Esi sifo sisifo sokungabi nakubungqina obubangelwa yintsholongwane ye-microbial, ehamba kunye nokwakheka kweengcambu zecala. Iphunga lempompo likhula ngokufaka amagciwane kwi-cavity. Ngokuqhelekileyo, imbangela yesifo ngumsebenzi we-Staphylococcus aureus, i-anaerobic bacilli kunye ne-Gram-negative aerobic. Ubukho beenkqubo ezivuthayo kwi-nasopharynx kwandisa umngcipheko wosulelo.
Ukungabikho kwempawu zemiphunga
Izibonakaliso zesifo zihluke kwisigaba sokwakheka kwe-abscess kwaye emva kokuphuma kwayo. Ikhefu eliqhelekileyo kwisigaba sokuqala lubonakaliswe ngolu hlobo lwezikhalazo zesigulane:
- buthathaka;
- ukushisa, kulandelwa yi-chill;
- ukukhwehlela kunye ne-phlegm, ube nevumba elibi;
- intlungu kwi-sternum ;
- ukwanda kweqondo lomzimba;
- Ukuphefumla okufutshane, oku kubangelwa ukuxiliswa.
Emva kokuphumelela kwepus, kukho ukuphuculwa ngokuphawulekayo kwimeko yesigulane:
- ukuphefumla kuququzelelwe;
- Ukutya kuvela;
- u bushushu buyehla;
- iphela ikhupha;
- i-sputum isuka.
Izibonakaliso ze-abscess abscess abscess zibonakaliswe ukuphikelela kokukhwehlela kunye nokukhululwa kwe-sputum. Ezinye iimpawu zihlala zikwinqanaba lokuxolelwa:
- ikhanda;
- ubuthathaka bomzimba;
- ukhathala okwandayo.
Emva kwexesha, kukho utshintsho lwangaphandle kumzimba wesigulane:
- ukukhukhuma kobuso;
- ukunyuka kwama-phalanges eminwe;
- iimbumba ezinamaqabunga zifumana uphawu lwe-cyanotic.
Ukuvela kanzima:
- ukukhwehlela nge-sputum, apho iimvenge zegazi zingabonakala khona;
- intlungu esifuba.
Iingxaki zekhefu lomphunga
Ixesha elide lohlobo olusisigxina sesifo lungakhokelela ekuphuhliseni:
- emphysema engaphantsi;
- pneumosclerosis;
- ukuphazamiseka kwemiphunga;
- i-thrombosis yeemvumba zepulmoni;
- ikhefu lobuchopho;
- bacteremia;
- ukungakwazi ukuphefumula.
Ukuxilongwa kwephunga lomphunga
Ukufunyaniswa kwesi sifo kunye nokuxilongwa kuqhutyelwa ngesiseko seemviwo zinjongo, i-radiography, izifundo zebhoratri, i-bronchoscopy kunye ne-tomography.
Kwiinjongo zokuxilonga ziqwalasele:
- ukungena kwendawo ewonakalisiweyo yesifuba kwinkqubo yokuphefumla;
- ukubunjwa kweempawu zokungaphumeleli kwe-ventricular;
- tachycardia;
- ukunyameka kwintsimbi yeengingqi ze-intercostal;
- Ukunciphisa isandi somsindo;
- Ukukhuphaza kubonisa ukuphefumla kanzima kunye namavili omile.
I-bronchoscopy ikuvumela ukuba ufunde uhlobo lwe-pus ukucacisa i-microflora yayo kwaye ubeke i-antibiotics efanelekileyo.
Ngosizo lwe-PKT, indawo echanekileyo yendawo kunye nokuba kukho ukungena kwamanzi kuyo.
Uvavanyo lwe-X luyiyona nto ephambili yokuxilongwa ngokutyunjwa kwonyango lompompo. Inkqubo ibonisa ukumnyama okungenangqondo, okuye kunemida emida. Ukuba khona kwintlambo yesigxina sokuhluthwa kubonisa ukuba kufakwe kwinkqubo yokuvuvukala kwendiza.
Ukuqhuba ukuhlolwa kwegazi jikelele kubonisa ukwanda kwe-ESR, ukutshintshwa kwefomu leukocyte ukuya kwesobunxele kunye ne-hypo-ulbuminemia. Ngokuqhelekileyo
Indlela yokuphatha i-abscess yempang?
Isigulane kufuneka sifakwe esibhedlele. Umsebenzi obalulekileyo kunyango ukubonelela ngomoya omtsha, kuba udlalwa ngokukhathala kwe-oxygen.
Ulwaphulo luquka ukupheliswa kwepus, ukukhupha iimpawu zokuxhatshazwa nokuqinisa imisebenzi yokukhusela.
Isiseko sonyango yonyango lokulwa neyeza, elimiselwe ngokuhambelana nobuzwe bhaktheriya kwiziyobisi.
Ukuhlamba, ukuguqulwa kwe-transthoracic kunye ne-fibronchoscopy zisetyenziswa kakhulu.