Gangrene: symptoms, kumu, lapaʻau

Ma ka naehana'ōnaehana ola pono mālama mai i kakahiaka nui elemakule. Ke kanaka kino He mau ma lalo o hoouka ana o kekahi mau koʻohune, nā mea hoʻomaʻi, germs. Oi loa aku hoi i ka pilikia o ka maʻi, piʻi pū i ke anu ka ino a me ke anu ino, hoʻololi lākou mahana, lā lā.

ea haumia ea, pūnuku puhi, aggravate i ke ano a me ka ae maʻiʻaʻai e komo nui malalo ia i loko o ka naehana kaha. Mai e loli ai i ka luna naehana nenoaiu. Ko lakou nawaliwali, hui me ka hikiʻole o ka'ōnaehana paleʻea'ōnaehana, e pale aku i ka hoouka ana o pathogens hiki aku ai i ke kūpono 'ana o ka mea pathologies ma ka lalo papa. Kekahi o ia mea he gangrene o na ia maʻiʻaʻai.

He aha ka maʻi? He aha e na symptoms ano o ka maʻi? Pehea e hana ai me ia, a ina paha oe e lanakila ma keia nasty pathology? First mau mea mua.

'Ano o ka maʻi

He aha ka ka gangrene o na maʻiʻaʻai? Kēia pathology, ma a ka'opi o ke akemāmā'aʻaʻa - necrosis. Oia ke kaʻina hana i ka putrid külana. Purulent kuʻi nukeliu o ka lole ua i kaupalena 'ia kekahi hapa. Ke pathological kaʻina mea hiki ke palahalaha ae hoʻomaka koke, uhi hou pāhili. I ka maʻi ke loli mau lobes, i kekahi manawa, ia kŰlń ao i ka akemāmā holoʻokoʻa.

Loli'aʻaʻa wehewehe aku eleele. Loko IIeEeAIEUIeXAIIUE fetid pus. Necrosis mai i ke kanana 'kinona, a me i haiia ae maluna, i ka welelau o ka widening.

Pathology ua maheleia i loko o 2 hoailona ia mea:

1. Hoi o ka makana: IIeEeAIEUAA lobar maʻi malama.
2. Kapu: segmental wahi ua loaʻa. Pinepine ua ho'ākāka 'ia ma kēia kaʻina hana me ka abscess, e aahu ana i ka gangrenous külana.

I ka maʻi ua kena ae la ia e pathogenic microorganisms. Abscess a me ka gangrene, eʻano nui ka ia kaʻina me ke kapuai hookahi. Eia naʻe,ʻo ka oko mua kaupalena purulent maʻi kaʻina hana i loko o nā'aʻaʻa. Thoracic surgeons a me pulmonologists i kapa i kēia mau pathologies ka loa paʻakikī a me ka pilikia ano o ka make.

Loa pinepine, i ka maʻi ua diagnosed ma ka waena konu-elemakule kanaka.

Gangrene o na maʻiʻaʻai - he mea weliweli loa maʻi. Ua pinepine hiki aku ai i ona complications:

• purulent ka make ana o ka pleura;
• pulmonary hemorrhage;
• suppuration umauma pā pōhaku;
• sepsis;
• mau hui, ole.

About 60% o nā mea maʻi alo ka hopena make.

Nā kumu o ka maʻi

No ke aha la he mea gangrene? Nā kumu o ka maʻi hūnāʻia i loko o hoʻokahi hookahi ololi - ka lesion'aʻaʻa maʻiʻaʻai. Pinepine microorganisms e hoonaukiuki maʻi i anaerobic koʻohune.

Maʻi hiki e he kuokoa pathology paha no o ka intoxication. Pela, ma laila nō ka nui o nā maomeka ia ola ka maʻi e like gangrene.

