Abscessing pneumonia yog ib yam kab mob uas muaj cov txheej txheem inflammatory tshwm sim hauv lub ntsws, nrog rau kev tsim ntawm purulent foci.
Kev piav qhia tus kab mob
Tus kab mob no txaus ntshai. Nyob ntawm tus neeg sawv cev ntawm tus kab mob no thiab qhov hnyav, cov tsos mob yuav txawv. Tab sis feem ntau abscessing pneumonia yog ua npaws, ua daus no. Tsis tas li thaum muaj mob muaj hnoos nrog hnoos qeev. Qhov paug tawm muaj ib qho ntxhiab tsw thiab cov kua paug. Ib tug neeg poob nws qab los noj mov, vim nws poob phaus. Yuav kom kuaj tau qhov tseeb, kuaj X-ray ntawm lub ntsws. Kev kho mob yog complex. Tus neeg mob tau muab tshuaj tua kab mob. Zoo li txhais tau tias ua kom cov haujlwm ntawm tib neeg lub cev tiv thaiv kab mob. Txhawm rau tshem tawm cov foci ntawm abscessing pneumonia, thoracocentesis thiab huv bronchoscopy raug sau tseg. Tsis tas li ntawd, cov kev ntsuas kho muaj xws li extracorporeal hemocorrection, nrog rau cov ntshav UVI thiab hemosorption.
Abscessing pneumonia implies ib lub sij hawm thaum mob ntsws, thaum foci ntawm purulent formations tshwm sim. Tib yam xwm txheej ntawm cov kab mob no muaj lub ntsws abscess. Qhov sib txawv ntawm ob yam kab mob no yog tias nrog cov kab mob abscess, lub purulent tsim muaj ib txoj kab uas hla loj, thiab nrog mob ntsws, muaj ntau purulent foci ntawm me me.
Yog vim li cas thiaj pom
Vim li cas thiaj mob ntsws ntsws tshwm sim? Qhov laj thawj tseem ceeb ntawm qhov tshwm sim yog cov kab mob phem thiab kab mob tshwm sim hauv lub cev. Cov no suav nrog:
- YStaphylococcus aureus.
- Friedlander stick los yog Klebsielle.
- Ntau hom kab mob enterobacteria.
- Pneumococcus thiab hemolytic streptococcus kuj tuaj yeem ua tus kab mob.
- kab mob anaerobic, uas yog Fusobacterium thiab Peptostreptococcus.
Cov kab mob thiab kab mob ua kom puas lub ntsws. Lawv yog cov ua rau cov tsos ntawm purulent formations.
kab mob phem nkag mus rau hauv lub ntsws li cas?
Ua ntej tshaj plaws, cov kab mob no tuaj yeem nkag mus rau hauv lub ntsws los ntawm nasopharynx. Qhov no tshwm sim yog tias muaj purulent foci nyob rau hauv tus neeg lub qhov ncauj. Muaj kev pheej hmoo yog cov pej xeem uas tsim txom siv cawv thiab tshuaj yeeb. Cov neeg uas muaj mob stroke lossis cov neeg muaj kev puas siab puas ntsws kuj tuaj yeem kis tau tus mob ntsws abscess.
Hematogenous lesion ntawm lub ntsws los yog lymphogenous tshwm sim vim muaj kab mob xws li:
- YFurunculosis.
- Endocarditis.
- Osteomyelitis.
- Sepsis.
Tsis tas li ntawd, abscess pneumonia tuaj yeem tshwm sim vim muaj lub cev txawv teb chaws thiab mob ntsws hauv lub bronchi. NtawmCov neeg uas muaj mob ntshav qab zib mellitus, kab mob ntshav thiab kab mob periodontitis feem ntau raug kuaj pom tias muaj kab mob ntsws abscessing. Kev kho mob los ntawm kev noj qee cov tshuaj tuaj yeem ua rau tus kab mob no. Piv txwv li, siv glucocorticoids thiab cytostatics.
Thaum kuaj mob ntsws ntsws, nws yog ib qho tseem ceeb kom paub tias cov kab mob los yog kab mob twg los ua tus kab mob. Kev puas tsuaj ntawm lub ntsws yog vim qhov tseeb tias tus kab mob ua rau tus kab mob, piv txwv li, staphylococcus aureus, pib tsim cov tshuaj lom ntau ntau. Vim li no, ntau cov kab noj hniav uas muaj huab cua yog tsim. Yog lawv koom ua ib lub hom phiaj loj, ces tus kab mob no yuav raug hu ua ntsws abscess.
Cov tsos mob dab tsi qhia tias mob ntsws ntsws muaj nyob hauv lub cev?
Cov ntaub ntawv keeb kwm muaj cov tsos mob zoo ib yam li qhov ib txwm muaj. Tshwj xeeb tshaj yog nyob rau thawj theem ntawm tus kab mob. Tus neeg pib hnoos, lub cev kub nce, qhov mob tshwm sim hauv lub hauv siab. Cov mob no yuav nce ntxiv, tshwj xeeb tshaj yog thaum ua pa.
