Kodi bronchiectasis ya m'mapapo ndi momwe amathandizidwira

Zamkati
Pulmonary bronchiectasis ndi matenda omwe amadziwika ndi kuchepa kosatha kwa bronchi, komwe kumatha kuyambitsidwa ndi matenda obwera chifukwa cha bakiteriya kapena chifukwa chakulephera kwa bronchi. Matendawa alibe mankhwala ndipo nthawi zambiri amathandizidwa ndi matenda ena, monga cystic fibrosis, pulmonary emphysema ndi matenda osasunthika a eyelash, omwe amadziwikanso kuti Kartagener syndrome. Dziwani zambiri za matendawa.
Chithandizo cha bronchiectasis chimachitika pogwiritsa ntchito mankhwala ochepetsa zizindikilo ndikupewa kupitilira kwa matendawa ndi kupuma kwa thupi kuti athe kupuma.

Momwe mankhwalawa amachitikira
Chithandizo cha bronchiectasis chimachitika ndi cholinga chokweza zizindikilo ndikupewa kukula kwa matendawa, popeza matendawa alibe mankhwala. Chifukwa chake, kugwiritsa ntchito maantibayotiki kungalimbikitsidwe ndi adotolo, kuti athe kuchiza matenda, mucolytics, kuti athandize kutulutsa ntchofu, kapena bronchodilators, kuti athe kupuma.
Kuphatikiza apo, kupuma kwa thupi ndikofunika kwambiri kuti munthu akhale bwino, chifukwa kudzera mu physiotherapy ndikotheka kuchotsa ntchofu m'mapapu ndikuwonjezera kusinthana kwa gasi, kuthandizira kupuma. Mvetsetsani momwe kupuma kwa physiotherapy kumagwirira ntchito.
Zikakhala zovuta kwambiri, pangafunike kuchita opaleshoni kuti muchotse gawo lina m'mapapo.
Zizindikiro za Pulmonary Bronchiectasis
Matenda a bronchiectasis amatha kudziwika ndi izi:
- Kulimbikira chifuwa ndi phlegm;
- Kupuma pang'ono;
- Kutaya njala;
- Matenda ambiri;
- Pakhoza kukhala kutsokomola magazi;
- Kupweteka pachifuwa;
- Kupuma kovuta;
- Mpweya woipa;
- Kutopa.
Kuti apeze matenda a bronchiectasis, adotolo amayesa zizindikilozo ndikulamula kuti ayesedwe labotale, monga kusanthula kwa sputum, kuti adziwe matenda omwe angakhalepo, komanso kuyesa kuyerekezera, monga computed tomography ndi X-ray, momwe mawonekedwe a bronchi amawonekera, omwe nthawi zambiri zimawonjezeka mu chikhalidwe ichi.
Kuphatikiza apo, adotolo amatha kuyitanitsa spirometry, yomwe imawunika momwe mapapu amagwirira ntchito poyesa kuchuluka kwa mpweya wolowa ndikutuluka m'mapapu, ndi bronchoscopy, yomwe ndi kuyesa kwa zithunzi komwe kumakupatsani mwayi wowonera mayendedwe apansi, kuphatikiza kholingo ndi trachea . Mvetsetsani zomwe zimapangidwira komanso momwe bronchoscopy imagwirira ntchito.
Zoyambitsa zazikulu
Matenda a bronchiectasis amatha kuyambitsidwa ndi zinthu zingapo, monga:
- Matenda owopsa kapena obwereza;
- Chibayo;
- Mavuto amthupi;
- Matenda osasunthika a eyelash;
- Matenda a Sjogren;
- M'mapapo mwanga emphysema - kumvetsetsa ndi chiyani, zizindikiro ndi momwe angachitire m'mapapo mwanga emphysema;
- Mphumu;
- Matenda a nyamakazi.
Ngati chifukwa chake sichinazindikiridwe ndipo mankhwalawa ayamba, bronchiectasis imatha kubweretsa zovuta zingapo, monga kupumira kupuma komanso kugwa kwamapapo (kapena atelectasis), mwachitsanzo, vuto lakupuma komwe kumadziwika ndi kugwa kwa pulmonary alveoli yomwe imalepheretsa kupitilira mpweya. Dziwani zambiri za pulmonary atelectasis.