Bronchiectasis - chii ichi? bronchiectasis bapu

zviitiko chirwere kazhinji yakanyorwa mushonga ano inonzi "bronchiectasis". Ichi chimiro ine ngozi kuti anova pamusoro colour kwezvirwere siyana pamusoro kufema hurongwa. Chokwadi, varwere tatarisana chirwere ichi, kutsvaga chero ruzivo pamusoro nengozi, zviratidzo uye vachirapa nechirwere chacho.

Bronchiectasis - chii ichi?

With zvinetso rakadaro kungandipa nhamba zvirwere zviri kufema hurongwa. Chii varwere kungori chirwere kuti "bronchiectasis"? Ichi chirwere achabatsirwa yakasimba rokuwedzera principales munzvimbo zvichikonzerwa kuvadza Árbol madziro.

Chirwere chinogona kukanganisa dzakasiyana dzenyika principales, asi kuwedzera masvingo bronchioles avhareji hukuru inonyanyoshandiswa kuchengetwa. The kwacho chokuita kurasikirwa tishu elasticity. Maererano nenhamba, varume zvokurwara vakadaro yakanyorwa anenge 3 nguva kakawanda kupfuura vasikana. Kazhinji chirwere paurwere akasiya yemapapu, asi kodzero zvemapapu bronchiectasis iri ishoma. Nyanzvi vanoti nhamba dzakadaro kuitira kuti lumen ari kuruboshwe bronchus iduku zvikuru uye anoumba rimwe constriction iri vasiri nzvimbo pulmonary tsinga kuti inzwi.

Zvinosuruvarisa kubva bronchiectasis iri kashoma zvinogoneka kubvisa zvachose, asi tichibatsirwa kurapwa nemazvo kusarudzwa chingamisa chirongwa kuparadzwa Árbol rusvingo.

Zvinokonzera chirwere

Bronchiectasis anogona kunge vachiberekwa kana vawana. Vari kutaura vachiberekwa anomalies, kakawanda chokuita pamberi kuvabereki uye vasiri abnormalities. Bronchiectasis zvinowanzooneka kuchengetwa vana vanotambura cystic fibrosis uye Immune Deficiency rinoti, uyewo zvimwe zvirwere, kusanganisira Young urwere, Marfan, Kartagener.

Vakatodzidza chisingaperi bronchiectasis kazhinji anova pamusoro pakanyorwa zvirwere zvokufema, kusanganisira mabayo, tibhii, whooping chikosoro. zvinokonzera njodzi zvinosanganisira uye sema zvirwere. The zvokurwara anogona chokuita nokuvapo anomera Árbol izvo kuchidzivisa kwemutemo mhepo uye sputum. Ndandanda kwezvikonzero zvinosanganisira uye rokuzvidzivirira zvirwere, kusanganisira AIDS.

Bronchiectasis haisi nguva dzose chokuita abnormalities ari kufema turakiti zvakananga. Rokuwedzera Árbol rusvingo kungakonzerwa mberi maronda colitis, dzinonzi rheumatoid arthritis, Crohn, chirwere staphylococcal noutachiona, zvisinei nzvimbo, hiatus heniya ari diaphragm. Zvinhu Risk zvinosanganisira muropa (udhakwa, kusvuta, kushandisa zvinodhaka), ngozi nomuchetura nokuda chepfu magasi.

zvinokosha chaizvo kuti chiremba kuona chikonzero Kumwe kuchinja kunotanga yacho principales, nekuti muzvinhu zvakawanda kunoenderana kubudirira mishonga.

The chikuru zviratidzo bronchiectasis

Bronchiectasis - a zvokurwara kuti anovandudza zvishoma nezvishoma. In kwokutanga matanho zvimwe zviratidzo mamirire anogona vasipo zvachose. Varwere kazhinji kutambura zvirwere zvokufema, kusanganisira mabayo uye pleurisy. Bronchitis pamwe bronchiectasis - uyewo kakawanda kuwanika.

