tracheoscopy. Njira imeneyi akuti ndi zowaphunzitsa kwambiri. Kwenikweni ake ndi nyama pogonekedwa ndi mankhwala ambiri kutumikiridwa kwa chida kutchedwa endoscope. Iye amapereka dokotala kuona windpipe mulitali, komanso amayang'anitsitsa mucosa. Zimachitika kuti pamene Phunziro lino yotengedwa kachidutswa kakang'ono minofu kwa kusanthula kudziwa kusintha ma, tizilomboto, mankhwala chiwopsezo.
madigiri
Pambuyo akafufuza kudziwa mmene zotheka kutha kwa:
- Mwachibadwa, ndi trachea ali elongated anamaliza mawonekedwe.
- digiri yoyamba. Akachitika lochedwa mu dorsal Kakhungu ndi lumen wa trachea amakhala zosakwana kotala. Mphete ndi zabwinobwino.
- digiri yachiwiri. Chipolopolo sags zoipa mphete pang'ono flattened. danga mtima ndiye yafupika ndi theka.
- Chachitatu digiri. Chipolopolo lochedwa mpaka mphete cartilaginous. mphete mosabisa. danga mtima ndi mwapang'ono.
- digiri chachinayi. Nembanemba dorsal ali pabwino pa mphete cartilaginous amene ali lathyathyathya ndi wokhotakhota, pafupifupi munthu chilolezo chikhalire.
Kodi kuchiritsa tracheal kugwa agalu
Chithandizo ndi mankhwala otchedwa matenda akusankhidwa mosamalitsa dokotala, malingana ndi makhalidwe munthu wa nyama. Pakuti mtundu wofatsa matendawa, pamaso panu mankhwala mankhwala, veterinarians amalangiza miyeso yeniyeni: polimbana kunenepa, ntchito amayamwitsa magulu m'malo kolala ndi, mankhwala a sekondale yotupa cholinga kapepala kakuti kupuma.
Nthawi zina nyama n'kofunika kumwa mankhwala kupondereza kupuma. Ndipo zinthu zina ndi kuchitira tracheal kugwa, ndi mankhwala m'thupi.
Ngati galu wakhala buluu mucous zimagwira ntchito zosiyanasiyana, ndipo iye amapuma kwambiri, panopa akufunikira kuti apite naye owona zanyama, chifukwa Pankhaniyi Akufunika kuchita opareshoni kupulumutsa moyo Pet a.
chithandizo opaleshoni
Nthawi zina pamene galu tracheal kugwa, opaleshoni nyama zofunika. Koma kokha pamene mankhwala sapereka zotsatira, ndi zinyama uli pangozi.
Pali zingapo zimene mungachite kuti alowererepo mphuno kugwa lapansi. tanthauzo ndi kuti m'malo gawo kuonongeka kwa trachea analili ndi anaikapo, amene ali ndi katundu onse pofuna yoyenera galu mpweya.
Pa dzanja limodzi, njira imeneyi akuti ndi zothandiza, ndi zina - lingachititse mavuto osiyanasiyana monga kusalandira m'mimba, matenda, necrosis laryngeal ziwalo ndi trachea. Ngati kudwala si ankachitira, pali aakulu kupuma kulephera.
njira inanso opaleshoni - stenting. Uyu wakhala kudzikonda kuwonjezera stent omwe ndi gululi zopangidwa masikito, ndi lumen wa. Iwo anaikapo mu trachea kumalo komwe kuli nthenda kuchepetsa. Uyamiko kwa Iye, anapitiriza permeability mphepo. Pakali pano, njirayi akuti ndi zothandiza kwambiri.
Ngati tracheal kugwa zimawonedwa mu Chiwawa, amene amagwiritsidwa ntchito pofuna kuchiza kukonzekera ozizira, bronchodilators, corticosteroids, mankhwala ozunguza bongo odana ndi nkhawa. Cholinga anathamangitsa ndi madokotala, makamaka ndi kuchiritsa kwathunthu, kapena m'mbuyo patsogolo matenda, pofuna kuthandiza nyama moyo nthawi zonse.
mankhwala mankhwala: bronchodilators, mahomoni ndi ozizira kukonzekera
mankhwala Kwalamulidwa malingana ndi mawonetseredwe symptomatic, ndi bronchodilators amaonedwa kukhala mankhwala chachikulu mankhwala a matenda amenewa, monga iwo kuchepetsa kuphipha ndi kuthamanga intrathoracic, kuwonjezera lumen wa ziwiya ka magazi ndi kupereka mpumulo wa zakulera. Pakuti mankhwala zino monga: "theophylline", "terbutaline" "Albuterol" "theophylline".
