Purulent bronchitis: tsanangudzo, zvinobvira zvinokonzera, marudzi uye ratings

Pakati zvakawanda siyana bronchitis ngozi huru inomirira purulent. The chirwere anouya pamusoro pakarepo. Kana nguva ipi ngarirege kurapwa kwayo, zvinokwanisika kuti kwaita zvakakomba yematambudziko.

The mashandiro chirwere kukura

Purulent bronchitis - ichi chirwere anogumbura. kuyerera Its achabatsirwa nokusunungurwa madzihwa, izvo yekudyidzana zvinoomesa kufema.

Honzeri vane ngozi chirwere utachiona. Kakawanda, chirwere kunoitika nokuda pneumococci, Haemophilus influenzae uye Streptococcus mutans. Vanogona kupinda muviri kuburikidza mumate kana node. Pamusoro chirwere, romukati Kamudzira pamusoro principales chakafukidzwa mucopurulent unhani. Somugumisiro, kufema vakanetseka.

Simba pashure achirwadziwa furuwenza kana SARS muviri hakusi kugona kupa zvakakwana kudzivisa utachiona. Kukurumidza kuwedzera utachiona kutsamwisa mumatenhere bronchus, dyspnea uye voga guru madzihwa. Pusa kusvuta, kusvibiswa mhepo uye neutachiona chete kuwedzera kukomba kwechirwere chacho. Panguva imwe chete, kuti principales unyatsova pangozi utachiona.

Munguva pathological muitiro itsika kusiyanisa maitikiro maviri:

1. Primary uko kukundwa ari Formação de uye principales.
2. Secondary. Kushoma rinopararira kune dzimwe nhengo dzose kufema hurongwa.

The budiriro purulent bronchitis anotora nguva refu. Kana nguva kuti kuziva uye pakarepo uchatanga kurapwa, zvinokwanisika kuti tariro yakanaka fungidziro. Zvikasadaro pathological muitiro anova chisingaperi.

The zvikonzero

Chimiro purulent pakuyerera kazhinji pashure kukodzera kurapwa kuti rikwanise bronchitis. Basa antibacterial yomuchipatara havana kukwanisa kubvisa pfungwa kubva utachiona nokuda yakaderera aikanganiswa neyokupedzisira kuti mishonga.

Uyezve, vanachiremba with boka zvinhu nezvainoita muviri chinokurwadzai purulent kuzvimba :

• chimbichimbi kuchinja tembiricha;
• kuderera rokuzvidzivirira;
• chisingaperi zvirwere paranasal sinuses;
• kakawanda chikosoro.

In vanosvuta, vanachiremba kakawanda anoratidza bronchitis. Nokufamba kwenguva uye pasina yokurapa, chirwere anogona kuchinja kuva purulent fomu.

Mhando dzakasiyana-siyana zvokurwara

Suppurative kuomesa of chirwere, vanachiremba pulmonologists akakamurwa 3 mhando:

1. Catarrhal. Zvokurwara kunoratidza anonetsa zvikuru chikosoro uye expectoration rukuru. Panguva nechirwere ari kuongorora madzihwa dzimwe nguva akawana leukocytes.
2. Obstructive. In sputum nguva rinooneka pus kana ropa mitaro.
3. Chisingaperi. Ichi chimiro zvinokambaira chirwere, iyo inozivikanwa nokuva yatinenge kanganwiro uye wava kusvutazve.

Ngozi huru iri obstructive purulent bronchitis. Inokudziridza pamusoro pakanyorwa chakasimba zvirwere zvinokonzerwa nemabasa pathogenic microflora. Panyaya iyi murwere ane fivha, vachirwadziwa mapfundo tsandanyama. kunonoka kana kushaya kunokwanisa kukonzera kusingarapiki kuchinja pulmonary ino, rakaipa.

zvekuchipatara mufananidzo

Kazhinji hosha kunooneka pacharo muchando. Zviratidzo zvikuru anogona akafanana zvakafanana chando kana chakasimba kufema chirwere. Chokutanga, pane sekenyedzo ari huro, iyo sokugamuchira hosha huro kana tonsillitis. Kwapera nguva, zviri vakabatana yakasimba yakaoma chikosoro. Kurwisa mumwe angaperekedzwa marwadzo pachipfuva. Dzimwe nguva varwere vachinetseka kufema nokuda guru kuunganidza madzihwa ari principales. Papera chinguva, kuti chikosoro inova dzanyorova, uye sputum expectoration ane yellowish tint.