Uyezve, zvave kuwedzera sputum zvinoyerera, kunyanya mu kuchitonhora, nyoro ekunze. Kazhinji uchaona wheezing apo Kufema uye exhaling.

Sezvo chirwere mberi, varwere yakashuma nechitarisiko chikosoro - kurwisa vane simba zvikuru mangwanani uye vari pamwe nokubudiswa yakawanda muco-purulent sputum. Kusurukirwa kazhinji risingafadzi kwakanaka.

Kuchinja Árbol masvingo sei okisijeni zvinoberekwa muviri. Hypoxia uchiteverwa wemauto kwakaderera - Varwere vanotsutsumwa tinyanye simba, hope, dzungu, kakawanda. The paganda murwere rakachenuruka, dzimwe nguva anowana rinokwanisa kucheneruka ruvara. Zviratidzo zvinosanganisira kupfupika mweya, uye kuti pashure nzendo kukura inova zvechigarire uye munhu hanya kwete chete panguva kurovedza muviri, asi nenguva zororo.

chirwere rwakazara

VanaChiremba zvinhanho zvitatu chirwere:

• Danho rokutanga achiperekedzwa maronda bronhoetaza akaturikidzana Árbol mucosa. Typical zviratidzo dzinenge ndisipo, uye nzira hosha anonzi benign.
• Panguva Danho rechipiri iri rinoparadza muitiro nechekare kunokanganisa rose ukobvu ari Árbol madziro. Varwere chokunyunyuta pamusoro private nemabayo uye kuwedzera zuva nezuva Vhoriyamu sputum buditsa.
• At wechitatu pavaipfuura pathological muitiro wacho kuchengetwa kwete principales - pakanyenga kuti pedyo zvemapapu tishu. Varwere kutambura nekuora kuzvimba, vakanyunyuta hune fetid sputum. Panguva iyi, kazhinji kuonekwa vangakosora ropa.

kupatsanura pakati bronchiectasis

Kune Mufungo kupatsanura pakati zvokurwara ichi vanoverengeka. Sezvambotaurwa, bronchiectasis kungava vachiberekwa kana vawana. Rokuparadza muitiro dzimwe nguva rinotaura chete chikamu chiduku pakati principales, asi anogona kuwedzera kune mamwe zvikamu kufema turakiti (iyi, ndiko chikuru bronchiectasis). Zvichida kuonekwa vakawanda maronda dzakasiyana-siyana principales.

Zvichienderana dhigirii zviratidzo, secrete munyoro, mwero uye kwazvo siyana zvokurwara. Zvichienderana Pathomorphology, bronchiectasis kungava atrophic kana hypertrophic.

Zvinofanira kucherechedzwa kuti kana untreated chirwere kungaita kuti nemigumisiro ngozi, kusanganisira pulmonary emphysema, zvakadzama ropa, yechipiri amyloidosis, kufema uye mwoyo nokukundikana.

Bronchiectasis: chirwere Laboratory uye richishanda

Chirwere ichi - yakareba kwacho. Munguva kuongorora utano yokungoitawo, chiremba wako anogona kuona zvimwe zvachinja chitarisiko murwere - chipfuva iri yakaita mudende, akachinja phalanges (panyaya akazotevera nzendo chirwere pakukura). Kana auscultatory kuongororwa nyanzvi inoti kufema zvakaoma uye kuvapo nyoro rales.

Panyaya Murabhoritari chirwere, murwere kutanga chinotarisirwa bvunzo ropa. Tikafunga bronhektaza vakachengeta vachiwedzera erythrocyte sedimentation zvazvingava, kuwedzera kwenhamba ropa masero machena uye kupererwa, izvo kwakabatana okisijeni nenzara muviri. At Murabhoritari sputum zvinogona kuonekwa kuti zvinoyerera ane-rukoko matatu chivako.

siyana paku nzira inoshandiswa kwokupedzisira zvawanikwa. Inodzidzisa chinhu bhokisi X-ray, aunopiwa mukana kuona nzvimbo fibrosis, kuti asimbise kuvapo cysts uye Árbol Extensions kuona shanduko vascular muenzaniso. Uyezve vakatapwa bronchoscopy (womukati rokuongorora bronchus nomukombiyuta endoscope) uye computed tomography.

