Ichi chirwere chisimba chisina kunaka chinokonzerwa nehutachiona hwehutachiona, huchienderana nekuumbwa kwe purulent-necrotic cavities. Icho chipfuva chemapapu chinowedzera nokupinda mishonga inopinda mumugwagwa. Kazhinji kacho, chinokonzera chirwere ichi ndechiitiko cheStaplocloccus aureus, anaerobic bacilli uye Gram-negative aerobic. Kuvapo kwekuvhiringidza zvirongwa mu nasopharynx kunowedzera mukana wekutapukirwa.
Kusuruvara kwemapapu - zviratidzo
Zviratidzo zvechirwere zvakasiyana nechikamu chekugadzirisa kwekubvisa uye pashure pokunge yabuda. Kubvisa kwakakwana pachikwata chekutanga kunoratidzwa nenzira yezvipupuriro zvakadaro zvevarwere:
- general weak;
- kupisa, kuteverwa chill;
- kugunzva nemafuta, kuva nekunhuhwirira kwakashata;
- kurwadziwa mu sternum ;
- kuwedzera kwekushisa kwemuviri;
- Kupfupika kwemhepo, izvo zvinokonzerwa nekudhakwa.
Mushure mokuputika kwepus, pane kujekeswa kwakajeka mumamiriro emurwere:
- kufema kunobatsira;
- Appetite inowanikwa;
- kutonhora kunopera;
- disappears sweat;
- iyo sputum inoparadzana.
Zviratidzo zvekusingaperi kwemapapu abscess zvinoratidzwa nekuramba kwekukanganiswa uye kusunungurwa kwe purulent sputum. Zvimwe zviratidzo zvinoramba zviripo pachigamba chekuregererwa:
- periodic headaches;
- kusimba kwemuviri;
- kuwedzera kuneta.
Nokufamba kwenguva, pane kuchinja kwekunze mumuviri wemurwere:
- kuzvikudza kwechiso;
- thickening of phalanges yeminwe;
- mucous membrane kuwana cyanotic character.
Nekukurira kunomuka:
- kugunun'una nemukati, umo maronda emvura anogona kuonekwa;
- kurwadziwa mubhokisi.
Matambudziko emapfupa emapapu
Nzira yakareba yehupenyu husingaperi hwechirwere inogona kutungamirira kukura kwe:
- emcutaneous emphysema;
- pneumosclerosis;
- pulmonary haemorrhage;
- thrombosis ye mishonga yemapinmoni;
- chikamu cheuropi;
- bacteremia;
- kuporesa kusakwana.
Kuongororwa kwemapapu asina kubatwa
Kuzivikanwa kwechirwere ichi uye kuongororwa kunoitwa pamusana pekuongororwa kwezvinangwa, radiography, zvidzidzo zveb laboratory, bronchoscopy uye computed tomography.
Pachinangwa chekuongorororwa ngwarira kune:
- kupera kwechimwe chikamu chechipfuva chiri mukufema;
- kuumbwa kwezviratidzo zvekanono ventricular kusakona;
- tachycardia;
- kushungurudzika mu palpation yemasango e-intercostal;
- kupfupisa kwekunaka kwemhanzi;
- Auscultation inoratidzira zvakaoma kupemha uye yakaoma magetsi.
Bronchoscopy inokubvumira kuti udzidze mararamiro ezvinyorwa kuti uone ma microflora uye unyore ma antibiotic akakodzera.
Nebatsiro rePKT, nzvimbo chaiyo yeganda uye kunyange kuvapo kweropa mukati maro zvakasimbiswa.
X-ray kuongorora ndiyo chinhu chinokosha chekuongororwa kwekugadzwa kwehutapwa hwemapfupa emapapu. Nzira yacho inoratidzira kupisa kunokonzera, iyo ine mhedzisiro pamiganhu. Kuvapo kwechivande chemafuro emvura kunoratidza kuiswa mukati mekuvhiringidza kwehuturo.
Kuitisa chirwere chekuongorora ropa kunoratidza kuwedzera kwe ESR, kuchinja kwemafomu e leukocyte kuruboshwe uye hypo-ulbuminemia. Kazhinji ne
Nzira yekurapa nhengo yepapu?
Murwere anofanira kunge ari muchipatara. Basa rinokosha mukurapa nderokupa mweya mutsva, nokuti inowanzotarisirwa kuputika kweokisijeni.
Kurapa kunosanganisira kubviswa kwepus, kubvisa zviratidzo zvekudhakwa nekusimbisa mabasa ekudzivirira.
Chikonzero chekurapa mishonga inorwisa mabhakitiriya, iyo inorayirwa maererano nekunzwa kwebhakitiriya kumishonga.
Kushambidza, transthoracic puncture uye fibronchoscopy zvinoshandiswawo zvikuru.