Kodi abscess ya m'mapapo, zizindikiro, zoyambitsa ndi momwe angachiritsire

Zamkati

• Zizindikiro zotupa m'mapapo
• Matendawa amapezeka bwanji
• Zomwe zimayambitsa matenda am'mapapo
• Momwe mankhwalawa amachitikira
• Physiotherapy yotupa m'mapapo

Kuphulika kwa mapapo ndi chibowo chomwe chimakhala ndi mafinya mkati, choyambitsidwa ndi necrosis ya minofu yamapapu, chifukwa cha matenda a tizilombo tating'onoting'ono.

Nthawi zambiri, mafinya amayamba pakati pa 1 mpaka 2 masabata atadetsedwa ndi tizilombo toyambitsa matenda, omwe nthawi zambiri amachitika chifukwa cha chibayo cha chibayo chomwe chimayambitsa kukhumba kwa zomwe zili mkamwa kapena m'mimba, chifukwa zimakhala ndi mabakiteriya omwe amatha kukhala ndi mtundu uwu. kuvulaza. Mvetsetsani momwe chibayo chimatulukira.

Matendawa amapangidwa ndi dokotala kudzera pakuwunika kwa chithunzi chachipatala, kupendekera kojambula m'mapapo ndi kuyesa magazi. Kenako, ndikofunikira kuyamba mankhwala ndi maantibayotiki omwe amathandiza kulimbana ndi tizilombo tomwe timayambitsa matendawa, mogwirizana ndi chithandizo chamagulu ndi physiotherapy. Zikakhala zovuta kwambiri, kukoka madzi m'mapapo kumatha kukhala kofunikira.

Zizindikiro zotupa m'mapapo

Zizindikiro zazikulu zamatenda am'mapapo ndi awa:

• Malungo;
• Kupuma movutikira ndi kutopa;
• Chifuwa ndi kutuluka kwa mucopurulent, komwe kumatha kukhala ndi fungo losasangalatsa ndi mizere yamagazi;
• Kupweteka pachifuwa komwe kumawonjezeka ndikupuma;
• Kutaya njala;
• Kuwonda;
• Thukuta usiku ndi kuzizira.

Kukula kwachithunzithunzi chachipatala kumatha kutenga masiku mpaka masabata, kutengera mabakiteriya omwe adayambitsa matendawa, zaumoyo komanso chitetezo chamthupi la munthu wokhudzidwayo. Kawirikawiri, ndi abscess imodzi yokha yomwe imapangidwa, yopyola masentimita awiri m'mimba mwake, komabe, nthawi zina, ma abscess angapo amatha kuwonekera panthawi yothandizira.

Zizindikiro zikayamba kuwonetsa mtundu wamatenda am'mapapowa, m'pofunika kukaonana ndi pulmonologist posachedwa, kapena kupita kuchipinda chadzidzidzi, kuti chifukwa chake chizindikiridwe ndipo chithandizo choyenera chiyambike nthawi yomweyo.

Matendawa amapezeka bwanji

Kuzindikira kwa abscess yam'mapapo kumachitika ndi dokotala, kudzera pakuwunika kwa zisonyezo, kuwunika thupi, kuphatikiza pakuyesa monga chifuwa cha radiography, chomwe chikuwonetsa kupezeka kwa katulutsidwe kamalowa m'mapapo ndi m'mimbamo, yomwe nthawi zambiri imakhala yodzaza ndi mafinya ndi mpweya.

Kuyezetsa magazi, monga kuwerengera kwathunthu kwa magazi, kungathandize kuwonetsa kupezeka kwa kachilombo ndikuyesa kuopsa kwake. Komano, tomography yachifuwa, imatha kuthandizira kuzindikira komwe kuli abscess, ndikuwona zovuta zina monga kupuma kwamapapo kapena kutulutsa mafinya m'madzi am'magazi.

