Kutuluka kwamatenda

Kuphulika kwa tracheal kapena bronchial ndikung'ambika kapena kuphulika kwa mphepo (trachea) kapena machubu a bronchial, njira zazikuluzikulu zopita kumapapu. Misozi imathanso kupezeka munyama yomwe ili pamphepo.

Kuvulala kungayambidwe ndi:

• Matenda
• Zilonda (zilonda) chifukwa cha zinthu zakunja
• Zovuta, monga kuwombera mfuti kapena ngozi yapagalimoto

Zovulala ku trachea kapena bronchi zitha kuchitika nthawi zamankhwala (mwachitsanzo, bronchoscopy ndikuyika chubu lopumira). Komabe, izi sizachilendo.

Anthu omwe ali ndi vuto lopwetekedwa mtima omwe amayamba kuphulika kapena kuphulika kwamankhwala nthawi zambiri amakhala ndi zovulala zina.

Zizindikiro zimaphatikizapo:

• Kutsokomola magazi
• Mphungu yomwe imamveka pansi pa khungu la chifuwa, khosi, mikono, ndi thunthu (subcutaneous emphysema)
• Kuvuta kupuma

Wothandizira zaumoyo adzayesa. Kuyang'anitsitsa kwakukulu kudzaperekedwa kuzizindikiro zakutuluka.

Mayeso omwe angachitike ndi awa:

• Khosi ndi chifuwa CT scan
• X-ray pachifuwa
• Bronchoscopy
• CT zojambula
• Laryngoscopy
• Kusiyanitsa kwa ziwonetsero ndi esophagoscopy

Anthu omwe adakumana ndi zoopsa amafunika kuti awachitire zovulala. Kuvulala kwa trachea nthawi zambiri kumafuna kukonzedwa panthawi yochita opaleshoni. Kuvulala kwa bronchi yaying'ono nthawi zina kumatha kuchitidwa popanda opaleshoni. Mapapu omwe agwa amathandizidwa ndi chubu pachifuwa cholumikizidwa ndi kuyamwa, komwe kumakulitsa mapapu.

Kwa anthu omwe apumira thupi lachilendo mumlengalenga, bronchoscopy itha kugwiritsidwa ntchito kutulutsa chinthucho.

Maantibayotiki amagwiritsidwa ntchito kwa anthu omwe ali ndi matenda m'mapapo mozungulira chovulalacho.

Maganizo a kuvulala chifukwa cha zoopsa zimatengera kuopsa kwa kuvulala kwina. Ntchito zokonzanso kuvulala kumeneku nthawi zambiri zimakhala ndi zotsatira zabwino. Maonekedwe abwino ndi abwino kwa anthu omwe kusokonekera kwa tracheal kapena bronchial kumachitika chifukwa cha zinthu monga chinthu chakunja, chomwe chimakhala ndi zotsatira zabwino.

M'miyezi kapena zaka pambuyo povulazidwa, mabala pamalo ovulala atha kubweretsa mavuto, monga kuchepa, komwe kumafunikira mayesero ena kapena njira zina.

Zovuta zazikulu pambuyo pakuchitidwa opaleshoni ya matendawa ndi monga:

• Matenda
• Kufunikira kwakanthawi kwa mpweya wabwino
• Kupapatiza kwa mayendedwe ampweya
• Zosokoneza

Lumikizanani ndi omwe amakupatsani ngati muli ndi:

• Anavulala kwambiri pachifuwa
• Mpweya thupi lachilendo
• Zizindikiro za matenda pachifuwa
• Kumverera kwa thovu la mpweya pansi pa khungu lanu ndi kupuma movutikira

Anang'ambika tracheal mucosa; Kuphulika kwa bronchial

• Mapapo

Asensio JA, Trunkey DD. Kuvulala khosi. Mu: Asensio JA, Trunkey DD, olemba. Therapy Yamakono Yopweteketsa Mtima ndi Chisamaliro Chofunikira Cha Opaleshoni. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: 179-185.

Frew AJ, Doffman SR, Hurt K, Buxton-Thomas R. Matenda opuma. Mu: Kumar P, Clark M, eds. Kumar ndi Clarke's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier; 2017: mutu 24.

Martin RS, Meredith JW. Kuwongolera zoopsa zazikulu. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 16.