Ukucinana kwemithambo yomoya emaphashini. Ukwelashwa e exacerbation kanye ukuthethelelwa izigaba

I kuwumgogodla ekwelapheni ukucinana kwemithambo yomoya emaphashini iyona ukuqedwa etiological isifo isici. Uma kutholakale ukuthi une-ukucinana kwemithambo yomoya emaphashini, impatho kudinga ukubhema lokuphela, exclusion izingozi emsebenzini, ukuthuthwa kwendle foci ukutheleleka. ukuphathwa inpatient of ukucinana kwemithambo yomoya emaphashini e abadala embhedeni ukuphumula ezinqunyiwe isifo oyingozi begodu kukhula zokuphefumula futhi inhliziyo ukwehluleka, izimpawu zokudakwa, ngokujoyina pneumonia oyingozi noma pneumothorax nokuguqulwa, uma kunesidingo, wokuqoka izindlela zokuxilonga nokwelapha. umsoco Clinical kufanele kube ogxile amaprotheni-Vitamin, esimweni ngokujoyina decompensated inhliziyo yamaphaphu ithebula umkhawulo usawoti kanye ketshezi nokukhuphula potassium okuqukethwe.

Zonke imizamo eyisisekelo ukwelashwa kufanele iqondiswe ekwelapheni isimiso. Unomphela, ukwelashwa bangisekela patency bronchial ingafeza lukhulu kule anticholinergic umthamo ephezulu. Uma kukhona trapevticheskogo Empeleni babethi ingasatshenziswa ngesimo monotherapy eside. Nge awakuthinti, ungakwazi ukwengeza beta-agonists yesenzo iDemo. Ezinye iziguli abhekwa inhlanganisela esebenza ngempumelelo kakhulu izidakamizwa equkethe anticholinergic ne-beta-agonist. Anticholinergics ne-beta-agonists kuyabekwa imuncwe.

Nge inchubekelembili obengeziwe isifo eshadini sobudokotela kwanezela methylxanthines, okuthi uma sekuhlangene bronchodilator zabo isinyathelo ukunciphisa ukukhathala imisipha zokuphefumula, kodwa anobuthi xaxa, zidinga ukuqapha emakamu serum.

Esigabeni esilandelayo ukwelashwa kwesikhathi eside ukucinana kwemithambo yomoya emaphashini kungenzeka ukuqokwa kwe glucocorticosteroids. Kukhethwa ikakhulu amafomu imuncwe. Ukuqokwa edingekayo corticosteroids letindzala phakathi nokugula acute kuphela.

Lapho ufika umphumela emitholampilo emithathu kuya amane amasonto, okuyinto kuqinisekiswa Dynamics omuhle ka wamaphaphu ukupholisa umsebenzi, kunconywa ukuncipha kancane kancane umthamo izinhlobo kwathatha i glucocorticosteroid imuncwe.

Isici esibalulekile ekuthuthukiseni ukuvimbela bronchial ukubuyiselwa evamile uhlelo surfactant okudinga ezingamahlalakhona ukucinana kwemigudu yokuphefumula obstructive. Ukwelashwa Kwenziwa futhi mucolytics mukoregulyatorami aqokwe ephefumula, ngemlomo nangekubhala parenterally. I imithi eminye esebenza ngempumelelo kakhulu kuleli qembu kukhona ambroxol futhi acetylcysteine.

Okungalapheki ukwelashwa ukucinana kwemigudu yokuphefumula esigabeni acute Lokudabuka ezithathelwanayo kudinga antibiotic. Advantageously ebekiwe macrolides semisynthetic futhi ampicillin. Inkambo kwamaphilisi engabelwe amaviki amabili. Ngaphezu imithi, amakhambi adingekayo ukuze kunqotshwe ukucinana kwemithambo yomoya emaphashini. Ukwelashwa Kwenziwa ngamunye akhethiwe ukuphefumula umzimba, ukudla aphoyintimenti kulesetayelekile isisindo emzimbeni.

Naphezu kweqiniso lokuthi ukucinana kwemithambo yomoya emaphashini - isifo lesichubekako, akhethwe kahle futhi ukwelashwa esifike ngesikhathi kungaba ijubane ukuthuthukiswa isimiso bronchial, ukuvimbela ukuthuthukiswa ngenxa yezinkinga zokwenza ngcono izinga lempilo iziguli.

Thuthukisa umsebenzi amanzi ka bronchi izuzwe ukwabela esifubeni massage, imithi herbal, amanzi postural. yokwelapha nokwehlisa kuyadingeka uma esebenzisa isihluku e suppurative ukucinana kwemithambo yomoya emaphashini. Ukwelashwa kufanele kube ukufakwa esiyisibopho yokwelapha elwa namagciwane.

Uma iziguli ekufezeni ukuthethelelwa e iningi amacala kufanele uqhubeke nokwelashwa. Iziguli ukucinana kwemigudu yokuphefumula obstructive e ukuthethelelwa kungase phelisa izidakamizwa. Iziguli ukucinana kwemigudu yokuphefumula obstructive cishe njalo ziphoqelelwa ukuba zibe broncho-spasmolytic futhi expectorant.