Yintoni ithumba lemiphunga, iimpawu, oonobangela kunye nendlela yokunyanga

Umxholo

• Iimpawu zamathumba emiphunga
• Njani na isifo
• Yintoni ebangela ithumba lemiphunga
• Unyango lwenziwa njani
• I-Physiotherapy yamathumba emiphunga

Amathumba emiphunga sisisu esiqulathe ubofu ngaphakathi, esivela nge-necrosis yethishu yemiphunga, ngenxa yosulelo lwe-microbial.

Ngokubanzi, iifom ze-abscess phakathi kwe-1 ukuya kwiiveki ezi-2 emva kokungcoliseka yi-microorganism, edla ngokwenzeka ngenxa yengxaki yenyumoniya ebangelwa kukunqweneleka komlomo okanye isisu, njengoko ziqulathe iibhaktheriya kunokwenzeka ukuba zikhule olu hlobo. ukwenzakala. Qonda indlela yokuphefumla inyumoniya.

Ukuxilongwa kwenziwa ngugqirha ngokuvavanya umfanekiso weklinikhi, i-pulmonary radiography kunye novavanyo lwegazi. Emva koko, kubalulekile ukuqala unyango ngamayeza okubulala iintsholongwane anceda ukulwa neentsholongwane ezibangela oko, ngokudibana nenkxaso yesondlo kunye ne-physiotherapy. Kwiimeko ezinzima kakhulu, kunokufunwa amanzi emiphungeni.

Iimpawu zamathumba emiphunga

Iimpawu eziphambili zamathumba emiphunga zibandakanya:

• Ifiva;
• Ukuphefumla kancinci nokudinwa;
• Ukukhwehlela ngokukhupha i-mucopurulent, okungaqulatha ivumba elibi kunye nokuhamba kwegazi;
• Intlungu yesifuba esiba mandundu ngokuphefumla;
• Ukuphelelwa ngumdla wokutya;
• Ukuhla ukusinda;
• Ukubila ebusuku kunye nokubanda.

Ukuwohloka komfanekiso weklinikhi kunokuthatha iintsuku ukuya kwiiveki, kuxhomekeke kwintsholongwane ebangele usulelo, kwiimeko zempilo kunye nokuzikhusela komzimba womntu ochaphazelekayo. Ngokubanzi, inye kuphela ithumba elenziweyo, elingaphezulu kwe-2 cm ubukhulu, nangona kunjalo, kwezinye iimeko, amathumba amaninzi anokuvela ngexesha losulelo.

Xa kuvela iimpawu neempawu ezinokuthi zibonise olu hlobo losulelo lwemiphunga, kufanelekile ukuba uqhagamshelane ne-pulmonologist ngokukhawuleza, okanye uye kwigumbi likaxakeka, ukuze unobangela uchongwe kwaye unyango olufanelekileyo luqaliswe kwangoko.

Njani na isifo

Ukuchongwa kwamathumba emiphunga kwenziwa ngugqirha, ngokuhlalutya iimpawu, uviwo lomzimba, ukongeza kuvavanyo olufana nesifuba esibonisa ubukho bemfihlo yokungena ngaphakathi emiphungeni nakwindawo yomngxunya, ihlala ijikelezwe, izaliswe bubofu kunye nomoya.

Uvavanyo lwegazi, olufana nokubala okupheleleyo kwegazi, lunokunceda ukubonisa ubukho bosulelo kunye nokuvavanya ubukhali. I-tomography ehlanganisiweyo yesifuba, kwelinye icala, inokunceda ekuchazeni ngcono indawo yethumba, kunye nokujonga ezinye iingxaki ezinje nge-lung infarction okanye ukuqokelelwa kobofu kulwelo lwe-pleural fluid.

Ukuchongwa kwe-microorganism kunokuba yimfuneko kwezinye iimeko, ngakumbi ukukhokela unyango, kwaye ngenxa yoku, inokwenziwa inkcubeko yesikhohlela semiphunga, okanye ukuqokelelwa kwezinto ezisulelayo kusulelo yi-tracheal aspirate okanye i-thoracentesis, umzekelo, okanye inkcubeko yegazi. Jonga ukuba uvavanyo lwenziwa njani ukuze kuchongwe elona nyango libalaseleyo ukunyanga usulelo.

