Chronic bronchitis. Kurapa mumutambo wekuwedzera uye kuregererwa

Chikonzero chekurapwa kwechirwere chisingagumi ndiko kubviswa kwehupenyu hwechirwere ichi. Kana chirwere chisingaperi chisingawaniki, kurapwa kunoda kusvuta kusvuta, kusabatanidzwa nengozi dzebasa, sanation ye foci yehutachiona. Inpatient kurapwa kwechirwere chisingagoneki muvanhu vakuru uye mubhedha wezororo inorayirwa kuwedzerwa kwechirwere ichi kuwedzera mukuputika uye kushaya mwoyo, zviratidzo zvekudhakwa, pneumonia yakaoma kana pneumothorax, kana zvichidiwa, kuongororwa nekurapa maitiro. Kurapa kwekurapa kunofanira kunge kunowanzoita mapurotini-vitamini, mune zvakaitika pakuwedzerwa kwepfungwa yakakonzerwa nemapemonary, kukwana tafura yemunyu uye mvura, uye kuwedzera potassium.

Zvose zvinoitwa mumishonga inodhaka yekushandisa zvinodhaka zvinofanira kutungamirirwa kune kurapwa kwekudzivirira. Mune nguva dzose, inotsigira bronchial patency yerapi iyo inokosha iyo inopiwa ku cholinolytics mupamusoro. Kana pane chirwere chekurapa, vanogona kurongerwa kwenguva refu muchimiro che monotherapy. Kana kukanganisa kusina kukwana, zvishoma-kuita beta-agonists zvinogona kuwedzerwa. Mune vamwe varwere, kusanganiswa kwakagadzirwa kune cholinolytic uye beta-agonist inonzi inonyanya kushanda. Cholinolytics uye beta-agonists inorayirwa mune zvinyorwa.

Nekuwedzera kwekuwedzera kwechirwere ichi, methylxanthine inowedzerwa pamirongwa ekurapa, iyo pamwe chete nehanzvadzi yavo inonzi bronchodilator inoderedza kuneta kwemapfupa ekufema, asi inonyanya kuora, inoda kuongororwa kwekusarudzwa kwavo muropa serum.

Chikamu chinotevera mukurapwa kwenguva refu kwebronchitis isingaperi inogona kugadzwa kweglucocorticosteroids. Iyo inobatsira inopiwa kune inhalation mafomu. Kutungamirirwa kwe systemic glucocorticosteroid inoda chete panguva yekuwedzera kwechirwere.

Apo chirwere chemakiriniki chinowanikwa mukati memavhiki matatu kusvika mana, izvo zvinotsigirwa nemasimba akanaka ekudzivirira kwemafupa emapapu, kuderedzwa kwechirwere zvishoma nezvishoma, kuchinja kune maitiro emaglucocorticosteroids, zvinokurudzirwa.

Chinhu chinokosha pakuvandudza maronchial patency ndechokudzorerwa kwechirwere chesfactant system, iyo inodawo kubvisa bhonchitis isingaperi . Kurapa kunoitwa ne mucolytics uye mukoregulyatorami, inotungamirirwa nekunyorera, muromo uye parenteral. Mishonga inonyanya kushandiswa kubva muboka iri ndeye ambroxol uye acetylcysteine.

Kurwara kwechironchitis rinopera muchitsauko chekuwedzera kwehutachiona hunotanga kunoda kusarudzwa kwemishonga inorwisa mabhakitiriya. Zvichida, macrolides uye semisynthetic ampicillins inorayirwa. Nzira yemishonga inorwisa mabhakitiriya inorayirwa kwevhiki rimwe kana maviri. Mukuwedzera kumishonga, mamwe marapirwo anodiwa kuti akunde chirwere chisingaperi chine maronchitis. Kurapa kunoitwa nemunhu mumwechete anosarudzwa kuporesa gymnastics, kusarudzwa kwekudya kunowedzera kuwedzera muviri.

Pasinei nekuti chirwere chisingaperi chine chirwere chinoramba chichienderera mberi, chirongwa chakasarudzwa uye chenguva yakakodzera chinogona kuderedza zvakanyanya kufambira mberi kwekudzivirira kwebhanchial, kudzivirira kukura kwezvinetso uye kuvandudza hupenyu hwevarwere.

Kuvandudzika mumvura inoshandiswa kwebronchi inogadziriswa nekugadzira chifukidzo chepfuti, phytotherapy, postural drainage. Desintoxication therapy inofanirwa kana yakaoma mu purulent chronic bronchitis. Mishonga inobatanidzwa nechisungo chekubatanidza remishonga inorwisa mabhakitiriya.

Apo kuregererwa kunobudirira, varwere vari mumatambudziko mazhinji vanomanikidzwa kuramba vachirapa. Varwere vane bhonchitis dzisina kudzivirira vanogona kutarisira pasina mishonga muchikwata chokuregererwa. Varwere vane bronchitis inoparadza nguva dzose vanotofanira kutora broncho-spasmolytic uye expectorant zvinoreva.