Bullous zvirwere zvemapapu: zvinokonzera, zviratidzo, kurapwa

Light, uyewo dzimwe nhengo dzakavandika dzevanhu, pachena kuti zvirwere zvakasiyana-siyana. Kusanganisira kuti pave bullous emphysema.

Features chirwere

Bullous zvirwere zvemapapu zvinoreva zvirwere obstructive akapfeka refu. Mumuviri, dzimwe nzvimbo zvinyama anogona kuva mhepo nokuti kuti Formação de (the matema izvo zviri chiedza uye zvakabatanidzwa) zviri kuwedzera kukura, uye avo masvingo vanoparadzwa. Panguva iyi mukuru in vari aumba aine dhayamita kupfuura 1 cm. Ivo zvinoodza kuunganidza mhepo, mauri riparadzirwe kuti zvemapapu anonetseka.

Nhamba dzinoratidza kuti vanhu vade kuita chirwere ichi pane vakadzi, pamwe anenge maviri-mudanga. Age kunokoshawo. vanhu vakura vari nyore nezvirwere.

A maitiro chinoratidza nzira iyi emphysema ndechokuti havasi vose ane nhengo, asi chete mumwe chikamu.

Bullous zvirwere zvemapapu: zvinokonzera

The zvikonzero kuti pane chirwere chinogona kunzi:

• kusvuta;
• majini kubatwa (uduku pamusoro connective rinenge kunzi dysplastic urwere);
• chisingaperi anogumbura zvirwere (bronchitis, bronchiectasis, asima);
• tiibhii zvisinei kwechikuva;
• ikoroji zvakaipa uye yakakwirira kusvibiswa mhepo (pathogenic tusingaoneki kuti vararame mhepo dzakadaro kunogona mumapapu uye Formação de vanotsamwisa kuzvimba);
• yematambudziko pashure zvemapapu sarkaidoza.

Bulla, izvo kuumbwa nokuda kukura chirwere, zvingava 1 kusvika 10 masendimita ari dhayamita. With kukura masendimita 10 dzinonzi yakakura. urongwa hwavo zvinogonawo anosiyana. Vangave akawanda (zvakajairika yose Vhoriyamu mapapu) uye kuroorwa (vemunyika paneimwewo nzvimbo). Bulla ngozi nekuti vatangisa dzvinya zvinyama, izvo dziri munharaunda, uye nokudaro kanganisa gasi mukutsinhana mumuviri.

Kuziva zvinokonzera kuti kungamutsawo kukura chirwere ichi, zvinokwanisika kuita chokudzivirira kugadzira nguva.

The kuratidzwa chikuru chirwere

The chikuru chiratidzo uko pamwe kukura bullous zvemapapu chirwere, - kupfupika mweya, hariwaniki pakarepo, asi zvishoma nezvishoma. Wayo chinhu ndechokuti matambudziko kufema zvinomuka kana iwe exhale. Murwere panguva ino anoita ruzha kuti chakafanana Chug. Panguva kutanga pavaipfuura chirwere dyspnea rinooneka chete panguva yakakwirira kurovedza, asi pamwe kuchiita emphysema angava nehanya uye ndakazorora. Kazhinji achabatsirwa yokurwiswa breathlessness, chikosoro uye sputum kugadzirwa.

Kana chiremba diagnoses "bullous zvirwere zvemapapu" zviratidzo kuti anoratidza zvive sezvinotevera:

• kuwedzera nemaburi zvimbi;
• thorax anova cylindrical chimiro;
• zvishoma chinjwa diaphragm;
• Zvingaita kuti marwadzo, izvo pakudzidza panguva vangakosora;
• kuneta, mukuru neutera ehurumende.

Kana mberi bullous pulmonary chirwere (nhoroondo chirwere kunobva chikonzero), kusavapo kurapwa kunogona kuva kufema kukundikana, iyo inotaurwa ndechokuti mutsipa mutsinga kuzvimba uye kuva mutema. Uyezve, varwere bullous emphysema wakawondereiko kudai mazuva ose zvikuru. Izvi imhaka yokuti vanenge vose simba inopedzwa kungobva kufema kwacho. Zvikuru remaoko kana kunyanyisa manzwiro kunogona vaingoerekana pneumothorax (mamiriro apo mhepo anopinda pleural mhango).