Other zviratidzo rikwanise bronchitis vanachiremba dzoga:

• zvakawedzera vangadikitira;
• yokunyanyisa simba;
• zvishomanana tembiricha kuwedzera kune subfebrile zvinoratidza;
• kupfupika mweya.

The chirwere unogona kwira kusvika 2-3 pagore. By subcooling kuitazve kazhinji kutungamirira kana mazhinji chando. Panyaya iyi, ari kurapwa mufananidzo hunowedzera raidudzwa chikosoro kunowedzera, uye uwandu secreted madzihwa inowedzera zvinoshamisa.

Sei rakakodzera nguva kuziva chirwere chimiro chirwere?

In chisingaperi purulent bronchitis, kukosora dzinounzwa kuna 250. Rine mamiririta sputum pazuva. ruvara Its dzinosiyana tsvuku akacheneruka kuti girini. The pus kungaonekwa nokuda mutsinga ropa.

The chirwere kunoratidzwa kosi kwenguva yakareba pamwe fanira rakawedzera Árbol mhingaidzo. The kuomesa kwayo zvikuru ngozi runoonekwa kuti rikwanise kufema kukundikana. Kana murwere kufema Lengthens uye inofambidzana kukanganiswa, apo pakuonekwa yakaoma Whistling ruzha, yava nguva kuridza aramu. Zviratidzo izvi anoratidza rakapinza kudzikira mune utano.

nzira nechirwere

Kana chikosoro simba kana kupfupika mweya unofanira kubvunza mumwe chiremba. Hazvina nyanzvi ichi kunogona zvakanaka rokuongorora uye varayire anodiwa kurapwa.

Standard kuzviongorora murwere vakafunga purulent bronchitis rinosanganisira zvinotevera mabasa:

1. The kuongorora sputum.
2. Radiography. Zvinoita kuti tikwanise kuongorora ukuru kukuvara Árbol kuziva pathological maronda.
3. Bronchoscopy. Kusiyanisa purulent muchimiro chirwere yechipiri kunokonzerwa tibhii kana nemabayo.
4. Blood bvunzo. Zvakafanira kuongorora mashoko pautano murwere.

Hazvina chiremba fanira vanofanira kuongorora murwere, kudzidza nhoroondo yaro uye zvekuchipatara zvinhu. The pakarepo ndeye padivi purulent bronchitis zviratidzo.

Pakurapa chirwere anogara kuitwa comprehensively. Unofanira kutanga kubvisa exudate kubva principales. Nokuti chinangwa ichi, akagadza vamiririri uye expectorants mucolytics. In mazhinji Muzviitiko kungada rubatsiro bronchoscopy. Zvakawanda pamusoro kuchirapa migumisiro neimwe nzira zvichabviswa kurondedzerwa pazasi.

Kushandisa tupukanana

The chenjera Nguva purulent bronchitis nguva dzose kunoda zvaidiwa mubhedha zororo, kurega kusvuta uye Kuderedza inokanganisa pamusoro kufema hurongwa. Muchipatara murwere zvinoratidzwa chete nyaya yokukurumidzira, kana dambudziko chirwere iri nechimwe raidudzwa kudhaka kana mwoyo kukundikana.

