I-pathology, okuyinto eyingozi kakhulu futhi eyinkimbinkimbi yokwelapha ama-pulmonological states, ayikho isidumbu se-pneumonia, i-abscess noma i-gangrene yamaphaphu. Kuyindlela yokubhujiswa nokufa kwe-parenchyma yamalungu okuphefumula ngokubunjwa kwe-foci enkulu, ejwayele ukusabalalisa ngokushesha emathisheni aphilile.
Izimbangela nezimpawu ze-gangrene yamaphaphu
I-agent enkulu ye-Causative yezinqubo ezibhubhisayo nezokufaka izinto ezibucayi yizinhlamvu ezincane ze-anaerobic ezinhlobonhlobo eziningana:
- i-haemophilus influenzae;
- I-staphylococcus aureus;
- i-enterobacteria;
- i-pneumococcus;
- Pseudomonas aeruginosa;
- Klebsiella ;
- i-fusobacteria nezinye izinto eziphilayo.
Ukungena emaphashini amakhemikhali adalwe angaba ngezindlela ezihlukahlukene, phakathi kwazo:
- izinqubo ze-pathological in the mouth oral and nasopharynx;
- izifo zesistimu yokugaya ukudla;
- i-craniocerebral trauma;
- ukushisa utshwala, izidakamizwa, izinto ezinobuthi;
- ukuvuvukala kwe-purulent yendawo.
I-gangrene ihambisana nezimpawu ezinzima:
- ubuthakathaka obuqinile;
- ukushisa (izinga lokushisa lifinyelela kuma-degree angu-40);
- ukuphosa nokujuluka;
- isisindo somzimba esinciphile;
- ubuhlungu esifubeni;
- ukuwohloka kwesifiso;
- ukulala;
- ikhanda;
- isikhala sesikhumba;
- ukuphefumula;
- ukukhiqizwa kwe-sputum nge-smell putrefactive.
Ngama-x-ray ane-gangrene yamaphaphu, izinhlobo eziningi ezicacile zokungafihli. Ukuze uthole ukuxilongwa okwengeziwe, i-computed tomography, i-bronchoscopy, ukuhlolwa kwe-sputum ezincane kanye nokuhlolwa kwegazi kusetshenziswa.
Ukwelashwa kwesibindi sephaphu
Ukwelapha kwalesi sifo kuwukwelapha futhi kuhlinzekwa.
Ukwelashwa okunamandla okubandakanya kuhlanganisa:
- ukusetshenziswa kwama-antibiotics (ubuncane 2);
- ukuxoshwa komzimba;
- ukujwayelekile kwe-homeostasis ne-electrolyte balance.
Njengomthetho, ukusebenza okudingekayo kokwelashwa kutholakala ngokulawulwa kwe-drift emithanjeni yalezi zidakamizwa. Noma yikuphi ukuqokwa kwenziwa yipulmonologist ngokubambisana nodokotela ohlinzayo we-thoracic ngemuva kokukhomba ama-causative agents of gangrene, kanye nokuzwela kwabo kuma-antibiotic ahlukene.
Kwezinye izimo, ukuhlinzwa kuyadingeka. Enye yezinketho zokukhetha ikhethiwe:
- i-bilobectomy;
- i-pneumotomy;
- i-lobectomy;
- i-pneumonectomy.
Ukuvimbela isifo samaphaphu
Ukuvimbela lezi zinguquko ohlelweni lokuphefumula kuwumsebenzi onzima. Ukuze kusetshenziswe, kubalulekile:
- Ukuphakamisa izinga lokuphila.
- Lahla yonke imikhuba emibi.
- Ngokuhamba kwesikhathi, phatha noma yiziphi izifo ze-septic.
- Yenza ama-ray angu-x emaphaphu njalo.