Yintoni ebangela ithumba lemiphunga

Ithumba lemiphunga lenziwa xa iintsholongwane, zihlala ziyintsholongwane, zihlala emiphungeni kwaye zibangele necrosis yethishu. Ukungena kwamagciwane kungenziwa ngezi ndlela zilandelayo:

• Ukuphefumla kwezinto ezosulelayo (esona sizathu siqhelekileyo): kuxhaphake kakhulu kwimeko yotywala, ukusebenzisa iziyobisi, isiqaqa okanye ukubulawa ngumzimba, apho ukulahleka kwesazela kuququzelela ukufuna imixholo evela emlonyeni okanye esiswini, kunye nakwimeko yesinusitis, usulelo kwiintsini, ukubola kwamazinyo okanye nokuba awunakho ukukhohlela ngokukuko;
• Usulelo lwePulmonary;
• Umhlaza;
• Ukungena ngokuthe ngqo emiphungeni;
• Ukusasazeka kwezifo ezivela kwilungu elingummelwane;
• I-pulmonary embolism okanye infarction.

Xa ithumba lemiphunga livela kusulelo ngqo lomphunga, luphawulwa njengezaseprayimari. Kwiimeko apho zivela khona ngenxa yeengxaki zotshintsho lwemiphunga, ezinjengokusasazeka kosulelo olusuka kwamanye amalungu okanye ukubola kwemiphunga, oko kubizwa ngokuba yesibini. 

Ezinye zeentsholongwane eziqhelekileyo njengesizathu sokuphefumla kwemiphunga yiStaphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa okanye iStreptococcus pyogenes, okanye ibacteria yeanaerobic, IPeptostreptococcus, Prevotella okanye Iibacteroides sp, umzekelo. Amathumba abangelwa kukungunda okanye i-mycobacteria anqabile kwaye avela rhoqo kubantu abanokungakhuseleki komzimba.

Unyango lwenziwa njani

Unyango lwethumba emiphungeni lwenziwa ngamayeza okubulala iintsholongwane afana neClindamycin, Moxifloxacin okanye i-Ampicillin / Sulbactam, umzekelo, ngokomndilili weeveki ezi-4 ukuya kwezi-6, kuxhomekeke ekubangeleni i-microorganism nakwiimeko zeklinikhi yesigulana.

Ngexesha lesigaba esibuhlungu, inkxaso yesondlo kunye ne-physiotherapy yokuphefumula ikwabonakalisiwe. Ukuba unyango lokuqala alusebenzi, kufuneka kwenziwe utyando ukukhupha ithumba, kwaye kwimeko yokugqibela, susa inxenye yomphunga we-necrotic.

I-Physiotherapy yamathumba emiphunga

I-Physiotherapy ibalulekile ukunceda ukubuyisela kwimeko yesiqhelo, kwaye yenziwa ngoku:

• Umjelo wamanzi wasemva kwesithuba: emva kwendawo yamathumba emiphunga, umntu ubekwe kwicala lomthombo bronchus wokupheliswa kwemfihlo ngokukhohlela;
• I-kinesiotherapy yokuphefumla: imithambo yokuphefumla ijolise ekwandiseni ukwandiswa kwesifuba kunye nokulungelelanisa umthamo wamaphaphu;
• Inkuthazo ye-spirometry: umntu uyalelwa ukuba athathe umoya ophefumlayo (tsala umoya ungene emiphungeni) kwaye uwugcine imizuzwana embalwa. Kungenziwa ngezixhobo ezinje nge-Respiron;
• Ukuphefumlelwa kwemfihlo ukuba umntu akakwazi ukukhohlela.

Unyango lomzimba lwamathumba emiphunga lusebenza kakhulu kubantu abasebenzisanayo abaphendula izicelo zokukhohlela kunye nemithambo yokuphefumla. Funda ngakumbi malunga nendlela yokuphefumla okwenziwa ngayo kwaye yenzelwe ntoni.