The nzira chikuru kuchirapa kushanda rinozivikanwa asingaurayiwi yaunodya. Yaiwanzoshandiswa zvinodhaka dzinotevera mapoka:

1. Macrolides ( "Sumamed", "Azitroks"). Iva zvaparadza puroteni usage mumasero ari pathogenic kasvisto, izvo zvinoderedza kukwanisa avo zvakare kugovera.
2. Aminopenicillin ( "Amoxiclav"). zvinodhaka kwakadaro vane ngozi zvainoita utachiona chete zvinyama pasina kukonzera zvakaipa kuti muviri womunhu. Zvisinei, avo kushandiswa kunowanzoguma neutachiona.
3. Cephalosporins ( "Ceftriaxone", "Cefazolin"). Mishonga veboka iri zvinhu kutsamwisa chinovhiringidza pamusoro kwetunhu inova hwaro Kamudzira masero kwemabhakitiriya.
4. Fluoroquinolones ( "Ofloxacin" "Ciprofloxacin"). Iva avhiringidza pamusoro DNA mabhakitiriya, izvo zvinoita kuti avaurayisa. Refu unoshandiswa kazhinji kunokonzerwa dysbacteriosis akaratidza.

Mishonga nokuti purulent bronchitis here kugadza mushure kuongorora sputum nokuda nehanya kuti utachiona. Zvikasadaro ravo kushandiswa achava isashande.

multimodality kurapa

Kuwedzera nemishonga kubvisa chirwere muitiro nguva dzose basa mucolytics. Vanobatsira rikurumidze expectoration. Antihistamines angashandiswa nokuda nokubviswa zvinyama edema uye kubvisa neutachiona.

In zvakaoma kurapa anosanganisirawo zvakasiyana siyana physiotherapy, uyai uye pachipatara pacho zororo. A kunobatsirawo murwere ezvinhu:

• inhalation "Mukaltin" uye "Hydrocortisone";
• electrophoresis pamwe potassium iodide;
• diathermy kurapa.

Mushure kuvandudza utano rinobatsira kupinda purogiramu masaja, chinofema kurovedza.

bronchoscopy

Bronchoscopy chinhu endoscopic nzira rinoshandiswa kuti chirwere uye dzokurapwa zvinangwa. With payo, chiremba Anochenesawo Airways pamusaka phlegm. Kana achiita 2-4 purulent bronchitis nzira uye penguva zvingava 3 mazuva pavhiki pakati pavo.

Bronchoscopy, endobronchial kosi nguva dzose kupedza kururamiswa. Kuburikidza rinokosha sirinji uye kusanduka anobudisa mushonga zvishoma nezvishoma, chiremba inoisa mushonga. Izvi zvinogona kuva "Furatsilinom", "Dimexidum" kana "rivanola". The yose nzira rinoitwa pasi zvomunharaunda yokutindivadza.

pezvingazoitika

Chenjera purulent bronchitis, maererano wongororo kuvarapi uye varwere, zvinoda nomazvo uye nenguva kurapwa. Zvikasadaro, chirwere chinogona kuchinjwa kuva chirwere kana nemabayo.

Munguva kukura pathological kwacho Árbol rusvingo aumbwa pus. Slimy rukoko anotanga kuzvimba. Sezvo kuchiita chokutsva riri kuramba kudzika kupinda tishu pamadziro. The chirwere anotora kwazvo chimiro izvo kunoratidzwa havachanyatsogoni Árbol basa abudise basa, atrophy pamusoro mucous rusvingo.

Mucopurulent chisingaperi bronchitis zvine ngozi nokuti kunowanzoguma anotevera zvirwere:

• bronchiectasis uye asima syndromes unhu;
• vangakosora ropa;
• emphysema;
• diffuse fibrosis;
• kukundikana rworudyi ventricle mwoyo.

Zvisinei, zvaidiwa vanorumbidza dzose chiremba kudzivisa migumisiro izvi.

Testimonials

Purulent muchimiro bronchitis - chakakomba uye zvakafanana chirwere panguva imwe chete. Maererano mhinduro wevarwere kusaita kukura kwayo zvinogoneka kana kurapwa nenguva nenzira catarrhal zvirwere zvose uye kuongorora mamiriro utano.

Kana zvakanga zvisingaiti kuti kudzivisa kuonekwa chirwere, zvakakodzera mukanyatsochengeta kutevera chiremba kurumbidza kuti anorapwa. Maererano varwere, mureza kunzwisisa kurapa kunoreva kushandisa mishonga inorwisa mabhakitiriya uye zvinodhaka mucolytic. Mune zvisingawanzoitiki zviitiko, bronchoscopy runodiwa.