X-ray qhia tias muaj tus kab mob no hauv lub ntsws. Cov menyuam yaus tuaj yeem tsim mob hawb pob thiab neurotoxic syndrome. Yog hais tias ib tug neeg tsis siv cov kev kho mob, ces nws tus mob yuav ua rau mob thiab abscessing pneumonia tshwm sim (ICD-10 muab nws tus code J85.1 nyob rau hauv cov ntaub ntawv ntawm ib tug tsis tau piav qhia txog kab mob, raws li zoo raws li code J10-J16 yog hais tias nws tau txheeb xyuas). Qhov no pab tus neeg mobmuaj intoxication ntawm lub cev. Chills tshwm, lub cev kub nce mus rau 40 degrees. Qab los kuj poob thiab anorexia tshwm sim. Tsis tas li ntawd, muaj qhov ua tsis taus pa. Txij li thaum lub sij hawm no ntawm tus kab mob purulent formations tshwm sim nyob rau hauv lub ntsws, ib tug neeg muaj hnoos qeev nrog ib tug tsis kaj siab tsw, thiab nws muaj xws li spotting. Tus neeg mob tsis ua haujlwm, daim tawv nqaij daj ntseg nrog grey tint, delirium tshwm sim. Nyob rau hauv lub neej yav tom ntej, yog abscessing pneumonia zuj zus, lub micropreparation yuav pom lub ntsws abscess.
Kev nyuaj siab
Tus kab mob no tuaj yeem ua rau muaj teeb meem ntau rau lub cev. Cov no suav nrog:
- Empyema.
- Pleurisy.
- Pyopneumothorax.
- YPurulent pericarditis.
- Mediastinitis.
- Purulent mob caj dab.
- Sepsis.
Yuav kuaj mob ntsws li cas?
Ua ntej tshaj plaws, tus neeg ua pa tsis muaj zog, cov dej ntub dej tshwm sim. Kev kuaj ntshav qhia tias muaj cov txheej txheem inflammatory hauv lub cev - muaj qhov nce ntawm cov leukocytes, ESR thiab RBP.
Yuav kom kuaj tau tus neeg kom raug, x-ray ntawm lub ntsws raug sau tseg. Tab sis koj yuav tsum paub hais tias nrog mob ntsws, cov txheej txheem yuav tsis ib txwm qhia purulent foci. Yog li ntawd, thiaj li tshem tawm lossis paub tseeb tias muaj mob ntsws, nws yog qhov tsim nyog yuav tsum ua kom lub hauv siab.
Daim ntawv ntsuam xyuas zoo li no yuav nthuav tawm cov qauv nrog cov kua thiab roj hauv lawv. Qhov no yuav qhia tau tias abscessmob ntsws o. Tab sis cov kev tsim no kuj tuaj yeem yog cov cim qhia ntawm cov kab mob xws li tuberculosis thiab mob ntsws cancer. Yog li ntawd, txhawm rau kom tsis txhob yuam kev hauv kev kuaj mob, tus neeg mob raug xa mus kuaj hnoos qeev. Thiab koj yuav tsum ua qhov no peb zaug. Kom paub meej lossis tsis lees paub qhov kev kuaj mob. Kev kuaj tshuaj tua kab mob kuj tseem yuav tsum tau. Rau qhov no, hnoos qeev kab lis kev cai los yog bronchial dej ntxuav yog noj. Bronchoscopy qee zaum raug txiav txim kom paub meej qhov kev kuaj mob.
Kev kho mob
Nyob rau hauv kev kho mob abscess pneumonia, thawj cov tshuaj tua kab mob uas tuaj rau ntawm tes yog tsis siv. Thiab feem ntau, ua ntej ntawm tag nrho cov, ib yam yuav tsum nco ntsoov: nyob rau hauv tsis muaj cov ntaub ntawv yuav tsum tau koj tus kheej-medicate. Tom qab tag nrho, abscess pneumonia yog suav hais tias yog ib yam kab mob uas hnyav heev. Nws kuj tso cai rau cov tsos ntawm ntau yam teeb meem. Yog li ntawd, txhawm rau kho tus kab mob no, ob qho tib si kho mob thiab, qee zaum, kev phais yuav tsum tau ntsuas. Ua ntej, ib chav kawm ntawm cov tshuaj tua kab mob raug sau tseg, nws raug xaiv ib tus zuj zus rau txhua tus neeg mob. Lub ntsiab lus tseem ceeb yog qhov kev xaiv ntawm cov tshuaj tau sau tseg raws li kev soj ntsuam tau txais, uas yog, yuav ua li cas lub cev ua rau cov tshuaj tua kab mob. Lub sijhawm kawm kuj raug txiav txim raws li tus kheej.
