Lung parenchyma yog ib lo lus kho mob rau ib feem ntawm cov kab mob ua pa. Nws muaj alveoli, pulmonary interstitium, vascular network, thiab bronchi. Yog tias tus neeg mob tau txais CT scan, tom qab ntawd thaj chaw no yuav muaj cov qauv zoo ib yam thiab grey tint. Tawm tsam keeb kwm yav dhau los no, tus kws tshaj lij tuaj yeem yooj yim paub qhov txawv ntawm cov hlab ntsha me me, tshuaj xyuas lub bronchi, thiab txheeb xyuas qhov ua txhaum cai. Qhov ntom ntawm cov ntaub yuav tsum tsis sib xws, xws li -700 txog -900 HU. Yog tias muaj qhov sib txawv ntawm qhov ntsuas, qhov no qhia tau hais tias kev txhim kho ntawm pathology thiab yuav tsum tau muaj kev cuam tshuam sai. Kev kho mob tsuas yog muab los ntawm tus kws kho mob tshwj xeeb, kev kho tus kheej yuav tsum tsis suav nrog tag nrho.
"Lub ntsws parenchymal thickening syndrome" yog dab tsi?
Cov kab mob no tsis tau kuaj pom ntau zaus thiab yog cov tsos mob nyuaj, uas yog tus cwj pwm los ntawm cov txheej txheem pathological hauv cov ntaub so ntswg hauv lub ntsws.ntau yam pathogenic mechanisms. Compaction tuaj yeem pom nrog cov kab mob inflammatory infiltration ntawm ntau yam etiologies, nrog rau qhov tshwm sim ntawm edema ntawm thaj chaw no ntawm cov pa hauv nruab nrog cev, nrog atelectasis, pulmonary infarction, vim qhov tshwm sim ntawm cov txheej txheem proliferative.
Kev hloov pauv hauv lub ntsws parenchyma yuav tsis nyob hauv tag nrho cheeb tsam, tab sis tsuas yog hauv qee ntu thiab lobes. Xws li cov txheej txheem pathological feem ntau yog unilateral, tab sis muaj kev zam. Tsuas yog tus kws tshaj lij tuaj yeem txiav txim siab raws li cov txiaj ntsig ntawm qhov kev xeem.
Nws tsim nyog xav txog qhov tseeb tias nyob rau theem pib ntawm kev cog qoob loo hauv lub ntsws parenchyma tseem muaj cua me me. Raws li kev sib txawv, nws yuav daws tau.
YPathophysiological mechanisms
Condensation yog pom los ntawm ntau yam txheej txheem pathological tshwm sim hauv lub cev. Nws los ntawm:
- Kev mob ntsws ntsws, pulmonary edema.
- Tsis muaj huab cua hauv qee ntu lossis lobe ntawm lub ntsws parenchyma vim qhov txhaws ntawm lub bronchial lumen, ua rau cov ntshav tsis txaus hauv cheeb tsam no.
- Kev txhim kho ntawm kev hloov lossis cov txheej txheem neoplastic hauv lub cev ua pa.
Raws li tau hais los saum no, lub foob yog ib sab, thiab ob sab. Qhov thib ob ntawm kev sib txawv yog kuaj pom nyob rau hauv cov neeg mob raws li cov txheej txheem xws li edema, lom ntawm lub cev nrog ntau yam asphyxiating tshuaj thiab gases, ob sab ntsws ntsws.
Kev sib koom ua ke ntawm lub ntsws parenchyma tuaj yeem txhim kho vim lobar pneumonia, focal fibrosis, tuberculosis, infarction ntawm cov kab mob ua pa, mob qog noj ntshav nrog atelectasis, teeb meem hauv daim ntawv ntawm bronchial obstruction.
Symptomatics
Qhov kev sib txuam no, zoo li lwm yam kab mob thiab kab mob, yog nrog los ntawm cov cim tsim nyog uas yuav pab kuaj mob. Thaum thawj cov tsos mob tshwm sim, koj yuav tsum hu rau lub tsev kho mob tam sim ntawd kom tau txais kev pab tsim nyog, thaum tsis txhob siv tshuaj rau tus kheej.
Hauv qhov xwm txheej no, tus neeg mob tuaj yeem yws txog:
- plab tsis xis nyob;
- hnyav;
- suab tremor;
- suab nrov thiab hawb pob thaum ua pa.
Tsis tas li, nrog cov txheej txheem pathological hauv lub ntsws parenchyma, tus neeg mob kuj tuaj yeem pom cov tsos mob xws li xeev siab, kiv taub hau, teeb meem nrog kev qab los noj mov. Cov kev sib txawv no ua rau cov xwm txheej dav dav, lub neej zoo thiab ua rau muaj kev cuam tshuam loj heev. Cov tsos mob feem ntau yog ua ke nrog kev qaug cawv, thiab yog tias muaj kev puas tsuaj loj rau cov ntaub so ntswg ntawm lub cev ua pa tau kuaj pom, tom qab ntawd pulmonary insufficiency tau pom nyob rau hauv tib lub sijhawm.
Kev kuaj mob li cas?
Txhawm rau kuaj xyuas kom raug thiab sau ntawv kho kom zoo, nws raug nquahu kom ua qhov kev kuaj mob sib txawv, uas yog ntau theem thiab nyuaj heev. Txhawm rau txiav txim siab lub ntsws parenchyma syndrome, tus kws tshaj lij pom zoo kom kuaj xyuas xws li:
- Computed tomography.
- X-ray (tsis yog CT).
- Biochemical ntshav kuaj.
Kev saib xyuas kuj tau them rau cov kab mob sib kis uas tshwm sim hauv lub cev thiab ua rau muaj kev sib txawv. Nyob ntawm qhov no, lwm hom kev xeem yuav raug sau tseg.
ntsws parenchymal thickening: kho
Kev kho ntawm qhov sib txawv no yog ob hom - etiotropic thiab pathogenetic. Nws yog ib qho tsim nyog yuav tsum ua raws li kev kho mob uas tshem tawm cov kab mob sib kis, uas yog, qhov ua rau muaj kev cuam tshuam. Tus neeg mob tau qhia kom noj cov tshuaj tua kab mob, ua tib zoo saib xyuas cov txheej txheem detoxification, kho cov pa ua pa thiab cov kab mob hemodynamic. Cov txheej txheem no tsim nyog thaum muaj mob ntsws thiab ua tiav yam tsis muaj ncua sijhawm.
Yog tias qhov ua rau ntawm qhov sib txawv tau tsim kom raug thiab raws sijhawm, tom qab ntawd txoj kev kho yuav muaj qhov zoo, thiab yuav ua rau muaj kev txhim kho tseem ceeb. Nco ntsoov noj kom raug, tso tus cwj pwm phem, ua raws li cov lus pom zoo ntawm tus kws tshaj lij.
