Gangrene: cututtuka, haddasawa, magani

A cikin numfashi tsarin kiwon lafiya na bukatar kula daga wani wuri shekaru. A jikin mutum ne kullum a karkashin hari na daban-daban ƙwayoyin cuta, cututtuka germs. Musamman hadarin cutar ƙaruwa a lokacin sanyi weather da kuma sanyi weather, canza su dumi, rana kwanaki.

iska, shan taba, tsananta yanayin da damar kamuwa da cuta don shiga yawa zurfi a cikin numfashi tashoshi. Cuta rinjayar da babba numfashi tsarin. Su wani rauni, a hade tare da rashin iyawa na rigakafi da tsarin su yi tsayayya da harin da pathogens take kaiwa zuwa cin gaban tsanani pathologies a cikin ƙananan ƙungiyoyin ba. Daya daga cikinsu shi ne wani gangrene daga cikin huhu.

Menene cuta? Mene ne bayyanar cututtuka halayyar da cuta? Ta yaya za a magance shi, kuma ko za ka iya doke wannan m Pathology? Da farko abubuwa farko.

Halaye na cuta

Mene ne gangrene daga cikin huhu? Wannan Pathology, a da rushewar huhu nama - necrosis. Irin wannan tsari yana da wani, surkin jini hali. Surkin jini Fusion na masana'anta ba a iyakance ga daya rabo. A pathological tsari ne iya yada hanzari, rufe sabon yankunan. A rashin lafiya na iya shafar dama lobes, wani lokacin da ta shimfida ga dukan huhu.

Shafi nama halin ruwan kasa. Tu sarrafa fetid ruɓaɓɓen jini. Necrosis yana da wani m siffar, da kuma kamar yadda aka ambata a sama, yana da hali to widening.

Pathology ne zuwa kashi 2 iri:

1. Rarraba: sarrafawa lobar cuta kiyaye.
2. Taƙaitawa: segmental wuri da aka samu. Sau da yawa da wannan tsari ne aka bayyana a matsayin wani ƙurji, sanye da gangrenous hali.

A cuta ne ya sa ta pathogenic kwayoyin. Ƙurji da kuma gangrene, suna da gaske wannan tsari da matakai. Duk da haka, tsohon bambanta iyakance surkin jini cuta tsari a kyallen takarda. Thoracic likitoci da kuma pulmonologists koma zuwa wadannan pathologies mafi wuya da kuma m siffofin halaka.

Mafi sau da yawa, cutar da ake bincikar lafiya a tsakiyar-shekaru maza.

Gangrene daga cikin huhu - mai matukar hatsari cutar. Yana sau da yawa take kaiwa zuwa m rikitarwa:

• surkin jini halakar da pleura.
• na huhu hemorrhage.
• suppuration kirji bango.
• sepsis.
• mahara Gabar gazawar.

Game da 60% da marasa lafiya ta irin sakamakon mutu.

A Sanadin cutar

Me ya sa babu gangrene? A Sanadin cutar a ɓõye, a daya guda factor - da rauni nama kamuwa da cuta. Sau da yawa kwayoyin da cewa tsokana cuta ne anaerobic kwayoyin.

Cuta iya zama mai zaman kanta Pathology ko sakamakon buguwa. Kamar haka, akwai wani yawan sunadaran irin wannan m cututtuka kamar gangrene.

A etiology da cuta ne kamar haka:

1. Tsokane da ake dasu ingress cikin huhu da bronchi Can danko cuta, hakori nasopharynx. A karkashin irin wannan yanayi m pathogenic microflora propagate saukar da airway.
2. Wani lokaci akwai aka shigar azzakari cikin farji cikin numfashi tsarin na wata alama adadin fitarwa daga hanci da makogwaro ko ciki abinda ke ciki a lokacin da reflux, dysphagia, a lokacin amai. A karshen sabon abu ne sau da yawa jawo by shugaban rauni ko buguwa. Tsinkãyi cikin bronchi m ciki abinda ke ciki yana sa necrotic aiwatar a kyallen takarda.
3. A Pathology iya haifar da daga rashin iska. Irin wannan yanayin sau da yawa faruwa a lokacin matse bronchus kasashen waje jiki ko ciwon daji. A wannan site akwai microbes, da kuma fara da nunawa abscesses da gangrene.
4. Hanyar cuta iya zama surkin jini cututtuka na numfashi tsarin. Wadannan su ne da wadannan cututtuka: bronchiectasis, ciwon huhu, huhu ƙurji.
5. Kudi ne ma traumatic inji gangrene ci gaba. Samun kamuwa da cuta a cikin kirji da shi za a iya lalacewa ta iya shiga raunuka.
6. Pathogenic microorganisms iya yada wa huhu da lymphatic tsarin da jini. Wannan za a iya gani a osteomyelitis, sepsis, mumps, mura da kuma wasu pathologies.