Koj yuav tsum ua tib zoo ua raws li tus kws kho mob cov lus qhia yog tias koj tau kuaj pom muaj mob ntsws. Cov teeb meem nrog tus kab mob no tuaj yeem loj heev.
Cov tshuaj txheem hauv kev kho mob ntsws abscessyog cov tshuaj xws li "Benzylpenicillin" + "Metronidazole", lincosamides ("Clindamycin", "Lincomycin"), aminopenicillins ("Amoxicillin" / "Clavulanate", "Ampicillin" / "Sulbactam"), thiab lwm yam. suppuration, expectorants raug tshuaj, nrog rau inhalations.
Kev kho mob
Cov neeg uas kuaj pom muaj mob ntsws sab xis yuav tsum tau saib xyuas kom zoo. Ua ntej, koj yuav tsum muab lawv cov khoom noj kom zoo, xws li cov zaub mov muaj protein ntau, cov kab muaj txiaj ntsig zoo thiab cov vitamins. Qhov thib ob, yog tias tus neeg mob lub cev tsis muaj zog heev, nws yog qhov yuav tsum tau muab cov ntshav plasma rau nws. Tsis tas li ntawd, ua ke nrog cov kev ntsuas saum toj no, cov kab mob ua pa tau txais kev txhawb nqa.
Bronchoscopy yog ua tiav los ntxuav qhov chaw purulent. Tej zaum koj yuav tau ua ib tug puncture los yog kua dej ntawm abscess, ntxuav lub kab noj hniav nrog antiseptics. Cov lus qhia rau kev qhia txog cov tshuaj tua kab mob thiab cov enzymes kuj ua tau. Muaj kev txheeb cais tias 15-25 feem pua ntawm cov neeg mob tsis tiv nrog tus kab mob no. Qhov no yog ib daim duab siab heev. Tab sis kuj tseem muaj txoj hauv kev zoo rau tus neeg zoo.
Risk group
Nws yeej paub zoo tias nws ib txwm zoo dua tsis txhob coj koj lub cev mus rau hauv lub xeev tsis saib xyuas, nws raug nquahu kom siv kev tiv thaiv ntau dua li kev kho mob hnyav. Yog li ntawd, nws yog ib qho tsim nyog los tswj koj lub cev kom noj qab nyob zoo thiab tau txais nws raws sijhawm.kev kho mob thaum muaj mob. Muaj ib pab pawg txaus ntshai ntawm cov neeg uas raug tus kab mob no:
- Cov me nyuam. Lawv muaj kev pheej hmoo. Txij li thaum lawv kev tiv thaiv yog nyob rau theem ntawm kev tsim. Nrog rau qhov muaj peev xwm ua tau zoo, cov kab mob ntsws abscessing tuaj yeem tshwm sim hauv cov menyuam yaus uas tau siv tshuaj tua kab mob ntev ntev los yog muaj qee yam kab mob.
- Tus neeg laus.
- Cov neeg mob khaub thuas thiab SARS lossis nyuam qhuav muaj cov kab mob no.
- Tshuaj.
- Cov neeg muaj kab mob ua pa ntev thiab yog cov neeg muaj kab mob sib kis.
- Smokers.
- Qab neeg tiv thaiv kab mob.
- Cov neeg uas raug mob hauv siab yog qhov txaus ntshai.
- Ib lub ntsws txawv txav yog ib qho ua rau mob ntsws ntsws.
- Cov neeg raug phais.
Nyob zoo ib tsoom phooj ywg.
Kev Tiv Thaiv
ntsuas kev tiv thaiv rau menyuam yaus suav nrog kev txhaj tshuaj tiv thaiv kab mob pneumococcal. Koj yuav tsum saib xyuas tus mob khaub thuas. Kuj tseem muaj peev xwm txhaj tshuaj tiv thaiv kab mob no. Cov tshuaj tiv thaiv no yog txhaj rau cov neeg laus thiab menyuam yaus. Koj yuav tsum tsis txhob kis kab mob, vim lawv tuaj yeem nkag mus rau lwm yam mob hnyav dua. Hardening, ib tug noj qab nyob zoo txoj kev ua neej, kev kawm lub cev, taug kev - tag nrho cov no yuav pab ntxiv dag zog rau lub cev tiv thaiv kab mob thiab, vim li ntawd, tsis muaj ib yam kab mob. Thaum thawj cov tsos mob ntawm tus kab moblub cev, koj yuav tsum tau mus ntsib kws kho mob tam sim ntawd. Txij li kev kho mob raws sij hawm cuam tshuam rau tus neeg mob kom rov zoo sai.
Zoo kawg
Tam sim no koj paub tias mob ntsws ntsws yog dab tsi. Peb tshuaj xyuas qhov ua rau tus kab mob no. Peb kuj piav qhia tias tus kab mob tshwm sim li cas.
