I-Pathology, ephakathi kweyona yingozi kakhulu kwaye kunzima ukuyiphatha i-pulmonological states, ayikho i-pneumonia, i-abscess okanye i-gangrene yomphunga. Yinkqubo yokutshatyalaliswa nokufa kwe-parenchyma yamalungu okuphefumula kunye nokwakhiwa kwe-foci enkulu, edla ukusabalalisa ngokukhawuleza kwiimveliso eziphilileyo.
Iimbangela kunye neempawu ze-gangrene yomphunga
I-arhente ephambili ye-causative yeenkqubo eziwonakalisayo kunye neendlela zokubeka iingubo zi-anaerobic microbes zeentlobo ezininzi:
- haemophilus influenzae;
- Staphylococcus aureus;
- enterobacteria;
- pneumococcus;
- Pseudomonas aeruginosa;
- Klebsiella ;
- i-fusobacteria kunye nezinye izinto.
Ukungena kwimiphunga i-microbes iboniswe ngeendlela ezahlukeneyo, phakathi kwazo:
- iinkqubo zentsholongwane emlonyeni womlomo kunye nasopharynx;
- izifo zesistim sokutya;
- i-craniocebral trauma;
- utyhefu ngotywala, iziyobisi, izinto ezinobuthi;
- ukuvutha kwamanzi.
I-Gangrene ihamba kunye neempawu ezinzima:
- ubuthathaka obunamandla;
- ubushushu (ubushushu bufikelela kuma-40 degrees);
- ukuphosa nokukhupha;
- ukunyuka komzimba;
- intlungu esifuba;
- ukuphazamiseka kokutya;
- kulala;
- intloko;
- ukugqithisa kwesikhumba;
- ukuphefumula okufutshane;
- ukuvelisa i-sputum kunye ne-putrefactive odor.
Ngama-ray-ray ne-gangrene yompompo, iintlobo ezicacileyo zokugqithisa. Ukuxilongwa okongeziweyo, i-tomography ekhompyutheni, i-bronchoscopy, uvavanyo lwe-sputum kunye nokuhlolwa kwegazi kusetyenziswa.
Unyango lwe-gangrene yomphunga
Unyango lwaloo ntsholongwane lugqirha kwaye lugqirha.
Unyango olulondolozo olunzulu luquka:
- ukusetyenziswa kwee-antibiotics (ubuncinci 2);
- ukuxutywa komzimba;
- ngokuqhelekileyo kwe-homeostasis kunye ne-electrolyte balance.
Njengomthetho, ukuphumelela okufunekayo kwonyango kufezwe ngokulawulwa kwe-drop ye-drops. Naliphina i-aphoyintimenti eyenziwa ngu-pulmonologist ngokubambisana nesigqirha se-thoracic emva kokufumanisa i-agent engabangela ukuba i-gangrene, kunye nokuqonda kwabo kwiintsholongwane ezahlukeneyo.
Kwezinye iimeko, utyando kufuneka. Enye yokukhethwa kukhetho ikhethiweyo:
- bilobectomy;
- pneumotomy;
- lobectomy;
- pneumonectomy.
Ukuthintela imfucuza yomphunga
Ukuthintela olo tshintsho kwinkqubo yokuphefumula ngumsebenzi onzima. Ukusetyenziswa kwayo, kubalulekile:
- Ukuphakamisa umgangatho wokuphila.
- Lahla yonke imikhwa emibi.
- Ekuhambeni kwexesha, unyamekele naziphi na izifo ezichukumisayo.
- Yenza i- x-ray imiphunga rhoqo.