An muhimmiyar rawa a ci gaban da cutar taka weakening na rigakafi da tsarin. A wannan yanayin, jiki ba zai iya magance kwayoyin, sabili da haka ba zai iya hana abin da ya faru na gangrene.

Wadannan hadarin dalilai tsaya daga:

• shan taba.
• shan barasa.
• miyagun ƙwayoyi buri.
• HIV.
• tsufa.
• amfani na glucocorticoids.
• ciwon sukari.

symptomatology da cutar

Fairly m cin halin da gangrene. Alamun ne, mai tsanani. The rashin lafiya progresses hanzari da haƙuri da yanayin tsanani tabarbarewa.Idan. Bari mu bincika abin da na asibiti ãyõyi gani gangrene.

A bayyanar cututtuka cewa faye hali da cutar su ne kamar haka:

1. M rashin jin daɗi a cikin sternum. Ya aka ƙwarai inganta a lokacin da ka tari.
2. Wuri na haƙuri: high zazzabi, jin sanyi, pronounced maye.
3. Akwai rashin ci, nauyi asara, har anorexia, tachycardia, shortness na numfashi.
4. M tari tare frothy sputum ne da ruɓaɓɓen jini. Allocating daban-daban fetid wari. Sun nuna wani launin da kuma samar da kumfa Layer. Lokacin da huhu sputum gangrene iya faruwa matattu nama gaɓũɓuwa, jini.
5. A haƙuri farawa zuwa shaƙa.
6. Akwai profuse sweating.
7. A rashin oxygen take kaiwa zuwa hypoxia, wanda bayyana a bluish yatsunsu, fata integument na lebe.
8. A haƙuri samun gaji da sauri.
9. Wani lokaci akwai juwa.
10. A haƙuri ne da aka mai zurfi numfashi mai raɗaɗi. Kwantar da hankula numfashi rashin jin daɗi sa.

A hanya da cuta

Ka yi la'akari da yadda za a ci gaba gangrene. A pathogenesis da cuta ne sosai kama da kwarara daga huhu ƙurji. Asibiti gangrene iya rarrabe halayyar malodor kuma high propensity zuwa hronifitsirovaniyu tsari.

Cuta bayyana kamar haka:

1. Da farko, da haƙuri yana da wani zazzabi. Ma'aunin zafi da sanyio rijistar karfi yi. Duk da haka, shi ne peculiar ga waɗanda marasa lafiya da suke ba su da rigakafi da rashi. A mutum ji muni. Ya ji alama wani rauni, tashin zuciya, lethargy. Sau da yawa ya zo amai. A sternum zafi bayyana. Ƙoƙarin kai mai zurfi numfashi dalili mai tsanani da rashin jin daɗi. Idan ka latsa tsakanin hakarkarinsa, da zafi bayyana a kan abin ya shafa yankin, a cikin mutane.
2. Tari yakan auku nan da nan. Da farko shi ne bushe. To, ya zama rigar. Ya fara tari sputum, wanda yana da wani musamman m wari. Idan irin wannan fitarwa don wani lokaci bar a cikin tanki, shi za a kasu kashi 3 yadudduka. A cikin manya - kumfa tare da slime za a kiyaye. A tsakiyar Layer ƙunshi bayyananne ruwa. The laka zai sauke daga ruɓaɓɓen jini.
3. Symptomatology ne hanzari ci gaba. A haƙuri tsiro dyspnea, tachycardia bayyana, pronounced rauni. haƙuri da sani da aka zalunta. A wasu lokuta, coma tasowa. The zazzabi za a iya rage. Wani lokaci yana saukad da kasa 38 C. Wannan yanayin ne quite m, saboda jini ne kõma da wani babban yawan kamuwa da abinda ke ciki.
4. Idan haƙuri tsira da wannan lokaci, ya kafa daya ko fiye abscesses. Irin wannan cavities dauke da ruɓaɓɓen jini, da hali to karya a cikin wani bronchus. Wannan sabon abu sakonni na gaba lokaci na ci gaba da cutar.
5. Marasa lafiya da tari ne m, a cikin abin da wani babban adadin phlegm. Idan abscesses an drained ta cikin manyan bronchi, da mãsu haƙuri ne nan da nan kasaftawa mai yawa mugunya, a wasu lokuta da jini. A yanayin da aka inganta da sauri isa. Amma mafi yawan emptying ba kai tsaye hanya, amma ta hanyar da kananan bronchi. Wannan muhimmanci jinkirtã a saki ruɓaɓɓen jini daga wani ƙurji, don haka haƙuri da yanayin ci gaba da zama da tsanani. Sputum da gangrene huhu mallaka isa malodorous wari. Wani lokaci yana kunshe da kananan guda na huhu nama - sequesters.