Ke etiology o ka maʻi, ua like penei:

1. Hoʻonāukiuki microbial ingress i loko o ka maʻiʻaʻai a me bronchi e nui aʻe ana maʻi, niho nasopharynx. Ma lalo o ia mau rula hiki ia oe pathogenic microflora hoʻopulapula i lalo i ka airway.
2. I kekahi manawa, aia no ua anal i loko o ka naehana oihana o ke kumumea nui o ka hookuuia mai ka ihu a me ka puʻu, a me ka opu Contents ka wā reflux, dysphagia, iloko o ka luaʻi. Ka hope kŰia ua pinepine triggered ma ka poo nā palapū a intoxication. Komo i loko o ka bronchiʻano pākīkē'ōpū Contents ke kumu necrotic kaʻina hana i loko o nā'aʻaʻa.
3. Ke pathology ke ho i lawa ponoʻole hoʻokomo ea. Oia ke ano pinepine ia lŘlŘ ka wā'uī bronchus haole kino pahaʻeho. Ma kēia paena he mau microbes, a hoʻomaka i ka hana a me ka abscesses gangrene.
4. Kumu o ka maʻi hiki i purulent maʻi o naehana kahua. Mau mea na kēia mau maʻi: bronchiectasis, pneumonia, akemāmā abscess.
5. Dala i kekahi traumaticʻano papa hana gangrene ulu. Kaniak ka maʻiʻaʻai i loko o ka pahu ia i ke kena ae la ma ka penetrating eha he nui.
6. Pathogenic microorganisms hiki e hohola ai i na ia maʻiʻaʻai ma lymphatic'ōnaehana a me ke koko moku. Ua hiki ke ike ma ka osteomyelitis, sepsis, mumps, maʻi palū a me na mea he nui 'ē aʻe pathologies.

An nui kūlana i loko o ka ulu ana o ka maʻi Radio he mea hoʻonāwaliwali maoli nō o ka'ōnaehana paleʻea nenoaiu. Ma keia hihia, i ke kino nei,ʻaʻole hiki ke hana me ka microorganisms, a no ia mea, hiki ole ole i ka hanana o ke gangrene.

ʻO kēia kamepiula kumumea ku mai:

• e uwahi ana;
• alcoholism;
• ka lāʻau 'ino;
• HIV maʻiʻaʻai;
• wa e poohina ai;
• hana o glucocorticoids;
• mimikō.

symptomatology o ka maʻi

'Ano kokololio? Acaeoey wehewehe aku ma ka gangrene. Symptoms i loa. Ka maʻi progresses hoʻomaka koke, a me ka hoʻomanawanui ka kulana seriously deteriorates. E hoi kakou i ka lapaʻau hoailona ike gangrene.

Nā symptoms mea i emi iho ai ka maʻi e like penei:

1. Ola discomfort i loko o ka sternum. He ua nui hoʻokāʻoi 'ia oe cough.
2. Plight o ke hoʻomanawanui: kiʻekiʻe wela, ole, hai intoxication.
3. Aia mea he nele o ka ikaika loa ka makemake, ke kaupaonaʻana poho, a anorexia, tachycardia, pokole o ka hanu.
4. , Pili me ka puʻu pū frothy sputum a me ka pus. Ka hoʻokaʻawale 'okoa fetid ala. Ka mea, ho'āʻo i ka mea eleele tint, a hoomakaukau i ka hua, ahu iho. I ka akemāmā sputum gangrene hiki i hoʻomaka ai make'aʻaʻa (particles), ke koko.
5. Ke hoomanawanui hoʻomaka e kinai iho.
6. Aia ka profuse sweating.
7. Ka muli o ka oxygen hiki aku ai i ka hypoxia, i hoike mai ai ia i ka bluish manamana lima, ili integument o na lehelehe.
8. Ke hoomanawanui loaʻa māluhiluhi koke.
9. I kekahi manawa, he mea pōniuniu.
10. Ua haawiia mai i ka hanu nui eha i ka hoʻomanawanui. Malie hanu discomfort ke kumu.

I ka papa o ka maʻi

pehea e hoʻomōhala gangrene noonoo. Ke pathogenesis o ka maʻi ka mea i like loa me ke kahe o ke akemāmā abscess. Clinically gangrene ke hoomaopopo i ke ano a me ka malodor kiʻekiʻe propensity i hronifitsirovaniyu kaʻina.

