Bullous wamaphaphu nesifo: izimbangela, izimpawu, ukwelashwa

Khanyisa, kanye nezinye izitho womuntu, okubenza babe sengozini yezifo ezihlukahlukene. Kuhlanganise nokuthi angase ukuthuthukiswa emphysema bullous.

ukugula Izici

Bullous wamaphaphu nesifo libhekisela izifo obstructive egqoke ezingamahlalakhona. Emzimbeni, kwezinye izindawo kwezicubu ingavuthi emoyeni ngaphezulu ngenxa yokuthi ukuthi alveoli (Bubbles okuyizinto ezibalulekile ukukhanya aqukethe) is kakhulu okwandisa ngobukhulu, futhi izindonga zawo ubhujiswe. Kule nqubo akhiwa izimbotshana ngenhloso ububanzi mkhulu kunezinhliziyo 1 cm. Avame buthelela emoyeni, lapho kunyatheliswa ukuze iphaphu kuyaphazamiseka.

Izibalo zibonisa ukuthi amadoda ziyashesha kakhulu lesi sifo kunabesifazane, cishe ukabili. Ubudala nalo libalulekile. Abantu abadala kusengozini yokuthi isifo.

Isici nobuntu lolu hlobo emphysema liwukuthi akubona bonke isitho ethintekile, kodwa kuphela ingxenye ethile kuyo.

Bullous wamaphaphu nesifo: izimbangela

Izizathu eziyinhloko ukuthi kukhona isifo ukuthi singasho sithi:

• ukubhema;
• yofuzo (bebancane sezicubu zezinzwa, ukubizwa ngokuthi dysplastic syndrome);
• Izifo ukuvuvukala okungamahlalakhona (ukucinana kwemigudu yokuphefumula, bronchiectasis, isifuba somoya);
• sofuba kungakhathaliseki esigabeni;
• ngemvelo ezimbi futhi okusezingeni eliphezulu ukungcoliswa komoya (nezilwanyana ezincane pathogenic ezihlala emoyeni ezinjalo kungathonya emaphashini kanye ne-alveoli avuse ukuvuvukala);
• yezinkinga ngemva wamaphaphu sarkaidoza.

Bulla, okuyinto akhiwa ngenxa ukuthuthukiswa lesi sifo, kungenzeka kusuka 1 kuya ku-10 cm ububanzi. Nge Ubukhulu 10 cm bebizwa omkhulu. ilungiselelo yabo Ungase futhi ziyahlukahluka. Kungenzeka amaningi (esivamile ivolumu kwamaphaphu) kanye olulodwa (yenziwe yaba yasendaweni kusayithi ethile). Bulla kuyingozi ngoba uqale cindezela izicubu, okuyinto zitholakala endaweni yakini, futhi ngaleyo ndlela ona exchange igesi emzimbeni.

Ukwazi izimbangela engabangela ukuba ukuthuthukiswa kwalesi sifo, kungenzeka ukwenza yesondlo izifo ngesikhathi.

I ukubonakaliswa eyinhloko lesi sifo

Uphawu oyinhloko okuyinto kuhambisana ukuthuthukiswa bullous wamaphaphu nesifo, - iphika, aliveli kungazelelwe, kodwa kancane kancane. Futhi isici salo yokuthi kuphakama ukuphefumula nobunzima uma exhale. Isiguli ngalesi sikhathi kwenza umsindo ofana ukubugojela. Ngesikhathi sokuqala dyspnea isifo livela kuphela ukuvivinya umzimba ephakeme, kodwa ukuqhubeka emphysema Ungase ukhathazeke futhi uphumule. Ngokuvamile kuhambisana ekuhlaseleni Ukuphelelwa, ukukhwehlela kanye ukukhiqizwa isikhwehlela.

Lapho udokotela iSifo "bullous wamaphaphu nesifo" izimpawu ezibonisa kungenzeka kanje:

• okwandisa izikhala phakathi amaphiko;
• thorax iba ukuma cylindrical;
• ngaphansi diaphragm ezithathekayo;
• Kungase kubangele ubuhlungu, okuyinto kuxhomeke kakhulu ngesikhathi ukhwehlela;
• ukukhathala, ubuthakathaka jikelele isimo.

Uma iqhubeka bullous isifo samaphaphu (emlandweni wezifo incike imbangela), ukungabi bikho kokukhanya ukwelashwa okufanelekile angagcina nokuvaleka kwemigudu yokuphefumula, okuyinto lubonakaliswa yokuthi ngemithambo entanyeni bandisa futhi babe okwesibhakabhaka. Ngaphezu kwalokho, iziguli ezinemishini emphysema bullous ohlabayo okuningi. Lokhu kungenxa yokuthi cishe zonke amandla ichithwa kuphela inqubo ukuphefumula. ngokomzimba ukubeletha noma ngokweqile imizwelo ejulile kungaholela pneumothorax nokuguqulwa (isimo lapho umoya ungena ngaphakathi komgodi pleural).