zvinodhaka kurapa

Kuchinja mabatiro hunoenderana padariro chirwere. Kazhinji, varwere vari ushandiswe mishonga kuti mutete ari madzihwa. Zvinowanzoshandiswa immunomodulators, multivitamin zvivako. In pamberi kwemabhakitiriya nemabayo, uye vamwe varwere hosha zvinoda kushandiswa kwemishonga inorwisa mabhakitiriya - kupfuura inowanzoshandiswa macrolides ( "Azithromycin") uye pneumotropic fluoroquinolones ( "Moxifloxacin" "Levofloxacin").

Chinokosha mishonga iri rokuchinjwa ari Árbol sepombi, mumwe haagoni kudzivisa kurega kunotanga pakati phlegm mumapapu - varwere ushandiswe nenguva dzirikure muzvirongwa vibrating masaja. Kufambisa sputum rubatsiro uye zvakanaka vakasarudzwa zvakawanda physiotherapy. bronchiectasis kurapwa hazvo kunosanganisira kurovedza kufema. Kana plugging pamusoro yemweya lumen purulent makore vakatakura mikrodrenazh mishonga inodzivirira uye antiseptics. Dzimwe nguva mucolytic yomuchipatara nezvevanakomana vakapinda lumen pamusoro bronchus uye proteolytic makemikari kuti liquefy sputum expectoration uye aivabatsira nayo.

saizvozvi ikarapwa bronchiectasis. Reviews vanachiremba vanoti kuruoko kunokwanisa kuitwa kuti ndiporese hwakanyatsorwisa zvakajairika kufema hurongwa.

Kuvhiya kupindira uye mamiriro ayo

Kwete nguva dzose kuchinja nzira kurapwa kubatsira kukunda zvokurwara ichi sezvo bronchiectasis. Operation dzimwe nguva anongoti zvakakodzera. Zvichienderana rwakadini kukuvadza, chiremba anogona kukuudza mumwe kubviswa yakazara zvemapapu kana rushoma resection nharaunda sei pamusoro principales.

Kuvhiya kurapa zvirwere zvakadai kuoma zvakakwana pashure murwere kunoda vapore refu.

Diet varwere

Mabatirwo bronchiectasis hazvo rinosanganisira zvakanaka zvokudya. Zvokudya zvinofanira kusanganisira vazhinji mapuroteni zvokudya, asi inokurudzirwa yokuderedza uwandu mafuta uye magiramu 90 pazuva.

Muna Muterere inofanira kuva zvokudya varipo vakapfuma mavhitaminzi B uye A, uye ascorbic acid. Varwere vanofanira zano kudya zvakawanda mbishi michero uye miriwo, nokunwa matsva facial. zvinofanira kusanganisira chiropa pamusoro zviripo. Kushandiswa kunwa decoctions yegorosi bran, uye nezvikara ndokumuka.

matanho

Zvinosuruvarisa hapana mishonga kuti anogona kutadzisa kukura chirwere. Asi tinofanira kunzwisisa kuti bronchiectasis - ichi kwakakomba zvokurwara, riri nyore kudzivirira. Varwere nemapoka njodzi yakarumbidza kusiya tsika dzakaipa (zvakadai sokusvuta), tevera zvokudya uye kusimbisa masoja emuviri uye kuti chokudzivirira majekiseni pamusoro kutapukirwa noutachiona, kusanganisira whooping chikosoro, yokuSpain, gwirikwiti, uye vamwe.

Varwere vanenge atogamuchira kurapwa anofanira vakanyoreswa chiremba, katatu pagore, unopfuura rokuongorora uye achidzorera Analyses. Vanhu vane huripo bronchiectasis mu kuregererwa vanoda nguva nenguva kururamiswa principales, physiotherapeutic dzokuvhiya, prophylactic pachipatara pacho kurapwa.