Maʻi i hoike mai ai ia ia penei:

1. Initially, ke hoʻomanawanui i ka mai kuni. Ana wela? Aaeno? Ikaika hana. Naʻe, ka mea, mea nona i ka poe e hoomanawanui i ka poe e ole i'ōnaehana paleʻea deficiency. A kanaka haha ino. He manaʻo nei i hāliu aku i ka nawaliwali, nausea, lethargy. Pinepine hele mai i ka luaʻi. Ke sternum eha i Konakele. Ke ho'āʻo nei e lawe i ka hanu nui ke kumu loa discomfort. Inā e holo ikaika ma waena o nā iwi, ka eha akaka ma ka hoʻohuli ai i nā 'āpana, i loko o kānaka.
2. Cough ana ia lŘlŘ koke. Initially ia mea maloo. A laila, e lilo ia i pulu. Ua hoʻomaka e cough sputum, i ka mea heʻawaʻawa loa ala. Inā ia o ka hookuuia ana no kekahi manawa i koe i loko o ka pahu, ka mea e mahele i loko o 3 papa. I ka luna - hua me ka bitumena e e malama. Ka waena, ahu iho he he maopopo wai. Ke sediment E papa mai pus.
3. Symptomatology ua hikiwawe loa i holopono. Ke hoomanawanui ulu dyspnea, tachycardia ikea, hai nawaliwali. ke hoʻomanawanui i ka ike paka i ua hoʻokaumaha. Ma kekahi mau hihia, coma e hoʻomōhala ai. hiki ke hoemiia mai ke ana wela. I kekahi manawa ka mea, kulu ma lalo 38 C. kēiaʻano Ua noho pilikia, no ka mea, ua unuhiʻia i ke koko he nui helu o iho mailoko o Contents.
4. Inā ka hoʻomanawanui ola mai kēia wā,ʻo ia i hana i kekahi a oi abscesses. Oia cavities i loaʻa ka pus, i ka welelau o e uhai i loko o ka bronchus. O kŰia mau lepa a ka aʻe wā o? Acaeoey o ka maʻi.
5. Hoʻomanawanui iki mai i ka cough mea ino, ma a he nui nui o ka phlegm. Inā abscesses i moni loa ma ka bronchi nui, ka hoʻomanawanui ua koke anao? Aou i ka hailona o ka pus, i kekahi hihia i ke koko. Ke ano ua hoʻomaikaʻi koke lawa. Akā, ka hapanui o ka emptying mea,ʻaʻole he ala ala, akā, ma ka mea uuku bronchi. Kēia me ka nui loa Ua hoopanee ka kala o ka pus mai ka abscess, no laila, ke hoʻomanawanui i ka ke ano mau e e hoʻoponopono. Sputum me ka gangrene akemāmā paʻa lawa malodorous ala. I kekahi manawa e loaʻa'āpana liʻiliʻi o ke akemāmā'aʻaʻa - sequesters.

ʻike, no ka maʻi

A nui kūlana ma ka hoomaopopo ana i ka pathology Radio he physical ninaninau. Ke hoomanawanui lagging ma hope ma ke kaʻina hana o ka hanu o ka loli ana o kekahi hapa o ka pahu, i pōkole ka percussion kani. Ma auscultation huai ae naehana halulu hoʻonāwaliwaliʻia, maloo maʻi o.

Eia hou, i kaʻike, o ka akemāmā gangrene ka loaʻa o vocal a me keʻena hoʻokolohua epekema:

1. Koko hōʻike. Ua hōʻike he mahuahua ma ka helu o nā leukocytes, erythrocytes ho'ēmi i kā kaʻilikai, e māhuahua ESR. A emi i ka huina koko kumuʻiʻo.
2. X-na kukuna o ka sternum. Gangrene a me necrosis o akemāmā'aʻaʻa e hōʻike i loko o ke kiʻi ponalonalo ana. Pinepine i loaʻa me ka moʻolelo disintegration kukū a scalloped lua penei. Ponalonalo ana i ka welelau o i ka kokololio kūkākūkā, a no kekahi mau po ke aloha ia e pili lobe, a me kekahi manawa i ka akemāmā holoʻokoʻa. X-na kukuna hōʻike i ka hanana o exudate i loko o ka pleural lua.
3. Me tomography. Kēia kēia hana o ka X-Ray. He oi loa informative i loko o kēia pathology. Tomogram hiki huai ae i ka'opi o cavities e hoʻopili like no ka mahele heheʻe i ka cii o na ia maʻiʻaʻai.
4. Bronchoscopy. Endoscopic PalekanaEND_LINK iaoia hoʻoholo purulent endobronchitis, obturation. Ka like eaaaony ka manawa, e malama i keʻano o ka pathological kaʻina.
5. Ka Ikepili o ka sputum. Ma hope o ka mea, ua hoouna aku bronchoscopy a me ka sputum loaa Contents i ke keʻena hoʻokolohua ho'āʻo ma. PalekanaEND_LINK ho'āʻo ma huai ae i ka pathogen pathology, a ae mai, e hooholo i ka pā lonoaʻili o microorganisms i antibiotics.

