Lesi sifo ukuvuvukala okungabonakali okubangelwa ukutheleleka kwe-microbial, kuhambisane nokwakhiwa kwezigxobo ezingenayo i-purcent-necrotic. I-abscess yamaphaphu iqala ngokufaka ama-pathogens egumbini. Ngokuvamile, imbangela yalesi sifo ngumsebenzi we-Staphylococcus aureus, i-anaerobic bacilli ne-Gram-negative aerobic. Ukuba khona kwezinqubo zokuvuvukala ku-nasopharynx kwandisa ingozi yokutheleleka.
Amandla empawu zamaphaphu
Izimpawu zesifo zihlukile esiteji sokubunjwa kwe-abscess futhi emva kokuphuma kwayo. I-abscess enhle esiteji sokuqala ibonakala ngesimo sezikhalazo ezinjalo zesiguli:
- ubuthakathaka jikelele;
- ukushisa, okulandelwa yi-chill;
- ukukhwehlela nge-phlegm, ukuba nephunga elimnandi;
- ubuhlungu ku-sternum ;
- ukushisa komzimba okwandisiwe;
- Ukuphefumula, okuwumphumela wokudakwa.
Ngemuva kokuphumelela kwe-pus, kukhona ukuthuthukiswa okuphawulekayo esimweni sesiguli:
- ukuphefumula kuhlinzekwa;
- Ukudla kwesifiso kubonakala;
- izinga lokushisa linciphisa;
- iyanyamalala izithuthumela;
- i-sputum iyahamba.
Izimpawu ze-abscess lung abscess zibhekene nokuphikelela kokukhwehlela nokukhululwa kwe-sputum ephuthumayo. Ezinye izimpawu zihlala ngisho nasesiteji sokuxolelwa:
- ikhanda lamakhanda;
- ubuthakathaka bomzimba;
- ukhathala okwandayo.
Ngokuhamba kwesikhathi, kunezinguquko zangaphandle emzimbeni wesiguli:
- ukukhukhuma kobuso;
- ukuqina kwe-phalanges yeminwe;
- i-membrane yamangqamuzana ithola umlingiswa we-cyanotic.
Kuvela ukucindezeleka:
- ukukhwehlela nge-sputum, lapho i-veins yegazi ingabonakala khona;
- ubuhlungu esifubeni.
Izinkinga ze-abscess yamaphaphu
Inkambo eqhubekayo yesimo esingapheli sesifo ingaholela ekuthuthukiseni:
- emphysema encane;
- i-pneumosclerosis;
- ukuphazamiseka kwamaphamitha;
- i-thrombosis ye-veins yamapayipi;
- i-abscess of the brain;
- i-bacterium;
- Ukungakwazi ukuphefumula.
Ukuxilongwa kwe-abscess yamaphaphu
Ukuthola lesi sifo kanye nokuxilongwa kwenziwa ngesisekelo sokuhlolwa kwezinhloso, i-rayography, izifundo zelabhorethri, i-bronchoscopy kanye ne-tomography ehlanganisiwe.
Ekuhloleni okuhloswe ukulalela:
- ukushiya ingxenye ekhubazekile yesifuba ekuphefumuleni;
- ukwakheka kwezimpawu zokwehluleka kwe-ventricular;
- i-tachycardia;
- ukukhathazeka ekujuleni kwezikhala ze-intercostal;
- ukunciphisa umsindo ophikisanayo;
- Ukuvuthwa kwembula kwemimoya yokuphefumulela kanzima nokuma.
I-bronchoscopy ikuvumela ukuba ufunde uhlobo lwe-pus ukucacisa i-microflora yayo futhi ubeke ama-antibiotic afanelekayo.
Ngosizo lwe-PKT, indawo eqondile yendawo futhi ngisho nokutholakala kwamanzi kuwo kuyasungulwa.
Ukuhlolwa kwe-X kuyisici esiyinhloko sokuxilongwa ngokuqokwa kokwelashwa kwe-lung abscess. Inqubo yembula ukunyamala okungenalutho, okunamikhawulo emingcele. Ukuba khona emgodini we-pleural we-effusion kubonisa ukuthi kufakwe inqubo yokuvuvukala ye-pleura.
Ukuqhuba ukuhlolwa kwegazi jikelele kubonisa ukwanda kwe-ESR, ukushintsha ifomu leukocyte kwesobunxele ne-hypo-ulbuminemia. Ngokuvamile
Indlela yokuphatha i-abscess yamaphaphu?
Isiguli kumele sitholwe esibhedlela. Umsebenzi obalulekile ekwelapheni ukuhlinzeka umoya omusha, ngoba ngokuvamile uvunyelwe ukungena kwe-oxygen.
Ukwelashwa kuhilela ukuqedwa kwamapulisi, ukuqeda izimpawu zokudakwa nokuqinisa imisebenzi yokuzivikela.
Isisekelo sokwelashwa yisifo sokulwa namagciwane, esinqunywe ngokuhambisana nobuzwe bezincithakalo ezidakamizwa.
Ukuhlanza, ukuguqulwa kwe-transthoracic kanye ne-fibronchoscopy kusetshenziswa kabanzi.