All About somoya inyumoniya. zesifo Sombefu

Isifuba ngokuba sisifo yemiphunga luphawulwa ukuhlaselwa Ukuphelelwa kunye wokuphelelwa nzima kakhulu, nto leyo zivele ngenxa ukwaphulwa bronhoprohodimosti. Ngokuqhelekileyo, ukuhlukumeza le bronchi emnqamlezweni kukhokela: ukudumba kumphezulu mucosal le bronchi, bronchospasm, kwaye ukuyilwa ngebhitumene entsha.

Enyanisweni, isifuba - a polietilogicheskaya sifo, kodwa indima ephambili kokuhluma umdlalo wayo izakhi. Njengoko ngokunjalo ekwakhiwe kuphuhliso sifo zezi: a umkhuba komzimba, ufuzo, nezolo nokuphefumla usulelo iphecana (nokuthimliswa, inyumoniya, iphika), yaye, ke, phambi kwemigudu yomoya yabantu nzima icandelo somoya. Izigulane ne kwemigudu yomoya i benegxaki ukubonakala sombefu inyumoniya, ngoko ke kufuneka ukuba ngokusondeleyo esweni imeko yabo, ukuze ukuba kuphoswa iimpawu yokuqala ka sombefu.

Izinto ezibangela sombefu - nomzimba, esenokuba imvelaphi esosulelayo and non-esosulelayo. Ngenxa yokuba uninzi amaqela yayintsholongwane eyosulela iimpawu ezosulelayo kukho iintsholongwane (aureus emhlophe, saprophytes, Staphylococcus aureus), ifungi (igwele, ngumngundo) iintsholongwane (parainfluenza, rhinovirus), kunye helminths. Kodwa Ngokwezibalo, zamavumba ezingezo-esosulelayo, bavame unobangela sombefu.

Yintoni siphathelele iqela noninfectious? Nomzimba kweli qela, xa ke, yahlulwe subgroups ezintlanu. Lokuqala - wekhaya, umzekelo, iintsiba, uthuli, ikhaya, umngundo. Le kwama yesibini kuquka zemifuno kunye nezilwanyana nomzimba, ezifana dander isilwanyana, umungu, intsimi kophahla kunye nabanye. Okwesithathu - oku zamavumba ukutya: iqanda, intlanzi, inyama yenkukhu, zesitrasi, istrawberry kunye itshokolethi. Ukuphuhlisa isifuba kunokubangela ukusetyenziswa ixesha elide antibiotics kunye neevithamini (iqelana yesine). kwama Last (eyesihlanu) - a etyabulayo imichiza (ezingumgubo, kwealkali kunye netyuwa).

Nokubonakaliswa kwezonyango ephambili ebaluleke sombefu - ahlaselwe sisifo sombefu. Ukongeza, isigulana ukhohlokhohlo langoku, ukuphelelwa umoya, kunye crackles auscultation ziyaviwa. Njengomthetho jikelele, xa ibakala kuxolelwe isigulana lutho sokuxhalaba, okt iimpawu sombefu bengekho. Akukho mpawu de Baqumbisa ethile allergen, umthambo okanye ntshikilelo. Ukuba oku kuyenzeka, lo ahlaselwe sisifo sombefu iqala.

Isigaba kokuhlaselwa Ukuphelelwa. Isigaba sokuqala - ixesha siphu-. Yena ebonakala okwethutyana (iiyure ezimbalwa okanye iintsuku) phambi kokuba ixesha ntlekele. Kweli nqanaba iimpawu sombefu okubonakala: isigulane uziva impumlo ukuvaleka kunye nesifuba yobunzima. Njengoko baphelelwe wokutya, silale, ukuthimla, ukhohlokhohlo ngenye livela.

Isigaba sesibini - ixesha ntlekele. Kweli nqanaba, lo ukomiwa apho ubunzima obukhulu ukukhupha. Ukuphefumla uba umsindo kakhulu, ekhatshwa ukutswina spacers kunye isandi uphawu (amakhwelo, ayihlali). Njengomgaqo, izigulane kweli xesha, ethatha indawo obutofotofo ngakumbi, ukuba kuyanyanzeleka. Ukongeza ndonda, kukho tachycardia, kwaye nkqu phlegm ze amagqabi.

Isigaba sesithathu nesokugqibela - ithuba yogunyaziso. Isigulane kuba lula kakhulu ukuphefumla, uqala ukuba baqhele phlegm. Kuyinto viscous, incangathi, nzima ukwahlukanisa. Kukho yimvakalelo ukudinwa ngokugqithiseleyo kunye nobuthathaka. Uhlalutyo engabonakali ityhileke kubani na ukunyuka imali eosinophils zesikhohlela, kwakunye iqulethe Charcot-Leyden ziikristale, kunye spiral Kurshmana. Auscultation wamphulaphula crackles. Emva kweli thuba iimpawu sombefu abe ngaphantsi kubi.

Ukuba washiya isifuba alunyangwanga, oko konyusa ingozi yokuba iingxaki ezininzi kakhulu. Ezi ziquka:

• isimo somoya - degree kakhulu somoya;
• pneumothorax okuzenzekelayo - ukuqokelelana igesi okanye umoya kwisisu pleural ;
• emphysema;
• ukusilela sokuphefumla.

Uxilongo yesifuba njalo iqala kunye anamnesis. Inyathelo elilandelayo - uviwo njongo, libhekisela: auscultation yesandi. Emva ukuhlangana zonke iinkcukacha eziyimfuneko, wayeqhuba izifundo elebhu. Qiniseka ukuba kuqeshwa: count igazi ngokupheleleyo, izinga neentlenge erythrocyte apho khangela, leukocytes kunye eosinophils; isikhohlela; wabeka uvavanyo intradermal. Esinye isifundo ebalulekileyo spirography ze-x-reyi.

Ukungqinelana iziphumo ugqirha limisele ngonyango kunye nothintelo.