hiki complications

Wale nō ka mea 'eleu lapaau a hiki i ke kauka ke ana i kēia pathology, e like gangrene. Complications e ala mai, e like me ka rula, ina ka makaikai ana i na kauka lohi.

Ma keia kulana, ma laila e e hoʻoponopono hopena:

1. Maloo, pleural effusion.
2. A Ua Hopu i loko o ka pleural lua hele aku ai a hiki i ka gangrenous pneumoempyema. Ke hoomanawanui i ka huʻi pūhakaʻeha, pokole o ka hanu, naau pohupani hale ia lŘlŘ. Ke hoomanawanui i ka kulana deteriorates. Ke kŰia o ka'opi.
3. Profuse kahe ana ke koko.
4. Pyosepticemia. Ke pathology ia lŘlŘ ku ei ke kāʻei kua o ka make i loko o nā maʻiʻaʻai o ka moku nui.
5. ʻaʻa puʻuwai amyloidosis. Ua hoʻomōhala ana i loko o ka hihia o ka maʻi ano o ka maʻi.

Eia kekahi, i ka wa a ka malamalama gangrene kiʻekiʻe loa kamepiula o ka make.

makeʻe kulana lapaʻau

Inc ua mālama 'ia i loko o ka haukapila kaiapuni.

Lapaʻau o ke akemāmā gangrene ninoieo o na kēia mau ana:

1. Mālama nui detoxification. No kēia mau mea, i ka hoʻomanawanui ua lawelawe intravenously wai koko-hookomoia pāʻoihana e haʻahaʻa hakakino kaumaha "Hemodez", "Reopoligljukin", "Neokompensan". Hāʻawi aku wai koko vodnoelektrolitnye ukuhiia albumin. Lawelawe monakō koko pāʻoihana (5%, 10%) me ka insulina, e like me nā mea kūpale o proteolysis "Trasylol", "Contrycal".
2. Antibiotic Inc. 'O kēia ka mea nui hehee ai, me ka a ka iapaau ana o ka akemāmā gangrene mea wale ole i ke Akua. Initially paipai aku antibiotics, a me kona laulā huahelu o ka loa. E like me ka rula, ka mea, o ka mea kēia mau ai ': "Fortum", "Cefepime", "Meropenem", "Tienam". Pinepine, ka lawelaweia ana e hoomanawanui i ka antibiotic koke 2. Ma hope o nä ka pathogen ua koho hou kūlike loa lapaʻau regimen. hui pu ana, ai ' "Ampicillin" me ka ai' "Tseporin", "Gentamycin", "Kefzol", "tetraolean" Ua pono.
3. Desensitization o ka meaola. Ke hoomanawanui Ua hoakaka ia ka lapaʻauʻia "Suprastin", "Diphenhydramine", "pipolfen".
4. Paipai wikamina pono a pau o "Retinol'ākeka" "riboflavin" "cyanocobalamin" "Thiamin" "pyridoxine" "Ascorbicʻakika".
5. Inā he mea he kiʻekiʻe koko clotting, i ka hoʻomanawanui intravenously injected lāʻau "Heparin".
6. E hōʻoia 'kūpono hanu ma ke kamepiula a noke hana humidified ka oxygen inhalation.
7. Inā pono, lawe i ke kaua me ka paresis o ka naʻau liʻiliʻi, reorganization o ka tracheobronchial laau.
8. Hāʻawi aku phlegm ai '. Mau konohiki ka lawelaweia ana intravenously, a ua hoʻohana 'ia no ka inhalation. Ke hoomanawanui i ke paipaiʻia ka lapaʻauʻia "Ambroxol", "Lasolvan", "Ambrobene", "Haliksol", "ACC injective."

