Croupous pneumonia

Croupous pneumonia inzira inoputika inoputika iyo yose yakakosha yemapapu, izvo zvinoguma nekusachinja kwemaitiro morphological munhengo.

Etiology uye pathogenesis ye croupous pneumonia

Iyo inokonzera causative agent ye croupous pneumonia ndeyi:

• pneumococci;
• streptococci;
• staphylococci;
• E. coli;
• Friedlander's wand.

Croupous pneumonia ine zvikamu zvinotevera zvekufambira mberi:

1. Nhanho yemaperemia kana yakakwirira. Munguva iyi, kuvhiringidza kwehutachiona muhurukuro kunotungamirira pakuwedzera kwavo. Vanounganidza kuwedzerwa kwemvura. Nzvimbo yacho inogona kubva pamaawa 12 kusvika mumazuva matatu.
2. Chikamu chekupora kutsvuku. Erythrocytes inotanga kupinda muhuwandu hwemvura inobva mumidziyo. Mhepo yose inodzingwa kubva kuAlveoli uye ruvara rwechiropa rinooneka.
3. Chikamu che gris rinoporesa. Iyi nguva yekukura inozivikanwa nekupararira kweeukocytes pamusoro pe erythrocytes, iyo inopa grey mujinga. Nguva yegango iri kubva pa3 kusvika kumazuva mashanu.
4. Icho chikonzero chekugadzirisa. MuAlveoli kune resorption ye fibrin uye leukocyte uye kune chenguva chekutsvaga pamwe chete ne sputum. Izvi zvinopoteredza zuva re7-11 rechirwere.

Zviratidzo zveprouum pneumonia

Sezvo mutemo, chirwere chinotanga zvakanyanya uye chinogona kutsanangurwa nezviitiko zvinotevera:

• chills;
• rakaoma malaise uye utera;
• headache;
• kuwedzera kutuka;
• kuwedzera pakushisa kusvika 39-40 ° C;
• kurwadziwa mubhokisi;
• kufema zvishoma;
• kusunungurwa kwe purulent sputum.

Munguva yekuongorora chirwere chinonzi croupous pneumonia, chiremba anoenda anokwanisa kuteerera munzwiro uye anoratidza ruvara rwakanaka, tachycardia inogona kuratidza. Kuti uwane mufananidzo wakazara uye wakakwana, X-rays uye mamwe maitiro ekuongorora mabhuku anofanira kuitwa, izvo zvinogona kusimbisa kukura kwechirwere.

Zvinetso zveprouum pneumonia zvinogona kuda kurapwa zvakakodzera zvinogona kuva nengozi. Kune matambudziko akadaro zvinokwanisika kutakura:

• sepsis - hutachiona hweropa uye kupararira kwehutachiwana mumuviri wose;
• exudative pleurisy - kuvhiringidza kwepamu membrane;
• abscess - suppuration;
• pericarditis - chirwere chokuputira mumoyo chegi;
• chinotyisa-chinotyisa.

Kuchengetedzwa kwechirwere chinonzi pneumonia

Kune varwere vane chirwere ichi chinotyisa, kutarisira nokungwarira uye kunyatsorapwa kunokosha zvikuru. Izvi zvinoshanda kune zvinodhaka uye chikafu. Pamusana pekuti kunyanya kudya kwemishonga nemishonga isina kukwana, mabhakitiriya haagoni kungopera chete, asiwo kusimbisa, zvakakosha kunwa mishonga panguva yakanyatsotarisirwa uye mune imwe chiitiko.

Kurapa chirwere chinoshandiswa nemishonga inorwisa mabhakitiriya uye sulfonamide, iyo inobatsira zvikuru kuderedza kuchinja kwechirwere chacho. Dzimwe nguva zvinowanzoitika uye izvi: iyo causative agent inowedzera kukanganiswa kwemishonga. Muchiitiko ichi, chiremba, achiona kusagadzikana kwekambani yekurapa chirongwa, anogona kupa mishonga inorwisa mabhakitiriya kubva kune rimwe boka.

Munyaya iyi, kana murwere ari pamba, zvinotevera zvinofanirwa kuonekwa:

1. Nguva dzose ventilate mukamuri umo murwere ari.
2. Nguva nenguva shandura zvipfeko nemucheka werineni.
3. Pukuta muviri nedoro kana vodka.
4. Iva nechokwadi chokuti zvokudya zviri nyore.
5. Ipa zvinwiwa zvakawanda.
6. Tora mavitamini.
7. Kufema kuita maitiro uye kuita maitiro ekudzidzisa.

Sevamwe vashandi panguva yekurapa, bronchodilators uye expectorants zvinogona kushandiswa. Chigumisiro chakanaka chinopa inhalation yemhepo yakasanganiswa nemhepo, inoputira mapapu.