ganewar asali da cutar

A muhimmiyar rawa a kayyade Pathology taka wani jiki jarrabawa. A haƙuri lagging a baya a kan aiwatar da numfasawa na shafa ɓangare na kirji, taqaitaccen feat. Irfan sauti. A lokacin auscultation gane numfashi amo raunana, bushe wheezing.

Bugu da kari, cutar na huhu gangrene hada instrumental da dakin gwaje-gwaje hanyoyin:

1. Jini gwajin. Yana nuna wani karuwa a yawan leukocytes, erythrocytes rage matakin, kara ESR. A karu a total jini gina jiki.
2. X-haskoki na sternum. Gangrene kuma necrosis na huhu nama aka nuna a hoton dimming. Sau da yawa da aka samu da baka Lalacewar jagged ko scalloped gefuna. Dimming yana da hali zuwa wani m watsa kuma domin da yawa dare iya shafar m lobe, da kuma wani lokacin dukan huhu. X-haskoki nuna abin da ya faru na exudate a cikin pleural kogo.
3. Lissafta tomography. Wannan zamani Hanyar X-ray. Shi ne musamman m cikin wannan Pathology. Tomogram iya gane duk da rushewar cavities da suka dace da narkewa zones daga cikin huhu.
4. Bronchoscopy. Endoscopic bincike Hanyar kayyade surkin jini endobronchitis, obturation. A binciken da samar da wata dama don tsayar da muhimmancin da pathological tsari.
5. A bincike na sputum. Bayan bronchoscopy da sputum samu abinda ke ciki aka aika zuwa dakin gwaje-gwaje gwaje-gwaje. Bincike gwaje-gwaje gane da pathogen Pathology da damar da mu domin sanin ji na ƙwarai kwayoyin maganin rigakafi.

zai yiwu rikitarwa

Kawai dace magani ga likita zai iya dakatar da wannan Pathology, kamar gangrene. Matsalolin bayyana, kamar yadda mai mulkin, idan ziyarar da likitoci jinkiri.

A wannan halin da ake ciki, za'a iya tsanani sakamakon:

1. Dry, pleural effusion.
2. A nasara a pleural rami take kaiwa zuwa wani gangrenous pneumoempyema. A haƙuri yana da wani m flank zafi, shortness na numfashi, zuciya hijirar ya auku. A haƙuri da yanayin tabarbarewa.Idan. The sabon abu na auka.
3. Profuse zub da jini.
4. Pyosepticemia. A Pathology faruwa da wani bango na hallakarwa a cikin huhu na wani babban jirgin ruwa.
5. koda amyloidosis. Yana tasowa a cikin hali na kullum nau'i na cutar.

Bugu da ƙari, lokacin da hasken gangrene sosai high hadarin mutuwa.

ra'ayin mazan jiya magani

Far da aka gudanar a wani asibiti yanayi.

Jiyya na huhu gangrene kunshi wadannan matakan:

1. M detoxification. Domin wadannan dalilai, da haƙuri da aka gudanar intravenously jini-musanya mafita ne low kwayoyin nauyi "Hemodez", "Reopoligljukin", "Neokompensan". Sanya jini vodnoelektrolitnye cakuda albumin. Gudanar glucose bayani (5%, 10%) tare da insulin, kazalika da hanawa na proteolysis "Trasylol", "Contrycal".
2. Kwayoyin far. Wannan shi ne mafi muhimmanci da rabi, tare da abin da magani daga huhu gangrene ne kawai zai yiwu ba. Da farko bayar da shawarar maganin rigakafi, tare da m kewayon effects. Kamar yadda mai mulkin, shi ne da wadannan kwayoyi: "Fortum", "Cefepime", "Meropenem", "Tienam". Sau da yawa, marasa lafiya suna gudanar da wani kwayoyin nan da nan 2. Bayan gano da pathogen aka zaba mafi daidai magani regimen. hade kwayoyi "Ampicillin" tare da kwayoyi "Tseporin", "Gentamycin", "Kefzol", "tetraolean" ne quite tasiri.
3. Desensitization da kwayoyin. A haƙuri An wajabta magani "Suprastin", "Diphenhydramine", "pipolfen".
4. Nagari bitamin gidaje "Retinol acetate" "riboflavin" "cyanocobalamin" "Thiamin" "pyridoxine" "ascorbic acid".
5. Idan akwai wani babban jini clotting, da mãsu haƙuri intravenously allura miyagun ƙwayoyi "Heparin".
6. Don tabbatar da isasshen numfashi akai-akai ko ci gaba da yin humidified oxygen inhalation.
7. Idan ya cancanta, kai da yaki da paresis na hanjinsu, reorganization na tracheobronchial itace.
8. Sanya phlegm kwayoyi. Wadannan jamiái suna gudanar intravenously da ake amfani da inhalation. A haƙuri iya bada shawarar magani "Ambroxol", "Lasolvan", "Ambrobene", "Haliksol", "ACC injective."

A cikin yanayin haƙuri tsananin kula a lokacin far. Akwai aiki na zuciya da jijiyoyin jini tsarin, hanta da kuma kodan. A karshen hukumomi da kulawa ta musamman, domin sun samar da fitarwa daga kamuwa da abu da kuma magunguna.

Jiyya na wani ƙurji da kuma huhu gangrene ya shafi magudanun ruwa rami. Irin wannan mataki da aka dauka, idan da ƙurji da aka sarrafa a kusa da surface ta rufe pleura.

gudanar far

Idan aiwatar kasa don daidaita ra'ayin mazan jiya far, sa'an nan akwai duk alamomi ga m baki. Domin wannan gyara hemodynamic, rayuwa cuta, kiyasta haƙuri da yanayin (ko yana yiwuwa a gudanar da wani aiki).

Surgery ya shafi kau na gangrenous huhu nama:

• lobectomy.
• bilobektomiyu.
• pneumonectomy.

reno da kulawa

A cuta ne quite wuya duka biyu ga marasa lafiya da kuma ga mutanen da suke kula da su. Very Tã kullum gabatar, surkin jini wari.

Samar da isasshen kula da haƙuri, akwai ya kamata:

1. A amfani da deodorizing jamiái. A irin wannan rawa iya aiki creosote.
2. Kusa da haƙuri ta gado dole ne a kiyaye a cikin wani spittoon. Don rage m wari, shi ne shawarar zuwa zuba kadan deodorizing bayani. Bugu da kari, ya kamata a tabbatar an rufe murfi.
3. Marasa lafiya da suke kamu gangrene, yiwuwa ga wuce kima sweating. Saboda haka, da mãsu haƙuri zai bukaci m canje-canje na gado tufafi.
4. Wani lokaci da yanayin mutum ne don haka rincabewa, cewa ya ba zai iya ko yin nasu abincin. Saboda haka, waɗanda kula da irin wannan marasa lafiya, da mãsu haƙuri ya kamata a ciyar da cokali.
5. Yana da muhimmanci a tabbatar da cikakken jiki da hankulansu sauran.
6. Lokacin da hemoptysis da mãsu haƙuri ya kamata a Semi-zaune matsayi.
7. A haƙuri da aka haramta don magana, sha mai zafi sha ko abinci.

rayuwa Tsinkaya

Abin da jiran marasa lafiyar kamu da huhu gangrene? M forecast kawai a yanayin saukan idan babu wani dace magani. Bayan wani rashin lafiya sosai da sauri yana faɗaɗa, rufe lafiya yankunan. Idan ra'ayin mazan jiya far kasa, da kuma tiyata da aka ba za'ayi, da mãsu haƙuri mutu.

Tare dace magani ga likitoci lura da wani mabanbanta hoto. Statistics ya ce a 70-80% na dukan marasa lafiya perebaryvat gangrene da kuma warke. full da isasshen hanya na lura da mutum ya kõmo zuwa al'ada rayuwa.

The musamman da hankali yana bukatar rikitarwa kamar sepsis, na huhu hemorrhage, mahara Gabar gazawar. A karkashin wadannan cututtuka a haƙuri a bukatar gaggawa taimako. Idan har bisa wani dalili da shi ba a bayar, babban hadarin komowar effects a cikin jiki.

Saboda haka wajibi ne don jaddada sake wadannan: domin mu jimre wa wannan Pathology, ya kamata a da sauri ganin likita da kuma aiwatar da cikakken shawarwari na likitoci.