Mafupa, omwe ali oopsa kwambiri komanso ovuta kuchiza mapulmonological akuti, alibe chibayo, abscess kapena chifuwa cha mapapo. Ndi njira yowonongeka ndi imfa ya parenchyma ya ziwalo za kupuma ndi kupanga mapuloteni akuluakulu, omwe amayamba kufalikira mofulumira kumatenda abwino.
Zimayambitsa zizindikiro za mapapo
Chinthu chachikulu chomwe chimayambitsa zowonongeka ndi zowonongeka ndi anaerobic tizilombo tosiyanasiyana:
- haemophilus influenzae;
- Staphylococcus aureus;
- enterobacteria;
- pneumococcus;
- Pseudomonas aeruginosa;
- Klebsiella ;
- fusobacteria ndi zamoyo zina.
Kuti alowe m'mapapu ma microbes omwe amalembedwa angathe m'njira zosiyanasiyana, mwa izi:
- Zomwe zimachitika m'kamwa mwachitsulo ndi nasopharynx;
- matenda a mthupi;
- chisokonezo;
- poizoni ndi mowa, mankhwala osokoneza bongo, mankhwala owopsa;
- kutentha kwapachiweni komweko.
Chigoba chimaphatikizapo zizindikiro zoopsa:
- kufooka kwakukulu;
- Kutentha (kutentha kumafikira madigiri 40);
- zikopa ndi thukuta;
- kulemera kwa thupi;
- ululu m'chifuwa;
- kuwonongeka kwa chilakolako;
- kusowa tulo;
- mutu;
- kupweteka kwa khungu;
- mpweya wochepa;
- Kupanga mankhwala opatsirana ndi fungo lafungo.
Pa ma-x-ray omwe ali ndi ziphuphu zamapapu, mitundu yambiri yozizira. Kuti mudziwe zambiri, computed tomography, bronchoscopy, kukayezetsa kwapopu komanso kuyesera magazi.
Kuchiza kwa chifuwa cha mapapo
Thandizo la matendawa ndi mankhwala komanso opaleshoni.
Mankhwala othandiza kwambiri akuphatikizapo:
- kugwiritsa ntchito maantibayotiki (osachepera 2);
- kuchotsa thupi;
- normalization ya homeostasis ndi electrolyte kulingalira.
Monga lamulo, chithandizo chofunikira cha mankhwalachi chimachitika chifukwa cha mankhwala osokoneza bongo. Kuikidwa kulikonse kumapangidwa ndi katswiri wamapiritsi pamodzi ndi dokotala wa opaleshoni pambuyo pozindikira kuti amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda komanso tizilombo toyambitsa matenda osiyanasiyana.
Nthawi zina, opaleshoni amafunika. Chimodzi mwa zosankha za opaleshoni ndichosankhidwa:
- bilobectomy;
- pneumotomy;
- lobectomy;
- pneumonectomy.
Kupewa ziphuphu zamapapu
Kuletsa kusintha kumeneku mu ntchito yopuma ndi ntchito yovuta. Kuti izi zitheke, ndizofunikira:
- Kukweza miyezo ya moyo.
- Chotsani zizolowezi zonse zoipa.
- M'kupita kwa nthawi, chitani matenda ena opatsirana.
- Chitani ma x-ray m'mapapo nthawi zonse .