Kana kusimba marwadzo anogona kuva chakasimba kweropa kukundikana.

The mwero zvemapapu pokuwa kunokanganisa kwokuomerwa dyspnea uye kwokuomerwa murwere rwevanhu ezvinhu. Kubva ichi uye kunobva mamwe kurapwa, izvo ringatsaudzirwa kubviswa zviratidzo kana vanoshingaira pleural abudise.

Diagnostics Features

Pinzai chirwere ichi chinogona chete kuva noruzivo anobhadharwa, riri sei kana anoona kupfuura zvimwe zvezviratidzo izvi vanofanira kuona pulmonologist. Chiremba tichaongorora, uye ipapo kushandisa maturusi anoteerera mumapapu munguva basa ravo. Zvichitevera chiito rinowanzoshandiswa aone murwere CT kana maekisirei pamusoro mapapu, uye pamusoro pachisara iyo anoona ropa magasi.

Pachishandiswa zvidzidzo izvi, chiremba anogona mishonga kurapwa kana mimwe kuongorora (spirometry uye yepamusoro chokubuda).

kurapa nzira

Kana chirwere "Bullous Lung Disease", kazhinji kurapwa nechinangwa kubvisa kuzvimba Formação de uye kudzorerwa gasi mukutsinhana mumapapu. Maitiro kubvisa zviratidzo chirwere chete unopfuura yakaoma. Zvisinei, tinofanira kuyeuka kuti kunyange kana kurapa iri rakatanga vachiri padanho zvemapapu rinenge kuchinja kwakaitika somugumisiro pave bullous emphysema, vaizova kusingarapiki. matanho All akatorwa kugadzirisa zviratidzo, asi kuchakubatsira kumisa mberi kunoita chirwere. Ndokusaka bullous emphysema (nhoroondo uye nzira kurapwa kunobva chikonzero uye zviratidzo) kunoda pakarepo kupindira.

Kune nzira mbiri kurapwa chirwere: zvomusejari uye zvokurapa.

kuvhiya nzira

Kana chirwere "Bullous Lung Zvirwere", kushanda kuchava nzira inonyatsobudirira. Panguva payo akabvisa bullae, izvo dzakaumbwa. Izvi zvichakubatsira kuderedza uwandu chiedza, saka kuti kufema ikadzoka dzose. Panyaya iyi, kuvhiyiwa yaifanira sezvo mangwanani sezvinobvira kudzivirira kukura yematambudziko.

Voitakura hakudi kucheka nerumbabvu keji, ari kupindira rinoitwa kuburikidza chiduku incision.

Pane dzimwe nguva, chiremba wako vangasarudza transplantation kana nokubviswa yemapapu.

Kurapa pamwe medicaments

nzira Medical ndiko kubvisa zvinokonzera kuti pave chirwere. Ndicho chikonzero chiremba anofanira kunyatsonzwisisa chakaita kuti pave pulmonary emphysema. Kazhinji, pashure pakutsvakurudza murwere ushandiswe bronchodilators Rakabatanidzwa pamwe glucocorticoid kemikari nzira. Kana chirwere kwaita kuti pave kufema uye kweropa kukundikana, chiremba wako anogona kusarudza kugadzwa diuretics (zvinodhaka kuti chinangwa caffeine kuti mvura mvura). Zvichienderana mhaka chirwere chinogona pauri antibacterials uye theophylline.

Zvisinei, chinhu chinodiwa panguva kurapwa kurambwa tsika dzakaipa zvakakwana, nokuita kufema kurovedza uye akabata yakawanda nguva panze. Kufamba inokurudzirwa kuita pfupi nguva, zviri pakati nepakati, uye zvakafanira kuti nokungwarira kuongorora chirongwa kufema.

The chirwere ane refu nguva chepfuma haisi kutaura pachavo, ndokusaka unofanira nguva nenguva rakagara wezvokurapa kuongorora zvizere kuitira kudzivisa pave pathologies siyana, kusanganisira bullous zvemapapu chirwere.