Lapho umfutho lobuhlungu bangase ukuthuthukisa ukwehluleka oyingozi kwegazi.

I degree of ahluleke kuthinta kobukhulu dyspnea nokugasela ngamandla isimo jikelele isiguli. Kule futhi kuncike okunye ukwelashwa, okuyinto ingaqondiswa nokuqedwa izimpawu noma asebenzayo amanzi pleural.

ukuhlola Izici

Beka le uphethwe kungaba i abanolwazi lochwepheshe, yingakho uma ithola okungenani ezinye zalezi zimpawu kudingeka ubone Pulmonologist. Udokotela sizohlola, bese usebenzisa amathuluzi ulalela emaphashini ngesikhathi umsebenzi wabo. Ukulandela senzo ngokuvamile iqondiswe ku-CT nesineke noma X-ray kwamaphaphu, futhi ukuhlaziywa, okuyinto kuthola igazi amagesi.

Ngokusekelwe kulezi izifundo, le Udokotela angase anikeze isiguli imithi yokwelashwa noma okunye ukuphenywa (spirometry futhi ukugeleza isiqongo).

ukwelashwa amaqhinga

Uma kutholakala ukuthi uphethwe yini "Bullous Lung Izifo", ezimweni eziningi ukwelashwa okuhloswe ngalo ukuqeda ukuvuvukala alveoli kanye nokubuyiselwa exchange igesi emaphashini. Ukususa izimpawu zesifo kuphela sihamba eziyinkimbinkimbi. Nokho, kufanele sikhumbule ukuthi ngisho noma ukwelashwa waqala ngendlela efanele usaqala izinguquko wamaphaphu izicubu eziye zenzeka ngenxa ukuthuthukiswa emphysema bullous, kungaba engelapheki. Zonke izinyathelo ezithathiwe ukubhekana izimpawu, kodwa kuyosisiza ukuba ayeke ukuqhubeka kwaleso sifo. Yingakho bullous emphysema (umlando kanye amaqhinga ukwelashwa incike imbangela kanye nezimpawu) edinga ngokushesha.

Zimbili izindlela zokwelashwa isifo: steel nezokwelapha.

indlela yokuhlinzwa

Uma kutholakala ukuthi uphethwe yini "Bullous Lung Izifo", ukusebenza kuyoba indlela ephumelela kakhulu. Phakathi ukuthi sisuswe bulla, okuyinto akhiwa. Lokhu kuzosiza ukunciphisa umthamo wokukhanya, ukuze ukuphefumula kuza emuva evamile. Kulokhu, lo msebenzi kufanele kwenziwe kusenesikhathi ukuvimbela ukuthuthukiswa yezinkinga.

Ethwele awusebenzi akuhileli ukusika yezinyoni ubambo, ukungenela Kwenziwa ngokusebenzisa imbobo encane.

Emacaleni angakajayeleki udokotela wakho anganquma ukufakelwa noma ukususwa yamaphaphu.

Ukwelashwa nge imithi

indlela yezokwelapha ukuqeda izimbangela ukuthi kwabangela isifo. Yingakho udokotela kufanele akuqonde ngokucacile lokho kwaholela ekwakhekeni of emphysema yamaphaphu. Njengomthetho, emva ucwaningo isiguli ezinqunyiwe bronchodilators lihambisana glucocorticoid i-hormone izindlela. Uma lesi sifo kuye kwaholela ukuthuthukiswa nokuvaleka kwemigudu yokuphefumula kanye kwegazi, udokotela wakho anganquma Yokuqashwa isisu (izidakamizwa okuhloswe Ukuhoxiswa uketshezi). Kuye imbangela isifo kungenziwa akhishwe namagciwane futhi theophylline.

Nokho, imfuneko ngesikhathi kwelashwa kwenqatshwa ephelele imikhuba emibi, uyenzele ukuphefumula umzimba futhi ubambe semali isikhathi ngaphandle. Ukuhamba Kunconywa ukwenza isikhathi esifushane, ngejubane elilingene, futhi kubalulekile ukuqapha ngokucophelela inqubo ukuphefumula.

Lesi sifo has a isikhathi eside impahla akuyona ukuba baveze imizwa yabo, yingakho kumele ngezikhathi ezithize ahlolwe ngokugcwele wezokwelapha ukuze ugweme ukuthuthukiswa pathologies ezehlukene, ezihlanganisa bullous wamaphaphu nesifo.