Kuzindikiritsa kachilombo ka HIV kungakhale kofunikira nthawi zina, makamaka kutsogolera chithandizo, ndipo chifukwa cha izi, chikhalidwe cha sputum ya m'mapapo chingachitike, kapena kusonkhanitsa zinthu kuchokera ku matenda ndi tracheal aspirate kapena thoracentesis, mwachitsanzo, kapena ngakhale chikhalidwe cha magazi. Onani momwe kuyezetsa kumachitikira kuti mupeze mankhwala abwino kwambiri ochizira matendawa.

Zomwe zimayambitsa matenda am'mapapo

Kutupa m'mapapo kumachitika chifukwa tizilombo toyambitsa matenda, makamaka mabakiteriya, timakhazikika m'mapapo ndikuyambitsa matenda a necrosis. Kulowa kwa tizilombo kumatha kuchitika kudzera munjira izi:

• Kutengeka kwa zinthu zopatsirana (zomwe zimayambitsa pafupipafupi): zofala kwambiri pakumwa uchidakwa, kugwiritsa ntchito mankhwala osokoneza bongo, chikomokere kapena mankhwala oletsa ululu, momwe kutayika kwa chidziwitso kumathandizira kulakalaka zomwe zili mkamwa kapena m'mimba, komanso matenda a sinusitis, matenda m'kamwa, kuwola kwa mano kapena ngakhale simungathe kutsokomola;
• Matenda opatsirana;
• Khansa;
• Kulowetsa molunjika koopsa m'mapapu;
• Kufalikira kwa matenda ochokera ku chiwalo choyandikana nacho;
• Kuphatikizika kwa pulmonary kapena infarction.

Pamene chotupa cha m'mapapo chimadza chifukwa cha matenda am'mapapo, chimadziwika kutichachikulu. Nthawi yomwe imayamba chifukwa cha zovuta zam'mapapo, monga kufalikira kwa matenda ochokera ku ziwalo zina kapena kupindika kwa m'mapapo, amatchedwa yachiwiri. 

Zina mwa tizilombo tomwe timayambitsa matendawa ndi Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa kapena Streptococcus pyogenes, kapena mabakiteriya a anaerobic, monga Peptostreptococcus, Prevotella kapena Mabakiteriya sp, Mwachitsanzo. Ziphuphu za bowa kapena mycobacteria ndizosowa kwambiri ndipo zimawoneka pafupipafupi kwa anthu omwe ali ndi chitetezo chofooka kwambiri.

Momwe mankhwalawa amachitikira

Kuchiza kwa abscess m'mapapo kumachitika ndi maantibayotiki monga Clindamycin, Moxifloxacin kapena Ampicillin / Sulbactam, mwachitsanzo, pafupifupi masabata 4 mpaka 6, kutengera zomwe zimayambitsa tizilombo toyambitsa matenda komanso matenda a wodwalayo.

Munthawi yovuta, chithandizo chazakudya komanso kupuma kwa thupi kumawonekeranso. Ngati chithandizo choyambirira sichothandiza, opareshoni ayenera kuchitidwa kukhetsa abscess, ndipo pomaliza pake, chotsani gawo la mapapo a necrotic.

Physiotherapy yotupa m'mapapo

Physiotherapy ndikofunikira kuthandiza kuchira, ndipo imachitika kudzera:

• Ngalande zapambuyo pake: atatha kutulutsa mapapu, munthuyo amakhala mothandizidwa ndi gwero la bronchus kuti athetse kutulutsa kwamitsempha kudzera m'makosomero;
• Kupuma kwa kinesiotherapy: machitidwe opumira amayang'ana kukulitsa chifuwa ndikukhazikika kwamapapu;
• Spirometry yolimbikitsa: munthuyo amalangizidwa kuti apume kwambiri (kukoka mpweya m'mapapu) ndikusunga kwa masekondi ochepa. Zitha kuchitika kudzera pazida monga Respiron;
• Kutulutsa zinsinsi ngati munthuyo sangakwanitse kutsokomola.

Kuchiza kwamatenda am'mapapo kumathandiza kwambiri kwa anthu ogwirizana omwe amayankha zopempha za chifuwa ndi kupuma. Dziwani zambiri za momwe kupuma kwa thupi kumapangidwira komanso zomwe zimapangidwira.