I-croupous pneumonia yinkqubo evuzayo yokubamba iqhosha elithatha lonke i-lobe yomphunga, ephumela ekutshintsheni okungaqhelekanga kwimizimba.
I-Etiology kunye ne-pathogenesis ye-prouumous croupous
Igosa eliphambili le-causative of croupous pneumonia yile:
- pneumococci;
- streptococci;
- staphylococci;
- E. coli;
- Umgcini weFriedlander.
I-croupous pneumonia inezigaba ezilandelayo zophuhliso:
- Isigaba se-hyperemia okanye umzila ophezulu. Ngeli xesha, inkqubo yokuvuvukala kwi-alveoli ikhokelela ekunyuseni kwabo. Baqokelela umkhuhlane we-exudative. Isigaba sinokuhlala kwiiyure ezili-12 ukuya kwiintsuku ezintathu.
- Isigaba sokuphilisa obomvu. I-Erythrocytes iqalisa ukungena kumanzi oqokelelweyo ukusuka kwiinqanawa. Yonke umoya iyaxoshwa kwi-alveoli kwaye umbala wesibindi uvela.
- Isigaba sokuguga grey. Eli thuba lokuphuhliswa libonakaliswa ngokukhawuleza kwama-leukocytes ngaphezu kwe-erythrocytes, enika umbala obomvu kwiqumrhu. Ubungakanani beesigaba luvela kwiintsuku ezi-3 ukuya kwezi-5.
- Isombululo sesigaba. Kwi-alveoli kukho ukuhlaziywa kwe-fibrin kunye ne-leukocytes kwaye kukho ukuhlaziywa okukodwa kunye ne-sputum. Oku kwenzeka malunga nomhla we-7-11 wesifo.
Iimpawu ze-prouumous croupous
Njengomthetho, isifo siqala ngokugqithiseleyo kwaye sinokuqulunqwa yizinto ezilandelayo:
- ukuphosa;
- i-malaise enzima kunye nobuthathaka;
- intloko;
- khulisa;
- ukwanda kobushushu ukuya kwi-39-40 ° C;
- intlungu esifuba;
- ukuphefumula okungapheliyo;
- ukukhutshwa kwe-sputum.
Ngethuba lokuxilongwa kwepneumonia ye-croupous, ugqirha oya kwiingxoxo unokuphulaphula i-pleura kwaye abonakalise i-rable bourly bulle, i-tachycardia ingabonakalisa. Ukufumana umfanekiso opheleleyo kunye opheleleyo, ii-X ray kunye nezinye iimvavanyo zelabhoratri kufuneka zenziwe, ezinokuqinisekisa ukuphuhliswa kwesi sifo.
Iingxaki ze-proumine ye-croupous engadinga unyango olufanelekileyo lunokuba yingozi kakhulu. Kwiingxaki ezinjalo kunokwenzeka ukuba zithwale:
- ukutshatyalaliswa kwegazi kunye nokusabalala kwintsholongwane kuwo wonke umzimba;
- pleurisy exudative - ukuvuvukala komlenze womphunga;
- ukungabikho - ukuxhaswa;
- i-pericarditis - inkqubo yokuvuvukala kwesikhwama senhliziyo;
- ukutshatyalaliswa okunesifo.
Unyango lwepneumonia
Izigulane ezinezifo eziyingozi, ukunakekelwa ngononophelo kunye nokunyango olunzulu kubaluleke kakhulu. Oku kusebenza kwiziyobisi kunye nokutya. Ngenxa yokuba ukungenakudla ngokungaqhelekanga kweziyobisi kunye neli-dosage elingalunganga, iibhaktheriya azikwazi nje ukuphela, kodwa kubomeleza, kubaluleke kakhulu ukuba uphuze amayeza ngexesha elichanekileyo kunye nelixa elithile.
Ukunyanga lesi sifo kusetyenziswa i- antibiotics kunye ne-sulfonamide, enceda kakhulu ukunciphisa ukuhamba kwesifo. Ngamanye amaxesha kwenzekayo kwaye oku: i-agent causative ihlakulela ukunganyangeki kweziyobisi. Kule meko, ugqirha, ekuboneni ukungaphumeleli kwenkqubo yonyango lokuqala, unokumisela i-antibiotics evela kwelinye iqela.
Kule meko, ukuba isiguli sisesekhaya, ezi zilandelayo zizakuthi ziqwalaselwe:
- Njalo qinisa igumbi apho isigulane.
- Ukuguqula rhoqo iingubo zangaphantsi kunye nelinen yelinen.
- Sula umzimba ngotywala okanye vodka.
- Qinisekisa ukuba ukutya kulula.
- Nika isiselo esininzi.
- Thatha iivithamini.
- Ngaba ukuphefumla umzimba kwaye uqeqesho loqeqesho.
Njengeentlawulo ezongezelelweyo ngexesha lotyando, i-bronchodilators kunye nabaxhasi bezityalo bangasetyenziselwa. Isiphumo esihle sinika inhalation ye-oxygen-air mix, eyenza iqhube imiphunga.