Pathology, iyo iri pakati pezvinotyisa zvikuru uye yakaoma kurapa pulmonological, inonzi abscessed pneumonia, abscess kana gangrene yemapapu. Iyo inzira yekuparadza uye kufa kweparenchyma yezviputi zvinoputika nekuumbwa kwemvura yakakura, iyo inofanirwa kupararira nokukurumidza kumatavi ane utano hwakapoteredza.
Zvinokonzera uye zviratidzo zvechirwere chepapu
Iyo inokonzera causative agent yezvinhu zvinokuvadza uye inogadzirisa zvinokonzerwa nevanareobic microbes yemhando dzakasiyana-siyana:
- haemophilus influenzae;
- Staphylococcus aureus;
- enterobacteria;
- pneumococcus;
- Pseudomonas aeruginosa;
- Klebsiella ;
- fusobacteria nezvimwe zvipenyu.
Kupinda mukati memaapapu mapiritsi ezvakanyorwa anogona nenzira dzakasiyana-siyana, pakati peiyo:
- hutano hutano mumuromo munharaunda uye nasopharynx;
- zvirwere zvekugadzira muviri;
- craniocerebral trauma;
- kunyoresa nedoro, zvinodhaka, zvinodhaka;
- nzvimbo purulent kuvimba.
Chigunun'una chinosangana nemaratidzo akaoma:
- utera hwakasimba;
- kupisa (kutonhora kunosvika kuma40 degrees);
- chills uye kutuka;
- kuyerwa kwemuviri;
- kurwadziwa mubhokisi;
- kuora kwekudya;
- kugona;
- headache;
- kureba kweganda;
- kupfupika kwemhepo;
- sputum production ne putrefactive kunhu.
Pa-ray-ray rine chironda chepapu, zvakasiyana-siyana zvakasiyana-siyana zvekusvibiswa. Kuwedzera kuongororwa, computed tomography, bronchoscopy, kuongorora kukurukudza kweputi uye kuongorora ropa kunoshandiswa.
Kurapa kwechirwere chepapu
Kurapa kwehutano uku ndiko kurapwa uye kurapwa.
Kurapa kwakanyanya kwakachengetedza kunosanganisira:
- kushandiswa kwemishonga inorwisa mabhakitiriya (mashoma 2);
- detoxification yemuviri;
- chimiro che homeostasis uye electrolyte balance.
Sezvo mutemo, kubudirira kunodiwa kwerapi kunowanikwa nehutachiona hwekutengesa kwemishonga iyi. Chero kusarudzwa kunoitwa nemapulmonologist pamwe chete nechiremba chinonzi thoracic mushure mekutsvaga maitiro anokonzera chirwere, uyewo kunzwisiswa kwezvirwere zvakasiyana-siyana.
Mune zvimwe zviitiko, kuvhiyiwa kunodiwa. Chimwe chezvokuvhiya zvinosarudzwa:
- bilobectomy;
- pneumotomy;
- lobectomy;
- pneumonectomy.
Kudzivirirwa kwechirwere chepapu
Kuchengetedza kuchinja uku muhutano hwemhepo basa rakaoma. Nekushandiswa kwayo, zvinokosha:
- Kurera muitiro wekurarama.
- Bvisa maitiro ose akaipa.
- Nekufamba kwenguva, tora zvirwere zvipembenene.
- Ita x-rays yemapapu nguva dzose .