Zonse zokhudza mphumu bronchial. zizindikiro za Mphumu

Mphumu amatchedwa matenda m'mapapo mwanga yodziwika ndi matenda breathlessness ndi atapita zovuta zomwe uka chifukwa chophwanya bronhoprohodimosti. Childs, ndi kuphwanya bronchi mtanda kutsogolera: kutupa pamalo mucosal wa bronchi, bronchospasm, ndi mapangidwe amatope latsopano.

Ndipotu, mphumu - ndi polietilogicheskaya matenda, koma udindo waukulu mu zikamera kusewera ake allergens. Komanso zimene zingapangitse kuti chitukuko cha matenda ndi: chizolowezi chifuwa, chibadwa, kobwereza kupuma thirakiti matenda (rhinitis, chibayo, chifuwa), ndipo, ndithudi, pamaso pa chifuwa anthu aakulu ndi kobvuta ndi chigawo chimodzi cha mphumu. Odwala ndi chifuwa kwambiri sachedwa maonekedwe a mphumu bronchial, choncho akufunika kuwunika kwambiri chikhalidwe chawo, kuti si kuphonya zizindikiro choyamba cha mphumu.

Zimayambitsa mphumu - allergens, kumene kungakhale opatsirana ndipo sanali opatsirana chiyambi. Chifukwa magulu ambiri tizilombo matenda katundu ndi mabakiteriya (woyera aureus, saprophytes, Staphylococcus aureus), bowa (yisiti amatha kuumba) mavairasi (parainfluenza, rhinovirus), ndipo helminths. Koma malingana ndi kuwerengera, allergens si opatsirana kuti nthawi zambiri chifukwa cha mphumu.

Kodi nkhawa noninfectious gulu? Allergens mu gulu ili, nayenso, anawagawa subgroups asanu. The choyamba - banja, mwachitsanzo, nthenga, fumbi, kunyumba, nkhungu. The subgroup chachiwiri zikuphatikizapo masamba ndi nyama allergens, monga nyama dander, mungu munda mumbali ndi ena. Chachitatu - izi ndi allergens chakudya: dzira, nsomba, nkhuku, zipatso, sitiroberi ndi chokoleti. Kukhala mphumu zikhoza kugwiritsa ntchito nthawi yaitali mankhwala ndi mavitamini (subgroup chachinayi). Last subgroup (chachisanu) - ndi irritants mankhwala (ufa, soda ndi mchere).

Waukulu ndi zofunika kwambiri matenda mawonetseredwe a mphumu - mphumu kuukira. Komanso wodwalayo alipo chifuwa, kufupika kwa mpweya, ndi auscultation crackles amamva. Tinganene, pa siteji ya chikhululukiro wodwalayo chilichonse kukhudzidwa, mwachitsanzo zizindikiro mphumu ndi kwina. Palibe mawonetseredwe mpaka zoyambitsa ena allergen thupi kapena maganizo. Ngati izi zichitika, mphumu kuukira akuyamba.

Gawo kuukira kwa breathlessness. Mayeso oyamba - m'nyengo kalambulabwalo. Zikuoneka kwa kanthawi (a maola ochepa kapena masiku) pamaso pa nthawi yamavuto. Pa nthawi imeneyi zizindikiro mphumu kukhala kutchulidwa: wodwala akumva mphuno yatsekera ndi zikayamba. Komanso kusowa chilakolako cha ulesi, sneezing, kuwakhadzula chifuwa akuwonekera.

Gawo lachiwiri - nthawi yovuta kwambiri. Pa nthawi imeneyi, pali kutsamwa ndi mavuto ndithu exhaling. Kupuma amakhala phokoso kwambiri, limodzi ndi wheezing spacers ndi kulira khalidwe (mluzu, ikulira). Monga ulamuliro, odwala mu nthawi ino, naimirira bwino kwambiri, kuti amakakamizidwa. Kuwonjezera wheeze, pali tachycardia, ndipo ngakhale phlegm samachoka konse.

Lachitatu ndi lomaliza gawo - nthawi chilolezo. Wodwala n'kosavuta kupuma, iwo amayamba kusamuka phlegm. Ndi viscous, yomata, n'zovuta kupatukana. Pali maganizo kutopa kwambiri ndiponso kufooka. kusanthula tosaoneka chovumbulutsidwa kuchuluka kuchuluka kwa eosinophils sputum, komanso muli Charcot-Leyden timibulu, ndi mwauzimu Kurshmana. Auscultation anamvetsera crackles. Itatha nthawi iyi ya zizindikiro mphumu kukhala wochepa kutchulidwa.

Ngati sanalandire chithandizo mphumu, izo kumaonjezera ngozi ya mavuto aakulu kwambiri. Njirazi ndi monga:

• mphumu udindo - digiri kwambiri mphumu;
• Mowiriza pneumothorax - kudzikundikira mpweya kapena mpweya wa M'mimbamo pleural ;
• ndiko kumayambitsa;
• kupuma kulephera.

Matenda a mphumu zonse akuyamba ndi anamnesis lapansi. Chotsatira - cholinga bwinobwino amanena kuti: auscultation ndi percussion. Atasonkhanitsa deta zonse zofunika, maphunziro zasayansi. Onetsetsani kuti akhale: wonse magazi, erythrocyte sedimentation mlingo umene kuyang'ana, leukocytes ndi eosinophils; sputum; kuika mayeso intradermal. Kafukufuku wina n'kofunika spirography ndi x-ray.

Malinga ndi zotsatira dokotala n'kukulemberani mankhwala ndi kupewa.