Chimwe chezvirwere zvakanyanya kuwedzerwa, zvichikonzera kuchinja kusinganzwisisiki mumatumbu ebronchi nechepasi pemapapu, inonzi chirwere che bronchoectatic. Chirwere chechirwere hachisi chikonzero chemamwe mapepa emapfupa ekufema, anoitika mumatanho matatu uye zvakaoma kurapa.
Zviratidzo zvebronchiectasis
Mushure mekutapukirwa nehutachiona hunokonzera chirwere ichi mubvunzo, pane zvinenge zvisina zviratidzo zvechirwere, kunze kwekusava nekukanganisika kwekukanganiswa.
Nekuwedzera kwekuwedzera kwechirwere (danho rekurwara kwakanyanya uye kurwisana) zviratidzo zvinotevera zvinowanikwa:
- kurwadziwa mubhokisi panguva yekufuridzirwa;
- kugunun'una nekuparadzaniswa kwepisulent mucus, kunyanya pashure pokurara kweusiku;
- hemoptysis;
- kukanganisa kwechifukidzo (bhari chimiro);
- shandura kuoneka kweminwe (semidziyo) uye misumari (convex, yakafanana negirazi pamurindi).
Kuongororwa kwebronchiectasis
Kuonekwa kwehutano hakusi kwakaoma:
- kuitisa kuongorora kukuru nekuteerera kufema kuburikidza ne phonendoscope;
- kuunganidza zvinyorwa uye anamnesis;
- kazhinji laboratory blood test ;
- sputum analysis (bhakitiriya tsika);
- yakawanda yakawanda yeropai test test.
Iwe uchadawo:
- fibrobronchoscopy;
- X-ray kuongorora zviputi zvemuviri;
- bronchography neparamende agent;
- computed tomography (multi-axis).
Mumamiriro ezvinhu akaoma ekurwara kana kuvapo kwezvinetso, kubvunzana kwepulmonologist kunogona kukurudzirwa.
Kurapa kwebronchoectatic lung mapfupa
Kutanga, maitiro ekurapa anopa kubviswa kwebronchi kubva mumucheka uye purulent sputum.
Nzira dzisingaiti dzinosanganisira:
- kushandiswa kwemari yekufambisa expectoration;
- position drainage;
- chifuva massage ne vibration;
- kupfutidzira maitiro.
Mishonga:
- acetylcysteine (ATSTS Long);
- Ambroxol ;
- Bromhexine;
- Dzorera.
Mishonga inorwisa mabhakitiriya inorayirwa maererano nemigumisiro yebhakitiriya inoculation uye kunzwisisika kwei microorganisms kune zvinoshanda zvinodhaka zvemishonga. Inokurudzirwa kushandisa 2-3 mazvigadziro ehuwandu hwemabasa.
Nzvimbo yemuviri panguva yekudonhodza kwepakati inobva kune chikamu chemapapu umo chirwere chinoputika chinoitika. Nzira yacho inofanira kuitwa kanenge kaviri pazuva pasi pekutarisirwa kwechiremba.
Mukuwedzera, mapapu anogona kunatswa nekunyatsorongedzwa kwemvura uye kusanganisa kunotevera kwemishonga muchikamu chechifuva.
Kubudirira kwepamusoro kunopiwa nekupindira kwekuvhiya, iyo inogona kuitwa kubva pamakore emwedzi 5-6 kusvika kumakore makumi mana.
Kurapa kwechirwere chetachiona nemishonga yevanhu
Zvinyorwa zvisingabvumirwi zvinotorwa sezviyero zvinowedzera, kunyange kushanda kwavo nguva dzose hakugoni kubvisa zvachose dambudziko racho.
Kubudirira kunoreva:
- Tora jisi mutsva webindu pamwe neuchi chaihwo (zvakaenzana zvakaenzana).
- Ndisati ndaenda kunhovo ndinonwa girazi reIcelandic moss.
- Kamwe kamwe pazuva, kunwa 200 mL yemukaka unopisa-wakagadzirwa (wakabikwa) nepuniki yefuraji yemafuta. Panzvimbo pewadhi yejiji, unogona kushandisa imwe smalets - pig, mbudzi kana bere.
- Pamberi pekudya imwe neimwe inotora mamiriyoni 15 echinetso chemashizha madema uye maruva uchi (zvakaenzana - 2: 1).
- Pasinei nenguva yezvokudya, inwa 1 kijiko chejiketi ye turnip (inonyorerwa), 5-6 kakawanda pazuva.
Matambudziko ebronchiectasis
Migumisiro yechirwere iyi inoshandura mafungiro mumatumbu ebronchi nemapapu, uyewo:
- stable atelectasis;
- kubuda ropa;
- aspergilloma;
- abscessing.