Ma ke ano o ka hoʻomanawanui pololei ua hoʻonānā i Inc. Aia o kekahi papa o ka mea'ōnaehana mānowai koko oihana, ake a me nā puʻupaʻa. Ka hope Aupuni ke uku kūikawā noonoo, no ka mea, ka mea, i ka auoiaea o ka iho mailoko mea a me na laau.

Lapaʻau o ka abscess a me ka akemāmā gangrene komo ai nōkahea lua. Hooko keia hana ua ia, ina o ka abscess ua IIeEeAIEUIeXAIIUE kokoke i kaʻili uhiia e ka pleura.

operative Inc

Inā ke kaʻina 'aʻole e stabilize i ka makeʻe kulana Inc, laila, loaʻa nō i nā nāʻikepili no ka'ano'ē' uao. No kēia hoʻoponopono iho hemodynamic, metabolic kāna hana, e auhau i ka hoʻomanawanui i ka ke ano (ina paha he mea hiki ia, e lawe mai i ka hana).

ʻoki kino kŰia wehe 'o gangrenous akemāmā'aʻaʻa:

• lobectomy;
• bilobektomiyu;
• pneumonectomy.

keikiʻai mālama

Ka maʻi Ua paʻakikī o no nā mea maʻi, a no ka poʻe i mālama i ka ia. Loa kaupaona mau hoike putrid hohono.

Ka hoʻolako 'e pono malama i ka hoomanawanui, aole loa no auanei:

1. Ka hoʻohana o deodorizing konohiki. Ma kūlana e like me ka hiki ke hana creosote.
2. Kokoke i ka hoʻomanawanui i ka moe pono e mālama i loko o ka ipu kuha. E emi i kaʻawaʻawa loaʻala, ka mea, ua? Aeiiaiaoaony e ninini iho i ka apana uuku na deodorizing pāʻoihana. Eia hou, he mea pono eʻoiaʻiʻo, e pani i ka poʻi.
3. E hoomanawanui i ka poe i diagnosed gangrene, prone i excessive sweating. No laila, i ka hoʻomanawanui, e hoopai pinepine loli o ka wahi moe kapa.
4. I kekahi manawa, i ke ano o ke kanaka ua ai deteriorated, i ka mea hiki ole no hoi e ko lakou mau ai. Nolaila, o ka poe e manaʻo mai i ka hoʻomanawanuiʻana, e e hānai i ka hoʻomanawanui me ka puna.
5. He nui ke hoʻopaʻa i ka loa kino a me ka noʻonoʻo 'koena.
6. I ka hemoptysis ke ahonui e ia i loko o ke kalaka nui-noho kūlana.
7. Ke hoomanawanui ua hookapuia e kamailio, he wela inu 'ole i ka ai inu.

ola i ka olelo wanana

He aha hoomakaukauiaʻi mau hoʻomanawanui iki mai diagnosed me akemāmā gangrene? Loaa ole ia kēla wale nō i loko o ka hihia ina he mea ole 'eleu lapaau. Ma hope o ka maʻi loa koke Hoʻonui i ka pono, e uhi ana i ola mau. Inā makeʻe kulana Inc ke aloha, a me ka ua i lawe maiʻoki kino, i ka hoʻomanawanui make.

Me ka 'eleu lapaʻau i ka lapaau malama i ka pono okoa kiʻi. 'Ikepili helu mai nei i loko o 70-80% o nā mea a pau e hoomanawanui i perebaryvat gangrene, a ola. piha, a kūpono papa o ka lapaau ke kanaka hoʻi i ka maʻamau ola.

Ke kūikawā noonoo pono complications e like me sepsis, pulmonary hemorrhage, mau hui, ole. Ma lalo o kēia mau illnesses he hoomanawanui ma ka pono o ka pilikia kōkua. Inā no kekahi kumu ka mea, ua i ae nei, ka mea kiʻekiʻe kamepiula o irreversible 'ole i loko o ke kino.

He nolaila, e pono ke kuapo koke hou na kēia: ma ka mea e Makuakane me keia pathology, e ke koke ike i ke kauka, a no ka hoʻokō loa ana i nā koi o na kauka.