Ndi antitussive pano monga analgesics chomwa mankhwalawa, amene anakhudzidwa sedative ndi. Chifukwa ichi, zimathandiza kulamulira pakati chifuwa. "Butorphanol" amatanthauza munthu monga mankhwala. Ndende ya mankhwala amasankhidwa payekha malinga matenda. M'malo 'butorphanol "Nthawi zina mankhwala" Gidrokadon "akapatsidwa. Koma pali drawback mankhwala - zolowa awo mu Russia ndi zochepa kwambiri.
Timadzi mankhwala ntchito, ngati chifuwa ndi wamphamvu kwambiri. Iye amatenga edema wabwino ndi trachea ndi relieves zizindikiro za matendawo. Ndi ntchito kwa nthawi yaitali, zotheka matenda sekondale.
Ngati zimenezi zachitika, ndiye mankhwala ndi yabwino mankhwala njira. Mankhwala anasankha pambuyo swabs kusanthula tracheal kuchokera pamwamba.
Anti-nkhawa mankhwala amaikidwa agalu okonda kuchepetsa kuukira kukhosomola. Childs, vets mankhwala osokoneza bongo "ntchito diazepam" ndi "Acepromazine".
Ngati nyama chimaoneka chifuwa zowawa, ndi Zinkafunikiradi mu chipinda cha chipatala, kumene kanthu mwamsanga amatengedwa.
ndi molondola kusintha galu ndikuganiza zakudya kuchepetsa thupi. M'pofunikanso kusintha katundu sing'anga ozungulira mpweya (Palibe kusuta fodya kuyesa lotsatira, kuti ventilate chipinda, ntchito humectant) ndi ntchito yosavuta breech-gulu m'malo kolala.
Kodi n'chiyani chidzachitikire galu pambuyo opaleshoni
Kawirikawiri, pamene wapezeka tracheal kugwa agalu, chithandizo kutumikiridwa yomweyo. Nthawi zambiri njira yokhayo vuto limeneli opaleshoni.
Pambuyo chofunika mankhwala zobwezeretsa ndi dokotala. Nkofunikira monga kukhazikitsa kupewa matenda opatsirana ndi aakulu.
Nthawi aletse stent chofunika kuchita. Kuti tichite zimenezi, achite X-ray ndi endoscopy.
The mwini chiwetocho ayenera kudziwa kuti ulimi wa stent si mankhwala a matenda, izo amathandiza kukhazikitsa kupuma bwinobwino. Koma chifuwa adzapitiriza kutero, ndi ntchofu adzapitiriza kudziunjikira, ndi galu chifuwa chake.
Nkofunika kwambiri kuti akhazikitse kupuma yachibadwa wachitatu kapena wachinayi siteji ya ndondomeko pathological. Apo ayi, kugwa sizikanatheka kuti achite chirichonse.
Zovuta pambuyo kuika stent
Zovuta pambuyo ndondomeko anati akhale zotsatirazi:
- Ziwengo kuti zitsulo.
- Wovulala stent lapansi.
- Kusintha mu malo ake.
- Chifuwa chosatha.
- Kukula kwa tracheal mucosa.
Kupewa mavuto, sikutheka pochitika chiphasochi nthawi. Iwo adzatha kuthandiza mwamsanga kuti mavuto ndi kutenga njira kuthetsa iwo.
Choncho tinaganiza kuti ndi kugwa trachea a. Chithandizo cha matendawa chiyenera kuyamba posachedwapa pambuyo matenda lolozeka. Nkofunika nthawi kuthandiza Pet.
Kuti madokotala ananena zawo mankhwala
Standard mankhwala amalonjeza kuti madokotala ananena zawo zabwino pambuyo njira ya mankhwala ndi wabwinobwino khalidwe la moyo wanu Pet.
Mu chimake opaleshoni ya njira efficacy wa 81-91%. Bwino, ndithudi, n'koyenera zochizira agalu wamng'ono. Ngati galu wamkulu, dzuwa ndi yafupika, ngakhale pang'ono chabe.
Choopsa kwambiri za matenda sikumangotikhudza kuti madokotala ananena zawo. Choncho monga gawo lachinayi pa nkhani ya mankhwala lolondola ndi zambiri madokotala kupeza zotsatira zabwino.
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